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Fertility & birth rates in Madagascar and Sierra Leone

Updated on by Georank team

Madagascar has an annual birth rate of 32.1 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 3.97 in Madagascar and 3.79 in Sierra Leone — 4.56% difference.

1960 vs 2023, the fertility rate has decreased by 45.9% in Madagascar and by 38.6% in Sierra Leone — in 1960, it was 7.34 and 6.18, respectively.

  • Madagascar is ranked 21/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age for first-time mothers is 19.5 years in Madagascar, compared to 19.6 years in Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 27.8 in Madagascar — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 129.8 in Madagascar vs 93.6 in Sierra Leone.
  • In Madagascar, 24.7% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Madagascar vs Sierra Leone by year

Madagascar
Sierra Leone
1x
Year Fertility rate
Madagascar Sierra Leone
2023 3.97 3.79
2022 4.04 3.88
2021 4.1 3.98
2020 4.17 4.08
2019 4.22 4.19
2018 4.25 4.29
2017 4.26 4.39
2016 4.29 4.47
2015 4.34 4.55
2014 4.42 4.7
2013 4.53 4.87
2012 4.61 5.06
2011 4.74 5.21
2010 4.9 5.33
2009 5 5.45
2008 5.04 5.56
2007 5.08 5.64
2006 5.13 5.74
2005 5.2 5.81
2004 5.26 5.92
2003 5.33 6.09
2002 5.41 6.23
2001 5.53 6.31
2000 5.67 6.36
1999 5.84 6.42
1998 5.99 6.5
1997 6.02 6.53
1996 6.03 6.55
1995 6.04 6.56
1994 6.04 6.56
1993 6.06 6.57
1992 6.08 6.56
1991 6.12 6.55
1990 6.14 6.57
1989 6.15 6.57
1988 6.18 6.59
1987 6.24 6.61
1986 6.34 6.6
1985 6.46 6.59
1984 6.55 6.59
1983 6.63 6.57
1982 6.7 6.56
1981 6.77 6.55
1980 6.84 6.56
1979 6.87 6.58
1978 6.9 6.59
1977 6.93 6.57
1976 6.95 6.55
1975 6.97 6.55
1974 6.99 6.53
1973 7.01 6.47
1972 7.04 6.45
1971 7.07 6.43
1970 7.1 6.41
1969 7.12 6.39
1968 7.13 6.39
1967 7.14 6.38
1966 7.16 6.35
1965 7.17 6.31
1964 7.19 6.29
1963 7.21 6.26
1962 7.26 6.22
1961 7.3 6.21
1960 7.34 6.18

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

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

According to the latest available data on birth rates, the fertility rate in Madagascar was 3.97 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 Madagascar vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

Madagascar
Sierra Leone
1x
Year Natural population change
Madagascar Sierra Leone
2023 766,391 188,788
2022 753,931 186,625
2021 741,416 183,326
2020 736,607 181,015
2019 735,853 181,068
2018 719,267 178,772
2017 699,498 173,259
2016 682,801 168,784
2015 668,977 162,275
2014 660,837 160,137
2013 654,230 161,265
2012 644,255 160,915
2011 640,577 158,858
2010 641,543 155,338
2009 634,008 152,669
2008 615,580 149,855
2007 597,772 145,740
2006 581,489 144,127
2005 568,143 137,234
2004 556,319 132,661
2003 544,903 130,312
2002 535,518 126,429
2001 529,656 116,647
2000 520,860 110,754
1999 516,976 102,295
1998 508,408 103,906
1997 490,905 105,433
1996 471,453 104,140
1995 450,259 100,885
1994 428,169 101,486
1993 408,801 103,317
1992 388,430 103,251
1991 375,040 105,477
1990 360,621 100,778
1989 344,279 98,298
1988 330,510 96,344
1987 317,621 94,235
1986 307,074 90,902
1985 304,199 88,869
1984 296,892 87,072
1983 290,085 84,628
1982 284,733 82,457
1981 277,535 80,111
1980 275,287 77,932
1979 270,752 75,992
1978 263,684 74,130
1977 255,399 71,663
1976 247,026 69,506
1975 238,774 67,560
1974 230,233 65,357
1973 221,768 62,443
1972 213,138 60,279
1971 204,617 58,484
1970 194,889 56,513
1969 184,562 54,768
1968 175,869 53,126
1967 167,287 51,734
1966 159,483 49,486
1965 152,362 47,223
1964 146,894 45,487
1963 142,666 43,569
1962 139,412 41,603
1961 136,578 40,022
1960 133,684 38,192

