Photo: Matl derivative work: Jjtkk · CC BY-SA 3.0 · via Wikimedia Commons, shown in greyscale
Topic 05 of 18 · Country Index 2026
San Marino: Health & Wellbeing
How long, and how well fed, do people live?
San Marino is placed 1st of 200 countries on health & wellbeing in the Country Index 2026, from 2 of its 4 key statistics. Readings behind it: Life Expectancy at Birth 85.71 (2023); Under-Five Mortality Rate 1.26 (2024).
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Health & Wellbeing
1st
of 200 countries placed
Placed from 2 of 4 key statistics
Not placed in the Country Index 2026 overall: measured on too few topics.
- 85.71Life Expectancy at Birth, 2023Years a newborn would live at current death rates
- 1.26Under-Five Mortality Rate, 2024Deaths before age five (per 1,000 live births)
- —Stunting Prevalence in Children Under Five, 2024No reading for this country
- —Prevalence of Severe Food Insecurity, 2024No reading for this country
01The evidence
The 4 key statistics that decide it
Only these place San Marino on health & wellbeing — one vote each. Every value is the publisher’s own, read at the edition the Country Index 2026 used — or, for a survey-based key, each country’s latest reading; the grey ticks are every other country it was compared with, lowest on the left.
Key 1 of 4
Life Expectancy at Birth
UN DESA Population Division
2023 edition · data for 2023 · CC BY 3.0 IGO
85.71
Years a newborn would live at current death rates
Higher is better
San Marino: 85.71. Across the 222 countries in this edition, values run from 54.46 (Nigeria) to 86.37 (Monaco); the world median is 74.63.
- World median
- 74.63
- Best in Southern Europe
- 85.71 San Marino
- Land neighbours
- Italy 83.72
Key 2 of 4
Under-Five Mortality Rate
UN Inter-agency Group for Child Mortality Estimation (UN IGME)
2024 edition · data for 2024 · CC BY 3.0 IGO
1.26
Deaths before age five (per 1,000 live births)
Lower is better
San Marino: 1.26. Across the 200 countries in this edition, values run from 1.26 (San Marino) to 115.65 (Nigeria); the world median is 14.54.
- World median
- 14.54
- Best in Southern Europe
- 1.26 San Marino
- Land neighbours
- Italy 2.702
Key 3 of 4
Stunting Prevalence in Children Under Five
UNICEF, WHO and World Bank Group (Joint Malnutrition Estimates)
Latest reading per country, 2014–2024 · CC BY 3.0 IGO
No reading
Children under 5 who are stunted (%)
Lower is better
UNICEF, WHO and World Bank Group (Joint Malnutrition Estimates) publishes no reading from 2014–2024 for San Marino, so the standing rests on the other keys.
Across the 162 countries at their latest reading, values run from 0.518 (Latvia) to 52.8 (Burundi); the world median is 13.8.
- World median
- 13.8
- Best in Southern Europe
- 1.458 Greece
Key 4 of 4
Prevalence of Severe Food Insecurity
Food and Agriculture Organization of the United Nations (FAO)
2024 edition · data for 2024 · CC BY 4.0
No reading
Population in severe food insecurity (%)
Lower is better
FAO publishes no 2024 figure for San Marino, so the standing rests on the other keys.
Across the 125 countries in this edition, values run from 0.6 (Brazil) to 62.9 (South Sudan); the world median is 4.9.
- World median
- 4.9
- Best in Southern Europe
- 0.6 Croatia and Slovenia
02Over time
Which way San Marino is moving
Each key’s published value, edition by edition, beside the world median. The Country Index 2026 is the first edition of the standing, so the standing itself has no history to chart yet.
Life Expectancy at Birth
Years a newborn would live at current death rates · higher is better
San MarinoWorld median
San Marino rose from 80.5 in 2000 to 85.71 in 2023; the world median went from 70.68 to 74.63.
