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Fertility & birth rates in China and Sao Tome and Principe

Updated on by Georank team

China has an annual birth rate of 6.39 births per 1,000 people, compared to 28.2 for Sao Tome and Principe. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1 in China and 3.64 in Sao Tome and Principe — 264.8% difference.

1960 vs 2023, the fertility rate has decreased by 77.6% in China and by 41.6% in Sao Tome and Principe — in 1960, it was 4.45 and 6.24, respectively.

  • China is ranked 191/196 by birth rate compared to 39/196 for Sao Tome and Principe.
  • The mean age at childbearing (for all the births, not just the first) is 29.4 in China — it's 28.4 in Sao Tome and Principe.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.23 in China vs 86.2 in Sao Tome and Principe.
  • In China, 22.3% of the population is composed of women of reproductive age (15-49), compared to 25.2% in Sao Tome and Principe.

Fertility rate in China vs Sao Tome and Principe by year

China
Sao Tome and Principe
1x
Year Fertility rate
China Sao Tome
2023 1 3.64
2022 1.03 3.7
2021 1.12 3.76
2020 1.24 3.83
2019 1.5 3.9
2018 1.54 3.98
2017 1.8 4.07
2016 1.77 4.2
2015 1.67 4.35
2014 1.77 4.49
2013 1.71 4.58
2012 1.8 4.66
2011 1.67 4.72
2010 1.69 4.77
2009 1.71 4.84
2008 1.7 4.91
2007 1.67 4.96
2006 1.64 4.93
2005 1.62 4.94
2004 1.61 4.96
2003 1.57 5.01
2002 1.57 5.06
2001 1.56 5.1
2000 1.63 5.16
1999 1.53 5.23
1998 1.52 5.3
1997 1.53 5.4
1996 1.55 5.47
1995 1.59 5.55
1994 1.63 5.56
1993 1.69 5.64
1992 1.78 5.7
1991 1.93 5.77
1990 2.51 5.83
1989 2.52 5.88
1988 2.54 5.94
1987 2.76 5.99
1986 2.72 6.05
1985 2.63 6.1
1984 2.61 6.16
1983 2.56 6.22
1982 2.97 6.28
1981 2.79 6.33
1980 2.74 6.39
1979 2.75 6.43
1978 2.72 6.47
1977 2.84 6.5
1976 3.24 6.52
1975 3.57 6.53
1974 4.17 6.53
1973 4.73 6.53
1972 5.11 6.51
1971 5.52 6.49
1970 6.09 6.47
1969 6.18 6.44
1968 6.51 6.42
1967 5.81 6.39
1966 6.31 6.37
1965 6.61 6.35
1964 6.67 6.33
1963 7.51 6.31
1962 6.09 6.28
1961 3.86 6.26
1960 4.45 6.24

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

GeoRank.org/birth-rate/china/sao-tome-and-principe | 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 3.64 in Sao Tome and Principe in 2023. The replacement level is considered to be 2.1 children per woman.

Check China vs Sao Tome and Principe population clock for a dynamic visualization of the changing population.

Natural population change by year

China
Sao Tome and Principe
1x
Year Natural population change
China Sao Tome
2023 -2,087,851 5,221
2022 -847,305 5,102
2021 480,203 4,954
2020 2,046,095 4,874
2019 4,673,713 4,932
2018 5,302,433 4,957
2017 7,790,880 5,007
2016 9,062,269 5,125
2015 6,788,911 5,269
2014 9,205,180 5,381
2013 8,043,116 5,449
2012 10,075,174 5,501
2011 8,245,065 5,445
2010 6,407,607 5,391
2009 6,483,236 5,349
2008 6,729,247 5,297
2007 6,813,465 5,226
2006 6,922,185 5,057
2005 7,678,911 4,897
2004 7,607,960 4,810
2003 7,743,284 4,702
2002 8,258,580 4,591
2001 8,839,358 4,471
2000 9,570,849 4,334
1999 10,247,372 4,221
1998 11,351,286 4,120
1997 12,374,554 4,041
1996 12,686,872 3,993
1995 12,711,220 3,948
1994 13,360,470 3,860
1993 13,493,138 3,841
1992 13,548,601 3,822
1991 14,937,124 3,801
1990 16,335,313 3,719
1989 16,824,495 3,576
1988 17,328,640 3,544
1987 18,005,821 3,440
1986 16,609,920 3,180
1985 14,987,830 3,242
1984 13,561,671 3,163
1983 13,599,789 3,100
1982 15,815,318 3,047
1981 14,461,027 3,015
1980 11,647,260 2,965
1979 11,250,148 2,893
1978 11,473,980 2,800
1977 11,378,068 2,705
1976 11,782,472 2,608
1975 14,378,237 2,515
1974 15,738,118 2,422
1973 18,423,727 2,329
1972 19,102,585 2,232
1971 19,622,980 2,127
1970 21,137,076 1,980
1969 20,760,332 1,862
1968 21,206,083 1,767
1967 19,263,662 1,693
1966 19,282,187 1,642
1965 20,296,950 1,611
1964 19,302,532 1,600
1963 22,742,225 1,609
1962 17,969,132 1,625
1961 2,496,047 1,657
1960 -3,048,510 1,547

