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Fertility & birth rates in Lesotho and Madagascar

Updated on by Georank team

Lesotho has an annual birth rate of 24.1 births per 1,000 people, compared to 32.1 for Madagascar. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 2.69 in Lesotho and 3.97 in Madagascar — 47.4% difference.

1960 vs 2023, the fertility rate has decreased by 53.4% in Lesotho and by 45.9% in Madagascar — in 1960, it was 5.78 and 7.34, respectively.

  • Lesotho is ranked 56/196 by birth rate compared to 21/196 for Madagascar.
  • The mean age for first-time mothers is 20.9 years in Lesotho, compared to 19.5 years in Madagascar.
  • The mean age at childbearing (for all the births, not just the first) is 27.8 in Lesotho — it's 27.8 in Madagascar.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 70.6 in Lesotho vs 129.8 in Madagascar.
  • In Lesotho, 27.8% of the population is composed of women of reproductive age (15-49), compared to 24.7% in Madagascar.

Fertility rate in Lesotho vs Madagascar by year

Lesotho
Madagascar
1x
Year Fertility rate
Lesotho Madagascar
2023 2.69 3.97
2022 2.72 4.04
2021 2.77 4.1
2020 2.85 4.17
2019 2.92 4.22
2018 3.02 4.25
2017 3.11 4.26
2016 3.18 4.29
2015 3.22 4.34
2014 3.24 4.42
2013 3.28 4.53
2012 3.3 4.61
2011 3.34 4.74
2010 3.25 4.9
2009 3.31 5
2008 3.39 5.04
2007 3.44 5.08
2006 3.41 5.13
2005 3.43 5.2
2004 3.51 5.26
2003 3.62 5.33
2002 3.68 5.41
2001 3.63 5.53
2000 3.61 5.67
1999 3.67 5.84
1998 3.82 5.99
1997 3.98 6.02
1996 4.06 6.03
1995 4.13 6.04
1994 4.21 6.04
1993 4.37 6.06
1992 4.54 6.08
1991 4.68 6.12
1990 4.81 6.14
1989 4.96 6.15
1988 5.1 6.18
1987 5.22 6.24
1986 5.32 6.34
1985 5.4 6.46
1984 5.48 6.55
1983 5.56 6.63
1982 5.63 6.7
1981 5.69 6.77
1980 5.75 6.84
1979 5.79 6.87
1978 5.82 6.9
1977 5.85 6.93
1976 5.87 6.95
1975 5.83 6.97
1974 5.75 6.99
1973 5.69 7.01
1972 5.69 7.04
1971 5.7 7.07
1970 5.7 7.1
1969 5.7 7.12
1968 5.73 7.13
1967 5.75 7.14
1966 5.76 7.16
1965 5.77 7.17
1964 5.77 7.19
1963 5.78 7.21
1962 5.79 7.26
1961 5.79 7.3
1960 5.78 7.34

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

GeoRank.org/birth-rate/lesotho/madagascar | CC BY

According to the latest available data on birth rates, the fertility rate in Lesotho was 2.69 children per woman in 2023, compared to 3.97 in Madagascar in 2023. The replacement level is considered to be 2.1 children per woman.

Check Lesotho vs Madagascar population clock for a dynamic visualization of the changing population.

Natural population change by year

Lesotho
Madagascar
1x
Year Natural population change
Lesotho Madagascar
2023 31,115 766,391
2022 30,803 753,931
2021 27,806 741,416
2020 30,721 736,607
2019 32,279 735,853
2018 33,112 719,267
2017 33,601 699,498
2016 33,390 682,801
2015 32,087 668,977
2014 30,922 660,837
2013 29,789 654,230
2012 27,592 644,255
2011 25,647 640,577
2010 21,877 641,543
2009 20,335 634,008
2008 19,349 615,580
2007 17,763 597,772
2006 15,234 581,489
2005 15,831 568,143
2004 17,271 556,319
2003 20,133 544,903
2002 22,274 535,518
2001 23,190 529,656
2000 24,786 520,860
1999 27,393 516,976
1998 30,889 508,408
1997 34,637 490,905
1996 36,228 471,453
1995 37,370 450,259
1994 38,629 428,169
1993 40,505 408,801
1992 42,579 388,430
1991 44,026 375,040
1990 45,060 360,621
1989 46,264 344,279
1988 47,158 330,510
1987 47,718 317,621
1986 45,232 307,074
1985 44,575 304,199
1984 43,785 296,892
1983 42,899 290,085
1982 41,941 284,733
1981 40,808 277,535
1980 39,617 275,287
1979 38,440 270,752
1978 37,084 263,684
1977 35,654 255,399
1976 34,117 247,026
1975 32,311 238,774
1974 30,444 230,233
1973 28,859 221,768
1972 27,841 213,138
1971 26,838 204,617
1970 25,935 194,889
1969 25,137 184,562
1968 24,490 175,869
1967 23,911 167,287
1966 23,326 159,483
1965 22,755 152,362
1964 22,116 146,894
1963 21,585 142,666
1962 21,132 139,412
1961 20,581 136,578
1960 19,981 133,684

