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Fertility & birth rates in Iran and North Macedonia

Updated on by Georank team

Iran has an annual birth rate of 13 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 1.7 in Iran and 1.5 in North Macedonia — 11.5% difference.

1960 vs 2023, the fertility rate has decreased by 77.5% in Iran and by 60.8% in North Macedonia — in 1960, it was 7.52 and 3.83, respectively.

  • Iran is ranked 108/196 by birth rate compared to 158/196 for North Macedonia.
  • The mean age at childbearing (for all the births, not just the first) is 28.9 in Iran — it's 29.3 in North Macedonia.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 26.2 in Iran vs 13 in North Macedonia.
  • In Iran, 26.8% of the population is composed of women of reproductive age (15-49), compared to 22.4% in North Macedonia.

Fertility rate in Iran vs North Macedonia by year

Iran
North Macedonia
1x
Year Fertility rate
Iran North Macedonia
2023 1.7 1.5
2022 1.7 1.6
2021 1.71 1.6
2020 1.7 1.31
2019 1.77 1.34
2018 1.92 1.42
2017 2.02 1.43
2016 2.05 1.5
2015 2.02 1.49
2014 1.98 1.5
2013 1.91 1.5
2012 1.85 1.5
2011 1.79 1.46
2010 1.75 1.6
2009 1.74 1.5
2008 1.74 1.47
2007 1.75 1.46
2006 1.76 1.46
2005 1.76 1.5
2004 1.78 1.52
2003 1.8 1.75
2002 1.84 1.79
2001 1.92 1.73
2000 2 1.86
1999 2.09 1.77
1998 2.19 1.89
1997 2.32 1.92
1996 2.54 2.06
1995 2.85 2.13
1994 3.24 2.23
1993 3.67 2.26
1992 4.1 2.28
1991 4.57 2.31
1990 4.93 2.27
1989 5.17 2.25
1988 5.43 2.32
1987 5.72 2.32
1986 6.01 2.25
1985 6.24 2.25
1984 6.43 2.24
1983 6.53 2.25
1982 6.59 2.29
1981 6.62 2.29
1980 6.63 2.36
1979 6.55 2.4
1978 6.34 2.42
1977 6.18 2.49
1976 6.07 2.62
1975 5.95 2.69
1974 5.97 2.7
1973 6.06 2.72
1972 6.26 2.87
1971 6.55 2.93
1970 6.8 3.01
1969 7.01 3.1
1968 7.12 3.22
1967 7.19 3.33
1966 7.21 3.43
1965 7.22 3.52
1964 7.24 3.56
1963 7.32 3.62
1962 7.4 3.5
1961 7.46 3.62
1960 7.52 3.83

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

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

According to the latest available data on birth rates, the fertility rate in Iran was 1.7 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 Iran vs North Macedonia population clock for a dynamic visualization of the changing population.

Natural population change by year

Iran
North Macedonia
1x
Year Natural population change
Iran North Macedonia
2023 750,150 -3,290
2022 753,525 -4,397
2021 645,725 -9,737
2020 663,978 -5,939
2019 893,063 -375
2018 1,035,052 1,512
2017 1,140,549 1,329
2016 1,186,949 2,374
2015 1,178,317 2,294
2014 1,158,552 3,644
2013 1,119,533 3,653
2012 1,073,804 3,087
2011 1,023,925 3,100
2010 980,380 4,866
2009 958,322 4,309
2008 940,983 3,746
2007 919,254 2,974
2006 884,529 3,988
2005 837,305 4,011
2004 801,203 5,444
2003 732,600 8,900
2002 752,205 9,697
2001 743,658 10,174
2000 731,203 12,159
1999 723,237 10,489
1998 717,655 12,446
1997 726,574 12,979
1996 784,508 14,806
1995 879,648 17,239
1994 1,008,076 19,103
1993 1,219,658 20,797
1992 1,365,466 21,659
1991 1,495,594 23,387
1990 1,530,434 22,868
1989 1,609,739 22,912
1988 1,614,512 24,064
1987 1,639,644 24,359
1986 1,659,289 23,720
1985 1,661,750 24,167
1984 1,653,051 24,436
1983 1,573,612 24,690
1982 1,514,240 25,810
1981 1,376,830 25,689
1980 1,361,293 26,547
1979 1,294,306 27,096
1978 1,156,974 27,150
1977 1,091,542 27,410
1976 1,013,347 28,799
1975 929,481 28,983
1974 873,369 28,400
1973 831,880 28,032
1972 804,043 28,236
1971 805,830 28,010
1970 794,612 28,022
1969 780,660 27,464
1968 743,992 28,378
1967 727,276 28,401
1966 695,040 28,766
1965 663,029 28,564
1964 635,589 27,889
1963 620,126 28,124
1962 595,538 25,317
1961 594,674 27,846
1960 584,060 28,816

