Countries by adolescent birth rate, 2023

The Central African Republic had the highest adolescent birth rate of 215 countries in 2023, at 163.1 births per 1,000 women aged 15 to 19. Macao had the lowest, at 0.5 births per 1,000 women aged 15 to 19. The median was 27.8 births per 1,000 women aged 15 to 19 and the figure for the World was 39.1 births per 1,000 women aged 15 to 19. Source: the World Bank.

Highest163.1Central African Republic

Lowest0.5Macao

Median27.8215 countries

World39.1History

Map of countries, 2023

Under 6
6 to 13
13 to 31
31 to 54
54 to 78
78 and over
No data

births per 1,000 women aged 15 to 19, 2023. Hatched areas have no value for this period. Source: World Bank, Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). Boundaries: Natural Earth (public domain).

Top 40 countries, 2023

births per 1,000 women aged 15 to 19. Source: World Bank, Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). Retrieved 2026-10-18.

Full ranking

Rank	Countries	2023 births per 1,000 women aged 15 to 19	Change on 2022
1	Central African Republic	163.1	0%
2	Mozambique	153.5	-1.2%
3	Equatorial Guinea	150.4	-1.1%
4	Niger	145.3	-1.1%
5	Angola	140.8	-0.8%
6	Mali	138.6	-1%
7	Chad	134.7	-1.4%
8	Madagascar	129.8	-1.3%
9	Liberia	126	-1%
10	Guinea	118.6	-1.5%
11	Somalia	117.1	-1.8%
12	Zambia	115.9	-1.3%
13	Malawi	113.6	-1.3%
14	Tanzania	113.2	-0.9%
15	Republic of the Congo	109.9	-1.2%
16	Uganda	107	-1.6%
17	Democratic Republic of the Congo	106.9	-1.1%
18	Cameroon	106.7	-1.5%
19	Zimbabwe	98.1	-1.4%
20	South Sudan	97.1	-1.4%
21	Sierra Leone	93.6	-2.2%
22	Nicaragua	93.5	-0.6%
23	Côte d’Ivoire	92.1	-1.2%
24	Gabon	91.7	-1.7%
25	Mauritania	88.9	-1.5%
26	Burkina Faso	87.1	-1.7%
27	Nigeria	86.4	-0.9%
28	São Tomé and Príncipe	86.2	-0.7%
29	Honduras	82.1	-0.8%
30	Guinea-Bissau	82	-1.4%
31	Laos	81.7	-0.9%
32	Benin	77.8	-1.3%
33	Togo	77.1	-1.6%
34	Nauru	76.2	-2.7%
35	Yemen	75.3	+0.6%
36	Venezuela	73.3	+0.4%
37	Bangladesh	73.2	+0.1%
38	Marshall Islands	71.8	+1%
39	Lesotho	70.6	-1.6%
40	Paraguay	70.3	-1%
41	Guyana	69.9	-1.9%
42	Ethiopia	69.9	-1.8%
43	Eswatini	68.7	-1.5%
44	Guatemala	68.3	-1.2%
45	Nepal	67.2	-1.7%
46	Vanuatu	66.2	-1.4%
47	Sudan	66.1	-1.9%
48	Namibia	66	-1.3%
49	Eritrea	65.2	-0.8%
50	Bolivia	64.8	-1.4%
51	Afghanistan	64.1	-1.9%
52	Senegal	60.2	-1.3%
53	Mexico	60.1	-1.7%
54	Colombia	59.5	-1.2%
55	Ghana	58.2	-1%
56	Gambia	58.1	-1.8%
57	Iraq	58	-1.6%
58	Panama	57.3	-0.7%
59	Kenya	56.3	-1.7%
60	Ecuador	55.5	-2.5%
61	Comoros	55.2	-1.9%
62	Belize	55.2	+3.4%
63	Seychelles	54.5	-1.6%
64	El Salvador	54.2	-1.2%
65	Papua New Guinea	54.1	-1.7%
66	Botswana	53.8	-1.4%
67	Burundi	53.4	-1.3%
68	Dominican Republic	52.8	-1.5%
69	South Africa	51.6	-0.3%
70	Solomon Islands	50.4	-1.6%
71	Haiti	49.8	-1.6%
72	Cuba	48.7	+1.9%
73	Suriname	48	-1.6%
74	Cambodia	46.9	-0.4%
75	Barbados	45.3	-1.1%
76	Kiribati	44	-2.2%
77	Micronesia	43.7	-0.6%
78	Peru	43.6	-0.8%
79	Samoa	43.5	-0.7%
80	Brazil	42.7	-0.5%
81	Saint Vincent and the Grenadines	42.3	-2.9%
82	Egypt	41.8	-0.2%
83	Pakistan	41.1	-2.8%
84	Tajikistan	40.4	-4.3%
85	Bulgaria	39.1	-0.8%
86	Syria	38.9	-2%
