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.

The total fertility rate of the world has dropped from around five 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 five 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.

Graph and download economic data for Fertility Rate, Total for the United States (SPDYNTFRTINUSA) from 1960 to 2023 about fertility, rate, and USA.

Today, globally, women of childbearing age have an average of approximately 2.2 children over the course of their lifetime. In pre-industrial times, most women could expect to have somewhere between five and ten live births throughout their lifetime; however, the demographic transition then sees fertility rates fall significantly. Looking ahead, it is believed that the global fertility rate will fall below replacement level in the 2050s, which will eventually lead to population decline when life expectancy plateaus. Recent decades Between the 1950s and 1970s, the global fertility rate was roughly five children per woman - this was partly due to the post-WWII baby boom in many countries, on top of already-high rates in less-developed countries. The drop around 1960 can be attributed to China's "Great Leap Forward", where famine and disease in the world's most populous country saw the global fertility rate drop by roughly 0.5 children per woman. Between the 1970s and today, fertility rates fell consistently, although the rate of decline noticeably slowed as the baby boomer generation then began having their own children. Replacement level fertility Replacement level fertility, i.e. the number of children born per woman that a population needs for long-term stability, is approximately 2.1 children per woman. Populations may continue to grow naturally despite below-replacement level fertility, due to reduced mortality and increased life expectancy, however, these will plateau with time and then population decline will occur. It is believed that the global fertility rate will drop below replacement level in the mid-2050s, although improvements in healthcare and living standards will see population growth continue into the 2080s when the global population will then start falling.

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.

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

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 fertility rates have fallen in all five Nordic countries over the last years. However, in 2021, the birth rates increased again in all five Nordics countries, besides in Sweden, where the fertility rate stayed the same. This can be explained by the higher number of babies born during the COVID-19 pandemic. In 2022, Iceland had the highest fertility rate of the Nordic countries, with 1.6 children born per woman in reproductive age. The global trend of decreasing fertility The Nordics are not the only region with decreasing fertility rates. Globally, fertility rates have been on a steady decline since 2000. While lower-income countries have had more significant declines, they still have more children born per woman than higher-income countries. In 2000, almost 6 children were born per woman in low-income countries, decreasing to 4.62 in 2021. By comparison, nearly 1.71 children were born per woman in high-income countries, falling slightly to 1.55 by 2021. Overall, in 2023, Niger, Angola, and the Democratic Republic of Congo had the highest fertility rates, while Taiwan, South Korea, and Singapore had the lowest fertility rates. Impacts of low fertility Greater access to education, challenges between work-life balance, and the costs of raising children can all be linked to falling fertility rates. However, this decline is not without consequences, and many countries are facing social and economic challenges because of aging and shrinking populations. For example, in Japan, where nearly 30 percent of the country is aged 65 or older, an increasing proportion of the government expenditure is going towards social security benefits. Moreover, the very low unemployment rate in Japan can partially be attributed to having a shrinking labor force and fewer people to support the economy.

In 2024, the average number of children born per 1,000 people in China ranged at ****. The birth rate has dropped considerably since 2016, and the number of births fell below the number of deaths in 2022 for the first time in decades, leading to a negative population growth rate. Recent development of the birth rate Similar to most East-Asian countries and territories, demographics in China today are characterized by a very low fertility rate. As low fertility in the long-term limits economic growth and leads to heavy strains on the pension and health systems, the Chinese government decided to support childbirth by gradually relaxing strict birth control measures, that had been in place for three decades. However, the effect of this policy change was considerably smaller than expected. The birth rate increased from **** births per 1,000 inhabitants in 2010 to ***** births in 2012 and remained on a higher level for a couple of years, but then dropped again to a new low in 2018. This illustrates that other factors constrain the number of births today. These factors are most probably similar to those experienced in other developed countries as well: women preferring career opportunities over maternity, high costs for bringing up children, and changed social norms, to name only the most important ones. Future demographic prospects Between 2020 and 2023, the birth rate in China dropped to formerly unknown lows, most probably influenced by the coronavirus pandemic. As all COVID-19 restrictions were lifted by the end of 2022, births figures showed a catch-up effect in 2024. However, the scope of the rebound might be limited. A population breakdown by five-year age groups indicates that the drop in the number of births is also related to a shrinking number of people with child-bearing age. The age groups between 15 and 29 years today are considerably smaller than those between 30 and 44, leaving less space for the birth rate to increase. This effect is exacerbated by a considerable gender gap within younger age groups in China, with the number of females being much lower than that of males.

