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Fertility & birth rates in China and Sierra Leone

Updated on by Georank team

China has an annual birth rate of 6.39 births per 1,000 people, compared to 30.6 for Sierra Leone. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1 in China and 3.79 in Sierra Leone — 279.5% difference.

1960 vs 2023, the fertility rate has decreased by 77.6% in China and by 38.6% in Sierra Leone — in 1960, it was 4.45 and 6.18, respectively.

  • China is ranked 191/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 29.4 in China — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 5.23 in China vs 93.6 in Sierra Leone.
  • In China, 22.3% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in China vs Sierra Leone by year

China
Sierra Leone
1x
Year Fertility rate
China Sierra Leone
2023 1 3.79
2022 1.03 3.88
2021 1.12 3.98
2020 1.24 4.08
2019 1.5 4.19
2018 1.54 4.29
2017 1.8 4.39
2016 1.77 4.47
2015 1.67 4.55
2014 1.77 4.7
2013 1.71 4.87
2012 1.8 5.06
2011 1.67 5.21
2010 1.69 5.33
2009 1.71 5.45
2008 1.7 5.56
2007 1.67 5.64
2006 1.64 5.74
2005 1.62 5.81
2004 1.61 5.92
2003 1.57 6.09
2002 1.57 6.23
2001 1.56 6.31
2000 1.63 6.36
1999 1.53 6.42
1998 1.52 6.5
1997 1.53 6.53
1996 1.55 6.55
1995 1.59 6.56
1994 1.63 6.56
1993 1.69 6.57
1992 1.78 6.56
1991 1.93 6.55
1990 2.51 6.57
1989 2.52 6.57
1988 2.54 6.59
1987 2.76 6.61
1986 2.72 6.6
1985 2.63 6.59
1984 2.61 6.59
1983 2.56 6.57
1982 2.97 6.56
1981 2.79 6.55
1980 2.74 6.56
1979 2.75 6.58
1978 2.72 6.59
1977 2.84 6.57
1976 3.24 6.55
1975 3.57 6.55
1974 4.17 6.53
1973 4.73 6.47
1972 5.11 6.45
1971 5.52 6.43
1970 6.09 6.41
1969 6.18 6.39
1968 6.51 6.39
1967 5.81 6.38
1966 6.31 6.35
1965 6.61 6.31
1964 6.67 6.29
1963 7.51 6.26
1962 6.09 6.22
1961 3.86 6.21
1960 4.45 6.18

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

GeoRank.org/birth-rate/china/sierra-leone | 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 3.79 in Sierra Leone in 2023. The replacement level is considered to be 2.1 children per woman.

Check China vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

China
Sierra Leone
1x
Year Natural population change
China Sierra Leone
2023 -2,087,851 188,788
2022 -847,305 186,625
2021 480,203 183,326
2020 2,046,095 181,015
2019 4,673,713 181,068
2018 5,302,433 178,772
2017 7,790,880 173,259
2016 9,062,269 168,784
2015 6,788,911 162,275
2014 9,205,180 160,137
2013 8,043,116 161,265
2012 10,075,174 160,915
2011 8,245,065 158,858
2010 6,407,607 155,338
2009 6,483,236 152,669
2008 6,729,247 149,855
2007 6,813,465 145,740
2006 6,922,185 144,127
2005 7,678,911 137,234
2004 7,607,960 132,661
2003 7,743,284 130,312
2002 8,258,580 126,429
2001 8,839,358 116,647
2000 9,570,849 110,754
1999 10,247,372 102,295
1998 11,351,286 103,906
1997 12,374,554 105,433
1996 12,686,872 104,140
1995 12,711,220 100,885
1994 13,360,470 101,486
1993 13,493,138 103,317
1992 13,548,601 103,251
1991 14,937,124 105,477
1990 16,335,313 100,778
1989 16,824,495 98,298
1988 17,328,640 96,344
1987 18,005,821 94,235
1986 16,609,920 90,902
1985 14,987,830 88,869
1984 13,561,671 87,072
1983 13,599,789 84,628
1982 15,815,318 82,457
1981 14,461,027 80,111
1980 11,647,260 77,932
1979 11,250,148 75,992
1978 11,473,980 74,130
1977 11,378,068 71,663
1976 11,782,472 69,506
1975 14,378,237 67,560
1974 15,738,118 65,357
1973 18,423,727 62,443
1972 19,102,585 60,279
1971 19,622,980 58,484
1970 21,137,076 56,513
1969 20,760,332 54,768
1968 21,206,083 53,126
1967 19,263,662 51,734
1966 19,282,187 49,486
1965 20,296,950 47,223
1964 19,302,532 45,487
1963 22,742,225 43,569
1962 17,969,132 41,603
1961 2,496,047 40,022
1960 -3,048,510 38,192

