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Fertility & birth rates in Nepal and Pakistan

Updated on by Georank team

Nepal has an annual birth rate of 19.3 births per 1,000 people, compared to 27.8 for Pakistan. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.98 in Nepal and 3.61 in Pakistan — 81.7% difference.

1960 vs 2023, the fertility rate has decreased by 67.3% in Nepal and by 47% in Pakistan — in 1960, it was 6.07 and 6.8, respectively.

  • Nepal is ranked 80/196 by birth rate compared to 41/196 for Pakistan.
  • The mean age for first-time mothers is 20.4 years in Nepal, compared to 22.8 years in Pakistan.
  • The mean age at childbearing (for all the births, not just the first) is 25.2 in Nepal — it's 28.9 in Pakistan.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 67.2 in Nepal vs 41.1 in Pakistan.
  • In Nepal, 28.9% of the population is composed of women of reproductive age (15-49), compared to 24.6% in Pakistan.

Fertility rate in Nepal vs Pakistan by year

Nepal
Pakistan
1x
Year Fertility rate
Nepal Pakistan
2023 1.98 3.61
2022 2 3.66
2021 2.03 3.72
2020 2.05 3.77
2019 2.08 3.81
2018 2.12 3.86
2017 2.17 3.9
2016 2.23 3.9
2015 2.27 3.99
2014 2.32 4.06
2013 2.36 4.13
2012 2.42 4.2
2011 2.46 4.31
2010 2.54 4.4
2009 2.63 4.47
2008 2.74 4.51
2007 2.86 4.55
2006 2.97 4.59
2005 3.12 4.6
2004 3.28 4.68
2003 3.44 4.89
2002 3.6 5.01
2001 3.79 5.18
2000 3.98 5.35
1999 4.13 5.46
1998 4.28 5.51
1997 4.44 5.64
1996 4.67 5.77
1995 4.87 5.89
1994 4.96 6.01
1993 5.04 6.11
1992 5.07 6.21
1991 5.15 6.29
1990 5.21 6.36
1989 5.26 6.43
1988 5.31 6.48
1987 5.35 6.52
1986 5.4 6.55
1985 5.46 6.59
1984 5.51 6.62
1983 5.54 6.64
1982 5.55 6.67
1981 5.58 6.7
1980 5.6 6.73
1979 5.64 6.76
1978 5.68 6.78
1977 5.69 6.8
1976 5.72 6.81
1975 5.73 6.81
1974 5.75 6.81
1973 5.7 6.81
1972 5.8 6.81
1971 5.85 6.8
1970 5.87 6.8
1969 5.89 6.8
1968 5.94 6.8
1967 5.95 6.8
1966 5.98 6.8
1965 6.01 6.8
1964 6.04 6.8
1963 6.06 6.8
1962 6.08 6.8
1961 6.09 6.8
1960 6.07 6.8

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

GeoRank.org/birth-rate/nepal/pakistan | CC BY

According to the latest available data on birth rates, the fertility rate in Nepal was 1.98 children per woman in 2023, compared to 3.61 in Pakistan in 2023. The replacement level is considered to be 2.1 children per woman.

Check Nepal vs Pakistan population clock for a dynamic visualization of the changing population.

Natural population change by year

Nepal
Pakistan
1x
Year Natural population change
Nepal Pakistan
2023 368,450 5,281,745
2022 379,021 5,268,077
2021 351,165 5,065,913
2020 373,553 5,011,177
2019 387,113 5,127,011
2018 394,576 5,103,858
2017 406,219 5,090,200
2016 415,921 5,044,922
2015 410,565 5,113,507
2014 423,166 5,148,994
2013 424,804 5,176,590
2012 430,151 5,191,263
2011 429,957 5,189,412
2010 432,631 5,147,142
2009 441,290 5,028,132
2008 452,353 4,885,855
2007 464,780 4,690,187
2006 475,335 4,538,426
2005 489,093 4,294,393
2004 504,853 4,294,654
2003 516,575 4,340,688
2002 525,045 4,307,607
2001 542,118 4,304,297
2000 554,506 4,281,169
1999 557,847 4,228,026
1998 562,787 4,104,824
1997 565,882 4,043,912
1996 580,099 4,021,758
1995 591,283 3,977,175
1994 578,293 3,956,699
1993 561,549 3,915,776
1992 533,029 3,888,637
1991 512,233 3,822,363
1990 495,202 3,731,730
1989 478,771 3,648,132
1988 463,581 3,554,755
1987 449,400 3,448,813
1986 434,802 3,341,643
1985 423,240 3,233,315
1984 411,122 3,145,772
1983 399,103 3,052,738
1982 385,741 2,934,689
1981 374,145 2,790,454
1980 364,254 2,598,421
1979 355,597 2,461,311
1978 345,765 2,356,601
1977 332,843 2,257,849
1976 323,222 2,171,812
1975 312,479 2,099,811
1974 303,078 2,028,061
1973 288,750 1,971,909
1972 286,708 1,912,774
1971 280,752 1,695,374
1970 272,439 1,793,570
1969 264,560 1,733,601
1968 258,259 1,683,296
1967 249,240 1,626,737
1966 241,716 1,566,343
1965 233,726 1,496,050
1964 227,948 1,447,394
1963 219,586 1,384,934
1962 215,368 1,328,675
1961 209,917 1,273,772
1960 203,374 1,217,147

