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Fertility & birth rates in South Africa and United States

Updated on by Georank team

South Africa has an annual birth rate of 18.8 births per 1,000 people, compared to 10.7 for the United States. The average number of children a woman is expected to have during her lifetime — the fertility rate, is 2.22 in South Africa and 1.62 in the United States — 27.1% difference.

1960 vs 2023, the fertility rate has decreased by 63.7% in South Africa and by 55.8% in the United States — in 1960, it was 6.11 and 3.65, respectively.

  • South Africa is ranked 82/196 by birth rate compared to 140/196 for the United States.
  • The mean age at childbearing (for all the births, not just the first) is 28.3 in South Africa — it's 30.2 in the United States.
  • Annual births per 1,000 women ages 15-19 (adolescent birth rate or teenage mother rate) is 51.6 in South Africa vs 13.1 in the United States.
  • In South Africa, 27.8% of the population is composed of women of reproductive age (15-49), compared to 22.5% in the United States.

Fertility rate in South Africa vs United States by year

South Africa
United States
1x
Year Fertility rate
South Africa United States
2023 2.22 1.62
2022 2.23 1.66
2021 2.25 1.66
2020 2.26 1.64
2019 2.26 1.71
2018 2.27 1.73
2017 2.28 1.77
2016 2.26 1.82
2015 2.36 1.84
2014 2.42 1.86
2013 2.43 1.86
2012 2.45 1.88
2011 2.44 1.89
2010 2.44 1.93
2009 2.5 2
2008 2.68 2.07
2007 2.55 2.12
2006 2.55 2.11
2005 2.51 2.06
2004 2.44 2.05
2003 2.36 2.05
2002 2.32 2.02
2001 2.37 2.03
2000 2.41 2.06
1999 2.56 2.01
1998 2.63 2
1997 2.73 1.97
1996 2.99 1.98
1995 3.17 1.98
1994 3.26 2
1993 3.37 2.02
1992 3.48 2.05
1991 3.62 2.06
1990 3.72 2.08
1989 3.98 2.01
1988 4.18 1.93
1987 4.35 1.87
1986 4.41 1.84
1985 4.5 1.84
1984 4.57 1.81
1983 4.63 1.8
1982 4.7 1.83
1981 4.71 1.81
1980 4.78 1.84
1979 4.82 1.81
1978 4.85 1.76
1977 4.94 1.79
1976 5.07 1.74
1975 5.19 1.77
1974 5.3 1.84
1973 5.41 1.88
1972 5.49 2.01
1971 5.57 2.27
1970 5.63 2.48
1969 5.72 2.46
1968 5.78 2.46
1967 5.85 2.56
1966 5.91 2.72
1965 5.89 2.91
1964 5.96 3.19
1963 6.01 3.32
1962 6.05 3.46
1961 6.08 3.62
1960 6.11 3.65

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

GeoRank.org/birth-rate/south-africa/united-states | CC BY

According to the latest available data on birth rates, the fertility rate in South Africa was 2.22 children per woman in 2023, compared to 1.62 in the United States in 2023. The replacement level is considered to be 2.1 children per woman.

Check South Africa vs the United States population clock for a dynamic visualization of the changing population.

Natural population change by year

South Africa
United States
1x
Year Natural population change
South Africa United States
2023 602,793 502,372
2022 603,636 399,926
2021 456,411 199,137
2020 595,873 208,862
2019 652,130 887,476
2018 648,319 955,022
2017 645,975 1,028,037
2016 641,365 1,197,627
2015 668,771 1,270,126
2014 674,754 1,357,281
2013 652,427 1,322,711
2012 643,723 1,411,822
2011 601,708 1,441,697
2010 566,834 1,548,182
2009 554,115 1,717,920
2008 595,332 1,794,154
2007 503,567 1,897,757
2006 487,584 1,849,955
2005 464,464 1,684,445
2004 442,540 1,698,271
2003 415,018 1,653,615
2002 430,926 1,581,938
2001 484,801 1,595,826
2000 526,963 1,664,758
1999 594,643 1,564,050
1998 627,027 1,573,857
1997 667,969 1,501,014
1996 710,868 1,510,137
1995 743,488 1,546,031
1994 698,609 1,633,302
1993 789,220 1,717,685
1992 794,415 1,875,328
1991 827,296 1,926,543
1990 835,421 2,026,068
1989 884,629 1,875,826
1988 909,221 1,735,943
1987 922,330 1,720,252
1986 903,644 1,656,917
1985 893,889 1,689,258
1984 869,011 1,627,192
1983 837,013 1,636,544
1982 807,550 1,714,317
1981 767,833 1,652,153
1980 738,415 1,608,450
1979 716,541 1,597,894
1978 694,341 1,402,283
1977 680,929 1,431,556
1976 675,011 1,264,604
1975 667,862 1,252,644
1974 658,438 1,218,968
1973 651,596 1,165,499
1972 638,754 1,301,355
1971 624,761 1,640,519
1970 605,102 1,824,965
1969 590,794 1,702,487
1968 571,841 1,565,507
1967 553,741 1,669,181
1966 534,862 1,749,387
1965 506,632 1,943,030
1964 490,606 2,245,099
1963 473,821 2,289,826
1962 455,634 2,406,337
1961 437,851 2,571,681
1960 421,263 2,565,530

