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

Health

see 71.6% more spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Equatorial Guinea spends $609 as of 2023.

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be 24.3 times more likely to be living with HIV/AIDS

In Sao Tome and Principe, 0.3% of people are living with AIDS/HIV as of 2020. In Equatorial Guinea, that number is 7.3% of people as of 2020.

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live 6.0 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 Equatorial Guinea, that number is 64 years (62 years for men, 66 years for women) as of 2024.

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have 67.0% fewer doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Equatorial Guinea has 1.5 as of 2022.

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have 22.0% less access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Equatorial Guinea scores 46 as of 2021.

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be 8.2 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 Equatorial Guinea, it is 7.0 per 100,000 as of 2021.

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Economy

make 62.0% more money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Equatorial Guinea, the GDP per capita is $6,615 as of 2025.

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Life

be 2.3 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 Equatorial Guinea, 174.0 women do as of 2023.

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be 5.2 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 Equatorial Guinea, on the other hand, 47.6 children do as of 2024.

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Basic Needs

be 17.7% 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 Equatorial Guinea, that number is 67% of people on average (89% in urban areas, and 2% in rural areas) as of 2023.

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Expenditures

spend 39.3% less on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Equatorial Guinea, that number is 3.5% of GDP as of 2023.

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Geography

see 41.6% more coastline

Sao Tome and Principe has a total of 209 km of coastline. In Equatorial Guinea, that number is 296 km.

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Infrastructure

live with 90.4% less strain on fresh water

Sao Tome and Principe withdraws 2% of its available fresh water each year as of 2022. Equatorial Guinea withdraws 0% as of 2022.

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find 96.7% less home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Equatorial Guinea has 0.1 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 Equatorial Guinea, it causes 59.0 as of 2019.

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emit 4.0 times more CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Equatorial Guinea emits 2.5 tonnes as of 2024.

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Sources: World Bank (2021–2025), The World Factbook (2020), United Nations SDG Indicators (2019–2021). How we calculate this

Equatorial Guinea: At a glance

Equatorial Guinea is a sovereign country in Africa, with a total land area of approximately 28,051 sq km. Equatorial Guinea gained independence in 1968 after 190 years of Spanish rule. This tiny country, composed of a mainland portion plus five inhabited islands, is one of the smallest on the African continent. President Teodoro Obiang NGUEMA MBASOGO has ruled the country since 1979 when he seized power in a coup. Although nominally a constitutional democracy since 1991, the 1996, 2002, and 2009 presidential elections - as well as the 1999, 2004, 2008, and 2013 legislative elections - were widely seen as flawed. The president exerts almost total control over the political system and has discouraged political opposition. Equatorial Guinea has experienced rapid economic growth due to the discovery of large offshore oil reserves, and in the last decade has become Sub-Saharan Africa's third largest oil exporter. Despite the country's economic windfall from oil production, resulting in a massive increase in government revenue in recent years, improvements in the population's living standards have been slow to develop.
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