While the BRICS countries are grouped together in terms of economic development, demographic progress varies across these five countries. In 2019, India and South Africa were the only BRICS countries with a fertility rate above replacement level (2.1 births per woman). Fertility rates since 2000 show that fertility in China and Russia has either fluctuated or remained fairly steady, as these two countries are at a later stage of the demographic transition than the other three, while Brazil has reached this stage more recently. Fertility rates in India are following a similar trend to Brazil, while South Africa's rate is progressing at a much slower pace. Demographic development is inextricably linked with economic growth; for example, as fertility rates drop, female participation in the workforce increases, as does the average age, which then leads to higher productivity and a more profitable domestic market.

Rapid population growth in developing countries in the middle of the 20th century led to fears of a population explosion and motivated the inception of what effectively became a global population-control program. The initiative, propelled in its beginnings by intellectual elites in the United States, Sweden, and some developing countries, mobilized resources to enact policies aimed at reducing fertility by widening contraception provision and changing family-size norms. In the following five decades, fertility rates fell dramatically, with a majority of countries converging to a fertility rate just above two children per woman, despite large cross-country differences in economic variables such as GDP per capita, education levels, urbanization, and female labor force participation. The fast decline in fertility rates in developing economies stands in sharp contrast with the gradual decline experienced earlier by more mature economies. In this paper, we argue that population-control policies likely played a central role in the global decline in fertility rates in recent decades and can explain some patterns of that fertility decline that are not well accounted for by other socioeconomic factors.

In 2023, the Italian region which registered the highest fertility rate was Trentino-South Tyrol, where the average number of children born per female reached 1.42 infants. Over the last years, the fertility rate in Italy has constantly decreased, except for 2021 when a slight increase by 0.01 points was recorded. Fewer and fewer children born per womanThe average number of children born per female significantly varied from the middle of the twentieth century to present days. In 2017, Italian women were on average a mother of one child, whereas about seven decades earlier, females had on average at least two kids. The lowest fertility rates worldwide From the global perspective, Italy was one of the world's twenty countries with the lowest fertility rate in 2023. This figure in Taiwan reached only 1.07 children per woman, placing the country on top of the ranking.

India fertility rate for 2025 is 2.11, a 0.8% decline from 2024.

<ul style='margin-top:20px;'>

<li>India fertility rate for 2024 was <strong>2.12</strong>, a <strong>7.44% increase</strong> from 2023.</li>
<li>India fertility rate for 2023 was <strong>1.98</strong>, a <strong>0.95% decline</strong> from 2022.</li>
<li>India fertility rate for 2022 was <strong>1.99</strong>, a <strong>0.99% decline</strong> from 2021.</li>
</ul>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.

In 2022, India overtook China as the world's most populous country and now has almost 1.46 billion people. China now has the second-largest population in the world, still with just over 1.4 billion inhabitants, however, its population went into decline in 2023. Global population As of 2025, the world's population stands at almost 8.2 billion people and is expected to reach around 10.3 billion people in the 2080s, when it will then go into decline. Due to improved healthcare, sanitation, and general living conditions, the global population continues to increase; mortality rates (particularly among infants and children) are decreasing and the median age of the world population has steadily increased for decades. As for the average life expectancy in industrial and developing countries, the gap has narrowed significantly since the mid-20th century. Asia is the most populous continent on Earth; 11 of the 20 largest countries are located there. It leads the ranking of the global population by continent by far, reporting four times as many inhabitants as Africa. The Demographic Transition The population explosion over the past two centuries is part of a phenomenon known as the demographic transition. Simply put, this transition results from a drastic reduction in mortality, which then leads to a reduction in fertility, and increase in life expectancy; this interim period where death rates are low and birth rates are high is where this population explosion occurs, and population growth can remain high as the population ages. In today's most-developed countries, the transition generally began with industrialization in the 1800s, and growth has now stabilized as birth and mortality rates have re-balanced. Across less-developed countries, the stage of this transition varies; for example, China is at a later stage than India, which accounts for the change in which country is more populous - understanding the demographic transition can help understand the reason why China's population is now going into decline. The least-developed region is Sub-Saharan Africa, where fertility rates remain close to pre-industrial levels in some countries. As these countries transition, they will undergo significant rates of population growth

Abstract

This survey is part of a fertility survey series conducted in the 1970s and 1980s, covering contraceptives, reproductive health, breastfeeding and complete birth histories.Currently housed by Princeton, these surveys were originally done under the auspices of the International Statistical Institute from the 70s to the early 80s.

