Quality of life comparison
If you lived in San Marino instead of Madagascar, you would:
Health
live 22.0 years longer
In Madagascar, the average life expectancy is 64 years (62 years for men, 66 years for women) as of 2024. In San Marino, that number is 86 years (84 years for men, 87 years for women) as of 2024.
see 83.2 times more spent on your healthcare
Madagascar spends $63 per person on healthcare as of 2023 (international dollars, adjusted for prices). San Marino spends $5,231 as of 2023.
have 26.9 times more doctors per person
Madagascar has 1.7 doctors per 10,000 people as of 2022. San Marino has 46.3 as of 2023.
have 2.2 times more access to essential health services
Madagascar scores 35 out of 100 on the universal health coverage index as of 2021. San Marino scores 77 as of 2021.
Economy
make 99.9 times more money
Madagascar has a GDP per capita of $599 as of 2025, while in San Marino, the GDP per capita is $59,871 as of 2023.
Life
be 98.2% less likely to die during childbirth
In Madagascar, approximately 445.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In San Marino, 8.0 women do as of 2023.
be 33.8% more likely to be literate
In Madagascar, the literacy rate is 74.7% as of 2021. In San Marino, it is 99.9% as of 2022.
be 97.2% less likely to die during infancy
In Madagascar, approximately 43.0 children (per 1,000 live births) die before they reach the age of one as of 2024. In San Marino, on the other hand, 1.2 children do as of 2024.
have 86.8% fewer children
In Madagascar, there are approximately 31.7 babies per 1,000 people as of 2024. In San Marino, there are 4.2 babies per 1,000 people as of 2024.
Basic Needs
be 2.5 times more likely to have access to electricity
In Madagascar, approximately 39% of people have electricity access (76% in urban areas, and 15% in rural areas) as of 2023. In San Marino, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2023.
be 5.2 times more likely to have internet access
In Madagascar, approximately 18.7% of the population has internet access as of 2024. In San Marino, about 97.3% do as of 2024.
be 80.7% more likely to have access to drinking water
In Madagascar, approximately 55% of people have access to drinking water (78% in urban areas, and 39% in rural areas) as of 2024. In San Marino, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2024.
Expenditures
spend 92.7% more on healthcare
Madagascar spends 3.4% of its total GDP on healthcare as of 2023. In San Marino, that number is 6.6% of GDP as of 2023.
Safety
be 73.8% less likely to die in a road accident
In Madagascar, road accidents kill 22.5 people per 100,000 as of 2021. In San Marino, they kill 5.9 per 100,000 as of 2021.
Infrastructure
find 298.2 times more home broadband
Madagascar has 0.1 fixed broadband subscriptions per 100 people as of 2023. San Marino has 35.8 as of 2022.
Sources: World Bank (2021–2025), United Nations SDG Indicators (2021). How we calculate this
Compare further: Madagascar vs. San Marino
San Marino: At a glance
How big is San Marino compared to Madagascar? See an in-depth size comparison.