Skip to content

Fertility & birth rates in Lesotho and United States

Updated on by Georank team

Lesotho has an annual birth rate of 24.1 births per 1,000 people, compared to 10.7 for the United States. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 2.69 in Lesotho and 1.62 in the United States — 40% difference.

1960 vs 2023, the fertility rate has decreased by 53.4% in Lesotho and by 55.8% in the United States — in 1960, it was 5.78 and 3.65, respectively.

  • Lesotho is ranked 56/196 by birth rate compared to 140/196 for the United States.
  • The mean age for first-time mothers is 20.9 years in Lesotho, compared to 27.3 years in the United States.
  • The mean age at childbearing (for all the births, not just the first) is 27.8 in Lesotho — it's 30.2 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 70.6 in Lesotho vs 13.1 in the United States.
  • In Lesotho, 27.8% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in Lesotho vs United States by year

Lesotho
United States
1x
Year Fertility rate
Lesotho United States
2023 2.69 1.62
2022 2.72 1.66
2021 2.77 1.66
2020 2.85 1.64
2019 2.92 1.71
2018 3.02 1.73
2017 3.11 1.77
2016 3.18 1.82
2015 3.22 1.84
2014 3.24 1.86
2013 3.28 1.86
2012 3.3 1.88
2011 3.34 1.89
2010 3.25 1.93
2009 3.31 2
2008 3.39 2.07
2007 3.44 2.12
2006 3.41 2.11
2005 3.43 2.06
2004 3.51 2.05
2003 3.62 2.05
2002 3.68 2.02
2001 3.63 2.03
2000 3.61 2.06
1999 3.67 2.01
1998 3.82 2
1997 3.98 1.97
1996 4.06 1.98
1995 4.13 1.98
1994 4.21 2
1993 4.37 2.02
1992 4.54 2.05
1991 4.68 2.06
1990 4.81 2.08
1989 4.96 2.01
1988 5.1 1.93
1987 5.22 1.87
1986 5.32 1.84
1985 5.4 1.84
1984 5.48 1.81
1983 5.56 1.8
1982 5.63 1.83
1981 5.69 1.81
1980 5.75 1.84
1979 5.79 1.81
1978 5.82 1.76
1977 5.85 1.79
1976 5.87 1.74
1975 5.83 1.77
1974 5.75 1.84
1973 5.69 1.88
1972 5.69 2.01
1971 5.7 2.27
1970 5.7 2.48
1969 5.7 2.46
1968 5.73 2.46
1967 5.75 2.56
1966 5.76 2.72
1965 5.77 2.91
1964 5.77 3.19
1963 5.78 3.32
1962 5.79 3.46
1961 5.79 3.62
1960 5.78 3.65

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

GeoRank.org/birth-rate/lesotho/united-states | 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 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

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

Natural population change by year

Lesotho
United States
1x
Year Natural population change
Lesotho United States
2023 31,115 502,372
2022 30,803 399,926
2021 27,806 199,137
2020 30,721 208,862
2019 32,279 887,476
2018 33,112 955,022
2017 33,601 1,028,037
2016 33,390 1,197,627
2015 32,087 1,270,126
2014 30,922 1,357,281
2013 29,789 1,322,711
2012 27,592 1,411,822
2011 25,647 1,441,697
2010 21,877 1,548,182
2009 20,335 1,717,920
2008 19,349 1,794,154
2007 17,763 1,897,757
2006 15,234 1,849,955
2005 15,831 1,684,445
2004 17,271 1,698,271
2003 20,133 1,653,615
2002 22,274 1,581,938
2001 23,190 1,595,826
2000 24,786 1,664,758
1999 27,393 1,564,050
1998 30,889 1,573,857
1997 34,637 1,501,014
1996 36,228 1,510,137
1995 37,370 1,546,031
1994 38,629 1,633,302
1993 40,505 1,717,685
1992 42,579 1,875,328
1991 44,026 1,926,543
1990 45,060 2,026,068
1989 46,264 1,875,826
1988 47,158 1,735,943
1987 47,718 1,720,252
1986 45,232 1,656,917
1985 44,575 1,689,258
1984 43,785 1,627,192
1983 42,899 1,636,544
1982 41,941 1,714,317
1981 40,808 1,652,153
1980 39,617 1,608,450
1979 38,440 1,597,894
1978 37,084 1,402,283
1977 35,654 1,431,556
1976 34,117 1,264,604
1975 32,311 1,252,644
1974 30,444 1,218,968
1973 28,859 1,165,499
1972 27,841 1,301,355
1971 26,838 1,640,519
1970 25,935 1,824,965
1969 25,137 1,702,487
1968 24,490 1,565,507
1967 23,911 1,669,181
1966 23,326 1,749,387
1965 22,755 1,943,030
1964 22,116 2,245,099
1963 21,585 2,289,826
1962 21,132 2,406,337
1961 20,581 2,571,681
1960 19,981 2,565,530

