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Fertility & birth rates in Italy and Sierra Leone

Updated on by Georank team

Italy has an annual birth rate of 6.4 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 1.2 in Italy and 3.79 in Sierra Leone — 215.9% difference.

1960 vs 2023, the fertility rate has decreased by 50% in Italy and by 38.6% in Sierra Leone — in 1960, it was 2.4 and 6.18, respectively.

  • Italy is ranked 190/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age for first-time mothers is 31.8 years in Italy, compared to 19.6 years in Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 32.3 in Italy — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 2.85 in Italy vs 93.6 in Sierra Leone.
  • In Italy, 19.6% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Italy vs Sierra Leone by year

Italy
Sierra Leone
1x
Year Fertility rate
Italy Sierra Leone
2023 1.2 3.79
2022 1.24 3.88
2021 1.25 3.98
2020 1.24 4.08
2019 1.27 4.19
2018 1.31 4.29
2017 1.34 4.39
2016 1.36 4.47
2015 1.36 4.55
2014 1.38 4.7
2013 1.39 4.87
2012 1.42 5.06
2011 1.42 5.21
2010 1.44 5.33
2009 1.44 5.45
2008 1.44 5.56
2007 1.39 5.64
2006 1.37 5.74
2005 1.33 5.81
2004 1.34 5.92
2003 1.29 6.09
2002 1.27 6.23
2001 1.25 6.31
2000 1.26 6.36
1999 1.23 6.42
1998 1.22 6.5
1997 1.22 6.53
1996 1.2 6.55
1995 1.19 6.56
1994 1.21 6.56
1993 1.25 6.57
1992 1.3 6.56
1991 1.3 6.55
1990 1.33 6.57
1989 1.33 6.57
1988 1.36 6.59
1987 1.33 6.61
1986 1.35 6.6
1985 1.42 6.59
1984 1.46 6.59
1983 1.51 6.57
1982 1.56 6.56
1981 1.58 6.55
1980 1.64 6.56
1979 1.73 6.58
1978 1.84 6.59
1977 1.93 6.57
1976 2.04 6.55
1975 2.17 6.55
1974 2.28 6.53
1973 2.3 6.47
1972 2.35 6.45
1971 2.4 6.43
1970 2.38 6.41
1969 2.47 6.39
1968 2.46 6.39
1967 2.5 6.38
1966 2.58 6.35
1965 2.6 6.31
1964 2.66 6.29
1963 2.51 6.26
1962 2.46 6.22
1961 2.44 6.21
1960 2.4 6.18

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

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

According to the latest available data on birth rates, the fertility rate in Italy was 1.2 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 Italy vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

Italy
Sierra Leone
1x
Year Natural population change
Italy Sierra Leone
2023 -283,125 188,788
2022 -318,674 186,625
2021 -301,579 183,326
2020 -338,801 181,015
2019 -215,025 181,068
2018 -192,475 178,772
2017 -192,007 173,259
2016 -138,265 168,784
2015 -162,620 162,275
2014 -96,513 160,137
2013 -90,468 161,265
2012 -78,248 160,915
2011 -48,021 158,858
2010 -23,928 155,338
2009 -17,866 152,669
2008 -11,842 149,855
2007 -5,876 145,740
2006 0 144,127
2005 -17,450 137,234
2004 11,566 132,661
2003 -40,179 130,312
2002 -22,836 126,429
2001 -11,396 116,647
2000 -17,082 110,754
1999 -22,766 102,295
1998 -39,835 103,906
1997 -22,756 105,433
1996 -22,744 104,140
1995 -34,107 100,885
1994 -17,053 101,486
1993 0 103,317
1992 22,718 103,251
1991 11,352 105,477
1990 22,688 100,778
1989 28,336 98,298
1988 33,977 96,344
1987 16,980 94,235
1986 11,319 90,902
1985 28,297 88,869
1984 50,919 87,072
1983 33,939 84,628
1982 79,161 82,457
1981 73,452 80,111
1980 84,650 77,932
1979 129,531 75,992
1978 168,465 74,130
1977 190,248 71,663
1976 228,445 69,506
1975 271,660 67,560
1974 336,176 65,357
1973 328,508 62,443
1972 364,355 60,279
1971 383,922 58,484
1970 376,753 56,513
1969 390,827 54,768
1968 399,268 53,126
1967 439,074 51,734
1966 488,427 49,486
1965 474,222 47,223
1964 527,089 45,487
1963 440,767 43,569
1962 427,387 41,603
1961 459,880 40,022
1960 426,697 38,192

