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San Marino

Country in Europe

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In brief

Infant deaths per 1,000 births: 1.2 (2024). World rank 1 of 196 (1 = best); in Europe, 1 of 44. Deaths under age 5 per 1,000 births: 1.3 (2024). World rank 1 of 196 (1 = best); in Europe, 1 of 44. Access to safe drinking water: 100% (2024). World rank 1 of 206 (1 = best); in Europe, 1 of 47. From 2014 to 2024: children vaccinated against measles 81% → 85%, infant deaths per 1,000 births 1.9 → 1.2, and deaths under age 5 per 1,000 births 2 → 1.3. Better than all its neighbours (Italy): adult literacy, doctors per 1,000 people, nurses and midwives per 1,000 people, access to safe drinking water, and access to basic sanitation. Worse than all its neighbours (Italy): secondary school enrolment, higher education enrolment, children vaccinated against measles, maternal deaths per 100,000 births, and diabetes prevalence.

Education

Adult literacy
99.9% 2022
Primary school enrolment
93.5% 2024
Secondary school enrolment
60.4% 2024
Higher education enrolment
57.6% 2024
Public spending on education, share of GDP
2.9% 2022

Healthcare

Health spending, share of GDP
6.6% 2023
Health spending per person
$3,924 2023
Out-of-pocket health spending, share of total
13.1% 2023
Doctors per 1,000 people
4.6 2023
Nurses and midwives per 1,000 people
9.4 2023
Hospital beds per 1,000 people
3.4 2014
Children vaccinated against measles
85% 2024

Public health

Infant deaths per 1,000 births
1.2 2024
Deaths under age 5 per 1,000 births
1.3 2024
Maternal deaths per 100,000 births
8 2023
HIV prevalence, ages 15–49
No data
Diabetes prevalence, ages 20–79
8.6% 2024
Overweight adults
No data
Adults who use tobacco
No data

Living conditions

Access to safe drinking water
100% 2024
Access to basic sanitation
100% 2024
Access to clean cooking fuels
100% 2024