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Fertility & birth rates in Sao Tome and Principe and Sierra Leone

Updated on by Georank team

Sao Tome and Principe has an annual birth rate of 28.2 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 3.64 in Sao Tome and Principe and 3.79 in Sierra Leone — 4.03% difference.

1960 vs 2023, the fertility rate has decreased by 41.6% in Sao Tome and Principe and by 38.6% in Sierra Leone — in 1960, it was 6.24 and 6.18, respectively.

  • Sao Tome and Principe is ranked 39/196 by birth rate compared to 29/196 for Sierra Leone.
  • The mean age for first-time mothers is 19.4 years in Sao Tome and Principe, compared to 19.6 years in Sierra Leone.
  • The mean age at childbearing (for all the births, not just the first) is 28.4 in Sao Tome and Principe — it's 28.5 in Sierra Leone.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 86.2 in Sao Tome and Principe vs 93.6 in Sierra Leone.
  • In Sao Tome and Principe, 25.2% of the population is composed of women of reproductive age (15-49), compared to 25.4% in Sierra Leone.

Fertility rate in Sao Tome and Principe vs Sierra Leone by year

Sao Tome and Principe
Sierra Leone
1x
Year Fertility rate
Sao Tome Sierra Leone
2023 3.64 3.79
2022 3.7 3.88
2021 3.76 3.98
2020 3.83 4.08
2019 3.9 4.19
2018 3.98 4.29
2017 4.07 4.39
2016 4.2 4.47
2015 4.35 4.55
2014 4.49 4.7
2013 4.58 4.87
2012 4.66 5.06
2011 4.72 5.21
2010 4.77 5.33
2009 4.84 5.45
2008 4.91 5.56
2007 4.96 5.64
2006 4.93 5.74
2005 4.94 5.81
2004 4.96 5.92
2003 5.01 6.09
2002 5.06 6.23
2001 5.1 6.31
2000 5.16 6.36
1999 5.23 6.42
1998 5.3 6.5
1997 5.4 6.53
1996 5.47 6.55
1995 5.55 6.56
1994 5.56 6.56
1993 5.64 6.57
1992 5.7 6.56
1991 5.77 6.55
1990 5.83 6.57
1989 5.88 6.57
1988 5.94 6.59
1987 5.99 6.61
1986 6.05 6.6
1985 6.1 6.59
1984 6.16 6.59
1983 6.22 6.57
1982 6.28 6.56
1981 6.33 6.55
1980 6.39 6.56
1979 6.43 6.58
1978 6.47 6.59
1977 6.5 6.57
1976 6.52 6.55
1975 6.53 6.55
1974 6.53 6.53
1973 6.53 6.47
1972 6.51 6.45
1971 6.49 6.43
1970 6.47 6.41
1969 6.44 6.39
1968 6.42 6.39
1967 6.39 6.38
1966 6.37 6.35
1965 6.35 6.31
1964 6.33 6.29
1963 6.31 6.26
1962 6.28 6.22
1961 6.26 6.21
1960 6.24 6.18

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

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

According to the latest available data on birth rates, the fertility rate in Sao Tome and Principe was 3.64 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 Sao Tome and Principe vs Sierra Leone population clock for a dynamic visualization of the changing population.

Natural population change by year

Sao Tome and Principe
Sierra Leone
1x
Year Natural population change
Sao Tome Sierra Leone
2023 5,221 188,788
2022 5,102 186,625
2021 4,954 183,326
2020 4,874 181,015
2019 4,932 181,068
2018 4,957 178,772
2017 5,007 173,259
2016 5,125 168,784
2015 5,269 162,275
2014 5,381 160,137
2013 5,449 161,265
2012 5,501 160,915
2011 5,445 158,858
2010 5,391 155,338
2009 5,349 152,669
2008 5,297 149,855
2007 5,226 145,740
2006 5,057 144,127
2005 4,897 137,234
2004 4,810 132,661
2003 4,702 130,312
2002 4,591 126,429
2001 4,471 116,647
2000 4,334 110,754
1999 4,221 102,295
1998 4,120 103,906
1997 4,041 105,433
1996 3,993 104,140
1995 3,948 100,885
1994 3,860 101,486
1993 3,841 103,317
1992 3,822 103,251
1991 3,801 105,477
1990 3,719 100,778
1989 3,576 98,298
1988 3,544 96,344
1987 3,440 94,235
1986 3,180 90,902
1985 3,242 88,869
1984 3,163 87,072
1983 3,100 84,628
1982 3,047 82,457
1981 3,015 80,111
1980 2,965 77,932
1979 2,893 75,992
1978 2,800 74,130
1977 2,705 71,663
1976 2,608 69,506
1975 2,515 67,560
1974 2,422 65,357
1973 2,329 62,443
1972 2,232 60,279
1971 2,127 58,484
1970 1,980 56,513
1969 1,862 54,768
1968 1,767 53,126
1967 1,693 51,734
1966 1,642 49,486
1965 1,611 47,223
1964 1,600 45,487
1963 1,609 43,569
1962 1,625 41,603
1961 1,657 40,022
1960 1,547 38,192

