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Fertility & birth rates in Paraguay and Sao Tome and Principe

Updated on by Georank team

Paraguay has an annual birth rate of 20 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 2.42 in Paraguay and 3.64 in Sao Tome and Principe — 50.5% difference.

1960 vs 2023, the fertility rate has decreased by 62.7% in Paraguay and by 41.6% in Sao Tome and Principe — in 1960, it was 6.5 and 6.24, respectively.

  • Paraguay is ranked 77/196 by birth rate compared to 39/196 for Sao Tome and Principe.
  • The mean age for first-time mothers is 22.9 years in Paraguay, compared to 19.4 years in Sao Tome and Principe.
  • The mean age at childbearing (for all the births, not just the first) is 27.6 in Paraguay — 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 70.3 in Paraguay vs 86.2 in Sao Tome and Principe.
  • In Paraguay, 26.1% of the population is composed of women of reproductive age (15-49), compared to 25.2% in Sao Tome and Principe.

Fertility rate in Paraguay vs Sao Tome and Principe by year

Paraguay
Sao Tome and Principe
1x
Year Fertility rate
Paraguay Sao Tome
2023 2.42 3.64
2022 2.44 3.7
2021 2.47 3.76
2020 2.5 3.83
2019 2.53 3.9
2018 2.56 3.98
2017 2.59 4.07
2016 2.62 4.2
2015 2.65 4.35
2014 2.65 4.49
2013 2.64 4.58
2012 2.66 4.66
2011 2.67 4.72
2010 2.7 4.77
2009 2.76 4.84
2008 2.79 4.91
2007 2.82 4.96
2006 2.89 4.93
2005 2.97 4.94
2004 3.05 4.96
2003 3.12 5.01
2002 3.23 5.06
2001 3.36 5.1
2000 3.51 5.16
1999 3.67 5.23
1998 3.8 5.3
1997 3.91 5.4
1996 4.01 5.47
1995 4.11 5.55
1994 4.2 5.56
1993 4.28 5.64
1992 4.4 5.7
1991 4.48 5.77
1990 4.57 5.83
1989 4.68 5.88
1988 4.77 5.94
1987 4.85 5.99
1986 4.93 6.05
1985 4.97 6.1
1984 5.04 6.16
1983 5.09 6.22
1982 5.13 6.28
1981 5.15 6.33
1980 5.1 6.39
1979 5.06 6.43
1978 5.04 6.47
1977 5.08 6.5
1976 5.12 6.52
1975 5.18 6.53
1974 5.27 6.53
1973 5.35 6.53
1972 5.46 6.51
1971 5.59 6.49
1970 5.72 6.47
1969 5.84 6.44
1968 5.97 6.42
1967 6.1 6.39
1966 6.23 6.37
1965 6.35 6.35
1964 6.42 6.33
1963 6.45 6.31
1962 6.47 6.28
1961 6.49 6.26
1960 6.5 6.24

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

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

According to the latest available data on birth rates, the fertility rate in Paraguay was 2.42 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 Paraguay vs Sao Tome and Principe population clock for a dynamic visualization of the changing population.

Natural population change by year

Paraguay
Sao Tome and Principe
1x
Year Natural population change
Paraguay Sao Tome
2023 97,748 5,221
2022 94,627 5,102
2021 78,667 4,954
2020 98,667 4,874
2019 103,179 4,932
2018 104,908 4,957
2017 105,634 5,007
2016 106,804 5,125
2015 106,817 5,269
2014 105,585 5,381
2013 103,383 5,449
2012 102,508 5,501
2011 100,442 5,445
2010 99,456 5,391
2009 100,296 5,349
2008 99,821 5,297
2007 99,141 5,226
2006 99,808 5,057
2005 101,035 4,897
2004 101,896 4,810
2003 102,427 4,702
2002 104,658 4,591
2001 107,225 4,471
2000 109,979 4,334
1999 112,726 4,221
1998 114,122 4,120
1997 115,095 4,041
1996 115,623 3,993
1995 115,777 3,948
1994 115,662 3,860
1993 115,211 3,841
1992 115,442 3,822
1991 114,472 3,801
1990 112,864 3,719
1989 111,727 3,576
1988 110,348 3,544
1987 107,962 3,440
1986 105,776 3,180
1985 102,859 3,242
1984 99,937 3,163
1983 96,406 3,100
1982 92,917 3,047
1981 89,456 3,015
1980 84,568 2,965
1979 80,345 2,893
1978 76,691 2,800
1977 74,359 2,705
1976 71,973 2,608
1975 70,285 2,515
1974 69,059 2,422
1973 67,803 2,329
1972 66,625 2,232
1971 66,142 2,127
1970 65,905 1,980
1969 65,616 1,862
1968 65,575 1,767
1967 65,695 1,693
1966 66,002 1,642
1965 66,063 1,611
1964 65,681 1,600
1963 64,741 1,609
1962 63,079 1,625
1961 61,536 1,657
1960 60,009 1,547

