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Sao Tome and Principe birth & fertility rate charts by year

Updated on by Georank team

Sao Tome and Principe has a birth rate of 28.2 (annual births per 1,000 people) and a fertility rate of 3.64 (the average number of children a woman is expected to have over her lifetime based on current age-specific birth rates).

In 1960, the fertility rate in Sao Tome and Principe was 6.24 children per woman — 1.71 times higher than in 2023.

Sao Tome and Principe birth rate statistics:

  • Sao Tome and Principe is ranked 39/196 by birth rate now and was ranked 88/194 in 1960.
  • The mean age at first birth in Sao Tome and Principe is 19.4 — it was 19.4 in 2017.
  • The mean age at childbearing (for all the births, not just the first) is 28.4, a change from 29.2 in 1990.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) changed from 153.7 in 1960 to 86.2 in 2023.
  • 25.2% of the population in 2024 is composed of women of reproductive age (15-49), a change from 21.8% in 1960.

Fertility rate in Sao Tome and Principe by year

Fertility rate
Rank
1x
Year Fertility rate Rank
2023 3.64 41
2022 3.7 41
2021 3.76 41
2020 3.83 40
2019 3.9 39
2018 3.98 39
2017 4.07 39
2016 4.2 37
2015 4.35 35
2014 4.49 35
2013 4.58 34
2012 4.66 33
2011 4.72 35
2010 4.77 36
2009 4.84 35
2008 4.91 36
2007 4.96 36
2006 4.93 37
2005 4.94 37
2004 4.96 39
2003 5.01 39
2002 5.06 39
2001 5.1 40
2000 5.16 40
1999 5.23 39
1998 5.3 39
1997 5.4 39
1996 5.47 39
1995 5.55 40
1994 5.56 41
1993 5.64 43
1992 5.7 45
1991 5.77 46
1990 5.83 46
1989 5.88 46
1988 5.94 50
1987 5.99 51
1986 6.05 52
1985 6.1 54
1984 6.16 53
1983 6.22 54
1982 6.28 54
1981 6.33 54
1980 6.39 55
1979 6.43 54
1978 6.47 54
1977 6.5 54
1976 6.52 54
1975 6.53 55
1974 6.53 55
1973 6.53 56
1972 6.51 59
1971 6.49 61
1970 6.47 61
1969 6.44 65
1968 6.42 71
1967 6.39 75
1966 6.37 77
1965 6.35 80
1964 6.33 83
1963 6.31 90
1962 6.28 91
1961 6.26 95
1960 6.24 97

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

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

According to the latest birth rate data available, the fertility rate in Sao Tome and Principe is 3.64, which is above the replacement level of 2.1 children per woman. In 1993, the fertility rate was 5.64 — a 35.3% decline in 30 years.

Check population clock for a dynamic visualization of the changing population.

The chart above shows the historical changes in fertility rate and ranking compared to other countries, where a lower rank number indicates a higher relative fertility rate.