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

GeoRank.org/birth-rate/italy/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 -0.48% in Italy and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been -0.38% in Italy and +2.31% in Sierra Leone.

Birth rate in Italy vs Sierra Leone by year

Italy
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Italy Sierra Leone
2023 6.4 30.6
2022 6.7 31.1
2021 6.8 31.6
2020 6.8 32.2
2019 7 32.8
2018 7.3 33.3
2017 7.6 33.8
2016 7.9 34.2
2015 8.1 34.7
2014 8.3 35.6
2013 8.5 36.6
2012 8.9 37.8
2011 9.1 38.5
2010 9.4 39.1
2009 9.6 39.9
2008 9.7 40.6
2007 9.6 41.1
2006 9.6 41.8
2005 9.5 42
2004 9.7 42.5
2003 9.5 43.5
2002 9.4 44.3
2001 9.4 44
2000 9.5 45
1999 9.4 46.1
1998 9.3 46.3
1997 9.4 46.3
1996 9.3 46.5
1995 9.2 46.8
1994 9.4 46.8
1993 9.7 46.9
1992 10 47
1991 9.9 47.5
1990 10 45.5
1989 9.9 46.3
1988 10.1 46.4
1987 9.7 46.6
1986 9.8 46.6
1985 10.2 46.7
1984 10.4 46.8
1983 10.6 46.7
1982 10.9 46.8
1981 11 46.8
1980 11.3 46.8
1979 11.9 47
1978 12.6 47.2
1977 13.2 47.1
1976 14 47.2
1975 14.9 47.3
1974 15.8 47.4
1973 16 47.2
1972 16.3 47.2
1971 16.8 47.3
1970 16.7 47.4
1969 17.4 47.5
1968 17.5 47.7
1967 17.9 47.9
1966 18.7 48
1965 19 48
1964 19.7 48.2
1963 18.7 48.2
1962 18.4 48.1
1961 18.4 48.1
1960 18.1 48

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

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

The latest reported birth rate per 1,000 people in 2023 was 6.4 in Italy and 30.6 in Sierra Leone, compared with 18.1 and 48, respectively, in 1960.

Birth rate data compared

Italy Sierra Leone
Fertility rate 1.2 3.79
Fertility rate rank 182/196 35/196
Birth rate 6.4 30.6
Birth rate rank 190/196 29/196
Population change due to births and deaths -283,125 +188,788
Natural population change rank 191/196 62/196
Natural population change rate -0.48% +2.23%
Population growth -0.05% +2.15%
Population growth rank 170/197 47/197
Age at first childbirth 31.8 years 19.6 years
Average age at childbearing 32.3 years 28.5 years
Annual births per 1,000 women ages 15-19 2.92 87.7
Annual births per 1,000 women ages 20-29 38.3 169.3
Annual births per 1,000 women ages 30+ 11.7 53.4
Female of reproductive age (15-49), share of population 19.6% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 51.8% 20.9%
Share of births attended by skilled health staff 99.8% 86.9%
Maternal mortality per live birth 0.006% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 0.16% 2.93%
Infant mortality rate (before reaching 1 year of age) 0.23% 5.62%
Mortality rate before reaching 5 years of age 0.28% 9.43%
Life expectancy 84.2 years 62.3 years

