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Fertility & birth rates in Pakistan and Sierra Leone

Updated on by Georank team

Pakistan has an annual birth rate of 27.8 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 3.61 in Pakistan and 3.79 in Sierra Leone — 5.16% difference.

1960 vs 2023, the fertility rate has decreased by 47% in Pakistan and by 38.6% in Sierra Leone — in 1960, it was 6.8 and 6.18, respectively.

  • Pakistan is ranked 41/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age for first-time mothers is 22.8 years in Pakistan, compared to 19.6 years in Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 28.9 in Pakistan — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 41.1 in Pakistan vs 93.6 in Sierra Leone.
  • In Pakistan, 24.6% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Pakistan vs Sierra Leone by year

Pakistan
Sierra Leone
1x
Year Fertility rate
Pakistan Sierra Leone
2023 3.61 3.79
2022 3.66 3.88
2021 3.72 3.98
2020 3.77 4.08
2019 3.81 4.19
2018 3.86 4.29
2017 3.9 4.39
2016 3.9 4.47
2015 3.99 4.55
2014 4.06 4.7
2013 4.13 4.87
2012 4.2 5.06
2011 4.31 5.21
2010 4.4 5.33
2009 4.47 5.45
2008 4.51 5.56
2007 4.55 5.64
2006 4.59 5.74
2005 4.6 5.81
2004 4.68 5.92
2003 4.89 6.09
2002 5.01 6.23
2001 5.18 6.31
2000 5.35 6.36
1999 5.46 6.42
1998 5.51 6.5
1997 5.64 6.53
1996 5.77 6.55
1995 5.89 6.56
1994 6.01 6.56
1993 6.11 6.57
1992 6.21 6.56
1991 6.29 6.55
1990 6.36 6.57
1989 6.43 6.57
1988 6.48 6.59
1987 6.52 6.61
1986 6.55 6.6
1985 6.59 6.59
1984 6.62 6.59
1983 6.64 6.57
1982 6.67 6.56
1981 6.7 6.55
1980 6.73 6.56
1979 6.76 6.58
1978 6.78 6.59
1977 6.8 6.57
1976 6.81 6.55
1975 6.81 6.55
1974 6.81 6.53
1973 6.81 6.47
1972 6.81 6.45
1971 6.8 6.43
1970 6.8 6.41
1969 6.8 6.39
1968 6.8 6.39
1967 6.8 6.38
1966 6.8 6.35
1965 6.8 6.31
1964 6.8 6.29
1963 6.8 6.26
1962 6.8 6.22
1961 6.8 6.21
1960 6.8 6.18

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

GeoRank.org/birth-rate/pakistan/sierra-leone | 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 3.79 in Sierra Leone in 2023. The replacement level is considered to be 2.1 children per woman.

Check Pakistan vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

Pakistan
Sierra Leone
1x
Year Natural population change
Pakistan Sierra Leone
2023 5,281,745 188,788
2022 5,268,077 186,625
2021 5,065,913 183,326
2020 5,011,177 181,015
2019 5,127,011 181,068
2018 5,103,858 178,772
2017 5,090,200 173,259
2016 5,044,922 168,784
2015 5,113,507 162,275
2014 5,148,994 160,137
2013 5,176,590 161,265
2012 5,191,263 160,915
2011 5,189,412 158,858
2010 5,147,142 155,338
2009 5,028,132 152,669
2008 4,885,855 149,855
2007 4,690,187 145,740
2006 4,538,426 144,127
2005 4,294,393 137,234
2004 4,294,654 132,661
2003 4,340,688 130,312
2002 4,307,607 126,429
2001 4,304,297 116,647
2000 4,281,169 110,754
1999 4,228,026 102,295
1998 4,104,824 103,906
1997 4,043,912 105,433
1996 4,021,758 104,140
1995 3,977,175 100,885
1994 3,956,699 101,486
1993 3,915,776 103,317
1992 3,888,637 103,251
1991 3,822,363 105,477
1990 3,731,730 100,778
1989 3,648,132 98,298
1988 3,554,755 96,344
1987 3,448,813 94,235
1986 3,341,643 90,902
1985 3,233,315 88,869
1984 3,145,772 87,072
1983 3,052,738 84,628
1982 2,934,689 82,457
1981 2,790,454 80,111
1980 2,598,421 77,932
1979 2,461,311 75,992
1978 2,356,601 74,130
1977 2,257,849 71,663
1976 2,171,812 69,506
1975 2,099,811 67,560
1974 2,028,061 65,357
1973 1,971,909 62,443
1972 1,912,774 60,279
1971 1,695,374 58,484
1970 1,793,570 56,513
1969 1,733,601 54,768
1968 1,683,296 53,126
1967 1,626,737 51,734
1966 1,566,343 49,486
1965 1,496,050 47,223
1964 1,447,394 45,487
1963 1,384,934 43,569
1962 1,328,675 41,603
1961 1,273,772 40,022
1960 1,217,147 38,192

