If you lived in Madagascar instead of Ecuador, you would:

Health

be 84.4% less likely to be obese

In Ecuador, 28.9% of adults are obese as of 2024. In Madagascar, that number is 4.5% of people as of 2024.

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be 19.4% less likely to die by suicide

Ecuador has a suicide rate of 7.6 per 100,000 people as of 2021. In Madagascar, it is 6.1 per 100,000 as of 2021.

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live 13.7 years less

In Ecuador, the average life expectancy is 78 years (75 years for men, 80 years for women) as of 2024. In Madagascar, that number is 64 years (62 years for men, 66 years for women) as of 2024.

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see 94.9% less spent on your healthcare

Ecuador spends $1,238 per person on healthcare as of 2023 (international dollars, adjusted for prices). Madagascar spends $63 as of 2023.

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have 92.6% fewer doctors per person

Ecuador has 23.1 doctors per 10,000 people as of 2020. Madagascar has 1.7 as of 2022.

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have 54.5% less access to essential health services

Ecuador scores 77 out of 100 on the universal health coverage index as of 2021. Madagascar scores 35 as of 2021.

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Economy

make 91.6% less money

Ecuador has a GDP per capita of $7,125 as of 2025, while in Madagascar, the GDP per capita is $599 as of 2025.

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Life

have 2.1 times more children

In Ecuador, there are approximately 14.8 babies per 1,000 people as of 2024. In Madagascar, there are 31.7 babies per 1,000 people as of 2024.

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be 8.1 times more likely to die during childbirth

In Ecuador, approximately 55.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Madagascar, 445.0 women do as of 2023.

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be 20.1% less likely to be literate

In Ecuador, the literacy rate is 93.5% as of 2024. In Madagascar, it is 74.7% as of 2021.

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be 3.9 times more likely to die during infancy

In Ecuador, approximately 10.9 children (per 1,000 live births) die before they reach the age of one as of 2024. In Madagascar, on the other hand, 43.0 children do as of 2024.

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Basic Needs

be 60.1% less likely to have access to electricity

In Ecuador, approximately 99% of people have electricity access (100% in urban areas, and 96% in rural areas) as of 2023. In Madagascar, that number is 39% of people on average (76% in urban areas, and 15% in rural areas) as of 2023.

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be 75.8% less likely to have internet access

In Ecuador, approximately 77.2% of the population has internet access as of 2024. In Madagascar, about 18.7% do as of 2024.

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be 39.9% less likely to have access to drinking water

In Ecuador, approximately 92% of people have access to drinking water (98% in urban areas, and 81% in rural areas) as of 2024. In Madagascar, that number is 55% of people on average (78% in urban areas, and 39% in rural areas) as of 2024.

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Expenditures

spend 17.3% less on education

Ecuador spends 3.7% of its total GDP on education as of 2024. Madagascar spends 3.0% of total GDP on education as of 2023.

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spend 54.6% less on healthcare

Ecuador spends 7.6% of its total GDP on healthcare as of 2023. In Madagascar, that number is 3.4% of GDP as of 2023.

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Geography

see 2.2 times more coastline

Ecuador has a total of 2,237 km of coastline. In Madagascar, that number is 4,828 km.

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Infrastructure

find 99.3% less home broadband

Ecuador has 17.2 fixed broadband subscriptions per 100 people as of 2024. Madagascar has 0.1 as of 2023.

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live with 66.1% more strain on fresh water

Ecuador withdraws 7% of its available fresh water each year as of 2022. Madagascar withdraws 11% as of 2022.

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use 95.2% less electricity

Ecuador uses 1,676 kWh of electricity per person each year as of 2023. Madagascar uses 80 kWh as of 2023.

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Environment

emit 94.3% less CO2

Ecuador emits 2.6 tonnes of CO2 per person each year as of 2024. Madagascar emits 0.1 tonnes as of 2024.

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be 2.5 times more likely to die from air pollution

In Ecuador, air pollution causes 23.0 deaths per 100,000 people as of 2019. In Madagascar, it causes 58.0 as of 2019.

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Sources: World Bank (2020–2025), United Nations SDG Indicators (2019–2021), World Health Organization (2024), The World Factbook. How we calculate this

Madagascar: At a glance

Madagascar is a sovereign country in Africa, with a total land area of approximately 581,540 sq km. Formerly an independent kingdom, Madagascar became a French colony in 1896 but regained independence in 1960. During 1992-93, free presidential and National Assembly elections were held ending 17 years of single-party rule. In 1997, in the second presidential race, Didier RATSIRAKA, the leader during the 1970s and 1980s, was returned to the presidency. The 2001 presidential election was contested between the followers of Didier RATSIRAKA and Marc RAVALOMANANA, nearly causing secession of half of the country. In April 2002, the High Constitutional Court announced RAVALOMANANA the winner. RAVALOMANANA achieved a second term following a landslide victory in the generally free and fair presidential elections of 2006. In early 2009, protests over increasing restrictions on opposition press and activities resulted in RAVALOMANANA handing over power to the military, which then conferred the presidency on the mayor of Antananarivo, Andry RAJOELINA, in what amounted to a coup d'etat. Following a lengthy mediation process led by the Southern African Development Community (SADC), Madagascar held UN-supported presidential and parliamentary elections in 2013. Former de facto finance minister Hery RAJAONARIMAMPIANINA defeated RAVALOMANANA's favored candidate Jean-Louis ROBINSON in a presidential runoff and was inaugurated in January 2014. Most international observers, while noting some irregularities, declared polls to be a credible reflection of the Malagasy public's will.
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