Children 0-14 years as share of population

Italy
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
Italy Sierra Leone
2100 11.1% 19%
2099 11.1% 19%
2098 11.1% 19.1%
2097 11.1% 19.2%
2096 11.1% 19.3%
2095 11.1% 19.5%
2094 11.1% 19.6%
2093 11.2% 19.7%
2092 11.2% 19.8%
2091 11.2% 19.9%
2090 11.2% 20%
2089 11.3% 20.1%
2088 11.3% 20.3%
2087 11.3% 20.4%
2086 11.3% 20.5%
2085 11.3% 20.7%
2084 11.3% 20.8%
2083 11.3% 20.9%
2082 11.3% 21.1%
2081 11.2% 21.2%
2080 11.2% 21.4%
2079 11.2% 21.6%
2078 11.1% 21.7%
2077 11.1% 21.9%
2076 11% 22.1%
2075 10.9% 22.2%
2074 10.9% 22.4%
2073 10.8% 22.6%
2072 10.8% 22.8%
2071 10.7% 23%
2070 10.7% 23.2%
2069 10.6% 23.4%
2068 10.6% 23.6%
2067 10.6% 23.8%
2066 10.5% 24%
2065 10.5% 24.3%
2064 10.5% 24.5%
2063 10.6% 24.7%
2062 10.6% 25%
2061 10.6% 25.2%
2060 10.6% 25.5%
2059 10.7% 25.7%
2058 10.7% 26%
2057 10.8% 26.3%
2056 10.8% 26.6%
2055 10.8% 26.9%
2054 10.9% 27.1%
2053 10.9% 27.4%
2052 10.9% 27.7%
2051 10.9% 28.1%
2050 10.9% 28.4%
2049 10.9% 28.7%
2048 10.8% 29%
2047 10.8% 29.3%
2046 10.7% 29.7%
2045 10.7% 30%
2044 10.6% 30.3%
2043 10.6% 30.7%
2042 10.5% 31.1%
2041 10.5% 31.4%
2040 10.4% 31.8%
2039 10.4% 32.2%
2038 10.3% 32.6%
2037 10.3% 33%
2036 10.3% 33.4%
2035 10.3% 33.8%
2034 10.4% 34.2%
2033 10.4% 34.6%
2032 10.5% 35%
2031 10.7% 35.4%
2030 10.8% 35.7%
2029 11% 36.1%
2028 11.1% 36.5%
2027 11.3% 37%
2026 11.5% 37.4%
2025 11.8% 37.9%
2024 11.9% 38.1%
2023 12.1% 38.5%
2022 12.4% 39%
2021 12.6% 39.4%
2020 12.8% 39.8%
2019 13% 40.2%
2018 13.2% 40.6%
2017 13.4% 41%
2016 13.6% 41.4%
2015 13.7% 41.8%
2014 13.8% 42.2%
2013 13.9% 42.5%
2012 14% 42.8%
2011 14% 43%
2010 14% 43.2%
2009 14% 43.4%
2008 14% 43.5%
2007 14% 43.6%
2006 14.1% 43.7%
2005 14.1% 43.8%
2004 14.2% 43.9%
2003 14.2% 43.9%
2002 14.2% 43.9%
2001 14.2% 43.9%
2000 14.3% 43.8%
1999 14.3% 43.7%
1998 14.3% 43.6%
1997 14.4% 43.5%
1996 14.5% 43.5%
1995 14.6% 43.4%
1994 14.8% 43.3%
1993 15% 43.2%
1992 15.2% 43.1%
1991 15.8% 43%
1990 16.5% 42.9%
1989 17% 42.9%
1988 17.5% 42.8%
1987 18.1% 42.7%
1986 18.7% 42.6%
1985 19.3% 42.5%
1984 19.9% 42.3%
1983 20.5% 42.2%
1982 21.1% 42.1%
1981 21.6% 42%
1980 22.3% 41.9%
1979 22.8% 41.8%
1978 23.4% 41.7%
1977 23.7% 41.6%
1976 24.1% 41.4%
1975 24.3% 41.3%
1974 24.5% 41.1%
1973 24.6% 40.9%
1972 24.6% 40.7%
1971 24.6% 40.6%
1970 24.7% 40.3%
1969 24.7% 40.1%
1968 24.6% 39.9%
1967 24.6% 39.6%
1966 24.5% 39.4%
1965 24.5% 39.1%
1964 24.5% 38.8%
1963 24.5% 38.5%
1962 24.7% 38.3%
1961 25% 38.3%
1960 25% 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/italy/sierra-leone | CC BY

Children aged 0-14 make up 11.9% of the population in Italy and 38.1% in Sierra Leone in 2024, compared to 16.5% and 42.9% respectively in 1990.