Births, deaths, and natural population change by year

Natural change
Births
Deaths
1x
Year People
Natural change Births Deaths
2023 5,221 6,507 1,286
2022 5,102 6,399 1,297
2021 4,954 6,329 1,375
2020 4,874 6,227 1,353
2019 4,932 6,237 1,305
2018 4,957 6,264 1,307
2017 5,007 6,325 1,318
2016 5,125 6,455 1,330
2015 5,269 6,614 1,345
2014 5,381 6,743 1,362
2013 5,449 6,829 1,380
2012 5,501 6,888 1,387
2011 5,445 6,840 1,395
2010 5,391 6,785 1,394
2009 5,349 6,739 1,390
2008 5,297 6,685 1,388
2007 5,226 6,603 1,377
2006 5,057 6,435 1,378
2005 4,897 6,300 1,403
2004 4,810 6,182 1,372
2003 4,702 6,083 1,381
2002 4,591 5,973 1,382
2001 4,471 5,849 1,378
2000 4,334 5,724 1,390
1999 4,221 5,618 1,397
1998 4,120 5,521 1,401
1997 4,041 5,441 1,400
1996 3,993 5,388 1,395
1995 3,948 5,334 1,386
1994 3,860 5,230 1,370
1993 3,841 5,193 1,352
1992 3,822 5,154 1,332
1991 3,801 5,109 1,308
1990 3,719 5,011 1,292
1989 3,576 4,902 1,326
1988 3,544 4,786 1,242
1987 3,440 4,667 1,227
1986 3,180 4,556 1,376
1985 3,242 4,459 1,217
1984 3,163 4,373 1,210
1983 3,100 4,302 1,202
1982 3,047 4,236 1,189
1981 3,015 4,178 1,163
1980 2,965 4,100 1,135
1979 2,893 4,001 1,108
1978 2,800 3,885 1,085
1977 2,705 3,768 1,063
1976 2,608 3,653 1,045
1975 2,515 3,543 1,028
1974 2,422 3,438 1,016
1973 2,329 3,337 1,008
1972 2,232 3,237 1,005
1971 2,127 3,132 1,005
1970 1,980 3,012 1,032
1969 1,862 2,905 1,043
1968 1,767 2,825 1,058
1967 1,693 2,775 1,082
1966 1,642 2,756 1,114
1965 1,611 2,769 1,158
1964 1,600 2,811 1,211
1963 1,609 2,879 1,270
1962 1,625 2,966 1,341
1961 1,657 3,066 1,409
1960 1,547 3,030 1,483

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

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

Over the past 10 years, the natural population change in Sao Tome and Principe (from births and deaths only, excluding migration) has been +2.4% annually. On average, 5,082 more people were born each year than died.

Excluding migration, the natural population change due to births and deaths from 2022 to 2023 was 2.26% — 5,221 more people were born than died.

In 2023, Sao Tome and Principe ranks 126/196 for absolute natural population change and 33/196 for natural change rate, where a lower rank number indicates faster natural growth and a higher number indicates greater decline.

Birth rates in Sao Tome and Principe compared to other countries

Sao Tome Rank
Fertility rate 3.64 41/196
Birth rate 28.2 39/196
Population change due to births and deaths +5,221 126/196
Natural population change rate +2.26% 33/196
Population growth +2.02% 49/197
Age at first childbirth 19.4 years 125/137
Average age at childbearing 28.4 years 142/197
Annual births per 1,000 women ages 15-19 82.5 27/197
Annual births per 1,000 women ages 20-29 169.9 41/197
Annual births per 1,000 women ages 30+ 47.4 45/197
Female of reproductive age (15-49), share of population 25.2% 74/196
Any modern method of contraceptive prevalence among married women ages 15-49 46% 87/179
Share of births attended by skilled health staff 96.8% 108/191
Maternal mortality per live birth 0.08% 76/193
Neonatal mortality rate (before reaching 28 days of age) 0.68% 114/193
Infant mortality rate (before reaching 1 year of age) 0.94% 116/196
Mortality rate before reaching 5 years of age 1.39% 102/192
Life expectancy 70.3 years 136/197