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

GeoRank.org/birth-rate/sao-tome-and-principe/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 +2.26% in Sao Tome and Principe and +2.23% in Sierra Leone.

For the past 10 years, the annual natural population change has been +2.4% in Sao Tome and Principe and +2.31% in Sierra Leone.

Birth rate in Sao Tome and Principe vs Sierra Leone by year

Sao Tome and Principe
Sierra Leone

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Sao Tome Sierra Leone
2023 28.2 30.6
2022 28.3 31.1
2021 28.5 31.6
2020 28.6 32.2
2019 29.2 32.8
2018 29.8 33.3
2017 30.6 33.8
2016 31.7 34.2
2015 33 34.7
2014 34.3 35.6
2013 35.4 36.6
2012 36.4 37.8
2011 36.8 38.5
2010 37.3 39.1
2009 37.9 39.9
2008 38.5 40.6
2007 38.9 41.1
2006 38.9 41.8
2005 39 42
2004 39.2 42.5
2003 39.6 43.5
2002 39.8 44.3
2001 40 44
2000 39.7 45
1999 39.4 46.1
1998 39.2 46.3
1997 39.2 46.3
1996 39.3 46.5
1995 39.5 46.8
1994 39.4 46.8
1993 39.8 46.9
1992 40.2 47
1991 40.7 47.5
1990 40.7 45.5
1989 40.9 46.3
1988 40.9 46.4
1987 41 46.6
1986 41 46.6
1985 41 46.7
1984 41.1 46.8
1983 41.2 46.7
1982 41.3 46.8
1981 41.5 46.8
1980 41.6 46.8
1979 41.6 47
1978 41.4 47.2
1977 41.3 47.1
1976 41.1 47.2
1975 40.9 47.3
1974 40.6 47.4
1973 40.3 47.2
1972 39.9 47.2
1971 39.5 47.3
1970 38.8 47.4
1969 38.2 47.5
1968 37.8 47.7
1967 37.7 47.9
1966 38 48
1965 38.6 48
1964 39.7 48.2
1963 41.1 48.2
1962 42.7 48.1
1961 44.6 48.1
1960 44.6 48

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

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

The latest reported birth rate per 1,000 people in 2023 was 28.2 in Sao Tome and Principe and 30.6 in Sierra Leone, compared with 44.6 and 48, respectively, in 1960.

Birth rate data compared

Sao Tome Sierra Leone
Fertility rate 3.64 3.79
Fertility rate rank 41/196 35/196
Birth rate 28.2 30.6
Birth rate rank 39/196 29/196
Population change due to births and deaths +5,221 +188,788
Natural population change rank 126/196 62/196
Natural population change rate +2.26% +2.23%
Population growth +2.02% +2.15%
Population growth rank 49/197 47/197
Age at first childbirth 19.4 years 19.6 years
Average age at childbearing 28.4 years 28.5 years
Annual births per 1,000 women ages 15-19 82.5 87.7
Annual births per 1,000 women ages 20-29 169.9 169.3
Annual births per 1,000 women ages 30+ 47.4 53.4
Female of reproductive age (15-49), share of population 25.2% 25.4%
Any modern method of contraceptive prevalence among married women ages 15-49 46% 20.9%
Share of births attended by skilled health staff 96.8% 86.9%
Maternal mortality per live birth 0.08% 0.35%
Neonatal mortality rate (before reaching 28 days of age) 0.68% 2.93%
Infant mortality rate (before reaching 1 year of age) 0.94% 5.62%
Mortality rate before reaching 5 years of age 1.39% 9.43%
Life expectancy 70.3 years 62.3 years

