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

Health

be 91.8% less likely to be living with HIV/AIDS

In Lesotho, 17.1% of people are living with AIDS/HIV as of 2024. In Sierra Leone, that number is 1.4% of people as of 2024.

View global rankings →

live 4.2 years longer

In Lesotho, the average life expectancy is 58 years (55 years for men, 60 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 →

be 63.1% less likely to be obese

In Lesotho, 22.2% of adults are obese as of 2024. In Sierra Leone, that number is 8.2% of people as of 2024.

View global rankings →

be 78.6% less likely to die by suicide

Lesotho has a suicide rate of 28.7 per 100,000 people as of 2021. In Sierra Leone, it is 6.1 per 100,000 as of 2021.

View global rankings →

see 58.8% less spent on your healthcare

Lesotho spends $386 per person on healthcare as of 2023 (international dollars, adjusted for prices). Sierra Leone spends $159 as of 2023.

View global rankings →

have 43.0% fewer doctors per person

Lesotho has 2.4 doctors per 10,000 people as of 2022. Sierra Leone has 1.3 as of 2022.

View global rankings →

have 22.6% less access to essential health services

Lesotho scores 53 out of 100 on the universal health coverage index as of 2021. Sierra Leone scores 41 as of 2021.

View global rankings →

Economy

be 80.7% less likely to be unemployed

In Lesotho, 16.3% of the labor force is unemployed as of 2025. In Sierra Leone, that number is 3.1% as of 2025.

View global rankings →

be 14.3% more likely to live below the poverty line

In Lesotho, 49.7% live below the poverty line as of 2017. In Sierra Leone, however, that number is 56.8% as of 2018.

View global rankings →

make 22.3% less money

Lesotho has a GDP per capita of $1,089 as of 2025, while in Sierra Leone, the GDP per capita is $846 as of 2025.

View global rankings →

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 Sierra Leone, 354.0 women do as of 2023.

View global rankings →

have 26.7% more children

In Lesotho, there are approximately 23.8 babies per 1,000 people as of 2024. In Sierra Leone, there are 30.1 babies per 1,000 people as of 2024.

View global rankings →

be 46.3% less likely to be literate

In Lesotho, the literacy rate is 90.5% as of 2024. In Sierra Leone, it is 48.6% as of 2022.

View global rankings →

Basic Needs

be 38.0% less 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 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 51.5% less likely to have internet access

In Lesotho, approximately 51.8% of the population has internet access as of 2024. In Sierra Leone, about 25.1% do as of 2024.

View global rankings →

be 12.8% less 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 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 60.4% less on education

Lesotho spends 6.6% of its total GDP on education as of 2024. Sierra Leone spends 2.6% of total GDP on education as of 2023.

View global rankings →

spend 62.6% less on healthcare

Lesotho spends 12.6% 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 →

Safety

be 36.1% less likely to die in a road accident

In Lesotho, road accidents kill 21.6 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 80.5% less strain on fresh water

Lesotho withdraws 3% of its available fresh water each year as of 2022. Sierra Leone withdraws 0% as of 2022.

View global rankings →

Environment

emit 60.5% less CO2

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

View global rankings →


Sources: World Bank (2017–2025), United Nations SDG Indicators (2021), World Health Organization (2024), The World Factbook (2022). 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 Lesotho? See an in-depth size comparison.

Share this

Ask the Elsewhere Community

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