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

GeoRank.org/birth-rate/madagascar/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 +2.46% in Madagascar and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +2.57% in Madagascar and +2.31% in Sierra Leone.

Birth rate in Madagascar vs Sierra Leone by year

Madagascar
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Madagascar Sierra Leone
2023 32.1 30.6
2022 32.5 31.1
2021 32.9 31.6
2020 33.3 32.2
2019 33.6 32.8
2018 33.7 33.3
2017 33.6 33.8
2016 33.6 34.2
2015 33.8 34.7
2014 34.2 35.6
2013 34.7 36.6
2012 35.1 37.8
2011 35.8 38.5
2010 36.7 39.1
2009 37.4 39.9
2008 37.5 40.6
2007 37.8 41.1
2006 38 41.8
2005 38.4 42
2004 39 42.5
2003 39.5 43.5
2002 40.2 44.3
2001 41.1 44
2000 42 45
1999 43.2 46.1
1998 44.1 46.3
1997 44.4 46.3
1996 44.6 46.5
1995 44.5 46.8
1994 44.2 46.8
1993 44.1 46.9
1992 43.9 47
1991 44.1 47.5
1990 44.1 45.5
1989 43.9 46.3
1988 43.8 46.4
1987 43.8 46.6
1986 44 46.6
1985 44.8 46.7
1984 45.2 46.8
1983 45.5 46.7
1982 45.9 46.8
1981 46.2 46.8
1980 46.8 46.8
1979 47.2 47
1978 47.4 47.2
1977 47.4 47.1
1976 47.4 47.2
1975 47.4 47.3
1974 47.4 47.4
1973 47.4 47.2
1972 47.4 47.2
1971 47.2 47.3
1970 46.8 47.4
1969 46.5 47.5
1968 46.1 47.7
1967 45.9 47.9
1966 45.7 48
1965 45.6 48
1964 45.7 48.2
1963 46 48.2
1962 46.5 48.1
1961 47.1 48.1
1960 47.6 48

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

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

The latest reported birth rate per 1,000 people in 2023 was 32.1 in Madagascar and 30.6 in Sierra Leone, compared with 47.6 and 48, respectively, in 1960.

Birth rate data compared

Madagascar Sierra Leone
Fertility rate 3.97 3.79
Fertility rate rank 28/196 35/196
Birth rate 32.1 30.6
Birth rate rank 21/196 29/196
Population change due to births and deaths +766,391 +188,788
Natural population change rank 22/196 62/196
Natural population change rate +2.46% +2.23%
Population growth +2.47% +2.15%
Population growth rank 29/197 47/197
Age at first childbirth 19.5 years 19.6 years
Average age at childbearing 27.8 years 28.5 years
Annual births per 1,000 women ages 15-19 127.7 87.7
Annual births per 1,000 women ages 20-29 171.3 169.3
Annual births per 1,000 women ages 30+ 52.7 53.4
Female of reproductive age (15-49), share of population 24.7% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 42.7% 20.9%
Share of births attended by skilled health staff 45.8% 86.9%
Maternal mortality per live birth 0.45% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 2.38% 2.93%
Infant mortality rate (before reaching 1 year of age) 4.42% 5.62%
Mortality rate before reaching 5 years of age 6.48% 9.43%
Life expectancy 64.3 years 62.3 years