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

GeoRank.org/birth-rate/china/sao-tome-and-principe | 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 +2.26% in Sao Tome and Principe.

For the past 10 years, the annual natural population change has been +0.31% in China and +2.4% in Sao Tome and Principe.

Birth rate in China vs Sao Tome and Principe by year

China
Sao Tome and Principe

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
China Sao Tome
2023 6.39 28.2
2022 6.77 28.3
2021 7.52 28.5
2020 8.52 28.6
2019 10.4 29.2
2018 10.9 29.8
2017 12.6 30.6
2016 13.6 31.7
2015 12 33
2014 13.8 34.3
2013 13 35.4
2012 14.6 36.4
2011 13.3 36.8
2010 11.9 37.3
2009 12 37.9
2008 12.1 38.5
2007 12.1 38.9
2006 12.1 38.9
2005 12.4 39
2004 12.3 39.2
2003 12.4 39.6
2002 12.9 39.8
2001 13.4 40
2000 14 39.7
1999 14.6 39.4
1998 15.6 39.2
1997 16.6 39.2
1996 17 39.3
1995 17.1 39.5
1994 17.7 39.4
1993 18.1 39.8
1992 18.3 40.2
1991 19.7 40.7
1990 21.1 40.7
1989 21.6 40.9
1988 22.4 40.9
1987 23.3 41
1986 22.4 41
1985 21 41
1984 19.9 41.1
1983 20.2 41.2
1982 22.3 41.3
1981 20.9 41.5
1980 18.2 41.6
1979 17.8 41.6
1978 18.3 41.4
1977 18.9 41.3
1976 19.9 41.1
1975 23 40.9
1974 24.8 40.6
1973 27.9 40.3
1972 29.8 39.9
1971 30.7 39.5
1970 33.4 38.8
1969 34.1 38.2
1968 35.6 37.8
1967 34 37.7
1966 35.1 38
1965 37.9 38.6
1964 39.1 39.7
1963 43.4 41.1
1962 37 42.7
1961 18 44.6
1960 20.9 44.6

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

GeoRank.org/birth-rate/china/sao-tome-and-principe | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.39 in China and 28.2 in Sao Tome and Principe, compared with 20.9 and 44.6, respectively, in 1960.

Birth rate data compared

China Sao Tome
Fertility rate 1 3.64
Fertility rate rank 192/196 41/196
Birth rate 6.39 28.2
Birth rate rank 191/196 39/196
Population change due to births and deaths -2,087,851 +5,221
Natural population change rank 196/196 126/196
Natural population change rate -0.15% +2.26%
Population growth -0.12% +2.02%
Population growth rank 173/197 49/197
Age at first childbirth n/a 19.4 years
Average age at childbearing 29.4 years 28.4 years
Annual births per 1,000 women ages 15-19 5.17 82.5
Annual births per 1,000 women ages 20-29 56.6 169.9
Annual births per 1,000 women ages 30+ 8.76 47.4
Female of reproductive age (15-49), share of population 22.3% 25.2%
Any modern method of contraceptive prevalence among married women ages 15-49 80.5% 46%
Share of births attended by skilled health staff 99.9% 96.8%
Maternal mortality per live birth 0.02% 0.08%
Neonatal mortality rate (before reaching 28 days of age) 0.28% 0.68%
Infant mortality rate (before reaching 1 year of age) 0.45% 0.94%
Mortality rate before reaching 5 years of age 0.62% 1.39%
Life expectancy 79 years 70.3 years

