The Eastern Cape ( ; ) is one of the nine
provinces of South Africa
South Africa is divided into nine provinces. On the eve of the 1994 South African general election, 1994 general election, South Africa's former homelands, known as Bantustans, were reintegrated into the country, and the four provinces were incr ...
. Its capital is
Bhisho, and its largest city is
Gqeberha (Port Elizabeth). Due to its climate and nineteenth-century towns, it is a common location for tourists. It is also known for having been home to many anti-apartheid activists, including
Nelson Mandela
Nelson Rolihlahla Mandela ( , ; born Rolihlahla Mandela; 18 July 1918 – 5 December 2013) was a South African Internal resistance to apartheid, anti-apartheid activist and politician who served as the first president of South Africa f ...
.
The second largest province in the country (at 168,966 km
2) after the
Northern Cape
The Northern Cape ( ; ; ) is the largest and most sparsely populated Provinces of South Africa, province of South Africa. It was created in 1994 when the Cape Province was split up. Its capital is Kimberley, South Africa, Kimberley. It includes ...
, it was formed in 1994 out of the
Xhosa homelands or
bantustan
A Bantustan (also known as a Bantu peoples, Bantu homeland, a Black people, black homeland, a Khoisan, black state or simply known as a homeland; ) was a territory that the National Party (South Africa), National Party administration of the ...
s of
Transkei
Transkei ( , meaning ''the area beyond Great Kei River, he riverKei''), officially the Republic of Transkei (), was an list of historical unrecognized states and dependencies, unrecognised state in the southeastern region of South Africa f ...
and
Ciskei, together with the eastern portion of the
Cape Province. The central and eastern part of the province is the traditional home of the indigenous
Xhosa people. In 1820 this area, which was known as the Xhosa Kingdom, began to be settled by Europeans who originally came from
England
England is a Countries of the United Kingdom, country that is part of the United Kingdom. It is located on the island of Great Britain, of which it covers about 62%, and List of islands of England, more than 100 smaller adjacent islands. It ...
,
Scotland
Scotland is a Countries of the United Kingdom, country that is part of the United Kingdom. It contains nearly one-third of the United Kingdom's land area, consisting of the northern part of the island of Great Britain and more than 790 adjac ...
and
Ireland
Ireland (, ; ; Ulster Scots dialect, Ulster-Scots: ) is an island in the North Atlantic Ocean, in Northwestern Europe. Geopolitically, the island is divided between the Republic of Ireland (officially Names of the Irish state, named Irelan ...
. Eastern Cape is the only province in South Africa were the number of Black Africans declined from 86.6% to 85.7% since Apartheid ended in 1994.
History
The Eastern Cape province was formed in 1994, incorporating areas from the former Xhosa homelands of the
Transkei
Transkei ( , meaning ''the area beyond Great Kei River, he riverKei''), officially the Republic of Transkei (), was an list of historical unrecognized states and dependencies, unrecognised state in the southeastern region of South Africa f ...
and
Ciskei, together with what was previously part of the
Cape Province. This resulted in several anomalies, including the fact that the Province has four supreme courts (in
Makhanda (formerly named Grahamstown),
Gqeberha (formerly named Port Elizabeth),
Bhisho and
Mthatha, and had enclaves of
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN) is a Provinces of South Africa, province of South Africa that was created in 1994 when the government merged the Zulu people, Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu language, Zulu) and ...
in the province. The latter anomaly has fallen away with amendments to municipal and provincial boundaries.
The Xhosa Kingdom was one of the most powerful kingdoms in Africa, and had all states in the Eastern Cape as tributaries. Any group, people, or tribe that recognised the Xhosa Kingdom as Paramouncy became Xhosa, practiced Xhosa culture and used isiXhosa as their main language. Some of the tribes that fall under the category of Xhosa people include: AmaMpondo, AbaThembu, AmaMpondomise, AmaHlubi, AmaBhaca, AmaXesibe, AmaBomvana and more.