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

GeoRank.org/birth-rate/nepal/pakistan | 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 +1.24% in Nepal and +2.13% in Pakistan.

For the past 10 years, the annual natural population change has been +1.37% in Nepal and +2.23% in Pakistan.

Birth rate in Nepal vs Pakistan by year

Nepal
Pakistan

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Nepal Pakistan
2023 19.3 27.8
2022 19.6 28.1
2021 19.7 28.4
2020 20.2 28.6
2019 20.6 29
2018 21.1 29.3
2017 21.6 29.7
2016 21.9 30
2015 22.1 30.7
2014 22.4 31.3
2013 22.5 31.9
2012 22.7 32.5
2011 22.7 33
2010 22.9 33.5
2009 23.2 33.6
2008 23.7 33.6
2007 24.4 33.3
2006 24.9 33.2
2005 25.8 32.9
2004 26.8 33.2
2003 27.7 34.3
2002 28.6 34.9
2001 29.8 35.7
2000 31 36.5
1999 31.8 37.2
1998 32.7 37.4
1997 33.7 38
1996 35.3 38.9
1995 36.8 39.6
1994 37.3 40.4
1993 37.7 41.2
1992 37.5 42
1991 37.8 42.5
1990 38.1 42.9
1989 38.4 43.4
1988 38.7 43.8
1987 38.9 44
1986 39.1 44.1
1985 39.4 44.3
1984 39.7 44.5
1983 40 44.7
1982 40.1 44.6
1981 40.3 44.4
1980 40.4 43.6
1979 40.8 43.5
1978 41.1 43.5
1977 41.2 43.4
1976 41.5 43.4
1975 41.6 43.5
1974 41.8 43.6
1973 41.6 43.7
1972 42.3 43.8
1971 42.7 43.9
1970 42.9 44.1
1969 43.1 44.3
1968 43.5 44.7
1967 43.5 45.1
1966 43.7 45.4
1965 43.9 45.7
1964 44.2 46
1963 44.4 46.2
1962 44.6 46.4
1961 44.8 46.6
1960 44.8 46.7

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

GeoRank.org/birth-rate/nepal/pakistan | CC BY

The latest reported birth rate per 1,000 people in 2023 was 19.3 in Nepal and 27.8 in Pakistan, compared with 44.8 and 46.7, respectively, in 1960.

Birth rate data compared

Nepal Pakistan
Fertility rate 1.98 3.61
Fertility rate rank 98/196 42/196
Birth rate 19.3 27.8
Birth rate rank 80/196 41/196
Population change due to births and deaths +368,450 +5,281,745
Natural population change rank 47/196 2/196
Natural population change rate +1.24% +2.13%
Population growth -0.15% +1.52%
Population growth rank 174/197 70/197
Age at first childbirth 20.4 years 22.8 years
Average age at childbearing 25.2 years 28.9 years
Annual births per 1,000 women ages 15-19 64.8 38.9
Annual births per 1,000 women ages 20-29 123.9 190.2
Annual births per 1,000 women ages 30+ 12.7 48.6
Female of reproductive age (15-49), share of population 28.9% 24.6%
Any modern method of contraceptive prevalence among married women ages 15-49 42.7% 25%
Share of births attended by skilled health staff 77.2% 68%
Maternal mortality per live birth 0.14% 0.16%
Neonatal mortality rate (before reaching 28 days of age) 1.66% 3.76%
Infant mortality rate (before reaching 1 year of age) 2.33% 5.01%
Mortality rate before reaching 5 years of age 2.65% 5.85%
Life expectancy 71.2 years 68.1 years

