If you lived in Macedonia instead of Dominica, you would:

Health

live 5.3 years longer

In Dominica, the average life expectancy is 71 years (68 years for men, 75 years for women) as of 2024. In Macedonia, that number is 77 years (74 years for men, 79 years for women) as of 2024.

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be 17.3% less likely to be obese

In Dominica, 32.5% of adults are obese as of 2024. In Macedonia, that number is 26.8% of people as of 2024.

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see 86.7% more spent on your healthcare

Dominica spends $968 per person on healthcare as of 2023 (international dollars, adjusted for prices). Macedonia spends $1,808 as of 2023.

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have 51.0% more access to essential health services

Dominica scores 49 out of 100 on the universal health coverage index as of 2021. Macedonia scores 74 as of 2021.

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Life

be 91.7% less likely to die during childbirth

In Dominica, approximately 36.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Macedonia, 3.0 women do as of 2023.

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be 92.5% less likely to die during infancy

In Dominica, approximately 33.3 children (per 1,000 live births) die before they reach the age of one as of 2024. In Macedonia, on the other hand, 2.5 children do as of 2024.

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have 19.9% fewer children

In Dominica, there are approximately 11.0 babies per 1,000 people as of 2024. In Macedonia, there are 8.8 babies per 1,000 people as of 2024.

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Basic Needs

be 13.5% more likely to have internet access

In Dominica, approximately 82.0% of the population has internet access as of 2024. In Macedonia, about 93.1% do as of 2025.

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Expenditures

spend 48.3% more on healthcare

Dominica spends 5.0% of its total GDP on healthcare as of 2023. In Macedonia, that number is 7.4% of GDP as of 2023.

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Safety

be 94.3% less likely to be murdered

Dominica has a homicide rate of 27.1 per 100,000 people as of 2023. In Macedonia, that number is 1.5 per 100,000 as of 2023.

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be 48.2% less likely to die in a road accident

In Dominica, road accidents kill 11.0 people per 100,000 as of 2021. In Macedonia, they kill 5.7 per 100,000 as of 2021.

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Infrastructure

find 43.3% more home broadband

Dominica has 20.9 fixed broadband subscriptions per 100 people as of 2022. Macedonia has 29.9 as of 2024.

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live with 5.3 times more strain on fresh water

Dominica withdraws 10% of its available fresh water each year as of 2022. Macedonia withdraws 53% as of 2022.

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Environment

emit 3.1 times more CO2

Dominica emits 1.3 tonnes of CO2 per person each year as of 2024. Macedonia emits 4.0 tonnes as of 2024.

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Sources: World Bank (2022–2025), United Nations SDG Indicators (2021), World Health Organization (2024). How we calculate this

Macedonia: At a glance

Macedonia is a sovereign country in Europe, with a total land area of approximately 25,433 sq km. Macedonia gained its independence peacefully from Yugoslavia in 1991. Greece's objection to the new state's use of what it considered a Hellenic name and symbols delayed international recognition, which occurred under the provisional designation of "the Former Yugoslav Republic of Macedonia." In 1995, Greece lifted a 20-month trade embargo and the two countries agreed to normalize relations, but the issue of the name remained unresolved and negotiations for a solution are ongoing. Since 2004, the US and over 130 other nations have recognized Macedonia by its constitutional name, Republic of Macedonia. Ethnic Albanian grievances over perceived political and economic inequities escalated into an insurgency in 2001 that eventually led to the internationally brokered Ohrid Framework Agreement, which ended the fighting and established guidelines for constitutional amendments and the creation of new laws that enhanced the rights of minorities. Although Macedonia became an EU candidate in 2005, the country still faces challenges, including fully implementing the Framework Agreement, improving relations with Bulgaria, carrying out democratic reforms, and stimulating economic growth and development. Macedonia's membership in NATO was blocked by Greece at the Alliance's Summit of Bucharest in 2008.
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