European settlers
In the late 18th century the
Dutch Cape Colony slowly expanded eastwards from its original centre around Cape Town. This led to the establishment in 1786 of the Dutch settlement of
Graaff-Reinet – named for the
Governor of the Cape Colony Cornelius Jacob van de Graaff (in office: 1785–1791) and for his wife Hester Cornelia van de Graaff (née Reynet). Later, during the
Napoleonic wars
{{Infobox military conflict
, conflict = Napoleonic Wars
, partof = the French Revolutionary and Napoleonic Wars
, image = Napoleonic Wars (revision).jpg
, caption = Left to right, top to bottom:Battl ...
of 1803–1815,
Britain took control of the
Cape Colony
The Cape Colony (), also known as the Cape of Good Hope, was a British Empire, British colony in present-day South Africa named after the Cape of Good Hope. It existed from 1795 to 1802, and again from 1806 to 1910, when it united with three ...
(1806) and encouraged British citizens to migrate there as a means to boost the British population in the area.
From the early 1800s until the formation of the
Union of South Africa
The Union of South Africa (; , ) was the historical predecessor to the present-day South Africa, Republic of South Africa. It came into existence on 31 May 1910 with the unification of the British Cape Colony, Cape, Colony of Natal, Natal, Tra ...
in 1910, the Eastern Cape saw colonisation by British
migrants. English
settler
A settler or a colonist is a person who establishes or joins a permanent presence that is separate to existing communities. The entity that a settler establishes is a Human settlement, settlement. A settler is called a pioneer if they are among ...
s established most of the towns, naming them either for places in England or for the original founders.
British colonization saw schools, churches, hospitals, town centres and government buildings built to speed up development. Some of the older European settlements include
Fort Beaufort (1814),
Grahamstown (1812),
Port Elizabeth
Gqeberha ( , ), formerly named Port Elizabeth, and colloquially referred to as P.E., is a major seaport and the most populous city in the Eastern Cape province of South Africa. It is the seat of the Nelson Mandela Bay Metropolitan Municipal ...
(1820),
Salem (1820),
Bathurst (1820),
East London (1836),
Paterson (1879),
Cradock (1814), Fort Beaufort (1816) and
King William's Town (1836).
Geography
upright=1.2, The southern part of the province seen from space. Various mountain ranges in the
are visible, besides Cape Recife">Cape Fold Belt are visible, besides Cape Recife and Cape St. Francis">Cape_Recife.html" ;"title="Cape Fold Belt are visible, besides Cape Recife">Cape Fold Belt are visible, besides Cape Recife and Cape St. Francis.
The Eastern Cape gets progressively wetter from west to east. The west is mostly semiarid
Karoo, except in the far south, which is temperate rainforest in the Tsitsikamma region. The coast is generally rugged with interspersed beaches. Most of the province is hilly to very mountainous between
Graaff-Reinet and Rhodes including the
Sneeuberge (English: Snow Mountains),
Stormberge,
Winterberge and
Drakensberg
The Drakensberg (Zulu language, Zulu: uKhahlamba, Sotho language, Sotho: Maloti, Afrikaans: Drakensberge) is the eastern portion of the Great Escarpment, Southern Africa, Great Escarpment, which encloses the central South Africa#Geography, Sout ...
(English: Dragon Mountains). The highest point in the province is
Ben Macdhui at 3001 m. The east from
East London and
Queenstown towards the
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN) is a Provinces of South Africa, province of South Africa that was created in 1994 when the government merged the Zulu people, Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu language, Zulu) and ...
border – a region known previously as
Transkei
Transkei ( , meaning ''the area beyond Great Kei River, he riverKei''), officially the Republic of Transkei (), was an list of historical unrecognized states and dependencies, unrecognised state in the southeastern region of South Africa f ...
– is lush grassland on rolling hills, punctuated by deep gorges with intermittent forest.
