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Fertility & birth rates in Pakistan and Sao Tome and Principe

Updated on by Georank team

Pakistan has an annual birth rate of 27.8 births per 1,000 people, compared to 28.2 for Sao Tome and Principe. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 3.61 in Pakistan and 3.64 in Sao Tome and Principe — 1.08% difference.

1960 vs 2023, the fertility rate has decreased by 47% in Pakistan and by 41.6% in Sao Tome and Principe — in 1960, it was 6.8 and 6.24, respectively.

  • Pakistan is ranked 41/196 by birth rate compared to 39/196 for Sao Tome and Principe.
  • The mean age for first-time mothers is 22.8 years in Pakistan, compared to 19.4 years in Sao Tome and Principe.
  • The mean age at childbearing (for all the births, not just the first) is 28.9 in Pakistan — it's 28.4 in Sao Tome and Principe.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 41.1 in Pakistan vs 86.2 in Sao Tome and Principe.
  • In Pakistan, 24.6% of the population is composed of women of reproductive age (15-49), compared to 25.2% in Sao Tome and Principe.

Fertility rate in Pakistan vs Sao Tome and Principe by year

Pakistan
Sao Tome and Principe
1x
Year Fertility rate
Pakistan Sao Tome
2023 3.61 3.64
2022 3.66 3.7
2021 3.72 3.76
2020 3.77 3.83
2019 3.81 3.9
2018 3.86 3.98
2017 3.9 4.07
2016 3.9 4.2
2015 3.99 4.35
2014 4.06 4.49
2013 4.13 4.58
2012 4.2 4.66
2011 4.31 4.72
2010 4.4 4.77
2009 4.47 4.84
2008 4.51 4.91
2007 4.55 4.96
2006 4.59 4.93
2005 4.6 4.94
2004 4.68 4.96
2003 4.89 5.01
2002 5.01 5.06
2001 5.18 5.1
2000 5.35 5.16
1999 5.46 5.23
1998 5.51 5.3
1997 5.64 5.4
1996 5.77 5.47
1995 5.89 5.55
1994 6.01 5.56
1993 6.11 5.64
1992 6.21 5.7
1991 6.29 5.77
1990 6.36 5.83
1989 6.43 5.88
1988 6.48 5.94
1987 6.52 5.99
1986 6.55 6.05
1985 6.59 6.1
1984 6.62 6.16
1983 6.64 6.22
1982 6.67 6.28
1981 6.7 6.33
1980 6.73 6.39
1979 6.76 6.43
1978 6.78 6.47
1977 6.8 6.5
1976 6.81 6.52
1975 6.81 6.53
1974 6.81 6.53
1973 6.81 6.53
1972 6.81 6.51
1971 6.8 6.49
1970 6.8 6.47
1969 6.8 6.44
1968 6.8 6.42
1967 6.8 6.39
1966 6.8 6.37
1965 6.8 6.35
1964 6.8 6.33
1963 6.8 6.31
1962 6.8 6.28
1961 6.8 6.26
1960 6.8 6.24

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | CC BY

According to the latest available data on birth rates, the fertility rate in Pakistan was 3.61 children per woman in 2023, compared to 3.64 in Sao Tome and Principe in 2023. The replacement level is considered to be 2.1 children per woman.

Check Pakistan vs Sao Tome and Principe population clock for a dynamic visualization of the changing population.