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

GeoRank.org/birth-rate/paraguay/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 +1.43% in Paraguay and +2.26% in Sao Tome and Principe.

For the past 10 years, the annual natural population change has been +1.56% in Paraguay and +2.4% in Sao Tome and Principe.

Birth rate in Paraguay vs Sao Tome and Principe by year

Paraguay
Sao Tome and Principe

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Paraguay Sao Tome
2023 20 28.2
2022 20.4 28.3
2021 20.7 28.5
2020 21 28.6
2019 21.4 29.2
2018 21.8 29.8
2017 22.2 30.6
2016 22.5 31.7
2015 22.7 33
2014 22.6 34.3
2013 22.5 35.4
2012 22.6 36.4
2011 22.5 36.8
2010 22.5 37.3
2009 22.9 37.9
2008 23 38.5
2007 23 38.9
2006 23.3 38.9
2005 23.7 39
2004 24.1 39.2
2003 24.4 39.6
2002 25.1 39.8
2001 25.9 40
2000 26.9 39.7
1999 27.9 39.4
1998 28.8 39.2
1997 29.6 39.2
1996 30.3 39.3
1995 31 39.5
1994 31.7 39.4
1993 32.4 39.8
1992 33.3 40.2
1991 33.9 40.7
1990 34.4 40.7
1989 35.2 40.9
1988 35.8 40.9
1987 36.1 41
1986 36.5 41
1985 36.8 41
1984 37 41.1
1983 37 41.2
1982 37 41.3
1981 36.9 41.5
1980 36.2 41.6
1979 35.6 41.6
1978 35.1 41.4
1977 35 41.3
1976 34.8 41.1
1975 34.9 40.9
1974 35.2 40.6
1973 35.4 40.3
1972 35.8 39.9
1971 36.3 39.5
1970 37 38.8
1969 37.6 38.2
1968 38.4 37.8
1967 39.2 37.7
1966 40.2 38
1965 41 38.6
1964 41.7 39.7
1963 42.1 41.1
1962 42.2 42.7
1961 42.3 44.6
1960 42.4 44.6

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

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

The latest reported birth rate per 1,000 people in 2023 was 20 in Paraguay and 28.2 in Sao Tome and Principe, compared with 42.4 and 44.6, respectively, in 1960.

Birth rate data compared

Paraguay Sao Tome
Fertility rate 2.42 3.64
Fertility rate rank 77/196 41/196
Birth rate 20 28.2
Birth rate rank 77/196 39/196
Population change due to births and deaths +97,748 +5,221
Natural population change rank 80/196 126/196
Natural population change rate +1.43% +2.26%
Population growth +1.24% +2.02%
Population growth rank 87/197 49/197
Age at first childbirth 22.9 years 19.4 years
Average age at childbearing 27.6 years 28.4 years
Annual births per 1,000 women ages 15-19 69.6 82.5
Annual births per 1,000 women ages 20-29 113.3 169.9
Annual births per 1,000 women ages 30+ 29 47.4
Female of reproductive age (15-49), share of population 26.1% 25.2%
Any modern method of contraceptive prevalence among married women ages 15-49 66.4% 46%
Share of births attended by skilled health staff 92.2% 96.8%
Maternal mortality per live birth 0.06% 0.08%
Neonatal mortality rate (before reaching 28 days of age) 0.91% 0.68%
Infant mortality rate (before reaching 1 year of age) 1.51% 0.94%
Mortality rate before reaching 5 years of age 1.7% 1.39%
Life expectancy 74.2 years 70.3 years

