Moving to Sao Tome and Principe from United States

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What to Expect

A comprehensive look at what changes when you move from United States to Sao Tome and Principe — from daily expenses to quality of life.

If you moved from United States to Sao Tome and Principe, and you’d need to navigate life in Portuguese.

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Key Indicator Comparison

How United States and Sao Tome and Principe stack up on safety, healthcare, jobs, and infrastructure.

Is it safe?

Homicide rate United Nations SDG Indicators, 2022

per 100,000 people per year

US
6.4
ST
3.2
Road traffic deaths United Nations SDG Indicators, 2021

per 100,000 people per year

US
14.2
ST
11.7

Sao Tome and Principe performs significantly better than United States across all safety metrics.

How's the healthcare?

Healthcare spending per person World Bank, 2023

annual government + private spending per person

US
$13,473
ST
$355
Doctors per 10,000 people United Nations SDG Indicators, 2021

affects wait times and access to care

US
36.1
ST
4.9

United States generally does better on health & wellbeing, though Sao Tome and Principe leads in healthcare spending per person.

What about the environment?

Air pollution deaths United Nations SDG Indicators, 2019

deaths attributable to air pollution per 100k people

US
14.0
ST
85.0
CO₂ emissions per capita World Bank, 2024

tonnes of CO₂ emitted per person per year

US
13.6t
ST
0.6t

United States generally does better on environment, though Sao Tome and Principe leads in co₂ emissions per capita.

Will I have good infrastructure?

Broadband per 100 people United Nations SDG Indicators, 2022

fixed broadband subscriptions — key for remote work

US
37.8
ST
2.0
Water stress level United Nations SDG Indicators, 2021

higher means greater strain on freshwater supply

US
28.2%
ST
1.9%

United States generally does better on infrastructure, though Sao Tome and Principe leads in water stress level.

What are the job prospects?

Unemployment rate The World Factbook, 2023

percentage of the labour force without work

US
3.6%
ST
14.2%
GDP per capita The World Factbook, 2023

a broad measure of economic output per person

US
$73,600
ST
$5,500

United States performs better than Sao Tome and Principe across all employment & economy metrics.

Is it good for families?

Life expectancy The World Factbook, 2022

average years of life at birth

US
80.6 yrs
ST
67.1 yrs
Infant mortality The World Factbook, 2022

deaths per 1,000 live births — lower is better

US
5.2
ST
44.4

United States performs better than Sao Tome and Principe across all family life metrics.

Data: The World Factbook, United Nations SDG Indicators, World Bank

Visitor Visa Requirements

Short-stay tourist visa rules between United States and Sao Tome and Principe. To live, work, or study long-term in Sao Tome and Principe, you'll need a separate residence or work visa — check Sao Tome and Principe's immigration authority.

United States passport

United States passport holder visiting Sao Tome and Principe

Visa Free
United States passport holders can enter Sao Tome and Principe without a visa.
Sao Tome and Principe passport

Sao Tome and Principe passport holder visiting United States

Visa Required
Sao Tome and Principe passport holders need a visa to enter United States.

Data: Henley Passport Index. Check with the destination country's embassy for the most current requirements.

Frequently Asked Questions

Can I work remotely from Sao Tome and Principe?

With 2.0 fixed broadband subscriptions per 100 people, Sao Tome and Principe can support video calls in major cities. The hard part is paperwork — visa category, employer policy on overseas staff, and tax residency in United States and Sao Tome and Principe.

Is Sao Tome and Principe safe for expats?

Sao Tome and Principe performs significantly better than United States across all safety metrics. The homicide rate in Sao Tome and Principe is 3.2 per 100,000 people, compared to 6.4 in United States.

How is healthcare in Sao Tome and Principe compared to United States?

United States generally does better on health & wellbeing, though Sao Tome and Principe leads in healthcare spending per person. There are 4.9 doctors per 10,000 people in Sao Tome and Principe, compared to 36.1 in United States. Sao Tome and Principe scores 59 on the WHO universal health coverage index (United States: 86).

What language do they speak in Sao Tome and Principe?

The official language in Sao Tome and Principe is Portuguese. In United States, the official language is English.

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At a Glance

US ST
Population 337,341,954 217,164
Currency United States Dollar ($) São Tomé and Príncipe Dobra (STD)
Languages English Portuguese
Driving side Right Right
Calling code +1 +239
Time zones 11 1
Emergency number 911