RANKING · 2024 ACS · 67 SHOWN OF 67

Highest fertility rate, Alabama counties

Alabama counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 67 counties in Alabama that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Lamar County, ALAL13,58791.7+740%

02Tallapoosa County, ALAL40,95388.1+40%

03Coffee County, ALAL56,95382.2+46%

04Choctaw County, ALAL11,90481.0−1%

05Lawrence County, ALAL33,84380.7+30%

06Chambers County, ALAL34,25380.0+76%

07Henry County, ALAL18,39475.0+85%

08St. Clair County, ALAL98,20673.6+41%

09Franklin County, ALAL32,44971.0+84%

10Cherokee County, ALAL26,41369.9+25%

11Randolph County, ALAL23,16368.8+10%

12Dallas County, ALAL35,14068.7+20%

13Dale County, ALAL49,91268.1+5%

14Marengo County, ALAL18,31163.9−18%

15Cullman County, ALAL94,00963.7+32%

16Lowndes County, ALAL9,35963.5−24%

17Washington County, ALAL14,82263.4+72%

18Cleburne County, ALAL15,97061.9−18%

19Winston County, ALAL23,82961.3+32%

20Mobile County, ALAL411,65861.3+18%

21Talladega County, ALAL81,60361.0−1%

22Marion County, ALAL29,09760.9−7%

23Russell County, ALAL58,89860.5−4%

24Barbour County, ALAL24,60759.4−18%

25Marshall County, ALAL103,53756.2−5%

26Bibb County, ALAL22,26255.9+205%

27Etowah County, ALAL103,88655.5+5%

28Conecuh County, ALAL10,89955.2−74%

29Montgomery County, ALAL225,89155.1−7%

30Autauga County, ALAL61,92054.5+4%

31Macon County, ALAL18,13254.4+6%

32Clay County, ALAL14,20753.8−18%

33Elmore County, ALAL91,57752.3−1%

34Lauderdale County, ALAL97,13551.3−4%

35Clarke County, ALAL22,01449.7+18%

36Coosa County, ALAL10,16148.4+25%

37Jefferson County, ALAL665,74248.4−14%

38Covington County, ALAL37,94747.8+20%

39Tuscaloosa County, ALAL241,36847.7+1%

40Blount County, ALAL60,15646.3−20%

41Limestone County, ALAL122,92845.7−6%

42DeKalb County, ALAL74,08544.6−28%

43Madison County, ALAL433,51644.3−14%

44Calhoun County, ALAL115,83444.0−36%

45Baldwin County, ALAL267,76142.4−35%

46Shelby County, ALAL238,55241.6−9%

47Morgan County, ALAL126,48341.0−32%

48Houston County, ALAL110,31840.6−36%

49Colbert County, ALAL59,47440.4−44%

50Jackson County, ALAL54,28139.9−41%

51Escambia County, ALAL36,66538.4−75%

52Walker County, ALAL65,14038.3+1%

53Pickens County, ALAL18,22137.0−42%

54Chilton County, ALAL47,70834.9−42%

55Pike County, ALAL33,68834.8−30%

56Geneva County, ALAL27,55433.5−44%

57Crenshaw County, ALAL13,17533.3−9%

58Lee County, ALAL189,88132.8−35%

59Hale County, ALAL15,19432.6+13%

60Bullock County, ALAL9,78032.5−51%

61Monroe County, ALAL18,96527.6−52%

62Sumter County, ALAL11,58827.5−59%

63Wilcox County, ALAL9,66625.8+19%

64Perry County, ALAL7,42522.0−10%

65Fayette County, ALAL15,87217.6−59%

66Butler County, ALAL18,10015.2−92%

67Greene County, ALAL7,0670.0−100%

SHOWING 1–67 OF 67

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES