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Fertility & birth rates in China and North Macedonia

Updated on by Georank team

China has an annual birth rate of 6.39 births per 1,000 people, compared to 9.2 for North Macedonia. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1 in China and 1.5 in North Macedonia — 50.2% difference.

1960 vs 2023, the fertility rate has decreased by 77.6% in China and by 60.8% in North Macedonia — in 1960, it was 4.45 and 3.83, respectively.

  • China is ranked 191/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 29.4 in China — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.23 in China vs 13 in North Macedonia.
  • In China, 22.3% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in China vs North Macedonia by year

China
North Macedonia
1x
Year Fertility rate
China North Macedonia
2023 1 1.5
2022 1.03 1.6
2021 1.12 1.6
2020 1.24 1.31
2019 1.5 1.34
2018 1.54 1.42
2017 1.8 1.43
2016 1.77 1.5
2015 1.67 1.49
2014 1.77 1.5
2013 1.71 1.5
2012 1.8 1.5
2011 1.67 1.46
2010 1.69 1.6
2009 1.71 1.5
2008 1.7 1.47
2007 1.67 1.46
2006 1.64 1.46
2005 1.62 1.5
2004 1.61 1.52
2003 1.57 1.75
2002 1.57 1.79
2001 1.56 1.73
2000 1.63 1.86
1999 1.53 1.77
1998 1.52 1.89
1997 1.53 1.92
1996 1.55 2.06
1995 1.59 2.13
1994 1.63 2.23
1993 1.69 2.26
1992 1.78 2.28
1991 1.93 2.31
1990 2.51 2.27
1989 2.52 2.25
1988 2.54 2.32
1987 2.76 2.32
1986 2.72 2.25
1985 2.63 2.25
1984 2.61 2.24
1983 2.56 2.25
1982 2.97 2.29
1981 2.79 2.29
1980 2.74 2.36
1979 2.75 2.4
1978 2.72 2.42
1977 2.84 2.49
1976 3.24 2.62
1975 3.57 2.69
1974 4.17 2.7
1973 4.73 2.72
1972 5.11 2.87
1971 5.52 2.93
1970 6.09 3.01
1969 6.18 3.1
1968 6.51 3.22
1967 5.81 3.33
1966 6.31 3.43
1965 6.61 3.52
1964 6.67 3.56
1963 7.51 3.62
1962 6.09 3.5
1961 3.86 3.62
1960 4.45 3.83

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

According to the latest available data on birth rates, the fertility rate in China was 1 children per woman in 2023, compared to 1.5 in North Macedonia in 2023. The replacement level is considered to be 2.1 children per woman.

Check China vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

China
North Macedonia
1x
Year Natural population change
China North Macedonia
2023 -2,087,851 -3,290
2022 -847,305 -4,397
2021 480,203 -9,737
2020 2,046,095 -5,939
2019 4,673,713 -375
2018 5,302,433 1,512
2017 7,790,880 1,329
2016 9,062,269 2,374
2015 6,788,911 2,294
2014 9,205,180 3,644
2013 8,043,116 3,653
2012 10,075,174 3,087
2011 8,245,065 3,100
2010 6,407,607 4,866
2009 6,483,236 4,309
2008 6,729,247 3,746
2007 6,813,465 2,974
2006 6,922,185 3,988
2005 7,678,911 4,011
2004 7,607,960 5,444
2003 7,743,284 8,900
2002 8,258,580 9,697
2001 8,839,358 10,174
2000 9,570,849 12,159
1999 10,247,372 10,489
1998 11,351,286 12,446
1997 12,374,554 12,979
1996 12,686,872 14,806
1995 12,711,220 17,239
1994 13,360,470 19,103
1993 13,493,138 20,797
1992 13,548,601 21,659
1991 14,937,124 23,387
1990 16,335,313 22,868
1989 16,824,495 22,912
1988 17,328,640 24,064
1987 18,005,821 24,359
1986 16,609,920 23,720
1985 14,987,830 24,167
1984 13,561,671 24,436
1983 13,599,789 24,690
1982 15,815,318 25,810
1981 14,461,027 25,689
1980 11,647,260 26,547
1979 11,250,148 27,096
1978 11,473,980 27,150
1977 11,378,068 27,410
1976 11,782,472 28,799
1975 14,378,237 28,983
1974 15,738,118 28,400
1973 18,423,727 28,032
1972 19,102,585 28,236
1971 19,622,980 28,010
1970 21,137,076 28,022
1969 20,760,332 27,464
1968 21,206,083 28,378
1967 19,263,662 28,401
1966 19,282,187 28,766
1965 20,296,950 28,564
1964 19,302,532 27,889
1963 22,742,225 28,124
1962 17,969,132 25,317
1961 2,496,047 27,846
1960 -3,048,510 28,816

