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North Macedonia birth & fertility rate charts by year

Updated on by Georank team

North Macedonia has a birth rate of 9.2 (annual births per 1,000 people) and a fertility rate of 1.5 (the average amount of children a woman would have during her lifetime).

In 1960, the fertility rate in North Macedonia was 3.83 children per woman — 2.55 times higher than in 2023.

North Macedonia birth rate statistics:

  • North Macedonia is ranked 158/196 by birth rate now and was ranked 142/194 in 1960.
  • The mean age at first birth in North Macedonia is 27.4 — it was 23.3 in 1990.
  • The mean age at childbearing (for all the births, not just the first) is 29.2, a change from 25.5 in 1990.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) changed from 37.6 in 1960 to 13 in 2023.
  • 22.4% of the population in 2024 is composed of women of reproductive age (15-49), a change from 25.1% in 1960.
  • 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.

Birth rates in North Macedonia compared to world average

North Macedonia World
Fertility rate 1.5 2.2
Birth rate 9.2 16.3
Birth rate rank 158/196 N/A
Age at first childbirth 27.4 years 23.1 years
Average age at childbearing 29.2 years 28.3 years
Annual births per 1,000 women ages 15-19 12 37.6
Annual births per 1,000 women ages 20-29 78.2 120.4
Annual births per 1,000 women ages 30+ 12 22
Female of reproductive age (15-49), share of population 22.4% 24.4%
Any modern method of contraceptive prevalence among married women ages 15-49 14% 54.1%
Share of births attended by skilled health staff 100% 83.3%
Maternal mortality per live birth 0.003% 0.2%
Neonatal mortality rate (before reaching 28 days of age) 0.14% 1.73%
Infant mortality rate (before reaching 1 year of age) 0.28% 2.71%
Mortality rate before reaching 5 years of age, per 1,000 live births 0.33% 2.49%
Population change due to births and deaths -3,290 +70,600,901
Natural population change rank 165/196 N/A
Natural population change rate -0.18% +0.88%
Population growth -1.95% +0.96%
Population growth rank 195/197 N/A
Life expectancy 77.7 years 73.5 years

Fertility rate in North Macedonia chart

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 below showcases the historical changes in birth rates.

North Macedonia
Factual

UN forecast
World
Factual

UN forecast

Births per woman

Year Fertility rate
North Macedonia World
1960 3.83 4.69
1961 3.62 4.56
1962 3.5 5.02
1963 3.62 5.31
1964 3.56 5.13
1965 3.52 5.08
1966 3.43 4.97
1967 3.33 4.87
1968 3.22 4.98
1969 3.1 4.88
1970 3.01 4.84
1971 2.93 4.69
1972 2.87 4.55
1973 2.72 4.42
1974 2.7 4.26
1975 2.69 4.07
1976 2.62 3.97
1977 2.49 3.84
1978 2.42 3.77
1979 2.4 3.76
1980 2.36 3.73
1981 2.29 3.71
1982 2.29 3.72
1983 2.25 3.59
1984 2.24 3.57
1985 2.25 3.53
1986 2.25 3.51
1987 2.32 3.48
1988 2.32 3.39
1989 2.25 3.35
1990 2.27 3.31
1991 2.31 3.13
1992 2.28 3.04
1993 2.26 2.97
1994 2.23 2.92
1995 2.13 2.87
1996 2.06 2.82
1997 1.92 2.78
1998 1.89 2.75
1999 1.77 2.72
2000 1.86 2.73
2001 1.73 2.69
2002 1.79 2.66
2003 1.75 2.64
2004 1.52 2.63
2005 1.5 2.61
2006 1.46 2.61
2007 1.46 2.6
2008 1.47 2.6
2009 1.5 2.59
2010 1.6 2.57
2011 1.46 2.55
2012 1.5 2.56
2013 1.5 2.53
2014 1.5 2.52
2015 1.49 2.49
2016 1.5 2.49
2017 1.43 2.46
2018 1.42 2.39
2019 1.34 2.35
2020 1.31 2.28
2021 1.6 2.25
2022 1.6 2.22
2023 1.5 2.2
2024 1.5 2.19
2025 1.5 2.18
2026 1.51 2.18
2027 1.51 2.17
2028 1.51 2.16
2029 1.51 2.15
2030 1.52 2.14
2031 1.52 2.13
2032 1.52 2.12
2033 1.52 2.12
2034 1.52 2.11
2035 1.52 2.1
2036 1.53 2.09
2037 1.53 2.09
2038 1.53 2.08
2039 1.53 2.08
2040 1.53 2.08
2041 1.53 2.07
2042 1.53 2.07
2043 1.54 2.07
2044 1.54 2.07
2045 1.54 2.06
2046 1.54 2.06
2047 1.55 2.06
2048 1.55 2.05
2049 1.55 2.05
2050 1.55 2.05

Birth rates by women ages chart

In 2025, of all live births 3.78% were to women under 20 years old, 49.9% to women ages 20-29, and 46.3% to women ages 30 and above. In comparison, the percentages in 1990 were 11.9%, 70.9%, and 17.2% for the same age groups respectively. A chart displaying the historical birth rates in North Macedonia by maternal age is provided below.