Eastern Cape has a
coast
A coast (coastline, shoreline, seashore) is the land next to the sea or the line that forms the boundary between the land and the ocean or a lake. Coasts are influenced by the topography of the surrounding landscape and by aquatic erosion, su ...
on its east which lines southward, creating shores leading to the south Indian Ocean. In the northeast, it borders the following
districts of Lesotho:
*
Mohale's Hoek District – west of Quthing
*
Quthing District – between Mohale and Qacha's Nek
*
Qacha's Nek District – east of Quthing
Domestically, it borders the following provinces:
*
Western Cape
The Western Cape ( ; , ) is a provinces of South Africa, province of South Africa, situated on the south-western coast of the country. It is the List of South African provinces by area, fourth largest of the nine provinces with an area of , an ...
– west
*
Northern Cape
The Northern Cape ( ; ; ) is the largest and most sparsely populated Provinces of South Africa, province of South Africa. It was created in 1994 when the Cape Province was split up. Its capital is Kimberley, South Africa, Kimberley. It includes ...
– northwest
*
Free State – north
*
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN) is a Provinces of South Africa, province of South Africa that was created in 1994 when the government merged the Zulu people, Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu language, Zulu) and ...
– far northeast
Climate
Climate is highly varied. The west is dry with sparse rain during winter or summer, with frosty winters and hot summers. The area
Tsitsikamma to
Grahamstown receives more precipitation, which is also relatively evenly distributed and temperatures are mild. Further east, rainfall becomes more plentiful and humidity increases, becoming more subtropical along the coast with summer rainfall. The interior can become very cold in winter, with heavy snowfalls occasionally occurring in the mountainous regions between
Molteno and
Rhodes
Rhodes (; ) is the largest of the Dodecanese islands of Greece and is their historical capital; it is the List of islands in the Mediterranean#By area, ninth largest island in the Mediterranean Sea. Administratively, the island forms a separ ...
.
*
Gqeberha: Jan Max: 25 °C, Min: 18 °C; Jul Max: 20 °C, Min: 9 °C
*
Molteno &
Barkly East: Jan Max 28 °C, Min 11 °C; Jul Max: 14 °C, Min: -7 °C
Municipalities

The Eastern Cape Province is divided into two
metropolitan municipalities and six
district municipalities. The district municipalities are in turn divided into 31
local municipalities.
Major cities and towns include the following (in the case of
places that have been renamed, the traditional name is listed first followed by the new official name):
*
East London (Gompo)
*Port Elizabeth (
Gqeberha)
*
Umtata (Mthatha)
*
Queenstown (Komani)
*
Grahamstown (Makhanda)
*
Jeffreys Bay
*
Alice
Alice may refer to:
* Alice (name), most often a feminine given name, but also used as a surname
Literature
* Alice (''Alice's Adventures in Wonderland''), a character in books by Lewis Carroll
* ''Alice'' series, children's and teen books by ...
(Dikeni)
*
Sterkspruit
*
Graaff-Reinet
*
Somerset East (KwaNojoli)
*
Mount Fletcher (Tlokoeng)
*
Butterworth (Gcuwa)
*
Mount Frere (KwaBhaca)
*
Mdantsane
Mdantsane is a South African urban township situated 15 km away from East London and 37 km away from Qonce in the Eastern Cape. It is the second largest township in Eastern Cape and 17th largest in the Top 20 largest townships in So ...
*
Cradock
*
Matatiele
* King William's Town (
Qonce
Qonce, formerly King William's Town, is a town in the Eastern Cape province of South Africa along the banks of the Buffalo River. The town is about northwest of the Indian Ocean port of East London. It has a population of around 35,000 inha ...
)
*
Aliwal North (Maletswai)
*
Uitenhage (Kariega)
*
Idutywa (Dutywa)
*
Engcobo (Ngcobo)
*
Maclear (Nqanqarhu)
*
Alexandria
Alexandria ( ; ) is the List of cities and towns in Egypt#Largest cities, second largest city in Egypt and the List of coastal settlements of the Mediterranean Sea, largest city on the Mediterranean coast. It lies at the western edge of the Nile ...
