In 1925, the crude birth rate in South Africa was just under 49 births per thousand people, meaning that almost five percent of the population was born in that year. This figure would follow the country’s trends in fertility, remaining largely unchanged until the 1950s when, following the implementation of apartheid rule in the country in 1948, declines in fertility from the government's family planning programs would lead to the birth rate's rapid decline. Apart from a brief pause in the early-1980s, births rates would decline throughout the second half of the 20th century, falling to just under 24 births per thousand people by 2000. The crude birth rate would see a brief increase in the early 2000s, largely attributed to a diversion of healthcare funding away from contraceptives to funding for treatments for the HIV/AIDS epidemic in the country, but since then, birth rates have resumed their decline, and in 2020, it is estimated that South Africa had a birth rate just under 21 births for every thousand people.
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South Africa ZA: Fertility Rate: Total: Births per Woman data was reported at 2.458 Ratio in 2016. This records a decrease from the previous number of 2.485 Ratio for 2015. South Africa ZA: Fertility Rate: Total: Births per Woman data is updated yearly, averaging 3.924 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 6.041 Ratio in 1960 and a record low of 2.458 Ratio in 2016. South Africa ZA: Fertility Rate: Total: Births per Woman data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Health Statistics. Total fertility rate represents the number of children that would be born to a woman if she were to live to the end of her childbearing years and bear children in accordance with age-specific fertility rates of the specified year.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average; Relevance to gender indicator: it can indicate the status of women within households and a woman’s decision about the number and spacing of children.
In 2024, the fertility rate in Africa was *** children per woman. The average number of newborn infants per woman on the continent decreased compared to 2000, when women had approximately **** children throughout their reproductive years. By 2030, fertility in Africa is projected to decline to around *** births per woman, yet it will remain high. The highest fertility rate worldwide Despite its gradually declining rate, fertility in Africa is the highest in the world. In 2021, the average fertility rate on the continent stood at **** children per woman, compared to a global average of **** births per woman. In contrast, Europe and North America were the continents with the lowest proportion of newborns, each registering a fertility rate below two children per woman. Additionally, Africa records the highest fertility rate among the young female population aged 15 to 19 years. In 2021, West and Central Africa had an adolescent fertility rate of *** children per 1,000 girls, the highest value worldwide. Lower fertility in Northern Africa Fertility levels vary significantly across Africa. In 2021, Niger, Somalia, Chad, and the Democratic Republic of Congo were the countries with the highest fertility rates on the continent. In those countries, women had an average of over *** children in their reproductive years. The number of adolescent girls giving birth also differed within Africa. For instance, the adolescent fertility rate in North Africa stood at around **** children per 1,000 young women in 2023. On the other hand, Sub-Saharan Africa registered a higher rate of ****** children per 1,000 girls in 2021. In general, higher poverty levels, inadequate social and health conditions, and increased infant mortality are some main drivers of higher fertility rates.
The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.
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South Africa ZA: Birth Rate: Crude: per 1000 People data was reported at 20.981 Ratio in 2016. This records a decrease from the previous number of 21.297 Ratio for 2015. South Africa ZA: Birth Rate: Crude: per 1000 People data is updated yearly, averaging 30.616 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 40.222 Ratio in 1960 and a record low of 20.981 Ratio in 2016. South Africa ZA: Birth Rate: Crude: per 1000 People data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Crude birth rate indicates the number of live births occurring during the year, per 1,000 population estimated at midyear. Subtracting the crude death rate from the crude birth rate provides the rate of natural increase, which is equal to the rate of population change in the absence of migration.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average;
In 2023, the crude birth rate in South Africa decreased by 0.3 live births per 1,000 inhabitants (-1.57 percent) compared to 2022. This marks the lowest rate during the observed period. The crude birth rate is the annual number of live births divided by the total population, expressed per 1,000 people.Find more statistics on other topics about South Africa with key insights such as total fertility rate, fertility rate of women aged between 15 and 19 years old, and infant mortality rate.
A flexible model to reconstruct education-specific fertility rates: Sub-saharan Africa case study
The fertility rates are consistent with the United Nation World Population Prospects (UN WPP) 2022 fertility rates.
The Bayesian model developed to reconstruct the fertility rates using Demographic and Health Surveys and the UN WPP is published in a working paper.