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

GeoRank.org/birth-rate/lesotho/madagascar | 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 +1.35% in Lesotho and +2.46% in Madagascar.

For the past 10 years, the annual natural population change has been +1.44% in Lesotho and +2.57% in Madagascar.

Birth rate in Lesotho vs Madagascar by year

Lesotho
Madagascar

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Lesotho Madagascar
2023 24.1 32.1
2022 24.4 32.5
2021 24.9 32.9
2020 25.6 33.3
2019 26.4 33.6
2018 27.4 33.7
2017 28.2 33.6
2016 28.9 33.6
2015 29.2 33.8
2014 29.5 34.2
2013 30 34.7
2012 30 35.1
2011 30.2 35.8
2010 29.2 36.7
2009 29.4 37.4
2008 29.6 37.5
2007 29.5 37.8
2006 28.6 38
2005 28.6 38.4
2004 28.7 39
2003 29.3 39.5
2002 29.4 40.2
2001 28.7 41.1
2000 28.2 42
1999 28.5 43.2
1998 29.2 44.1
1997 30.2 44.4
1996 30.4 44.6
1995 30.6 44.5
1994 31 44.2
1993 32 44.1
1992 33.2 43.9
1991 34.2 44.1
1990 35.1 44.1
1989 36.3 43.9
1988 37.4 43.8
1987 38.3 43.8
1986 37.5 44
1985 37.9 44.8
1984 38.4 45.2
1983 38.9 45.5
1982 39.5 45.9
1981 39.9 46.2
1980 40.4 46.8
1979 40.8 47.2
1978 41 47.4
1977 41.1 47.4
1976 41 47.4
1975 40.6 47.4
1974 40.2 47.4
1973 39.9 47.4
1972 40.2 47.4
1971 40.5 47.2
1970 40.8 46.8
1969 41.3 46.5
1968 41.9 46.1
1967 42.5 45.9
1966 43 45.7
1965 43.3 45.6
1964 43.5 45.7
1963 43.7 46
1962 44.1 46.5
1961 44.3 47.1
1960 44.6 47.6

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

GeoRank.org/birth-rate/lesotho/madagascar | CC BY

The latest reported birth rate per 1,000 people in 2023 was 24.1 in Lesotho and 32.1 in Madagascar, compared with 44.6 and 47.6, respectively, in 1960.

Birth rate data compared

Lesotho Madagascar
Fertility rate 2.69 3.97
Fertility rate rank 68/196 28/196
Birth rate 24.1 32.1
Birth rate rank 56/196 21/196
Population change due to births and deaths +31,115 +766,391
Natural population change rank 103/196 22/196
Natural population change rate +1.35% +2.46%
Population growth +1.12% +2.47%
Population growth rank 93/197 29/197
Age at first childbirth 20.9 years 19.5 years
Average age at childbearing 27.8 years 27.8 years
Annual births per 1,000 women ages 15-19 69.3 127.7
Annual births per 1,000 women ages 20-29 133.8 171.3
Annual births per 1,000 women ages 30+ 37.3 52.7
Female of reproductive age (15-49), share of population 27.8% 24.7%
Any modern method of contraceptive prevalence among married women ages 15-49 65.3% 42.7%
Share of births attended by skilled health staff 86.6% 45.8%
Maternal mortality per live birth 0.48% 0.45%
Neonatal mortality rate (before reaching 28 days of age) 2.87% 2.38%
Infant mortality rate (before reaching 1 year of age) 5.54% 4.42%
Mortality rate before reaching 5 years of age 5.89% 6.48%
Life expectancy 58.6 years 64.3 years

