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Fertility & birth rates in Sao Tome and Principe and South Africa

Updated on by Georank team

Sao Tome and Principe has an annual birth rate of 28.2 births per 1,000 people, compared to 18.8 for South Africa. 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 2.22 in South Africa — 39.2% difference.

1960 vs 2023, the fertility rate has decreased by 41.6% in Sao Tome and Principe and by 63.7% in South Africa — in 1960, it was 6.24 and 6.11, respectively.

  • Sao Tome and Principe is ranked 39/196 by birth rate compared to 82/196 for South Africa.
  • The mean age at childbearing (for all the births, not just the first) is 28.4 in Sao Tome and Principe — it's 28.3 in South Africa.
  • 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 51.6 in South Africa.
  • In Sao Tome and Principe, 25.2% of the population is composed of women of reproductive age (15-49), compared to 27.8% in South Africa.

Fertility rate in Sao Tome and Principe vs South Africa by year

Sao Tome and Principe
South Africa
1x
Year Fertility rate
Sao Tome South Africa
2023 3.64 2.22
2022 3.7 2.23
2021 3.76 2.25
2020 3.83 2.26
2019 3.9 2.26
2018 3.98 2.27
2017 4.07 2.28
2016 4.2 2.26
2015 4.35 2.36
2014 4.49 2.42
2013 4.58 2.43
2012 4.66 2.45
2011 4.72 2.44
2010 4.77 2.44
2009 4.84 2.5
2008 4.91 2.68
2007 4.96 2.55
2006 4.93 2.55
2005 4.94 2.51
2004 4.96 2.44
2003 5.01 2.36
2002 5.06 2.32
2001 5.1 2.37
2000 5.16 2.41
1999 5.23 2.56
1998 5.3 2.63
1997 5.4 2.73
1996 5.47 2.99
1995 5.55 3.17
1994 5.56 3.26
1993 5.64 3.37
1992 5.7 3.48
1991 5.77 3.62
1990 5.83 3.72
1989 5.88 3.98
1988 5.94 4.18
1987 5.99 4.35
1986 6.05 4.41
1985 6.1 4.5
1984 6.16 4.57
1983 6.22 4.63
1982 6.28 4.7
1981 6.33 4.71
1980 6.39 4.78
1979 6.43 4.82
1978 6.47 4.85
1977 6.5 4.94
1976 6.52 5.07
1975 6.53 5.19
1974 6.53 5.3
1973 6.53 5.41
1972 6.51 5.49
1971 6.49 5.57
1970 6.47 5.63
1969 6.44 5.72
1968 6.42 5.78
1967 6.39 5.85
1966 6.37 5.91
1965 6.35 5.89
1964 6.33 5.96
1963 6.31 6.01
1962 6.28 6.05
1961 6.26 6.08
1960 6.24 6.11

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

GeoRank.org/birth-rate/sao-tome-and-principe/south-africa | 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 2.22 in South Africa in 2023. The replacement level is considered to be 2.1 children per woman.

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

Natural population change by year

Sao Tome and Principe
South Africa
1x
Year Natural population change
Sao Tome South Africa
2023 5,221 602,793
2022 5,102 603,636
2021 4,954 456,411
2020 4,874 595,873
2019 4,932 652,130
2018 4,957 648,319
2017 5,007 645,975
2016 5,125 641,365
2015 5,269 668,771
2014 5,381 674,754
2013 5,449 652,427
2012 5,501 643,723
2011 5,445 601,708
2010 5,391 566,834
2009 5,349 554,115
2008 5,297 595,332
2007 5,226 503,567
2006 5,057 487,584
2005 4,897 464,464
2004 4,810 442,540
2003 4,702 415,018
2002 4,591 430,926
2001 4,471 484,801
2000 4,334 526,963
1999 4,221 594,643
1998 4,120 627,027
1997 4,041 667,969
1996 3,993 710,868
1995 3,948 743,488
1994 3,860 698,609
1993 3,841 789,220
1992 3,822 794,415
1991 3,801 827,296
1990 3,719 835,421
1989 3,576 884,629
1988 3,544 909,221
1987 3,440 922,330
1986 3,180 903,644
1985 3,242 893,889
1984 3,163 869,011
1983 3,100 837,013
1982 3,047 807,550
1981 3,015 767,833
1980 2,965 738,415
1979 2,893 716,541
1978 2,800 694,341
1977 2,705 680,929
1976 2,608 675,011
1975 2,515 667,862
1974 2,422 658,438
1973 2,329 651,596
1972 2,232 638,754
1971 2,127 624,761
1970 1,980 605,102
1969 1,862 590,794
1968 1,767 571,841
1967 1,693 553,741
1966 1,642 534,862
1965 1,611 506,632
1964 1,600 490,606
1963 1,609 473,821
1962 1,625 455,634
1961 1,657 437,851
1960 1,547 421,263