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06); U.S. Census Bureau (1960–2023, retrieved 2026-02-08).

GeoRank.org/birth-rate/lesotho/united-states | 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 +0.15% in the United States.

For the past 10 years, the annual natural population change has been +1.44% in Lesotho and +0.25% in the United States.

Birth rate in Lesotho vs United States by year

Lesotho
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Lesotho United States
2023 24.1 10.7
2022 24.4 11
2021 24.9 11
2020 25.6 10.9
2019 26.4 11.4
2018 27.4 11.6
2017 28.2 11.8
2016 28.9 12.2
2015 29.2 12.4
2014 29.5 12.5
2013 30 12.4
2012 30 12.6
2011 30.2 12.7
2010 29.2 13
2009 29.4 13.5
2008 29.6 14
2007 29.5 14.3
2006 28.6 14.3
2005 28.6 14
2004 28.7 14
2003 29.3 14.1
2002 29.4 14
2001 28.7 14.1
2000 28.2 14.4
1999 28.5 14.2
1998 29.2 14.3
1997 30.2 14.2
1996 30.4 14.4
1995 30.6 14.6
1994 31 15
1993 32 15.4
1992 33.2 15.8
1991 34.2 16.2
1990 35.1 16.7
1989 36.3 16.4
1988 37.4 16
1987 38.3 15.7
1986 37.5 15.6
1985 37.9 15.8
1984 38.4 15.6
1983 38.9 15.6
1982 39.5 15.9
1981 39.9 15.8
1980 40.4 15.9
1979 40.8 15.6
1978 41 15
1977 41.1 15.1
1976 41 14.6
1975 40.6 14.6
1974 40.2 14.8
1973 39.9 14.8
1972 40.2 15.6
1971 40.5 17.2
1970 40.8 18.4
1969 41.3 17.9
1968 41.9 17.6
1967 42.5 17.8
1966 43 18.4
1965 43.3 19.4
1964 43.5 21.1
1963 43.7 21.7
1962 44.1 22.4
1961 44.3 23.3
1960 44.6 23.7

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

GeoRank.org/birth-rate/lesotho/united-states | CC BY

The latest reported birth rate per 1,000 people in 2023 was 24.1 in Lesotho and 10.7 in the United States, compared with 44.6 and 23.7, respectively, in 1960.

Birth rate data compared

Lesotho United States
Fertility rate 2.69 1.62
Fertility rate rank 68/196 125/196
Birth rate 24.1 10.7
Birth rate rank 56/196 140/196
Population change due to births and deaths +31,115 +502,372
Natural population change rank 103/196 37/196
Natural population change rate +1.35% +0.15%
Population growth +1.12% +0.49%
Population growth rank 93/197 134/197
Age at first childbirth 20.9 years 27.3 years
Average age at childbearing 27.8 years 30.2 years
Annual births per 1,000 women ages 15-19 69.3 11.3
Annual births per 1,000 women ages 20-29 133.8 72.5
Annual births per 1,000 women ages 30+ 37.3 17.4
Female of reproductive age (15-49), share of population 27.8% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 65.3% 66.1%
Share of births attended by skilled health staff 86.6% 99.1%
Maternal mortality per live birth 0.48% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 2.87% 0.34%
Infant mortality rate (before reaching 1 year of age) 5.54% 0.55%
Mortality rate before reaching 5 years of age 5.89% 0.65%
Life expectancy 58.6 years 79.8 years

