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Fertility & birth rates in Lesotho and South Africa

Updated on by Georank team

Lesotho has an annual birth rate of 24.1 births per 1,000 people, compared to 18.8 for South Africa. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 2.69 in Lesotho and 2.22 in South Africa — 17.7% difference.

1960 vs 2023, the fertility rate has decreased by 53.4% in Lesotho and by 63.7% in South Africa — in 1960, it was 5.78 and 6.11, respectively.

  • Lesotho is ranked 56/196 by birth rate compared to 82/196 for South Africa.
  • The mean age at childbearing (for all the births, not just the first) is 27.8 in Lesotho — it's 28.3 in South Africa.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 70.6 in Lesotho vs 51.6 in South Africa.
  • In Lesotho, 27.8% of the population is composed of women of reproductive age (15-49), compared to 27.8% in South Africa.

Fertility rate in Lesotho vs South Africa by year

Lesotho
South Africa
1x
Year Fertility rate
Lesotho South Africa
2023 2.69 2.22
2022 2.72 2.23
2021 2.77 2.25
2020 2.85 2.26
2019 2.92 2.26
2018 3.02 2.27
2017 3.11 2.28
2016 3.18 2.26
2015 3.22 2.36
2014 3.24 2.42
2013 3.28 2.43
2012 3.3 2.45
2011 3.34 2.44
2010 3.25 2.44
2009 3.31 2.5
2008 3.39 2.68
2007 3.44 2.55
2006 3.41 2.55
2005 3.43 2.51
2004 3.51 2.44
2003 3.62 2.36
2002 3.68 2.32
2001 3.63 2.37
2000 3.61 2.41
1999 3.67 2.56
1998 3.82 2.63
1997 3.98 2.73
1996 4.06 2.99
1995 4.13 3.17
1994 4.21 3.26
1993 4.37 3.37
1992 4.54 3.48
1991 4.68 3.62
1990 4.81 3.72
1989 4.96 3.98
1988 5.1 4.18
1987 5.22 4.35
1986 5.32 4.41
1985 5.4 4.5
1984 5.48 4.57
1983 5.56 4.63
1982 5.63 4.7
1981 5.69 4.71
1980 5.75 4.78
1979 5.79 4.82
1978 5.82 4.85
1977 5.85 4.94
1976 5.87 5.07
1975 5.83 5.19
1974 5.75 5.3
1973 5.69 5.41
1972 5.69 5.49
1971 5.7 5.57
1970 5.7 5.63
1969 5.7 5.72
1968 5.73 5.78
1967 5.75 5.85
1966 5.76 5.91
1965 5.77 5.89
1964 5.77 5.96
1963 5.78 6.01
1962 5.79 6.05
1961 5.79 6.08
1960 5.78 6.11

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

GeoRank.org/birth-rate/lesotho/south-africa | 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 2.22 in South Africa in 2023. The replacement level is considered to be 2.1 children per woman.

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

Natural population change by year

Lesotho
South Africa
1x
Year Natural population change
Lesotho South Africa
2023 31,115 602,793
2022 30,803 603,636
2021 27,806 456,411
2020 30,721 595,873
2019 32,279 652,130
2018 33,112 648,319
2017 33,601 645,975
2016 33,390 641,365
2015 32,087 668,771
2014 30,922 674,754
2013 29,789 652,427
2012 27,592 643,723
2011 25,647 601,708
2010 21,877 566,834
2009 20,335 554,115
2008 19,349 595,332
2007 17,763 503,567
2006 15,234 487,584
2005 15,831 464,464
2004 17,271 442,540
2003 20,133 415,018
2002 22,274 430,926
2001 23,190 484,801
2000 24,786 526,963
1999 27,393 594,643
1998 30,889 627,027
1997 34,637 667,969
1996 36,228 710,868
1995 37,370 743,488
1994 38,629 698,609
1993 40,505 789,220
1992 42,579 794,415
1991 44,026 827,296
1990 45,060 835,421
1989 46,264 884,629
1988 47,158 909,221
1987 47,718 922,330
1986 45,232 903,644
1985 44,575 893,889
1984 43,785 869,011
1983 42,899 837,013
1982 41,941 807,550
1981 40,808 767,833
1980 39,617 738,415
1979 38,440 716,541
1978 37,084 694,341
1977 35,654 680,929
1976 34,117 675,011
1975 32,311 667,862
1974 30,444 658,438
1973 28,859 651,596
1972 27,841 638,754
1971 26,838 624,761
1970 25,935 605,102
1969 25,137 590,794
1968 24,490 571,841
1967 23,911 553,741
1966 23,326 534,862
1965 22,755 506,632
1964 22,116 490,606
1963 21,585 473,821
1962 21,132 455,634
1961 20,581 437,851
1960 19,981 421,263

