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Fertility & birth rates in North Macedonia and Tuvalu

Updated on by Georank team

North Macedonia has an annual birth rate of 9.2 births per 1,000 people, compared to 23.1 for Tuvalu. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 1.5 in North Macedonia and 3.21 in Tuvalu — 113.9% difference.

1960 vs 2023, the fertility rate has decreased by 60.8% in North Macedonia and by 37.7% in Tuvalu — in 1960, it was 3.83 and 5.15, respectively.

  • North Macedonia is ranked 158/196 by birth rate compared to 59/196 for Tuvalu.
  • The mean age for first-time mothers is 27.4 years in North Macedonia, compared to 23.5 years in Tuvalu.
  • The mean age at childbearing (for all the births, not just the first) is 29.3 in North Macedonia — it's 29.2 in Tuvalu.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 13 in North Macedonia vs 27.5 in Tuvalu.
  • In North Macedonia, 22.4% of the population is composed of women of reproductive age (15-49), compared to 21.5% in Tuvalu.

Fertility rate in North Macedonia vs Tuvalu by year

North Macedonia
Tuvalu
1x
Year Fertility rate
North Macedonia Tuvalu
2023 1.5 3.21
2022 1.6 3.24
2021 1.6 3.28
2020 1.31 3.31
2019 1.34 3.33
2018 1.42 3.33
2017 1.43 3.3
2016 1.5 3.3
2015 1.49 3.31
2014 1.5 3.33
2013 1.5 3.39
2012 1.5 3.47
2011 1.46 3.46
2010 1.6 3.44
2009 1.5 3.43
2008 1.47 3.42
2007 1.46 3.45
2006 1.46 3.53
2005 1.5 3.55
2004 1.52 3.55
2003 1.75 3.58
2002 1.79 3.64
2001 1.73 3.75
2000 1.86 3.84
1999 1.77 3.92
1998 1.89 3.95
1997 1.92 3.95
1996 2.06 3.95
1995 2.13 3.96
1994 2.23 3.92
1993 2.26 3.92
1992 2.28 3.86
1991 2.31 3.79
1990 2.27 3.75
1989 2.25 3.8
1988 2.32 3.88
1987 2.32 3.94
1986 2.25 3.97
1985 2.25 3.97
1984 2.24 3.95
1983 2.25 3.91
1982 2.29 3.88
1981 2.29 3.8
1980 2.36 3.73
1979 2.4 3.65
1978 2.42 3.59
1977 2.49 3.56
1976 2.62 3.55
1975 2.69 3.58
1974 2.7 3.63
1973 2.72 3.71
1972 2.87 3.81
1971 2.93 3.94
1970 3.01 4.08
1969 3.1 4.23
1968 3.22 4.36
1967 3.33 4.49
1966 3.43 4.64
1965 3.52 4.73
1964 3.56 4.83
1963 3.62 4.91
1962 3.5 5
1961 3.62 5.09
1960 3.83 5.15

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

GeoRank.org/birth-rate/north-macedonia/tuvalu | 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 3.21 in Tuvalu in 2023. The replacement level is considered to be 2.1 children per woman.

Check North Macedonia vs Tuvalu population clock for a dynamic visualization of the changing population.

Natural population change by year

North Macedonia
Tuvalu
1x
Year Natural population change
North Macedonia Tuvalu
2023 -3,290 137
2022 -4,397 150
2021 -9,737 151
2020 -5,939 161
2019 -375 166
2018 1,512 169
2017 1,329 163
2016 2,374 157
2015 2,294 153
2014 3,644 149
2013 3,653 148
2012 3,087 148
2011 3,100 142
2010 4,866 136
2009 4,309 130
2008 3,746 125
2007 2,974 125
2006 3,988 129
2005 4,011 131
2004 5,444 132
2003 8,900 136
2002 9,697 141
2001 10,174 151
2000 12,159 159
1999 10,489 166
1998 12,446 172
1997 12,979 177
1996 14,806 182
1995 17,239 191
1994 19,103 195
1993 20,797 202
1992 21,659 196
1991 23,387 203
1990 22,868 204
1989 22,912 208
1988 24,064 215
1987 24,359 219
1986 23,720 219
1985 24,167 215
1984 24,436 212
1983 24,690 206
1982 25,810 198
1981 25,689 186
1980 26,547 173
1979 27,096 158
1978 27,150 141
1977 27,410 128
1976 28,799 117
1975 28,983 108
1974 28,400 102
1973 28,032 101
1972 28,236 94
1971 28,010 101
1970 28,022 102
1969 27,464 102
1968 28,378 97
1967 28,401 92
1966 28,766 91
1965 28,564 93
1964 27,889 98
1963 28,124 106
1962 25,317 113
1961 27,846 120
1960 28,816 126

