If you lived in Gambia instead of Tuvalu, you would:

Health

be 81.0% less likely to be obese

In Tuvalu, 65.1% of adults are obese as of 2024. In Gambia, that number is 12.4% of people as of 2024.

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be 3.2 times more likely to be living with HIV/AIDS

In Tuvalu, 0.4% of people are living with AIDS/HIV as of 2024. In Gambia, that number is 1.3% of people as of 2024.

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live 1.2 years less

In Tuvalu, the average life expectancy is 67 years (64 years for men, 71 years for women) as of 2024. In Gambia, that number is 66 years (64 years for men, 68 years for women) as of 2024.

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see 94.4% less spent on your healthcare

Tuvalu spends $1,671 per person on healthcare as of 2023 (international dollars, adjusted for prices). Gambia spends $94 as of 2023.

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have 93.3% fewer doctors per person

Tuvalu has 13.5 doctors per 10,000 people as of 2020. Gambia has 0.9 as of 2023.

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have 11.5% less access to essential health services

Tuvalu scores 52 out of 100 on the universal health coverage index as of 2021. Gambia scores 46 as of 2021.

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Economy

make 84.8% less money

Tuvalu has a GDP per capita of $6,041 as of 2025, while in Gambia, the GDP per capita is $919 as of 2025.

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Life

have 35.9% more children

In Tuvalu, there are approximately 22.0 babies per 1,000 people as of 2024. In Gambia, there are 29.9 babies per 1,000 people as of 2024.

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be 2.1 times more likely to die during childbirth

In Tuvalu, approximately 170.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Gambia, 354.0 women do as of 2023.

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be 48.4% less likely to be literate

In Tuvalu, the literacy rate is 100.0% as of 2022. In Gambia, it is 51.6% as of 2021.

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be 98.2% more likely to die during infancy

In Tuvalu, approximately 16.5 children (per 1,000 live births) die before they reach the age of one as of 2024. In Gambia, on the other hand, 32.7 children do as of 2024.

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Basic Needs

be 33.1% less likely to have access to electricity

In Tuvalu, approximately 100% of people have electricity access (100% in urban areas, and 100% in rural areas) as of 2023. In Gambia, that number is 67% of people on average (85% in urban areas, and 35% in rural areas) as of 2023.

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be 39.0% less likely to have internet access

In Tuvalu, approximately 81.2% of the population has internet access as of 2022. In Gambia, about 49.5% do as of 2024.

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be 11.8% less likely to have access to drinking water

In Tuvalu, approximately 99% of people have access to drinking water (98% in urban areas, and 100% in rural areas) as of 2024. In Gambia, that number is 87% of people on average (92% in urban areas, and 78% in rural areas) as of 2024.

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Expenditures

spend 78.1% less on education

Tuvalu spends 12.8% of its total GDP on education as of 2023. Gambia spends 2.8% of total GDP on education as of 2023.

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spend 89.3% less on healthcare

Tuvalu spends 27.1% of its total GDP on healthcare as of 2023. In Gambia, that number is 2.9% of GDP as of 2023.

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Geography

see 3.3 times more coastline

Tuvalu has a total of 24 km of coastline. In Gambia, that number is 80 km.

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Safety

be 22.9% more likely to die in a road accident

In Tuvalu, road accidents kill 17.9 people per 100,000 as of 2021. In Gambia, they kill 22.0 per 100,000 as of 2021.

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Infrastructure

find 88.5% less home broadband

Tuvalu has 4.5 fixed broadband subscriptions per 100 people as of 2022. Gambia has 0.5 as of 2024.

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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

Gambia: At a glance

Gambia is a sovereign country in Africa, with a total land area of approximately 10,120 sq km. The Gambia gained its independence from the UK in 1965. Geographically surrounded by Senegal, it formed a short-lived federation of Senegambia between 1982 and 1989. In 1991 the two nations signed a friendship and cooperation treaty, but tensions have flared up intermittently since then. Yahya JAMMEH led a military coup in 1994 that overthrew the president and banned political activity. A new constitution and presidential elections in 1996, followed by parliamentary balloting in 1997, completed a nominal return to civilian rule. JAMMEH has been elected president in all subsequent elections including most recently in late 2011.
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