If you lived in San Marino instead of Sierra Leone, you would:

Health

live 23.9 years longer

In Sierra Leone, the average life expectancy is 62 years (60 years for men, 64 years for women) as of 2024. In San Marino, that number is 86 years (84 years for men, 87 years for women) as of 2024.

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see 32.9 times more spent on your healthcare

Sierra Leone spends $159 per person on healthcare as of 2023 (international dollars, adjusted for prices). San Marino spends $5,231 as of 2023.

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have 34.5 times more doctors per person

Sierra Leone has 1.3 doctors per 10,000 people as of 2022. San Marino has 46.3 as of 2023.

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have 87.8% more access to essential health services

Sierra Leone scores 41 out of 100 on the universal health coverage index as of 2021. San Marino scores 77 as of 2021.

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Economy

make 70.7 times more money

Sierra Leone has a GDP per capita of $846 as of 2025, while in San Marino, the GDP per capita is $59,871 as of 2023.

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Life

be 97.7% 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 San Marino, 8.0 women do as of 2023.

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be 2.1 times more likely to be literate

In Sierra Leone, the literacy rate is 48.6% as of 2022. In San Marino, it is 99.9% as of 2022.

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be 97.8% 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 San Marino, on the other hand, 1.2 children do as of 2024.

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have 86.1% fewer children

In Sierra Leone, there are approximately 30.1 babies per 1,000 people as of 2024. In San Marino, there are 4.2 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 San Marino, 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 3.9 times more likely to have internet access

In Sierra Leone, approximately 25.1% of the population has internet access as of 2024. In San Marino, about 97.3% 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 San Marino, 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 10.7% more on education

Sierra Leone spends 2.6% of its total GDP on education as of 2023. San Marino spends 2.9% of total GDP on education as of 2022.

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spend 40.0% more on healthcare

Sierra Leone spends 4.7% of its total GDP on healthcare as of 2023. In San Marino, that number is 6.6% of GDP as of 2023.

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Safety

be 57.2% less likely to die in a road accident

In Sierra Leone, road accidents kill 13.8 people per 100,000 as of 2021. In San Marino, they kill 5.9 per 100,000 as of 2021.

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

San Marino: At a glance

San Marino is a sovereign country in Europe, with a total land area of approximately 61 sq km. Geographically the third smallest state in Europe (after the Holy See and Monaco), San Marino also claims to be the world's oldest republic. According to tradition, it was founded by a Christian stonemason named MARINUS in A.D. 301. San Marino's foreign policy is aligned with that of the European Union, although it is not a member; social and political trends in the republic track closely with those of its larger neighbor, Italy.
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How big is San Marino compared to Sierra Leone? See an in-depth size comparison.

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