Between October 1981 and August 1982, a World Fertility Survey (WFS) was conducted in Nigeria, the most populated country in Africa. Nigeria has a population of 93.7 million (1984) and an estimated growth rate of 3.0%-3.5% WFS findings indicate that current conditions in Nigeria are conducive to continued rapid population growth in the future. These conditions include high fertility, strong pronatalist attitudes, an increase in the proportion of young people in the population, a low level of contraceptive knowledge and use, high infant and child mortality rates, and a decrease in breastfeeding duration and in postpartum sexual abstinence duration among urban and educated women. In the survey information was collected from a sample of 8623 households and from 9727 women of reproductive age residing in those households. These completed interviews represented a 93.4 response rate for the households and a 96.0% response rate for the individual women. 56.1% of the households were occupied by a nuclear family, 23.6% were occupied by an extended family, and 20.3% contained no married couples. Mean household size was 5.09 in urban areas and 5.83 in rural areas. Housing conditions were relatively poor in both rural and urban areas. 83.5% of the surveyed women were ever married. Marriage was almost universal; only 0.6% of the women aged 44-49 never married. Marriages were relatively stable, and those who divorced tended to promplty remarry. Preliminary analysis indicates that the age at marriage may be decreasing. The mean age at 1st marriage was 16.0 years for women aged 25-29 and 17.7 years for women aged 40-44. 42.6% of the currently married women were in polynous unions, and the mean age difference between husbands and wives was 12.56 years. 77.4% of the interviewed women were illiterate, 77.4% resided in rural areas, 35.0% were currently not working, 45.9% were Muslim, and 44.9% were Christian. Among all the surveyed women, the mean number of children ever born was 3.07. Women aged 45-49 had a mean of 5.84 ever born children. The total fertility rate for the 5-year period preceding the study was 6.34, and the total fertility rate for ever married women was 7.48. Women with secondary or higher educations had lower fertility than women with less education; however, women with primary schooling only had higher fertility than those with no schooling. Urban and rural fertility differences were small, but there were marked regional differences in fertility patterns. Preliminary analysis indicates that fertility increased between the early 1960s and mid-1970s, but declined slightly since then. Only 5% of the surveyed women wanted no more children, and average desired family size among currently married and fecund women was 8.3 children. Although infant and child mortality declined in recent years, the respective rates were still 84.8 and 144.5 for 1975-9. Among surveyed women, 66.3% had no knowledge of any contraceptive method. 85.9% never used any contraceptive method, 12.5% ever used an inefficient method (mainly postpartum abstinence), and only 2.6% ever used an efficient method. Only 0.7% of exposed women currently used an efficient contraceptive method. Breastfeeding is universal. Mean breastfeeding duration for the next to last child was 16.6 months. For ever married women, the mean duration of post partum amenorrhea in the last closed birth interval was 10.4 months, and the mean duration of sexual abstinence following the next to last birth was 14.1 months. The duration of both breastfeeding and postpartum sexual abstinence is shorter among educated and urban women than among rural and uneducated women.Source: Voorburg, Netherlands, International Statistical Institute, 1984 Sep. 18 p. (WFS Summary of Findings No. 49)

Geographic coverage

National

Analysis unit

Households, Individuals

Universe

All women, 15-49

Kind of data

Sample survey data [ssd]

Sampling procedure

The 250 enumeration areas (EAs)of the Nigeria Fertility Survey are a subsample of the EAs used for the National Demographic Sample Survey 1980. It was originally intended as a self-weighting sample but problems of implementation led to the abandoning of this. The final sample of size 9727 includes weights to allow for the unequal probabilities of selection. The household and individual interviews were conducted on the same visit by the same (female) interviewers.