(Mnyameni)
*
Port Alfred (Cawa)
*
Fort Beaufort (KwaMaqoma known as Bofolo)
*
Peddie (Ngqushwa)
*
Willowvale (Gatyana)
*
Elliotdale (Xhorha)
*Kentane (
Centane)
*
Tsomo
*
Tsolo
*
Cofimvaba
*
Nqamakwe
*
Bisho
Bhisho, formerly Bisho, is the capital of the Eastern Cape province in South Africa. The Office of the Premier, Provincial Legislature and many other government departments are headquartered in the town. The town, three kilometres from King Will ...
(
Bhisho)
Demographics
As of the
2022 census, the Eastern Cape had a population of 7,230,204, an increase of 10.2% from the prior census in
2011
The year marked the start of a Arab Spring, series of protests and revolutions throughout the Arab world advocating for democracy, reform, and economic recovery, later leading to the depositions of world leaders in Tunisia, Egypt, and Yemen ...
. It is the fourth-most populous of South Africa's nine provinces. The median age is 27, an increase of 5 years from 2011.
Race/Ethnicity
In the 2022 census, 85.7% of the population described themselves as
Black African
Black is a racial classification of people, usually a Politics, political and Human skin color, skin color-based category for specific populations with a mid- to dark brown complexion. Not all people considered "black" have dark skin and ofte ...
, 7.6% as
Coloured, 5.6% as
White
White is the lightest color and is achromatic (having no chroma). It is the color of objects such as snow, chalk, and milk, and is the opposite of black. White objects fully (or almost fully) reflect and scatter all the visible wa ...
and 0.5% as
Indian/Asian.
A large majority of Black African people in the province are
Xhosa, with 78.8% of residents in Eastern Cape identifying as Xhosa as of 2011. Unlike most of
South Africa
South Africa, officially the Republic of South Africa (RSA), is the Southern Africa, southernmost country in Africa. Its Provinces of South Africa, nine provinces are bounded to the south by of coastline that stretches along the Atlantic O ...
, a substantial proportion of the
White
White is the lightest color and is achromatic (having no chroma). It is the color of objects such as snow, chalk, and milk, and is the opposite of black. White objects fully (or almost fully) reflect and scatter all the visible wa ...
population is of
British descent. Roughly half of
White South Africans in Eastern Cape are English-speakers of British descent while the other half are of
Boer/
Afrikaner
Afrikaners () are a Southern African ethnic group descended from predominantly Dutch settlers who first arrived at the Cape of Good Hope in 1652.Entry: Cape Colony. ''Encyclopædia Britannica Volume 4 Part 2: Brain to Casting''. Encyclopæd ...
ancestry. Eastern Cape is one of only two provinces in
South Africa
South Africa, officially the Republic of South Africa (RSA), is the Southern Africa, southernmost country in Africa. Its Provinces of South Africa, nine provinces are bounded to the south by of coastline that stretches along the Atlantic O ...
where Whites of British descent outnumber Boers/Afrikaners, the other being
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN) is a Provinces of South Africa, province of South Africa that was created in 1994 when the government merged the Zulu people, Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu language, Zulu) and ...
.
Languages
In the 2022 census, 81.8% of the population reported their
first language
A first language (L1), native language, native tongue, or mother tongue is the first language a person has been exposed to from birth or within the critical period hypothesis, critical period. In some countries, the term ''native language'' ...
as
Xhosa, 9.6% as
Afrikaans
Afrikaans is a West Germanic languages, West Germanic language spoken in South Africa, Namibia and to a lesser extent Botswana, Zambia, Zimbabwe and also Argentina where there is a group in Sarmiento, Chubut, Sarmiento that speaks the Pat ...
, 4.8% as
English, and 2.4% as
Sotho. The Eastern Cape is the only province in which native Xhosa-speakers form a majority of the population.