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

GeoRank.org/birth-rate/north-macedonia/tuvalu | 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 +1.39% in Tuvalu.

For the past 10 years, the annual natural population change has been -0.07% in North Macedonia and +1.48% in Tuvalu.

Birth rate in North Macedonia vs Tuvalu by year

North Macedonia
Tuvalu

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
North Macedonia Tuvalu
2023 9.2 23.1
2022 9.9 24.1
2021 10.2 24.4
2020 9.2 24.6
2019 9.6 24.9
2018 10.3 24.9
2017 10.5 24.3
2016 11.1 23.8
2015 11.1 23.3
2014 11.4 23
2013 11.2 22.8
2012 11.4 22.9
2011 11.1 22.5
2010 11.8 22.2
2009 11.5 21.9
2008 11.2 21.7
2007 11.1 21.9
2006 11.1 22.4
2005 11 22.7
2004 11.5 23.1
2003 13.3 23.6
2002 13.7 24.5
2001 13.3 25.6
2000 14.5 26.6
1999 13.5 27.6
1998 14.6 28.4
1997 14.8 29
1996 16.1 29.8
1995 16.7 30.8
1994 17.7 31.5
1993 18.2 32.6
1992 18.4 33.1
1991 18.7 33.3
1990 18.4 33.7
1989 18.4 34.7
1988 19.1 36
1987 19.3 36.9
1986 18.9 37.4
1985 19.1 37.5
1984 19.2 37.4
1983 19.5 36.9
1982 19.9 36.2
1981 20.1 35
1980 20.8 33.7
1979 21.1 32.3
1978 21.3 30.6
1977 21.9 29.5
1976 23 28.8
1975 23.6 28.5
1974 23.5 28.6
1973 23.5 29.4
1972 24.5 29.5
1971 24.7 30
1970 25.1 30.5
1969 25.4 31.1
1968 26.1 30.6
1967 26.7 30.2
1966 27.5 30.4
1965 28.1 31
1964 28.4 32.4
1963 29 34.3
1962 28.3 36.5
1961 29.2 38.8
1960 31 40.8

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

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

The latest reported birth rate per 1,000 people in 2023 was 9.2 in North Macedonia and 23.1 in Tuvalu, compared with 31 and 40.8, respectively, in 1960.

Birth rate data compared

North Macedonia Tuvalu
Fertility rate 1.5 3.21
Fertility rate rank 146/196 52/196
Birth rate 9.2 23.1
Birth rate rank 158/196 59/196
Population change due to births and deaths -3,290 +137
Natural population change rank 165/196 152/196
Natural population change rate -0.18% +1.39%
Population growth -0.19% -1.73%
Population growth rank 176/197 195/197
Age at first childbirth 27.4 years 23.5 years
Average age at childbearing 29.3 years 29.2 years
Annual births per 1,000 women ages 15-19 11.7 24.9
Annual births per 1,000 women ages 20-29 76.7 166.2
Annual births per 1,000 women ages 30+ 11.9 35
Female of reproductive age (15-49), share of population 22.4% 21.5%
Any modern method of contraceptive prevalence among married women ages 15-49 14% 22.4%
Share of births attended by skilled health staff 100% 99.5%
Maternal mortality per live birth 0.003% 0.17%
Neonatal mortality rate (before reaching 28 days of age) 0.14% 0.9%
Infant mortality rate (before reaching 1 year of age) 0.28% 1.71%
Mortality rate before reaching 5 years of age 0.33% 1.99%
Life expectancy 77.8 years 67.6 years