Children 0-14 years as share of population

Nepal
Factual

UN forecast
Pakistan
Factual

UN forecast
1x
Year Young
Nepal Pakistan
2100 13.8% 19.3%
2099 13.8% 19.4%
2098 13.8% 19.5%
2097 13.9% 19.7%
2096 13.9% 19.8%
2095 14% 19.9%
2094 14% 20%
2093 14.1% 20.2%
2092 14.1% 20.3%
2091 14.2% 20.4%
2090 14.2% 20.6%
2089 14.3% 20.7%
2088 14.3% 20.9%
2087 14.4% 21%
2086 14.5% 21.2%
2085 14.5% 21.4%
2084 14.6% 21.5%
2083 14.7% 21.7%
2082 14.8% 21.9%
2081 14.8% 22%
2080 14.9% 22.2%
2079 15% 22.4%
2078 15.1% 22.6%
2077 15.2% 22.8%
2076 15.3% 23%
2075 15.4% 23.1%
2074 15.5% 23.3%
2073 15.6% 23.5%
2072 15.7% 23.7%
2071 15.9% 23.9%
2070 16% 24.1%
2069 16.1% 24.3%
2068 16.3% 24.5%
2067 16.4% 24.7%
2066 16.6% 24.9%
2065 16.7% 25.1%
2064 16.9% 25.3%
2063 17.1% 25.5%
2062 17.2% 25.7%
2061 17.4% 26%
2060 17.6% 26.2%
2059 17.8% 26.5%
2058 17.9% 26.7%
2057 18.1% 27%
2056 18.3% 27.3%
2055 18.5% 27.5%
2054 18.7% 27.8%
2053 18.9% 28.1%
2052 19.2% 28.4%
2051 19.4% 28.7%
2050 19.6% 29%
2049 19.9% 29.3%
2048 20.1% 29.6%
2047 20.4% 29.9%
2046 20.7% 30.2%
2045 21% 30.4%
2044 21.3% 30.7%
2043 21.6% 30.9%
2042 21.9% 31.1%
2041 22.2% 31.4%
2040 22.5% 31.6%
2039 22.9% 31.8%
2038 23.2% 32.1%
2037 23.6% 32.3%
2036 23.9% 32.6%
2035 24.3% 32.9%
2034 24.6% 33.1%
2033 25% 33.4%
2032 25.4% 33.7%
2031 25.8% 34%
2030 26.2% 34.3%
2029 26.6% 34.7%
2028 27.1% 35.1%
2027 27.5% 35.6%
2026 27.9% 36%
2025 28.2% 36.5%
2024 28.4% 36.7%
2023 28.7% 37%
2022 28.9% 37.3%
2021 29.4% 37.6%
2020 30.1% 37.9%
2019 30.9% 38.1%
2018 31.6% 38.3%
2017 32.1% 38.5%
2016 32.5% 38.6%
2015 33% 38.8%
2014 33.6% 38.9%
2013 34.2% 38.9%
2012 34.7% 39%
2011 35.3% 39.1%
2010 36% 39.3%
2009 36.7% 39.6%
2008 37.5% 40%
2007 38.1% 40.4%
2006 38.7% 40.9%
2005 39.2% 41.3%
2004 39.6% 41.8%
2003 40% 42.3%
2002 40.4% 42.6%
2001 40.7% 42.9%
2000 40.9% 43.3%
1999 41.1% 43.6%
1998 41.3% 43.9%
1997 41.4% 44.1%
1996 41.5% 44.3%
1995 41.4% 44.5%
1994 41.4% 44.5%
1993 41.3% 44.5%
1992 41.4% 44.3%
1991 41.5% 44.1%
1990 41.5% 44.1%
1989 41.5% 44%
1988 41.4% 43.8%
1987 41.3% 43.7%
1986 41.2% 43.6%
1985 41.1% 43.5%
1984 41% 43.3%
1983 41% 43.1%
1982 40.9% 43%
1981 40.9% 43.1%
1980 40.9% 43.3%
1979 40.8% 43.7%
1978 40.8% 43.8%
1977 40.7% 43.9%
1976 40.7% 44%
1975 40.6% 44.1%
1974 40.5% 44.1%
1973 40.5% 44.1%
1972 40.4% 44.1%
1971 40.4% 44%
1970 40.3% 43.9%
1969 40.3% 43.7%
1968 40.3% 43.5%
1967 40.3% 43.3%
1966 40.4% 43%
1965 40.4% 42.7%
1964 40.4% 42.2%
1963 40.5% 41.8%
1962 40.6% 41.6%
1961 40.7% 41.4%
1960 40.7% 41.3%