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

GeoRank.org/birth-rate/pakistan/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 +2.13% in Pakistan and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +2.23% in Pakistan and +2.31% in Sierra Leone.

Birth rate in Pakistan vs Sierra Leone by year

Pakistan
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Pakistan Sierra Leone
2023 27.8 30.6
2022 28.1 31.1
2021 28.4 31.6
2020 28.6 32.2
2019 29 32.8
2018 29.3 33.3
2017 29.7 33.8
2016 30 34.2
2015 30.7 34.7
2014 31.3 35.6
2013 31.9 36.6
2012 32.5 37.8
2011 33 38.5
2010 33.5 39.1
2009 33.6 39.9
2008 33.6 40.6
2007 33.3 41.1
2006 33.2 41.8
2005 32.9 42
2004 33.2 42.5
2003 34.3 43.5
2002 34.9 44.3
2001 35.7 44
2000 36.5 45
1999 37.2 46.1
1998 37.4 46.3
1997 38 46.3
1996 38.9 46.5
1995 39.6 46.8
1994 40.4 46.8
1993 41.2 46.9
1992 42 47
1991 42.5 47.5
1990 42.9 45.5
1989 43.4 46.3
1988 43.8 46.4
1987 44 46.6
1986 44.1 46.6
1985 44.3 46.7
1984 44.5 46.8
1983 44.7 46.7
1982 44.6 46.8
1981 44.4 46.8
1980 43.6 46.8
1979 43.5 47
1978 43.5 47.2
1977 43.4 47.1
1976 43.4 47.2
1975 43.5 47.3
1974 43.6 47.4
1973 43.7 47.2
1972 43.8 47.2
1971 43.9 47.3
1970 44.1 47.4
1969 44.3 47.5
1968 44.7 47.7
1967 45.1 47.9
1966 45.4 48
1965 45.7 48
1964 46 48.2
1963 46.2 48.2
1962 46.4 48.1
1961 46.6 48.1
1960 46.7 48

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

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

The latest reported birth rate per 1,000 people in 2023 was 27.8 in Pakistan and 30.6 in Sierra Leone, compared with 46.7 and 48, respectively, in 1960.

Birth rate data compared

Pakistan Sierra Leone
Fertility rate 3.61 3.79
Fertility rate rank 42/196 35/196
Birth rate 27.8 30.6
Birth rate rank 41/196 29/196
Population change due to births and deaths +5,281,745 +188,788
Natural population change rank 2/196 62/196
Natural population change rate +2.13% +2.23%
Population growth +1.52% +2.15%
Population growth rank 70/197 47/197
Age at first childbirth 22.8 years 19.6 years
Average age at childbearing 28.9 years 28.5 years
Annual births per 1,000 women ages 15-19 38.9 87.7
Annual births per 1,000 women ages 20-29 190.2 169.3
Annual births per 1,000 women ages 30+ 48.6 53.4
Female of reproductive age (15-49), share of population 24.6% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 25% 20.9%
Share of births attended by skilled health staff 68% 86.9%
Maternal mortality per live birth 0.16% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 3.76% 2.93%
Infant mortality rate (before reaching 1 year of age) 5.01% 5.62%
Mortality rate before reaching 5 years of age 5.85% 9.43%
Life expectancy 68.1 years 62.3 years

