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Fertility & birth rates in Gambia and Ghana

Updated on by Georank team

The Gambia has an annual birth rate of 30.4 births per 1,000 people, compared to 26.3 for Ghana. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 4.01 in the Gambia and 3.4 in Ghana — 15.2% difference.

1960 vs 2023, the fertility rate has decreased by 35.9% in the Gambia and by 50.7% in Ghana — in 1960, it was 6.25 and 6.89, respectively.

  • The Gambia is ranked 30/196 by birth rate compared to 47/196 for Ghana.
  • The mean age for first-time mothers is 20.7 years in the Gambia, compared to 22.1 years in Ghana.
  • The mean age at childbearing (for all the births, not just the first) is 29.8 in the Gambia — it's 29.4 in Ghana.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 58.1 in the Gambia vs 58.2 in Ghana.
  • In the Gambia, 24.5% of the population is composed of women of reproductive age (15-49), compared to 25.6% in Ghana.

Fertility rate in Gambia vs Ghana by year

Gambia
Ghana
1x
Year Fertility rate
Gambia Ghana
2023 4.01 3.4
2022 4.08 3.43
2021 4.17 3.49
2020 4.25 3.54
2019 4.33 3.59
2018 4.42 3.65
2017 4.61 3.72
2016 4.81 3.87
2015 5 3.98
2014 5.2 4.03
2013 5.39 4.11
2012 5.52 4.15
2011 5.54 4.18
2010 5.56 4.18
2009 5.57 4.18
2008 5.63 4.22
2007 5.69 4.29
2006 5.74 4.4
2005 5.71 4.5
2004 5.68 4.5
2003 5.66 4.6
2002 5.66 4.69
2001 5.67 4.77
2000 5.72 4.83
1999 5.77 4.82
1998 5.82 4.83
1997 5.85 4.88
1996 5.93 4.96
1995 5.99 5.11
1994 6.04 5.25
1993 6.03 5.41
1992 6.11 5.52
1991 6.19 5.63
1990 6.25 5.74
1989 6.25 5.82
1988 6.26 5.92
1987 6.3 6.02
1986 6.34 6.08
1985 6.36 6.12
1984 6.39 6.15
1983 6.39 6.23
1982 6.4 6.31
1981 6.4 6.42
1980 6.41 6.47
1979 6.41 6.51
1978 6.42 6.56
1977 6.43 6.64
1976 6.43 6.7
1975 6.43 6.76
1974 6.42 6.82
1973 6.41 6.87
1972 6.37 6.92
1971 6.33 6.95
1970 6.26 6.95
1969 6.25 6.95
1968 6.22 6.89
1967 6.21 6.89
1966 6.18 6.86
1965 6.19 6.88
1964 6.2 6.9
1963 6.2 6.94
1962 6.21 6.94
1961 6.23 6.91
1960 6.25 6.89

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

GeoRank.org/birth-rate/gambia/ghana | CC BY

According to the latest available data on birth rates, the fertility rate in the Gambia was 4.01 children per woman in 2023, compared to 3.4 in Ghana in 2023. The replacement level is considered to be 2.1 children per woman.

Check the Gambia vs Ghana population clock for a dynamic visualization of the changing population.

Natural population change by year

Gambia
Ghana
1x
Year Natural population change
Gambia Ghana
2023 65,118 651,094
2022 63,634 646,441
2021 62,239 635,805
2020 62,209 637,469
2019 61,701 642,403
2018 60,854 641,551
2017 61,665 641,218
2016 62,358 659,910
2015 62,832 667,729
2014 63,185 660,829
2013 63,510 658,638
2012 62,745 646,595
2011 60,571 631,501
2010 58,554 613,133
2009 56,575 592,825
2008 55,032 579,695
2007 53,653 572,332
2006 52,335 569,474
2005 50,010 563,234
2004 48,276 543,339
2003 46,473 536,656
2002 45,156 528,620
2001 44,154 519,382
2000 43,249 508,738
1999 42,533 487,210
1998 41,842 471,313
1997 40,742 459,822
1996 40,253 450,259
1995 39,681 451,748
1994 38,880 449,589
1993 37,302 454,669
1992 35,951 452,156
1991 34,584 448,159
1990 33,163 442,211
1989 31,504 432,541
1988 29,938 425,031
1987 28,452 419,328
1986 27,195 411,191
1985 25,795 401,722
1984 24,586 392,053
1983 23,175 379,846
1982 21,894 369,061
1981 20,156 359,572
1980 19,566 346,816
1979 18,543 334,848
1978 17,424 324,428
1977 16,773 315,429
1976 16,032 305,769
1975 15,256 298,267
1974 14,628 290,796
1973 14,046 283,385
1972 13,432 275,236
1971 12,842 265,442
1970 12,128 257,938
1969 11,670 251,925
1968 11,215 242,821
1967 10,823 237,156
1966 10,422 231,440
1965 10,162 229,061
1964 9,825 226,685
1963 9,493 225,367
1962 9,150 223,842
1961 8,778 222,372
1960 8,420 217,134

