If you lived in Sao Tome and Principe instead of Lesotho, you would:

Health

live 12.1 years longer

In Lesotho, the average life expectancy is 58 years (55 years for men, 60 years for women) as of 2024. In Sao Tome and Principe, that number is 70 years (66 years for men, 74 years for women) as of 2024.

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be 19.4% less likely to be obese

In Lesotho, 22.2% of adults are obese as of 2024. In Sao Tome and Principe, that number is 17.9% of people as of 2024.

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have 97.4% more doctors per person

Lesotho has 2.4 doctors per 10,000 people as of 2022. Sao Tome and Principe has 4.6 as of 2022.

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have 11.3% more access to essential health services

Lesotho scores 53 out of 100 on the universal health coverage index as of 2021. Sao Tome and Principe scores 59 as of 2021.

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be 97.0% less likely to die by suicide

Lesotho has a suicide rate of 28.7 per 100,000 people as of 2021. In Sao Tome and Principe, it is 0.9 per 100,000 as of 2021.

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Economy

be 44.1% less likely to be unemployed

In Lesotho, 16.3% of the labor force is unemployed as of 2025. In Sao Tome and Principe, that number is 9.1% as of 2025.

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make 3.8 times more money

Lesotho has a GDP per capita of $1,089 as of 2025, while in Sao Tome and Principe, the GDP per capita is $4,084 as of 2025.

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be 11.7% more likely to live below the poverty line

In Lesotho, 49.7% live below the poverty line as of 2017. In Sao Tome and Principe, however, that number is 55.5% as of 2017.

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Life

be 84.3% 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 Sao Tome and Principe, 75.0 women do as of 2023.

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be 83.7% 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 Sao Tome and Principe, on the other hand, 9.2 children do as of 2024.

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have 18.2% more children

In Lesotho, there are approximately 23.8 babies per 1,000 people as of 2024. In Sao Tome and Principe, there are 28.1 babies per 1,000 people as of 2024.

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Basic Needs

be 41.9% 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 Sao Tome and Principe, that number is 81% of people on average (82% in urban areas, and 70% in rural areas) as of 2023.

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be 14.1% more likely to have internet access

In Lesotho, approximately 51.8% of the population has internet access as of 2024. In Sao Tome and Principe, about 59.1% do as of 2024.

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Expenditures

spend 24.0% less on education

Lesotho spends 6.6% of its total GDP on education as of 2024. Sao Tome and Principe spends 5.0% of total GDP on education as of 2023.

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spend 54.2% less on healthcare

Lesotho spends 12.6% of its total GDP on healthcare as of 2023. In Sao Tome and Principe, that number is 5.8% of GDP as of 2023.

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Safety

be 91.5% less likely to be murdered

Lesotho has a homicide rate of 37.7 per 100,000 people as of 2008. In Sao Tome and Principe, that number is 3.2 per 100,000 as of 2011.

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be 45.8% less likely to die in a road accident

In Lesotho, road accidents kill 21.6 people per 100,000 as of 2021. In Sao Tome and Principe, they kill 11.7 per 100,000 as of 2021.

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Infrastructure

find 7.9 times more home broadband

Lesotho has 0.4 fixed broadband subscriptions per 100 people as of 2024. Sao Tome and Principe has 3.0 as of 2024.

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live with 26.8% less strain on fresh water

Lesotho withdraws 3% of its available fresh water each year as of 2022. Sao Tome and Principe withdraws 2% as of 2022.

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Environment

be 15.0% less likely to die from air pollution

In Lesotho, air pollution causes 100.0 deaths per 100,000 people as of 2019. In Sao Tome and Principe, it causes 85.0 as of 2019.

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emit 46.5% more CO2

Lesotho emits 0.4 tonnes of CO2 per person each year as of 2024. Sao Tome and Principe emits 0.6 tonnes as of 2024.

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Sources: World Bank (2017–2025), United Nations SDG Indicators (2008–2021), World Health Organization (2024). How we calculate this

Sao Tome and Principe: At a glance

Sao Tome and Principe is a sovereign country in Africa, with a total land area of approximately 964 sq km. Discovered and claimed by Portugal in the late 15th century, the islands' sugar-based economy gave way to coffee and cocoa in the 19th century - all grown with African plantation slave labor, a form of which lingered into the 20th century. While independence was achieved in 1975, democratic reforms were not instituted until the late 1980s. The country held its first free elections in 1991, but frequent internal wrangling between the various political parties precipitated repeated changes in leadership and two failed coup attempts in 1995 and 2003. In 2012, three opposition parties combined in a no confidence vote to bring down the majority government of former Prime Minister Patrice TROVOADA. The new government of Prime Minister Gabriel Arcanjo Ferreira DA COSTA is entirely composed of opposition party members with limited experience in governance. New oil discoveries in the Gulf of Guinea may attract increased attention to the small island nation.
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How big is Sao Tome and Principe compared to Lesotho? See an in-depth size comparison.

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