Natural population change by year

Pakistan
Sao Tome and Principe
1x
Year Natural population change
Pakistan Sao Tome
2023 5,281,745 5,221
2022 5,268,077 5,102
2021 5,065,913 4,954
2020 5,011,177 4,874
2019 5,127,011 4,932
2018 5,103,858 4,957
2017 5,090,200 5,007
2016 5,044,922 5,125
2015 5,113,507 5,269
2014 5,148,994 5,381
2013 5,176,590 5,449
2012 5,191,263 5,501
2011 5,189,412 5,445
2010 5,147,142 5,391
2009 5,028,132 5,349
2008 4,885,855 5,297
2007 4,690,187 5,226
2006 4,538,426 5,057
2005 4,294,393 4,897
2004 4,294,654 4,810
2003 4,340,688 4,702
2002 4,307,607 4,591
2001 4,304,297 4,471
2000 4,281,169 4,334
1999 4,228,026 4,221
1998 4,104,824 4,120
1997 4,043,912 4,041
1996 4,021,758 3,993
1995 3,977,175 3,948
1994 3,956,699 3,860
1993 3,915,776 3,841
1992 3,888,637 3,822
1991 3,822,363 3,801
1990 3,731,730 3,719
1989 3,648,132 3,576
1988 3,554,755 3,544
1987 3,448,813 3,440
1986 3,341,643 3,180
1985 3,233,315 3,242
1984 3,145,772 3,163
1983 3,052,738 3,100
1982 2,934,689 3,047
1981 2,790,454 3,015
1980 2,598,421 2,965
1979 2,461,311 2,893
1978 2,356,601 2,800
1977 2,257,849 2,705
1976 2,171,812 2,608
1975 2,099,811 2,515
1974 2,028,061 2,422
1973 1,971,909 2,329
1972 1,912,774 2,232
1971 1,695,374 2,127
1970 1,793,570 1,980
1969 1,733,601 1,862
1968 1,683,296 1,767
1967 1,626,737 1,693
1966 1,566,343 1,642
1965 1,496,050 1,611
1964 1,447,394 1,600
1963 1,384,934 1,609
1962 1,328,675 1,625
1961 1,273,772 1,657
1960 1,217,147 1,547

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | 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 +2.13% in Pakistan and +2.26% in Sao Tome and Principe.

For the past 10 years, the annual natural population change has been +2.23% in Pakistan and +2.4% in Sao Tome and Principe.

Birth rate in Pakistan vs Sao Tome and Principe by year

Pakistan
Sao Tome and Principe

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Pakistan Sao Tome
2023 27.8 28.2
2022 28.1 28.3
2021 28.4 28.5
2020 28.6 28.6
2019 29 29.2
2018 29.3 29.8
2017 29.7 30.6
2016 30 31.7
2015 30.7 33
2014 31.3 34.3
2013 31.9 35.4
2012 32.5 36.4
2011 33 36.8
2010 33.5 37.3
2009 33.6 37.9
2008 33.6 38.5
2007 33.3 38.9
2006 33.2 38.9
2005 32.9 39
2004 33.2 39.2
2003 34.3 39.6
2002 34.9 39.8
2001 35.7 40
2000 36.5 39.7
1999 37.2 39.4
1998 37.4 39.2
1997 38 39.2
1996 38.9 39.3
1995 39.6 39.5
1994 40.4 39.4
1993 41.2 39.8
1992 42 40.2
1991 42.5 40.7
1990 42.9 40.7
1989 43.4 40.9
1988 43.8 40.9
1987 44 41
1986 44.1 41
1985 44.3 41
1984 44.5 41.1
1983 44.7 41.2
1982 44.6 41.3
1981 44.4 41.5
1980 43.6 41.6
1979 43.5 41.6
1978 43.5 41.4
1977 43.4 41.3
1976 43.4 41.1
1975 43.5 40.9
1974 43.6 40.6
1973 43.7 40.3
1972 43.8 39.9
1971 43.9 39.5
1970 44.1 38.8
1969 44.3 38.2
1968 44.7 37.8
1967 45.1 37.7
1966 45.4 38
1965 45.7 38.6
1964 46 39.7
1963 46.2 41.1
1962 46.4 42.7
1961 46.6 44.6
1960 46.7 44.6

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | CC BY

The latest reported birth rate per 1,000 people in 2023 was 27.8 in Pakistan and 28.2 in Sao Tome and Principe, compared with 46.7 and 44.6, respectively, in 1960.

Birth rate data compared

Pakistan Sao Tome
Fertility rate 3.61 3.64
Fertility rate rank 42/196 41/196
Birth rate 27.8 28.2
Birth rate rank 41/196 39/196
Population change due to births and deaths +5,281,745 +5,221
Natural population change rank 2/196 126/196
Natural population change rate +2.13% +2.26%
Population growth +1.52% +2.02%
Population growth rank 70/197 49/197
Age at first childbirth 22.8 years 19.4 years
Average age at childbearing 28.9 years 28.4 years
Annual births per 1,000 women ages 15-19 38.9 82.5
Annual births per 1,000 women ages 20-29 190.2 169.9
Annual births per 1,000 women ages 30+ 48.6 47.4
Female of reproductive age (15-49), share of population 24.6% 25.2%
Any modern method of contraceptive prevalence among married women ages 15-49 25% 46%
Share of births attended by skilled health staff 68% 96.8%
Maternal mortality per live birth 0.16% 0.08%
Neonatal mortality rate (before reaching 28 days of age) 3.76% 0.68%
Infant mortality rate (before reaching 1 year of age) 5.01% 0.94%
Mortality rate before reaching 5 years of age 5.85% 1.39%
Life expectancy 68.1 years 70.3 years