87	Cape Verde	38.8	+0.2%
88	Jamaica	36.5	-0.7%
89	Greenland	36.1	-0.9%
90	Palestine	36	-2.2%
91	Trinidad and Tobago	36	-2.1%
92	Saint Kitts and Nevis	35.2	-1.4%
93	Azerbaijan	34.8	-1.5%
94	Vietnam	34.3	-1%
95	American Samoa	34.2	+0.2%
96	Dominica	34.1	-0.4%
97	Uzbekistan	34.1	-1%
98	Romania	33.8	+0.7%
99	Myanmar	33.5	-0.9%
100	Guam	33.4	-1.5%
101	Antigua and Barbuda	32.9	-1.6%
102	Philippines	31.9	-0.9%
103	U.S. Virgin Islands	31.8	+0.2%
104	Rwanda	30.8	-0.9%
105	Palau	29.9	-0.3%
106	Grenada	29.1	-0.9%
107	Kyrgyzstan	28.3	-1.8%
108	Saint Lucia	27.8	-2.5%
109	Tuvalu	27.5	-2.1%
110	Timor-Leste	27.4	-1.7%
111	Indonesia	26.4	-0.6%
112	Argentina	26.4	+2.5%
113	Costa Rica	26.3	-0.8%
114	Iran	26.2	-0.3%
115	Uruguay	26.2	-1.1%
116	Northern Mariana Islands	26.2	-0.7%
117	Thailand	26.1	-0.4%
118	Morocco	25.1	-1.8%
119	Tonga	24.8	-0.5%
120	Slovakia	24.6	+0.2%
121	Bahamas	24.6	-0.5%
122	French Polynesia	24.3	-1.5%
123	Moldova	23	+2.9%
124	Turkmenistan	21.2	-4.8%
125	Fiji	21.2	-0.5%
126	Georgia	21.1	-1.7%
127	Lebanon	20.8	-1.3%
128	Mauritius	19.8	-1.5%
129	Mongolia	19.7	-3.9%
130	Djibouti	19	-1.7%
131	Aruba	18.8	+0.1%
132	Jordan	18.4	-2.4%
133	Kazakhstan	18.2	-1%
134	Hungary	17.5	-6.5%
135	Sint Maarten	17.2	+0.5%
136	Turks and Caicos Islands	16.2	-2.4%
137	British Virgin Islands	15.3	+5%
138	Sri Lanka	15.1	-0.2%
139	Saint Martin	14.3	-2.5%
140	Puerto Rico	14.1	+0.9%
141	India	14.1	-0.9%
142	Serbia	13.7	-1.2%
143	Armenia	13.4	-0.3%
144	United States	13.1	-3.5%
145	Russia	13	-1.4%
146	North Macedonia	13	-12%
147	Curaçao	13	-0.5%
148	Albania	12.8	-0.3%
149	New Caledonia	12.2	+0.1%
150	Türkiye	12.1	-1.2%
151	Ukraine	11.4	+10.8%
152	Cayman Islands	11.3	-1.5%
153	Bosnia and Herzegovina	11.2	+1.2%
154	Saudi Arabia	11.1	+8%
155	New Zealand	10.9	-0.5%
156	Malta	10.4	-0.9%
157	Monaco	9.7	-0.3%
158	Montenegro	9.4	-6.4%
159	Bhutan	9.4	-0.3%
160	Gibraltar	8.8	+3.8%
161	Algeria	8.7	-3.1%
162	Isle of Man	8.7	-1.6%
163	Belarus	8.6	-13.2%
164	Brunei	8.5	-0.8%
165	United Kingdom	8.4	-0.2%
166	Latvia	7.6	-12.1%
167	Bahrain	7.5	-7.2%
168	Greece	7	+1.5%
169	Portugal	7	+5.2%
170	Cyprus	7	-0.9%
171	Australia	6.7	-0.5%
172	Croatia	6.6	-5.4%
173	Chile	6.5	-14.9%
174	Israel	6.2	-7.9%
175	Poland	6.2	+3.5%
176	Oman	6	+1.9%
177	Czechia	6	-13.5%
178	Malaysia	6	-0.2%
179	Libya	5.9	-2.6%
180	Lithuania	5.9	-6%
181	Qatar	5.7	+1.1%
182	Germany	5.5	-1.9%
183	Maldives	5.4	-3.9%
184	China	5.2	-4.3%
185	Estonia	5	-6%
186	Spain	4.8	+0.7%
187	Canada	4.8	-1.7%
188	Faroe Islands	4.7	-2%
189	Tunisia	4.3	-3.6%
190	Ireland	4.1	-2%
191	Luxembourg	4	+1.1%
192	Austria	3.8	-8.8%
193	Belgium	3.7	-16.1%
194	France	3.5	-11.9%
195	Slovenia	3.5	-0.8%
196	Andorra	3.5	-1.3%
197	Iceland	3.4	-4.2%
198	United Arab Emirates	3.1	+7.8%
199	Finland	3.1	-3.9%
200	Italy	2.9	-4.6%
201	Singapore	2.2	-0.5%
202	Netherlands	1.9	-10.3%
203	Sweden	1.8	-11.1%
204	Japan	1.7	-4.6%
205	Liechtenstein	1.7	+5.3%
206	Kuwait	1.6	-5.7%
207	Bermuda	1.5	-4.2%
208	Switzerland	1.5	+7%
209	Norway	1.4	-0.4%
210	San Marino	1.2	0%
211	Denmark	1.1	-4.7%
212	Hong Kong	1.1	-0.9%
213	South Korea	0.5	-17.5%
214	North Korea	0.5	-2.5%
215	Macao	0.5	-1.7%

