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

Health

live 12.1 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 Lesotho, that number is 58 years (55 years for men, 60 years for women) as of 2024.

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be 24.0% more likely to be obese

In Sao Tome and Principe, 17.9% of adults are obese as of 2024. In Lesotho, that number is 22.2% of people as of 2024.

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have 49.4% fewer doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Lesotho has 2.4 as of 2022.

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have 10.2% less access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Lesotho scores 53 as of 2021.

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be 33.3 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 Lesotho, it is 28.7 per 100,000 as of 2021.

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Economy

be 10.5% less likely to live below the poverty line

In Sao Tome and Principe, 55.5% live below the poverty line as of 2017. In Lesotho, however, that number is 49.7% as of 2017.

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be 78.8% more likely to be unemployed

In Sao Tome and Principe, 9.1% of the labor force is unemployed as of 2025. In Lesotho, that number is 16.3% as of 2025.

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make 73.3% less money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Lesotho, the GDP per capita is $1,089 as of 2025.

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Life

be 6.4 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 Lesotho, 478.0 women do as of 2023.

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be 6.1 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 Lesotho, on the other hand, 56.3 children do as of 2024.

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have 15.4% fewer children

In Sao Tome and Principe, there are approximately 28.1 babies per 1,000 people as of 2024. In Lesotho, there are 23.8 babies per 1,000 people as of 2024.

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Basic Needs

be 29.5% 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 Lesotho, that number is 57% of people on average (85% in urban areas, and 45% in rural areas) as of 2023.

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be 12.4% less likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Lesotho, about 51.8% do as of 2024.

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Expenditures

spend 31.6% more on education

Sao Tome and Principe spends 5.0% of its total GDP on education as of 2023. Lesotho spends 6.6% of total GDP on education as of 2024.

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spend 2.2 times more on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Lesotho, that number is 12.6% of GDP as of 2023.

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Safety

be 11.8 times more likely to be murdered

Sao Tome and Principe has a homicide rate of 3.2 per 100,000 people as of 2011. In Lesotho, that number is 37.7 per 100,000 as of 2008.

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be 84.6% 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 Lesotho, they kill 21.6 per 100,000 as of 2021.

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Infrastructure

find 87.3% less home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Lesotho has 0.4 as of 2024.

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live with 36.7% more strain on fresh water

Sao Tome and Principe withdraws 2% of its available fresh water each year as of 2022. Lesotho withdraws 3% as of 2022.

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Environment

emit 31.7% less CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Lesotho emits 0.4 tonnes as of 2024.

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be 17.6% more 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 Lesotho, it causes 100.0 as of 2019.

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Sources: World Bank (2017–2025), United Nations SDG Indicators (2008–2021), World Health Organization (2024). How we calculate this

Lesotho: At a glance

Lesotho is a sovereign country in Africa, with a total land area of approximately 30,355 sq km. Basutoland was renamed the Kingdom of Lesotho upon independence from the UK in 1966. The Basuto National Party ruled the country during its first two decades. King MOSHOESHOE was exiled in 1990, but returned to Lesotho in 1992 and was reinstated in 1995 and subsequently succeeded by his son, King LETSIE III, in 1996. Constitutional government was restored in 1993 after seven years of military rule. In 1998, violent protests and a military mutiny following a contentious election prompted a brief but bloody intervention by South African and Batswana military forces under the aegis of the Southern African Development Community. Subsequent constitutional reforms restored relative political stability. Peaceful parliamentary elections were held in 2002, but the National Assembly elections of February 2007 were hotly contested and aggrieved parties disputed how the electoral law was applied to award proportional seats in the Assembly. In May 2012, competitive elections involving 18 parties saw Prime Minister Motsoahae Thomas THABANE form a coalition government - the first in the country's history - that ousted the 14-year incumbent, Pakalitha MOSISILI, who peacefully transferred power the following month.
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How big is Lesotho compared to Sao Tome and Principe? See an in-depth size comparison.

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