Children 0-14 years as share of population

Pakistan
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
Pakistan Sierra Leone
2100 19.3% 19%
2099 19.4% 19%
2098 19.5% 19.1%
2097 19.7% 19.2%
2096 19.8% 19.3%
2095 19.9% 19.5%
2094 20% 19.6%
2093 20.2% 19.7%
2092 20.3% 19.8%
2091 20.4% 19.9%
2090 20.6% 20%
2089 20.7% 20.1%
2088 20.9% 20.3%
2087 21% 20.4%
2086 21.2% 20.5%
2085 21.4% 20.7%
2084 21.5% 20.8%
2083 21.7% 20.9%
2082 21.9% 21.1%
2081 22% 21.2%
2080 22.2% 21.4%
2079 22.4% 21.6%
2078 22.6% 21.7%
2077 22.8% 21.9%
2076 23% 22.1%
2075 23.1% 22.2%
2074 23.3% 22.4%
2073 23.5% 22.6%
2072 23.7% 22.8%
2071 23.9% 23%
2070 24.1% 23.2%
2069 24.3% 23.4%
2068 24.5% 23.6%
2067 24.7% 23.8%
2066 24.9% 24%
2065 25.1% 24.3%
2064 25.3% 24.5%
2063 25.5% 24.7%
2062 25.7% 25%
2061 26% 25.2%
2060 26.2% 25.5%
2059 26.5% 25.7%
2058 26.7% 26%
2057 27% 26.3%
2056 27.3% 26.6%
2055 27.5% 26.9%
2054 27.8% 27.1%
2053 28.1% 27.4%
2052 28.4% 27.7%
2051 28.7% 28.1%
2050 29% 28.4%
2049 29.3% 28.7%
2048 29.6% 29%
2047 29.9% 29.3%
2046 30.2% 29.7%
2045 30.4% 30%
2044 30.7% 30.3%
2043 30.9% 30.7%
2042 31.1% 31.1%
2041 31.4% 31.4%
2040 31.6% 31.8%
2039 31.8% 32.2%
2038 32.1% 32.6%
2037 32.3% 33%
2036 32.6% 33.4%
2035 32.9% 33.8%
2034 33.1% 34.2%
2033 33.4% 34.6%
2032 33.7% 35%
2031 34% 35.4%
2030 34.3% 35.7%
2029 34.7% 36.1%
2028 35.1% 36.5%
2027 35.6% 37%
2026 36% 37.4%
2025 36.5% 37.9%
2024 36.7% 38.1%
2023 37% 38.5%
2022 37.3% 39%
2021 37.6% 39.4%
2020 37.9% 39.8%
2019 38.1% 40.2%
2018 38.3% 40.6%
2017 38.5% 41%
2016 38.6% 41.4%
2015 38.8% 41.8%
2014 38.9% 42.2%
2013 38.9% 42.5%
2012 39% 42.8%
2011 39.1% 43%
2010 39.3% 43.2%
2009 39.6% 43.4%
2008 40% 43.5%
2007 40.4% 43.6%
2006 40.9% 43.7%
2005 41.3% 43.8%
2004 41.8% 43.9%
2003 42.3% 43.9%
2002 42.6% 43.9%
2001 42.9% 43.9%
2000 43.3% 43.8%
1999 43.6% 43.7%
1998 43.9% 43.6%
1997 44.1% 43.5%
1996 44.3% 43.5%
1995 44.5% 43.4%
1994 44.5% 43.3%
1993 44.5% 43.2%
1992 44.3% 43.1%
1991 44.1% 43%
1990 44.1% 42.9%
1989 44% 42.9%
1988 43.8% 42.8%
1987 43.7% 42.7%
1986 43.6% 42.6%
1985 43.5% 42.5%
1984 43.3% 42.3%
1983 43.1% 42.2%
1982 43% 42.1%
1981 43.1% 42%
1980 43.3% 41.9%
1979 43.7% 41.8%
1978 43.8% 41.7%
1977 43.9% 41.6%
1976 44% 41.4%
1975 44.1% 41.3%
1974 44.1% 41.1%
1973 44.1% 40.9%
1972 44.1% 40.7%
1971 44% 40.6%
1970 43.9% 40.3%
1969 43.7% 40.1%
1968 43.5% 39.9%
1967 43.3% 39.6%
1966 43% 39.4%
1965 42.7% 39.1%
1964 42.2% 38.8%
1963 41.8% 38.5%
1962 41.6% 38.3%
1961 41.4% 38.3%
1960 41.3% 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/pakistan/sierra-leone | CC BY