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

GeoRank.org/birth-rate/gambia/ghana | 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 +2.41% in the Gambia and +1.93% in Ghana.

For the past 10 years, the annual natural population change has been +2.59% in the Gambia and +2.1% in Ghana.

Birth rate in Gambia vs Ghana by year

Gambia
Ghana

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Gambia Ghana
2023 30.4 26.3
2022 30.8 26.6
2021 31.2 27
2020 31.5 27.4
2019 31.9 27.9
2018 32.3 28.4
2017 33.5 28.9
2016 34.6 30.2
2015 35.7 31.1
2014 36.9 31.5
2013 38.1 32.2
2012 38.8 32.5
2011 38.8 32.7
2010 38.9 32.7
2009 38.9 32.6
2008 39.2 32.8
2007 39.5 33.2
2006 39.9 33.9
2005 39.7 34.4
2004 39.7 34.3
2003 39.7 34.8
2002 40 35.2
2001 40.5 35.6
2000 41.1 35.9
1999 41.8 35.6
1998 42.5 35.5
1997 43.2 35.6
1996 44.1 35.8
1995 45.1 36.7
1994 45.9 37.5
1993 46.1 38.5
1992 46.6 39.2
1991 47.2 39.9
1990 47.7 40.5
1989 47.9 40.9
1988 48.1 41.5
1987 48.5 42.2
1986 48.8 42.7
1985 49 43.1
1984 49.3 43.4
1983 49 43.4
1982 48.8 43.6
1981 48.5 43.9
1980 48.2 44.1
1979 47.8 44
1978 47.6 44.1
1977 47.5 44.4
1976 47.4 44.7
1975 47.3 45.3
1974 47.3 45.9
1973 47.5 46.4
1972 47.5 46.9
1971 47.6 47.4
1970 47.4 47.7
1969 47.6 47.9
1968 47.9 47.7
1967 48.2 47.7
1966 48.5 47.8
1965 49 48.2
1964 49.4 48.7
1963 49.8 49.2
1962 50 49.7
1961 50.3 50
1960 50.4 50.4

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

GeoRank.org/birth-rate/gambia/ghana | CC BY

The latest reported birth rate per 1,000 people in 2023 was 30.4 in the Gambia and 26.3 in Ghana, compared with 50.4 and 50.4, respectively, in 1960.

Birth rate data compared

Gambia Ghana
Fertility rate 4.01 3.4
Fertility rate rank 26/196 46/196
Birth rate 30.4 26.3
Birth rate rank 30/196 47/196
Population change due to births and deaths +65,118 +651,094
Natural population change rank 88/196 30/196
Natural population change rate +2.41% +1.93%
Population growth +2.3% +1.89%
Population growth rank 37/197 57/197
Age at first childbirth 20.7 years 22.1 years
Average age at childbearing 29.8 years 29.4 years
Annual births per 1,000 women ages 15-19 52.8 56.3
Annual births per 1,000 women ages 20-29 170.7 148.6
Annual births per 1,000 women ages 30+ 67.5 52.5
Female of reproductive age (15-49), share of population 24.5% 25.6%
Any modern method of contraceptive prevalence among married women ages 15-49 17.1% 27.8%
Share of births attended by skilled health staff 83.8% 78.9%
Maternal mortality per live birth 0.35% 0.23%
Neonatal mortality rate (before reaching 28 days of age) 2.37% 2.12%
Infant mortality rate (before reaching 1 year of age) 3.38% 2.82%
Mortality rate before reaching 5 years of age 4.41% 3.71%
Life expectancy 66.5 years 66.1 years