Children 0-14 years as share of population

China
Factual

UN forecast
Sao Tome and Principe
Factual

UN forecast
1x
Year Young
China Sao Tome
2100 7.83% 19.5%
2099 7.84% 19.6%
2098 7.87% 19.8%
2097 7.91% 19.9%
2096 7.96% 20%
2095 8.03% 20.2%
2094 8.1% 20.3%
2093 8.18% 20.4%
2092 8.26% 20.6%
2091 8.34% 20.7%
2090 8.41% 20.9%
2089 8.47% 21.1%
2088 8.52% 21.2%
2087 8.55% 21.4%
2086 8.57% 21.6%
2085 8.57% 21.8%
2084 8.56% 22%
2083 8.53% 22.2%
2082 8.48% 22.4%
2081 8.41% 22.6%
2080 8.34% 22.9%
2079 8.25% 23.1%
2078 8.15% 23.3%
2077 8.06% 23.5%
2076 7.96% 23.7%
2075 7.86% 24%
2074 7.77% 24.2%
2073 7.7% 24.4%
2072 7.64% 24.6%
2071 7.6% 24.8%
2070 7.58% 25%
2069 7.59% 25.2%
2068 7.63% 25.4%
2067 7.7% 25.6%
2066 7.8% 25.9%
2065 7.93% 26.1%
2064 8.08% 26.3%
2063 8.25% 26.5%
2062 8.44% 26.8%
2061 8.64% 27%
2060 8.84% 27.3%
2059 9.03% 27.5%
2058 9.22% 27.8%
2057 9.39% 28.1%
2056 9.54% 28.4%
2055 9.67% 28.7%
2054 9.78% 29%
2053 9.86% 29.4%
2052 9.92% 29.7%
2051 9.94% 30.1%
2050 9.94% 30.4%
2049 9.92% 30.8%
2048 9.88% 31.1%
2047 9.82% 31.5%
2046 9.75% 31.8%
2045 9.67% 32.1%
2044 9.59% 32.5%
2043 9.52% 32.8%
2042 9.46% 33.1%
2041 9.4% 33.4%
2040 9.35% 33.6%
2039 9.32% 33.9%
2038 9.3% 34.1%
2037 9.32% 34.4%
2036 9.42% 34.6%
2035 9.63% 34.7%
2034 10% 34.9%
2033 10.5% 35.1%
2032 11.2% 35.3%
2031 11.8% 35.5%
2030 12.4% 35.8%
2029 13.1% 36.1%
2028 13.8% 36.6%
2027 14.5% 37%
2026 15.1% 37.3%
2025 15.7% 37.6%
2024 16% 37.8%
2023 16.6% 38.3%
2022 17.1% 38.8%
2021 17.6% 39.4%
2020 18% 39.9%
2019 18.2% 40.5%
2018 18.3% 40.9%
2017 18.4% 41.4%
2016 18.3% 41.7%
2015 18.3% 41.9%
2014 18.3% 42%
2013 18.3% 42%
2012 18.3% 42%
2011 18.3% 42%
2010 18.5% 42.1%
2009 18.6% 42.1%
2008 18.9% 42.1%
2007 19.2% 42%
2006 19.6% 42%
2005 20.3% 42%
2004 21.2% 42.1%
2003 22% 42.2%
2002 22.9% 42.3%
2001 23.8% 42.5%
2000 24.5% 42.8%
1999 25.2% 43.4%
1998 25.7% 43.9%
1997 26.3% 44.3%
1996 27% 44.7%
1995 27.4% 44.9%
1994 27.8% 45.1%
1993 28.2% 45.2%
1992 28.4% 45.2%
1991 28.6% 45.1%
1990 28.8% 45.1%
1989 28.9% 45%
1988 29.3% 45%
1987 29.8% 44.9%
1986 30.4% 44.7%
1985 31.2% 44.5%
1984 32.2% 44.4%
1983 33.3% 44.5%
1982 34.3% 44.5%
1981 35.1% 44.7%
1980 36.1% 44.9%
1979 37.2% 45.1%
1978 38.6% 45.2%
1977 39.8% 45.3%
1976 40.3% 45.4%
1975 40.2% 45.5%
1974 40.2% 45.6%
1973 40.1% 45.7%
1972 40.4% 45.9%
1971 40.7% 46.1%
1970 40.8% 46.2%
1969 41% 45.8%
1968 41% 44.9%
1967 41.3% 44%
1966 41.5% 42.9%
1965 41.5% 41.6%
1964 41.2% 40.2%
1963 40.6% 38.5%
1962 40% 36.6%
1961 40% 34.3%
1960 40.3% 32.9%

