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

Health

see 4.7 times more spent on your healthcare

Sao Tome and Principe spends $355 per person on healthcare as of 2023 (international dollars, adjusted for prices). Tuvalu spends $1,671 as of 2023.

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have 2.9 times more doctors per person

Sao Tome and Principe has 4.6 doctors per 10,000 people as of 2022. Tuvalu has 13.5 as of 2020.

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live 2.6 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 Tuvalu, that number is 67 years (64 years for men, 71 years for women) as of 2024.

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be 3.6 times more likely to be obese

In Sao Tome and Principe, 17.9% of adults are obese as of 2024. In Tuvalu, that number is 65.1% of people as of 2024.

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have 11.9% less access to essential health services

Sao Tome and Principe scores 59 out of 100 on the universal health coverage index as of 2021. Tuvalu scores 52 as of 2021.

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Economy

make 47.9% more money

Sao Tome and Principe has a GDP per capita of $4,084 as of 2025, while in Tuvalu, the GDP per capita is $6,041 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 Tuvalu, 170.0 women do as of 2023.

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be 79.3% 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 Tuvalu, on the other hand, 16.5 children do as of 2024.

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have 21.8% fewer children

In Sao Tome and Principe, there are approximately 28.1 babies per 1,000 people as of 2024. In Tuvalu, there are 22.0 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 Tuvalu, 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 37.3% more likely to have internet access

In Sao Tome and Principe, approximately 59.1% of the population has internet access as of 2024. In Tuvalu, about 81.2% do as of 2022.

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be 26.7% 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 Tuvalu, that number is 99% of people on average (98% in urban areas, and 100% in rural areas) as of 2024.

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Expenditures

spend 2.6 times more on education

Sao Tome and Principe spends 5.0% of its total GDP on education as of 2023. Tuvalu spends 12.8% of total GDP on education as of 2023.

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spend 4.7 times more on healthcare

Sao Tome and Principe spends 5.8% of its total GDP on healthcare as of 2023. In Tuvalu, that number is 27.1% of GDP as of 2023.

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Geography

see 88.5% less coastline

Sao Tome and Principe has a total of 209 km of coastline. In Tuvalu, that number is 24 km.

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Safety

be 53.0% 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 Tuvalu, they kill 17.9 per 100,000 as of 2021.

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Infrastructure

find 51.2% more home broadband

Sao Tome and Principe has 3.0 fixed broadband subscriptions per 100 people as of 2024. Tuvalu has 4.5 as of 2022.

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Sources: World Bank (2020–2025), United Nations SDG Indicators (2021–2022), World Health Organization (2024), The World Factbook. How we calculate this

Tuvalu: At a glance

Tuvalu is a sovereign country in Australia-Oceania, with a total land area of approximately 26 sq km. In 1974, ethnic differences within the British colony of the Gilbert and Ellice Islands caused the Polynesians of the Ellice Islands to vote for separation from the Micronesians of the Gilbert Islands. The following year, the Ellice Islands became the separate British colony of Tuvalu. Independence was granted in 1978. In 2000, Tuvalu negotiated a contract leasing its Internet domain name ".tv" for $50 million in royalties over a 12-year period.
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How big is Tuvalu compared to Sao Tome and Principe? See an in-depth size comparison.

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