Children 0-14 years as share of population

Gambia
Factual

UN forecast
Ghana
Factual

UN forecast
1x
Year Young
Gambia Ghana
2100 18.1% 19.3%
2099 18.2% 19.5%
2098 18.3% 19.6%
2097 18.4% 19.7%
2096 18.5% 19.8%
2095 18.6% 20%
2094 18.7% 20.1%
2093 18.9% 20.2%
2092 19% 20.4%
2091 19.1% 20.5%
2090 19.3% 20.7%
2089 19.4% 20.8%
2088 19.6% 21%
2087 19.7% 21.1%
2086 19.9% 21.3%
2085 20% 21.4%
2084 20.2% 21.6%
2083 20.3% 21.7%
2082 20.5% 21.9%
2081 20.6% 22.1%
2080 20.8% 22.2%
2079 21% 22.4%
2078 21.2% 22.5%
2077 21.3% 22.7%
2076 21.5% 22.9%
2075 21.7% 23%
2074 21.9% 23.2%
2073 22.1% 23.4%
2072 22.3% 23.5%
2071 22.6% 23.7%
2070 22.8% 23.9%
2069 23% 24.1%
2068 23.2% 24.2%
2067 23.5% 24.4%
2066 23.7% 24.6%
2065 24% 24.8%
2064 24.3% 25.1%
2063 24.5% 25.3%
2062 24.8% 25.5%
2061 25.1% 25.7%
2060 25.4% 26%
2059 25.7% 26.2%
2058 26% 26.4%
2057 26.3% 26.7%
2056 26.7% 26.9%
2055 27% 27.2%
2054 27.3% 27.4%
2053 27.6% 27.7%
2052 28% 27.9%
2051 28.3% 28.2%
2050 28.6% 28.4%
2049 28.9% 28.6%
2048 29.3% 28.9%
2047 29.6% 29.1%
2046 30% 29.3%
2045 30.3% 29.5%
2044 30.7% 29.7%
2043 31.1% 29.9%
2042 31.5% 30.2%
2041 31.9% 30.4%
2040 32.3% 30.6%
2039 32.7% 30.8%
2038 33.2% 31%
2037 33.6% 31.3%
2036 34.1% 31.5%
2035 34.5% 31.8%
2034 35% 32%
2033 35.4% 32.3%
2032 35.9% 32.7%
2031 36.4% 33%
2030 37% 33.5%
2029 37.6% 33.9%
2028 38.2% 34.3%
2027 38.9% 34.8%
2026 39.5% 35.2%
2025 40% 35.6%
2024 40.2% 35.8%
2023 40.7% 36.2%
2022 41.2% 36.5%
2021 41.6% 36.9%
2020 42% 37.2%
2019 42.4% 37.6%
2018 42.8% 37.8%
2017 43.1% 38.1%
2016 43.3% 38.4%
2015 43.6% 38.6%
2014 43.7% 38.8%
2013 43.9% 38.9%
2012 44.1% 38.9%
2011 44.3% 39%
2010 44.5% 39.1%
2009 44.8% 39.3%
2008 45.1% 39.5%
2007 45.3% 39.8%
2006 45.6% 40.1%
2005 45.9% 40.4%
2004 46.1% 40.7%
2003 46.4% 41.1%
2002 46.6% 41.5%
2001 46.7% 41.9%
2000 46.8% 42.3%
1999 46.9% 42.7%
1998 46.9% 43.1%
1997 46.9% 43.5%
1996 46.7% 43.9%
1995 46.5% 44.2%
1994 46.3% 44.5%
1993 46% 44.8%
1992 45.9% 45%
1991 45.8% 45.2%
1990 45.7% 45.3%
1989 45.6% 45.4%
1988 45.5% 45.4%
1987 45.4% 45.5%
1986 45.2% 45.4%
1985 45% 45.3%
1984 44.9% 45.2%
1983 44.6% 45.4%
1982 44.3% 45.7%
1981 44% 45.9%
1980 43.7% 46.2%
1979 43.5% 46.5%
1978 43.3% 47%
1977 43% 47.5%
1976 42.8% 47.9%
1975 42.6% 48.2%
1974 42.4% 48.3%
1973 42.3% 48.4%
1972 42.2% 48.4%
1971 42.1% 48.4%
1970 42% 48.2%
1969 41.9% 48.1%
1968 41.8% 47.9%
1967 41.6% 47.8%
1966 41.5% 47.6%
1965 41.3% 47.4%
1964 41% 47.1%
1963 40.8% 46.8%
1962 40.7% 46.4%
1961 40.8% 45.9%
1960 41% 45.4%

