If you lived in Italy instead of Sierra Leone, you would:

Health

be 78.6% less likely to be living with HIV/AIDS

In Sierra Leone, 1.4% of people are living with AIDS/HIV as of 2024. In Italy, that number is 0.3% of people as of 2024.

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live 22.0 years longer

In Sierra Leone, the average life expectancy is 62 years (60 years for men, 64 years for women) as of 2024. In Italy, that number is 84 years (82 years for men, 86 years for women) as of 2024.

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see 31.4 times more spent on your healthcare

Sierra Leone spends $159 per person on healthcare as of 2023 (international dollars, adjusted for prices). Italy spends $4,993 as of 2024.

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have 31.3 times more doctors per person

Sierra Leone has 1.3 doctors per 10,000 people as of 2022. Italy has 41.9 as of 2022.

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have 2.0 times more access to essential health services

Sierra Leone scores 41 out of 100 on the universal health coverage index as of 2021. Italy scores 84 as of 2021.

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be 70.8% more likely to be obese

In Sierra Leone, 8.2% of adults are obese as of 2024. In Italy, that number is 14.0% of people as of 2024.

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be 13.8% more likely to die by suicide

Sierra Leone has a suicide rate of 6.1 per 100,000 people as of 2021. In Italy, it is 7.0 per 100,000 as of 2021.

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Economy

be 64.6% less likely to live below the poverty line

In Sierra Leone, 56.8% live below the poverty line as of 2018. In Italy, however, that number is 20.1% as of 2021.

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make 51.2 times more money

Sierra Leone has a GDP per capita of $846 as of 2025, while in Italy, the GDP per capita is $43,309 as of 2025.

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be 2.0 times more likely to be unemployed

In Sierra Leone, 3.1% of the labor force is unemployed as of 2025. In Italy, that number is 6.4% as of 2025.

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Life

be 98.3% less likely to die during childbirth

In Sierra Leone, approximately 354.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Italy, 6.0 women do as of 2023.

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be 2.0 times more likely to be literate

In Sierra Leone, the literacy rate is 48.6% as of 2022. In Italy, it is 99.3% as of 2019.

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be 95.8% less likely to die during infancy

In Sierra Leone, approximately 54.6 children (per 1,000 live births) die before they reach the age of one as of 2024. In Italy, on the other hand, 2.3 children do as of 2024.

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have 79.1% fewer children

In Sierra Leone, there are approximately 30.1 babies per 1,000 people as of 2024. In Italy, there are 6.3 babies per 1,000 people as of 2024.

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Basic Needs

be 2.8 times more likely to have access to electricity

In Sierra Leone, approximately 36% of people have electricity access (56% in urban areas, and 19% in rural areas) as of 2023. In Italy, 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 3.6 times more likely to have internet access

In Sierra Leone, approximately 25.1% of the population has internet access as of 2024. In Italy, about 89.2% do as of 2024.

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be 46.8% more likely to have access to drinking water

In Sierra Leone, approximately 68% of people have access to drinking water (82% in urban areas, and 57% in rural areas) as of 2024. In Italy, that number is 100% of people on average (100% in urban areas, and 100% in rural areas) as of 2024.

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Expenditures

spend 55.3% more on education

Sierra Leone spends 2.6% of its total GDP on education as of 2023. Italy spends 4.1% of total GDP on education as of 2022.

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spend 78.8% more on healthcare

Sierra Leone spends 4.7% of its total GDP on healthcare as of 2023. In Italy, that number is 8.4% of GDP as of 2024.

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Geography

see 18.9 times more coastline

Sierra Leone has a total of 402 km of coastline. In Italy, that number is 7,600 km.

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Safety

be 74.3% less likely to be murdered

Sierra Leone has a homicide rate of 2.2 per 100,000 people as of 2020. In Italy, that number is 0.6 per 100,000 as of 2023.

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be 63.8% less likely to die in a road accident

In Sierra Leone, road accidents kill 13.8 people per 100,000 as of 2021. In Italy, they kill 5.0 per 100,000 as of 2021.

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Infrastructure

live with 59.5 times more strain on fresh water

Sierra Leone withdraws 0% of its available fresh water each year as of 2022. Italy withdraws 30% as of 2022.

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Environment

be 84.5% less likely to die from air pollution

In Sierra Leone, air pollution causes 97.0 deaths per 100,000 people as of 2019. In Italy, it causes 15.0 as of 2019.

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emit 29.9 times more CO2

Sierra Leone emits 0.2 tonnes of CO2 per person each year as of 2024. Italy emits 5.1 tonnes as of 2024.

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Sources: World Bank (2018–2025), United Nations SDG Indicators (2019–2021), The World Factbook (2022), World Health Organization (2024). How we calculate this

Italy: At a glance

Italy is a sovereign country in Europe, with a total land area of approximately 294,140 sq km. Italy became a nation-state in 1861 when the regional states of the peninsula, along with Sardinia and Sicily, were united under King Victor EMMANUEL II. An era of parliamentary government came to a close in the early 1920s when Benito MUSSOLINI established a Fascist dictatorship. His alliance with Nazi Germany led to Italy's defeat in World War II. A democratic republic replaced the monarchy in 1946 and economic revival followed. Italy is a charter member of NATO and the European Economic Community (EEC). It has been at the forefront of European economic and political unification, joining the Economic and Monetary Union in 1999. Persistent problems include sluggish economic growth, high youth and female unemployment, organized crime, corruption, and economic disparities between southern Italy and the more prosperous north.
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How big is Italy compared to Sierra Leone? See an in-depth size comparison.

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