Data sources: World Bank | Health (1960–2023, retrieved 2026-04-06); U.S. Census Bureau (1960–2023, retrieved 2026-02-08).

GeoRank.org/birth-rate/south-africa/united-states | 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 +0.95% in South Africa and +0.15% in the United States.

For the past 10 years, the annual natural population change has been +1.05% in South Africa and +0.25% in the United States.

Birth rate in South Africa vs United States by year

South Africa
United States

Annual births per 1,000 people

1x
Year Annual births per 1,000 people
South Africa United States
2023 18.8 10.7
2022 19.1 11
2021 19.4 11
2020 19.5 10.9
2019 19.7 11.4
2018 19.9 11.6
2017 20 11.8
2016 20.3 12.2
2015 21 12.4
2014 21.8 12.5
2013 21.9 12.4
2012 22.1 12.6
2011 22.1 12.7
2010 22.2 13
2009 22.8 13.5
2008 24.3 14
2007 23.1 14.3
2006 23.1 14.3
2005 22.7 14
2004 22.1 14
2003 21.4 14.1
2002 20.9 14
2001 21.3 14.1
2000 21.6 14.4
1999 22.7 14.2
1998 23.2 14.3
1997 23.9 14.2
1996 24.9 14.4
1995 25.6 14.6
1994 24.6 15
1993 26.6 15.4
1992 27 15.8
1991 28.1 16.2
1990 28.7 16.7
1989 30.6 16.4
1988 32 16
1987 33.2 15.7
1986 33.6 15.6
1985 34.2 15.8
1984 34.5 15.6
1983 34.6 15.6
1982 34.8 15.9
1981 34.6 15.8
1980 34.7 15.9
1979 34.9 15.6
1978 35.1 15
1977 35.6 15.1
1976 36.3 14.6
1975 37 14.6
1974 37.7 14.8
1973 38.4 14.8
1972 38.9 15.6
1971 39.3 17.2
1970 39.4 18.4
1969 39.7 17.9
1968 39.8 17.6
1967 39.9 17.8
1966 40 18.4
1965 39.5 19.4
1964 39.6 21.1
1963 39.7 21.7
1962 39.7 22.4
1961 39.7 23.3
1960 39.8 23.7

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

GeoRank.org/birth-rate/south-africa/united-states | CC BY

The latest reported birth rate per 1,000 people in 2023 was 18.8 in South Africa and 10.7 in the United States, compared with 39.8 and 23.7, respectively, in 1960.

Birth rate data compared

South Africa United States
Fertility rate 2.22 1.62
Fertility rate rank 89/196 125/196
Birth rate 18.8 10.7
Birth rate rank 82/196 140/196
Population change due to births and deaths +602,793 +502,372
Natural population change rank 33/196 37/196
Natural population change rate +0.95% +0.15%
Population growth +1.26% +0.49%
Population growth rank 85/197 134/197
Age at first childbirth n/a 27.3 years
Average age at childbearing 28.3 years 30.2 years
Annual births per 1,000 women ages 15-19 51.8 11.3
Annual births per 1,000 women ages 20-29 106.1 72.5
Annual births per 1,000 women ages 30+ 27.1 17.4
Female of reproductive age (15-49), share of population 27.8% 22.5%
Any modern method of contraceptive prevalence among married women ages 15-49 54% 66.1%
Share of births attended by skilled health staff 96.7% 99.1%
Maternal mortality per live birth 0.12% 0.02%
Neonatal mortality rate (before reaching 28 days of age) 1.17% 0.34%
Infant mortality rate (before reaching 1 year of age) 2.44% 0.55%
Mortality rate before reaching 5 years of age 3.47% 0.65%
Life expectancy 66.7 years 79.8 years