Children 0-14 years as share of population

North Macedonia
Factual

UN forecast
Tuvalu
Factual

UN forecast
1x
Year Young
North Macedonia Tuvalu
2100 10.6% 19%
2099 10.7% 19%
2098 10.7% 19.2%
2097 10.8% 19.3%
2096 10.8% 19.4%
2095 10.9% 19.6%
2094 11% 19.7%
2093 11% 19.9%
2092 11.1% 20.1%
2091 11.2% 20.3%
2090 11.2% 20.5%
2089 11.3% 20.6%
2088 11.3% 20.8%
2087 11.4% 21%
2086 11.4% 21.2%
2085 11.4% 21.4%
2084 11.4% 21.5%
2083 11.4% 21.7%
2082 11.4% 21.8%
2081 11.4% 21.9%
2080 11.4% 22%
2079 11.3% 22.1%
2078 11.3% 22.1%
2077 11.3% 22.2%
2076 11.2% 22.3%
2075 11.2% 22.4%
2074 11.2% 22.5%
2073 11.2% 22.6%
2072 11.1% 22.7%
2071 11.2% 22.8%
2070 11.2% 22.9%
2069 11.2% 23.1%
2068 11.3% 23.3%
2067 11.4% 23.5%
2066 11.5% 23.8%
2065 11.6% 24.1%
2064 11.7% 24.4%
2063 11.9% 24.7%
2062 12% 25.1%
2061 12.2% 25.4%
2060 12.3% 25.7%
2059 12.4% 26.1%
2058 12.6% 26.5%
2057 12.7% 26.8%
2056 12.8% 27.1%
2055 12.9% 27.3%
2054 13% 27.5%
2053 13% 27.7%
2052 13.1% 27.8%
2051 13.1% 27.9%
2050 13.1% 27.9%
2049 13.1% 27.8%
2048 13.1% 27.7%
2047 13% 27.6%
2046 13% 27.4%
2045 13% 27.3%
2044 13% 27.1%
2043 12.9% 27%
2042 12.9% 26.9%
2041 12.9% 26.9%
2040 13% 26.9%
2039 13% 27%
2038 13% 27.3%
2037 13.2% 27.7%
2036 13.4% 28%
2035 13.6% 28.4%
2034 13.8% 29%
2033 14.1% 29.6%
2032 14.4% 30.3%
2031 14.7% 30.9%
2030 15.1% 31.5%
2029 15.4% 32.1%
2028 15.8% 32.6%
2027 16.1% 32.9%
2026 16.4% 33%
2025 16.7% 33%
2024 16.8% 32.9%
2023 17.1% 32.6%
2022 17.2% 32%
2021 17.2% 31.6%
2020 17.2% 31.7%
2019 17.2% 31.7%
2018 17.4% 31.6%
2017 17.5% 31.6%
2016 17.8% 31.8%
2015 18% 31.9%
2014 18.3% 32.1%
2013 18.6% 32.4%
2012 18.8% 32.5%
2011 19% 32.6%
2010 19.3% 32.8%
2009 19.7% 33.1%
2008 20% 33.5%
2007 20.4% 34%
2006 20.8% 34.5%
2005 21.2% 35%
2004 21.7% 35.5%
2003 22.1% 36%
2002 22.5% 36.3%
2001 22.9% 36.3%
2000 23.4% 36.3%
1999 23.9% 36.2%
1998 24.4% 36.3%
1997 24.8% 36.3%
1996 25.1% 36.3%
1995 25.4% 36.2%
1994 25.5% 36.1%
1993 25.7% 35.9%
1992 26.1% 35.4%
1991 26.5% 35%
1990 26.9% 34.5%
1989 27.1% 34.1%
1988 27.4% 33.5%
1987 27.6% 32.9%
1986 27.8% 32.3%
1985 28.1% 31.7%
1984 28.3% 31.6%
1983 28.5% 32.1%
1982 28.8% 32.8%
1981 29.1% 33.4%
1980 29.5% 34%
1979 29.9% 34.5%
1978 30.3% 35.5%
1977 30.6% 37%
1976 30.9% 38.1%
1975 31.3% 38.9%
1974 31.7% 39.4%
1973 32.2% 40.2%
1972 32.6% 41.3%
1971 33% 42.3%
1970 33.5% 43.2%
1969 34.1% 43.9%
1968 34.7% 44.3%
1967 35.2% 44.1%
1966 35.8% 43.9%
1965 36.3% 43.9%
1964 36.7% 44.1%
1963 37.2% 43.9%
1962 37.6% 43.1%
1961 37.8% 42.1%
1960 37.7% 41%