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

GeoRank.org/birth-rate/china/sierra-leone | 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 +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +0.31% in China and +2.31% in Sierra Leone.

Birth rate in China vs Sierra Leone by year

China
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
China Sierra Leone
2023 6.39 30.6
2022 6.77 31.1
2021 7.52 31.6
2020 8.52 32.2
2019 10.4 32.8
2018 10.9 33.3
2017 12.6 33.8
2016 13.6 34.2
2015 12 34.7
2014 13.8 35.6
2013 13 36.6
2012 14.6 37.8
2011 13.3 38.5
2010 11.9 39.1
2009 12 39.9
2008 12.1 40.6
2007 12.1 41.1
2006 12.1 41.8
2005 12.4 42
2004 12.3 42.5
2003 12.4 43.5
2002 12.9 44.3
2001 13.4 44
2000 14 45
1999 14.6 46.1
1998 15.6 46.3
1997 16.6 46.3
1996 17 46.5
1995 17.1 46.8
1994 17.7 46.8
1993 18.1 46.9
1992 18.3 47
1991 19.7 47.5
1990 21.1 45.5
1989 21.6 46.3
1988 22.4 46.4
1987 23.3 46.6
1986 22.4 46.6
1985 21 46.7
1984 19.9 46.8
1983 20.2 46.7
1982 22.3 46.8
1981 20.9 46.8
1980 18.2 46.8
1979 17.8 47
1978 18.3 47.2
1977 18.9 47.1
1976 19.9 47.2
1975 23 47.3
1974 24.8 47.4
1973 27.9 47.2
1972 29.8 47.2
1971 30.7 47.3
1970 33.4 47.4
1969 34.1 47.5
1968 35.6 47.7
1967 34 47.9
1966 35.1 48
1965 37.9 48
1964 39.1 48.2
1963 43.4 48.2
1962 37 48.1
1961 18 48.1
1960 20.9 48

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

GeoRank.org/birth-rate/china/sierra-leone | CC BY

The latest reported birth rate per 1,000 people in 2023 was 6.39 in China and 30.6 in Sierra Leone, compared with 20.9 and 48, respectively, in 1960.

Birth rate data compared

China Sierra Leone
Fertility rate 1 3.79
Fertility rate rank 192/196 35/196
Birth rate 6.39 30.6
Birth rate rank 191/196 29/196
Population change due to births and deaths -2,087,851 +188,788
Natural population change rank 196/196 62/196
Natural population change rate -0.15% +2.23%
Population growth -0.12% +2.15%
Population growth rank 173/197 47/197
Age at first childbirth n/a 19.6 years
Average age at childbearing 29.4 years 28.5 years
Annual births per 1,000 women ages 15-19 5.17 87.7
Annual births per 1,000 women ages 20-29 56.6 169.3
Annual births per 1,000 women ages 30+ 8.76 53.4
Female of reproductive age (15-49), share of population 22.3% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 80.5% 20.9%
Share of births attended by skilled health staff 99.9% 86.9%
Maternal mortality per live birth 0.02% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 0.28% 2.93%
Infant mortality rate (before reaching 1 year of age) 0.45% 5.62%
Mortality rate before reaching 5 years of age 0.62% 9.43%
Life expectancy 79 years 62.3 years