Birth rates by women's age

15-19
20-29
30+

Annual births per 1,000 women

1x
Year Annual births per 1,000 women
Total 15-19 20-29 30+
2026 54.8 82.5 169.9 47.4
2025 55.2 84.1 172.2 48.7
2024 55.8 85.9 175 50.3
2023 56 87.4 176.7 51.9
2022 56.1 88.2 178.7 53.6
2021 56.7 89.6 181.3 55.6
2020 57 91 183.9 57.5
2019 58.1 92.1 186.4 60
2018 59.2 93.3 189.3 62.3
2017 60.8 96 192.8 65
2016 63 99.8 198.1 67.9
2015 65.7 103.9 204.3 71
2014 68.2 107.1 210.1 73.4
2013 70.3 111.6 213.7 74.7
2012 72.3 118.9 215.3 75.6
2011 73.1 122.7 215.4 76.4
2010 74.1 127 215.4 77.1
2009 75.1 127.5 216.9 78.3
2008 76.3 126.3 219.9 79.2
2007 77.1 124.8 222.3 79.9
2006 76.9 124 222.2 78.8
2005 77.2 126.7 222.7 78.3
2004 77.6 130.1 224.1 77.9
2003 78.3 133.9 226.3 78.4
2002 78.8 136.4 229.7 78.7
2001 79.1 136.2 233.6 78.7
2000 78.7 134.7 235.4 80.4
1999 78.1 133.6 237.9 81.7
1998 77.7 132.3 240.2 83
1997 77.6 128.9 243.6 84.8
1996 77.9 131.2 246.5 85.3
1995 78.3 128.1 251.2 86.3
1994 78 128.2 251.5 85.7
1993 78.8 129.8 255 86
1992 79.7 131.6 258.6 86.3
1991 80.5 133 261.6 86.7
1990 80.8 134.6 264 86.5
1989 81.1 135 268.6 86.1
1988 81.3 138.5 271.4 85.6
1987 81.5 140.7 273.5 85.1
1986 81.6 141.2 275.4 84.3
1985 81.8 140.2 277.8 83.8
1984 82.1 142 280.2 83.4
1983 82.5 143.5 282.7 82.8
1982 82.9 144.7 285.7 82.3
1981 83.7 146.1 288.5 83.9
1980 84.1 147.5 290.9 84.4
1979 84.3 148.8 293.3 84.5
1978 84.2 149.5 295.3 84.3
1977 84 150.4 297.1 83.9
1976 83.8 151 298.1 83.8
1975 83.5 151.4 298.7 83.9
1974 83.3 151.2 298.9 84.3
1973 82.8 151.1 298.4 84.4
1972 82.4 150.5 297.2 84.7
1971 81.6 149.7 296 84.5
1970 80.5 149 294.3 84.1
1969 79.7 148.6 291.3 87.2
1968 79.5 148.1 287.9 89.9
1967 80 147.3 283 92.6
1966 81.3 146.8 279.4 94.5
1965 83.5 145.6 276.8 96.4
1964 86.7 144.6 275.2 97.9
1963 90.7 144 274.9 98.9
1962 95.6 144.6 274.9 99.6
1961 101.1 146.6 275.8 99.8
1960 101.6 147.1 277.6 98.9

Data sources: United Nations | World Population Prospects (1960–2026, retrieved 2026-03-10); World Bank | Health (1960–2024, retrieved 2026-04-06).

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

Above is a chart displaying birth rates in Sao Tome and Principe by maternal age. In 2026, of all live births, 16.9% will be to women under age 20, 53.6% to women ages 20-29, and 29.4% to women ages 30 and above. The respective shares in 1990 were 16.8%, 52.9%, and 30.3%.