Religion
As of the 2022 census, 86.1% of the population described themselves as
Christians
A Christian () is a person who follows or adheres to Christianity, a monotheistic Abrahamic religion based on the life and teachings of Jesus Christ. Christians form the largest religious community in the world. The words '' Christ'' and ''C ...
, 11.0% stated that they practiced
Traditional African religions, and 0.6% described themselves as
Muslim
Muslims () are people who adhere to Islam, a Monotheism, monotheistic religion belonging to the Abrahamic religions, Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God ...
. 1.5% of the population described themselves as being atheist, agnostic, or having no religious affiliation.
Economy
The Eastern Cape is the poorest province in South Africa and has the highest expanded and official unemployment rate in the country. Subsistence agriculture predominates in the former homelands, resulting in widespread poverty. A multi billion Rand industrial development zone and deep water port are being developed in
Coega to boost investment in export-oriented industries. Overall the province only contributes 8% to the national GDP despite making 13.5% of the population. The real GDP of Eastern Cape stands at an estimated R230.3billion in 2017, making the province the fourth largest regional economy in SA ahead of Limpopo and Mpumalanga.
Agriculture
There is much fertile land in the Eastern Cape, and agriculture remains important. The fertile
Langkloof Valley in the southwest has large deciduous
fruit orchards. In the Karoo there is widespread sheep farming.
The Alexandria-Makhanda area produces pineapples, chicory and dairy products, while coffee and tea are cultivated at Magwa. People in the former Transkei region are dependent on cattle, maize and sorghum-farming. An olive nursery has been developed in collaboration with the
University of Fort Hare
The University of Fort Hare () is a public university in Alice, Eastern Cape, Alice, Eastern Cape, South Africa.
It was a key institution of higher education for Africans from 1916 to 1959 when it offered a Western-style academic education to ...
to form a nucleus of olive production in the Eastern Cape.
Domestic stock farming is slowly giving way to game farming on large scale.
Eco-tourism is resulting in economic benefits, and there is lower risk needed to protect wild, native game against drought, and the natural elements. Habitat loss and poaching pose the greatest problems.
The area around
Stutterheim is being cultivated extensively with timber plantations.
The basis of the province's
fishing industry
The fishing industry includes any industry or activity that takes, cultures, processes, preserves, stores, transports, markets or sells fish or fish products. It is defined by the Food and Agriculture Organization as including recreational, sub ...
is
squid
A squid (: squid) is a mollusc with an elongated soft body, large eyes, eight cephalopod limb, arms, and two tentacles in the orders Myopsida, Oegopsida, and Bathyteuthida (though many other molluscs within the broader Neocoleoidea are also ...
, some recreational and commercial fishing for line fish, the collection of marine resources, and access to line-catches of
hake.
Industry
With three import/export harbours and three airports offering direct flights to the main centres, and an excellent road and rail infrastructure, the province has been earmarked as a key area for growth and economic development in modern South Africa.
The two major industrial centres,
Port Elizabeth
Gqeberha ( , ), formerly named Port Elizabeth, and colloquially referred to as P.E., is a major seaport and the most populous city in the Eastern Cape province of South Africa. It is the seat of the Nelson Mandela Bay Metropolitan Municipal ...
and
East London have well-developed economies based on the automotive industry.
General Motors
General Motors Company (GM) is an American Multinational corporation, multinational Automotive industry, automotive manufacturing company headquartered in Detroit, Michigan, United States. The company is most known for owning and manufacturing f ...
and
Volkswagen
Volkswagen (VW; )English: , . is a German automotive industry, automobile manufacturer based in Wolfsburg, Lower Saxony, Germany. Established in 1937 by German Labour Front, The German Labour Front, it was revitalized into the global brand it ...
both have major assembly lines in the Port Elizabeth area, while East London is dominated by the large
DaimlerChrysler
Mercedes-Benz Group AG (formerly Daimler-Benz, DaimlerChrysler, and Daimler) is a German multinational automotive company headquartered in Stuttgart, Baden-Württemberg, Germany. It is one of the world's leading car manufacturers. Daimler-B ...
plant, now known as Mercedes-Benz South Africa.