Children 0-14 years as share of population

South Africa
Factual

UN forecast
United States
Factual

UN forecast
1x
Year Young
South Africa United States
2100 17.9% 14.4%
2099 18% 14.4%
2098 18% 14.4%
2097 18.1% 14.4%
2096 18.1% 14.4%
2095 18.2% 14.5%
2094 18.2% 14.5%
2093 18.3% 14.5%
2092 18.3% 14.5%
2091 18.4% 14.6%
2090 18.4% 14.6%
2089 18.5% 14.7%
2088 18.5% 14.7%
2087 18.6% 14.7%
2086 18.6% 14.8%
2085 18.7% 14.8%
2084 18.7% 14.8%
2083 18.8% 14.9%
2082 18.9% 14.9%
2081 18.9% 14.9%
2080 19% 14.9%
2079 19% 14.9%
2078 19.1% 14.9%
2077 19.2% 14.9%
2076 19.3% 14.9%
2075 19.3% 14.9%
2074 19.4% 14.9%
2073 19.5% 14.9%
2072 19.6% 14.9%
2071 19.6% 14.9%
2070 19.7% 14.9%
2069 19.8% 14.9%
2068 19.9% 14.9%
2067 20% 14.9%
2066 20.1% 14.9%
2065 20.2% 15%
2064 20.3% 15%
2063 20.4% 15%
2062 20.5% 15.1%
2061 20.6% 15.1%
2060 20.7% 15.2%
2059 20.8% 15.3%
2058 20.9% 15.4%
2057 21% 15.5%
2056 21.1% 15.5%
2055 21.1% 15.6%
2054 21.2% 15.7%
2053 21.3% 15.8%
2052 21.4% 15.8%
2051 21.5% 15.9%
2050 21.6% 15.9%
2049 21.7% 16%
2048 21.8% 16%
2047 21.9% 16%
2046 22% 16%
2045 22.1% 16%
2044 22.3% 16%
2043 22.4% 16%
2042 22.6% 16%
2041 22.8% 15.9%
2040 23% 15.9%
2039 23.3% 15.9%
2038 23.5% 15.9%
2037 23.7% 15.9%
2036 24.1% 15.9%
2035 24.4% 15.9%
2034 24.7% 15.9%
2033 24.9% 16%
2032 25% 16.1%
2031 25.1% 16.2%
2030 25.2% 16.3%
2029 25.3% 16.5%
2028 25.4% 16.6%
2027 25.5% 16.8%
2026 25.6% 17%
2025 25.8% 17.2%
2024 25.9% 17.3%
2023 26.1% 17.6%
2022 26.3% 17.9%
2021 26.6% 18.1%
2020 27% 18.4%
2019 27.4% 18.6%
2018 27.9% 18.8%
2017 28.3% 18.9%
2016 28.3% 19.1%
2015 28.3% 19.2%
2014 28.5% 19.3%
2013 28.7% 19.4%
2012 28.9% 19.5%
2011 29.1% 19.6%
2010 29.4% 19.7%
2009 29.7% 19.8%
2008 29.9% 19.9%
2007 30.2% 20%
2006 30.6% 20.2%
2005 31.1% 20.3%
2004 31.6% 20.5%
2003 32.3% 20.7%
2002 33.2% 20.9%
2001 34% 21%
2000 34.9% 21.2%
1999 35.7% 21.3%
1998 36.5% 21.4%
1997 37.2% 21.5%
1996 37.5% 21.7%
1995 37.5% 21.8%
1994 37.2% 21.9%
1993 37.3% 21.9%
1992 37.6% 21.8%
1991 37.5% 21.7%
1990 37.7% 21.6%
1989 38.1% 21.5%
1988 38.4% 21.3%
1987 38.7% 21.3%
1986 38.9% 21.3%
1985 39.2% 21.5%
1984 39.5% 21.7%
1983 39.8% 21.8%
1982 40.1% 22%
1981 40.5% 22.1%
1980 40.9% 22.4%
1979 41.3% 22.8%
1978 41.5% 23.2%
1977 41.7% 23.8%
1976 41.8% 24.4%
1975 41.9% 25.2%
1974 42% 25.9%
1973 42.1% 26.6%
1972 42.2% 27.4%
1971 42.2% 28%
1970 42.3% 28.6%
1969 42.2% 29%
1968 42.2% 29.5%
1967 42.2% 30%
1966 42.1% 30.4%
1965 42.1% 30.7%
1964 42.1% 30.9%
1963 42.1% 31.1%
1962 42.1% 31.3%
1961 42.1% 31.4%
1960 42.1% 31.3%

Data sources: World Bank | Health (1960–2024, retrieved 2026-04-06); United Nations | World Population Prospects (2025–2100, retrieved 2026-03-10); U.S. Census Bureau (1960–2024, retrieved 2026-02-08).