Children 0-14 years as share of population by year

Sao Tome and Principe
Factual

UN forecast
World
Factual

UN forecast
1x
Year Children 0-14 as share of population
Sao Tome World
2100 19.5% 16.5%
2099 19.6% 16.6%
2098 19.8% 16.6%
2097 19.9% 16.7%
2096 20% 16.8%
2095 20.2% 16.8%
2094 20.3% 16.9%
2093 20.4% 17%
2092 20.6% 17%
2091 20.7% 17.1%
2090 20.9% 17.2%
2089 21.1% 17.2%
2088 21.2% 17.3%
2087 21.4% 17.4%
2086 21.6% 17.4%
2085 21.8% 17.5%
2084 22% 17.5%
2083 22.2% 17.6%
2082 22.4% 17.7%
2081 22.6% 17.7%
2080 22.9% 17.8%
2079 23.1% 17.8%
2078 23.3% 17.9%
2077 23.5% 17.9%
2076 23.7% 18%
2075 24% 18%
2074 24.2% 18.1%
2073 24.4% 18.2%
2072 24.6% 18.2%
2071 24.8% 18.3%
2070 25% 18.3%
2069 25.2% 18.4%
2068 25.4% 18.5%
2067 25.6% 18.6%
2066 25.9% 18.6%
2065 26.1% 18.7%
2064 26.3% 18.8%
2063 26.5% 18.9%
2062 26.8% 19.1%
2061 27% 19.2%
2060 27.3% 19.3%
2059 27.5% 19.4%
2058 27.8% 19.5%
2057 28.1% 19.6%
2056 28.4% 19.8%
2055 28.7% 19.9%
2054 29% 20%
2053 29.4% 20.1%
2052 29.7% 20.2%
2051 30.1% 20.3%
2050 30.4% 20.4%
2049 30.8% 20.5%
2048 31.1% 20.6%
2047 31.5% 20.7%
2046 31.8% 20.8%
2045 32.1% 20.9%
2044 32.5% 20.9%
2043 32.8% 21%
2042 33.1% 21.1%
2041 33.4% 21.2%
2040 33.6% 21.2%
2039 33.9% 21.3%
2038 34.1% 21.4%
2037 34.4% 21.5%
2036 34.6% 21.6%
2035 34.7% 21.8%
2034 34.9% 22%
2033 35.1% 22.2%
2032 35.3% 22.4%
2031 35.5% 22.7%
2030 35.8% 23%
2029 36.1% 23.3%
2028 36.6% 23.6%
2027 37% 23.9%
2026 37.3% 24.2%
2025 37.6% 24.6%
2024 37.8% 24.7%
2023 38.3% 25%
2022 38.8% 25.3%
2021 39.4% 25.6%
2020 39.9% 25.8%
2019 40.5% 26%
2018 40.9% 26.2%
2017 41.4% 26.4%
2016 41.7% 26.5%
2015 41.9% 26.6%
2014 42% 26.8%
2013 42% 26.9%
2012 42% 27%
2011 42% 27.1%
2010 42.1% 27.3%
2009 42.1% 27.5%
2008 42.1% 27.6%
2007 42% 27.9%
2006 42% 28.1%
2005 42% 28.5%
2004 42.1% 28.8%
2003 42.2% 29.2%
2002 42.3% 29.6%
2001 42.5% 30%
2000 42.8% 30.4%
1999 43.4% 30.8%
1998 43.9% 31.1%
1997 44.3% 31.5%
1996 44.7% 31.8%
1995 44.9% 32.1%
1994 45.1% 32.3%
1993 45.2% 32.5%
1992 45.2% 32.7%
1991 45.1% 32.9%
1990 45.1% 33%
1989 45% 33.2%
1988 45% 33.4%
1987 44.9% 33.6%
1986 44.7% 33.8%
1985 44.5% 34%
1984 44.4% 34.3%
1983 44.5% 34.6%
1982 44.5% 34.9%
1981 44.7% 35.2%
1980 44.9% 35.5%
1979 45.1% 35.9%
1978 45.2% 36.3%
1977 45.3% 36.7%
1976 45.4% 36.9%
1975 45.5% 37.1%
1974 45.6% 37.2%
1973 45.7% 37.3%
1972 45.9% 37.5%
1971 46.1% 37.6%
1970 46.2% 37.7%
1969 45.8% 37.8%
1968 44.9% 37.9%
1967 44% 38%
1966 42.9% 38%
1965 41.6% 38%
1964 40.2% 38%
1963 38.5% 37.8%
1962 36.6% 37.6%
1961 34.3% 37.5%
1960 32.9% 37.4%

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/sao-tome-and-principe | CC BY

The share of children aged 0-14 in Sao Tome and Principe was 32.9% in 1960, 45.2% in 1992, and 37.8% as of the latest data in 2024.

More about the demographics of Sao Tome and Principe.