Children 0-14 years as share of population

Sao Tome and Principe
Factual

UN forecast
Sierra Leone
Factual

UN forecast
1x
Year Young
Sao Tome Sierra Leone
2100 19.5% 19%
2099 19.6% 19%
2098 19.8% 19.1%
2097 19.9% 19.2%
2096 20% 19.3%
2095 20.2% 19.5%
2094 20.3% 19.6%
2093 20.4% 19.7%
2092 20.6% 19.8%
2091 20.7% 19.9%
2090 20.9% 20%
2089 21.1% 20.1%
2088 21.2% 20.3%
2087 21.4% 20.4%
2086 21.6% 20.5%
2085 21.8% 20.7%
2084 22% 20.8%
2083 22.2% 20.9%
2082 22.4% 21.1%
2081 22.6% 21.2%
2080 22.9% 21.4%
2079 23.1% 21.6%
2078 23.3% 21.7%
2077 23.5% 21.9%
2076 23.7% 22.1%
2075 24% 22.2%
2074 24.2% 22.4%
2073 24.4% 22.6%
2072 24.6% 22.8%
2071 24.8% 23%
2070 25% 23.2%
2069 25.2% 23.4%
2068 25.4% 23.6%
2067 25.6% 23.8%
2066 25.9% 24%
2065 26.1% 24.3%
2064 26.3% 24.5%
2063 26.5% 24.7%
2062 26.8% 25%
2061 27% 25.2%
2060 27.3% 25.5%
2059 27.5% 25.7%
2058 27.8% 26%
2057 28.1% 26.3%
2056 28.4% 26.6%
2055 28.7% 26.9%
2054 29% 27.1%
2053 29.4% 27.4%
2052 29.7% 27.7%
2051 30.1% 28.1%
2050 30.4% 28.4%
2049 30.8% 28.7%
2048 31.1% 29%
2047 31.5% 29.3%
2046 31.8% 29.7%
2045 32.1% 30%
2044 32.5% 30.3%
2043 32.8% 30.7%
2042 33.1% 31.1%
2041 33.4% 31.4%
2040 33.6% 31.8%
2039 33.9% 32.2%
2038 34.1% 32.6%
2037 34.4% 33%
2036 34.6% 33.4%
2035 34.7% 33.8%
2034 34.9% 34.2%
2033 35.1% 34.6%
2032 35.3% 35%
2031 35.5% 35.4%
2030 35.8% 35.7%
2029 36.1% 36.1%
2028 36.6% 36.5%
2027 37% 37%
2026 37.3% 37.4%
2025 37.6% 37.9%
2024 37.8% 38.1%
2023 38.3% 38.5%
2022 38.8% 39%
2021 39.4% 39.4%
2020 39.9% 39.8%
2019 40.5% 40.2%
2018 40.9% 40.6%
2017 41.4% 41%
2016 41.7% 41.4%
2015 41.9% 41.8%
2014 42% 42.2%
2013 42% 42.5%
2012 42% 42.8%
2011 42% 43%
2010 42.1% 43.2%
2009 42.1% 43.4%
2008 42.1% 43.5%
2007 42% 43.6%
2006 42% 43.7%
2005 42% 43.8%
2004 42.1% 43.9%
2003 42.2% 43.9%
2002 42.3% 43.9%
2001 42.5% 43.9%
2000 42.8% 43.8%
1999 43.4% 43.7%
1998 43.9% 43.6%
1997 44.3% 43.5%
1996 44.7% 43.5%
1995 44.9% 43.4%
1994 45.1% 43.3%
1993 45.2% 43.2%
1992 45.2% 43.1%
1991 45.1% 43%
1990 45.1% 42.9%
1989 45% 42.9%
1988 45% 42.8%
1987 44.9% 42.7%
1986 44.7% 42.6%
1985 44.5% 42.5%
1984 44.4% 42.3%
1983 44.5% 42.2%
1982 44.5% 42.1%
1981 44.7% 42%
1980 44.9% 41.9%
1979 45.1% 41.8%
1978 45.2% 41.7%
1977 45.3% 41.6%
1976 45.4% 41.4%
1975 45.5% 41.3%
1974 45.6% 41.1%
1973 45.7% 40.9%
1972 45.9% 40.7%
1971 46.1% 40.6%
1970 46.2% 40.3%
1969 45.8% 40.1%
1968 44.9% 39.9%
1967 44% 39.6%
1966 42.9% 39.4%
1965 41.6% 39.1%
1964 40.2% 38.8%
1963 38.5% 38.5%
1962 36.6% 38.3%
1961 34.3% 38.3%
1960 32.9% 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/sao-tome-and-principe/sierra-leone | CC BY