Every year’s figures
Year San Marino World median 2023 85.706 74.630 2022 85.708 74.313 2021 83.539 72.433 2020 82.650 73.063 2019 85.257 74.196 2018 85.095 74.081 2017 84.933 74.029 2016 84.775 74.013 2015 84.596 73.783 2014 84.394 73.330 2013 84.175 73.386 2012 83.943 73.210 2011 83.713 73.003 2010 83.464 72.827 2009 83.224 72.426 2008 82.894 72.264 2007 82.605 72.113 2006 82.258 72.027 2005 81.926 71.876 2004 81.592 71.477 2003 81.330 71.409 2002 81.061 71.173 2001 80.803 70.926 2000 80.504 70.678 Under-Five Mortality Rate
Deaths before age five (per 1,000 live births) · lower is better
San MarinoWorld median
San Marino fell from 5.25 in 2000 to 1.26 in 2024; the world median went from 30.43 to 14.54.
Every year’s figures
Year San Marino World median 2024 1.26 14.5 2023 1.31 15.2 2022 1.36 14.7 2021 1.41 15.1 2020 1.47 15.3 2019 1.54 15.7 2018 1.62 16.3 2017 1.70 16.8 2016 1.80 17.5 2015 1.91 17.9 2014 2.02 18.3 2013 2.14 18.7 2012 2.27 18.8 2011 2.42 19.0 2010 2.56 19.2 2009 2.73 20.8 2008 2.91 20.7 2007 3.11 21.8 2006 3.32 22.8 2005 3.56 24.0 2004 3.83 25.9 2003 4.14 26.9 2002 4.47 28.0 2001 4.84 29.1 2000 5.25 30.4
03In context
San Marino beside its neighbours
A position reads best beside the countries around it. Every position below is a place among all 200 countries on health & wellbeing, never a place within the region.
San Marino and the countries it borders
Standing among all 200; the key columns are the publishers’ own values.
| Country | Standing | Life Expectancy at BirthYears a newborn would live at current death rates | Under-Five Mortality RateDeaths before age five (per 1,000 live births) | Stunting Prevalence in Children Under FiveChildren under 5 who are stunted (%) | Prevalence of Severe Food InsecurityPopulation in severe food insecurity (%) |
|---|---|---|---|---|---|
| San Marino | 1st | 85.71 | 1.26 | — | — |
 Italy | 6th | 83.72 | 2.702 | — | — |
“—”: no published reading in that edition. What a standing is
Across Southern Europe
Every country in the sub-region, by its place among all 200.
Placed either side on health & wellbeing
The countries immediately above and below San Marino in the topic’s list.
- San Marino1st
Monaco2nd
Andorra3rd
Luxembourg4th
04Context, no vote
Where San Marino is ahead of the world, and behind
16 more statistics filed under health & wellbeing, published in full and deliberately given no vote in the standing. Select a row for the publisher, the rank and the links.
Ahead of the world median12
Statistics on which San Marino does better than the middle country measured.
Infant Mortality RateUN IGME · 2024 · world median 12.261.21412.26No real change since 2014
San Marino: 1.214 · world median 12.26 · Deaths before age one (per 1,000 live births). UN Inter-agency Group for Child Mortality Estimation (UN IGME), 2024 edition, data for 2024.
Published values in that edition run from 1.214 to 71.87; lower is better.
Position 200th of 200 · derived, 1st = worst.
Mortality Rate, Ages 5–14UN IGME · 2024 · world median 2.8580.3922.858No real change since 2014
San Marino: 0.392 · world median 2.858 · Deaths between ages 5 and 14 (per 1,000 children aged 5). UN Inter-agency Group for Child Mortality Estimation (UN IGME), 2024 edition, data for 2024.
Published values in that edition run from 0.392 to 59.04; lower is better.
Position 200th of 200 · derived, 1st = worst.