Children 0-14 years as share of population

Madagascar
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
Madagascar Sierra Leone
2100 21.5% 19%
2099 21.6% 19%
2098 21.8% 19.1%
2097 21.9% 19.2%
2096 22.1% 19.3%
2095 22.2% 19.5%
2094 22.3% 19.6%
2093 22.5% 19.7%
2092 22.6% 19.8%
2091 22.8% 19.9%
2090 22.9% 20%
2089 23.1% 20.1%
2088 23.3% 20.3%
2087 23.4% 20.4%
2086 23.6% 20.5%
2085 23.7% 20.7%
2084 23.9% 20.8%
2083 24.1% 20.9%
2082 24.3% 21.1%
2081 24.4% 21.2%
2080 24.6% 21.4%
2079 24.8% 21.6%
2078 25% 21.7%
2077 25.2% 21.9%
2076 25.4% 22.1%
2075 25.6% 22.2%
2074 25.8% 22.4%
2073 26% 22.6%
2072 26.2% 22.8%
2071 26.4% 23%
2070 26.6% 23.2%
2069 26.9% 23.4%
2068 27.1% 23.6%
2067 27.3% 23.8%
2066 27.5% 24%
2065 27.7% 24.3%
2064 28% 24.5%
2063 28.2% 24.7%
2062 28.4% 25%
2061 28.7% 25.2%
2060 28.9% 25.5%
2059 29.1% 25.7%
2058 29.4% 26%
2057 29.6% 26.3%
2056 29.9% 26.6%
2055 30.1% 26.9%
2054 30.4% 27.1%
2053 30.6% 27.4%
2052 30.9% 27.7%
2051 31.2% 28.1%
2050 31.4% 28.4%
2049 31.7% 28.7%
2048 32% 29%
2047 32.3% 29.3%
2046 32.6% 29.7%
2045 32.9% 30%
2044 33.2% 30.3%
2043 33.5% 30.7%
2042 33.8% 31.1%
2041 34.1% 31.4%
2040 34.5% 31.8%
2039 34.8% 32.2%
2038 35.1% 32.6%
2037 35.5% 33%
2036 35.8% 33.4%
2035 36.2% 33.8%
2034 36.5% 34.2%
2033 36.9% 34.6%
2032 37.2% 35%
2031 37.4% 35.4%
2030 37.7% 35.7%
2029 38% 36.1%
2028 38.2% 36.5%
2027 38.5% 37%
2026 38.8% 37.4%
2025 39.1% 37.9%
2024 39.3% 38.1%
2023 39.6% 38.5%
2022 39.9% 39%
2021 40.1% 39.4%
2020 40.4% 39.8%
2019 40.7% 40.2%
2018 40.9% 40.6%
2017 41.2% 41%
2016 41.6% 41.4%
2015 42% 41.8%
2014 42.4% 42.2%
2013 42.8% 42.5%
2012 43.3% 42.8%
2011 43.7% 43%
2010 44% 43.2%
2009 44.3% 43.4%
2008 44.6% 43.5%
2007 44.8% 43.6%
2006 45% 43.7%
2005 45.2% 43.8%
2004 45.3% 43.9%
2003 45.4% 43.9%
2002 45.4% 43.9%
2001 45.4% 43.9%
2000 45.4% 43.8%
1999 45.4% 43.7%
1998 45.4% 43.6%
1997 45.3% 43.5%
1996 45.3% 43.5%
1995 45.3% 43.4%
1994 45.4% 43.3%
1993 45.5% 43.2%
1992 45.6% 43.1%
1991 45.7% 43%
1990 45.9% 42.9%
1989 46.1% 42.9%
1988 46.3% 42.8%
1987 46.5% 42.7%
1986 46.7% 42.6%
1985 46.8% 42.5%
1984 46.9% 42.3%
1983 47% 42.2%
1982 47.1% 42.1%
1981 47.1% 42%
1980 47% 41.9%
1979 46.9% 41.8%
1978 46.8% 41.7%
1977 46.7% 41.6%
1976 46.6% 41.4%
1975 46.5% 41.3%
1974 46.5% 41.1%
1973 46.4% 40.9%
1972 46.4% 40.7%
1971 46.4% 40.6%
1970 46.4% 40.3%
1969 46.4% 40.1%
1968 46.5% 39.9%
1967 46.5% 39.6%
1966 46.6% 39.4%
1965 46.7% 39.1%
1964 46.8% 38.8%
1963 46.7% 38.5%
1962 46.3% 38.3%
1961 45.8% 38.3%
1960 45.2% 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/madagascar/sierra-leone | CC BY

Children aged 0-14 make up 39.3% of the population in Madagascar and 38.1% in Sierra Leone in 2024, compared to 45.9% and 42.9% respectively in 1990.

