Skip to content

Fertility & birth rates in North Macedonia and Sierra Leone

Updated on by Georank team

North Macedonia has an annual birth rate of 9.2 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 1.5 in North Macedonia and 3.79 in Sierra Leone — 152.7% difference.

1960 vs 2023, the fertility rate has decreased by 60.8% in North Macedonia and by 38.6% in Sierra Leone — in 1960, it was 3.83 and 6.18, respectively.

  • North Macedonia is ranked 158/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age for first-time mothers is 27.4 years in North Macedonia, compared to 19.6 years in Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 29.3 in North Macedonia — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 13 in North Macedonia vs 93.6 in Sierra Leone.
  • In North Macedonia, 22.4% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in North Macedonia vs Sierra Leone by year

North Macedonia
Sierra Leone
1x
Year Fertility rate
North Macedonia Sierra Leone
2023 1.5 3.79
2022 1.6 3.88
2021 1.6 3.98
2020 1.31 4.08
2019 1.34 4.19
2018 1.42 4.29
2017 1.43 4.39
2016 1.5 4.47
2015 1.49 4.55
2014 1.5 4.7
2013 1.5 4.87
2012 1.5 5.06
2011 1.46 5.21
2010 1.6 5.33
2009 1.5 5.45
2008 1.47 5.56
2007 1.46 5.64
2006 1.46 5.74
2005 1.5 5.81
2004 1.52 5.92
2003 1.75 6.09
2002 1.79 6.23
2001 1.73 6.31
2000 1.86 6.36
1999 1.77 6.42
1998 1.89 6.5
1997 1.92 6.53
1996 2.06 6.55
1995 2.13 6.56
1994 2.23 6.56
1993 2.26 6.57
1992 2.28 6.56
1991 2.31 6.55
1990 2.27 6.57
1989 2.25 6.57
1988 2.32 6.59
1987 2.32 6.61
1986 2.25 6.6
1985 2.25 6.59
1984 2.24 6.59
1983 2.25 6.57
1982 2.29 6.56
1981 2.29 6.55
1980 2.36 6.56
1979 2.4 6.58
1978 2.42 6.59
1977 2.49 6.57
1976 2.62 6.55
1975 2.69 6.55
1974 2.7 6.53
1973 2.72 6.47
1972 2.87 6.45
1971 2.93 6.43
1970 3.01 6.41
1969 3.1 6.39
1968 3.22 6.39
1967 3.33 6.38
1966 3.43 6.35
1965 3.52 6.31
1964 3.56 6.29
1963 3.62 6.26
1962 3.5 6.22
1961 3.62 6.21
1960 3.83 6.18

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

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

According to the latest available data on birth rates, the fertility rate in North Macedonia was 1.5 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 North Macedonia vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

North Macedonia
Sierra Leone
1x
Year Natural population change
North Macedonia Sierra Leone
2023 -3,290 188,788
2022 -4,397 186,625
2021 -9,737 183,326
2020 -5,939 181,015
2019 -375 181,068
2018 1,512 178,772
2017 1,329 173,259
2016 2,374 168,784
2015 2,294 162,275
2014 3,644 160,137
2013 3,653 161,265
2012 3,087 160,915
2011 3,100 158,858
2010 4,866 155,338
2009 4,309 152,669
2008 3,746 149,855
2007 2,974 145,740
2006 3,988 144,127
2005 4,011 137,234
2004 5,444 132,661
2003 8,900 130,312
2002 9,697 126,429
2001 10,174 116,647
2000 12,159 110,754
1999 10,489 102,295
1998 12,446 103,906
1997 12,979 105,433
1996 14,806 104,140
1995 17,239 100,885
1994 19,103 101,486
1993 20,797 103,317
1992 21,659 103,251
1991 23,387 105,477
1990 22,868 100,778
1989 22,912 98,298
1988 24,064 96,344
1987 24,359 94,235
1986 23,720 90,902
1985 24,167 88,869
1984 24,436 87,072
1983 24,690 84,628
1982 25,810 82,457
1981 25,689 80,111
1980 26,547 77,932
1979 27,096 75,992
1978 27,150 74,130
1977 27,410 71,663
1976 28,799 69,506
1975 28,983 67,560
1974 28,400 65,357
1973 28,032 62,443
1972 28,236 60,279
1971 28,010 58,484
1970 28,022 56,513
1969 27,464 54,768
1968 28,378 53,126
1967 28,401 51,734
1966 28,766 49,486
1965 28,564 47,223
1964 27,889 45,487
1963 28,124 43,569
1962 25,317 41,603
1961 27,846 40,022
1960 28,816 38,192

