Quality of life comparison
If you lived in Sierra Leone instead of Macedonia, you would:
Health
be 69.5% less likely to be obese
In Macedonia, 26.8% of adults are obese as of 2024. In Sierra Leone, that number is 8.2% of people as of 2024.
be 14.0 times more likely to be living with HIV/AIDS
In Macedonia, 0.1% of people are living with AIDS/HIV as of 2024. In Sierra Leone, that number is 1.4% of people as of 2024.
live 14.7 years less
In Macedonia, the average life expectancy is 77 years (74 years for men, 79 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.
see 91.2% less spent on your healthcare
Macedonia spends $1,808 per person on healthcare as of 2023 (international dollars, adjusted for prices). Sierra Leone spends $159 as of 2023.
have 95.4% fewer doctors per person
Macedonia has 29.4 doctors per 10,000 people as of 2022. Sierra Leone has 1.3 as of 2022.
have 44.6% less access to essential health services
Macedonia scores 74 out of 100 on the universal health coverage index as of 2021. Sierra Leone scores 41 as of 2021.
Economy
be 74.3% less likely to be unemployed
In Macedonia, 12.3% of the labor force is unemployed as of 2025. In Sierra Leone, that number is 3.1% as of 2025.
make 91.9% less money
Macedonia has a GDP per capita of $10,490 as of 2025, while in Sierra Leone, the GDP per capita is $846 as of 2025.
Life
have 3.4 times more children
In Macedonia, there are approximately 8.8 babies per 1,000 people as of 2024. In Sierra Leone, there are 30.1 babies per 1,000 people as of 2024.
be 118.0 times more likely to die during childbirth
In Macedonia, approximately 3.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Sierra Leone, 354.0 women do as of 2023.
be 50.6% less likely to be literate
In Macedonia, the literacy rate is 98.4% as of 2020. In Sierra Leone, it is 48.6% as of 2022.
be 21.8 times more likely to die during infancy
In Macedonia, approximately 2.5 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.
Basic Needs
be 64.5% less likely to have access to electricity
In Macedonia, approximately 100% of people have electricity access (100% in urban areas, and 100% 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.
be 73.0% less likely to have internet access
In Macedonia, approximately 93.1% of the population has internet access as of 2025. In Sierra Leone, about 25.1% do as of 2024.
be 30.7% less likely to have access to drinking water
In Macedonia, approximately 98% of people have access to drinking water (98% in urban areas, and 98% 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.
Expenditures
spend 36.5% less on healthcare
Macedonia spends 7.4% of its total GDP on healthcare as of 2023. In Sierra Leone, that number is 4.7% of GDP as of 2023.
Safety
be 45.1% more likely to be murdered
Macedonia has a homicide rate of 1.5 per 100,000 people as of 2023. In Sierra Leone, that number is 2.2 per 100,000 as of 2020.
be 2.4 times more likely to die in a road accident
In Macedonia, road accidents kill 5.7 people per 100,000 as of 2021. In Sierra Leone, they kill 13.8 per 100,000 as of 2021.
Infrastructure
live with 99.0% less strain on fresh water
Macedonia withdraws 53% of its available fresh water each year as of 2022. Sierra Leone withdraws 0% as of 2022.
Environment
emit 95.8% less CO2
Macedonia emits 4.0 tonnes of CO2 per person each year as of 2024. Sierra Leone emits 0.2 tonnes as of 2024.
be 56.5% more likely to die from air pollution
In Macedonia, air pollution causes 62.0 deaths per 100,000 people as of 2019. In Sierra Leone, it causes 97.0 as of 2019.
Sources: World Bank (2020–2025), United Nations SDG Indicators (2019–2021), World Health Organization (2024), The World Factbook (2020–2022). How we calculate this
Compare further: Macedonia vs. Sierra Leone
Sierra Leone: At a glance
How big is Sierra Leone compared to Macedonia? See an in-depth size comparison.