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

Health

see 3.6 times more spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Turkmenistan spends $1,264 as of 2023.

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have 4.2 times more doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Turkmenistan has 19.3 as of 2023.

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have 27.1% more access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Turkmenistan scores 75 as of 2021.

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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 Turkmenistan, that number is 22.2% of people as of 2024.

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be 7.9 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 Turkmenistan, it is 6.8 per 100,000 as of 2021.

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Economy

be 53.2% less likely to be unemployed

In Sao Tome and Principe, 9.1% of the labor force is unemployed as of 2025. In Turkmenistan, that number is 4.3% as of 2025.

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make 60.1% more money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Turkmenistan, the GDP per capita is $6,540 as of 2025.

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Life

be 93.3% 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 Turkmenistan, 5.0 women do as of 2023.

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be 3.3 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 Turkmenistan, on the other hand, 30.4 children do as of 2024.

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have 25.6% fewer children

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

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Basic Needs

be 23.0% 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 Turkmenistan, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2023.

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be 28.2% 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 Turkmenistan, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2024.

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be 57.2% less likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Turkmenistan, about 25.3% do as of 2022.

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Expenditures

spend 14.7% less on education

Sao Tome and Principe spends 5.0% of its total GDP on education as of 2023. Turkmenistan spends 4.3% of total GDP on education as of 2024.

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Safety

be 31.6% 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 Turkmenistan, they kill 8.0 per 100,000 as of 2021.

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Infrastructure

find 74.6% more home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Turkmenistan has 5.2 as of 2022.

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live with 71.9 times more strain on fresh water

Sao Tome and Principe withdraws 2% of its available fresh water each year as of 2022. Turkmenistan withdraws 135% as of 2022.

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Environment

emit 17.2 times more CO2

Sao Tome and Principe emits 0.6 tonnes of CO2 per person each year as of 2024. Turkmenistan emits 10.9 tonnes as of 2024.

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Sources: World Bank (2021–2025), United Nations SDG Indicators (2021), World Health Organization (2024), The World Factbook (2022). How we calculate this

Turkmenistan: At a glance

Turkmenistan is a sovereign country in Central Asia, with a total land area of approximately 469,930 sq km. Present-day Turkmenistan covers territory that has been at the crossroads of civilizations for centuries. The area was ruled in antiquity by various Persian empires, and was conquered by Alexander the Great, Muslim crusaders, the Mongols, Turkic warriors, and eventually the Russians. In medieval times Merv (today known as Mary) was one of the great cities of the Islamic world and an important stop on the Silk Road. Annexed by Russia in the late 1800s, Turkmenistan later figured prominently in the anti-Bolshevik movement in Central Asia. In 1924, Turkmenistan became a Soviet republic; it achieved independence upon the dissolution of the USSR in 1991. Extensive hydrocarbon/natural gas reserves, which have yet to be fully exploited, have begun to transform the country. Turkmenistan is moving to expand its extraction and delivery projects. The Government of Turkmenistan is actively working to diversify its gas export routes beyond the still important Russian pipeline network. In 2010, new gas export pipelines that carry Turkmen gas to China and to northern Iran began operating, effectively ending the Russian monopoly on Turkmen gas exports. President for Life Saparmurat NYYAZOW died in December 2006, and Turkmenistan held its first multi-candidate presidential election in February 2007. Gurbanguly BERDIMUHAMEDOW, a deputy cabinet chairman under NYYAZOW, emerged as the country's new president; he was chosen as president again in February 2012, in an election that the OSCE said lacked the freedoms necessary to create a competitive environment.
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