Children 0-14 years as share of population

China
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
China Sierra Leone
2100 7.83% 19%
2099 7.84% 19%
2098 7.87% 19.1%
2097 7.91% 19.2%
2096 7.96% 19.3%
2095 8.03% 19.5%
2094 8.1% 19.6%
2093 8.18% 19.7%
2092 8.26% 19.8%
2091 8.34% 19.9%
2090 8.41% 20%
2089 8.47% 20.1%
2088 8.52% 20.3%
2087 8.55% 20.4%
2086 8.57% 20.5%
2085 8.57% 20.7%
2084 8.56% 20.8%
2083 8.53% 20.9%
2082 8.48% 21.1%
2081 8.41% 21.2%
2080 8.34% 21.4%
2079 8.25% 21.6%
2078 8.15% 21.7%
2077 8.06% 21.9%
2076 7.96% 22.1%
2075 7.86% 22.2%
2074 7.77% 22.4%
2073 7.7% 22.6%
2072 7.64% 22.8%
2071 7.6% 23%
2070 7.58% 23.2%
2069 7.59% 23.4%
2068 7.63% 23.6%
2067 7.7% 23.8%
2066 7.8% 24%
2065 7.93% 24.3%
2064 8.08% 24.5%
2063 8.25% 24.7%
2062 8.44% 25%
2061 8.64% 25.2%
2060 8.84% 25.5%
2059 9.03% 25.7%
2058 9.22% 26%
2057 9.39% 26.3%
2056 9.54% 26.6%
2055 9.67% 26.9%
2054 9.78% 27.1%
2053 9.86% 27.4%
2052 9.92% 27.7%
2051 9.94% 28.1%
2050 9.94% 28.4%
2049 9.92% 28.7%
2048 9.88% 29%
2047 9.82% 29.3%
2046 9.75% 29.7%
2045 9.67% 30%
2044 9.59% 30.3%
2043 9.52% 30.7%
2042 9.46% 31.1%
2041 9.4% 31.4%
2040 9.35% 31.8%
2039 9.32% 32.2%
2038 9.3% 32.6%
2037 9.32% 33%
2036 9.42% 33.4%
2035 9.63% 33.8%
2034 10% 34.2%
2033 10.5% 34.6%
2032 11.2% 35%
2031 11.8% 35.4%
2030 12.4% 35.7%
2029 13.1% 36.1%
2028 13.8% 36.5%
2027 14.5% 37%
2026 15.1% 37.4%
2025 15.7% 37.9%
2024 16% 38.1%
2023 16.6% 38.5%
2022 17.1% 39%
2021 17.6% 39.4%
2020 18% 39.8%
2019 18.2% 40.2%
2018 18.3% 40.6%
2017 18.4% 41%
2016 18.3% 41.4%
2015 18.3% 41.8%
2014 18.3% 42.2%
2013 18.3% 42.5%
2012 18.3% 42.8%
2011 18.3% 43%
2010 18.5% 43.2%
2009 18.6% 43.4%
2008 18.9% 43.5%
2007 19.2% 43.6%
2006 19.6% 43.7%
2005 20.3% 43.8%
2004 21.2% 43.9%
2003 22% 43.9%
2002 22.9% 43.9%
2001 23.8% 43.9%
2000 24.5% 43.8%
1999 25.2% 43.7%
1998 25.7% 43.6%
1997 26.3% 43.5%
1996 27% 43.5%
1995 27.4% 43.4%
1994 27.8% 43.3%
1993 28.2% 43.2%
1992 28.4% 43.1%
1991 28.6% 43%
1990 28.8% 42.9%
1989 28.9% 42.9%
1988 29.3% 42.8%
1987 29.8% 42.7%
1986 30.4% 42.6%
1985 31.2% 42.5%
1984 32.2% 42.3%
1983 33.3% 42.2%
1982 34.3% 42.1%
1981 35.1% 42%
1980 36.1% 41.9%
1979 37.2% 41.8%
1978 38.6% 41.7%
1977 39.8% 41.6%
1976 40.3% 41.4%
1975 40.2% 41.3%
1974 40.2% 41.1%
1973 40.1% 40.9%
1972 40.4% 40.7%
1971 40.7% 40.6%
1970 40.8% 40.3%
1969 41% 40.1%
1968 41% 39.9%
1967 41.3% 39.6%
1966 41.5% 39.4%
1965 41.5% 39.1%
1964 41.2% 38.8%
1963 40.6% 38.5%
1962 40% 38.3%
1961 40% 38.3%
1960 40.3% 38.2%