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

The chart above illustrates the comparison of the absolute yearly changes in population resulting from births and deaths.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was -0.15% in China and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been +0.31% in China and -0.07% in North Macedonia.

Birth rate in China vs North Macedonia by year

China
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
China North Macedonia
2023 6.39 9.2
2022 6.77 9.9
2021 7.52 10.2
2020 8.52 9.2
2019 10.4 9.6
2018 10.9 10.3
2017 12.6 10.5
2016 13.6 11.1
2015 12 11.1
2014 13.8 11.4
2013 13 11.2
2012 14.6 11.4
2011 13.3 11.1
2010 11.9 11.8
2009 12 11.5
2008 12.1 11.2
2007 12.1 11.1
2006 12.1 11.1
2005 12.4 11
2004 12.3 11.5
2003 12.4 13.3
2002 12.9 13.7
2001 13.4 13.3
2000 14 14.5
1999 14.6 13.5
1998 15.6 14.6
1997 16.6 14.8
1996 17 16.1
1995 17.1 16.7
1994 17.7 17.7
1993 18.1 18.2
1992 18.3 18.4
1991 19.7 18.7
1990 21.1 18.4
1989 21.6 18.4
1988 22.4 19.1
1987 23.3 19.3
1986 22.4 18.9
1985 21 19.1
1984 19.9 19.2
1983 20.2 19.5
1982 22.3 19.9
1981 20.9 20.1
1980 18.2 20.8
1979 17.8 21.1
1978 18.3 21.3
1977 18.9 21.9
1976 19.9 23
1975 23 23.6
1974 24.8 23.5
1973 27.9 23.5
1972 29.8 24.5
1971 30.7 24.7
1970 33.4 25.1
1969 34.1 25.4
1968 35.6 26.1
1967 34 26.7
1966 35.1 27.5
1965 37.9 28.1
1964 39.1 28.4
1963 43.4 29
1962 37 28.3
1961 18 29.2
1960 20.9 31

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.39 in China and 9.2 in North Macedonia, compared with 20.9 and 31, respectively, in 1960.

Birth rate data compared

China North Macedonia
Fertility rate 1 1.5
Fertility rate rank 192/196 146/196
Birth rate 6.39 9.2
Birth rate rank 191/196 158/196
Population change due to births and deaths -2,087,851 -3,290
Natural population change rank 196/196 165/196
Natural population change rate -0.15% -0.18%
Population growth -0.12% -0.19%
Population growth rank 173/197 176/197
Age at first childbirth n/a 27.4 years
Average age at childbearing 29.4 years 29.3 years
Annual births per 1,000 women ages 15-19 5.17 11.7
Annual births per 1,000 women ages 20-29 56.6 76.7
Annual births per 1,000 women ages 30+ 8.76 11.9
Female of reproductive age (15-49), share of population 22.3% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 80.5% 14%
Share of births attended by skilled health staff 99.9% 100%
Maternal mortality per live birth 0.02% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.28% 0.14%
Infant mortality rate (before reaching 1 year of age) 0.45% 0.28%
Mortality rate before reaching 5 years of age 0.62% 0.33%
Life expectancy 79 years 77.8 years