Abstract
The future world population growth and size will be largely determined by the pace of fertility decline in sub-Saharan Africa. Correct estimates of education-specific fertility rates are crucial for projecting the future population. Yet, consistent cross-country comparable estimates of education-specific fertility for sub-Saharan African countries are still lacking. We propose a flexible Bayesian hierarchical model to reconstruct education-specific fertility rates by using the patchy Demographic and Health Surveys (DHS) data and the United Nations’ (UN) reliable estimates of total fertility rates (TFR). Our model produces estimates that match the UN TFR to different extents (in other words, estimates of varying levels of consistency with the UN). We present three model specifications: consistent but not identical with the UN, fully-consistent (nearly identical) with the UN, and consistent with the DHS. Further, we provide a full time series of education-specific TFR estimates covering five-year periods between 1980 and 2014 for 36 sub-Saharan African countries. The results show that the DHS-consistent estimates are usually higher than the UN-fully-consistent ones. The differences between the three model estimates vary substantially in size across countries, yielding 1980-2014 fertility trends that differ from each other mostly in level only but in some cases also in direction.
Funding
The data set are part of the BayesEdu Project at Wittgenstein Centre for Demography and Global Human Capital (IIASA, OeAW, University of Vienna) funded from the “Innovation Fund Research, Science and Society” by the Austrian Academy of Sciences (ÖAW).
We provide education-specific total fertility rates (ESTFR) from three model specifications: (1) estimated TFR consistent but not identical with the TFR estimated by the UN (“Main model (UN-consistent)”; (2) estimated TFR fully consistent (nearly identical) with the TFR estimated by the UN ( “UN-fully -consistent”, and (3) estimated TFR consistent only with the TFR estimated by the DHS ( “DHS-consistent”).
For education- and age-specific fertility rates that are UN-fully consistent, please see https://doi.org/10.5281/zenodo.8182960
Variables
Country: Country names
Education: Four education levels, No Education, Primary Education, Secondary Education and Higher Education.
Year: Five-year periods between 1980 and 2015.
ESTFR: Median education-specific total fertility rate estimate
sd: Standard deviation
Upp50: 50% Upper Credible Interval
Lwr50: 50% Lower Credible Interval
Upp80: 80% Upper Credible Interval
Lwr80: 80% Lower Credible Interval
Model: Three model specifications as explained above and in the working paper. DHS-consistent, Main model (UN-consistent) and UN-fully consistent.
List of countries:
Angola, Benin, Burkina Faso, Burundi, Cote D'Ivoire, Cameroon, Central African Republic, Chad, Comoros, Congo, Democratic Republic of Congo, Eswatini, Ethiopia, Gabon, Gambia, Ghana, Guinea, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mozambique, Namibia, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, South Africa, Tanzania, Togo, Uganda, Zambia, Zimbabwe
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South Africa ZA: UCB Projection: Crude Birth Rate: per 1000 Persons data was reported at 13.500 NA in 2050. This records a decrease from the previous number of 13.600 NA for 2049. South Africa ZA: UCB Projection: Crude Birth Rate: per 1000 Persons data is updated yearly, averaging 20.050 NA from Jun 1985 (Median) to 2050, with 66 observations. The data reached an all-time high of 33.600 NA in 1985 and a record low of 13.500 NA in 2050. South Africa ZA: UCB Projection: Crude Birth Rate: per 1000 Persons data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s South Africa – Table ZA.US Census Bureau: Demographic Projection.
The total fertility rate represents the average number of children that a woman will have over the course of their reproductive years. In South Africa in the early-1920s, the average woman would have 6.5 children over the course of their reproductive years, a rate that would remain fairly constant until 1950. From this point until 2005, South Africa’s fertility rate would drop consistently, and would reach 2.9 children per woman by the beginning of the 21st century. There was a slight increase in fertility in 2005, largely attributed to a diversion of healthcare funding away from contraceptives to funding for treatments for the HIV/AIDS epidemic in the country, however, the fertility rate would again decrease in the years following this. In 2020, the total fertility rate for South Africa is estimated to be just 2.41 children per woman, a rate much lower than most other Sub-Saharan countries.