Neonatal Mortality RateUN IGME · 2024 · world median 8.1340.5448.134No real change since 2014
San Marino: 0.544 · world median 8.134 · Deaths in the first 28 days (per 1,000 live births). UN Inter-agency Group for Child Mortality Estimation (UN IGME), 2024 edition, data for 2024.
Published values in that edition run from 0.544 to 39.47; lower is better.
Position 200th of 200 · derived, 1st = worst.
Life Expectancy at Age 65UN DESA Population Division · 2023 · world median 16.3922.6416.39No real change since 2013
San Marino: 22.64 · world median 16.39 · Further years a 65-year-old would live at current death rates. UN DESA Population Division, 2023 edition, data for 2023.
Published values in that edition run from 12.13 to 23.21; higher is better.
Position 3rd of 222 · derived.
Adult Mortality (Probability of Dying Between 15 and 60)UN DESA Population Division · 2023 · world median 133.733.42133.7No real change since 2013
San Marino: 33.42 · world median 133.7 · Deaths before age 60 per 1,000 people alive at 15, at that year's death rates. UN DESA Population Division, 2023 edition, data for 2023.
Published values in that edition run from 25.15 to 415.44; lower is better.
Position 218th of 222 · derived, 1st = worst.
Adolescent Birth Rate (Ages 15–19)UN DESA Population Division · 2023 · world median 27.461.15827.46No real change since 2013
San Marino: 1.158 · world median 27.46 · Live births per 1,000 women aged 15–19. UN DESA Population Division, 2023 edition, data for 2023.
Published values in that edition run from 0.465 to 163.09; lower is better.
Position 217th of 222 · derived, 1st = worst.
Low Birthweight PrevalenceUNICEF and WHO (Joint Low Birthweight Estimates) · 2020 · world median 10.214.24410.21▼ Worsened since 2010
San Marino: 4.244 · world median 10.21 · Live births weighing under 2,500 g (%). UNICEF and WHO (Joint Low Birthweight Estimates), 2020 edition, data for 2020.
Published values in that edition run from 3.993 to 27.44; lower is better.
Position 153rd of 158 · derived, 1st = worst.
Stillbirth RateUN IGME · 2023 · world median 8.1632.068.163No real change since 2013
San Marino: 2.06 · world median 8.163 · Stillbirths (per 1,000 total births). UN Inter-agency Group for Child Mortality Estimation (UN IGME), 2023 edition, data for 2023.
Published values in that edition run from 1.18 to 34.9; lower is better.
Position 190th of 200 · derived, 1st = worst.
Human Development IndexUNDP Human Development Report Office · 2023 · world median 0.7620.9150.762▼ Worsened since 2013
San Marino: 0.915 · world median 0.762 · HDI score (0–1). UNDP Human Development Report Office, 2023 edition, data for 2023.
Published values in that edition run from 0.388 to 0.972; higher is better.
Ranked 29th of 193 by UNDP Human Development Report Office.
Days Above 35°CECMWF · 2025 · world median 3.4803.48No real change since 2015
San Marino: 0 · world median 3.48 · Days a year with a maximum temperature above 35°C, averaged over the country’s land. World Bank Group (Climate Change Knowledge Portal), from Copernicus ERA5 (ECMWF), 2025 edition, data for 2025.
Published values in that edition run from 0 to 222.89; lower is better.
Maternal Mortality RatioMMEIG · 2023 · world median 46.657.6646.65▼ Worsened since 2013
San Marino: 7.66 · world median 46.65 · Maternal deaths per 100,000 live births. UN Maternal Mortality Estimation Inter-Agency Group (MMEIG), 2023 edition, data for 2023.
Published values in that edition run from 0.11 to 992.83; lower is better.
Position 157th of 195 · derived, 1st = worst.
PM2.5 Air Pollution ExposureAtmospheric Composition Analysis Group, Washington University in St. Louis · 2023 · world median 14.4511.814.45▲ Improved since 2013
San Marino: 11.8 · world median 14.45 · Population-weighted PM2.5 concentration (µg/m³). Atmospheric Composition Analysis Group, Washington University in St. Louis, 2023 edition, data for 2023.