Children 0-14 years as share of population

Lesotho
Factual

UN forecast
Madagascar
Factual

UN forecast
1x
Year Young
Lesotho Madagascar
2100 18% 21.5%
2099 18.1% 21.6%
2098 18.2% 21.8%
2097 18.3% 21.9%
2096 18.3% 22.1%
2095 18.4% 22.2%
2094 18.5% 22.3%
2093 18.6% 22.5%
2092 18.7% 22.6%
2091 18.9% 22.8%
2090 19% 22.9%
2089 19.1% 23.1%
2088 19.2% 23.3%
2087 19.3% 23.4%
2086 19.4% 23.6%
2085 19.6% 23.7%
2084 19.7% 23.9%
2083 19.8% 24.1%
2082 19.9% 24.3%
2081 20% 24.4%
2080 20.2% 24.6%
2079 20.3% 24.8%
2078 20.4% 25%
2077 20.5% 25.2%
2076 20.6% 25.4%
2075 20.7% 25.6%
2074 20.9% 25.8%
2073 21% 26%
2072 21.1% 26.2%
2071 21.3% 26.4%
2070 21.4% 26.6%
2069 21.5% 26.9%
2068 21.7% 27.1%
2067 21.9% 27.3%
2066 22% 27.5%
2065 22.2% 27.7%
2064 22.4% 28%
2063 22.6% 28.2%
2062 22.8% 28.4%
2061 23% 28.7%
2060 23.3% 28.9%
2059 23.5% 29.1%
2058 23.7% 29.4%
2057 24% 29.6%
2056 24.2% 29.9%
2055 24.5% 30.1%
2054 24.7% 30.4%
2053 25% 30.6%
2052 25.3% 30.9%
2051 25.5% 31.2%
2050 25.8% 31.4%
2049 26.1% 31.7%
2048 26.3% 32%
2047 26.5% 32.3%
2046 26.8% 32.6%
2045 27% 32.9%
2044 27.3% 33.2%
2043 27.5% 33.5%
2042 27.7% 33.8%
2041 28% 34.1%
2040 28.2% 34.5%
2039 28.4% 34.8%
2038 28.7% 35.1%
2037 28.9% 35.5%
2036 29.2% 35.8%
2035 29.5% 36.2%
2034 29.9% 36.5%
2033 30.3% 36.9%
2032 30.8% 37.2%
2031 31.3% 37.4%
2030 31.8% 37.7%
2029 32.3% 38%
2028 32.8% 38.2%
2027 33.4% 38.5%
2026 33.9% 38.8%
2025 34.3% 39.1%
2024 34.5% 39.3%
2023 34.9% 39.6%
2022 35.3% 39.9%
2021 35.6% 40.1%
2020 35.8% 40.4%
2019 36.1% 40.7%
2018 36.3% 40.9%
2017 36.5% 41.2%
2016 36.6% 41.6%
2015 36.6% 42%
2014 36.6% 42.4%
2013 36.5% 42.8%
2012 36.5% 43.3%
2011 36.5% 43.7%
2010 36.5% 44%
2009 36.6% 44.3%
2008 36.7% 44.6%
2007 36.8% 44.8%
2006 37.1% 45%
2005 37.4% 45.2%
2004 37.7% 45.3%
2003 38.1% 45.4%
2002 38.6% 45.4%
2001 39.1% 45.4%
2000 39.6% 45.4%
1999 40.2% 45.4%
1998 40.7% 45.4%
1997 41.2% 45.3%
1996 41.7% 45.3%
1995 42% 45.3%
1994 42.3% 45.4%
1993 42.6% 45.5%
1992 42.8% 45.6%
1991 42.9% 45.7%
1990 42.9% 45.9%
1989 42.8% 46.1%
1988 42.7% 46.3%
1987 42.5% 46.5%
1986 42.7% 46.7%
1985 43% 46.8%
1984 42.8% 46.9%
1983 42.7% 47%
1982 42.5% 47.1%
1981 42.3% 47.1%
1980 42.1% 47%
1979 41.9% 46.9%
1978 41.7% 46.8%
1977 41.5% 46.7%
1976 41.4% 46.6%
1975 41.6% 46.5%
1974 41.9% 46.5%
1973 42.3% 46.4%
1972 42.7% 46.4%
1971 43.1% 46.4%
1970 43.6% 46.4%
1969 44% 46.4%
1968 44.4% 46.5%
1967 44.8% 46.5%
1966 44.9% 46.6%
1965 44.8% 46.7%
1964 44.9% 46.8%
1963 45.2% 46.7%
1962 45.3% 46.3%
1961 45.2% 45.8%
1960 45.1% 45.2%

