Quality of life comparison
If you lived in Sierra Leone instead of San Marino, you would:
Health
live 23.9 years less
In San Marino, the average life expectancy is 86 years (84 years for men, 87 years for women) as of 2024. In Sierra Leone, that number is 62 years (60 years for men, 64 years for women) as of 2024.
see 97.0% less spent on your healthcare
San Marino spends $5,231 per person on healthcare as of 2023 (international dollars, adjusted for prices). Sierra Leone spends $159 as of 2023.
have 97.1% fewer doctors per person
San Marino has 46.3 doctors per 10,000 people as of 2023. Sierra Leone has 1.3 as of 2022.
have 46.8% less access to essential health services
San Marino scores 77 out of 100 on the universal health coverage index as of 2021. Sierra Leone scores 41 as of 2021.
Economy
make 98.6% less money
San Marino has a GDP per capita of $59,871 as of 2023, while in Sierra Leone, the GDP per capita is $846 as of 2025.
Life
have 7.2 times more children
In San Marino, there are approximately 4.2 babies per 1,000 people as of 2024. In Sierra Leone, there are 30.1 babies per 1,000 people as of 2024.
be 44.2 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 Sierra Leone, 354.0 women do as of 2023.
be 51.4% less likely to be literate
In San Marino, the literacy rate is 99.9% as of 2022. In Sierra Leone, it is 48.6% as of 2022.
be 45.5 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 Sierra Leone, on the other hand, 54.6 children do as of 2024.
Basic Needs
be 64.5% 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 Sierra Leone, that number is 36% of people on average (56% in urban areas, and 19% in rural areas) as of 2023.
be 74.2% less likely to have internet access
In San Marino, approximately 97.3% of the population has internet access as of 2024. In Sierra Leone, about 25.1% do as of 2024.
be 31.9% 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 Sierra Leone, that number is 68% of people on average (82% in urban areas, and 57% in rural areas) as of 2024.
Expenditures
spend 28.6% less on healthcare
San Marino spends 6.6% of its total GDP on healthcare as of 2023. In Sierra Leone, that number is 4.7% of GDP as of 2023.
Safety
be 2.3 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 Sierra Leone, they kill 13.8 per 100,000 as of 2021.
Sources: World Bank (2022–2025), United Nations SDG Indicators (2021), The World Factbook (2022). How we calculate this
Compare further: San Marino vs. Sierra Leone
Sierra Leone: At a glance
How big is Sierra Leone compared to San Marino? See an in-depth size comparison.