If you lived in Sierra Leone instead of Gambia, you would:

Health

be 33.9% less likely to be obese

In Gambia, 12.4% of adults are obese as of 2024. In Sierra Leone, that number is 8.2% of people as of 2024.

View global rankings →

see 68.8% more spent on your healthcare

Gambia spends $94 per person on healthcare as of 2023 (international dollars, adjusted for prices). Sierra Leone spends $159 as of 2023.

View global rankings →

have 48.9% more doctors per person

Gambia has 0.9 doctors per 10,000 people as of 2023. Sierra Leone has 1.3 as of 2022.

View global rankings →

live 4.1 years less

In Gambia, the average life expectancy is 66 years (64 years for men, 68 years for women) as of 2024. In Sierra Leone, that number is 62 years (60 years for men, 64 years for women) as of 2024.

View global rankings →

have 10.9% less access to essential health services

Gambia scores 46 out of 100 on the universal health coverage index as of 2021. Sierra Leone scores 41 as of 2021.

View global rankings →

be 27.7% more likely to die by suicide

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

View global rankings →

Economy

be 51.7% less likely to be unemployed

In Gambia, 6.5% of the labor force is unemployed as of 2025. In Sierra Leone, that number is 3.1% as of 2025.

View global rankings →

Life

be 67.0% 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 Sierra Leone, on the other hand, 54.6 children do as of 2024.

View global rankings →

Basic Needs

be 46.9% 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 Sierra Leone, that number is 36% of people on average (56% in urban areas, and 19% in rural areas) as of 2023.

View global rankings →

be 49.3% less likely to have internet access

In Gambia, approximately 49.5% of the population has internet access as of 2024. In Sierra Leone, about 25.1% do as of 2024.

View global rankings →

be 21.8% 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 Sierra Leone, that number is 68% of people on average (82% in urban areas, and 57% in rural areas) as of 2024.

View global rankings →

Expenditures

spend 63.3% more on healthcare

Gambia spends 2.9% of its total GDP on healthcare as of 2023. In Sierra Leone, that number is 4.7% of GDP as of 2023.

View global rankings →

Geography

see 5.0 times more coastline

Gambia has a total of 80 km of coastline. In Sierra Leone, that number is 402 km.

View global rankings →

Safety

be 37.3% less likely to die in a road accident

In Gambia, road accidents kill 22.0 people per 100,000 as of 2021. In Sierra Leone, they kill 13.8 per 100,000 as of 2021.

View global rankings →

Infrastructure

live with 77.4% less strain on fresh water

Gambia withdraws 2% of its available fresh water each year as of 2022. Sierra Leone withdraws 0% as of 2022.

View global rankings →


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

Sierra Leone: At a glance

Sierra Leone is a sovereign country in Africa, with a total land area of approximately 71,620 sq km. Democracy is slowly being reestablished after the civil war from 1991 to 2002 that resulted in tens of thousands of deaths and the displacement of more than 2 million people (about a third of the population). The military, which took over full responsibility for security following the departure of UN peacekeepers at the end of 2005, is increasingly developing as a guarantor of the country's stability. The armed forces remained on the sideline during the 2007 and 2012 national elections, and over the past year have deployed over 850 peacekeepers in the African Union Mission in Somalia (AMISOM). As of January 2014, Sierra Leone also fielded 122 staff for five UN peacekeeping missions. In March 2014, the closure of the UN Integrated Peacebuilding Office in Sierra Leone (UNIPSIL) marked the end of more than 15 years of peacekeeping and political operations in Sierra Leone. The government's priorities include furthering development, creating jobs, and stamping out endemic corruption.
Read more

How big is Sierra Leone compared to Gambia? See an in-depth size comparison.

Share this

Ask the Elsewhere Community

Join the Elsewhere community and ask a question about Sierra Leone or Gambia. It's a free, question-and-answer based forum to discuss what life is like in countries and cities around the world.