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

Health

be 21.4% less likely to be living with HIV/AIDS

In Sierra Leone, 1.4% of people are living with AIDS/HIV as of 2024. In Panama, that number is 1.1% of people as of 2024.

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live 17.8 years longer

In Sierra Leone, the average life expectancy is 62 years (60 years for men, 64 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 20.9 times more spent on your healthcare

Sierra Leone spends $159 per person on healthcare as of 2023 (international dollars, adjusted for prices). Panama spends $3,318 as of 2023.

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have 12.1 times more doctors per person

Sierra Leone has 1.3 doctors per 10,000 people as of 2022. Panama has 16.2 as of 2022.

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have 90.2% more access to essential health services

Sierra Leone scores 41 out of 100 on the universal health coverage index as of 2021. Panama scores 78 as of 2021.

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be 46.4% less likely to die by suicide

Sierra Leone has a suicide rate of 6.1 per 100,000 people as of 2021. In Panama, it is 3.3 per 100,000 as of 2021.

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be 4.6 times more likely to be obese

In Sierra Leone, 8.2% of adults are obese as of 2024. In Panama, that number is 37.7% of people as of 2024.

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Economy

make 23.4 times more money

Sierra Leone has a GDP per capita of $846 as of 2025, while in Panama, the GDP per capita is $19,790 as of 2025.

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be 2.7 times more likely to be unemployed

In Sierra Leone, 3.1% of the labor force is unemployed as of 2025. In Panama, that number is 8.4% as of 2025.

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Life

be 89.5% 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 Panama, 37.0 women do as of 2023.

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be 98.0% more likely to be literate

In Sierra Leone, the literacy rate is 48.6% as of 2022. In Panama, it is 96.2% as of 2024.

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be 78.0% 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 Panama, on the other hand, 12.0 children do as of 2024.

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have 47.3% fewer children

In Sierra Leone, there are approximately 30.1 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 2.7 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 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 2.9 times more likely to have internet access

In Sierra Leone, approximately 25.1% of the population has internet access as of 2024. In Panama, about 72.8% do as of 2024.

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be 39.9% 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 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 76.5% more on healthcare

Sierra Leone spends 4.7% 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 6.2 times more coastline

Sierra Leone has a total of 402 km of coastline. In Panama, that number is 2,490 km.

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Safety

be 47.1% less likely to die in a road accident

In Sierra Leone, road accidents kill 13.8 people per 100,000 as of 2021. In Panama, they kill 7.3 per 100,000 as of 2021.

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be 5.3 times more likely to be murdered

Sierra Leone has a homicide rate of 2.2 per 100,000 people as of 2020. In Panama, that number is 11.7 per 100,000 as of 2023.

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Infrastructure

live with 80.0% more strain on fresh water

Sierra Leone withdraws 0% of its available fresh water each year as of 2022. Panama withdraws 1% as of 2022.

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Environment

be 82.5% less likely to die from air pollution

In Sierra Leone, air pollution causes 97.0 deaths per 100,000 people as of 2019. In Panama, it causes 17.0 as of 2019.

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emit 16.1 times more CO2

Sierra Leone emits 0.2 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 (2020–2025), United Nations SDG Indicators (2019–2021), The World Factbook (2022), World Health Organization (2024). 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 Sierra Leone? See an in-depth size comparison.

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