Children 0-14 years as share of population

Pakistan
Factual

UN forecast
Sao Tome and Principe
Factual

UN forecast
1x
Year Young
Pakistan Sao Tome
2100 19.3% 19.5%
2099 19.4% 19.6%
2098 19.5% 19.8%
2097 19.7% 19.9%
2096 19.8% 20%
2095 19.9% 20.2%
2094 20% 20.3%
2093 20.2% 20.4%
2092 20.3% 20.6%
2091 20.4% 20.7%
2090 20.6% 20.9%
2089 20.7% 21.1%
2088 20.9% 21.2%
2087 21% 21.4%
2086 21.2% 21.6%
2085 21.4% 21.8%
2084 21.5% 22%
2083 21.7% 22.2%
2082 21.9% 22.4%
2081 22% 22.6%
2080 22.2% 22.9%
2079 22.4% 23.1%
2078 22.6% 23.3%
2077 22.8% 23.5%
2076 23% 23.7%
2075 23.1% 24%
2074 23.3% 24.2%
2073 23.5% 24.4%
2072 23.7% 24.6%
2071 23.9% 24.8%
2070 24.1% 25%
2069 24.3% 25.2%
2068 24.5% 25.4%
2067 24.7% 25.6%
2066 24.9% 25.9%
2065 25.1% 26.1%
2064 25.3% 26.3%
2063 25.5% 26.5%
2062 25.7% 26.8%
2061 26% 27%
2060 26.2% 27.3%
2059 26.5% 27.5%
2058 26.7% 27.8%
2057 27% 28.1%
2056 27.3% 28.4%
2055 27.5% 28.7%
2054 27.8% 29%
2053 28.1% 29.4%
2052 28.4% 29.7%
2051 28.7% 30.1%
2050 29% 30.4%
2049 29.3% 30.8%
2048 29.6% 31.1%
2047 29.9% 31.5%
2046 30.2% 31.8%
2045 30.4% 32.1%
2044 30.7% 32.5%
2043 30.9% 32.8%
2042 31.1% 33.1%
2041 31.4% 33.4%
2040 31.6% 33.6%
2039 31.8% 33.9%
2038 32.1% 34.1%
2037 32.3% 34.4%
2036 32.6% 34.6%
2035 32.9% 34.7%
2034 33.1% 34.9%
2033 33.4% 35.1%
2032 33.7% 35.3%
2031 34% 35.5%
2030 34.3% 35.8%
2029 34.7% 36.1%
2028 35.1% 36.6%
2027 35.6% 37%
2026 36% 37.3%
2025 36.5% 37.6%
2024 36.7% 37.8%
2023 37% 38.3%
2022 37.3% 38.8%
2021 37.6% 39.4%
2020 37.9% 39.9%
2019 38.1% 40.5%
2018 38.3% 40.9%
2017 38.5% 41.4%
2016 38.6% 41.7%
2015 38.8% 41.9%
2014 38.9% 42%
2013 38.9% 42%
2012 39% 42%
2011 39.1% 42%
2010 39.3% 42.1%
2009 39.6% 42.1%
2008 40% 42.1%
2007 40.4% 42%
2006 40.9% 42%
2005 41.3% 42%
2004 41.8% 42.1%
2003 42.3% 42.2%
2002 42.6% 42.3%
2001 42.9% 42.5%
2000 43.3% 42.8%
1999 43.6% 43.4%
1998 43.9% 43.9%
1997 44.1% 44.3%
1996 44.3% 44.7%
1995 44.5% 44.9%
1994 44.5% 45.1%
1993 44.5% 45.2%
1992 44.3% 45.2%
1991 44.1% 45.1%
1990 44.1% 45.1%
1989 44% 45%
1988 43.8% 45%
1987 43.7% 44.9%
1986 43.6% 44.7%
1985 43.5% 44.5%
1984 43.3% 44.4%
1983 43.1% 44.5%
1982 43% 44.5%
1981 43.1% 44.7%
1980 43.3% 44.9%
1979 43.7% 45.1%
1978 43.8% 45.2%
1977 43.9% 45.3%
1976 44% 45.4%
1975 44.1% 45.5%
1974 44.1% 45.6%
1973 44.1% 45.7%
1972 44.1% 45.9%
1971 44% 46.1%
1970 43.9% 46.2%
1969 43.7% 45.8%
1968 43.5% 44.9%
1967 43.3% 44%
1966 43% 42.9%
1965 42.7% 41.6%
1964 42.2% 40.2%
1963 41.8% 38.5%
1962 41.6% 36.6%
1961 41.4% 34.3%
1960 41.3% 32.9%