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/gambia/ghana | CC BY

Children aged 0-14 make up 40.2% of the population in the Gambia and 35.8% in Ghana in 2024, compared to 45.7% and 45.3% respectively in 1990.

Demographics of the Gambia and Ghana compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/gambia/ghana | CC BY

Maternal mortality chart: Gambia vs Ghana

Gambia
Ghana
1x
Year Maternal mortality per 100K births
Gambia Ghana
2023 354 234
2022 365 239
2021 420 264
2020 400 253
2019 422 260
2018 450 276
2017 469 287
2016 490 296
2015 527 310
2014 561 317
2013 606 338
2012 628 351
2011 634 356
2010 632 363
2009 634 369
2008 653 380
2007 675 377
2006 682 385
2005 707 390
2004 719 403
2003 749 410
2002 772 434
2001 794 460
2000 810 472
1999 830 490
1998 867 521
1997 928 553
1996 956 591
1995 999 630
1994 1,039 670
1993 1,072 696
1992 1,115 718
1991 1,167 745
1990 1,207 769
1989 1,258 799
1988 1,302 834
1987 1,360 873
1986 1,401 908
1985 1,454 943

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

GeoRank.org/birth-rate/gambia/ghana | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 354 deaths per 100,000 live births in the Gambia, compared to 234 deaths in Ghana.

Under-five mortality rates

Gambia
Ghana

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Gambia Ghana
2023 4.41% 3.71%
2022 4.56% 3.85%
2021 4.72% 4.02%
2020 4.89% 4.2%
2019 5.07% 4.39%
2018 5.27% 4.6%
2017 5.47% 4.81%
2016 5.7% 5.02%
2015 5.93% 5.25%
2014 6.18% 5.48%
2013 6.45% 5.74%
2012 6.73% 6.02%
2011 7.01% 6.33%
2010 7.31% 6.65%
2009 7.64% 6.99%
2008 7.98% 7.31%
2007 8.33% 7.63%
2006 8.71% 7.93%
2005 9.11% 8.22%
2004 9.52% 8.52%
2003 9.95% 8.85%
2002 10.4% 9.21%
2001 10.9% 9.61%
2000 11.3% 10%
1999 11.8% 10.4%
1998 12.3% 10.8%
1997 12.8% 11.1%
1996 13.3% 11.3%
1995 13.9% 11.5%
1994 14.4% 11.6%
1993 14.9% 11.8%
1992 15.5% 12%
1991 16% 12.3%
1990 16.6% 12.8%
1989 17.2% 13.3%
1988 17.8% 13.8%
1987 18.4% 14.4%
1986 19.1% 15%
1985 19.7% 15.5%
1984 20.4% 15.9%
1983 21% 16.2%
1982 21.7% 16.4%
1981 22.3% 16.6%
1980 23% 16.7%
1979 23.6% 16.9%
1978 24.2% 17.2%
1977 24.9% 17.7%
1976 25.5% 18.2%
1975 26.2% 18.7%
1974 26.9% 19.2%
1973 27.5% 19.6%
1972 28.2% 19.9%
1971 28.9% 20.1%
1970 29.5% 20.2%
1969 30.2% 20.3%
1968 30.9% 20.3%
1967 31.5% 20.3%
1966 32.1% 20.3%
1965 32.8% 20.3%
1964 33.5% 20.3%
1963 34.1% 20.4%
1962 34.8% 20.5%
1961 35.5% 20.7%
1960 36.2% 20.9%

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

GeoRank.org/birth-rate/gambia/ghana | CC BY

The chance that a newborn baby will die before reaching age five is 4.41% in the Gambia and 3.71% in Ghana. 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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