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

GeoRank.org/birth-rate/lesotho/south-africa | 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 +0.95% in South Africa.

For the past 10 years, the annual natural population change has been +1.44% in Lesotho and +1.05% in South Africa.

Birth rate in Lesotho vs South Africa by year

Lesotho
South Africa

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Lesotho South Africa
2023 24.1 18.8
2022 24.4 19.1
2021 24.9 19.4
2020 25.6 19.5
2019 26.4 19.7
2018 27.4 19.9
2017 28.2 20
2016 28.9 20.3
2015 29.2 21
2014 29.5 21.8
2013 30 21.9
2012 30 22.1
2011 30.2 22.1
2010 29.2 22.2
2009 29.4 22.8
2008 29.6 24.3
2007 29.5 23.1
2006 28.6 23.1
2005 28.6 22.7
2004 28.7 22.1
2003 29.3 21.4
2002 29.4 20.9
2001 28.7 21.3
2000 28.2 21.6
1999 28.5 22.7
1998 29.2 23.2
1997 30.2 23.9
1996 30.4 24.9
1995 30.6 25.6
1994 31 24.6
1993 32 26.6
1992 33.2 27
1991 34.2 28.1
1990 35.1 28.7
1989 36.3 30.6
1988 37.4 32
1987 38.3 33.2
1986 37.5 33.6
1985 37.9 34.2
1984 38.4 34.5
1983 38.9 34.6
1982 39.5 34.8
1981 39.9 34.6
1980 40.4 34.7
1979 40.8 34.9
1978 41 35.1
1977 41.1 35.6
1976 41 36.3
1975 40.6 37
1974 40.2 37.7
1973 39.9 38.4
1972 40.2 38.9
1971 40.5 39.3
1970 40.8 39.4
1969 41.3 39.7
1968 41.9 39.8
1967 42.5 39.9
1966 43 40
1965 43.3 39.5
1964 43.5 39.6
1963 43.7 39.7
1962 44.1 39.7
1961 44.3 39.7
1960 44.6 39.8

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

GeoRank.org/birth-rate/lesotho/south-africa | CC BY

The latest reported birth rate per 1,000 people in 2023 was 24.1 in Lesotho and 18.8 in South Africa, compared with 44.6 and 39.8, respectively, in 1960.

Birth rate data compared

Lesotho South Africa
Fertility rate 2.69 2.22
Fertility rate rank 68/196 89/196
Birth rate 24.1 18.8
Birth rate rank 56/196 82/196
Population change due to births and deaths +31,115 +602,793
Natural population change rank 103/196 33/196
Natural population change rate +1.35% +0.95%
Population growth +1.12% +1.26%
Population growth rank 93/197 85/197
Age at first childbirth 20.9 years n/a
Average age at childbearing 27.8 years 28.3 years
Annual births per 1,000 women ages 15-19 69.3 51.8
Annual births per 1,000 women ages 20-29 133.8 106.1
Annual births per 1,000 women ages 30+ 37.3 27.1
Female of reproductive age (15-49), share of population 27.8% 27.8%
Any modern method of contraceptive prevalence among married women ages 15-49 65.3% 54%
Share of births attended by skilled health staff 86.6% 96.7%
Maternal mortality per live birth 0.48% 0.12%
Neonatal mortality rate (before reaching 28 days of age) 2.87% 1.17%
Infant mortality rate (before reaching 1 year of age) 5.54% 2.44%
Mortality rate before reaching 5 years of age 5.89% 3.47%
Life expectancy 58.6 years 66.7 years

