North Macedonia birth & fertility rate charts by year

Fertility rate in North Macedonia by year

According to the latest birth rate data available, the fertility rate in North Macedonia was 1.5 in 2023 and has been below the replacement level of 2.1 children per woman since 1996. In 1993, the fertility rate was 2.26 — a 33.6% decline in 30 years.

Check population clock for a dynamic visualization of the changing population.

The chart above shows the historical changes in fertility rate and ranking compared to other countries, where a lower rank number indicates a higher relative fertility rate.

Births, deaths, and natural population change by year

Over the past 10 years, the natural population change in North Macedonia (from births and deaths only, excluding migration) has been -0.07% annually. On average, 1,258 more people died each year than were born.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was -0.18% — 3,290 more people died than were born.

In 2023, North Macedonia ranks 165/196 for absolute natural population change and 169/196 for natural change rate, where a lower rank number indicates faster natural growth and a higher number indicates greater decline.

Birth rates by women's age

Above is a chart displaying birth rates in North Macedonia by maternal age. In 2026, of all live births, 3.77% will be to women under age 20, 49.3% to women ages 20-29, and 47% to women ages 30 and above. The respective shares in 1990 were 11.9%, 70.9%, and 17.2%.

Children 0-14 years as share of population by year

Chart Table

North Macedonia

Factual

UN forecast

World

Factual

UN forecast

1x

Year	Children 0-14 as share of population
	North Macedonia	World
2100	10.6%	16.5%
2099	10.7%	16.6%
2098	10.7%	16.6%
2097	10.8%	16.7%
2096	10.8%	16.8%
2095	10.9%	16.8%
2094	11%	16.9%
2093	11%	17%
2092	11.1%	17%
2091	11.2%	17.1%
2090	11.2%	17.2%
2089	11.3%	17.2%
2088	11.3%	17.3%
2087	11.4%	17.4%
2086	11.4%	17.4%
2085	11.4%	17.5%
2084	11.4%	17.5%
2083	11.4%	17.6%
2082	11.4%	17.7%
2081	11.4%	17.7%
2080	11.4%	17.8%
2079	11.3%	17.8%
2078	11.3%	17.9%
2077	11.3%	17.9%
2076	11.2%	18%
2075	11.2%	18%
2074	11.2%	18.1%
2073	11.2%	18.2%
2072	11.1%	18.2%
2071	11.2%	18.3%
2070	11.2%	18.3%
2069	11.2%	18.4%
2068	11.3%	18.5%
2067	11.4%	18.6%
2066	11.5%	18.6%
2065	11.6%	18.7%
2064	11.7%	18.8%
2063	11.9%	18.9%
2062	12%	19.1%
2061	12.2%	19.2%
2060	12.3%	19.3%
2059	12.4%	19.4%
2058	12.6%	19.5%
2057	12.7%	19.6%
2056	12.8%	19.8%
2055	12.9%	19.9%
2054	13%	20%
2053	13%	20.1%
2052	13.1%	20.2%
2051	13.1%	20.3%
2050	13.1%	20.4%
2049	13.1%	20.5%
2048	13.1%	20.6%
2047	13%	20.7%
2046	13%	20.8%
2045	13%	20.9%
2044	13%	20.9%
2043	12.9%	21%
2042	12.9%	21.1%
2041	12.9%	21.2%
2040	13%	21.2%
2039	13%	21.3%
2038	13%	21.4%
2037	13.2%	21.5%
2036	13.4%	21.6%
2035	13.6%	21.8%
2034	13.8%	22%
2033	14.1%	22.2%
2032	14.4%	22.4%
2031	14.7%	22.7%
2030	15.1%	23%
2029	15.4%	23.3%
2028	15.8%	23.6%
2027	16.1%	23.9%
2026	16.4%	24.2%
2025	16.7%	24.6%
2024	16.8%	24.7%
2023	17.1%	25%
2022	17.2%	25.3%
2021	17.2%	25.6%
2020	17.2%	25.8%
2019	17.2%	26%
2018	17.4%	26.2%
2017	17.5%	26.4%
2016	17.8%	26.5%
2015	18%	26.6%
2014	18.3%	26.8%
2013	18.6%	26.9%
2012	18.8%	27%
2011	19%	27.1%
2010	19.3%	27.3%
2009	19.7%	27.5%
2008	20%	27.6%
2007	20.4%	27.9%
2006	20.8%	28.1%
2005	21.2%	28.5%
2004	21.7%	28.8%
2003	22.1%	29.2%
2002	22.5%	29.6%
2001	22.9%	30%
2000	23.4%	30.4%
1999	23.9%	30.8%
1998	24.4%	31.1%
1997	24.8%	31.5%
1996	25.1%	31.8%
1995	25.4%	32.1%
1994	25.5%	32.3%
1993	25.7%	32.5%
1992	26.1%	32.7%
1991	26.5%	32.9%
1990	26.9%	33%
1989	27.1%	33.2%
1988	27.4%	33.4%
1987	27.6%	33.6%
1986	27.8%	33.8%
1985	28.1%	34%
1984	28.3%	34.3%
1983	28.5%	34.6%
1982	28.8%	34.9%
1981	29.1%	35.2%
1980	29.5%	35.5%
1979	29.9%	35.9%
1978	30.3%	36.3%
1977	30.6%	36.7%
1976	30.9%	36.9%
1975	31.3%	37.1%
1974	31.7%	37.2%
1973	32.2%	37.3%
1972	32.6%	37.5%
1971	33%	37.6%
1970	33.5%	37.7%
1969	34.1%	37.8%
1968	34.7%	37.9%
1967	35.2%	38%
1966	35.8%	38%
1965	36.3%	38%
1964	36.7%	38%
1963	37.2%	37.8%
1962	37.6%	37.6%
1961	37.8%	37.5%
1960	37.7%	37.4%