Children 0-14 years as share of population

Lesotho
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
Lesotho United States
2100 18% 14.4%
2099 18.1% 14.4%
2098 18.2% 14.4%
2097 18.3% 14.4%
2096 18.3% 14.4%
2095 18.4% 14.5%
2094 18.5% 14.5%
2093 18.6% 14.5%
2092 18.7% 14.5%
2091 18.9% 14.6%
2090 19% 14.6%
2089 19.1% 14.7%
2088 19.2% 14.7%
2087 19.3% 14.7%
2086 19.4% 14.8%
2085 19.6% 14.8%
2084 19.7% 14.8%
2083 19.8% 14.9%
2082 19.9% 14.9%
2081 20% 14.9%
2080 20.2% 14.9%
2079 20.3% 14.9%
2078 20.4% 14.9%
2077 20.5% 14.9%
2076 20.6% 14.9%
2075 20.7% 14.9%
2074 20.9% 14.9%
2073 21% 14.9%
2072 21.1% 14.9%
2071 21.3% 14.9%
2070 21.4% 14.9%
2069 21.5% 14.9%
2068 21.7% 14.9%
2067 21.9% 14.9%
2066 22% 14.9%
2065 22.2% 15%
2064 22.4% 15%
2063 22.6% 15%
2062 22.8% 15.1%
2061 23% 15.1%
2060 23.3% 15.2%
2059 23.5% 15.3%
2058 23.7% 15.4%
2057 24% 15.5%
2056 24.2% 15.5%
2055 24.5% 15.6%
2054 24.7% 15.7%
2053 25% 15.8%
2052 25.3% 15.8%
2051 25.5% 15.9%
2050 25.8% 15.9%
2049 26.1% 16%
2048 26.3% 16%
2047 26.5% 16%
2046 26.8% 16%
2045 27% 16%
2044 27.3% 16%
2043 27.5% 16%
2042 27.7% 16%
2041 28% 15.9%
2040 28.2% 15.9%
2039 28.4% 15.9%
2038 28.7% 15.9%
2037 28.9% 15.9%
2036 29.2% 15.9%
2035 29.5% 15.9%
2034 29.9% 15.9%
2033 30.3% 16%
2032 30.8% 16.1%
2031 31.3% 16.2%
2030 31.8% 16.3%
2029 32.3% 16.5%
2028 32.8% 16.6%
2027 33.4% 16.8%
2026 33.9% 17%
2025 34.3% 17.2%
2024 34.5% 17.3%
2023 34.9% 17.6%
2022 35.3% 17.9%
2021 35.6% 18.1%
2020 35.8% 18.4%
2019 36.1% 18.6%
2018 36.3% 18.8%
2017 36.5% 18.9%
2016 36.6% 19.1%
2015 36.6% 19.2%
2014 36.6% 19.3%
2013 36.5% 19.4%
2012 36.5% 19.5%
2011 36.5% 19.6%
2010 36.5% 19.7%
2009 36.6% 19.8%
2008 36.7% 19.9%
2007 36.8% 20%
2006 37.1% 20.2%
2005 37.4% 20.3%
2004 37.7% 20.5%
2003 38.1% 20.7%
2002 38.6% 20.9%
2001 39.1% 21%
2000 39.6% 21.2%
1999 40.2% 21.3%
1998 40.7% 21.4%
1997 41.2% 21.5%
1996 41.7% 21.7%
1995 42% 21.8%
1994 42.3% 21.9%
1993 42.6% 21.9%
1992 42.8% 21.8%
1991 42.9% 21.7%
1990 42.9% 21.6%
1989 42.8% 21.5%
1988 42.7% 21.3%
1987 42.5% 21.3%
1986 42.7% 21.3%
1985 43% 21.5%
1984 42.8% 21.7%
1983 42.7% 21.8%
1982 42.5% 22%
1981 42.3% 22.1%
1980 42.1% 22.4%
1979 41.9% 22.8%
1978 41.7% 23.2%
1977 41.5% 23.8%
1976 41.4% 24.4%
1975 41.6% 25.2%
1974 41.9% 25.9%
1973 42.3% 26.6%
1972 42.7% 27.4%
1971 43.1% 28%
1970 43.6% 28.6%
1969 44% 29%
1968 44.4% 29.5%
1967 44.8% 30%
1966 44.9% 30.4%
1965 44.8% 30.7%
1964 44.9% 30.9%
1963 45.2% 31.1%
1962 45.3% 31.3%
1961 45.2% 31.4%
1960 45.1% 31.3%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10); U.S. Census Bureau (1960–2024, retrieved 2026-02-08).