Demographics of Italy 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/italy/sierra-leone | CC BY

Maternal mortality chart: Italy vs Sierra Leone

Italy
Sierra Leone
1x
Year Maternal mortality per 100K births
Italy Sierra Leone
2023 6 354
2022 10 370
2021 7 403
2020 8 422
2019 7 464
2018 7 491
2017 8 578
2016 8 633
2015 8 730
2014 8 821
2013 8 842
2012 8 915
2011 8 967
2010 8 1,018
2009 8 1,054
2008 7 1,093
2007 7 1,132
2006 7 1,168
2005 8 1,294
2004 8 1,366
2003 8 1,433
2002 10 1,492
2001 10 1,518
2000 11 1,603
1999 11 1,731
1998 12 1,753
1997 13 1,721
1996 14 1,726
1995 15 1,777
1994 15 1,755
1993 16 1,696
1992 17 1,681
1991 18 1,699
1990 18 1,572
1989 19 1,575
1988 20 1,549
1987 21 1,533
1986 22 1,530
1985 22 1,506

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 6 deaths per 100,000 live births in Italy, compared to 354 deaths in Sierra Leone.

Under-five mortality rates

Italy
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Italy Sierra Leone
2023 0.28% 9.43%
2022 0.28% 9.77%
2021 0.29% 10.1%
2020 0.3% 10.5%
2019 0.31% 10.9%
2018 0.32% 11.3%
2017 0.33% 11.8%
2016 0.34% 12.3%
2015 0.35% 13.8%
2014 0.36% 13.7%
2013 0.37% 13.9%
2012 0.38% 14.5%
2011 0.39% 15.2%
2010 0.4% 15.9%
2009 0.41% 16.6%
2008 0.41% 17.3%
2007 0.42% 18.1%
2006 0.43% 18.8%
2005 0.45% 19.4%
2004 0.46% 20.1%
2003 0.48% 20.7%
2002 0.51% 21.3%
2001 0.53% 21.8%
2000 0.56% 22.4%
1999 0.59% 22.9%
1998 0.62% 23.4%
1997 0.66% 23.9%
1996 0.7% 24.3%
1995 0.75% 24.7%
1994 0.8% 25%
1993 0.85% 25.3%
1992 0.89% 25.5%
1991 0.93% 25.7%
1990 0.97% 25.9%
1989 1% 26.2%
1988 1.04% 26.4%
1987 1.08% 26.6%
1986 1.14% 26.9%
1985 1.2% 27.2%
1984 1.27% 27.5%
1983 1.35% 27.8%
1982 1.43% 28.1%
1981 1.52% 28.5%
1980 1.61% 28.9%
1979 1.7% 29.2%
1978 1.82% 29.6%
1977 1.95% 30%
1976 2.11% 30.5%
1975 2.31% 30.9%
1974 2.53% 31.4%
1973 2.76% 31.9%
1972 2.98% 32.3%
1971 3.18% 32.9%
1970 3.36% 33.4%
1969 3.51% 33.9%
1968 3.64% 34.5%
1967 3.78% 35%
1966 3.93% 35.6%
1965 4.11% 36.2%
1964 4.31% 36.8%
1963 4.53% 37.4%
1962 4.76% 38%
1961 4.98% 38.5%
1960 5.19% 39.1%

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

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

The chance that a newborn baby will die before reaching age five is 0.28% in Italy 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. United Nations Economic Commission for Europe (UNECE) (2023, retrieved 2026-03-10)
  4. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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