The Eastern Cape ( xh, iMpuma-Kapa; af, Oos-Kaap ) is one of the nine
provinces of South Africa
South Africa is divided into nine provinces. On the eve of the 1994 general election, South Africa's former homelands, also known as Bantustans, were reintegrated, and the four existing provinces were divided into nine. The twelfth, thirteenth ...
. Its capital is
Bhisho
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 Qonce and ...
, 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 being home to many anti-apartheid activists, including
Nelson Mandela
Nelson Rolihlahla Mandela (; ; 18 July 1918 – 5 December 2013) was a South African Internal resistance to apartheid, anti-apartheid activist who served as the President of South Africa, first president of South Africa from 1994 to 1 ...
.
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 province of South Africa. It was created in 1994 when the Cape Province was split up. Its capital is Kimberley. It includes the Kalahari Gemsbok National Park, part of the Kgalagadi T ...
, it was formed in 1994 out of the
Xhosa homelands or
bantustans of
Transkei and
Ciskei
Ciskei (, or ) was a Bantustan for the Xhosa people-located in the southeast of South Africa. It covered an area of , almost entirely surrounded by what was then the Cape Province, and possessed a small coastline along the shore of the Indian O ...
, 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
Xhosa may refer to:
* Xhosa people, a nation, and ethnic group, who live in south-central and southeasterly region of South Africa
* Xhosa language
Xhosa (, ) also isiXhosa as an endonym, is a Nguni language and one of the official languages ...
, began to be settled by Europeans who originally came from
England,
Scotland and
Ireland.
History
The Eastern Cape province was formed in 1994, incorporating areas from the former Xhosa homelands of the
Transkei and
Ciskei
Ciskei (, or ) was a Bantustan for the Xhosa people-located in the southeast of South Africa. It covered an area of , almost entirely surrounded by what was then the Cape Province, and possessed a small coastline along the shore of the Indian O ...
, 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
Grahamstown (Makhanda),
Port Elizabeth
Gqeberha (), formerly Port Elizabeth and colloquially often 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 Municipality, Sou ...
(Gqeberha), Bhisho and
Mthatha, and had enclaves of
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN and known as "the garden province") is a province of South Africa that was created in 1994 when the Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu) and Natal Province were merged. It is locate ...
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 of 1803–1815,
Britain took control of the
Cape Colony (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 in 1910, the Eastern Cape saw colonisation by British
migrants. English
settlers established most of the towns, naming them either for places in England or for the original founders.
British colonisation
The British Empire was composed of the dominions, colonies, protectorates, mandates, and other territories ruled or administered by the United Kingdom and its predecessor states. It began with the overseas possessions and trading posts esta ...
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 Port Elizabeth and colloquially often 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 Municipality, Sou ...
(1820),
Salem
Salem may refer to: Places
Canada
Ontario
* Bruce County
** Salem, Arran–Elderslie, Ontario, in the municipality of Arran–Elderslie
** Salem, South Bruce, Ontario, in the municipality of South Bruce
* Salem, Dufferin County, Ontario, part ...
(1820),
Bathurst (1820),
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
(1836),
Paterson Paterson may refer to:
People
* Paterson (surname)
* Paterson (given name)
Places
Australia
*Paterson, New South Wales
*Paterson River, New South Wales
* Division of Paterson, an electoral district in New South Wales
*Paterson, Queensland, a lo ...
(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
The Karoo ( ; from the Afrikaans borrowing of the South Khoekhoe !Orakobab or Khoemana word ''ǃ’Aukarob'' "Hardveld") is a semi-desert natural region of South Africa. No exact definition of what constitutes the Karoo is available, so its ext ...
, 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 (English: Dragon Mountains). The highest point in the province is
Ben Macdhui at 3001 m. The east from
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
and
Queenstown towards the
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN and known as "the garden province") is a province of South Africa that was created in 1994 when the Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu) and Natal Province were merged. It is locate ...
border – a region known previously as
Transkei – is lush grassland on rolling hills, punctuated by deep gorges with intermittent forest.
Eastern Cape has a
coast 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
Mohale's Hoek is a district of Lesotho. Mohale's Hoek is the capital city or camptown, and only town in the district. In the southwest, Mohale's Hoek borders on South Africa, while domestically, it borders on Mafeteng District in northwest, Mase ...
– west of Quthing
*
Quthing District – between Mohale and Qacha's Nek
*
Qacha's Nek District
Qacha's Nek is a district of Lesotho. Qacha's Nek is the capital or camptown, and only town in the district. In the south, Qacha's Nek borders on the Eastern Cape Province of South Africa, and it has a short border with KwaZulu-Natal Province i ...
