9.32 deaths/1,000 population (2022 est.) Country comparison to the world: 50th 10.2 deaths/1,000 population (2018 est.) Country comparison to the world: 33rd 11.41 deaths/1,000 population (2017 est.) Total fertility rate 3.8 children born/woman (2022 est.) Country comparison to the world: 31st 4.69 children born/woman (2018 est.) Country comparison to the world: 21st 4.9 children born/woman (2012 est.) Population growth rate 2.49% (2022 est.) Country comparison to the world: 23rd 2.4% (2018 est.) Country comparison to the world: 27th 2.33% growth rate (2014 est.) Median age total: 19.1 years. Country comparison to the world: 206th male: 18.5 years female: 19.7 years (2020 est.) total: 19.1 years. Country comparison to the world: 201st male: 18.4 years female: 19.7 years (2018 est.) Mother's mean age at first birth 19.6 years (2019 est.) note: median age at first birth among women 20-49 Contraceptive prevalence rate 21.2% (2019) 16.6% (2013) Net migration rate 2.03 migrant(s)/1,000 population (2022 est.) Country comparison to the world: 50th -1.8 migrant(s)/1,000 population (2018 est.) Country comparison to the world: 160th -3.86 migrants/1,000 population (2012 est.) Dependency ratios total dependency ratio: 82.6 (2015 est.) youth dependency ratio: 78 (2015 est.) elderly dependency ratio: 4.6 (2015 est.) potential support ratio: 21.9 (2015 est.) Sex ratio at birth: 1.03 male(s)/female under 15 years: 0.99 male(s)/female 15–64 years: 0.92 male(s)/female 65 years and over: 0.78 male(s)/female total population: 0.94 male(s)/female (2011 est.) Maternal Mortality Ratio 890 deaths/100 000 births (2010) Sierra Leone's MMR is the worst of any country in the world, according to the 2000 WHO, UNICEF and UNFPA report. Life expectancy at birth total population: 58.76 years. Country comparison to the world: 223rd male: 57.16 years female: 60.41 years (2022 est.) total population: 59 years male: 56.4 years female: 61.7 years (2018 est.) total population: 56.55 years male: 54.08 years female: 59.11 years (2012 est.) total population: 45.25 years male: 42.37 years female: 48.21 years (2000 est.) Urbanization urban population: 43.8% of total population (2022) rate of urbanization: 3.02% annual rate of change (2020-25 est.) urban population: 42.1% of total population (2018) rate of urbanization: 3.12% annual rate of change (2015-20 est.) Education expenditures 4.6% of GDP (2017) Health expenditures 11.1% of GDP (2014) Physicians density 0.02 physicians/1,000 population (2010) Hospital bed density 0.4 beds/1,000 population (2008) HIV/AIDS adult prevalence rate: 1.4% (2017 est.) people living with HIV/AIDS: 61,000 (2017 est.) deaths: 2,600 (2017 est.) Major infectious diseases degree of risk: very