Fertility rates around the globe

1x

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

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

Maternal mortality by year

Sao Tome and Principe
World's average
1x
Year Maternal mortality per 100K births
Sao Tome World
2023 75 197
2022 82 203
2021 98 242
2020 92 211
2019 95 207
2018 100 211
2017 110 215
2016 119 220
2015 128 228
2014 138 231
2013 150 235
2012 158 239
2011 164 247
2010 170 253
2009 172 258
2008 174 264
2007 174 269
2006 177 276
2005 181 283
2004 177 291
2003 178 301
2002 179 311
2001 178 321
2000 180 328
1999 179 340
1998 175 360
1997 173 358
1996 171 366
1995 172 371
1994 168 382
1993 166 389
1992 164 395
1991 166 395
1990 164 391
1989 167 401
1988 157 414
1987 161 429
1986 175 438
1985 159 460

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

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

The maternal mortality rate in Sao Tome and Principe was 75 deaths per 100,000 live births in 2023 — a 0.08% chance of dying during childbirth or within 42 days of pregnancy termination. This is a 58.3% decrease compared to the year 2000.

Under-five mortality by year

Sao Tome and Principe
World's average

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Sao Tome World
2023 1.39% 2.49%
2022 1.46% 2.59%
2021 1.53% 2.66%
2020 1.6% 2.75%
2019 1.7% 2.86%
2018 1.81% 2.97%
2017 1.95% 3.11%
2016 2.11% 3.22%
2015 2.31% 3.35%
2014 2.54% 3.48%
2013 2.77% 3.61%
2012 3.04% 3.77%
2011 3.33% 3.97%
2010 3.63% 4.11%
2009 3.95% 4.31%
2008 4.3% 4.5%
2007 4.68% 4.7%
2006 5.11% 4.92%
2005 5.56% 5.16%
2004 6.05% 5.43%
2003 6.57% 5.65%
2002 7.1% 5.94%
2001 7.66% 6.21%
2000 8.21% 6.48%
1999 8.76% 6.75%
1998 9.26% 7.05%
1997 9.73% 7.28%
1996 10.1% 7.52%
1995 10.4% 7.76%
1994 10.7% 7.98%
1993 10.8% 8.19%
1992 10.9% 8.46%
1991 10.9% 8.66%
1990 10.8% 8.81%
1989 10.7% 9.02%
1988 10.6% 9.31%
1987 10.4% 9.47%
1986 11.4% 9.81%
1985 9.99% 10.1%
1984 9.77% 10.4%
1983 9.56% 10.6%
1982 9.37% 10.8%
1981 9.21% 11%
1980 9.1% 11.4%
1979 9.02% 11.7%
1978 8.96% 12.2%
1977 8.93% 12.6%
1976 8.89% 13%
1975 8.85% 13.4%
1974 8.79% 13.8%
1973 8.73% 14.1%
1972 8.67% 14.5%
1971 8.63% 15.1%
1970 8.64% 15.2%
1969 8.71% 15.4%
1968 8.85% 15.6%
1967 9.04% 15.9%
1966 9.29% 16.1%
1965 9.56% 16.4%
1964 - 16.6%
1963 - 16.5%
1962 - 16.7%
1961 - 17%
1960 - 17.2%

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

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

The under-5 mortality rate in Sao Tome and Principe was 13.9 deaths per 1,000 live births in 2023 — a 1.39% chance that a newborn baby will die before reaching age five. This is down from 82.1 deaths per 1,000 live births in 2000.

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Data sources:

  1. World Bank | Health (1960–2024, retrieved 2026-04-06)
  2. United Nations | World Population Prospects (1960–2100, retrieved 2026-03-10)
  3. Central Intelligence Agency (CIA) (2017–2025, 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.

Fertility rate estimates the average number of children a woman would have over her lifetime based on a snapshot of current year age-specific birth patterns.

Birth rate represents the number of live births per 1,000 people in a population during a given year. Unlike the fertility rate, it does not account for age or sex composition of the population.