GeoRank.org/birth-rate/lesotho/united-states | CC BY

Children aged 0-14 make up 34.5% of the population in Lesotho and 17.3% in the United States in 2024, compared to 42.9% and 21.6% respectively in 1990.

Demographics of Lesotho and the United States compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/lesotho/united-states | CC BY

Maternal mortality chart: Lesotho vs United States

Lesotho
United States
1x
Year Maternal mortality per 100K births
Lesotho United States
2023 478 17
2022 477 20
2021 577 31
2020 529 22
2019 467 18
2018 491 18
2017 468 18
2016 518 18
2015 594 17
2014 707 17
2013 855 16
2012 1,000 16
2011 1,210 15
2010 1,311 15
2009 1,387 15
2008 1,205 14
2007 891 13
2006 696 13
2005 549 13
2004 499 13
2003 508 13
2002 484 13
2001 465 13
2000 413 12
1999 371 12
1998 332 11
1997 312 11
1996 319 11
1995 357 12
1994 423 11
1993 542 12
1992 601 11
1991 641 12
1990 665 12
1989 680 12
1988 680 12
1987 686 11
1986 680 11
1985 711 11

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

GeoRank.org/birth-rate/lesotho/united-states | 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 17 deaths in the United States.

U.S. figures are less comparable to other countries, because reporting changes between 2003 and 2018 doubled the number of maternal deaths captured in official records without an actual doubling in mortality, and coding was revised again in 2018.

Under-five mortality rates

Lesotho
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Lesotho United States
2023 5.89% 0.65%
2022 6.15% 0.65%
2021 6.44% 0.65%
2020 6.68% 0.65%
2019 6.87% 0.65%
2018 6.91% 0.65%
2017 7.12% 0.66%
2016 7.18% 0.67%
2015 7.51% 0.68%
2014 7.82% 0.68%
2013 8.02% 0.69%
2012 8.26% 0.7%
2011 8.59% 0.72%
2010 9.01% 0.73%
2009 9.64% 0.75%
2008 10.9% 0.76%
2007 11.2% 0.77%
2006 11.5% 0.79%
2005 11.6% 0.8%
2004 11.5% 0.81%
2003 11.4% 0.81%
2002 11.2% 0.82%
2001 11.1% 0.83%
2000 10.9% 0.84%
1999 10.7% 0.86%
1998 10.5% 0.87%
1997 10.2% 0.89%
1996 9.83% 0.92%
1995 9.45% 0.95%
1994 9.07% 0.98%
1993 8.73% 1.01%
1992 8.51% 1.05%
1991 8.43% 1.09%
1990 8.47% 1.12%
1989 8.6% 1.16%
1988 8.8% 1.19%
1987 9.06% 1.21%
1986 9.36% 1.24%
1985 9.72% 1.27%
1984 10.1% 1.3%
1983 10.6% 1.34%
1982 11.1% 1.39%
1981 11.7% 1.44%
1980 12.3% 1.5%
1979 12.9% 1.56%
1978 13.6% 1.63%
1977 14.2% 1.71%
1976 14.9% 1.79%
1975 15.5% 1.88%
1974 16% 1.97%
1973 16.5% 2.06%
1972 16.9% 2.15%
1971 17.3% 2.24%
1970 17.7% 2.32%
1969 18% 2.41%
1968 18.3% 2.49%
1967 18.5% 2.57%
1966 18.6% 2.64%
1965 18.7% 2.71%
1964 18.6% 2.77%
1963 18.6% 2.83%
1962 18.5% 2.89%
1961 18.5% 2.95%
1960 18.6% 3.01%

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

GeoRank.org/birth-rate/lesotho/united-states | CC BY

The chance that a newborn baby will die before reaching age five is 5.89% in Lesotho and 0.65% in the United States. Above is a chart with historical data on under-five mortality rates.

Compare countries by 7 more topics

Help us show the world through your eyes

Share a photo of your city and help others discover what it looks like to live there. Your contribution makes our data come alive.

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. U.S. Census Bureau (1960–2025, retrieved 2026-02-08)
  4. United Nations Economic Commission for Europe (UNECE) (2021, retrieved 2026-03-10)
  5. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

Creative Commons Attribution (CC BY) — you’re free to copy, share, remix, adapt, and use even commercially as long as you give appropriate credit and clearly indicate if you made changes. Other sources may be subject to different license terms.