– east of Quthing
Domestically, it borders the following provinces:
*
Western Cape – west
*
Northern Cape
The Northern Cape is the largest and most sparsely populated province of South Africa. It was created in 1994 when the Cape Province was split up. Its capital is Kimberley. It includes the Kalahari Gemsbok National Park, part of the Kgalagadi T ...
– northwest
*
Free State – north
*
KwaZulu-Natal
KwaZulu-Natal (, also referred to as KZN and known as "the garden province") is a province of South Africa that was created in 1994 when the Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu) and Natal Province were merged. It is locate ...
– 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
The Tsitsikamma National Park is a protected area on the Garden Route, Western Cape and Eastern Cape, South Africa. It is a coastal reserve well known for its indigenous forests, dramatic coastline, and the Otter Trail. On 6 March 2009 it was ...
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
Molteno (; lmo, label= Brianzöö, Mültée) is a ''comune'' (municipality) and a hill-top town in the Province of Lecco in the Italian region Lombardy, located about northeast of Milan and about southwest of Lecco. As of 31 December 2004, it h ...
and
Rhodes.
*
Gqeberha: Jan Max: 25 °C, Min: 18 °C; Jul Max: 20 °C, Min: 9 °C
*
Molteno
Molteno (; lmo, label= Brianzöö, Mültée) is a ''comune'' (municipality) and a hill-top town in the Province of Lecco in the Italian region Lombardy, located about northeast of Milan and about southwest of Lecco. As of 31 December 2004, it h ...
&
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 27
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
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
(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
Sterkspruit is a town in the Senqu Local Municipality in the Joe Gqabi District Municipality in the Eastern Cape province of South Africa.
The town is located about 45 km south-east of Zastron, 80 km north-east of Aliwal North
Al ...
*
Graaff-Reinet
*
Somerset East (KwaNojoli)
*
Mount Fletcher (Tlokoeng)
*
Butterworth Butterworth may refer to:
Places
* Butterworth (ancient township), a former township centred on Milnrow, in the then Parish of Rochdale, England, United Kingdom
* Butterworth, Eastern Cape, now also known as Gcuwa, a town located in South Africa
...
(Gcuwa)
*
Mount Frere (KwaBhaca)
*
Mdantsane
*
Cradock
*
Matatiele
* King William's Town (
Qonce)
*
Aliwal North (Maletswai)
*
Uitenhage (Kariega)
*
Idutywa (Dutywa)
*
Engcobo (Ngcobo)
*
Maclear (Nqanqarhu)
*
Alexandria (Mnyameni)
*
Port Alfred (Cawa)
*
Fort Beaufort (KwaMaqoma known as Bofolo)
*
Peddie (Ngqushwa)
*
Willowvale (Gatyana)
*
Elliotdale
Elliotdale ( xh, Xhora) is a town in Amatole District Municipality in the Eastern Cape province of South Africa.
The town lies 50 km south of Mthatha and 22 km south-east of Mqanduli. It is named after Sir Henry Elliot, Chief Magistrat ...
(Xhorha)
*Kentane (
Centane
Centane, formerly Kentane or Kentani is a settlement in Amathole District Municipality in the Eastern Cape province of South Africa. It is situated at approximately from Butterworth, Eastern Cape, Butterworth.
History
Centane was the site o ...
)
*
Tsomo
*
Tsolo
Tsolo is a town in Mhlontlo Local Municipality in O.R.Tambo District of the Eastern Cape province of South Africa.
The town is some 42 km north-west of Mthatha and 22 km south-west of Qumbu. The name, derived from Xhosa, is said to me ...
*
Cofimvaba
*
Nqamakwe
*
Bisho (
Bhisho
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 Qonce and ...
)
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
File:2011 Events Collage.png, From top left, clockwise: a protester partaking in Occupy Wall Street heralds the beginning of the Occupy movement; protests against Libyan dictator Muammar Gaddafi, who was killed that October; a young man celebrate ...
. 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, 7.6% as
Coloured
Coloureds ( af, Kleurlinge or , ) refers to members of multiracial ethnic communities in Southern Africa who may have ancestry from more than one of the various populations inhabiting the region, including African, European, and Asian. South ...
, 5.6% as
White 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, a substantial proportion of the
White 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 South African ethnic group descended from Free Burghers, predominantly Dutch settlers first arriving at the Cape of Good Hope in the 17th and 18th centuries.Entry: Cape Colony. ''Encyclopædia Britannica Volume 4 Part 2: ...
ancestry. Eastern Cape is one of only two provinces in
South Africa where Whites of British descent outnumber Boers/Afrikaners, the other being
Kwazulu-Natal
KwaZulu-Natal (, also referred to as KZN and known as "the garden province") is a province of South Africa that was created in 1994 when the Zulu bantustan of KwaZulu ("Place of the Zulu" in Zulu) and Natal Province were merged. It is locate ...
