If you lived in Tuvalu instead of Madagascar, you would:

Health

live 3.4 years longer

In Madagascar, the average life expectancy is 64 years (62 years for men, 66 years for women) as of 2024. In Tuvalu, that number is 67 years (64 years for men, 71 years for women) as of 2024.

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see 26.6 times more spent on your healthcare

Madagascar spends $63 per person on healthcare as of 2023 (international dollars, adjusted for prices). Tuvalu spends $1,671 as of 2023.

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have 7.8 times more doctors per person

Madagascar has 1.7 doctors per 10,000 people as of 2022. Tuvalu has 13.5 as of 2020.

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have 48.6% more access to essential health services

Madagascar scores 35 out of 100 on the universal health coverage index as of 2021. Tuvalu scores 52 as of 2021.

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be 14.4 times more likely to be obese

In Madagascar, 4.5% of adults are obese as of 2024. In Tuvalu, that number is 65.1% of people as of 2024.

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Economy

make 10.1 times more money

Madagascar has a GDP per capita of $599 as of 2025, while in Tuvalu, the GDP per capita is $6,041 as of 2025.

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Life

be 61.8% 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 Tuvalu, 170.0 women do as of 2023.

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be 33.9% more likely to be literate

In Madagascar, the literacy rate is 74.7% as of 2021. In Tuvalu, it is 100.0% as of 2022.

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be 61.6% 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 Tuvalu, on the other hand, 16.5 children do as of 2024.

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have 30.7% fewer children

In Madagascar, there are approximately 31.7 babies per 1,000 people as of 2024. In Tuvalu, there are 22.0 babies per 1,000 people as of 2024.

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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 Tuvalu, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2023.

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be 4.3 times more likely to have internet access

In Madagascar, approximately 18.7% of the population has internet access as of 2024. In Tuvalu, about 81.2% do as of 2022.

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be 78.4% 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 Tuvalu, that number is 99% of people on average (98% in urban areas, and 100% in rural areas) as of 2024.

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Expenditures

spend 4.2 times more on education

Madagascar spends 3.0% of its total GDP on education as of 2023. Tuvalu spends 12.8% of total GDP on education as of 2023.

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spend 7.9 times more on healthcare

Madagascar spends 3.4% of its total GDP on healthcare as of 2023. In Tuvalu, that number is 27.1% of GDP as of 2023.

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Geography

see 99.5% less coastline

Madagascar has a total of 4,828 km of coastline. In Tuvalu, that number is 24 km.

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Safety

be 20.4% less likely to die in a road accident

In Madagascar, road accidents kill 22.5 people per 100,000 as of 2021. In Tuvalu, they kill 17.9 per 100,000 as of 2021.

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Infrastructure

find 37.7 times more home broadband

Madagascar has 0.1 fixed broadband subscriptions per 100 people as of 2023. Tuvalu has 4.5 as of 2022.

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Sources: World Bank (2020–2025), United Nations SDG Indicators (2021–2022), World Health Organization (2024), The World Factbook. How we calculate this

Tuvalu: At a glance

Tuvalu is a sovereign country in Australia-Oceania, with a total land area of approximately 26 sq km. In 1974, ethnic differences within the British colony of the Gilbert and Ellice Islands caused the Polynesians of the Ellice Islands to vote for separation from the Micronesians of the Gilbert Islands. The following year, the Ellice Islands became the separate British colony of Tuvalu. Independence was granted in 1978. In 2000, Tuvalu negotiated a contract leasing its Internet domain name ".tv" for $50 million in royalties over a 12-year period.
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How big is Tuvalu compared to Madagascar? See an in-depth size comparison.

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