Children 0-14 years as share of population

China
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
China North Macedonia
2100 7.83% 10.6%
2099 7.84% 10.7%
2098 7.87% 10.7%
2097 7.91% 10.8%
2096 7.96% 10.8%
2095 8.03% 10.9%
2094 8.1% 11%
2093 8.18% 11%
2092 8.26% 11.1%
2091 8.34% 11.2%
2090 8.41% 11.2%
2089 8.47% 11.3%
2088 8.52% 11.3%
2087 8.55% 11.4%
2086 8.57% 11.4%
2085 8.57% 11.4%
2084 8.56% 11.4%
2083 8.53% 11.4%
2082 8.48% 11.4%
2081 8.41% 11.4%
2080 8.34% 11.4%
2079 8.25% 11.3%
2078 8.15% 11.3%
2077 8.06% 11.3%
2076 7.96% 11.2%
2075 7.86% 11.2%
2074 7.77% 11.2%
2073 7.7% 11.2%
2072 7.64% 11.1%
2071 7.6% 11.2%
2070 7.58% 11.2%
2069 7.59% 11.2%
2068 7.63% 11.3%
2067 7.7% 11.4%
2066 7.8% 11.5%
2065 7.93% 11.6%
2064 8.08% 11.7%
2063 8.25% 11.9%
2062 8.44% 12%
2061 8.64% 12.2%
2060 8.84% 12.3%
2059 9.03% 12.4%
2058 9.22% 12.6%
2057 9.39% 12.7%
2056 9.54% 12.8%
2055 9.67% 12.9%
2054 9.78% 13%
2053 9.86% 13%
2052 9.92% 13.1%
2051 9.94% 13.1%
2050 9.94% 13.1%
2049 9.92% 13.1%
2048 9.88% 13.1%
2047 9.82% 13%
2046 9.75% 13%
2045 9.67% 13%
2044 9.59% 13%
2043 9.52% 12.9%
2042 9.46% 12.9%
2041 9.4% 12.9%
2040 9.35% 13%
2039 9.32% 13%
2038 9.3% 13%
2037 9.32% 13.2%
2036 9.42% 13.4%
2035 9.63% 13.6%
2034 10% 13.8%
2033 10.5% 14.1%
2032 11.2% 14.4%
2031 11.8% 14.7%
2030 12.4% 15.1%
2029 13.1% 15.4%
2028 13.8% 15.8%
2027 14.5% 16.1%
2026 15.1% 16.4%
2025 15.7% 16.7%
2024 16% 16.8%
2023 16.6% 17.1%
2022 17.1% 17.2%
2021 17.6% 17.2%
2020 18% 17.2%
2019 18.2% 17.2%
2018 18.3% 17.4%
2017 18.4% 17.5%
2016 18.3% 17.8%
2015 18.3% 18%
2014 18.3% 18.3%
2013 18.3% 18.6%
2012 18.3% 18.8%
2011 18.3% 19%
2010 18.5% 19.3%
2009 18.6% 19.7%
2008 18.9% 20%
2007 19.2% 20.4%
2006 19.6% 20.8%
2005 20.3% 21.2%
2004 21.2% 21.7%
2003 22% 22.1%
2002 22.9% 22.5%
2001 23.8% 22.9%
2000 24.5% 23.4%
1999 25.2% 23.9%
1998 25.7% 24.4%
1997 26.3% 24.8%
1996 27% 25.1%
1995 27.4% 25.4%
1994 27.8% 25.5%
1993 28.2% 25.7%
1992 28.4% 26.1%
1991 28.6% 26.5%
1990 28.8% 26.9%
1989 28.9% 27.1%
1988 29.3% 27.4%
1987 29.8% 27.6%
1986 30.4% 27.8%
1985 31.2% 28.1%
1984 32.2% 28.3%
1983 33.3% 28.5%
1982 34.3% 28.8%
1981 35.1% 29.1%
1980 36.1% 29.5%
1979 37.2% 29.9%
1978 38.6% 30.3%
1977 39.8% 30.6%
1976 40.3% 30.9%
1975 40.2% 31.3%
1974 40.2% 31.7%
1973 40.1% 32.2%
1972 40.4% 32.6%
1971 40.7% 33%
1970 40.8% 33.5%
1969 41% 34.1%
1968 41% 34.7%
1967 41.3% 35.2%
1966 41.5% 35.8%
1965 41.5% 36.3%
1964 41.2% 36.7%
1963 40.6% 37.2%
1962 40% 37.6%
1961 40% 37.8%
1960 40.3% 37.7%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

