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

Health

be 85.7% less likely to be living with HIV/AIDS

In Sierra Leone, 1.4% of people are living with AIDS/HIV as of 2024. In Romania, that number is 0.2% of people as of 2024.

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live 14.5 years longer

In Sierra Leone, the average life expectancy is 62 years (60 years for men, 64 years for women) as of 2024. In Romania, that number is 76 years (73 years for men, 80 years for women) as of 2024.

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see 16.5 times more spent on your healthcare

Sierra Leone spends $159 per person on healthcare as of 2023 (international dollars, adjusted for prices). Romania spends $2,614 as of 2023.

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have 27.1 times more doctors per person

Sierra Leone has 1.3 doctors per 10,000 people as of 2022. Romania has 36.2 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. Romania scores 78 as of 2021.

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be 4.0 times more likely to be obese

In Sierra Leone, 8.2% of adults are obese as of 2024. In Romania, that number is 32.4% of people as of 2024.

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be 56.7% more likely to die by suicide

Sierra Leone has a suicide rate of 6.1 per 100,000 people as of 2021. In Romania, it is 9.6 per 100,000 as of 2021.

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Economy

make 26.6 times more money

Sierra Leone has a GDP per capita of $846 as of 2025, while in Romania, the GDP per capita is $22,538 as of 2025.

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be 90.2% more likely to be unemployed

In Sierra Leone, 3.1% of the labor force is unemployed as of 2025. In Romania, that number is 6.0% as of 2025.

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Life

be 96.6% 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 Romania, 12.0 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 Romania, it is 99.2% as of 2021.

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be 89.0% 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 Romania, on the other hand, 6.0 children do as of 2024.

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have 75.1% fewer children

In Sierra Leone, there are approximately 30.1 babies per 1,000 people as of 2024. In Romania, there are 7.5 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 Romania, 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 Romania, about 91.3% do as of 2024.

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be 46.9% 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 Romania, 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 25.2% more on education

Sierra Leone spends 2.6% of its total GDP on education as of 2023. Romania spends 3.3% of total GDP on education as of 2022.

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spend 21.0% more on healthcare

Sierra Leone spends 4.7% of its total GDP on healthcare as of 2023. In Romania, that number is 5.7% of GDP as of 2023.

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Geography

see 44.0% less coastline

Sierra Leone has a total of 402 km of coastline. In Romania, that number is 225 km.

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Safety

be 50.0% less likely to be murdered

Sierra Leone has a homicide rate of 2.2 per 100,000 people as of 2020. In Romania, that number is 1.1 per 100,000 as of 2023.

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be 30.4% less likely to die in a road accident

In Sierra Leone, road accidents kill 13.8 people per 100,000 as of 2021. In Romania, they kill 9.6 per 100,000 as of 2021.

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Infrastructure

live with 15.3 times more strain on fresh water

Sierra Leone withdraws 0% of its available fresh water each year as of 2022. Romania withdraws 8% as of 2022.

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Environment

be 52.6% less likely to die from air pollution

In Sierra Leone, air pollution causes 97.0 deaths per 100,000 people as of 2019. In Romania, it causes 46.0 as of 2019.

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emit 21.9 times more CO2

Sierra Leone emits 0.2 tonnes of CO2 per person each year as of 2024. Romania emits 3.7 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

Romania: At a glance

Romania is a sovereign country in Europe, with a total land area of approximately 229,891 sq km. The principalities of Wallachia and Moldavia - for centuries under the suzerainty of the Turkish Ottoman Empire - secured their autonomy in 1856; they were de facto linked in 1859 and formally united in 1862 under the new name of Romania. The country gained recognition of its independence in 1878. It joined the Allied Powers in World War I and acquired new territories - most notably Transylvania - following the conflict. In 1940, Romania allied with the Axis powers and participated in the 1941 German invasion of the USSR. Three years later, overrun by the Soviets, Romania signed an armistice. The post-war Soviet occupation led to the formation of a communist "people's republic" in 1947 and the abdication of the king. The decades-long rule of dictator Nicolae CEAUSESCU, who took power in 1965, and his Securitate police state became increasingly oppressive and draconian through the 1980s. CEAUSESCU was overthrown and executed in late 1989. Former communists dominated the government until 1996 when they were swept from power. Romania joined NATO in 2004 and the EU in 2007.
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