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

GeoRank.org/birth-rate/north-macedonia/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 -0.18% in North Macedonia and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been -0.07% in North Macedonia and +2.31% in Sierra Leone.

Birth rate in North Macedonia vs Sierra Leone by year

North Macedonia
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
North Macedonia Sierra Leone
2023 9.2 30.6
2022 9.9 31.1
2021 10.2 31.6
2020 9.2 32.2
2019 9.6 32.8
2018 10.3 33.3
2017 10.5 33.8
2016 11.1 34.2
2015 11.1 34.7
2014 11.4 35.6
2013 11.2 36.6
2012 11.4 37.8
2011 11.1 38.5
2010 11.8 39.1
2009 11.5 39.9
2008 11.2 40.6
2007 11.1 41.1
2006 11.1 41.8
2005 11 42
2004 11.5 42.5
2003 13.3 43.5
2002 13.7 44.3
2001 13.3 44
2000 14.5 45
1999 13.5 46.1
1998 14.6 46.3
1997 14.8 46.3
1996 16.1 46.5
1995 16.7 46.8
1994 17.7 46.8
1993 18.2 46.9
1992 18.4 47
1991 18.7 47.5
1990 18.4 45.5
1989 18.4 46.3
1988 19.1 46.4
1987 19.3 46.6
1986 18.9 46.6
1985 19.1 46.7
1984 19.2 46.8
1983 19.5 46.7
1982 19.9 46.8
1981 20.1 46.8
1980 20.8 46.8
1979 21.1 47
1978 21.3 47.2
1977 21.9 47.1
1976 23 47.2
1975 23.6 47.3
1974 23.5 47.4
1973 23.5 47.2
1972 24.5 47.2
1971 24.7 47.3
1970 25.1 47.4
1969 25.4 47.5
1968 26.1 47.7
1967 26.7 47.9
1966 27.5 48
1965 28.1 48
1964 28.4 48.2
1963 29 48.2
1962 28.3 48.1
1961 29.2 48.1
1960 31 48

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

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

The latest reported birth rate per 1,000 people in 2023 was 9.2 in North Macedonia and 30.6 in Sierra Leone, compared with 31 and 48, respectively, in 1960.

Birth rate data compared

North Macedonia Sierra Leone
Fertility rate 1.5 3.79
Fertility rate rank 146/196 35/196
Birth rate 9.2 30.6
Birth rate rank 158/196 29/196
Population change due to births and deaths -3,290 +188,788
Natural population change rank 165/196 62/196
Natural population change rate -0.18% +2.23%
Population growth -0.19% +2.15%
Population growth rank 176/197 47/197
Age at first childbirth 27.4 years 19.6 years
Average age at childbearing 29.3 years 28.5 years
Annual births per 1,000 women ages 15-19 11.7 87.7
Annual births per 1,000 women ages 20-29 76.7 169.3
Annual births per 1,000 women ages 30+ 11.9 53.4
Female of reproductive age (15-49), share of population 22.4% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 14% 20.9%
Share of births attended by skilled health staff 100% 86.9%
Maternal mortality per live birth 0.003% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 0.14% 2.93%
Infant mortality rate (before reaching 1 year of age) 0.28% 5.62%
Mortality rate before reaching 5 years of age 0.33% 9.43%
Life expectancy 77.8 years 62.3 years