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

GeoRank.org/birth-rate/iran/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 +0.83% in Iran and -0.18% in North Macedonia.

For the past 10 years, the annual natural population change has been +1.1% in Iran and -0.07% in North Macedonia.

Birth rate in Iran vs North Macedonia by year

Iran
North Macedonia

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Iran North Macedonia
2023 13 9.2
2022 13.3 9.9
2021 13.7 10.2
2020 14 9.2
2019 14.9 9.6
2018 16.7 10.3
2017 18 10.5
2016 18.8 11.1
2015 18.9 11.1
2014 18.8 11.4
2013 18.5 11.2
2012 18.1 11.4
2011 17.7 11.1
2010 17.3 11.8
2009 17.2 11.5
2008 17.1 11.2
2007 17 11.1
2006 16.7 11.1
2005 16.4 11
2004 16.2 11.5
2003 15.9 13.3
2002 15.9 13.7
2001 15.9 13.3
2000 16 14.5
1999 16.1 13.5
1998 16.2 14.6
1997 16.6 14.8
1996 17.7 16.1
1995 19.5 16.7
1994 22 17.7
1993 25.7 18.2
1992 28.3 18.4
1991 31.2 18.7
1990 33.5 18.4
1989 35.2 18.4
1988 37 19.1
1987 38.8 19.3
1986 40.7 18.9
1985 42.4 19.1
1984 43.9 19.2
1983 44.7 19.5
1982 45.2 19.9
1981 44.2 20.1
1980 45.1 20.8
1979 44.7 21.1
1978 43.4 21.3
1977 42.2 21.9
1976 41.4 23
1975 40.3 23.6
1974 40 23.5
1973 40.1 23.5
1972 40.9 24.5
1971 42.4 24.7
1970 43.6 25.1
1969 44.7 25.4
1968 45.3 26.1
1967 45.8 26.7
1966 46 27.5
1965 46.3 28.1
1964 46.7 28.4
1963 47.7 29
1962 48.8 28.3
1961 49.8 29.2
1960 51 31

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

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

The latest reported birth rate per 1,000 people in 2023 was 13 in Iran and 9.2 in North Macedonia, compared with 51 and 31, respectively, in 1960.

Birth rate data compared

Iran North Macedonia
Fertility rate 1.7 1.5
Fertility rate rank 121/196 146/196
Birth rate 13 9.2
Birth rate rank 108/196 158/196
Population change due to births and deaths +750,150 -3,290
Natural population change rank 25/196 165/196
Natural population change rate +0.83% -0.18%
Population growth +1.06% -0.19%
Population growth rank 98/197 176/197
Age at first childbirth n/a 27.4 years
Average age at childbearing 28.9 years 29.3 years
Annual births per 1,000 women ages 15-19 25 11.7
Annual births per 1,000 women ages 20-29 84 76.7
Annual births per 1,000 women ages 30+ 19.8 11.9
Female of reproductive age (15-49), share of population 26.8% 22.4%
Any modern method of contraceptive prevalence among married women ages 15-49 57% 14%
Share of births attended by skilled health staff 99% 100%
Maternal mortality per live birth 0.02% 0.003%
Neonatal mortality rate (before reaching 28 days of age) 0.74% 0.14%
Infant mortality rate (before reaching 1 year of age) 1.07% 0.28%
Mortality rate before reaching 5 years of age 1.18% 0.33%
Life expectancy 78.2 years 77.8 years