Annual births per 1,000 women ages

15-19
20-29
30+
Year Annual births per 1,000 women
Total per 1,000 women 15-19 20-29 30+
1960 60.4 37.7 217.1 52
1961 57 35.6 211.1 47.2
1962 55.1 33.2 207.6 45.2
1963 56.4 33.2 215.9 45.7
1964 55.3 33.6 214.8 44.2
1965 54.7 37.1 216.9 41.4
1966 53.5 40.4 214.9 38.3
1967 52.1 42.1 207.3 36.5
1968 50.8 41.5 201.6 33.8
1969 49.7 40.9 196 31.3
1970 49 41.7 192 29.6
1971 48.4 43.1 187.5 28.2
1972 47.9 45.3 183.4 27
1973 46.1 45 175.7 24.7
1974 46.1 45.9 174.9 23.6
1975 46.3 47.7 174.5 22.7
1976 45.2 47.7 170.7 21.4
1977 43.1 46.5 163.7 19.8
1978 41.9 46.6 160.5 19.1
1979 41.6 46 160.4 19
1980 40.9 46.6 159.5 17.9
1981 39.5 45.1 156.2 16.9
1982 39.3 47.8 156.3 16.6
1983 38.3 47.8 155.3 15.8
1984 37.7 48.4 155.1 15.4
1985 37.5 49.3 156.7 14.9
1986 37 48.6 158.2 14.2
1987 37.6 51.9 162.7 13.9
1988 37.4 52.7 164.4 13.2
1989 35.8 51.1 160.6 12.2
1990 35.8 50.3 163.1 12.1
1991 36.3 49.9 166.6 12.4
1992 35.8 48.6 166 11.7
1993 35.4 50.1 163.3 11.5
1994 34.5 46.5 157.5 12.5
1995 32.5 43.6 149.2 11.8
1996 31.3 39.1 144.8 11.5
1997 28.8 35.8 133.8 10.9
1998 28.4 33.5 131.7 11
1999 26.3 30.7 123.7 10.3
2000 28.3 31.1 129 11.1
2001 26 26.9 118.5 10.8
2002 26.9 26.2 121.5 11.4
2003 26.1 25.8 117.9 11.2
2004 22.6 22.7 100.3 10.4
2005 21.6 21.8 94.6 10.5
2006 21.8 21.8 96.8 11.2
2007 21.8 21.8 98.3 11.3
2008 22 21.4 98.4 12
2009 22.6 21.9 100.2 13
2010 23.2 22.2 103.4 13.7
2011 21.8 20.4 97.5 13.2
2012 22.4 21.4 101.4 14
2013 22 20.2 99.7 14.2
2014 22.4 20.7 101.3 14.8
2015 21.8 19.4 99.4 14.9
2016 21.8 18.9 100 15.3
2017 20.6 18 96.6 14.6
2018 20.1 17.8 96.3 14.7
2019 18.7 17.5 91.7 13.9
2020 17.9 17.4 90.1 13.5
2021 19.9 16 88.7 13.4
2022 19.3 14.8 86.4 13.1
2023 17.9 13 79.6 12
2024 18 12.5 78.8 12
2025 17.8 12 78.2 12

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
World
Factual

UN forecast
Year Children 0-14 as share of population
North Macedonia World
1960 37.7% 37.4%
1961 37.8% 37.5%
1962 37.6% 37.6%
1963 37.2% 37.8%
1964 36.7% 38%
1965 36.3% 38%
1966 35.8% 38%
1967 35.2% 38%
1968 34.7% 37.9%
1969 34.1% 37.8%
1970 33.5% 37.7%
1971 33% 37.6%
1972 32.6% 37.5%
1973 32.2% 37.3%
1974 31.7% 37.2%
1975 31.3% 37.1%
1976 30.9% 36.9%
1977 30.6% 36.7%
1978 30.3% 36.3%
1979 29.9% 35.9%
1980 29.5% 35.5%
1981 29.1% 35.2%
1982 28.8% 34.9%
1983 28.5% 34.6%
1984 28.3% 34.3%
1985 28.1% 34%
1986 27.8% 33.8%
1987 27.6% 33.6%
1988 27.4% 33.4%
1989 27.1% 33.2%
1990 26.9% 33%
1991 26.5% 32.9%
1992 26.1% 32.7%
1993 25.7% 32.5%
1994 25.5% 32.3%
1995 25.4% 32.1%
1996 25.1% 31.8%
1997 24.8% 31.5%
1998 24.4% 31.1%
1999 23.9% 30.8%
2000 23.4% 30.4%
2001 22.9% 30%
2002 22.5% 29.6%
2003 22.1% 29.2%
2004 21.7% 28.8%
2005 21.2% 28.5%
2006 20.8% 28.1%
2007 20.4% 27.9%
2008 20% 27.6%
2009 19.7% 27.5%
2010 19.3% 27.3%
2011 19% 27.1%
2012 18.8% 27%
2013 18.6% 26.9%
2014 18.3% 26.8%
2015 18% 26.6%
2016 17.8% 26.5%
2017 17.5% 26.4%
2018 17.4% 26.2%
2019 17.2% 26%
2020 17.2% 25.8%
2021 17.2% 25.6%
2022 17.2% 25.3%
2023 17.1% 25%
2024 16.8% 24.7%
2025 16.5% 24.4%
2026 16.2% 24.1%
2027 15.9% 23.8%
2028 15.6% 23.4%
2029 15.3% 23.1%
2030 14.9% 22.8%
2031 14.6% 22.6%
2032 14.3% 22.3%
2033 14% 22.1%
2034 13.7% 21.9%
2035 13.5% 21.7%
2036 13.3% 21.6%
2037 13.1% 21.5%
2038 13% 21.4%
2039 13% 21.3%
2040 13% 21.2%
2041 12.9% 21.1%
2042 12.9% 21%
2043 13% 21%
2044 13% 20.9%
2045 13% 20.8%
2046 13% 20.7%
2047 13% 20.7%
2048 13.1% 20.6%
2049 13.1% 20.5%
2050 13.1% 20.4%