Children 0-14 years as share of population

Paraguay
Factual

UN forecast
Sao Tome and Principe
Factual

UN forecast
1x
Year Young
Paraguay Sao Tome
2100 15.5% 19.5%
2099 15.6% 19.6%
2098 15.7% 19.8%
2097 15.8% 19.9%
2096 15.9% 20%
2095 15.9% 20.2%
2094 16% 20.3%
2093 16.1% 20.4%
2092 16.2% 20.6%
2091 16.3% 20.7%
2090 16.4% 20.9%
2089 16.4% 21.1%
2088 16.5% 21.2%
2087 16.6% 21.4%
2086 16.7% 21.6%
2085 16.8% 21.8%
2084 16.8% 22%
2083 16.9% 22.2%
2082 17% 22.4%
2081 17.1% 22.6%
2080 17.2% 22.9%
2079 17.3% 23.1%
2078 17.3% 23.3%
2077 17.4% 23.5%
2076 17.5% 23.7%
2075 17.6% 24%
2074 17.8% 24.2%
2073 17.9% 24.4%
2072 18% 24.6%
2071 18.1% 24.8%
2070 18.3% 25%
2069 18.4% 25.2%
2068 18.6% 25.4%
2067 18.7% 25.6%
2066 18.9% 25.9%
2065 19.1% 26.1%
2064 19.2% 26.3%
2063 19.4% 26.5%
2062 19.6% 26.8%
2061 19.7% 27%
2060 19.9% 27.3%
2059 20.1% 27.5%
2058 20.2% 27.8%
2057 20.4% 28.1%
2056 20.6% 28.4%
2055 20.7% 28.7%
2054 20.9% 29%
2053 21% 29.4%
2052 21.2% 29.7%
2051 21.4% 30.1%
2050 21.5% 30.4%
2049 21.7% 30.8%
2048 21.9% 31.1%
2047 22% 31.5%
2046 22.2% 31.8%
2045 22.4% 32.1%
2044 22.6% 32.5%
2043 22.9% 32.8%
2042 23.1% 33.1%
2041 23.3% 33.4%
2040 23.6% 33.6%
2039 23.9% 33.9%
2038 24.2% 34.1%
2037 24.5% 34.4%
2036 24.9% 34.6%
2035 25.2% 34.7%
2034 25.6% 34.9%
2033 26% 35.1%
2032 26.3% 35.3%
2031 26.7% 35.5%
2030 27.1% 35.8%
2029 27.4% 36.1%
2028 27.7% 36.6%
2027 28% 37%
2026 28.3% 37.3%
2025 28.5% 37.6%
2024 28.6% 37.8%
2023 28.8% 38.3%
2022 28.9% 38.8%
2021 29% 39.4%
2020 29.1% 39.9%
2019 29.3% 40.5%
2018 29.5% 40.9%
2017 29.7% 41.4%
2016 29.9% 41.7%
2015 30.2% 41.9%
2014 30.5% 42%
2013 30.9% 42%
2012 31.4% 42%
2011 32% 42%
2010 32.5% 42.1%
2009 33.2% 42.1%
2008 33.8% 42.1%
2007 34.4% 42%
2006 35.1% 42%
2005 35.8% 42%
2004 36.6% 42.1%
2003 37.3% 42.2%
2002 37.9% 42.3%
2001 38.4% 42.5%
2000 39% 42.8%
1999 39.5% 43.4%
1998 40% 43.9%
1997 40.4% 44.3%
1996 40.8% 44.7%
1995 41.1% 44.9%
1994 41.3% 45.1%
1993 41.4% 45.2%
1992 41.5% 45.2%
1991 41.5% 45.1%
1990 41.5% 45.1%
1989 41.5% 45%
1988 41.4% 45%
1987 41.3% 44.9%
1986 41.3% 44.7%
1985 41.2% 44.5%
1984 41.2% 44.4%
1983 41.2% 44.5%
1982 41.2% 44.5%
1981 41.4% 44.7%
1980 41.6% 44.9%
1979 42% 45.1%
1978 42.4% 45.2%
1977 42.8% 45.3%
1976 43.3% 45.4%
1975 43.7% 45.5%
1974 44.2% 45.6%
1973 44.6% 45.7%
1972 45% 45.9%
1971 45.2% 46.1%
1970 45.5% 46.2%
1969 45.7% 45.8%
1968 45.8% 44.9%
1967 45.9% 44%
1966 46% 42.9%
1965 46% 41.6%
1964 46% 40.2%
1963 46% 38.5%
1962 46.1% 36.6%
1961 46.2% 34.3%
1960 46.3% 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/paraguay/sao-tome-and-principe | CC BY