Mode of data collection

Face-to-face [f2f]

Research instrument

The WFS Headquarters prepared survey documents for general guidance and use, principal among these being the survey instruments or questionnaires.

Two basic instruments were the Hosuehold schedule and the individual questionnaire for women. 1. The Household Questionnaire covered topics such as age, sex, marital status of household members 2. Individual questionnaire for women provides detailed information on maternity and marriage histories, contraceptive knowledge and use, and fertility regulation.

A husbands questionnaire and an individual core questionnaire for low fertility countries were also developed. Optional supplementary modules on : - Abortion - Community level variables - Economic questionnaires - Factors other than contaception affecting fertility (FOTCAF) - Family planning - Fertility regulation - General mortality

The FOTCAF module measures biological factors and traditional practices that affect fertility in countries with low levels of contraceptive use. It includes questions on the lengths of: breastfeeding, unsupplemented breastfeeding, postpartum amenorrhea, and postpartum abstinence. The WFS core questionnaire included a complete live birth history; questions on the respondent's age, characteristics, and contraceptive use; and a record of the dates of marriages and marriage dissolutions. For African countries, one or more questions were asked about polygyny. Also included were questions on whether a woman's husband had other wives, and all (except Ghana) asked wives in polygynous marriages about their rank (first wife, second wife, and so forth). Several countries also asked about the number of other wives in the marriage.

In the Nigeria survey, the WFS core questionnaire, the FOTCAF Module, as well as supplementary surveys for household members and community were used. The FOTCAF module was modified so that (a) information was gathered about live-birth rather than pregnancy intervals and (b) provision was made to record information about the third to last interval, if this interval started within the five years preceding the survey. The latter ammendment removes much of the selection bias inherent in the standard FOTCAF module which is restricted to the last and last-but-one intervals.

Also recorded in the survey are : Place of and assistance at delivery of recently born children ; the existence of grandsons and granddaughters of the respondent, as well as the age of oldest. The purpose of these data is to test the hypothesis that the attainment of grandmotherhood is associated with terminal abstinence. The community survey covers availability of facilities (post office, health services, police, courts, bank) and provision of services (water, electricity, fuel, transport, specified goods).

Response rate

These completed interviews represented a 93.4 response rate for the households and a 96.0% response rate for the individual women.

In 2024, Monaco was the European country estimated to have the highest fertility rate. The country had a fertility rate of 2.1 children per woman. Other small countries such as Gibraltar or Montenegro also came towards the top of the list for 2024, while the large country with the highest fertility rate was France, with 1.64 children per woman. On the other hand, Ukraine had the lowest fertility rate, averaging around one child per woman.