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

GeoRank.org/birth-rate/sao-tome-and-principe/south-africa | 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 +0.95% in South Africa.

For the past 10 years, the annual natural population change has been +2.4% in Sao Tome and Principe and +1.05% in South Africa.

Birth rate in Sao Tome and Principe vs South Africa by year

Sao Tome and Principe
South Africa

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
Sao Tome South Africa
2023 28.2 18.8
2022 28.3 19.1
2021 28.5 19.4
2020 28.6 19.5
2019 29.2 19.7
2018 29.8 19.9
2017 30.6 20
2016 31.7 20.3
2015 33 21
2014 34.3 21.8
2013 35.4 21.9
2012 36.4 22.1
2011 36.8 22.1
2010 37.3 22.2
2009 37.9 22.8
2008 38.5 24.3
2007 38.9 23.1
2006 38.9 23.1
2005 39 22.7
2004 39.2 22.1
2003 39.6 21.4
2002 39.8 20.9
2001 40 21.3
2000 39.7 21.6
1999 39.4 22.7
1998 39.2 23.2
1997 39.2 23.9
1996 39.3 24.9
1995 39.5 25.6
1994 39.4 24.6
1993 39.8 26.6
1992 40.2 27
1991 40.7 28.1
1990 40.7 28.7
1989 40.9 30.6
1988 40.9 32
1987 41 33.2
1986 41 33.6
1985 41 34.2
1984 41.1 34.5
1983 41.2 34.6
1982 41.3 34.8
1981 41.5 34.6
1980 41.6 34.7
1979 41.6 34.9
1978 41.4 35.1
1977 41.3 35.6
1976 41.1 36.3
1975 40.9 37
1974 40.6 37.7
1973 40.3 38.4
1972 39.9 38.9
1971 39.5 39.3
1970 38.8 39.4
1969 38.2 39.7
1968 37.8 39.8
1967 37.7 39.9
1966 38 40
1965 38.6 39.5
1964 39.7 39.6
1963 41.1 39.7
1962 42.7 39.7
1961 44.6 39.7
1960 44.6 39.8

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

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

The latest reported birth rate per 1,000 people in 2023 was 28.2 in Sao Tome and Principe and 18.8 in South Africa, compared with 44.6 and 39.8, respectively, in 1960.

Birth rate data compared

Sao Tome South Africa
Fertility rate 3.64 2.22
Fertility rate rank 41/196 89/196
Birth rate 28.2 18.8
Birth rate rank 39/196 82/196
Population change due to births and deaths +5,221 +602,793
Natural population change rank 126/196 33/196
Natural population change rate +2.26% +0.95%
Population growth +2.02% +1.26%
Population growth rank 49/197 85/197
Age at first childbirth 19.4 years n/a
Average age at childbearing 28.4 years 28.3 years
Annual births per 1,000 women ages 15-19 82.5 51.8
Annual births per 1,000 women ages 20-29 169.9 106.1
Annual births per 1,000 women ages 30+ 47.4 27.1
Female of reproductive age (15-49), share of population 25.2% 27.8%
Any modern method of contraceptive prevalence among married women ages 15-49 46% 54%
Share of births attended by skilled health staff 96.8% 96.7%
Maternal mortality per live birth 0.08% 0.12%
Neonatal mortality rate (before reaching 28 days of age) 0.68% 1.17%
Infant mortality rate (before reaching 1 year of age) 0.94% 2.44%
Mortality rate before reaching 5 years of age 1.39% 3.47%
Life expectancy 70.3 years 66.7 years