The share of children aged 0-14 in North Macedonia was 37.7% in 1960, 26.1% in 1992, and 16.8% as of the latest data in 2024.

More about the demographics of North Macedonia.

Maternal mortality by year

Chart Table

North Macedonia

World's average

1x

Year	Maternal mortality per 100K births
	North Macedonia	World
2023	3	197
2022	3	203
2021	12	242
2020	7	211
2019	3	207
2018	3	211
2017	4	215
2016	4	220
2015	4	228
2014	4	231
2013	5	235
2012	5	239
2011	5	247
2010	5	253
2009	6	258
2008	6	264
2007	7	269
2006	7	276
2005	7	283
2004	8	291
2003	8	301
2002	10	311
2001	9	321
2000	11	328
1999	12	340
1998	13	360
1997	13	358
1996	14	366
1995	13	371
1994	13	382
1993	14	389
1992	14	395
1991	15	395
1990	16	391
1989	14	401
1988	16	414
1987	15	429
1986	16	438
1985	17	460

The maternal mortality rate in North Macedonia was 3 deaths per 100,000 live births in 2023 — a 0.003% chance of dying during childbirth or within 42 days of pregnancy termination. This is a 72.7% decrease compared to the year 2000.

Under-five mortality by year

Chart Table

North Macedonia

World's average

Probability that a newborn baby will die before reaching age five

1x

Year	Under 5 mortality rate
	North Macedonia	World
2023	0.33%	2.49%
2022	0.41%	2.59%
2021	0.5%	2.66%
2020	0.59%	2.75%
2019	0.7%	2.86%
2018	0.83%	2.97%
2017	0.97%	3.11%
2016	1.08%	3.22%
2015	1.13%	3.35%
2014	1.11%	3.48%
2013	1.07%	3.61%
2012	1.02%	3.77%
2011	1%	3.97%
2010	1.04%	4.11%
2009	1.1%	4.31%
2008	1.17%	4.5%
2007	1.23%	4.7%
2006	1.3%	4.92%
2005	1.37%	5.16%
2004	1.42%	5.43%
2003	1.43%	5.65%
2002	1.43%	5.94%
2001	1.48%	6.21%
2000	1.59%	6.48%
1999	1.73%	6.75%
1998	1.83%	7.05%
1997	1.93%	7.28%
1996	2.12%	7.52%
1995	2.45%	7.76%
1994	2.85%	7.98%
1993	3.13%	8.19%
1992	3.3%	8.46%
1991	3.46%	8.66%
1990	3.7%	8.81%
1989	4.01%	9.02%
1988	4.36%	9.31%
1987	4.69%	9.47%
1986	4.91%	9.81%
1985	5%	10.1%
1984	5.06%	10.4%
1983	5.25%	10.6%
1982	5.53%	10.8%
1981	5.79%	11%
1980	-	11.4%
1979	-	11.7%
1978	-	12.2%
1977	-	12.6%
1976	-	13%
1975	-	13.4%
1974	-	13.8%
1973	-	14.1%
1972	-	14.5%
1971	-	15.1%
1970	-	15.2%
1969	-	15.4%
1968	-	15.6%
1967	-	15.9%
1966	-	16.1%
1965	-	16.4%
1964	-	16.6%
1963	-	16.5%
1962	-	16.7%
1961	-	17%
1960	-	17.2%

The under-5 mortality rate in North Macedonia was 3.3 deaths per 1,000 live births in 2023 — a 0.33% chance that a newborn baby will die before reaching age five. This is down from 15.9 deaths per 1,000 live births in 2000.