.
Languages

In the 2022 census, 81.8% of the population reported their
first language as
Xhosa, 9.6% as
Afrikaans, 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, 11.0% stated that they practiced
Traditional African religions, and 0.6% described themselves as
Muslim
Muslims ( ar, المسلمون, , ) are people who adhere to Islam, a monotheistic religion belonging to the Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God of Abrah ...
. 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
The Coega Special Economic Zone (SEZ), established in 1999 and 11,500 ha in extent, is situated near Gqeberha (Port Elizabeth) in the Eastern Cape province of South Africa. The initiative is a multibillion-dollar industrial development complex ...
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 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 is
squid
True squid are molluscs with an elongated soft body, large eyes, eight arms, and two tentacles in the superorder Decapodiformes, though many other molluscs within the broader Neocoleoidea are also called squid despite not strictly fitting t ...
, 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 Port Elizabeth and colloquially often 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 Municipality, Sou ...
and
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
have well-developed economies based on the automotive industry.
General Motors
The General Motors Company (GM) is an American Multinational corporation, multinational Automotive industry, automotive manufacturing company headquartered in Detroit, Michigan, United States. It is the largest automaker in the United States and ...
and
Volkswagen both have major assembly lines in the Port Elizabeth area, while East London is dominated by the large
DaimlerChrysler 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 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
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 Qonce and ...
, the provincial capital. The
Eastern Cape Division of the
High Court of South Africa 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 Executive Council may refer to:
Government
* Executive Council (Commonwealth countries), a constitutional organ that exercises executive power and advises the governor
* Executive Council of Bern, the government of the Swiss canton of Bern
* Ex ...
(cabinet). The current premier is
Oscar Mabuyane of the
African National Congress (ANC).
The provincial legislature is elected every five years by a system of
party-list proportional representation. The most recent provincial election was held in
2024
Predicted and scheduled events
* January 1
** In the United States, books, films, and other works published in 1928 will enter the public domain, assuming there are no changes made to copyright law.
***''Steamboat Willie'', Walt Disney's fi ...
, which was won by the ANC, which has governed the province continuously since the end of Apartheid in
1994
File:1994 Events Collage.png, From left, clockwise: The 1994 Winter Olympics are held in Lillehammer, Norway; The Kaiser Permanente building after the 1994 Northridge earthquake; A model of the MS Estonia, which Sinking of the MS Estonia, sank in ...
. The
Democratic Alliance (DA) is the second largest party and forms the
official opposition
Parliamentary opposition is a form of political opposition to a designated government, particularly in a Westminster-based parliamentary system. This article uses the term ''government'' as it is used in Parliamentary systems, i.e. meaning ''th ...
. 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 South African Democratic Teachers Union (SADTU) is the largest trade union for teachers in South Africa. It is allied to the African National Congress and is an affiliate of the Congress of South African Trade Unions (COSATU).
History
The ...
.
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.
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, 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;
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
Equal Education (EE) is a member-based, mass democratic movement of learners, post-school youth, parents and community members striving for quality and equality in South African education system through activism and research. Equal Education bui ...
'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 (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
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 Qonce and ...
and
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
)
*
Walter Sisulu University (campuses in Buffalo City,
Butterworth Butterworth may refer to:
Places
* Butterworth (ancient township), a former township centred on Milnrow, in the then Parish of Rochdale, England, United Kingdom
* Butterworth, Eastern Cape, now also known as Gcuwa, a town located in South Africa
...
,
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
Cecilia Makiwane Hospital (CMH) is a large, provincial, government-funded hospital situated in the Mdantsane township near East London, Eastern Cape in South Africa. It is a tertiary teaching hospital and forms part of the East London Hospital ...
which is a large, government-funded hospital near the city of
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
that also serves as a tertiary teaching hospital.
Frere Hospital
Frere Hospital is a large, provincial, government funded hospital situated in East London, Eastern Cape in South Africa. It was established in 1881 and is a tertiary teaching hospital. Frere Hospital is named after Sir Henry Bartle Frere, Gove ...
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
The Karoo ( ; from the Afrikaans borrowing of the South Khoekhoe !Orakobab or Khoemana word ''ǃ’Aukarob'' "Hardveld") is a semi-desert natural region of South Africa. No exact definition of what constitutes the Karoo is available, so its ext ...
, 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-free environment.
The
Addo Elephant National Park
Addo Elephant National Park is a diverse wildlife conservation park situated close to Gqeberha in South Africa and is one of the country's 20 national parks. It currently ranks third in size after Kruger National Park and the Kgalagadi Transfron ...