Children aged 0-14 make up 37.8% of the population in Sao Tome and Principe and 38.1% in Sierra Leone in 2024, compared to 45.1% and 42.9% respectively in 1990.

Demographics of Sao Tome and Principe 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/sao-tome-and-principe/sierra-leone | CC BY

Maternal mortality chart: Sao Tome and Principe vs Sierra Leone

Sao Tome and Principe
Sierra Leone
1x
Year Maternal mortality per 100K births
Sao Tome Sierra Leone
2023 75 354
2022 82 370
2021 98 403
2020 92 422
2019 95 464
2018 100 491
2017 110 578
2016 119 633
2015 128 730
2014 138 821
2013 150 842
2012 158 915
2011 164 967
2010 170 1,018
2009 172 1,054
2008 174 1,093
2007 174 1,132
2006 177 1,168
2005 181 1,294
2004 177 1,366
2003 178 1,433
2002 179 1,492
2001 178 1,518
2000 180 1,603
1999 179 1,731
1998 175 1,753
1997 173 1,721
1996 171 1,726
1995 172 1,777
1994 168 1,755
1993 166 1,696
1992 164 1,681
1991 166 1,699
1990 164 1,572
1989 167 1,575
1988 157 1,549
1987 161 1,533
1986 175 1,530
1985 159 1,506

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

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

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 75 deaths per 100,000 live births in Sao Tome and Principe, compared to 354 deaths in Sierra Leone.

Under-five mortality rates

Sao Tome and Principe
Sierra Leone

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Sao Tome Sierra Leone
2023 1.39% 9.43%
2022 1.46% 9.77%
2021 1.53% 10.1%
2020 1.6% 10.5%
2019 1.7% 10.9%
2018 1.81% 11.3%
2017 1.95% 11.8%
2016 2.11% 12.3%
2015 2.31% 13.8%
2014 2.54% 13.7%
2013 2.77% 13.9%
2012 3.04% 14.5%
2011 3.33% 15.2%
2010 3.63% 15.9%
2009 3.95% 16.6%
2008 4.3% 17.3%
2007 4.68% 18.1%
2006 5.11% 18.8%
2005 5.56% 19.4%
2004 6.05% 20.1%
2003 6.57% 20.7%
2002 7.1% 21.3%
2001 7.66% 21.8%
2000 8.21% 22.4%
1999 8.76% 22.9%
1998 9.26% 23.4%
1997 9.73% 23.9%
1996 10.1% 24.3%
1995 10.4% 24.7%
1994 10.7% 25%
1993 10.8% 25.3%
1992 10.9% 25.5%
1991 10.9% 25.7%
1990 10.8% 25.9%
1989 10.7% 26.2%
1988 10.6% 26.4%
1987 10.4% 26.6%
1986 11.4% 26.9%
1985 9.99% 27.2%
1984 9.77% 27.5%
1983 9.56% 27.8%
1982 9.37% 28.1%
1981 9.21% 28.5%
1980 9.1% 28.9%
1979 9.02% 29.2%
1978 8.96% 29.6%
1977 8.93% 30%
1976 8.89% 30.5%
1975 8.85% 30.9%
1974 8.79% 31.4%
1973 8.73% 31.9%
1972 8.67% 32.3%
1971 8.63% 32.9%
1970 8.64% 33.4%
1969 8.71% 33.9%
1968 8.85% 34.5%
1967 9.04% 35%
1966 9.29% 35.6%
1965 9.56% 36.2%
1964 - 36.8%
1963 - 37.4%
1962 - 38%
1961 - 38.5%
1960 - 39.1%

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

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

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