Other periods

About this ranking

Births to women aged 15 to 19 per 1,000 women aged 15 to 19 in the year. World Bank series from the UN World Population Prospects.

UN estimates fitted to registration, census and survey data, so they can differ from national birth counts. Years after the last WPP estimate year are projections and are not stored.

Every value in the ranking comes from the same publisher and the same period, so the countries are compared on one definition. Equal values share a rank.

How to cite

World Bank, World Development Indicators. Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). https://data.worldbank.org/indicator/SP.ADO.TFRT. Retrieved 2026-10-18. Licensed under CC BY 4.0.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

World Bank. (2026). Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT) (Countries by adolescent birth rate, 2023) [Data set]. Retrieved October 18, 2026, from https://data.worldbank.org/indicator/SP.ADO.TFRT

MLA 9

Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT), Countries by adolescent birth rate, 2023. World Bank, 8 Oct. 2026, https://data.worldbank.org/indicator/SP.ADO.TFRT. Invokely, https://invokely.ai/rankings/adolescent-birth-rate/countries. Accessed 18 Oct. 2026.

Chicago (author-date)

World Bank. 2026. Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). Countries by adolescent birth rate, 2023. Dataset. Accessed October 18, 2026. https://data.worldbank.org/indicator/SP.ADO.TFRT. Also distributed by Invokely, https://invokely.ai/rankings/adolescent-birth-rate/countries.

Harvard

World Bank (2026) Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT), Countries by adolescent birth rate, 2023 [Dataset]. Available at: https://data.worldbank.org/indicator/SP.ADO.TFRT, via Invokely: https://invokely.ai/rankings/adolescent-birth-rate/countries (Accessed: 18 October 2026).

BibTeX

@misc{world_countries_by_adolescent_birth_2023,
  author = {{World Bank}},
  title = {{Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT): Countries by adolescent birth rate, 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://data.worldbank.org/indicator/SP.ADO.TFRT},
  urldate = {2026-10-18},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adolescent-birth-rate/countries. Publisher attribution: World Bank, World Development Indicators. Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). https://data.worldbank.org/indicator/SP.ADO.TFRT. Retrieved 2026-10-18. Licensed under CC BY 4.0.},
}

RIS

TY  - DATA
AU  - World Bank
TI  - Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT): Countries by adolescent birth rate, 2023
PY  - 2026
DA  - 2026/10/08
PB  - World Bank
DB  - Invokely
UR  - https://data.worldbank.org/indicator/SP.ADO.TFRT
L2  - https://invokely.ai/rankings/adolescent-birth-rate/countries
Y2  - 2026/10/18
N1  - Accessed via Invokely, https://invokely.ai/rankings/adolescent-birth-rate/countries.
N1  - Publisher attribution: World Bank, World Development Indicators. Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). https://data.worldbank.org/indicator/SP.ADO.TFRT. Retrieved 2026-10-18. Licensed under CC BY 4.0.
ER  -

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Questions

Which country has the highest adolescent birth rate?

The Central African Republic, with 163.1 births per 1,000 women aged 15 to 19 in 2023, according to the World Bank.

Which country has the lowest adolescent birth rate?

Macao, with 0.5 births per 1,000 women aged 15 to 19 in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: World Bank, Adolescent fertility rate (births per 1,000 women ages 15-19) (SP.ADO.TFRT). Retrieved 2026-10-18.

Adolescent birth rate: other rankings

EU countries