Formula of total fertility rate and gross fertility rate

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Here is a complete breakdown of both measures, drawn directly from Park's Textbook of Preventive and Social Medicine.

General Fertility Rate (GFR)

Definition: The number of live births per 1,000 women in the reproductive age group (15-44 or 15-49 years) in a given year.
Formula:
GFR = (Number of live births in a year / Mid-year female population aged 15-44 or 15-49) × 1000
Key points:
  • It is a better measure than the crude birth rate because the denominator is restricted to women of childbearing age, not the whole population.
  • Its main weakness is that not all women in the denominator are equally exposed to the risk of childbirth (e.g., unmarried women are included).

Total Fertility Rate (TFR)

Definition: The average number of children a woman would have if she passed through her entire reproductive lifespan bearing children at the same rates currently observed in each age group.
Formula:
TFR = (5 × ΣASFR) / 1000 (summed from age group 15-19 to 45-49)
Where ASFR = Age-Specific Fertility Rate for each 5-year age group, calculated as:
ASFR = (Live births in a particular age group / Mid-year female population of that age group) × 1000
Step-by-step:
  1. Calculate the ASFR for each 5-year age group from 15-19 up to 45-49 (7 groups total).
  2. Sum all ASFRs.
  3. Multiply the sum by 5 (the width of each age interval).
  4. Divide by 1000 (to convert per-1,000-women rates to a per-woman figure).
Example (illustrative):
Age GroupBirthsWomenASFR
15-1934,772860,69840.4
20-24117,697759,335155.0
25-2985,664507,188168.9
30-3456,565422,755133.8
35-3937,072454,87081.5
40-4414,448401,34436.0
45-491,436319,0174.5
Sum620.1
TFR = (5 × 620.1) / 1000 = 3.10 children per woman
Key points:
  • TFR gives the approximate "completed family size" for a hypothetical cohort.
  • A TFR of ~2.1 is considered replacement-level fertility.
  • It is an age-adjusted rate because it assumes equal numbers of women in each age group.

Quick Comparison

FeatureGFRTFR
UnitBirths per 1,000 women (15-44/49)Average children per woman
DenominatorAll women aged 15-44/49Age-specific groups summed
Age adjustmentNoYes
InterpretationSimpler, annual snapshotSynthetic cohort lifetime estimate
Formula(Births / Women 15-49) × 1000(5 × ΣASFR) / 1000
Source: Park's Textbook of Preventive and Social Medicine, p. 576
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