Published values in that edition run from 2.5 to 68.2; lower is better.
Position 137th of 220 · derived, 1st = worst.
Behind the world median4
Statistics on which San Marino does worse than the middle country measured.
Immunisation Coverage, DTP3WUENIC · 2025 · world median 918891▲ Improved since 2015
San Marino: 88 · world median 91 · Infants given a third dose of DTP vaccine (%). WHO and UNICEF (WUENIC), 2025 edition, data for 2025.
Published values in that edition run from 39 to 99; higher is better.
HPV Vaccination Coverage, GirlsWUENIC · 2025 · world median 65.55765.5▼ Worsened since 2018
San Marino: 57 · world median 65.5 · Girls in the target group given the final dose of HPV vaccine (%). WHO and UNICEF (WUENIC), 2025 edition, data for 2025.
Published values in that edition run from 1 to 99; higher is better.
Immunisation Coverage, Measles First Dose (MCV1)WUENIC · 2025 · world median 908590▲ Improved since 2015
San Marino: 85 · world median 90 · Infants given a first dose of measles vaccine (%). WHO and UNICEF (WUENIC), 2025 edition, data for 2025.
Published values in that edition run from 13 to 99; higher is better.
Excess Mortality During the COVID-19 PandemicAriel Karlinsky and Dmitry Kobak (World Mortality Dataset) · 2026 · world median 272.35426.2272.35No earlier reading
San Marino: 426.2 · world median 272.35 · Excess deaths per 100,000 people, March 2020 to the end of each country's data (at most December 2023). Ariel Karlinsky and Dmitry Kobak (World Mortality Dataset), 2026 edition, data for 2026.
Published values in that edition run from -264.9 to 1,013; lower is better.
No current reading for San Marino
Adults Who Have Been Too Anxious or Depressed to Carry On, Agreement That Vaccines Are Safe, Antenatal Care Coverage, At Least Four Visits, Average Weekly Hours Worked, Births Attended by Skilled Health Staff, Caesarean Section Rate, Care-Seeking for Children with Symptoms of Pneumonia, Catastrophic Out-of-Pocket Health Spending, Children with Functional Difficulties, Coefficient of Variation of Habitual Caloric Consumption, Contraceptive Prevalence (Any Method), Cost of a Healthy Diet, Demand for Family Planning Satisfied by Modern Methods, Dietary Energy Supply, Early Initiation of Breastfeeding, Exclusive Breastfeeding Under Six Months, Fatal Occupational Injuries (last 2005), Female Genital Mutilation Prevalence, Fish and Seafood Supply per Person, Fruit Supply per Person, Gender Inequality Index, Global Multidimensional Poverty Index, Global Report on Food Crises, Human Capital Index, INFORM Severity Index, Insecticide-Treated Net Use, Institutional Deliveries, Malaria Incidence (P. falciparum), Malaria Incidence (P. vivax), Malaria Mortality (P. falciparum), Meat Supply per Person, Minimum Dietary Diversity, Children Aged 6–23 Months, Modern Contraceptive Prevalence, Oral Rehydration Salts for Children with Diarrhoea, Overweight Prevalence in Children Under Five, Pesticide Use per Hectare, Postnatal Care for Newborns Within Two Days, Prevalence of Moderate or Severe Food Insecurity, Prevalence of Severe Food Insecurity, Prevalence of Undernourishment, Severe Child Food Poverty, Children Aged 6–23 Months, Share of Dietary Energy Supply from Cereals, Roots and Tubers, Share of Population Unable to Afford a Healthy Diet, Stunting Prevalence in Children Under Five, Vegetable Supply per Person, Violent Discipline of Children and Wasting Prevalence in Children Under Five. Listed rather than hidden, so the page can be checked against it.