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/sao-tome-and-principe | CC BY

Children aged 0-14 make up 16% of the population in China and 37.8% in Sao Tome and Principe in 2024, compared to 28.8% and 45.1% respectively in 1990.

Demographics of China and Sao Tome and Principe compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/china/sao-tome-and-principe | CC BY

Maternal mortality chart: China vs Sao Tome and Principe

China
Sao Tome and Principe
1x
Year Maternal mortality per 100K births
China Sao Tome
2023 16 75
2022 18 82
2021 21 98
2020 20 92
2019 21 95
2018 22 100
2017 24 110
2016 25 119
2015 26 128
2014 28 138
2013 30 150
2012 32 158
2011 33 164
2010 34 170
2009 35 172
2008 38 174
2007 38 174
2006 40 177
2005 42 181
2004 45 177
2003 47 178
2002 50 179
2001 52 178
2000 56 180
1999 58 179
1998 60 175
1997 63 173
1996 67 171
1995 71 172
1994 76 168
1993 80 166
1992 86 164
1991 92 166
1990 102 164
1989 104 167
1988 108 157
1987 114 161
1986 120 175
1985 125 159

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

GeoRank.org/birth-rate/china/sao-tome-and-principe | 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 75 deaths in Sao Tome and Principe.

Under-five mortality rates

China
Sao Tome and Principe

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
China Sao Tome
2023 0.62% 1.39%
2022 0.66% 1.46%
2021 0.7% 1.53%
2020 0.75% 1.6%
2019 0.8% 1.7%
2018 0.86% 1.81%
2017 0.92% 1.95%
2016 0.99% 2.11%
2015 1.07% 2.31%
2014 1.15% 2.54%
2013 1.25% 2.77%
2012 1.35% 3.04%
2011 1.46% 3.33%
2010 1.58% 3.63%
2009 1.71% 3.95%
2008 1.85% 4.3%
2007 2.01% 4.68%
2006 2.19% 5.11%
2005 2.4% 5.56%
2004 2.64% 6.05%
2003 2.89% 6.57%
2002 3.15% 7.1%
2001 3.42% 7.66%
2000 3.67% 8.21%
1999 3.91% 8.76%
1998 4.14% 9.26%
1997 4.36% 9.73%
1996 4.56% 10.1%
1995 4.75% 10.4%
1994 4.93% 10.7%
1993 5.08% 10.8%
1992 5.22% 10.9%
1991 5.31% 10.9%
1990 5.37% 10.8%
1989 5.39% 10.7%
1988 5.4% 10.6%
1987 5.4% 10.4%
1986 5.4% 11.4%
1985 5.43% 9.99%
1984 5.5% 9.77%
1983 5.61% 9.56%
1982 5.78% 9.37%
1981 6% 9.21%
1980 6.28% 9.1%
1979 6.62% 9.02%
1978 7.01% 8.96%
1977 7.47% 8.93%
1976 7.97% 8.89%
1975 8.5% 8.85%
1974 9.05% 8.79%
1973 9.61% 8.73%
1972 10.2% 8.67%
1971 10.7% 8.63%
1970 11.3% 8.64%
1969 11.9% 8.71%
1968 - 8.85%
1967 - 9.04%
1966 - 9.29%
1965 - 9.56%

Data sources: World Bank | Health (1965–2023, retrieved 2026-04-06).

GeoRank.org/birth-rate/china/sao-tome-and-principe | CC BY

The chance that a newborn baby will die before reaching age five is 0.62% in China and 1.39% in Sao Tome and Principe. 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. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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