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

Health

live 9.9 years longer

In Sao Tome and Principe, the average life expectancy is 70 years (66 years for men, 74 years for women) as of 2024. In Panama, that number is 80 years (77 years for men, 83 years for women) as of 2024.

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see 9.3 times more spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Panama spends $3,318 as of 2023.

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have 3.5 times more doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Panama has 16.2 as of 2022.

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have 32.2% more access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Panama scores 78 as of 2021.

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be 2.1 times more likely to be obese

In Sao Tome and Principe, 17.9% of adults are obese as of 2024. In Panama, that number is 37.7% of people as of 2024.

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be 3.8 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 Panama, it is 3.3 per 100,000 as of 2021.

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Economy

make 4.8 times more money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Panama, the GDP per capita is $19,790 as of 2025.

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Life

be 50.7% less 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 Panama, 37.0 women do as of 2023.

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be 30.4% 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 Panama, on the other hand, 12.0 children do as of 2024.

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have 43.5% fewer children

In Sao Tome and Principe, there are approximately 28.1 babies per 1,000 people as of 2024. In Panama, there are 15.9 babies per 1,000 people as of 2024.

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Basic Needs

be 19.3% 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 Panama, that number is 97% of people on average (100% in urban areas, and 91% in rural areas) as of 2023.

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be 23.1% more likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Panama, about 72.8% do as of 2024.

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be 22.2% 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 Panama, that number is 95% of people on average (98% in urban areas, and 88% in rural areas) as of 2024.

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Expenditures

spend 50.9% less on education

Sao Tome and Principe spends 5.0% of its total GDP on education as of 2023. Panama spends 2.5% of total GDP on education as of 2023.

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spend 44.4% more on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Panama, that number is 8.3% of GDP as of 2023.

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Geography

see 11.9 times more coastline

Sao Tome and Principe has a total of 209 km of coastline. In Panama, that number is 2,490 km.

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Safety

be 37.6% less 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 Panama, they kill 7.3 per 100,000 as of 2021.

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Infrastructure

find 6.1 times more home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Panama has 18.1 as of 2023.

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live with 52.1% less strain on fresh water

Sao Tome and Principe withdraws 2% of its available fresh water each year as of 2022. Panama withdraws 1% as of 2022.

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Environment

be 80.0% 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 Panama, it causes 17.0 as of 2019.

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emit 4.3 times more CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Panama emits 2.7 tonnes as of 2024.

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

Panama: At a glance

Panama is a sovereign country in Central America/Caribbean, with a total land area of approximately 74,340 sq km. Explored and settled by the Spanish in the 16th century, Panama broke with Spain in 1821 and joined a union of Colombia, Ecuador, and Venezuela - named the Republic of Gran Colombia. When the latter dissolved in 1830, Panama remained part of Colombia. With US backing, Panama seceded from Colombia in 1903 and promptly signed a treaty with the US allowing for the construction of a canal and US sovereignty over a strip of land on either side of the structure (the Panama Canal Zone). The Panama Canal was built by the US Army Corps of Engineers between 1904 and 1914. In 1977, an agreement was signed for the complete transfer of the Canal from the US to Panama by the end of the century. Certain portions of the Zone and increasing responsibility over the Canal were turned over in the subsequent decades. With US help, dictator Manuel NORIEGA was deposed in 1989. The entire Panama Canal, the area supporting the Canal, and remaining US military bases were transferred to Panama by the end of 1999. In October 2006, Panamanians approved an ambitious plan (estimated to cost $5.3 billion) to expand the Canal. The project, which began in 2007 and could double the Canal's capacity, is expected to be completed in 2015.
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How big is Panama compared to Sao Tome and Principe? See an in-depth size comparison.

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