In 2023, the birth rate across different regions in China varied from around 13.7 births per 1,000 inhabitants (per mille) in Tibet to 2.9 per mille in Heilongjiang province. The average national birth rate ranged at 6.4 per mille that year. High disparity of birth rates across China Regional birth rates in China reach their highest values in western and southwestern provinces and autonomous regions. In this part of the country, the economy is less developed than in the coastal provinces and traditional values are more prevalent. At the same time, many people from minority communities live in these areas, who were less affected by strict birth control measures in the past and traditionally have more children. In contrast, the lowest birth rates in recent years were registered in the northwestern provinces Jilin, Liaoning, and Heilongjiang, which is the rust belt of China. This region offers few economic opportunities, and many young people leave for a better life in the eastern provinces. They often leave old people behind, which is one reason why these provinces also have some of the highest mortality rates in China. Future developments As most Chinese regions with a higher fertility rate have only few inhabitants, they cannot compensate for the increasing number of provinces with a declining populace. In the future, only economically successful cites will be able to escape this trend, while many provinces and rural areas will slowly lose a significant share of their population.