Children 0-14 years as share of population

Lesotho
Factual

UN forecast
South Africa
Factual

UN forecast
1x
Year Young
Lesotho South Africa
2100 18% 17.9%
2099 18.1% 18%
2098 18.2% 18%
2097 18.3% 18.1%
2096 18.3% 18.1%
2095 18.4% 18.2%
2094 18.5% 18.2%
2093 18.6% 18.3%
2092 18.7% 18.3%
2091 18.9% 18.4%
2090 19% 18.4%
2089 19.1% 18.5%
2088 19.2% 18.5%
2087 19.3% 18.6%
2086 19.4% 18.6%
2085 19.6% 18.7%
2084 19.7% 18.7%
2083 19.8% 18.8%
2082 19.9% 18.9%
2081 20% 18.9%
2080 20.2% 19%
2079 20.3% 19%
2078 20.4% 19.1%
2077 20.5% 19.2%
2076 20.6% 19.3%
2075 20.7% 19.3%
2074 20.9% 19.4%
2073 21% 19.5%
2072 21.1% 19.6%
2071 21.3% 19.6%
2070 21.4% 19.7%
2069 21.5% 19.8%
2068 21.7% 19.9%
2067 21.9% 20%
2066 22% 20.1%
2065 22.2% 20.2%
2064 22.4% 20.3%
2063 22.6% 20.4%
2062 22.8% 20.5%
2061 23% 20.6%
2060 23.3% 20.7%
2059 23.5% 20.8%
2058 23.7% 20.9%
2057 24% 21%
2056 24.2% 21.1%
2055 24.5% 21.1%
2054 24.7% 21.2%
2053 25% 21.3%
2052 25.3% 21.4%
2051 25.5% 21.5%
2050 25.8% 21.6%
2049 26.1% 21.7%
2048 26.3% 21.8%
2047 26.5% 21.9%
2046 26.8% 22%
2045 27% 22.1%
2044 27.3% 22.3%
2043 27.5% 22.4%
2042 27.7% 22.6%
2041 28% 22.8%
2040 28.2% 23%
2039 28.4% 23.3%
2038 28.7% 23.5%
2037 28.9% 23.7%
2036 29.2% 24.1%
2035 29.5% 24.4%
2034 29.9% 24.7%
2033 30.3% 24.9%
2032 30.8% 25%
2031 31.3% 25.1%
2030 31.8% 25.2%
2029 32.3% 25.3%
2028 32.8% 25.4%
2027 33.4% 25.5%
2026 33.9% 25.6%
2025 34.3% 25.8%
2024 34.5% 25.9%
2023 34.9% 26.1%
2022 35.3% 26.3%
2021 35.6% 26.6%
2020 35.8% 27%
2019 36.1% 27.4%
2018 36.3% 27.9%
2017 36.5% 28.3%
2016 36.6% 28.3%
2015 36.6% 28.3%
2014 36.6% 28.5%
2013 36.5% 28.7%
2012 36.5% 28.9%
2011 36.5% 29.1%
2010 36.5% 29.4%
2009 36.6% 29.7%
2008 36.7% 29.9%
2007 36.8% 30.2%
2006 37.1% 30.6%
2005 37.4% 31.1%
2004 37.7% 31.6%
2003 38.1% 32.3%
2002 38.6% 33.2%
2001 39.1% 34%
2000 39.6% 34.9%
1999 40.2% 35.7%
1998 40.7% 36.5%
1997 41.2% 37.2%
1996 41.7% 37.5%
1995 42% 37.5%
1994 42.3% 37.2%
1993 42.6% 37.3%
1992 42.8% 37.6%
1991 42.9% 37.5%
1990 42.9% 37.7%
1989 42.8% 38.1%
1988 42.7% 38.4%
1987 42.5% 38.7%
1986 42.7% 38.9%
1985 43% 39.2%
1984 42.8% 39.5%
1983 42.7% 39.8%
1982 42.5% 40.1%
1981 42.3% 40.5%
1980 42.1% 40.9%
1979 41.9% 41.3%
1978 41.7% 41.5%
1977 41.5% 41.7%
1976 41.4% 41.8%
1975 41.6% 41.9%
1974 41.9% 42%
1973 42.3% 42.1%
1972 42.7% 42.2%
1971 43.1% 42.2%
1970 43.6% 42.3%
1969 44% 42.2%
1968 44.4% 42.2%
1967 44.8% 42.2%
1966 44.9% 42.1%
1965 44.8% 42.1%
1964 44.9% 42.1%
1963 45.2% 42.1%
1962 45.3% 42.1%
1961 45.2% 42.1%
1960 45.1% 42.1%

