If you lived in Sao Tome and Principe instead of Tuvalu, you would:

Health

live 2.6 years longer

In Tuvalu, the average life expectancy is 67 years (64 years for men, 71 years for women) as of 2024. In Sao Tome and Principe, that number is 70 years (66 years for men, 74 years for women) as of 2024.

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be 72.5% less likely to be obese

In Tuvalu, 65.1% of adults are obese as of 2024. In Sao Tome and Principe, that number is 17.9% of people as of 2024.

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have 13.5% more access to essential health services

Tuvalu scores 52 out of 100 on the universal health coverage index as of 2021. Sao Tome and Principe scores 59 as of 2021.

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see 78.8% less spent on your healthcare

Tuvalu spends $1,671 per person on healthcare as of 2023 (international dollars, adjusted for prices). Sao Tome and Principe spends $355 as of 2023.

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have 65.5% fewer doctors per person

Tuvalu has 13.5 doctors per 10,000 people as of 2020. Sao Tome and Principe has 4.6 as of 2022.

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Economy

make 32.4% less money

Tuvalu has a GDP per capita of $6,041 as of 2025, while in Sao Tome and Principe, the GDP per capita is $4,084 as of 2025.

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Life

be 55.9% less 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 Sao Tome and Principe, 75.0 women do as of 2023.

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be 44.2% less 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 Sao Tome and Principe, on the other hand, 9.2 children do as of 2024.

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have 27.9% more children

In Tuvalu, there are approximately 22.0 babies per 1,000 people as of 2024. In Sao Tome and Principe, there are 28.1 babies per 1,000 people as of 2024.

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Basic Needs

be 18.7% 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 Sao Tome and Principe, that number is 81% of people on average (82% in urban areas, and 70% in rural areas) as of 2023.

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be 27.2% less likely to have internet access

In Tuvalu, approximately 81.2% of the population has internet access as of 2022. In Sao Tome and Principe, about 59.1% do as of 2024.

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be 21.0% 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 Sao Tome and Principe, that number is 78% of people on average (79% in urban areas, and 73% in rural areas) as of 2024.

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Expenditures

spend 60.9% less on education

Tuvalu spends 12.8% of its total GDP on education as of 2023. Sao Tome and Principe spends 5.0% of total GDP on education as of 2023.

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spend 78.7% less on healthcare

Tuvalu spends 27.1% of its total GDP on healthcare as of 2023. In Sao Tome and Principe, that number is 5.8% of GDP as of 2023.

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Geography

see 8.7 times more coastline

Tuvalu has a total of 24 km of coastline. In Sao Tome and Principe, that number is 209 km.

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Safety

be 34.6% less likely to die in a road accident

In Tuvalu, road accidents kill 17.9 people per 100,000 as of 2021. In Sao Tome and Principe, they kill 11.7 per 100,000 as of 2021.

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Infrastructure

find 33.8% less home broadband

Tuvalu has 4.5 fixed broadband subscriptions per 100 people as of 2022. Sao Tome and Principe has 3.0 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

Sao Tome and Principe: At a glance

Sao Tome and Principe is a sovereign country in Africa, with a total land area of approximately 964 sq km. Discovered and claimed by Portugal in the late 15th century, the islands' sugar-based economy gave way to coffee and cocoa in the 19th century - all grown with African plantation slave labor, a form of which lingered into the 20th century. While independence was achieved in 1975, democratic reforms were not instituted until the late 1980s. The country held its first free elections in 1991, but frequent internal wrangling between the various political parties precipitated repeated changes in leadership and two failed coup attempts in 1995 and 2003. In 2012, three opposition parties combined in a no confidence vote to bring down the majority government of former Prime Minister Patrice TROVOADA. The new government of Prime Minister Gabriel Arcanjo Ferreira DA COSTA is entirely composed of opposition party members with limited experience in governance. New oil discoveries in the Gulf of Guinea may attract increased attention to the small island nation.
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