Children 0-14 years as share of population

Iran
Factual

UN forecast
North Macedonia
Factual

UN forecast
1x
Year Young
Iran North Macedonia
2100 12.1% 10.6%
2099 12.2% 10.7%
2098 12.2% 10.7%
2097 12.3% 10.8%
2096 12.3% 10.8%
2095 12.4% 10.9%
2094 12.5% 11%
2093 12.6% 11%
2092 12.6% 11.1%
2091 12.7% 11.2%
2090 12.8% 11.2%
2089 12.8% 11.3%
2088 12.9% 11.3%
2087 12.9% 11.4%
2086 12.9% 11.4%
2085 13% 11.4%
2084 13% 11.4%
2083 12.9% 11.4%
2082 12.9% 11.4%
2081 12.9% 11.4%
2080 12.9% 11.4%
2079 12.8% 11.3%
2078 12.8% 11.3%
2077 12.8% 11.3%
2076 12.7% 11.2%
2075 12.7% 11.2%
2074 12.7% 11.2%
2073 12.7% 11.2%
2072 12.7% 11.1%
2071 12.7% 11.2%
2070 12.7% 11.2%
2069 12.8% 11.2%
2068 12.9% 11.3%
2067 13% 11.4%
2066 13.1% 11.5%
2065 13.2% 11.6%
2064 13.3% 11.7%
2063 13.5% 11.9%
2062 13.6% 12%
2061 13.8% 12.2%
2060 14% 12.3%
2059 14.1% 12.4%
2058 14.3% 12.6%
2057 14.4% 12.7%
2056 14.6% 12.8%
2055 14.7% 12.9%
2054 14.8% 13%
2053 14.9% 13%
2052 15% 13.1%
2051 15.1% 13.1%
2050 15.1% 13.1%
2049 15.2% 13.1%
2048 15.2% 13.1%
2047 15.2% 13%
2046 15.2% 13%
2045 15.3% 13%
2044 15.3% 13%
2043 15.4% 12.9%
2042 15.4% 12.9%
2041 15.5% 12.9%
2040 15.7% 13%
2039 15.8% 13%
2038 16% 13%
2037 16.3% 13.2%
2036 16.5% 13.4%
2035 16.8% 13.6%
2034 17.2% 13.8%
2033 17.7% 14.1%
2032 18.3% 14.4%
2031 19% 14.7%
2030 19.6% 15.1%
2029 20.2% 15.4%
2028 20.8% 15.8%
2027 21.3% 16.1%
2026 21.8% 16.4%
2025 22.2% 16.7%
2024 22.4% 16.8%
2023 22.8% 17.1%
2022 23.2% 17.2%
2021 23.6% 17.2%
2020 23.8% 17.2%
2019 23.9% 17.2%
2018 24% 17.4%
2017 23.9% 17.5%
2016 23.8% 17.8%
2015 23.6% 18%
2014 23.4% 18.3%
2013 23.3% 18.6%
2012 23.3% 18.8%
2011 23.3% 19%
2010 23.4% 19.3%
2009 23.7% 19.7%
2008 24% 20%
2007 24.6% 20.4%
2006 25.3% 20.8%
2005 26.2% 21.2%
2004 27.4% 21.7%
2003 28.7% 22.1%
2002 30.1% 22.5%
2001 31.7% 22.9%
2000 33.6% 23.4%
1999 35.4% 23.9%
1998 37.3% 24.4%
1997 39.1% 24.8%
1996 40.7% 25.1%
1995 42.1% 25.4%
1994 43.2% 25.5%
1993 43.6% 25.7%
1992 43.6% 26.1%
1991 43.9% 26.5%
1990 44.1% 26.9%
1989 44.2% 27.1%
1988 44% 27.4%
1987 43.9% 27.6%
1986 43.7% 27.8%
1985 43.5% 28.1%
1984 43.3% 28.3%
1983 43% 28.5%
1982 42.7% 28.8%
1981 42.9% 29.1%
1980 43.3% 29.5%
1979 43.1% 29.9%
1978 43% 30.3%
1977 42.9% 30.6%
1976 43% 30.9%
1975 43.2% 31.3%
1974 43.5% 31.7%
1973 43.8% 32.2%
1972 44.2% 32.6%
1971 44.4% 33%
1970 44.6% 33.5%
1969 44.7% 34.1%
1968 44.8% 34.7%
1967 44.8% 35.2%
1966 44.9% 35.8%
1965 45% 36.3%
1964 45% 36.7%
1963 44.9% 37.2%
1962 44.6% 37.6%
1961 44.1% 37.8%
1960 43.5% 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/iran/north-macedonia | CC BY