Children aged 0-14 make up 36.7% of the population in Pakistan and 38.1% in Sierra Leone in 2024, compared to 44.1% and 42.9% respectively in 1990.

Demographics of Pakistan 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/pakistan/sierra-leone | CC BY

Maternal mortality chart: Pakistan vs Sierra Leone

Pakistan
Sierra Leone
1x
Year Maternal mortality per 100K births
Pakistan Sierra Leone
2023 155 354
2022 160 370
2021 193 403
2020 178 422
2019 173 464
2018 178 491
2017 184 578
2016 193 633
2015 202 730
2014 211 821
2013 220 842
2012 227 915
2011 234 967
2010 240 1,018
2009 246 1,054
2008 254 1,093
2007 265 1,132
2006 284 1,168
2005 316 1,294
2004 333 1,366
2003 358 1,433
2002 380 1,492
2001 400 1,518
2000 419 1,603
1999 438 1,731
1998 456 1,753
1997 476 1,721
1996 482 1,726
1995 485 1,777
1994 479 1,755
1993 473 1,696
1992 459 1,681
1991 443 1,699
1990 434 1,572
1989 439 1,575
1988 441 1,549
1987 442 1,533
1986 436 1,530
1985 432 1,506

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

GeoRank.org/birth-rate/pakistan/sierra-leone | 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 354 deaths in Sierra Leone.

Under-five mortality rates

Pakistan
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Pakistan Sierra Leone
2023 5.85% 9.43%
2022 6.05% 9.77%
2021 6.25% 10.1%
2020 6.46% 10.5%
2019 6.67% 10.9%
2018 6.88% 11.3%
2017 7.1% 11.8%
2016 7.33% 12.3%
2015 7.56% 13.8%
2014 7.8% 13.7%
2013 8.04% 13.9%
2012 8.27% 14.5%
2011 8.49% 15.2%
2010 8.71% 15.9%
2009 8.91% 16.6%
2008 9.1% 17.3%
2007 9.29% 18.1%
2006 9.47% 18.8%
2005 9.65% 19.4%
2004 9.85% 20.1%
2003 10.1% 20.7%
2002 10.3% 21.3%
2001 10.5% 21.8%
2000 10.8% 22.4%
1999 11.1% 22.9%
1998 11.5% 23.4%
1997 11.8% 23.9%
1996 12.1% 24.3%
1995 12.5% 24.7%
1994 12.8% 25%
1993 13.1% 25.3%
1992 13.4% 25.5%
1991 13.7% 25.7%
1990 14% 25.9%
1989 14.2% 26.2%
1988 14.5% 26.4%
1987 14.8% 26.6%
1986 15% 26.9%
1985 15.3% 27.2%
1984 15.6% 27.5%
1983 15.8% 27.8%
1982 16.1% 28.1%
1981 16.3% 28.5%
1980 16.5% 28.9%
1979 16.7% 29.2%
1978 16.9% 29.6%
1977 17.1% 30%
1976 17.4% 30.5%
1975 17.6% 30.9%
1974 17.8% 31.4%
1973 18.1% 31.9%
1972 18.4% 32.3%
1971 18.7% 32.9%
1970 19% 33.4%
1969 19.4% 33.9%
1968 19.7% 34.5%
1967 20.2% 35%
1966 20.6% 35.6%
1965 21.2% 36.2%
1964 21.8% 36.8%
1963 22.5% 37.4%
1962 23.3% 38%
1961 24.1% 38.5%
1960 25% 39.1%

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

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

The chance that a newborn baby will die before reaching age five is 5.85% in Pakistan and 9.43% in Sierra Leone. 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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