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

Health

be 88.9% less likely to be obese

In Palau, 40.5% of adults are obese as of 2024. In Madagascar, that number is 4.5% of people as of 2024.

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live 5.5 years less

In Palau, the average life expectancy is 69 years (67 years for men, 72 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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see 96.6% less spent on your healthcare

Palau spends $1,857 per person on healthcare as of 2023 (international dollars, adjusted for prices). Madagascar spends $63 as of 2023.

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have 90.5% fewer doctors per person

Palau has 18.1 doctors per 10,000 people as of 2023. Madagascar has 1.7 as of 2022.

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have 46.2% less access to essential health services

Palau scores 65 out of 100 on the universal health coverage index as of 2021. Madagascar scores 35 as of 2021.

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Economy

make 96.9% less money

Palau has a GDP per capita of $19,532 as of 2025, while in Madagascar, the GDP per capita is $599 as of 2025.

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Life

have 3.0 times more children

In Palau, there are approximately 10.7 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 5.0 times more likely to die during childbirth

In Palau, approximately 89.0 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 25.2% less likely to be literate

In Palau, the literacy rate is 99.8% as of 2020. In Madagascar, it is 74.7% as of 2021.

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be 2.3 times more likely to die during infancy

In Palau, approximately 18.6 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 60.6% less likely to have access to electricity

In Palau, approximately 100% of people have electricity access (100% in urban areas, and 100% 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 77.7% less likely to have internet access

In Palau, approximately 83.9% of the population has internet access as of 2024. In Madagascar, about 18.7% do as of 2024.

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be 44.4% less likely to have access to drinking water

In Palau, approximately 100% of people have access to drinking water (100% in urban areas, and 99% in rural areas) as of 2024. 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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Expenditures

spend 11.3% less on education

Palau spends 3.4% of its total GDP on education as of 2023. Madagascar spends 3.0% of total GDP on education as of 2023.

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spend 68.4% less on healthcare

Palau spends 10.8% of its total GDP on healthcare as of 2023. In Madagascar, that number is 3.4% of GDP as of 2023.

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Geography

see 3.2 times more coastline

Palau has a total of 1,519 km of coastline. In Madagascar, that number is 4,828 km.

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Infrastructure

find 98.4% less home broadband

Palau has 7.3 fixed broadband subscriptions per 100 people as of 2023. Madagascar has 0.1 as of 2023.

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Environment

emit 99.8% less CO2

Palau emits 82.8 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 (2020–2025), World Health Organization (2024), United Nations SDG Indicators (2021), 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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