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South Africa ZA: UCB Projection: Fertility Rate: per Woman data was reported at 1.840 NA in 2050. This records a decrease from the previous number of 1.850 NA for 2049. South Africa ZA: UCB Projection: Fertility Rate: per Woman data is updated yearly, averaging 2.275 NA from Jun 1985 (Median) to 2050, with 66 observations. The data reached an all-time high of 4.050 NA in 1985 and a record low of 1.840 NA in 2050. South Africa ZA: UCB Projection: Fertility Rate: per Woman data remains active status in CEIC and is reported by US Census Bureau. The data is categorized under Global Database’s South Africa – Table ZA.US Census Bureau: Demographic Projection.
In 2021, Niger was the African country with the highest fertility rate. There, each woman had an average of 6.82 children in her reproductive years. Somalia and Chad followed, with a fertility rate of around 6.31 and 6.26 children per woman, respectively. Fertility levels in Africa remain high despite a steady decline The fertility rate in Africa has gradually decreased since 2000 and is projected to decline further in the coming years. Factors including improved socio-economic conditions and educational opportunities, lower infant mortality, and decreasing poverty levels have driven the declining birth rate on the continent. Nevertheless, Africa remains the continent with the highest fertility rate worldwide. Between 2015 and 2021, women in Africa had an average of 4.47 children in their reproductive years. Africa was the only continent registering a fertility rate higher than the global average, which was set at 2.32 children per woman. Worldwide, the continent also had the highest adolescent fertility rate as of 2021, with West and Central Africa leading with 107 births per 1,000 girls aged 15 to 19 years. Africa’s population keeps growing According to projections, over 46 million births will be registered in Africa in 2023. Contrary to the declining fertility rate, the absolute number of births on the continent will continue to grow in the coming years to reach around 50.1 million by 2026. In general, Africa’s population – amounting to over 1.39 billion inhabitants as of 2021 – is forecast to increase considerably and achieve almost 2.5 billion in 2050. Countries such as Niger, Angola, and Equatorial Guinea are key drivers of population growth in Africa, registering the highest average population growth rate on the continent between 2020 and 2025. For instance, in that period, Niger’s population was forecast to expand by 3.7 percent each year.
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South Africa ZA: Mortality Rate: Under-5: per 1000 Live Births data was reported at 43.300 Ratio in 2016. This records a decrease from the previous number of 44.100 Ratio for 2015. South Africa ZA: Mortality Rate: Under-5: per 1000 Live Births data is updated yearly, averaging 66.000 Ratio from Dec 1974 (Median) to 2016, with 43 observations. The data reached an all-time high of 125.500 Ratio in 1974 and a record low of 43.300 Ratio in 2016. South Africa ZA: Mortality Rate: Under-5: per 1000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Health Statistics. Under-five mortality rate is the probability per 1,000 that a newborn baby will die before reaching age five, if subject to age-specific mortality rates of the specified year.; ; Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org.; Weighted average; Given that data on the incidence and prevalence of diseases are frequently unavailable, mortality rates are often used to identify vulnerable populations. Moreover, they are among the indicators most frequently used to compare socioeconomic development across countries. Under-five mortality rates are higher for boys than for girls in countries in which parental gender preferences are insignificant. Under-five mortality captures the effect of gender discrimination better than infant mortality does, as malnutrition and medical interventions have more significant impacts to this age group. Where female under-five mortality is higher, girls are likely to have less access to resources than boys.
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ZA: Total Fertility Rate: Children per Woman data was reported at 2.220 Person in 2023. This records a decrease from the previous number of 2.230 Person for 2022. ZA: Total Fertility Rate: Children per Woman data is updated yearly, averaging 2.440 Person from Dec 1990 (Median) to 2023, with 34 observations. The data reached an all-time high of 3.720 Person in 1990 and a record low of 2.220 Person in 2023. ZA: Total Fertility Rate: Children per Woman data remains active status in CEIC and is reported by Organisation for Economic Co-operation and Development. The data is categorized under Global Database’s South Africa – Table ZA.OECD.GGI: Social: Demography: Non OECD Member: Annual.