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/pakistan/sao-tome-and-principe | CC BY

Children aged 0-14 make up 36.7% of the population in Pakistan and 37.8% in Sao Tome and Principe in 2024, compared to 44.1% and 45.1% respectively in 1990.

Demographics of Pakistan and Sao Tome and Principe compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | CC BY

Maternal mortality chart: Pakistan vs Sao Tome and Principe

Pakistan
Sao Tome and Principe
1x
Year Maternal mortality per 100K births
Pakistan Sao Tome
2023 155 75
2022 160 82
2021 193 98
2020 178 92
2019 173 95
2018 178 100
2017 184 110
2016 193 119
2015 202 128
2014 211 138
2013 220 150
2012 227 158
2011 234 164
2010 240 170
2009 246 172
2008 254 174
2007 265 174
2006 284 177
2005 316 181
2004 333 177
2003 358 178
2002 380 179
2001 400 178
2000 419 180
1999 438 179
1998 456 175
1997 476 173
1996 482 171
1995 485 172
1994 479 168
1993 473 166
1992 459 164
1991 443 166
1990 434 164
1989 439 167
1988 441 157
1987 442 161
1986 436 175
1985 432 159

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 155 deaths per 100,000 live births in Pakistan, compared to 75 deaths in Sao Tome and Principe.

Under-five mortality rates

Pakistan
Sao Tome and Principe

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Pakistan Sao Tome
2023 5.85% 1.39%
2022 6.05% 1.46%
2021 6.25% 1.53%
2020 6.46% 1.6%
2019 6.67% 1.7%
2018 6.88% 1.81%
2017 7.1% 1.95%
2016 7.33% 2.11%
2015 7.56% 2.31%
2014 7.8% 2.54%
2013 8.04% 2.77%
2012 8.27% 3.04%
2011 8.49% 3.33%
2010 8.71% 3.63%
2009 8.91% 3.95%
2008 9.1% 4.3%
2007 9.29% 4.68%
2006 9.47% 5.11%
2005 9.65% 5.56%
2004 9.85% 6.05%
2003 10.1% 6.57%
2002 10.3% 7.1%
2001 10.5% 7.66%
2000 10.8% 8.21%
1999 11.1% 8.76%
1998 11.5% 9.26%
1997 11.8% 9.73%
1996 12.1% 10.1%
1995 12.5% 10.4%
1994 12.8% 10.7%
1993 13.1% 10.8%
1992 13.4% 10.9%
1991 13.7% 10.9%
1990 14% 10.8%
1989 14.2% 10.7%
1988 14.5% 10.6%
1987 14.8% 10.4%
1986 15% 11.4%
1985 15.3% 9.99%
1984 15.6% 9.77%
1983 15.8% 9.56%
1982 16.1% 9.37%
1981 16.3% 9.21%
1980 16.5% 9.1%
1979 16.7% 9.02%
1978 16.9% 8.96%
1977 17.1% 8.93%
1976 17.4% 8.89%
1975 17.6% 8.85%
1974 17.8% 8.79%
1973 18.1% 8.73%
1972 18.4% 8.67%
1971 18.7% 8.63%
1970 19% 8.64%
1969 19.4% 8.71%
1968 19.7% 8.85%
1967 20.2% 9.04%
1966 20.6% 9.29%
1965 21.2% 9.56%
1964 21.8% -
1963 22.5% -
1962 23.3% -
1961 24.1% -
1960 25% -

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

GeoRank.org/birth-rate/pakistan/sao-tome-and-principe | CC BY

The chance that a newborn baby will die before reaching age five is 5.85% in Pakistan and 1.39% in Sao Tome and Principe. 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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