Children aged 0-14 make up 22.4% of the population in Iran and 16.8% in North Macedonia in 2024, compared to 44.1% and 26.9% respectively in 1990.

Demographics of Iran 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/iran/north-macedonia | CC BY

Maternal mortality chart: Iran vs North Macedonia

Iran
North Macedonia
1x
Year Maternal mortality per 100K births
Iran North Macedonia
2023 16 3
2022 21 3
2021 51 12
2020 34 7
2019 18 3
2018 19 3
2017 20 4
2016 21 4
2015 22 4
2014 23 4
2013 24 5
2012 25 5
2011 26 5
2010 27 5
2009 28 6
2008 30 6
2007 31 7
2006 32 7
2005 33 7
2004 34 8
2003 37 8
2002 38 10
2001 40 9
2000 43 11
1999 46 12
1998 50 13
1997 55 13
1996 59 14
1995 65 13
1994 71 13
1993 80 14
1992 86 14
1991 94 15
1990 107 16
1989 113 14
1988 126 16
1987 136 15
1986 148 16
1985 160 17

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

GeoRank.org/birth-rate/iran/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 Iran, compared to 3 deaths in North Macedonia.

Under-five mortality rates

Iran
North Macedonia

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Iran North Macedonia
2023 1.18% 0.33%
2022 1.22% 0.41%
2021 1.26% 0.5%
2020 1.3% 0.59%
2019 1.35% 0.7%
2018 1.39% 0.83%
2017 1.45% 0.97%
2016 1.5% 1.08%
2015 1.55% 1.13%
2014 1.61% 1.11%
2013 1.68% 1.07%
2012 1.75% 1.02%
2011 1.84% 1%
2010 1.93% 1.04%
2009 2.04% 1.1%
2008 2.17% 1.17%
2007 2.32% 1.23%
2006 2.48% 1.3%
2005 2.65% 1.37%
2004 2.83% 1.42%
2003 3.02% 1.43%
2002 3.22% 1.43%
2001 3.42% 1.48%
2000 3.63% 1.59%
1999 3.83% 1.73%
1998 4.02% 1.83%
1997 4.21% 1.93%
1996 4.4% 2.12%
1995 4.59% 2.45%
1994 4.79% 2.85%
1993 5% 3.13%
1992 5.22% 3.3%
1991 5.48% 3.46%
1990 5.76% 3.7%
1989 6.07% 4.01%
1988 6.42% 4.36%
1987 6.8% 4.69%
1986 7.2% 4.91%
1985 7.64% 5%
1984 8.13% 5.06%
1983 8.67% 5.25%
1982 9.3% 5.53%
1981 10% 5.79%
1980 10.8% -
1979 11.7% -
1978 12.6% -
1977 13.5% -
1976 14.4% -
1975 15.3% -
1974 16.2% -
1973 17.1% -
1972 18% -
1971 18.9% -

Data sources: World Bank | Health (1971–2023, retrieved 2026-04-06).

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

The chance that a newborn baby will die before reaching age five is 1.18% in Iran 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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