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/sierra-leone | CC BY

Children aged 0-14 make up 16% of the population in China and 38.1% in Sierra Leone in 2024, compared to 28.8% and 42.9% respectively in 1990.

Demographics of China and Sierra Leone compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/china/sierra-leone | CC BY

Maternal mortality chart: China vs Sierra Leone

China
Sierra Leone
1x
Year Maternal mortality per 100K births
China Sierra Leone
2023 16 354
2022 18 370
2021 21 403
2020 20 422
2019 21 464
2018 22 491
2017 24 578
2016 25 633
2015 26 730
2014 28 821
2013 30 842
2012 32 915
2011 33 967
2010 34 1,018
2009 35 1,054
2008 38 1,093
2007 38 1,132
2006 40 1,168
2005 42 1,294
2004 45 1,366
2003 47 1,433
2002 50 1,492
2001 52 1,518
2000 56 1,603
1999 58 1,731
1998 60 1,753
1997 63 1,721
1996 67 1,726
1995 71 1,777
1994 76 1,755
1993 80 1,696
1992 86 1,681
1991 92 1,699
1990 102 1,572
1989 104 1,575
1988 108 1,549
1987 114 1,533
1986 120 1,530
1985 125 1,506

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

GeoRank.org/birth-rate/china/sierra-leone | 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 354 deaths in Sierra Leone.

Under-five mortality rates

China
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
China Sierra Leone
2023 0.62% 9.43%
2022 0.66% 9.77%
2021 0.7% 10.1%
2020 0.75% 10.5%
2019 0.8% 10.9%
2018 0.86% 11.3%
2017 0.92% 11.8%
2016 0.99% 12.3%
2015 1.07% 13.8%
2014 1.15% 13.7%
2013 1.25% 13.9%
2012 1.35% 14.5%
2011 1.46% 15.2%
2010 1.58% 15.9%
2009 1.71% 16.6%
2008 1.85% 17.3%
2007 2.01% 18.1%
2006 2.19% 18.8%
2005 2.4% 19.4%
2004 2.64% 20.1%
2003 2.89% 20.7%
2002 3.15% 21.3%
2001 3.42% 21.8%
2000 3.67% 22.4%
1999 3.91% 22.9%
1998 4.14% 23.4%
1997 4.36% 23.9%
1996 4.56% 24.3%
1995 4.75% 24.7%
1994 4.93% 25%
1993 5.08% 25.3%
1992 5.22% 25.5%
1991 5.31% 25.7%
1990 5.37% 25.9%
1989 5.39% 26.2%
1988 5.4% 26.4%
1987 5.4% 26.6%
1986 5.4% 26.9%
1985 5.43% 27.2%
1984 5.5% 27.5%
1983 5.61% 27.8%
1982 5.78% 28.1%
1981 6% 28.5%
1980 6.28% 28.9%
1979 6.62% 29.2%
1978 7.01% 29.6%
1977 7.47% 30%
1976 7.97% 30.5%
1975 8.5% 30.9%
1974 9.05% 31.4%
1973 9.61% 31.9%
1972 10.2% 32.3%
1971 10.7% 32.9%
1970 11.3% 33.4%
1969 11.9% 33.9%
1968 - 34.5%
1967 - 35%
1966 - 35.6%
1965 - 36.2%
1964 - 36.8%
1963 - 37.4%
1962 - 38%
1961 - 38.5%
1960 - 39.1%

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

GeoRank.org/birth-rate/china/sierra-leone | CC BY

The chance that a newborn baby will die before reaching age five is 0.62% in China and 9.43% in Sierra Leone. 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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