, situated from
Port Elizabeth
Gqeberha (), formerly Port Elizabeth and colloquially often 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 Municipality, Sou ...
, 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
Tiffindell Ski Resort is a year-round alpine resort, the only ski resort in South Africa and one of the two ski resorts in Southern Africa.
It was established in 1993 in the Southern Drakensberg, Tiffindell is rated number 19 on CNN's "Top 100 Ski ...
, South Africa's only
snow skiing resort, which is situated near the hamlet of
Rhodes in the Southern
Drakensberg. 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 springs.
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
Amatola, Amatole or Amathole are a range of densely forested mountains, situated in the Eastern Cape province of South Africa. The word ''Amathole'' means ‘calves’ in Xhosa, and Amathole District Municipality, which lies to the south, is named ...
, 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
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
) (dissolved)
**
Chippa United F.C.
Chippa United Football Club (often known as Chilli boys or Chippa) is a South African professional football club based in Gqeberha in the Eastern Cape province, having previously being based in Nyanga suburb of the city of Cape Town. The club's f ...
(
Gqeberha)
*Cricket
**
Sunrisers Eastern Cape
Sunrisers Eastern Cape is a South African professional Twenty20 franchise cricket team that will compete in the inaugural season of SA20 tournament. The team is based in Gqeberha, South Africa, and was formed in 2022. The team's home-ground is ...
(Gqeberha)
**
Chevrolet Warriors
The Warriors are a Division 1 cricket team representing the Eastern Cape in South African domestic competitions. The Warriors take part in the CSA 4-Day Domestic Series, CSA 4-Day Series First-class cricket, first-class competition, the Moment ...
(Gqeberha)
*Rugby
**
Eastern Province Elephants (Gqeberha)
**
Border Bulldogs (
East London
East or Orient is one of the four cardinal directions or points of the compass. It is the opposite direction from west and is the direction from which the Sun rises on the Earth.
Etymology
As in other languages, the word is formed from the f ...
)
Notable people
The Eastern Cape has been home to many major anti-apartheid leaders such as
Robert Sobukwe,
Oliver Tambo
Oliver Reginald Kaizana Tambo (27 October 191724 April 1993) was a South African anti-apartheid politician and revolutionary who served as President of the African National Congress (ANC) from 1967 to 1991.
Biography
Higher education
Oliv ...
,
Nelson Mandela
Nelson Rolihlahla Mandela (; ; 18 July 1918 – 5 December 2013) was a South African Internal resistance to apartheid, anti-apartheid activist who served as the President of South Africa, first president of South Africa from 1994 to 1 ...
,
Walter Sisulu,
Winnie Mandela,
Govan Mbeki,
Alfred Xuma,
Cecilia Makiwane
Cecilia Makiwane (1880–1919) was the first African registered professional nurse in what would become South Africa and an early activist in the struggle for women's rights.
Early life
Cecilia Makiwane was born in 1880 at the MacFarlane M ...
,
Noni Jabavu,
Thabo Mbeki,
Chris Hani,
Bantu Holomisa,
Steve Biko
Bantu Stephen Biko (18 December 1946 – 12 September 1977) was a South African anti-apartheid activist. Ideologically an African nationalist and African socialist, he was at the forefront of a grassroots anti-apartheid campaign known ...
, musicians
Miriam Makeba,
Madosini,
Nathi
Nkosinathi Mankayi (born 23 December 1982), professionally known as Nathi, is a South African singer-songwriter and artist.
He shot to limelight upon the release of his critically acclaimed song titled " Nomvula" off his triple-platinum debut s ...
,
Dali Mpofu
Dali Mpofu (born Christopher Daluxolo Mpofu in 1962 in King William's Town) is a South African lawyer and politician who is the former National Chairperson of the Economic Freedom Fighters and has been serving on the party's central command team ...
,
Vusi Nova
Snova (born Vusimuzi Nongxa, 1984), commonly known by his former name Vusi Nova, is a South African singer. Born and raised in New Brighton, Gqeberha, Nova relocated to Johannesburg in 1998 at the age of 14 to pursue his career in music and signed ...
and
Zahara, as well as historical figures such as
Rev. Tiyo Soga,
Samuel Mqhayi
Samuel Edward Krune Mqhayi (S. E. K. Mqhayi, 1 December 1875 – 29 July 1945) was a Xhosa dramatist, essayist, critic, novelist, historian, biographer, translator and poet whose works are regarded as instrumental in standardising the gramma ...
,
Mongezi Sifika wa Nkomo,
Enoch Sontonga and
Jotello Festiri Soga.
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