North Macedonia is a country in Europe (Southern Europe) with a total population of 1,824,359 as of 2024. It covers an area of 25,713 km², resulting in a population density of 72.5 people per km².

The average life expectancy is 75.3 years (73.2 for men, 77.6 for women). The fertility rate stands at 1.50 children per woman, and the median age of the population is 40.5 years.

The country's population growth rate is -0.19% per year. Net migration is -5,728 people, indicating that more people are leaving the country than arriving. The infant mortality rate is 2.8 per 1,000 live births.

Demographic Profile

North Macedonia is located in Southern Europe, a part of Europe, and covers an area of 25,713 km². With a population of 1,824,359, the country has a population density of 72.5 inhabitants per square kilometer, which is close to the global average of approximately 60 people per km².

The demographic structure of North Macedonia reveals an aging population. The median age of 40.5 years means that half of the population is younger and half is older than this age. This aging population structure poses challenges for pension systems, healthcare provision, and the labor market, as the ratio of working-age to retired individuals continues to decline.

Health and Longevity

Life expectancy in North Macedonia stands at 75.3 years overall — 73.2 years for men and 77.6 years for women. This places the country among those with high life expectancy globally, reflecting well-developed healthcare systems and living standards. The infant mortality rate is 2.8 per 1,000 live births, which is considered very low and indicates excellent maternal and infant healthcare.

Fertility and Population Growth

The total fertility rate (TFR) of 1.50 children per woman is below the replacement level of 2.1, which without immigration leads to population decline over time. The population is roughly stable at a rate of -0.19% per year. This decline is driven by low birth rates, emigration, or a combination of both factors.

Migration

Net migration in North Macedonia is -5,728 people, meaning more people are leaving the country than arriving. Emigration may reflect economic challenges or conflict, and can lead to brain drain as skilled workers seek opportunities elsewhere.

Outlook

Based on current demographic trends, North Macedonia's population dynamics reflect broader patterns seen across Southern Europe. As the population ages, adapting social security systems and healthcare to serve a growing elderly population will be a key challenge.