If you lived in Macedonia instead of Dominican Republic, you would:

Health

live 2.8 years longer

In Dominican Republic, the average life expectancy is 74 years (71 years for men, 77 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 12.8% less likely to be obese

In Dominican Republic, 30.8% of adults are obese as of 2024. In Macedonia, that number is 26.8% of people as of 2024.

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see 54.7% more spent on your healthcare

Dominican Republic spends $1,169 per person on healthcare as of 2023 (international dollars, adjusted for prices). Macedonia spends $1,808 as of 2023.

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have 21.4% more doctors per person

Dominican Republic has 24.3 doctors per 10,000 people as of 2023. Macedonia has 29.4 as of 2022.

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be 37.6% more likely to die by suicide

Dominican Republic has a suicide rate of 4.2 per 100,000 people as of 2021. In Macedonia, it is 5.8 per 100,000 as of 2021.

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Economy

be 2.4 times more likely to be unemployed

In Dominican Republic, 5.1% of the labor force is unemployed as of 2025. In Macedonia, that number is 12.3% as of 2025.

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be 26.6% more likely to live below the poverty line

In Dominican Republic, 17.3% live below the poverty line as of 2025. In Macedonia, however, that number is 21.9% as of 2023.

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Life

be 97.6% less likely to die during childbirth

In Dominican Republic, approximately 124.0 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 91.0% less likely to die during infancy

In Dominican Republic, approximately 27.7 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 50.1% fewer children

In Dominican Republic, there are approximately 17.6 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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Expenditures

spend 61.5% more on healthcare

Dominican Republic spends 4.6% 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 86.0% less likely to be murdered

Dominican Republic has a homicide rate of 10.9 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 79.2% less likely to die in a road accident

In Dominican Republic, road accidents kill 27.4 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 2.7 times more home broadband

Dominican Republic has 11.2 fixed broadband subscriptions per 100 people as of 2024. Macedonia has 29.9 as of 2024.

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use 77.8% more electricity

Dominican Republic uses 1,867 kWh of electricity per person each year as of 2023. Macedonia uses 3,320 kWh as of 2023.

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live with 32.9% more strain on fresh water

Dominican Republic withdraws 40% of its available fresh water each year as of 2022. Macedonia withdraws 53% as of 2022.

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Environment

be 2.3 times more likely to die from air pollution

In Dominican Republic, air pollution causes 27.0 deaths per 100,000 people as of 2019. In Macedonia, it causes 62.0 as of 2019.

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emit 33.8% more CO2

Dominican Republic emits 3.0 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 (2021–2025), United Nations SDG Indicators (2019–2021), 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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