Eastern Cape

The Eastern Cape province was formed in 1994, incorporating areas from the former Xhosa homelands of the Transkei 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 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.{{Original research inline|date=May 2019}}

{{main | Graaff-Reinet | 1820 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{{citation needed|date=July 2021}} 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 colonization saw schools, churches, hospitals, town centres and government buildings built to speed up development.{{citation needed|date=July 2021}} Some of the older European settlements include Fort Beaufort (1814), Grahamstown (1812), Port Elizabeth (1820), Salem (1820), Bathurst (1820), East London (1836), Paterson (1879), Cradock (1814), Fort Beaufort (1816) and King William's Town (1836).

image:ISS059-E-91096 - View of South Africa.jpg. Various mountain ranges in the Cape Fold Belt are visible, besides Cape Recife and Cape St. Francis.]]

{{See also|List of cities and towns in the Eastern Cape}}

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 (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 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 – 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 – west
• Northern Cape – northwest
• Free State – north
• KwaZulu-Natal – far northeast

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.

• 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

{{main|List of municipalities in the Eastern Cape}}

File:Eastern Cape 2011 population density map.svg

File:Map of the Eastern Cape with municipalities named and districts shaded (2021).svgThe 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 (Dikeni)
• Sterkspruit
• Graaff-Reinet
• Somerset East (KwaNojoli)
• Mount Fletcher (Tlokoeng)
• Butterworth (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 (Xhorha)
• Kentane (Centane)
• Tsomo
• Tsolo
• Cofimvaba
• Nqamakwe
• Bisho (Bhisho)

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. It is the fourth-most populous of South Africa's nine provinces. The median age is 27, an increase of 5 years from 2011.{{cite web |title=Statistical Release - Census 2022 |url=https://census.statssa.gov.za/assets/documents/2022/P03014_Census_2022_Statistical_Release.pdf |access-date=2024-08-22 |website=statssa.gov.za}}

In the 2022 census, 85.7% of the population described themselves as Black African, 7.6% as Coloured, 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 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.

[[File:Eastern Cape dominant language map.svg|thumb|Dominant home languages in the Eastern Cape

{{legend-col

|{{legend|#8dd3c7|Afrikaans}}

|{{legend|#ffffb3|English}}

|{{legend|#fb8072|Xhosa}}

|{{legend|#80b1d3|Zulu}}

|{{legend|#b3de69|Sotho}}

|{{legend|#d0d0d0|No language dominant}}

}}]]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.

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. 1.5% of the population described themselves as being atheist, agnostic, or having no religious affiliation.

The Eastern Cape is the poorest province in South Africa and has the highest expanded and official unemployment rate in the country.{{cite web |date=24 August 2021 |title=Does SA have highest unemployment rate in the world? |url=https://www.thesouthafrican.com/news/does-sa-have-the-highest-unemployment-rate-in-the-world-24-august-2021 |url-status=live |archive-url=https://web.archive.org/web/20210824181949/https://www.thesouthafrican.com/news/does-sa-have-the-highest-unemployment-rate-in-the-world-24-august-2021/ |archive-date=24 August 2021 |access-date=25 August 2021 |website=www.thesouthafrican.com |language=en}}{{cite web |title=Mapping poverty in South Africa |url=https://southafrica-info.com/people/mapping-poverty-in-south-africa/&grqid=wGvcQ8So&s=1&hl=en-ZA |access-date=31 March 2020 |publisher=southafrica-info.com}}{{Dead link|date=June 2023|bot=InternetArchiveBot|fix-attempted=yes}}{{cite web |date=23 August 2017 |title=Eastern Cape remains SAs poorest province |url=https://www.dispatchlive.co.za/news/2017-08-23-e-cape-remains-sas-poorest-province/&grqid=WywXVaox&s=1&hl=en-ZA |access-date=31 March 2020 |publisher=dispatchlive.co.za}}{{Dead link|date=June 2023|bot=InternetArchiveBot|fix-attempted=yes}} 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.{{cite web |title=Billion investments coega special economic zone |url=https://www.biznews.com/good-hope-project/2019/07/25/billion-investments-coega-special-economic-zone&grqid=93dUnDw6&s=1&hl=en-ZA |access-date=31 March 2020 |publisher=biznews.com}}{{Dead link|date=June 2023|bot=InternetArchiveBot|fix-attempted=yes}} 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.{{cite web |title=Eastern Cape Economy |url=http://www.ecdc.co.za/about-the-eastern-cape/economy/&grqid=0n8vgaO-&s=1&hl=en-ZA |access-date=31 March 2020 |publisher=ecdc.co.za}}{{Dead link|date=June 2023|bot=InternetArchiveBot|fix-attempted=yes}}

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, some recreational and commercial fishing for line fish, the collection of marine resources, and access to line-catches of hake.

