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

Health

be 61.5% less likely to be living with HIV/AIDS

In Gambia, 1.3% of people are living with AIDS/HIV as of 2024. In Madagascar, that number is 0.5% of people as of 2024.

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be 63.6% less likely to be obese

In Gambia, 12.4% of adults are obese as of 2024. In Madagascar, that number is 4.5% of people as of 2024.

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have 91.1% more doctors per person

Gambia has 0.9 doctors per 10,000 people as of 2023. Madagascar has 1.7 as of 2022.

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live 2.2 years less

In Gambia, the average life expectancy is 66 years (64 years for men, 68 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 33.2% less spent on your healthcare

Gambia spends $94 per person on healthcare as of 2023 (international dollars, adjusted for prices). Madagascar spends $63 as of 2023.

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have 23.9% less access to essential health services

Gambia scores 46 out of 100 on the universal health coverage index as of 2021. Madagascar scores 35 as of 2021.

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be 26.6% more likely to die by suicide

Gambia has a suicide rate of 4.8 per 100,000 people as of 2021. In Madagascar, it is 6.1 per 100,000 as of 2021.

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Economy

be 53.4% less likely to be unemployed

In Gambia, 6.5% of the labor force is unemployed as of 2025. In Madagascar, that number is 3.0% as of 2025.

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be 40.8% more likely to live below the poverty line

In Gambia, 53.4% live below the poverty line as of 2020. In Madagascar, however, that number is 75.2% as of 2021.

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make 34.8% less money

Gambia has a GDP per capita of $919 as of 2025, while in Madagascar, the GDP per capita is $599 as of 2025.

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Life

be 44.6% more likely to be literate

In Gambia, the literacy rate is 51.6% as of 2021. In Madagascar, it is 74.7% as of 2021.

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be 25.7% more likely to die during childbirth

In Gambia, approximately 354.0 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 31.5% more likely to die during infancy

In Gambia, approximately 32.7 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 41.1% less likely to have access to electricity

In Gambia, approximately 67% of people have electricity access (85% in urban areas, and 35% 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 62.3% less likely to have internet access

In Gambia, approximately 49.5% of the population has internet access as of 2024. In Madagascar, about 18.7% do as of 2024.

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be 36.5% less likely to have access to drinking water

In Gambia, approximately 87% of people have access to drinking water (92% in urban areas, and 78% 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 18.7% more on healthcare

Gambia spends 2.9% 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 60.4 times more coastline

Gambia has a total of 80 km of coastline. In Madagascar, that number is 4,828 km.

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Infrastructure

find 76.9% less home broadband

Gambia has 0.5 fixed broadband subscriptions per 100 people as of 2024. Madagascar has 0.1 as of 2023.

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live with 5.1 times more strain on fresh water

Gambia withdraws 2% of its available fresh water each year as of 2022. Madagascar withdraws 11% as of 2022.

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Environment

be 35.6% less likely to die from air pollution

In Gambia, air pollution causes 90.0 deaths per 100,000 people as of 2019. In Madagascar, it causes 58.0 as of 2019.

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emit 16.7% less CO2

Gambia emits 0.2 tonnes of CO2 per person each year as of 2024. Madagascar emits 0.1 tonnes as of 2024.

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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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