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

Health

be 18.8% less likely to be obese

In Sao Tome and Principe, 17.9% of adults are obese as of 2024. In Ghana, that number is 14.6% of people as of 2024.

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live 4.2 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 Ghana, that number is 66 years (63 years for men, 68 years for women) as of 2024.

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see 34.0% less spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Ghana spends $234 as of 2023.

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have 42.7% fewer doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Ghana has 2.7 as of 2023.

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have 18.6% less access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Ghana scores 48 as of 2021.

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be 6.2 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 Ghana, it is 5.3 per 100,000 as of 2021.

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Economy

be 67.4% less likely to be unemployed

In Sao Tome and Principe, 9.1% of the labor force is unemployed as of 2025. In Ghana, that number is 3.0% as of 2025.

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be 57.8% less likely to live below the poverty line

In Sao Tome and Principe, 55.5% live below the poverty line as of 2017. In Ghana, however, that number is 23.4% as of 2016.

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make 20.3% less money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Ghana, the GDP per capita is $3,257 as of 2025.

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Life

be 3.1 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 Ghana, 234.0 women do as of 2023.

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be 19.3% less likely to be literate

In Sao Tome and Principe, the literacy rate is 94.8% as of 2021. In Ghana, it is 76.5% as of 2021.

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be 3.0 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 Ghana, on the other hand, 27.5 children do as of 2024.

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Basic Needs

be 10.1% more 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 Ghana, that number is 90% of people on average (98% in urban areas, and 78% in rural areas) as of 2023.

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be 22.1% more likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Ghana, about 72.2% do as of 2024.

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be 15.3% more likely to have access to drinking water

In Sao Tome and Principe, approximately 78% of people have access to drinking water (79% in urban areas, and 73% in rural areas) as of 2024. In Ghana, that number is 90% of people on average (99% in urban areas, and 76% in rural areas) as of 2024.

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Expenditures

spend 42.1% less on education

Sao Tome and Principe spends 5.0% of its total GDP on education as of 2023. Ghana spends 2.9% of total GDP on education as of 2022.

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spend 48.9% less on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Ghana, that number is 3.0% of GDP as of 2023.

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Geography

see 2.6 times more coastline

Sao Tome and Principe has a total of 209 km of coastline. In Ghana, that number is 539 km.

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Safety

be 2.2 times 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 Ghana, they kill 25.9 per 100,000 as of 2021.

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Infrastructure

find 77.9% less home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Ghana has 0.7 as of 2024.

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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. Ghana withdraws 6% as of 2022.

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Environment

emit 11.1% more CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Ghana emits 0.7 tonnes as of 2024.

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Sources: World Bank (2016–2025), United Nations SDG Indicators (2021), The World Factbook (2021), World Health Organization (2024). How we calculate this

Ghana: At a glance

Ghana is a sovereign country in Africa, with a total land area of approximately 227,533 sq km. Formed from the merger of the British colony of the Gold Coast and the Togoland trust territory, Ghana in 1957 became the first sub-Saharan country in colonial Africa to gain its independence. Ghana endured a long series of coups before Lt. Jerry RAWLINGS took power in 1981 and banned political parties. After approving a new constitution and restoring multiparty politics in 1992, RAWLINGS won presidential elections in 1992 and 1996 but was constitutionally prevented from running for a third term in 2000. John KUFUOR succeeded him and was reelected in 2004. John Atta MILLS won the 2008 presidential election and took over as head of state, but he died in July 2012 and was constitutionally succeeded by his vice president John Dramani MAHAMA, who subsequently won the December 2012 presidential election.
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