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/lesotho/madagascar | CC BY

Children aged 0-14 make up 34.5% of the population in Lesotho and 39.3% in Madagascar in 2024, compared to 42.9% and 45.9% respectively in 1990.

Demographics of Lesotho and Madagascar compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/lesotho/madagascar | CC BY

Maternal mortality chart: Lesotho vs Madagascar

Lesotho
Madagascar
1x
Year Maternal mortality per 100K births
Lesotho Madagascar
2023 478 445
2022 477 439
2021 577 467
2020 529 447
2019 467 462
2018 491 466
2017 468 469
2016 518 470
2015 594 474
2014 707 477
2013 855 481
2012 1,000 487
2011 1,210 492
2010 1,311 500
2009 1,387 507
2008 1,205 510
2007 891 522
2006 696 528
2005 549 540
2004 499 555
2003 508 571
2002 484 593
2001 465 611
2000 413 638
1999 371 647
1998 332 663
1997 312 676
1996 319 680
1995 357 684
1994 423 688
1993 542 688
1992 601 699
1991 641 691
1990 665 692
1989 680 684
1988 680 687
1987 686 702
1986 680 730
1985 711 751

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

GeoRank.org/birth-rate/lesotho/madagascar | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 478 deaths per 100,000 live births in Lesotho, compared to 445 deaths in Madagascar.

Under-five mortality rates

Lesotho
Madagascar

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Lesotho Madagascar
2023 5.89% 6.48%
2022 6.15% 6.57%
2021 6.44% 6.62%
2020 6.68% 6.63%
2019 6.87% 6.61%
2018 6.91% 6.58%
2017 7.12% 6.57%
2016 7.18% 6.57%
2015 7.51% 6.58%
2014 7.82% 6.62%
2013 8.02% 6.69%
2012 8.26% 6.77%
2011 8.59% 6.9%
2010 9.01% 7.07%
2009 9.64% 7.28%
2008 10.9% 7.53%
2007 11.2% 7.81%
2006 11.5% 8.12%
2005 11.6% 8.46%
2004 11.5% 8.82%
2003 11.4% 9.2%
2002 11.2% 9.6%
2001 11.1% 10%
2000 10.9% 10.5%
1999 10.7% 11%
1998 10.5% 11.5%
1997 10.2% 12%
1996 9.83% 12.6%
1995 9.45% 13.1%
1994 9.07% 13.5%
1993 8.73% 14%
1992 8.51% 14.5%
1991 8.43% 15%
1990 8.47% 15.6%
1989 8.6% 16.1%
1988 8.8% 16.6%
1987 9.06% 17.1%
1986 9.36% 17.5%
1985 9.72% 17.7%
1984 10.1% 17.8%
1983 10.6% 17.8%
1982 11.1% 17.6%
1981 11.7% 17.4%
1980 12.3% 17.1%
1979 12.9% 16.9%
1978 13.6% 16.7%
1977 14.2% 16.5%
1976 14.9% 16.3%
1975 15.5% 16.1%
1974 16% 15.8%
1973 16.5% 15.6%
1972 16.9% 15.3%
1971 17.3% 15.1%
1970 17.7% 14.9%
1969 18% 14.7%
1968 18.3% 14.6%
1967 18.5% -
1966 18.6% -
1965 18.7% -
1964 18.6% -
1963 18.6% -
1962 18.5% -
1961 18.5% -
1960 18.6% -

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

GeoRank.org/birth-rate/lesotho/madagascar | CC BY

The chance that a newborn baby will die before reaching age five is 5.89% in Lesotho and 6.48% in Madagascar. 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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