GeoRank.org/birth-rate/south-africa/united-states | CC BY

Children aged 0-14 make up 25.9% of the population in South Africa and 17.3% in the United States in 2024, compared to 37.7% and 21.6% respectively in 1990.

Demographics of South Africa and the United States compared.

Fertility rates around the globe

1x

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

GeoRank.org/birth-rate/south-africa/united-states | CC BY

Maternal mortality chart: South Africa vs United States

South Africa
United States
1x
Year Maternal mortality per 100K births
South Africa United States
2023 118 17
2022 129 20
2021 191 31
2020 118 22
2019 119 18
2018 128 18
2017 134 18
2016 141 18
2015 150 17
2014 162 17
2013 180 16
2012 194 16
2011 202 15
2010 226 15
2009 241 15
2008 272 14
2007 272 13
2006 283 13
2005 279 13
2004 259 13
2003 245 13
2002 225 13
2001 192 13
2000 175 12
1999 151 12
1998 152 11
1997 152 11
1996 150 11
1995 125 12
1994 133 11
1993 145 12
1992 152 11
1991 162 12
1990 170 12
1989 177 12
1988 184 12
1987 192 11
1986 200 11
1985 208 11

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

GeoRank.org/birth-rate/south-africa/united-states | CC BY

The maternal mortality rate, which is the probability of dying during childbirth or within 42 days of pregnancy termination, is 118 deaths per 100,000 live births in South Africa, compared to 17 deaths in the United States.

U.S. figures are less comparable to other countries, because reporting changes between 2003 and 2018 doubled the number of maternal deaths captured in official records without an actual doubling in mortality, and coding was revised again in 2018.

Under-five mortality rates

South Africa
United States

Probability that a newborn baby will die before reaching age five

1x
Year Under 5 mortality rate
South Africa United States
2023 3.47% 0.65%
2022 3.44% 0.65%
2021 3.41% 0.65%
2020 3.41% 0.65%
2019 3.45% 0.65%
2018 3.49% 0.65%
2017 3.58% 0.66%
2016 3.68% 0.67%
2015 3.82% 0.68%
2014 3.96% 0.68%
2013 4.1% 0.69%
2012 4.25% 0.7%
2011 4.5% 0.72%
2010 5% 0.73%
2009 5.7% 0.75%
2008 6.42% 0.76%
2007 7.19% 0.77%
2006 7.75% 0.79%
2005 8.03% 0.8%
2004 8.1% 0.81%
2003 7.93% 0.81%
2002 7.69% 0.82%
2001 7.43% 0.83%
2000 7.11% 0.84%
1999 6.85% 0.86%
1998 6.56% 0.87%
1997 6.29% 0.89%
1996 6.11% 0.92%
1995 5.95% 0.95%
1994 5.82% 0.98%
1993 5.7% 1.01%
1992 5.66% 1.05%
1991 5.7% 1.09%
1990 5.82% 1.12%
1989 6.01% 1.16%
1988 6.26% 1.19%
1987 6.56% 1.21%
1986 6.89% 1.24%
1985 7.24% 1.27%
1984 7.6% 1.3%
1983 7.98% 1.34%
1982 8.39% 1.39%
1981 8.84% 1.44%
1980 9.35% 1.5%
1979 9.88% 1.56%
1978 10.5% 1.63%
1977 11.1% 1.71%
1976 11.8% 1.79%
1975 12.5% 1.88%
1974 13.2% 1.97%
1973 - 2.06%
1972 - 2.15%
1971 - 2.24%
1970 - 2.32%
1969 - 2.41%
1968 - 2.49%
1967 - 2.57%
1966 - 2.64%
1965 - 2.71%
1964 - 2.77%
1963 - 2.83%
1962 - 2.89%
1961 - 2.95%
1960 - 3.01%

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

GeoRank.org/birth-rate/south-africa/united-states | CC BY

The chance that a newborn baby will die before reaching age five is 3.47% in South Africa and 0.65% in the United States. 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. U.S. Census Bureau (1960–2025, retrieved 2026-02-08)
  4. United Nations Economic Commission for Europe (UNECE) (2021, retrieved 2026-03-10)

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