In 2021, there were 11.6 births per 1,000 people in Northern Ireland, compared with eleven in the previous year. Between 2000 and 2008, Northern Ireland's birth rate increased from 12.8 to 14.4 but started to decline gradually until 2012 when it dropped from 13.9 to 13.3 in just one year. During this provided time period, the birth rate in Northern Ireland was highest in 1971, when it was 20.6 and was at its lowest in 2020 when there were just eleven births per 1,000 people. Falling birth rates in the UK For the United Kingdom as a whole, the birth rate fell to 10.2 births per 1,000 people in 2020, before a slight uptick to 10.4 in 2021. After a postwar peak of 18.8 births per 1,000 people in 1964, the UK birth rate fell sharply to just 11.7 by 1977. Between 1977 and 2012 the birth rate fluctuated between 11.3 and 13.9, but declined in every year between 2012 and 2020. In 2021, the UK's fertility rate (the number of births per women) fell to just 1.53, compared with 2.95 in 1964. Since 1973, the UK has fallen below the minimum replacement level fertility rate of 2.1, and without immigration would likely see its population decline in the long term. Global demographic trends The considerable decline in the UK's fertility rate in recent decades is not an isolated phenomenon. As of 2024, Africa was, at 4.12, the only continent to have a fertility rate higher than the global average of 2.31. Several countries, mainly in East Asia and Europe, have far lower fertility rates than the UK or the global average, however. South Korea provides the most dramatic example of this trend, with its fertility rate falling from 6.33 in 1960 to just 1.11 by 2020. By the 2080s, it is expected that, as Africa's fertility rate converges with the rest of the world, the global population will peak at around 10.4 billion and start to decline.
The world's population first reached one billion people in 1803, and reach eight billion in 2023, and will peak at almost 11 billion by the end of the century. Although it took thousands of years to reach one billion people, it did so at the beginning of a phenomenon known as the demographic transition; from this point onwards, population growth has skyrocketed, and since the 1960s the population has increased by one billion people every 12 to 15 years. The demographic transition sees a sharp drop in mortality due to factors such as vaccination, sanitation, and improved food supply; the population boom that follows is due to increased survival rates among children and higher life expectancy among the general population; and fertility then drops in response to this population growth. Regional differences The demographic transition is a global phenomenon, but it has taken place at different times across the world. The industrialized countries of Europe and North America were the first to go through this process, followed by some states in the Western Pacific. Latin America's population then began growing at the turn of the 20th century, but the most significant period of global population growth occurred as Asia progressed in the late-1900s. As of the early 21st century, almost two thirds of the world's population live in Asia, although this is set to change significantly in the coming decades. Future growth The growth of Africa's population, particularly in Sub-Saharan Africa, will have the largest impact on global demographics in this century. From 2000 to 2100, it is expected that Africa's population will have increased by a factor of almost five. It overtook Europe in size in the late 1990s, and overtook the Americas a decade later. In contrast to Africa, Europe's population is now in decline, as birth rates are consistently below death rates in many countries, especially in the south and east, resulting in natural population decline. Similarly, the population of the Americas and Asia are expected to go into decline in the second half of this century, and only Oceania's population will still be growing alongside Africa. By 2100, the world's population will have over three billion more than today, with the vast majority of this concentrated in Africa. Demographers predict that climate change is exacerbating many of the challenges that currently hinder progress in Africa, such as political and food instability; if Africa's transition is prolonged, then it may result in further population growth that would place a strain on the region's resources, however, curbing this growth earlier would alleviate some of the pressure created by climate change.
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South Africa ZA: Completeness of Birth Registration data was reported at 85.000 % in 2012. This records a decrease from the previous number of 92.000 % for 2008. South Africa ZA: Completeness of Birth Registration data is updated yearly, averaging 85.000 % from Dec 2006 (Median) to 2012, with 3 observations. The data reached an all-time high of 92.000 % in 2008 and a record low of 78.000 % in 2006. South Africa ZA: Completeness of Birth Registration data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Completeness of birth registration is the percentage of children under age 5 whose births were registered at the time of the survey. The numerator of completeness of birth registration includes children whose birth certificate was seen by the interviewer or whose mother or caretaker says the birth has been registered.; ; UNICEF's State of the World's Children based mostly on household surveys and ministry of health data.; Weighted average;
In 2025, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have between 5-6 children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan and Yemen are the only countries not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost six children per woman, Chad is the country with the highest fertility rate in the world. Population growth in Chad is among the highest in the world. Lack of healthcare access, as well as food instability, political instability, and climate change, are all exacerbating conditions that keep Chad's infant mortality rates high, which is generally the driver behind high fertility rates. This situation is common across much of the continent, and, although there has been considerable progress in recent decades, development in Sub-Saharan Africa is not moving as quickly as it did in other regions. Demographic transition While these countries have the highest fertility rates in the world, their rates are all on a generally downward trajectory due to a phenomenon known as the demographic transition. The third stage (of five) of this transition sees birth rates drop in response to decreased infant and child mortality, as families no longer feel the need to compensate for lost children. Eventually, fertility rates fall below replacement level (approximately 2.1 children per woman), which eventually leads to natural population decline once life expectancy plateaus. In some of the most developed countries today, low fertility rates are creating severe econoic and societal challenges as workforces are shrinking while aging populations are placin a greater burden on both public and personal resources.
