Births in Albania have been steadily declining year after year.
However, the United Nations projects that this downward trend will continue over the next 30 years. According to their forecasts, the number of births in the country will halve during the 2024–2054 period.

The UN classified Albania along with Puerto Rico and Jamaica as the three countries projected to experience the steepest global decline in birth rates by 2054.

According to INSTAT data, around 22,000 babies were born in Albania in 2024, but projections for 2050 suggest that this number will drop to about 10,000–11,000 births per year.

The United Nations attributes the sharp future decline in birth rates to two major factors:
First, low fertility rates among women of childbearing age;
Second, high levels of emigration among younger age groups.

According to INSTAT, the total fertility rate dropped to 1.21 children per woman in 2022, down from 1.34 in 2020 and 1.36 in 2019. In 2001, the fertility rate stood at 2.1, while in the 1970s, it exceeded 5.

According to Eurostat, Albania currently has one of the lowest birth rates in Europe, ahead of only Spain and Malta.

The fertility rate is now well below the replacement level of 2.1 children per woman, meaning couples are not producing enough children to replace themselves.