CityMatch

Best healthcare cities in Africa

Ranked purely on healthcare access and quality. Limited to cities in Africa.

33 cities ranked

Overview

Stellenbosch tops our ranking of best healthcare cities in africa at 7.0/10, just ahead of Cape Town and Johannesburg. There's no shortage of blog posts ranking cities from personal impressions. Best healthcare cities in Africa takes a different approach: the same seven-criterion scorecard, applied identically to every city, so the ranking below is reproducible rather than anecdotal. Ranked purely on healthcare access and quality. Limiting the 303-city database to Africa alone and sorting strictly by best healthcare gives a regional read that a worldwide ranking would otherwise blur. Casablanca stands out as the most affordable option in this set (8/10 on cost of living), which is useful context if budget matters more to you than the overall ranking order suggests. Just outside the top three, Casablanca, Kigali, Tunis round out a competitive upper half — worth a look if your specific circumstances (a partner's job, a language you already speak, an existing visa route) rule out the leaders. This is deliberately narrow: a regional, single-criterion cut for people who've already ruled out other continents and want to compare like-for-like. Scroll down for the full table — each city name links to its detailed scorecard if you want to dig into the individual numbers.

Top pick
Stellenbosch
7.0/10 overall
Most affordable here
Casablanca
8/10 cost score
Average safety score
5.7/10
across 33 cities

Full ranking

Curious how the top two stack up criterion by criterion? Compare Stellenbosch vs Cape Town directly →

  1. 01StellenboschSouth Africa · Africa7.0Score
  2. 02Cape TownSouth Africa · Africa6.0Score
  3. 03JohannesburgSouth Africa · Africa6.0Score
  4. 04CasablancaMorocco · Africa6.0Score
  5. 05KigaliRwanda · Africa6.0Score
  6. 06TunisTunisia · Africa6.0Score
  7. 07WindhoekNamibia · Africa6.0Score
  8. 08GaboroneBotswana · Africa6.0Score
  9. 09AlgiersAlgeria · Africa6.0Score
  10. 10Port LouisMauritius · Africa6.0Score
  11. 11VictoriaSeychelles · Africa6.0Score
  12. 12NairobiKenya · Africa5.0Score
  13. 13MarrakechMorocco · Africa5.0Score
  14. 14CairoEgypt · Africa5.0Score
  15. 15AccraGhana · Africa5.0Score
  16. 16LagosNigeria · Africa5.0Score
  17. 17DakarSenegal · Africa5.0Score
  18. 18Addis AbabaEthiopia · Africa5.0Score
  19. 19KampalaUganda · Africa5.0Score
  20. 20Dar es SalaamTanzania · Africa5.0Score
  21. 21LusakaZambia · Africa5.0Score
  22. 22AbidjanIvory Coast · Africa5.0Score
  23. 23MaputoMozambique · Africa5.0Score
  24. 24CotonouBenin · Africa5.0Score
  25. 25Sharm El SheikhEgypt · Africa5.0Score
  26. 26MombasaKenya · Africa5.0Score
  27. 27EssaouiraMorocco · Africa5.0Score
  28. 28Zanzibar CityTanzania · Africa4.0Score
  29. 29HarareZimbabwe · Africa4.0Score
  30. 30KinshasaDR Congo · Africa4.0Score
  31. 31LuandaAngola · Africa4.0Score
  32. 32AntananarivoMadagascar · Africa4.0Score
  33. 33LivingstoneZambia · Africa4.0Score

Methodology

Same single-criterion method as our worldwide rankings (only best healthcare counts), applied only to cities within Africa so the comparison isn't skewed by cities on other continents. Want different priorities? Set your own weights in the recommender.

Understanding the criteria

Same logic as our worldwide single-criterion rankings: only best healthcare decides the order, just filtered down to one region so you're not comparing across continents you've already ruled out.

Tips for using this ranking

  • Compare the top pick here against the equivalent worldwide ranking — a city that leads its continent can still trail the global top 10 by a wide margin.
  • Use this list to narrow down within Africa, then switch to the recommender to weigh in your other priorities before committing.

Who this ranking is for

This ranking is most useful for Budget-conscious movers — movers for whom affordability outweighs every other factor, Safety-first movers — people relocating somewhere unfamiliar who weigh personal safety above all and Balanced movers — people without a single dominant priority, weighing all criteria evenly. If none of those match your situation, the recommender tool lets you set your own weights instead of relying on any preset list.

Strengths & limitations of this ranking

What this method gets right

  • +Comparing only within one region avoids the trap of comparing, say, a Southeast Asian city's cost of living to a Scandinavian one.
  • +The single-criterion method means the ranking is fully reproducible from the underlying scores.

What it doesn't capture

  • It says nothing about how these cities compare globally — a regional #1 can still trail the worldwide top 10 by a wide margin.
  • Only one criterion counts here, so a city's other strengths or weaknesses are invisible in this specific ranking.

How are these scores calculated?

Every city on CityMatch is scored 1-10 on seven criteria — cost of living, safety, environment, transport, climate, healthcare and internet — and those seven numbers are combined into the overall score shown throughout the site using a consistent, automated formula (an equal-weighted average by default, or your own weighting via the recommender tool). The same method is applied identically to every city, so scores are comparable across the full database.

Sources & data provenance

The current dataset is an internally curated starter dataset built for this version of the site, reflecting each city's general reputation on each criterion rather than a live feed from a single external provider. It is not yet sourced from a specific third-party API. If that changes, this section will be updated to name the exact sources in use.

Last updated: 17 July 2026

Frequently asked questions

Which city ranks #1 for "best healthcare cities in africa"?

Stellenbosch tops this list with a score of 7.0/10. The next best are Stellenbosch, Cape Town, Johannesburg.

What's the most affordable city on this list?

Casablanca is the most affordable, scoring 8/10 on cost of living (10 = cheapest).

What's the safest city on this list?

Kigali posts the strongest safety score here at 9/10, ahead of the 32 other cities on this list.

How is this ranking calculated?

Every city gets a 1-10 score on cost of living, safety, environment, transport, climate, healthcare and internet. This list's average safety score is 5.7/10 and average cost-of-living score is 7/10 across 33 cities.

Is this ranking kept up to date?

Yes — every score on this page is recalculated automatically from the same underlying dataset each time the site is rebuilt, so the ranking always reflects the current numbers rather than a static, one-off list. See the "How are these scores calculated?" section for the full methodology.

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