The 1998 Philippines National Demographic and Health Survey (NDHS). is a nationally-representative survey of 13,983 women age 15-49. The NDHS was designed to provide information on levels and trends of fertility, family planning knowledge and use, infant and child mortality, and maternal and child health. It was implemented by the National Statistics Office in collaboration with the Department of Health (DOH). Macro International Inc. of Calverton, Maryland provided technical assistance to the project, while financial assistance was provided by the U.S. Agency for International Development (USAID) and the DOH. Fieldwork for the NDHS took place from early March to early May 1998. The primary objective of the NDHS is to Provide up-to-date information on fertility levels; determinants of fertility; fertility preferences; infant and childhood mortality levels; awareness, approval, and use of family planning methods; breastfeeding practices; and maternal and child health. This information is intended to assist policy makers and program managers in evaluating and designing programs and strategies for improving health and family planning services in the country. MAIN RESULTS Survey data generally confirm patterns observed in the 1993 National Demographic Survey (NDS), showing increasing contraceptive use and declining fertility. FERTILITY Fertility Decline. The NDHS data indicate that fertility continues to decline gradually but steadily. At current levels, women will give birth an average of 3.7 children per woman during their reproductive years, a decline from the level of 4.1 recorded in the 1993 NDS. A total fertility rate of 3.7, however, is still considerably higher than the rates prevailing in neighboring Southeast Asian countries. Fertility Differentials. Survey data show that the large differential between urban and rural fertility levels is widening even further. While the total fertility rate in urban areas declined by about 15 percent over the last five years (from 3.5 to 3.0), the rate among rural women barely declined at all (from 4.8 to 4.7). Consequently, rural women give birth to almost two children more than urban women. Significant differences in fertility levels by region still exist. For example, fertility is more than twice as high in Eastern Visayas and Bicol Regions (with total fertility rates well over 5 births per woman) than in Metro Manila (with a rate of 2.5 births per woman). Fertility levels are closely related to women's education. Women with no formal education give birth to an average of 5.0 children in their lifetime, compared to 2.9 for women with at least some college education. Women with either elementary or high school education have intermediate fertility rates. Family Size Norms. One reason that fertility has not fallen more rapidly is that women in the Philippines still want moderately large families. Only one-third of women say they would ideally like to have one or two children, while another third state a desire for three children. The remaining third say they would choose four or more children. Overall, the mean ideal family size among all women is 3.2 children, identical to the mean found in 1993. Unplanned Fertility. Another reason for the relatively high fertility level is that unplanned pregnancies are still common in the Philippines. Overall, 45 percent of births in the five years prior to the survey were reported to be unplanned; 27 percent were mistimed (wanted later) and 18 percent were unwanted. If unwanted births could be eliminated altogether, the total fertility rate in the Philippines would be 2.7 births per woman instead of the actual level of 3.7. Age at First Birth. Fertility rates would be even higher if Filipino women did not have a pattem of late childbearing. The median age at first birth is 23 years in the Philippines, considerably higher than in most other countries. Another factor that holds down the overall level of fertility is the fact that about 9 or 10 percent of women never give birth, higher than the level of 3-4 percent found in most developing countries. FAMILY PLANNING Increasing Use of Contraception. A major cause of declining fertility in the Philippines has been the gradual but fairly steady increase in contraceptive use over the last three decades. The contraceptive prevalence rate has tripled since 1968, from 15 to 47 percent of married women. Although contraceptive use has increased since the 1993 NDS (from 40 to 47 percent of married women), comparison with the series of nationally representative Family Planning Surveys indicates that there has been a levelling-off in family planning use in recent years. Method Mix. Use of traditional methods of family planning has always accounted for a relatively high proportion of overall use in the Philippines, and data from the 1998 NDHS show the proportion holding steady at about 40 percent. The dominant changes in the "method mix" since 1993 have been an increase in use of injectables and traditional methods such as calendar rhythm and withdrawal and a decline in the proportions using female sterilization. Despite the decline in the latter, female sterilization still is the most widely used method, followed by the pill. Differentials in Family Planning Use. Differentials in current use of family planning in the 16 administrative regions of the country are large, ranging from 16 percent of married women in ARMM to 55 percent of those in Southern Mindanao and Central Luzon. Contraceptive use varies considerably by education of women. Only 15 percent of married women with no formal education are using a method, compared to half of those with some secondary school. The urban-rural gap in contraceptive use is moderate (51 vs. 42 percent, respectively). Knowledge of Contraception. Knowledge of contraceptive methods and supply sources has been almost universal in the Philippines for some time and the NDHS results indicate that 99 percent of currently married women age 15-49 have heard of at least one method of family planning. More than 9 in 10 married women know the pill, IUD, condom, and female sterilization, while about 8 in 10 have heard of injectables, male sterilization, rhythm, and withdrawal. Knowledge of injectables has increased far more than any other method, from 54 percent of married women in 1993 to 89 percent in 1998. Unmet Need for Family Planning. Unmet need for family planning services has declined since I993. Data from the 1993 NDS show that 26 percent of currently married women were in need of services, compared with 20 percent in the 1998 NDHS. A little under half of the unmet need is comprised of women who want to space their next birth, while just over half is for women who do not want any more children (limiters). If all women who say they want to space or limit their children were to use methods, the contraceptive prevalence rate could be increased from 47 percent to 70 percent of married women. Currently, about three-quarters of this "total demand" for family planning is being met. Discontinuation Rates. One challenge for the family planning program is to reduce the high levels of contraceptive discontinuation. NDHS data indicate that about 40 percent of contraceptive users in the Philippines stop using within 12 months of starting, almost one-third of whom stop because of an unwanted pregnancy (i.e., contraceptive failure). Discontinuation rates vary by method. Not surprisingly, the rates for the condom (60 percent), withdrawal (46 percent), and the pill (44 percent) are considerably higher than for the 1UD (14 percent). However, discontinuation rates for injectables are relatively high, considering that one dose is usually effective for three months. Fifty-two percent of injection users discontinue within one year of starting, a rate that is higher than for the pill. MATERNAL AND CHILD HEALTH Childhood Mortality. Survey results show that although the infant mortality rate remains unchanged, overall mortality of children under five has declined somewhat in recent years. Under-five mortality declined from 54 deaths per 1,000 births in 1988-92 to 48 for the period 1993-97. The infant mortality rate remained stable at about 35 per 1,000 births. Childhood Vaccination Coverage. The 1998 NDHS results show that 73 percent of children 12- 23 months are fully vaccinated by the date of the interview, almost identical to the level of 72 percent recorded in the 1993 NDS. When the data are restricted to vaccines received before the child's first birthday, however, only 65 percent of children age 12-23 months can be considered to be fully vaccinated. Childhood Health. The NDHS provides some data on childhood illness and treatment. Approximately one in four children under age five had a fever and 13 percent had respiratory illness in the two weeks before the survey. Of these, 58 percent were taken to a health facility for treatment. Seven percent of children under five were reported to have had diarrhea in the two weeks preceeding the survey. The fact that four-fifths of children with diarrhea received some type of oral rehydration therapy (fluid made from an ORS packet, recommended homemade fluid, or increased fluids) is encouraging. Breastfeeding Practices. Almost all Filipino babies (88 percent) are breastfed for some time, with a median duration of breastfeeding of 13 months. Although breastfeeding has beneficial effects on both the child and the mother, NDHS data indicate that supplementation of breastfeeding with other liquids and foods occurs too early in the Philippines. For example, among newborns less than two months of age, 19 percent were already receiving supplemental foods or liquids other than water. Maternal Health Care. NDHS data point to several areas regarding maternal health care in which improvements could be made. Although most Filipino mothers (86 percent) receive prenatal care from a doctor, nurse, or midwife, tetanus toxoid coverage is far from universal and