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
North Macedonia Sierra Leone
2100 10.6% 19%
2099 10.7% 19%
2098 10.7% 19.1%
2097 10.8% 19.2%
2096 10.8% 19.3%
2095 10.9% 19.5%
2094 11% 19.6%
2093 11% 19.7%
2092 11.1% 19.8%
2091 11.2% 19.9%
2090 11.2% 20%
2089 11.3% 20.1%
2088 11.3% 20.3%
2087 11.4% 20.4%
2086 11.4% 20.5%
2085 11.4% 20.7%
2084 11.4% 20.8%
2083 11.4% 20.9%
2082 11.4% 21.1%
2081 11.4% 21.2%
2080 11.4% 21.4%
2079 11.3% 21.6%
2078 11.3% 21.7%
2077 11.3% 21.9%
2076 11.2% 22.1%
2075 11.2% 22.2%
2074 11.2% 22.4%
2073 11.2% 22.6%
2072 11.1% 22.8%
2071 11.2% 23%
2070 11.2% 23.2%
2069 11.2% 23.4%
2068 11.3% 23.6%
2067 11.4% 23.8%
2066 11.5% 24%
2065 11.6% 24.3%
2064 11.7% 24.5%
2063 11.9% 24.7%
2062 12% 25%
2061 12.2% 25.2%
2060 12.3% 25.5%
2059 12.4% 25.7%
2058 12.6% 26%
2057 12.7% 26.3%
2056 12.8% 26.6%
2055 12.9% 26.9%
2054 13% 27.1%
2053 13% 27.4%
2052 13.1% 27.7%
2051 13.1% 28.1%
2050 13.1% 28.4%
2049 13.1% 28.7%
2048 13.1% 29%
2047 13% 29.3%
2046 13% 29.7%
2045 13% 30%
2044 13% 30.3%
2043 12.9% 30.7%
2042 12.9% 31.1%
2041 12.9% 31.4%
2040 13% 31.8%
2039 13% 32.2%
2038 13% 32.6%
2037 13.2% 33%
2036 13.4% 33.4%
2035 13.6% 33.8%
2034 13.8% 34.2%
2033 14.1% 34.6%
2032 14.4% 35%
2031 14.7% 35.4%
2030 15.1% 35.7%
2029 15.4% 36.1%
2028 15.8% 36.5%
2027 16.1% 37%
2026 16.4% 37.4%
2025 16.7% 37.9%
2024 16.8% 38.1%
2023 17.1% 38.5%
2022 17.2% 39%
2021 17.2% 39.4%
2020 17.2% 39.8%
2019 17.2% 40.2%
2018 17.4% 40.6%
2017 17.5% 41%
2016 17.8% 41.4%
2015 18% 41.8%
2014 18.3% 42.2%
2013 18.6% 42.5%
2012 18.8% 42.8%
2011 19% 43%
2010 19.3% 43.2%
2009 19.7% 43.4%
2008 20% 43.5%
2007 20.4% 43.6%
2006 20.8% 43.7%
2005 21.2% 43.8%
2004 21.7% 43.9%
2003 22.1% 43.9%
2002 22.5% 43.9%
2001 22.9% 43.9%
2000 23.4% 43.8%
1999 23.9% 43.7%
1998 24.4% 43.6%
1997 24.8% 43.5%
1996 25.1% 43.5%
1995 25.4% 43.4%
1994 25.5% 43.3%
1993 25.7% 43.2%
1992 26.1% 43.1%
1991 26.5% 43%
1990 26.9% 42.9%
1989 27.1% 42.9%
1988 27.4% 42.8%
1987 27.6% 42.7%
1986 27.8% 42.6%
1985 28.1% 42.5%
1984 28.3% 42.3%
1983 28.5% 42.2%
1982 28.8% 42.1%
1981 29.1% 42%
1980 29.5% 41.9%
1979 29.9% 41.8%
1978 30.3% 41.7%
1977 30.6% 41.6%
1976 30.9% 41.4%
1975 31.3% 41.3%
1974 31.7% 41.1%
1973 32.2% 40.9%
1972 32.6% 40.7%
1971 33% 40.6%
1970 33.5% 40.3%
1969 34.1% 40.1%
1968 34.7% 39.9%
1967 35.2% 39.6%
1966 35.8% 39.4%
1965 36.3% 39.1%
1964 36.7% 38.8%
1963 37.2% 38.5%
1962 37.6% 38.3%
1961 37.8% 38.3%
1960 37.7% 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/north-macedonia/sierra-leone | CC BY

