If you lived in Madagascar instead of North Korea, you would:

Health

be 62.3% less likely to be obese

In North Korea, 11.9% of adults are obese as of 2024. In Madagascar, that number is 4.5% of people as of 2024.

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be 34.6% less likely to die by suicide

North Korea has a suicide rate of 9.3 per 100,000 people as of 2021. In Madagascar, it is 6.1 per 100,000 as of 2021.

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live 9.9 years less

In North Korea, the average life expectancy is 74 years (72 years for men, 76 years for women) as of 2024. In Madagascar, that number is 64 years (62 years for men, 66 years for women) as of 2024.

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have 48.5% less access to essential health services

North Korea scores 68 out of 100 on the universal health coverage index as of 2021. Madagascar scores 35 as of 2021.

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Economy

be 14.1% less likely to be unemployed

In North Korea, 3.5% of the labor force is unemployed as of 2025. In Madagascar, that number is 3.0% as of 2025.

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Life

have 2.5 times more children

In North Korea, there are approximately 12.9 babies per 1,000 people as of 2024. In Madagascar, there are 31.7 babies per 1,000 people as of 2024.

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be 6.6 times more likely to die during childbirth

In North Korea, approximately 67.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Madagascar, 445.0 women do as of 2023.

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be 3.2 times more likely to die during infancy

In North Korea, approximately 13.3 children (per 1,000 live births) die before they reach the age of one as of 2024. In Madagascar, on the other hand, 43.0 children do as of 2024.

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Basic Needs

be 31.5% less likely to have access to electricity

In North Korea, approximately 58% of people have electricity access (36% in urban areas, and 11% in rural areas) as of 2023. In Madagascar, that number is 39% of people on average (76% in urban areas, and 15% in rural areas) as of 2023.

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be 41.1% less likely to have access to drinking water

In North Korea, approximately 94% of people have access to drinking water (97% in urban areas, and 89% in rural areas) as of 2023. In Madagascar, that number is 55% of people on average (78% in urban areas, and 39% in rural areas) as of 2024.

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Geography

see 93.5% more coastline

North Korea has a total of 2,495 km of coastline. In Madagascar, that number is 4,828 km.

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Infrastructure

live with 59.4% less strain on fresh water

North Korea withdraws 28% of its available fresh water each year as of 2022. Madagascar withdraws 11% as of 2022.

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use 89.8% less electricity

North Korea uses 789 kWh of electricity per person each year as of 2023. Madagascar uses 80 kWh as of 2023.

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Environment

be 32.6% less likely to die from air pollution

In North Korea, air pollution causes 86.0 deaths per 100,000 people as of 2019. In Madagascar, it causes 58.0 as of 2019.

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emit 94.0% less CO2

North Korea emits 2.5 tonnes of CO2 per person each year as of 2024. Madagascar emits 0.1 tonnes as of 2024.

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Sources: World Bank (2021–2025), United Nations SDG Indicators (2019–2021), World Health Organization (2024), The World Factbook. How we calculate this

Madagascar: At a glance

Madagascar is a sovereign country in Africa, with a total land area of approximately 581,540 sq km. Formerly an independent kingdom, Madagascar became a French colony in 1896 but regained independence in 1960. During 1992-93, free presidential and National Assembly elections were held ending 17 years of single-party rule. In 1997, in the second presidential race, Didier RATSIRAKA, the leader during the 1970s and 1980s, was returned to the presidency. The 2001 presidential election was contested between the followers of Didier RATSIRAKA and Marc RAVALOMANANA, nearly causing secession of half of the country. In April 2002, the High Constitutional Court announced RAVALOMANANA the winner. RAVALOMANANA achieved a second term following a landslide victory in the generally free and fair presidential elections of 2006. In early 2009, protests over increasing restrictions on opposition press and activities resulted in RAVALOMANANA handing over power to the military, which then conferred the presidency on the mayor of Antananarivo, Andry RAJOELINA, in what amounted to a coup d'etat. Following a lengthy mediation process led by the Southern African Development Community (SADC), Madagascar held UN-supported presidential and parliamentary elections in 2013. Former de facto finance minister Hery RAJAONARIMAMPIANINA defeated RAVALOMANANA's favored candidate Jean-Louis ROBINSON in a presidential runoff and was inaugurated in January 2014. Most international observers, while noting some irregularities, declared polls to be a credible reflection of the Malagasy public's will.
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