“Position · derived” is this site’s ordering of the published values, 1st = best unless the row says otherwise; the publisher ranks no country on it. Rank, position and standing
05Country Index 2026
Health & Wellbeing among San Marino’s 5 topics
Health & Wellbeing is San Marino’s best-placed topic of 5. Strongest first, each marker at its share of that topic’s field.
- Health & Wellbeing1st of 2002/4 keys
- Democracy & Civil Liberties6th of 1982/4 keys
- Development & Human Capitaljoint 35th of 1963/3 keys
- Education & Knowledgejoint 72nd of 1982/4 keys
- Digital & Technology147th of 1982/4 keys
No standing on Governance & Institutions, Economy & Innovation, Work & Labour, Environment & Sustainability, Gender & Equality, Peace & Security, Risk & Resilience, Mobility & Trade, Food & Agriculture, Poverty & Inequality, Energy: too few of those topics’ key statistics are published for this country.
06The top of the list
Who leads on health & wellbeing
The three countries placed highest of 200, and the leaders San Marino can most readily be measured against.
- 1San Marino
Southern Europe
1st of 200 · 2 of 4 keys
Photo: Matl derivative work: Jjtkk · CC BY-SA 3.0, greyscale
2MonacoWestern Europe
2nd of 200 · 2 of 4 keys
Photo: Martin Weber derivative work: Jjtkk · CC BY-SA 3.0, greyscale
3AndorraSouthern Europe
3rd of 200 · 2 of 4 keys
Photo: Tiia Monto derivative work: Jjtkk · CC BY-SA 3.0, greyscale
Placed highest nearby
Highest placed on all 4 keys
South Korea5th4/4 keysHighest in Europe
San Marino1st2/4 keys
Positions out of 200 placed on the topic. A country needs readings on enough keys to be placed, and the top of the list is often held on fewer of them.
07Analysis
Charts and analysis about San Marino and health & wellbeing
On health & wellbeing
Global Hunger Index 2025: Countries with the Most Alarming Hunger Crisis
Thirteen countries scored across four editions — 2000, 2008, 2016 and 2025 — and five the report could not score at all. DR Congo and South Sudan share 121st place on 37.5.
On health & wellbeing
World Happiness Report 2025: Finland Leads Again as the US and UK Face Major Declines
The ten highest life evaluations of 2025, drawn on a world map, and the six things the report uses to explain them. Costa Rica and Mexico are the only two outside Europe and the Middle East.
08Questions
San Marino on health & wellbeing: questions answered
Every answer is built from the numbers on this page, so none can say something the page does not.
How does San Marino rank on health & wellbeing?
San Marino is placed 1st of 200 countries on Health & Wellbeing in the Country Index 2026, from 2 of its 4 key statistics (Life Expectancy at Birth and Under-Five Mortality Rate). The position is this site’s ordering of published statistics, not a rank any publisher printed.
What is the latest Life Expectancy at Birth figure for San Marino?
85.71 in 2023 (years a newborn would live at current death rates), according to UN DESA Population Division. The world median in the same edition was 74.63.
What is the latest Under-Five Mortality Rate figure for San Marino?
1.26 in 2024 (deaths before age five (per 1,000 live births)), according to UN Inter-agency Group for Child Mortality Estimation (UN IGME). The world median in the same edition was 14.54.
How does San Marino compare with Italy on health & wellbeing?
Italy is placed 6th of 200, and San Marino 1st. Life Expectancy at Birth: Italy 83.72, San Marino 85.71; Under-Five Mortality Rate: Italy 2.702, San Marino 1.26.
How have San Marino’s health & wellbeing figures changed?
Life Expectancy at Birth rose from 80.5 in 2000 to 85.71 in 2023; Under-Five Mortality Rate fell from 5.25 in 2000 to 1.26 in 2024.
Which health & wellbeing statistics are missing for San Marino?
