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

Health

be 92.4% less likely to be living with HIV/AIDS

In Lesotho, 17.1% of people are living with AIDS/HIV as of 2024. In Gambia, that number is 1.3% of people as of 2024.

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live 8.3 years longer

In Lesotho, the average life expectancy is 58 years (55 years for men, 60 years for women) as of 2024. In Gambia, that number is 66 years (64 years for men, 68 years for women) as of 2024.

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be 44.2% less likely to be obese

In Lesotho, 22.2% of adults are obese as of 2024. In Gambia, that number is 12.4% of people as of 2024.

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be 83.2% less likely to die by suicide

Lesotho has a suicide rate of 28.7 per 100,000 people as of 2021. In Gambia, it is 4.8 per 100,000 as of 2021.

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see 75.6% less spent on your healthcare

Lesotho spends $386 per person on healthcare as of 2023 (international dollars, adjusted for prices). Gambia spends $94 as of 2023.

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have 61.7% fewer doctors per person

Lesotho has 2.4 doctors per 10,000 people as of 2022. Gambia has 0.9 as of 2023.

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have 13.2% less access to essential health services

Lesotho scores 53 out of 100 on the universal health coverage index as of 2021. Gambia scores 46 as of 2021.

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Economy

be 60.0% less likely to be unemployed

In Lesotho, 16.3% of the labor force is unemployed as of 2025. In Gambia, that number is 6.5% as of 2025.

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make 15.6% less money

Lesotho has a GDP per capita of $1,089 as of 2025, while in Gambia, the GDP per capita is $919 as of 2025.

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Life

be 25.9% less likely to die during childbirth

In Lesotho, approximately 478.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Gambia, 354.0 women do as of 2023.

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be 41.9% less likely to die during infancy

In Lesotho, approximately 56.3 children (per 1,000 live births) die before they reach the age of one as of 2024. In Gambia, on the other hand, 32.7 children do as of 2024.

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have 25.7% more children

In Lesotho, there are approximately 23.8 babies per 1,000 people as of 2024. In Gambia, there are 29.9 babies per 1,000 people as of 2024.

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be 42.9% less likely to be literate

In Lesotho, the literacy rate is 90.5% as of 2024. In Gambia, it is 51.6% as of 2021.

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Basic Needs

be 16.8% more likely to have access to electricity

In Lesotho, approximately 57% of people have electricity access (85% in urban areas, and 45% in rural areas) as of 2023. In Gambia, that number is 67% of people on average (85% in urban areas, and 35% in rural areas) as of 2023.

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be 11.6% more likely to have access to drinking water

In Lesotho, approximately 78% of people have access to drinking water (95% in urban areas, and 71% in rural areas) as of 2024. In Gambia, that number is 87% of people on average (92% in urban areas, and 78% in rural areas) as of 2024.

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Expenditures

spend 57.6% less on education

Lesotho spends 6.6% of its total GDP on education as of 2024. Gambia spends 2.8% of total GDP on education as of 2023.

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spend 77.1% less on healthcare

Lesotho spends 12.6% of its total GDP on healthcare as of 2023. In Gambia, that number is 2.9% of GDP as of 2023.

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Infrastructure

find 36.8% more home broadband

Lesotho has 0.4 fixed broadband subscriptions per 100 people as of 2024. Gambia has 0.5 as of 2024.

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live with 14.0% less strain on fresh water

Lesotho withdraws 3% of its available fresh water each year as of 2022. Gambia withdraws 2% as of 2022.

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Environment

be 10.0% less likely to die from air pollution

In Lesotho, air pollution causes 100.0 deaths per 100,000 people as of 2019. In Gambia, it causes 90.0 as of 2019.

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emit 58.1% less CO2

Lesotho emits 0.4 tonnes of CO2 per person each year as of 2024. Gambia emits 0.2 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

Gambia: At a glance

Gambia is a sovereign country in Africa, with a total land area of approximately 10,120 sq km. The Gambia gained its independence from the UK in 1965. Geographically surrounded by Senegal, it formed a short-lived federation of Senegambia between 1982 and 1989. In 1991 the two nations signed a friendship and cooperation treaty, but tensions have flared up intermittently since then. Yahya JAMMEH led a military coup in 1994 that overthrew the president and banned political activity. A new constitution and presidential elections in 1996, followed by parliamentary balloting in 1997, completed a nominal return to civilian rule. JAMMEH has been elected president in all subsequent elections including most recently in late 2011.
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