Children aged 0-14 make up 16.8% of the population in North Macedonia and 38.1% in Sierra Leone in 2024, compared to 26.9% and 42.9% respectively in 1990.

Demographics of North Macedonia 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/north-macedonia/sierra-leone | CC BY

Maternal mortality chart: North Macedonia vs Sierra Leone

North Macedonia
Sierra Leone
1x
Year Maternal mortality per 100K births
North Macedonia Sierra Leone
2023 3 354
2022 3 370
2021 12 403
2020 7 422
2019 3 464
2018 3 491
2017 4 578
2016 4 633
2015 4 730
2014 4 821
2013 5 842
2012 5 915
2011 5 967
2010 5 1,018
2009 6 1,054
2008 6 1,093
2007 7 1,132
2006 7 1,168
2005 7 1,294
2004 8 1,366
2003 8 1,433
2002 10 1,492
2001 9 1,518
2000 11 1,603
1999 12 1,731
1998 13 1,753
1997 13 1,721
1996 14 1,726
1995 13 1,777
1994 13 1,755
1993 14 1,696
1992 14 1,681
1991 15 1,699
1990 16 1,572
1989 14 1,575
1988 16 1,549
1987 15 1,533
1986 16 1,530
1985 17 1,506

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 3 deaths per 100,000 live births in North Macedonia, compared to 354 deaths in Sierra Leone.

Under-five mortality rates

North Macedonia
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
North Macedonia Sierra Leone
2023 0.33% 9.43%
2022 0.41% 9.77%
2021 0.5% 10.1%
2020 0.59% 10.5%
2019 0.7% 10.9%
2018 0.83% 11.3%
2017 0.97% 11.8%
2016 1.08% 12.3%
2015 1.13% 13.8%
2014 1.11% 13.7%
2013 1.07% 13.9%
2012 1.02% 14.5%
2011 1% 15.2%
2010 1.04% 15.9%
2009 1.1% 16.6%
2008 1.17% 17.3%
2007 1.23% 18.1%
2006 1.3% 18.8%
2005 1.37% 19.4%
2004 1.42% 20.1%
2003 1.43% 20.7%
2002 1.43% 21.3%
2001 1.48% 21.8%
2000 1.59% 22.4%
1999 1.73% 22.9%
1998 1.83% 23.4%
1997 1.93% 23.9%
1996 2.12% 24.3%
1995 2.45% 24.7%
1994 2.85% 25%
1993 3.13% 25.3%
1992 3.3% 25.5%
1991 3.46% 25.7%
1990 3.7% 25.9%
1989 4.01% 26.2%
1988 4.36% 26.4%
1987 4.69% 26.6%
1986 4.91% 26.9%
1985 5% 27.2%
1984 5.06% 27.5%
1983 5.25% 27.8%
1982 5.53% 28.1%
1981 5.79% 28.5%
1980 - 28.9%
1979 - 29.2%
1978 - 29.6%
1977 - 30%
1976 - 30.5%
1975 - 30.9%
1974 - 31.4%
1973 - 31.9%
1972 - 32.3%
1971 - 32.9%
1970 - 33.4%
1969 - 33.9%
1968 - 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/north-macedonia/sierra-leone | CC BY

The chance that a newborn baby will die before reaching age five is 0.33% in North Macedonia and 9.43% in Sierra Leone. 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. United Nations Economic Commission for Europe (UNECE) (2022, retrieved 2026-03-10)
  4. 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.