The share of children aged 0-14 in North Macedonia was 37.7% in 1960, 25.7% in 1993, and 16.8% as of the latest data in 2025.

More about the demographics of North Macedonia.

Natural population change by year

For the past 10 years, the natural population change in North Macedonia, excluding migration, has been -0.07% annually. On average, -1,258 more people died each year than were born.

Population change due to births and deaths
Year Population change due to births and deaths
North Macedonia
1960 28,816
1961 27,846
1962 25,317
1963 28,124
1964 27,889
1965 28,564
1966 28,766
1967 28,401
1968 28,378
1969 27,464
1970 28,022
1971 28,010
1972 28,236
1973 28,032
1974 28,400
1975 28,983
1976 28,799
1977 27,410
1978 27,150
1979 27,096
1980 26,547
1981 25,689
1982 25,810
1983 24,690
1984 24,436
1985 24,167
1986 23,720
1987 24,359
1988 24,064
1989 22,912
1990 22,868
1991 23,387
1992 21,659
1993 20,797
1994 19,103
1995 17,239
1996 14,806
1997 12,979
1998 12,446
1999 10,489
2000 12,159
2001 10,174
2002 9,697
2003 8,900
2004 5,444
2005 4,011
2006 3,988
2007 2,974
2008 3,746
2009 4,309
2010 4,866
2011 3,100
2012 3,087
2013 3,653
2014 3,644
2015 2,294
2016 2,374
2017 1,329
2018 1,512
2019 -375
2020 -5,939
2021 -9,737
2022 -4,397
2023 -3,290

Fertility rates around the globe

Fertility rate

Maternal mortality chart

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.

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

Under-five mortality rate chart

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.

North Macedonia
World's average

Probability that a newborn baby will die before reaching age five

Year Mortality rate before reaching 5 years of age, per 1,000 live births
North Macedonia World
1960 - 18.5%
1961 - 18.1%
1962 - 17.8%
1963 - 17.5%
1964 - 17.7%
1965 - 17.5%
1966 - 17.3%
1967 - 17%
1968 - 16.5%
1969 - 15.5%
1970 - 15.2%
1971 - 15.1%
1972 - 14.4%
1973 - 14.1%
1974 - 13.7%
1975 - 13.4%
1976 - 13%
1977 - 12.5%
1978 - 12.1%
1979 - 11.7%
1980 - 11.4%
1981 5.79% 11%
1982 5.53% 10.8%
1983 5.25% 10.6%
1984 5.06% 10.4%
1985 5% 10.1%
1986 4.91% 9.81%
1987 4.69% 9.47%
1988 4.36% 9.31%
1989 4.01% 9.02%
1990 3.7% 8.81%
1991 3.46% 8.66%
1992 3.3% 8.46%
1993 3.13% 8.19%
1994 2.85% 7.98%
1995 2.45% 7.76%
1996 2.12% 7.52%
1997 1.93% 7.28%
1998 1.83% 7.05%
1999 1.73% 6.76%
2000 1.59% 6.48%
2001 1.48% 6.21%
2002 1.43% 5.94%
2003 1.43% 5.65%
2004 1.42% 5.43%
2005 1.37% 5.16%
2006 1.3% 4.92%
2007 1.23% 4.7%
2008 1.17% 4.5%
2009 1.1% 4.31%
2010 1.04% 4.11%
2011 1% 3.97%
2012 1.02% 3.77%
2013 1.07% 3.61%
2014 1.11% 3.48%
2015 1.13% 3.35%
2016 1.08% 3.23%
2017 0.97% 3.11%
2018 0.83% 2.97%
2019 0.7% 2.86%
2020 0.59% 2.75%
2021 0.5% 2.66%
2022 0.41% 2.59%
2023 0.33% 2.49%

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