Children 0-14 years as share of population

Sao Tome and Principe
Factual

UN forecast
South Africa
Factual

UN forecast
1x
Year Young
Sao Tome South Africa
2100 19.5% 17.9%
2099 19.6% 18%
2098 19.8% 18%
2097 19.9% 18.1%
2096 20% 18.1%
2095 20.2% 18.2%
2094 20.3% 18.2%
2093 20.4% 18.3%
2092 20.6% 18.3%
2091 20.7% 18.4%
2090 20.9% 18.4%
2089 21.1% 18.5%
2088 21.2% 18.5%
2087 21.4% 18.6%
2086 21.6% 18.6%
2085 21.8% 18.7%
2084 22% 18.7%
2083 22.2% 18.8%
2082 22.4% 18.9%
2081 22.6% 18.9%
2080 22.9% 19%
2079 23.1% 19%
2078 23.3% 19.1%
2077 23.5% 19.2%
2076 23.7% 19.3%
2075 24% 19.3%
2074 24.2% 19.4%
2073 24.4% 19.5%
2072 24.6% 19.6%
2071 24.8% 19.6%
2070 25% 19.7%
2069 25.2% 19.8%
2068 25.4% 19.9%
2067 25.6% 20%
2066 25.9% 20.1%
2065 26.1% 20.2%
2064 26.3% 20.3%
2063 26.5% 20.4%
2062 26.8% 20.5%
2061 27% 20.6%
2060 27.3% 20.7%
2059 27.5% 20.8%
2058 27.8% 20.9%
2057 28.1% 21%
2056 28.4% 21.1%
2055 28.7% 21.1%
2054 29% 21.2%
2053 29.4% 21.3%
2052 29.7% 21.4%
2051 30.1% 21.5%
2050 30.4% 21.6%
2049 30.8% 21.7%
2048 31.1% 21.8%
2047 31.5% 21.9%
2046 31.8% 22%
2045 32.1% 22.1%
2044 32.5% 22.3%
2043 32.8% 22.4%
2042 33.1% 22.6%
2041 33.4% 22.8%
2040 33.6% 23%
2039 33.9% 23.3%
2038 34.1% 23.5%
2037 34.4% 23.7%
2036 34.6% 24.1%
2035 34.7% 24.4%
2034 34.9% 24.7%
2033 35.1% 24.9%
2032 35.3% 25%
2031 35.5% 25.1%
2030 35.8% 25.2%
2029 36.1% 25.3%
2028 36.6% 25.4%
2027 37% 25.5%
2026 37.3% 25.6%
2025 37.6% 25.8%
2024 37.8% 25.9%
2023 38.3% 26.1%
2022 38.8% 26.3%
2021 39.4% 26.6%
2020 39.9% 27%
2019 40.5% 27.4%
2018 40.9% 27.9%
2017 41.4% 28.3%
2016 41.7% 28.3%
2015 41.9% 28.3%
2014 42% 28.5%
2013 42% 28.7%
2012 42% 28.9%
2011 42% 29.1%
2010 42.1% 29.4%
2009 42.1% 29.7%
2008 42.1% 29.9%
2007 42% 30.2%
2006 42% 30.6%
2005 42% 31.1%
2004 42.1% 31.6%
2003 42.2% 32.3%
2002 42.3% 33.2%
2001 42.5% 34%
2000 42.8% 34.9%
1999 43.4% 35.7%
1998 43.9% 36.5%
1997 44.3% 37.2%
1996 44.7% 37.5%
1995 44.9% 37.5%
1994 45.1% 37.2%
1993 45.2% 37.3%
1992 45.2% 37.6%
1991 45.1% 37.5%
1990 45.1% 37.7%
1989 45% 38.1%
1988 45% 38.4%
1987 44.9% 38.7%
1986 44.7% 38.9%
1985 44.5% 39.2%
1984 44.4% 39.5%
1983 44.5% 39.8%
1982 44.5% 40.1%
1981 44.7% 40.5%
1980 44.9% 40.9%
1979 45.1% 41.3%
1978 45.2% 41.5%
1977 45.3% 41.7%
1976 45.4% 41.8%
1975 45.5% 41.9%
1974 45.6% 42%
1973 45.7% 42.1%
1972 45.9% 42.2%
1971 46.1% 42.2%
1970 46.2% 42.3%
1969 45.8% 42.2%
1968 44.9% 42.2%
1967 44% 42.2%
1966 42.9% 42.1%
1965 41.6% 42.1%
1964 40.2% 42.1%
1963 38.5% 42.1%
1962 36.6% 42.1%
1961 34.3% 42.1%
1960 32.9% 42.1%