In 2023, it is estimated that the BRICS countries have a combined population of 3.25 billion people, which is over 40 percent of the world population. The majority of these people live in either China or India, which have a population of more than 1.4 billion people each, while the other three countries have a combined population of just under 420 million. Comparisons Although the BRICS countries are considered the five foremost emerging economies, they are all at various stages of the demographic transition and have different levels of population development. For all of modern history, China has had the world's largest population, but rapidly dropping fertility and birth rates in recent decades mean that its population growth has slowed. In contrast, India's population growth remains much higher, and it is expected to overtake China in the next few years to become the world's most populous country. The fastest growing population in the BRICS bloc, however, is that of South Africa, which is at the earliest stage of demographic development. Russia, is the only BRICS country whose population is currently in decline, and it has been experiencing a consistent natural decline for most of the past three decades. Growing populations = growing opportunities Between 2000 and 2026, the populations of the BRICS countries is expected to grow by 625 million people, and the majority of this will be in India and China. As the economies of these two countries grow, so too do living standards and disposable income; this has resulted in the world's two most populous countries emerging as two of the most profitable markets in the world. China, sometimes called the "world's factory" has seen a rapid growth in its middle class, increased potential of its low-tier market, and its manufacturing sector is now transitioning to the production of more technologically advanced and high-end goods to meet its domestic demand.
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South Africa ZA: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data was reported at 138.000 Ratio in 2015. This records a decrease from the previous number of 140.000 Ratio for 2014. South Africa ZA: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data is updated yearly, averaging 104.500 Ratio from Dec 1990 (Median) to 2015, with 26 observations. The data reached an all-time high of 154.000 Ratio in 2011 and a record low of 60.000 Ratio in 1996. South Africa ZA: Maternal Mortality Ratio: Modeled Estimate: per 100,000 Live Births data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Health Statistics. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP.; ; WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015; Weighted average; This indicator represents the risk associated with each pregnancy and is also a Sustainable Development Goal Indicator for monitoring maternal health.
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South Africa ZA: Death Rate: Crude: per 1000 People data was reported at 9.793 Ratio in 2016. This records a decrease from the previous number of 10.102 Ratio for 2015. South Africa ZA: Death Rate: Crude: per 1000 People data is updated yearly, averaging 11.455 Ratio from Dec 1960 (Median) to 2016, with 57 observations. The data reached an all-time high of 14.815 Ratio in 1960 and a record low of 8.199 Ratio in 1991. South Africa ZA: Death Rate: Crude: per 1000 People data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank: Population and Urbanization Statistics. Crude death rate indicates the number of deaths occurring during the year, per 1,000 population estimated at midyear. Subtracting the crude death rate from the crude birth rate provides the rate of natural increase, which is equal to the rate of population change in the absence of migration.; ; (1) United Nations Population Division. World Population Prospects: 2017 Revision. (2) Census reports and other statistical publications from national statistical offices, (3) Eurostat: Demographic Statistics, (4) United Nations Statistical Division. Population and Vital Statistics Reprot (various years), (5) U.S. Census Bureau: International Database, and (6) Secretariat of the Pacific Community: Statistics and Demography Programme.; Weighted average;
In 1925, the crude birth rate in South Africa was just under 49 births per thousand people, meaning that almost five percent of the population was born in that year. This figure would follow the country’s trends in fertility, remaining largely unchanged until the 1950s when, following the implementation of apartheid rule in the country in 1948, declines in fertility from the government's family planning programs would lead to the birth rate's rapid decline. Apart from a brief pause in the early-1980s, births rates would decline throughout the second half of the 20th century, falling to just under 24 births per thousand people by 2000. The crude birth rate would see a brief increase in the early 2000s, largely attributed to a diversion of healthcare funding away from contraceptives to funding for treatments for the HIV/AIDS epidemic in the country, but since then, birth rates have resumed their decline, and in 2020, it is estimated that South Africa had a birth rate just under 21 births for every thousand people.