Guinea vs. Liberia

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.

Liberia's high fertility rate of nearly 5 children per woman and large youth cohort - more than 60% of the population is under the age of 25 - will sustain a high dependency ratio for many years to come. Significant progress has been made in preventing child deaths, despite a lack of health care workers and infrastructure. Infant and child mortality have dropped nearly 70% since 1990; the annual reduction rate of about 5.4% is the highest in Africa.

Nevertheless, Liberia's high maternal mortality rate remains among the world's worst; it reflects a high unmet need for family planning services, frequency of early childbearing, lack of quality obstetric care, high adolescent fertility, and a low proportion of births attended by a medical professional. Female mortality is also increased by the prevalence of female genital cutting (FGC), which is practiced by 10 of Liberia's 16 tribes and affects more than two-thirds of women and girls. FGC is an initiation ritual performed in rural bush schools, which teach traditional beliefs on marriage and motherhood and are an obstacle to formal classroom education for Liberian girls.

Liberia has been both a source and a destination for refugees. During Liberia's 14-year civil war (1989-2003), more than 250,000 people became refugees and another half million were internally displaced. Between 2004 and the cessation of refugee status for Liberians in June 2012, the UNHCR helped more than 155,000 Liberians to voluntarily repatriate, while others returned home on their own. Some Liberian refugees spent more than two decades living in other West African countries. Liberia hosted more than 125,000 Ivoirian refugees escaping post-election violence in 2010-11; as of mid-2017, about 12,000 Ivoirian refugees were still living in Liberia as of October 2017 because of instability.