Children aged 0-14 make up 16% of the population in China and 16.8% in North Macedonia in 2024, compared to 28.8% and 26.9% respectively in 1990.

Demographics of China and North Macedonia compared.

Fertility rates around the globe

1x

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

Maternal mortality chart: China vs North Macedonia

China
North Macedonia
1x
Year Maternal mortality per 100K births
China North Macedonia
2023 16 3
2022 18 3
2021 21 12
2020 20 7
2019 21 3
2018 22 3
2017 24 4
2016 25 4
2015 26 4
2014 28 4
2013 30 5
2012 32 5
2011 33 5
2010 34 5
2009 35 6
2008 38 6
2007 38 7
2006 40 7
2005 42 7
2004 45 8
2003 47 8
2002 50 10
2001 52 9
2000 56 11
1999 58 12
1998 60 13
1997 63 13
1996 67 14
1995 71 13
1994 76 13
1993 80 14
1992 86 14
1991 92 15
1990 102 16
1989 104 14
1988 108 16
1987 114 15
1986 120 16
1985 125 17

Data sources: World Bank | Gender (1985–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 16 deaths per 100,000 live births in China, compared to 3 deaths in North Macedonia.

Under-five mortality rates

China
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
China North Macedonia
2023 0.62% 0.33%
2022 0.66% 0.41%
2021 0.7% 0.5%
2020 0.75% 0.59%
2019 0.8% 0.7%
2018 0.86% 0.83%
2017 0.92% 0.97%
2016 0.99% 1.08%
2015 1.07% 1.13%
2014 1.15% 1.11%
2013 1.25% 1.07%
2012 1.35% 1.02%
2011 1.46% 1%
2010 1.58% 1.04%
2009 1.71% 1.1%
2008 1.85% 1.17%
2007 2.01% 1.23%
2006 2.19% 1.3%
2005 2.4% 1.37%
2004 2.64% 1.42%
2003 2.89% 1.43%
2002 3.15% 1.43%
2001 3.42% 1.48%
2000 3.67% 1.59%
1999 3.91% 1.73%
1998 4.14% 1.83%
1997 4.36% 1.93%
1996 4.56% 2.12%
1995 4.75% 2.45%
1994 4.93% 2.85%
1993 5.08% 3.13%
1992 5.22% 3.3%
1991 5.31% 3.46%
1990 5.37% 3.7%
1989 5.39% 4.01%
1988 5.4% 4.36%
1987 5.4% 4.69%
1986 5.4% 4.91%
1985 5.43% 5%
1984 5.5% 5.06%
1983 5.61% 5.25%
1982 5.78% 5.53%
1981 6% 5.79%
1980 6.28% -
1979 6.62% -
1978 7.01% -
1977 7.47% -
1976 7.97% -
1975 8.5% -
1974 9.05% -
1973 9.61% -
1972 10.2% -
1971 10.7% -
1970 11.3% -
1969 11.9% -

Data sources: World Bank | Health (1969–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/north-macedonia | CC BY

The chance that a newborn baby will die before reaching age five is 0.62% in China and 0.33% in North Macedonia. Above is a chart with historical data on under-five mortality rates.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10)
  3. United Nations Economic Commission for Europe (UNECE) (2022, retrieved 2026-03-10)

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