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/tuvalu | CC BY

Children aged 0-14 make up 16.8% of the population in North Macedonia and 32.9% in Tuvalu in 2024, compared to 26.9% and 34.5% respectively in 1990.

Demographics of North Macedonia and Tuvalu compared.

Fertility rates around the globe

1x

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

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

Maternal mortality chart: North Macedonia vs Tuvalu

North Macedonia
Tuvalu
1x
Year Maternal mortality per 100K births
North Macedonia Tuvalu
2023 3 170
2022 3 220
2021 12 157
2020 7 206
2019 3 155
2018 3 153
2017 4 171
2016 4 170
2015 4 169
2014 4 168
2013 5 168
2012 5 168
2011 5 169
2010 5 213
2009 6 215
2008 6 219
2007 7 222
2006 7 226
2005 7 230
2004 8 209
2003 8 210
2002 10 234
2001 9 235
2000 11 237
1999 12 242
1998 13 245
1997 13 249
1996 14 277
1995 13 281
1994 13 284
1993 14 286
1992 14 312
1991 15 289
1990 16 291
1989 14 296
1988 16 300
1987 15 252
1986 16 226
1985 17 230

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

GeoRank.org/birth-rate/north-macedonia/tuvalu | 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 170 deaths in Tuvalu.

Under-five mortality rates

North Macedonia
Tuvalu

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
North Macedonia Tuvalu
2023 0.33% 1.99%
2022 0.41% 2.05%
2021 0.5% 2.12%
2020 0.59% 2.19%
2019 0.7% 2.27%
2018 0.83% 2.35%
2017 0.97% 2.43%
2016 1.08% 2.52%
2015 1.13% 2.61%
2014 1.11% 2.71%
2013 1.07% 2.8%
2012 1.02% 2.91%
2011 1% 3.02%
2010 1.04% 3.14%
2009 1.1% 3.28%
2008 1.17% 3.42%
2007 1.23% 3.56%
2006 1.3% 3.68%
2005 1.37% 3.8%
2004 1.42% 3.89%
2003 1.43% 3.98%
2002 1.43% 4.07%
2001 1.48% 4.16%
2000 1.59% 4.26%
1999 1.73% 4.39%
1998 1.83% 4.52%
1997 1.93% 4.67%
1996 2.12% 4.81%
1995 2.45% 4.94%
1994 2.85% 5.05%
1993 3.13% 5.15%
1992 3.3% 5.24%
1991 3.46% 5.31%
1990 3.7% 5.37%
1989 4.01% 5.42%
1988 4.36% 5.47%
1987 4.69% 5.53%
1986 4.91% 5.59%
1985 5% 5.66%
1984 5.06% 5.76%
1983 5.25% 5.9%
1982 5.53% 6.06%
1981 5.79% 6.26%
1980 - 6.49%
1979 - 6.76%
1978 - 7.08%
1977 - 7.43%
1976 - 7.84%
1975 - 8.31%
1974 - 8.81%
1973 - 9.37%
1972 - 9.93%
1971 - 10.5%
1970 - 11.1%
1969 - 11.7%
1968 - 12.3%
1967 - 12.9%
1966 - 13.6%
1965 - 14.2%
1964 - 14.9%
1963 - 15.6%
1962 - 16.3%
1961 - 17%
1960 - 17.7%

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

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

The chance that a newborn baby will die before reaching age five is 0.33% in North Macedonia and 1.99% in Tuvalu. 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) (2017, retrieved 2026-02-20)
  4. United Nations Economic Commission for Europe (UNECE) (2022, retrieved 2026-03-10)

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