Environmental-friendly projects include the Fish River Spatial Development Initiative, the Wild Coast SDI, and two industrial development zones, the East London Industrial Development Zone and the Coega IDZ near Port Elizabeth. Coega is the largest infrastructure development in post-
apartheid
Apartheid ( , especially South African English: , ; , ) was a system of institutionalised racial segregation that existed in South Africa and South West Africa (now Namibia) from 1948 to the early 1990s. It was characterised by an ...
South Africa. The construction of the deepwater
Port of Ngqura was completed and the first commercial ship anchored in October 2009.
Other sectors include finance, real estate, business services, wholesale and retail trade, eco-tourism (nature reserves and game ranches) and hotels and restaurants.
Law and government
The Eastern Cape provincial government is based in
Bhisho, the provincial capital. The
Eastern Cape Division of the
High Court of South Africa
The High Court of South Africa is a superior court of law in South Africa. It is divided into nine provinces of South Africa, provincial divisions, some of which sit in more than one location. Each High Court division has general jurisdiction ov ...
is situated in Makhanda (Grahamstown), with local seats in Gqhebera (Port Elizabeth), East London, and Bhisho.
Like South Africa's other provinces, the Eastern Cape has a parliamentary system of government, with the
premier of the province elected by the
Eastern Cape Provincial Legislature. The premier then selects the members of the
Executive Council (cabinet). The current premier is
Oscar Mabuyane of the
African National Congress
The African National Congress (ANC) is a political party in South Africa. It originated as a liberation movement known for its opposition to apartheid and has governed the country since 1994, when the 1994 South African general election, fir ...
(ANC).
The provincial legislature is elected every five years by a system of
party-list proportional representation
Party-list proportional representation (list-PR) is a system of proportional representation based on preregistered Political party, political parties, with each party being Apportionment (politics), allocated a certain number of seats Apportionm ...
. The most recent provincial election was held in
2024
The year saw the list of ongoing armed conflicts, continuation of major armed conflicts, including the Russian invasion of Ukraine, the Myanmar civil war (2021–present), Myanmar civil war, the Sudanese civil war (2023–present), Sudane ...
, which was won by the ANC, which has governed the province continuously since the end of Apartheid in
1994
The year 1994 was designated as the " International Year of the Family" and the "International Year of Sport and the Olympic Ideal" by the United Nations.
In the Line Islands and Phoenix Islands of Kiribati, 1994 had only 364 days, omitti ...
. The
Democratic Alliance (DA) is the second largest party and forms the
official opposition. The results of the most recent provincial election in 2024 are as follows:
Education
The Eastern Cape Department of Education has been criticised for poor primary and secondary education resulting from dysfunction,
special interests, and issues with the South Africa teachers union,
SADTU.
The province struggles with a lack of schools; a lack of teachers leading to overcrowding; a lack of textbooks; a lack of basic facilities like toilets, electricity or water; and poor transport infrastructure which regularly absents and endangers learners. The problem is particularly acute in the former
Transkei
Transkei ( , meaning ''the area beyond Great Kei River, he riverKei''), officially the Republic of Transkei (), was an list of historical unrecognized states and dependencies, unrecognised state in the southeastern region of South Africa f ...
.
By 2011, basic education had so deteriorated that the national
Department of Basic Education intervened under section 100(1)(b) of the
Constitution of South Africa
The Constitution of South Africa is the supreme law of the Republic of South Africa. It provides the legal foundation for the existence of the republic, it sets out the human rights and duties of its citizens, and defines the structure of t ...
, taking control of the province's educational administration.
The Eastern Cape has since been the worst-performing province educationally and especially in terms of
matriculation
Matriculation is the formal process of entering a university, or of becoming eligible to enter by fulfilling certain academic requirements such as a matriculation examination.
Australia
In Australia, the term ''matriculation'' is seldom used no ...
;
matriculants' results averaged 51% in 2009, 58.3% in 2011, 64.9% in 2013, 65.4% in 2014, and 56.8% in 2015.