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/south-africa | CC BY

Children aged 0-14 make up 34.5% of the population in Lesotho and 25.9% in South Africa in 2024, compared to 42.9% and 37.7% respectively in 1990.

Demographics of Lesotho and South Africa compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/lesotho/south-africa | CC BY

Maternal mortality chart: Lesotho vs South Africa

Lesotho
South Africa
1x
Year Maternal mortality per 100K births
Lesotho South Africa
2023 478 118
2022 477 129
2021 577 191
2020 529 118
2019 467 119
2018 491 128
2017 468 134
2016 518 141
2015 594 150
2014 707 162
2013 855 180
2012 1,000 194
2011 1,210 202
2010 1,311 226
2009 1,387 241
2008 1,205 272
2007 891 272
2006 696 283
2005 549 279
2004 499 259
2003 508 245
2002 484 225
2001 465 192
2000 413 175
1999 371 151
1998 332 152
1997 312 152
1996 319 150
1995 357 125
1994 423 133
1993 542 145
1992 601 152
1991 641 162
1990 665 170
1989 680 177
1988 680 184
1987 686 192
1986 680 200
1985 711 208

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

GeoRank.org/birth-rate/lesotho/south-africa | 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 118 deaths in South Africa.

Under-five mortality rates

Lesotho
South Africa

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Lesotho South Africa
2023 5.89% 3.47%
2022 6.15% 3.44%
2021 6.44% 3.41%
2020 6.68% 3.41%
2019 6.87% 3.45%
2018 6.91% 3.49%
2017 7.12% 3.58%
2016 7.18% 3.68%
2015 7.51% 3.82%
2014 7.82% 3.96%
2013 8.02% 4.1%
2012 8.26% 4.25%
2011 8.59% 4.5%
2010 9.01% 5%
2009 9.64% 5.7%
2008 10.9% 6.42%
2007 11.2% 7.19%
2006 11.5% 7.75%
2005 11.6% 8.03%
2004 11.5% 8.1%
2003 11.4% 7.93%
2002 11.2% 7.69%
2001 11.1% 7.43%
2000 10.9% 7.11%
1999 10.7% 6.85%
1998 10.5% 6.56%
1997 10.2% 6.29%
1996 9.83% 6.11%
1995 9.45% 5.95%
1994 9.07% 5.82%
1993 8.73% 5.7%
1992 8.51% 5.66%
1991 8.43% 5.7%
1990 8.47% 5.82%
1989 8.6% 6.01%
1988 8.8% 6.26%
1987 9.06% 6.56%
1986 9.36% 6.89%
1985 9.72% 7.24%
1984 10.1% 7.6%
1983 10.6% 7.98%
1982 11.1% 8.39%
1981 11.7% 8.84%
1980 12.3% 9.35%
1979 12.9% 9.88%
1978 13.6% 10.5%
1977 14.2% 11.1%
1976 14.9% 11.8%
1975 15.5% 12.5%
1974 16% 13.2%
1973 16.5% -
1972 16.9% -
1971 17.3% -
1970 17.7% -
1969 18% -
1968 18.3% -
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/south-africa | CC BY

The chance that a newborn baby will die before reaching age five is 5.89% in Lesotho and 3.47% in South Africa. 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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