Historical chart and dataset showing France fertility rate by year from 1950 to 2025.

Globally, about 25 percent of the population is under 15 years of age and 10 percent is over 65 years of age. Africa has the youngest population worldwide. In Sub-Saharan Africa, more than 40 percent of the population is below 15 years, and only three percent are above 65, indicating the low life expectancy in several of the countries. In Europe, on the other hand, a higher share of the population is above 65 years than the population under 15 years. Fertility rates The high share of children and youth in Africa is connected to the high fertility rates on the continent. For instance, South Sudan and Niger have the highest population growth rates globally. However, about 50 percent of the world’s population live in countries with low fertility, where women have less than 2.1 children. Some countries in Europe, like Latvia and Lithuania, have experienced a population decline of one percent, and in the Cook Islands, it is even above two percent. In Europe, the majority of the population was previously working-aged adults with few dependents, but this trend is expected to reverse soon, and it is predicted that by 2050, the older population will outnumber the young in many developed countries. Growing global population As of 2025, there are 8.1 billion people living on the planet, and this is expected to reach more than nine billion before 2040. Moreover, the global population is expected to reach 10 billions around 2060, before slowing and then even falling slightly by 2100. As the population growth rates indicate, a significant share of the population increase will happen in Africa.

Over the past decade, the birth rate in Italy has constantly decreased – in 2024, 6.3 children were estimated to be born per 1,000 inhabitants, three infants less than in 2002. The region with the highest birth rate in the country was Trentino-South Tyrol, where 7.6 children were born per 1,000 residents. Italian mothers are older and older Similar to citizens of other European countries, Italians also postpone parenthood to a later age. While the average age of an Italian mother at childbirth in the 1990s was 29.9 years, in 2024 females giving birth were roughly 32.6 years. Italy, a country with one of the lowest fertility rates in the world If compared with the fertility rates around the world, Italy was one of the 20 countries which registered the lowest fertility rate in 2024. The leader of the global ranking was Taiwan, where only 1.11 babies were born per woman.