In the 2015/2016 financial year, the province failed to spend R 530 million of its allocated R 1.5 billion budget for education, most of it intended for infrastructure development.
Equal Education's 2017 report, Planning to Fail, found a "systemic failure in Eastern Cape education".
Universities
*
Rhodes University (
Makhanda)
*
Nelson Mandela University (
Gqeberha)
*
University of Fort Hare
The University of Fort Hare () is a public university in Alice, Eastern Cape, Alice, Eastern Cape, South Africa.
It was a key institution of higher education for Africans from 1916 to 1959 when it offered a Western-style academic education to ...
(main campus in
Alice
Alice may refer to:
* Alice (name), most often a feminine given name, but also used as a surname
Literature
* Alice (''Alice's Adventures in Wonderland''), a character in books by Lewis Carroll
* ''Alice'' series, children's and teen books by ...
, satellite campuses in
Bhisho and
East London)
*
Walter Sisulu University (campuses in Buffalo City,
Butterworth,
Mthatha and
Komani)
Other educational institutions
*
College of the Transfiguration,
Makhanda
Health
The province is served by big medical centres such as
Cecilia Makiwane Hospital which is a large, government-funded hospital near the city of
East London that also serves as a tertiary teaching hospital.
Frere Hospital is another large, provincial government-funded hospital near East London which also serves as a tertiary teaching hospital. These hospitals offer many specialty departments such as an ARV clinic for HIV/AIDS in adults and children. Both hospitals are affiliated with Lilitha Nursing College and Walter Sisulu University.
While the Eastern Cape has many hospitals and private clinics, the province has some of the worst health outcomes and service indicators in South Africa. Some of this can be attributed to staff shortages, with a report indicating that 67% of the 27 monitored facilities have insufficient staff.
Rural residents in the Eastern Cape face worse health outcomes than those who reside in the larger towns or cities. This is due to a number of conditions such as lack of healthcare resources, lack of means to access healthcare resources, high unemployment, and poverty. Illiteracy is also a problem in rural communities, which further limits positive health outcomes.
HIV/AIDS and Tuberculosis are also ongoing issues in the region. In 2017, the Eastern Cape had a TB incidence of 839/100,000 people, which was higher than South Africa's estimated prevalence of 737/100,000. Additionally, the Eastern Cape has a high overall HIV prevalence rate (25.2%) as of 2017. In 2018, HIV/AIDS was the second leading underlying natural cause of death in the Eastern Cape with a 5.9% prevalence rate. Since 2017, there has been an increase in the level of noncommunicable diseases (NCDs), which disproportionately affects poorer communities. Furthermore, obesity and undiagnosed hypertension are major concerns in rural areas.
The Eastern Cape is also known for its traditional Xhosa initiation schools, which perform coming-of-age ceremonies known as
ulwaluko which involve circumcision. These ceremonies have been linked to numerous complications such as coma, illness and death.
There have been numerous reports in South African newspapers investigating the poor practices which lead to the death of young men and boys during initiation rituals. In one case, an 18-year-old teenager named Yongama Boya was sent to the hospital to be circumcised, as his parents believed this would be the safer option.
Then, he was sent to complete the rest of his initiation ritual in a traditional initiation school in the Qumbu area of the Transkei. There, the nurse refused to accept the validity of his prior circumcision at the hospital, and she circumcised him again, resulting in his death.
Tourism

The landscape is extremely diverse. The western interior is largely arid
Karoo, while the east is well-watered and green. The Eastern Cape offers a wide array of attractions, including of untouched and pristine coastline along with beaches, and
big-five game viewing in a
malaria
Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
-free environment.
The
Addo Elephant National Park, situated from
Port Elizabeth
Gqeberha ( , ), formerly named Port Elizabeth, and colloquially referred to as P.E., is a major seaport and the most populous city in the Eastern Cape province of South Africa. It is the seat of the Nelson Mandela Bay Metropolitan Municipal ...