With three import/export harbours and three airports offering direct flights to the main centres, and an excellent road and rail infrastructure,{{citation needed|date=March 2019}} the province has been earmarked as a key area for growth and economic development in modern South Africa.{{citation needed|date=March 2019}}

The two major industrial centres, Port Elizabeth and East London have well-developed economies based on the automotive industry. General Motors 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.{{cite web |date=20 February 2014 |title=VWSA steps up production as export demand grows |url=https://www.iol.co.za/business-report/economy/vwsa-steps-up-production-as-export-demand-grows-1650463%26grqid%3D9EbjLP3w%26s%3D1%26hl%3Den-ZA |url-status=live |archive-url=https://web.archive.org/web/20200715064456/https://www.iol.co.za/business-report/economy/vwsa-steps-up-production-as-export-demand-grows-1650463%26grqid%3D9EbjLP3w%26s%3D1%26hl%3Den-ZA |archive-date=15 July 2020 |access-date=18 May 2020 |publisher=iol.co.za}}

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.{{cite web |title=New liquid bulk tank farm at port of ngqura a step closer – Transnet |url=https://www.rnews.co.za/article/26559/new-liquid-bulk-tank-farm-at-port-of-ngqura-a-step-closer-transnet |url-status=dead |archive-url=https://web.archive.org/web/20200713164710/https://www.rnews.co.za/article/26559/new-liquid-bulk-tank-farm-at-port-of-ngqura-a-step-closer-transnet |archive-date=13 July 2020 |access-date=18 May 2020 |publisher=rnews.co.za}}

Other sectors include finance, real estate, business services, wholesale and retail trade, eco-tourism (nature reserves and game ranches) and hotels and restaurants.

{{main|Politics of the Eastern Cape}}

The Eastern Cape provincial government is based in Bhisho, 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 (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, which was won by the ANC, which has governed the province continuously since the end of Apartheid in 1994. 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:{{Election results||image=File:2024 Eastern Cape Legislature.svg|party1=African National Congress|votes1=1114294|sw1={{decrease}} 6.58|seats1=45|sc1={{increase}} 1|party2=Democratic Alliance|votes2=267007|sw2={{decrease}} 0.84|seats2=11|sc2={{increase}} 1|party3=Economic Freedom Fighters|votes3=181855|sw3={{increase}} 2.30|seats3=8|sc3={{increase}} 3|party4=United Democratic Movement|votes4=66572|sw4={{increase}} 1.11|seats4=3|sc4={{increase}} 1|party5=Patriotic Alliance|votes5=41355|sw5=New|seats5=2|sc5={{increase}} 2|party6=African Transformation Movement|votes6=27761|sw6={{increase}} 0.03|seats6=1|sc6={{steady}} 0|party7=uMkhonto we Sizwe|votes7=25904|sw7=New|seats7=1|sc7=New|party8=Freedom Front Plus|votes8=9321|sw8={{decrease}} 0.06|seats8=1|sc8={{steady}} 0|party9=Pan Africanist Congress of Azania|votes9=9168|sw9={{increase}} 0.10|seats9=0|sc9={{steady}} 0|party10=African Christian Democratic Party|votes10=8642|sw10={{increase}} 0.01|seats10=0|sc10={{steady}} 0|party11=ActionSA|votes11=8315|sw11=New|seats11=0|sc11=New|party12=Rise Mzansi|votes12=5167|sw12=New|seats12=0|sc12=New|party13=African Independent Congress|votes13=3935|sw13={{decrease}} 0.20|seats13=0|sc13={{steady}} 0|party14=Azanian People's Organisation|votes14=3884|sw14={{increase}} 0.14|seats14=0|sc14={{steady}} 0|party15=Build One South Africa|votes15=3138|sw15=New|seats15=0|sc15=New|colour16=#ffca08|party16=Congress of the People|votes16=2178|sw16={{decrease}} 0.13|seats16=0|sc16={{steady}} 0|colour17=#bc8f8f|party17=Batho Pele Movement|votes17=2078|sw17=New|seats17=0|sc17=New|party18=African People's Convention|votes18=1770|sw18={{decrease}} 0.03|seats18=0|sc18=|party19=Good|votes19=1683|sw19={{decrease}} 0.15|seats19=0|sc19={{steady}} 0|party20=Al Jama-ah|votes20=1543|sw20={{decrease}} 0.06|seats20=0|sc20={{steady}} 0|party21=Alliance of Citizens for Change|votes21=1511|sw21=New|seats21=0|sc21={{steady}} 0|party22=Inkatha Freedom Party|votes22=1343|sw22={{increase}} 0.02|seats22=0|sc22={{steady}} 0|colour23=#586d2d|party23=Arise South Africa|votes23=1128|sw23=New|seats23=0|sc23={{steady}} 0|party24=African Congress for Transformation|votes24=1047|sw24=New|seats24=0|sc24={{steady}} 0|colour25=#cccc00|party25=Komani Progress Action|votes25=976|sw25=New|seats25=0|sc25={{steady}} 0|colour26=#a0522d|party26=Independent South African National Civic Organisation|votes26=877|sw26=New|seats26=0|sc26={{steady}} 0|colour27=#00a400|party27=African Movement Congress|votes27=269|sw27=New|seats27=0|sc27={{steady}} 0}}

