Guinea-Bissau vs. Guinea

Guinea-Bissau's young and growing population is sustained by high fertility; approximately 60% of the population is under the age of 25. Its large reproductive-age population and total fertility rate of more than 4 children per woman offsets the country's high infant and maternal mortality rates. The latter is among the world's highest because of the prevalence of early childbearing, a lack of birth spacing, the high percentage of births outside of health care facilities, and a shortage of medicines and supplies.

Guinea-Bissau's history of political instability, a civil war, and several coups (the latest in 2012) have resulted in a fragile state with a weak economy, high unemployment, rampant corruption, widespread poverty, and thriving drug and child trafficking. With the country lacking educational infrastructure, school funding and materials, and qualified teachers, and with the cultural emphasis placed on religious education, parents frequently send boys to study in residential Koranic schools (daaras) in Senegal and The Gambia. They often are extremely deprived and are forced into street begging or agricultural work by marabouts (Muslim religious teachers), who enrich themselves at the expense of the children. Boys who leave their marabouts often end up on the streets of Dakar or other large Senegalese towns and are vulnerable to even worse abuse.

Some young men lacking in education and job prospects become involved in the flourishing international drug trade. Local drug use and associated violent crime are growing.

Guinea's strong population growth is a result of declining mortality rates and sustained elevated fertility. The population growth rate was somewhat tempered in the 2000s because of a period of net outmigration. Although life expectancy and mortality rates have improved over the last two decades, the nearly universal practice of female genital cutting continues to contribute to high infant and maternal mortality rates. Guinea's total fertility remains high at about 5 children per woman because of the ongoing preference for larger families, low contraceptive usage and availability, a lack of educational attainment and empowerment among women, and poverty. A lack of literacy and vocational training programs limit job prospects for youths, but even those with university degrees often have no option but to work in the informal sector. About 60% of the country's large youth population is unemployed.

Tensions and refugees have spilled over Guinea's borders with Sierra Leone, Liberia, and Cote d'Ivoire. During the 1990s Guinea harbored as many as half a million refugees from Sierra Leone and Liberia, more refugees than any other African country for much of that decade. About half sought refuge in the volatile "Parrot's Beak" region of southwest Guinea, a wedge of land jutting into Sierra Leone near the Liberian border. Many were relocated within Guinea in the early 2000s because the area suffered repeated cross-border attacks from various government and rebel forces, as well as anti-refugee violence.