If you lived in Djibouti instead of Sao Tome and Principe, you would:

Health

be 35.0% less likely to be obese

In Sao Tome and Principe, 17.9% of adults are obese as of 2024. In Djibouti, that number is 11.7% of people as of 2024.

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live 3.7 years less

In Sao Tome and Principe, the average life expectancy is 70 years (66 years for men, 74 years for women) as of 2024. In Djibouti, that number is 66 years (64 years for men, 69 years for women) as of 2024.

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see 56.3% less spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Djibouti spends $155 as of 2023.

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have 54.5% fewer doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Djibouti has 2.1 as of 2022.

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have 25.4% less access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Djibouti scores 44 as of 2021.

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be 9.3 times more likely to die by suicide

Sao Tome and Principe has a suicide rate of 0.9 per 100,000 people as of 2021. In Djibouti, it is 8.0 per 100,000 as of 2021.

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Economy

be 62.0% less likely to live below the poverty line

In Sao Tome and Principe, 55.5% live below the poverty line as of 2017. In Djibouti, however, that number is 21.1% as of 2017.

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be 2.8 times more likely to be unemployed

In Sao Tome and Principe, 9.1% of the labor force is unemployed as of 2025. In Djibouti, that number is 26.0% as of 2025.

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Life

be 2.2 times more likely to die during childbirth

In Sao Tome and Principe, approximately 75.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Djibouti, 162.0 women do as of 2023.

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be 4.7 times more likely to die during infancy

In Sao Tome and Principe, approximately 9.2 children (per 1,000 live births) die before they reach the age of one as of 2024. In Djibouti, on the other hand, 43.0 children do as of 2024.

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have 25.5% fewer children

In Sao Tome and Principe, there are approximately 28.1 babies per 1,000 people as of 2024. In Djibouti, there are 20.9 babies per 1,000 people as of 2024.

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Basic Needs

be 10.5% more likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Djibouti, about 65.3% do as of 2024.

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be 19.8% less likely to have access to electricity

In Sao Tome and Principe, approximately 81% of people have electricity access (82% in urban areas, and 70% in rural areas) as of 2023. In Djibouti, that number is 65% of people on average (75% in urban areas, and 37% in rural areas) as of 2023.

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Expenditures

spend 60.5% less on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Djibouti, that number is 2.3% of GDP as of 2023.

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Geography

see 50.2% more coastline

Sao Tome and Principe has a total of 209 km of coastline. In Djibouti, that number is 314 km.

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Safety

be 99.1% more likely to die in a road accident

In Sao Tome and Principe, road accidents kill 11.7 people per 100,000 as of 2021. In Djibouti, they kill 23.3 per 100,000 as of 2021.

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Infrastructure

find 50.8% less home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Djibouti has 1.5 as of 2023.

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live with 3.4 times more strain on fresh water

Sao Tome and Principe withdraws 2% of its available fresh water each year as of 2022. Djibouti withdraws 6% as of 2022.

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Environment

be 30.6% less likely to die from air pollution

In Sao Tome and Principe, air pollution causes 85.0 deaths per 100,000 people as of 2019. In Djibouti, it causes 59.0 as of 2019.

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emit 22.2% more CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Djibouti emits 0.8 tonnes as of 2024.

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Sources: World Bank (2017–2025), United Nations SDG Indicators (2019–2021), World Health Organization (2024), The World Factbook. How we calculate this

Djibouti: At a glance

Djibouti is a sovereign country in Africa, with a total land area of approximately 23,180 sq km. The French Territory of the Afars and the Issas became Djibouti in 1977. Hassan Gouled APTIDON installed an authoritarian one-party state and proceeded to serve as president until 1999. Unrest among the Afar minority during the 1990s led to a civil war that ended in 2001 with a peace accord between Afar rebels and the Somali Issa-dominated government. In 1999, Djibouti's first multiparty presidential elections resulted in the election of Ismail Omar GUELLEH as president; he was reelected to a second term in 2005 and extended his tenure in office via a constitutional amendment, which allowed him to begin a third term in 2011. Djibouti occupies a strategic geographic location at the intersection of the Red Sea and the Gulf of Aden and serves as an important shipping portal for goods entering and leaving the east African highlands and transshipments between Europe, the Middle East, and Asia. The government holds longstanding ties to France, which maintains a significant military presence in the country, and has strong ties with the United States. Djibouti hosts several thousand members of US armed services at US-run Camp Lemonnier.
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