Quality of life comparison
If you lived in Madagascar instead of San Marino, you would:
Health
live 22.0 years less
In San Marino, the average life expectancy is 86 years (84 years for men, 87 years for women) as of 2024. In Madagascar, that number is 64 years (62 years for men, 66 years for women) as of 2024.
see 98.8% less spent on your healthcare
San Marino spends $5,231 per person on healthcare as of 2023 (international dollars, adjusted for prices). Madagascar spends $63 as of 2023.
have 96.3% fewer doctors per person
San Marino has 46.3 doctors per 10,000 people as of 2023. Madagascar has 1.7 as of 2022.
have 54.5% less access to essential health services
San Marino scores 77 out of 100 on the universal health coverage index as of 2021. Madagascar scores 35 as of 2021.
Economy
make 99.0% less money
San Marino has a GDP per capita of $59,871 as of 2023, while in Madagascar, the GDP per capita is $599 as of 2025.
Life
have 7.5 times more children
In San Marino, there are approximately 4.2 babies per 1,000 people as of 2024. In Madagascar, there are 31.7 babies per 1,000 people as of 2024.
be 55.6 times more likely to die during childbirth
In San Marino, approximately 8.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Madagascar, 445.0 women do as of 2023.
be 25.2% less likely to be literate
In San Marino, the literacy rate is 99.9% as of 2022. In Madagascar, it is 74.7% as of 2021.
be 35.8 times more likely to die during infancy
In San Marino, approximately 1.2 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.
Basic Needs
be 60.6% less likely to have access to electricity
In San Marino, 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.
be 80.8% less likely to have internet access
In San Marino, approximately 97.3% of the population has internet access as of 2024. In Madagascar, about 18.7% do as of 2024.
be 44.7% less likely to have access to drinking water
In San Marino, approximately 100% of people have access to drinking water (100% in urban areas, and 100% 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.
Expenditures
spend 48.1% less on healthcare
San Marino spends 6.6% of its total GDP on healthcare as of 2023. In Madagascar, that number is 3.4% of GDP as of 2023.
Safety
be 3.8 times more likely to die in a road accident
In San Marino, road accidents kill 5.9 people per 100,000 as of 2021. In Madagascar, they kill 22.5 per 100,000 as of 2021.
Infrastructure
find 99.7% less home broadband
San Marino has 35.8 fixed broadband subscriptions per 100 people as of 2022. Madagascar has 0.1 as of 2023.
Sources: World Bank (2021–2025), United Nations SDG Indicators (2021). How we calculate this
Compare further: San Marino vs. Madagascar
Madagascar: At a glance
How big is Madagascar compared to San Marino? See an in-depth size comparison.