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/nepal/pakistan | CC BY

Children aged 0-14 make up 28.4% of the population in Nepal and 36.7% in Pakistan in 2024, compared to 41.5% and 44.1% respectively in 1990.

Demographics of Nepal and Pakistan compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/nepal/pakistan | CC BY

Maternal mortality chart: Nepal vs Pakistan

Nepal
Pakistan
1x
Year Maternal mortality per 100K births
Nepal Pakistan
2023 142 155
2022 139 160
2021 173 193
2020 153 178
2019 170 173
2018 183 178
2017 197 184
2016 214 193
2015 236 202
2014 245 211
2013 258 220
2012 272 227
2011 286 234
2010 297 240
2009 299 246
2008 302 254
2007 309 265
2006 318 284
2005 344 316
2004 364 333
2003 387 358
2002 414 380
2001 443 400
2000 480 419
1999 512 438
1998 522 456
1997 550 476
1996 584 482
1995 625 485
1994 657 479
1993 703 473
1992 768 459
1991 850 443
1990 920 434
1989 973 439
1988 1,038 441
1987 1,088 442
1986 1,143 436
1985 1,186 432

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

GeoRank.org/birth-rate/nepal/pakistan | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 142 deaths per 100,000 live births in Nepal, compared to 155 deaths in Pakistan.

Under-five mortality rates

Nepal
Pakistan

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Nepal Pakistan
2023 2.65% 5.85%
2022 2.75% 6.05%
2021 2.86% 6.25%
2020 2.99% 6.46%
2019 3.14% 6.67%
2018 3.3% 6.88%
2017 3.46% 7.1%
2016 3.64% 7.33%
2015 3.82% 7.56%
2014 4.01% 7.8%
2013 4.21% 8.04%
2012 4.41% 8.27%
2011 4.62% 8.49%
2010 4.83% 8.71%
2009 5.05% 8.91%
2008 5.27% 9.1%
2007 5.51% 9.29%
2006 5.76% 9.47%
2005 6.04% 9.65%
2004 6.35% 9.85%
2003 6.69% 10.1%
2002 7.06% 10.3%
2001 7.48% 10.5%
2000 7.92% 10.8%
1999 8.4% 11.1%
1998 8.91% 11.5%
1997 9.44% 11.8%
1996 10% 12.1%
1995 10.6% 12.5%
1994 11.2% 12.8%
1993 11.8% 13.1%
1992 12.5% 13.4%
1991 13.2% 13.7%
1990 13.9% 14%
1989 14.6% 14.2%
1988 15.3% 14.5%
1987 16.1% 14.8%
1986 16.8% 15%
1985 17.5% 15.3%
1984 18.2% 15.6%
1983 18.8% 15.8%
1982 19.5% 16.1%
1981 20.2% 16.3%
1980 20.8% 16.5%
1979 21.5% 16.7%
1978 22.1% 16.9%
1977 22.7% 17.1%
1976 23.3% 17.4%
1975 23.9% 17.6%
1974 24.5% 17.8%
1973 25% 18.1%
1972 25.6% 18.4%
1971 26.2% 18.7%
1970 26.7% 19%
1969 27.3% 19.4%
1968 28% 19.7%
1967 28.7% 20.2%
1966 29.4% 20.6%
1965 30% 21.2%
1964 30.7% 21.8%
1963 31.3% 22.5%
1962 31.9% 23.3%
1961 32.4% 24.1%
1960 32.8% 25%

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

GeoRank.org/birth-rate/nepal/pakistan | CC BY

The chance that a newborn baby will die before reaching age five is 2.65% in Nepal and 5.85% in Pakistan. 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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