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/south-africa | CC BY

Children aged 0-14 make up 37.8% of the population in Sao Tome and Principe and 25.9% in South Africa in 2024, compared to 45.1% and 37.7% respectively in 1990.

Demographics of Sao Tome and Principe and South Africa 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/south-africa | CC BY

Maternal mortality chart: Sao Tome and Principe vs South Africa

Sao Tome and Principe
South Africa
1x
Year Maternal mortality per 100K births
Sao Tome South Africa
2023 75 118
2022 82 129
2021 98 191
2020 92 118
2019 95 119
2018 100 128
2017 110 134
2016 119 141
2015 128 150
2014 138 162
2013 150 180
2012 158 194
2011 164 202
2010 170 226
2009 172 241
2008 174 272
2007 174 272
2006 177 283
2005 181 279
2004 177 259
2003 178 245
2002 179 225
2001 178 192
2000 180 175
1999 179 151
1998 175 152
1997 173 152
1996 171 150
1995 172 125
1994 168 133
1993 166 145
1992 164 152
1991 166 162
1990 164 170
1989 167 177
1988 157 184
1987 161 192
1986 175 200
1985 159 208

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

GeoRank.org/birth-rate/sao-tome-and-principe/south-africa | 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 118 deaths in South Africa.

Under-five mortality rates

Sao Tome and Principe
South Africa

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
Sao Tome South Africa
2023 1.39% 3.47%
2022 1.46% 3.44%
2021 1.53% 3.41%
2020 1.6% 3.41%
2019 1.7% 3.45%
2018 1.81% 3.49%
2017 1.95% 3.58%
2016 2.11% 3.68%
2015 2.31% 3.82%
2014 2.54% 3.96%
2013 2.77% 4.1%
2012 3.04% 4.25%
2011 3.33% 4.5%
2010 3.63% 5%
2009 3.95% 5.7%
2008 4.3% 6.42%
2007 4.68% 7.19%
2006 5.11% 7.75%
2005 5.56% 8.03%
2004 6.05% 8.1%
2003 6.57% 7.93%
2002 7.1% 7.69%
2001 7.66% 7.43%
2000 8.21% 7.11%
1999 8.76% 6.85%
1998 9.26% 6.56%
1997 9.73% 6.29%
1996 10.1% 6.11%
1995 10.4% 5.95%
1994 10.7% 5.82%
1993 10.8% 5.7%
1992 10.9% 5.66%
1991 10.9% 5.7%
1990 10.8% 5.82%
1989 10.7% 6.01%
1988 10.6% 6.26%
1987 10.4% 6.56%
1986 11.4% 6.89%
1985 9.99% 7.24%
1984 9.77% 7.6%
1983 9.56% 7.98%
1982 9.37% 8.39%
1981 9.21% 8.84%
1980 9.1% 9.35%
1979 9.02% 9.88%
1978 8.96% 10.5%
1977 8.93% 11.1%
1976 8.89% 11.8%
1975 8.85% 12.5%
1974 8.79% 13.2%
1973 8.73% -
1972 8.67% -
1971 8.63% -
1970 8.64% -
1969 8.71% -
1968 8.85% -
1967 9.04% -
1966 9.29% -
1965 9.56% -

Data sources: World Bank | Health (1965–2023, retrieved 2026-04-06).

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

The chance that a newborn baby will die before reaching age five is 1.39% in Sao Tome and Principe and 3.47% in South Africa. 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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