Demographics of Madagascar 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/madagascar/sierra-leone | CC BY

Maternal mortality chart: Madagascar vs Sierra Leone

Madagascar
Sierra Leone
1x
Year Maternal mortality per 100K births
Madagascar Sierra Leone
2023 445 354
2022 439 370
2021 467 403
2020 447 422
2019 462 464
2018 466 491
2017 469 578
2016 470 633
2015 474 730
2014 477 821
2013 481 842
2012 487 915
2011 492 967
2010 500 1,018
2009 507 1,054
2008 510 1,093
2007 522 1,132
2006 528 1,168
2005 540 1,294
2004 555 1,366
2003 571 1,433
2002 593 1,492
2001 611 1,518
2000 638 1,603
1999 647 1,731
1998 663 1,753
1997 676 1,721
1996 680 1,726
1995 684 1,777
1994 688 1,755
1993 688 1,696
1992 699 1,681
1991 691 1,699
1990 692 1,572
1989 684 1,575
1988 687 1,549
1987 702 1,533
1986 730 1,530
1985 751 1,506

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 445 deaths per 100,000 live births in Madagascar, compared to 354 deaths in Sierra Leone.

Under-five mortality rates

Madagascar
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Madagascar Sierra Leone
2023 6.48% 9.43%
2022 6.57% 9.77%
2021 6.62% 10.1%
2020 6.63% 10.5%
2019 6.61% 10.9%
2018 6.58% 11.3%
2017 6.57% 11.8%
2016 6.57% 12.3%
2015 6.58% 13.8%
2014 6.62% 13.7%
2013 6.69% 13.9%
2012 6.77% 14.5%
2011 6.9% 15.2%
2010 7.07% 15.9%
2009 7.28% 16.6%
2008 7.53% 17.3%
2007 7.81% 18.1%
2006 8.12% 18.8%
2005 8.46% 19.4%
2004 8.82% 20.1%
2003 9.2% 20.7%
2002 9.6% 21.3%
2001 10% 21.8%
2000 10.5% 22.4%
1999 11% 22.9%
1998 11.5% 23.4%
1997 12% 23.9%
1996 12.6% 24.3%
1995 13.1% 24.7%
1994 13.5% 25%
1993 14% 25.3%
1992 14.5% 25.5%
1991 15% 25.7%
1990 15.6% 25.9%
1989 16.1% 26.2%
1988 16.6% 26.4%
1987 17.1% 26.6%
1986 17.5% 26.9%
1985 17.7% 27.2%
1984 17.8% 27.5%
1983 17.8% 27.8%
1982 17.6% 28.1%
1981 17.4% 28.5%
1980 17.1% 28.9%
1979 16.9% 29.2%
1978 16.7% 29.6%
1977 16.5% 30%
1976 16.3% 30.5%
1975 16.1% 30.9%
1974 15.8% 31.4%
1973 15.6% 31.9%
1972 15.3% 32.3%
1971 15.1% 32.9%
1970 14.9% 33.4%
1969 14.7% 33.9%
1968 14.6% 34.5%
1967 - 35%
1966 - 35.6%
1965 - 36.2%
1964 - 36.8%
1963 - 37.4%
1962 - 38%
1961 - 38.5%
1960 - 39.1%

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

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

The chance that a newborn baby will die before reaching age five is 6.48% in Madagascar 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. Central Intelligence Agency (CIA) (2025, retrieved 2026-02-20)

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