No current reading is published for San Marino on Adults Who Have Been Too Anxious or Depressed to Carry On, Agreement That Vaccines Are Safe, Antenatal Care Coverage, At Least Four Visits, Average Weekly Hours Worked, Births Attended by Skilled Health Staff, Caesarean Section Rate, Care-Seeking for Children with Symptoms of Pneumonia, Catastrophic Out-of-Pocket Health Spending, Children with Functional Difficulties, Coefficient of Variation of Habitual Caloric Consumption, Contraceptive Prevalence (Any Method), Cost of a Healthy Diet, Demand for Family Planning Satisfied by Modern Methods, Dietary Energy Supply, Early Initiation of Breastfeeding, Exclusive Breastfeeding Under Six Months, Fatal Occupational Injuries, Female Genital Mutilation Prevalence, Fish and Seafood Supply per Person, Fruit Supply per Person, Gender Inequality Index, Global Multidimensional Poverty Index, Global Report on Food Crises, Human Capital Index, INFORM Severity Index, Insecticide-Treated Net Use, Institutional Deliveries, Malaria Incidence (P. falciparum), Malaria Incidence (P. vivax), Malaria Mortality (P. falciparum), Meat Supply per Person, Minimum Dietary Diversity, Children Aged 6–23 Months, Modern Contraceptive Prevalence, Oral Rehydration Salts for Children with Diarrhoea, Overweight Prevalence in Children Under Five, Pesticide Use per Hectare, Postnatal Care for Newborns Within Two Days, Prevalence of Moderate or Severe Food Insecurity, Prevalence of Severe Food Insecurity, Prevalence of Undernourishment, Severe Child Food Poverty, Children Aged 6–23 Months, Share of Dietary Energy Supply from Cereals, Roots and Tubers, Share of Population Unable to Afford a Healthy Diet, Stunting Prevalence in Children Under Five, Vegetable Supply per Person, Violent Discipline of Children and Wasting Prevalence in Children Under Five. They are listed rather than hidden, so the evidence on the page can be checked against it.
09Method
Method, sources and how to cite
What this topic does not measure
Health spending, hospital beds and doctors per person are not measured, because more of any of them does not guarantee better outcomes. Mental health and self-reported happiness are not part of this topic. Food supply per person is measured under Food & Agriculture. Maternal mortality and many other indicators are published here as context; maternal mortality is a key in Development & Human Capital instead.
How the Health & Wellbeing standing is decided
A standing is this site’s ordering, named with its edition — never a publisher’s rank. 4 key statistics vote, one vote each; every country’s published value becomes a place within that key’s own field, the places are averaged, and the average is never published. A country needs 2 of the 4 keys to be placed.
The health & wellbeing method, step by stepHow every standing on this site is built
The key statistics and their licences
- Life Expectancy at Birth — UN DESA Population Division, CC BY 3.0 IGO
- Under-Five Mortality Rate — UN Inter-agency Group for Child Mortality Estimation (UN IGME), CC BY 3.0 IGO
- Stunting Prevalence in Children Under Five — UNICEF, WHO and World Bank Group (Joint Malnutrition Estimates), CC BY 3.0 IGO
- Prevalence of Severe Food Insecurity — Food and Agriculture Organization of the United Nations (FAO), CC BY 4.0
The other 16 statistics on this page come from 9 publishers, each named beside its numbers, with every edition and licence on the datasets pages.
The standing itself is part of the Country Index 2026, published under CC BY-SA 4.0.
Photographs
San Marino’s banner and the countries placed highest, from their profiles: Wikimedia Commons, shown in greyscale, each used under the licence named.
- San Marino (banner) — Matl derivative work: Jjtkk, CC BY-SA 3.0
- Monaco — Martin Weber derivative work: Jjtkk, CC BY-SA 3.0
- Andorra — Tiia Monto derivative work: Jjtkk, CC BY-SA 3.0
Cite this page
Nations Inquiry (2026). San Marino: Health & Wellbeing — standing and statistics, Country Index 2026. https://nationsinquiry.com/countries/san-marino/health