, was proclaimed in 1931. Its offers sanctuary to 170 elephants, 400
Cape buffalo and 21
black rhino of the very scarce Kenyan sub-species.
The province is the location of
Tiffindell, South Africa's only
snow skiing resort, which is situated near the hamlet of
Rhodes
Rhodes (; ) is the largest of the Dodecanese islands of Greece and is their historical capital; it is the List of islands in the Mediterranean#By area, ninth largest island in the Mediterranean Sea. Administratively, the island forms a separ ...
in the Southern
Drakensberg
The Drakensberg (Zulu language, Zulu: uKhahlamba, Sotho language, Sotho: Maloti, Afrikaans: Drakensberge) is the eastern portion of the Great Escarpment, Southern Africa, Great Escarpment, which encloses the central South Africa#Geography, Sout ...
. It is on the slopes of
Ben Macdhui, the highest mountain peak in the Eastern Cape .
The
National Arts Festival, held annually in
Grahamstown, is Africa's largest cultural event, offering a choice of both indigenous and imported talent. Every year for eleven days the town's population almost doubles, as over 50,000 people flock to the region for a feast of arts, crafts, music and entertainment.
Jeffreys Bay is an area with wild coastline, which is backed by sub-tropical rainforest. The waters here are noted for having good waves for surfing.
Aliwal North, lying on an agricultural plateau on the southern bank of the
Orange River, is an inland resort known for its
hot spring
A hot spring, hydrothermal spring, or geothermal spring is a Spring (hydrology), spring produced by the emergence of Geothermal activity, geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow ...
s.
The rugged and unspoiled
Wild Coast is a place of spectacular scenery. The coastal areas have been a graveyard for many vessels.
Whittlesea, Eastern Cape, situated in the
Amatola Mountains, is known for the first wine estate in the province.
King William's Town, Alice, Queenstown, Grahamstown, Cradock and Fort Beaufort offer some of the best colonial architecture of the 19th century in the province. The two major cities lining the coast are East London and Port Elizabeth.
Sports
* Checkers/Draughts
**
Mind Sports South Africa
* eSports
**
Mind Sports South Africa
*Football
**
Blackburn Rovers (
East London) (dissolved)
**
Chippa United F.C. (
Gqeberha)
*Cricket
**
Sunrisers Eastern Cape (Gqeberha)
**
Warriors (Gqeberha)
*Rugby
**
Eastern Province Elephants (Gqeberha)
**
Border Bulldogs (
East London)
Notable people
The Eastern Cape has been home to many major anti-apartheid leaders such as
Robert Sobukwe,
Oliver Tambo,
Nelson Mandela
Nelson Rolihlahla Mandela ( , ; born Rolihlahla Mandela; 18 July 1918 – 5 December 2013) was a South African Internal resistance to apartheid, anti-apartheid activist and politician who served as the first president of South Africa f ...
,
Walter Sisulu,
Winnie Mandela,
Govan Mbeki,
Alfred Xuma,
Cecilia Makiwane,
Noni Jabavu,
Thabo Mbeki
Thabo Mvuyelwa Mbeki (; born 18 June 1942) is a South African politician who served as the 2nd democratic president of South Africa from 14 June 1999 to 24 September 2008, when he resigned at the request of his party, the African National Cong ...
,
Chris Hani,
Bantu Holomisa,
Steve Biko, musicians
Miriam Makeba,
Madosini,
Nathi,
Dali Mpofu,
Vusi Nova and
Zahara. Author
Zakes Mda, as well as historical figures such as
Rev. Tiyo Soga,
Samuel Mqhayi,
Enoch Sontonga and
Jotello Festiri Soga are also from the province.
References
External links
Eastern Cape National Government informationEastern Cape Provincial GovernmentEastern Cape Socio-Economic Consultative CouncilEastern Cape Development Corporationwww.queenstown.org.za
{{Authority control
Provinces of South Africa
States and territories established in 1994
1994 establishments in South Africa