Children aged 0-14 make up 28.6% of the population in Paraguay and 37.8% in Sao Tome and Principe in 2024, compared to 41.5% and 45.1% respectively in 1990.

Demographics of Paraguay 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/paraguay/sao-tome-and-principe | CC BY

Maternal mortality chart: Paraguay vs Sao Tome and Principe

Paraguay
Sao Tome and Principe
1x
Year Maternal mortality per 100K births
Paraguay Sao Tome
2023 58 75
2022 78 82
2021 140 98
2020 69 92
2019 58 95
2018 58 100
2017 58 110
2016 60 119
2015 64 128
2014 70 138
2013 84 150
2012 100 158
2011 120 164
2010 136 170
2009 152 172
2008 166 174
2007 177 174
2006 186 177
2005 194 181
2004 199 177
2003 203 178
2002 206 179
2001 207 178
2000 207 180
1999 207 179
1998 207 175
1997 205 173
1996 203 171
1995 202 172
1994 201 168
1993 197 166
1992 195 164
1991 192 166
1990 198 164
1989 209 167
1988 220 157
1987 225 161
1986 230 175
1985 237 159

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

GeoRank.org/birth-rate/paraguay/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 58 deaths per 100,000 live births in Paraguay, compared to 75 deaths in Sao Tome and Principe.

Under-five mortality rates

Paraguay
Sao Tome and Principe

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Paraguay Sao Tome
2023 1.7% 1.39%
2022 1.76% 1.46%
2021 1.82% 1.53%
2020 1.88% 1.6%
2019 1.94% 1.7%
2018 2.01% 1.81%
2017 2.08% 1.95%
2016 2.15% 2.11%
2015 2.22% 2.31%
2014 2.3% 2.54%
2013 2.37% 2.77%
2012 2.44% 3.04%
2011 2.51% 3.33%
2010 2.59% 3.63%
2009 2.67% 3.95%
2008 2.75% 4.3%
2007 2.83% 4.68%
2006 2.91% 5.11%
2005 2.99% 5.56%
2004 3.07% 6.05%
2003 3.14% 6.57%
2002 3.22% 7.1%
2001 3.29% 7.66%
2000 3.36% 8.21%
1999 3.45% 8.76%
1998 3.53% 9.26%
1997 3.62% 9.73%
1996 3.72% 10.1%
1995 3.83% 10.4%
1994 3.95% 10.7%
1993 4.08% 10.8%
1992 4.23% 10.9%
1991 4.38% 10.9%
1990 4.55% 10.8%
1989 4.73% 10.7%
1988 4.92% 10.6%
1987 5.1% 10.4%
1986 5.3% 11.4%
1985 5.5% 9.99%
1984 5.71% 9.77%
1983 5.92% 9.56%
1982 6.14% 9.37%
1981 6.35% 9.21%
1980 6.55% 9.1%
1979 6.74% 9.02%
1978 6.91% 8.96%
1977 7.06% 8.93%
1976 7.21% 8.89%
1975 7.34% 8.85%
1974 7.46% 8.79%
1973 7.57% 8.73%
1972 7.66% 8.67%
1971 7.73% 8.63%
1970 7.79% 8.64%
1969 7.84% 8.71%
1968 7.88% 8.85%
1967 7.91% 9.04%
1966 7.94% 9.29%
1965 7.96% 9.56%
1964 7.99% -
1963 8.02% -
1962 8.06% -
1961 8.11% -
1960 8.18% -

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

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

The chance that a newborn baby will die before reaching age five is 1.7% in Paraguay 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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