The Eastern Cape Department of Education has been criticised for poor primary and secondary education{{Cite web|url=http://www.timeslive.co.za/opinion/editorials/2012/04/15/As-Zuma-woos-support-Eastern-Cape-suffers|title=As Zuma woos support, Eastern Cape suffers|date=15 April 2012|website=Times LIVE|access-date=2 May 2017|archive-date=24 June 2017|archive-url=https://web.archive.org/web/20170624072534/http://www.timeslive.co.za/opinion/editorials/2012/04/15/as-zuma-woos-support-eastern-cape-suffers|url-status=live}} resulting from dysfunction,{{Cite news|url=http://city-press.news24.com/News/premiers-bold-plans-to-deal-with-the-education-crisis-in-eastern-cape-20160219|title=Premier's bold plans to deal with the education crisis in Eastern Cape|last=Ngcukana|first=Lubabalo|date=19 February 2016|work=CityPress|access-date=2 May 2017|language=en|archive-date=13 March 2017|archive-url=https://web.archive.org/web/20170313035157/http://city-press.news24.com/News/premiers-bold-plans-to-deal-with-the-education-crisis-in-eastern-cape-20160219|url-status=live}} special interests, and issues with the South Africa teachers union, SADTU.{{Cite news|url=http://www.news24.com/SouthAfrica/News/eastern-cape-is-a-failed-state-education-expert-20160106|title=Eastern Cape is a 'failed state' – education expert|last=Gqirana|first=Thulani|date=6 January 2016|work=News24|access-date=2 May 2017|archive-date=16 August 2017|archive-url=https://web.archive.org/web/20170816111857/http://www.news24.com/SouthAfrica/News/eastern-cape-is-a-failed-state-education-expert-20160106|url-status=live}} 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.{{Cite web|url=https://www.dailymaverick.co.za/opinionista/2016-01-26-motshekga-has-to-account-for-her-role-in-the-education-crisis-especially-in-the-eastern-cape/|title=Motshekga has to account for her role in the education crisis – especially in the Eastern Cape|last=Motsepe|first=Tshepo|date=26 January 2016|website=The Daily Maverick|language=en|access-date=2 May 2017|archive-date=13 April 2016|archive-url=https://web.archive.org/web/20160413192143/http://www.dailymaverick.co.za/opinionista/2016-01-26-motshekga-has-to-account-for-her-role-in-the-education-crisis-especially-in-the-eastern-cape/|url-status=live}}

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.{{Cite news|url=https://mg.co.za/article/2015-07-02-special-investigating-unit-to-probe-eastern-cape-education|title=Special Investigating Unit to probe Eastern Cape education|last=John|first=Victoria|work=The M&G Online|access-date=2 May 2017|language=en|archive-date=11 December 2015|archive-url=https://web.archive.org/web/20151211134444/http://mg.co.za/article/2015-07-02-special-investigating-unit-to-probe-eastern-cape-education|url-status=live}} The Eastern Cape has since been the worst-performing province educationally and especially in terms of matriculation; matriculants' results averaged 51% in 2009,{{Cite news|url=https://mg.co.za/article/2010-01-07-matric-results-a-wakeup-call-for-sa|title=Matric results a wake-up call for SA|last=Keet|first=Jacques|work=The M&G Online|access-date=2 May 2017|language=en|archive-date=3 December 2021|archive-url=https://web.archive.org/web/20211203073331/https://mg.co.za/article/2010-01-07-matric-results-a-wakeup-call-for-sa/|url-status=live}} 58.3% in 2011,{{Cite news|url=https://mg.co.za/article/2011-01-06-matric-pass-rate-a-remarkable-achievement|title=Matric pass rate 'a significant achievement'|date=6 January 2011|work=The M&G Online|access-date=2 May 2017|language=en|archive-date=3 December 2021|archive-url=https://web.archive.org/web/20211203071346/https://mg.co.za/article/2011-01-06-matric-pass-rate-a-remarkable-achievement/|url-status=live}} 64.9% in 2013,{{Cite news|url=http://www.news24.com/SouthAfrica/News/Matric-Eastern-Cape-remains-worst-province-20150106|title=Matric: Eastern Cape remains worst province|date=6 January 2015|work=News24|access-date=2 May 2017|archive-date=3 October 2015|archive-url=https://web.archive.org/web/20151003061935/http://www.news24.com/southafrica/news/matric-eastern-cape-remains-worst-province-20150106|url-status=live}} 65.4% in 2014, and 56.8% in 2015.{{Cite news|url=http://www.sabc.co.za/news/a/fe735e004c0329fa889e8bf0bca466af/TripartiteundefinedallianceundefinedtoundefinedaddressundefinedEundefinedCapeundefinededucationundefinedcrisis-20161303|title=Tripartite alliance to address E Cape education crisis|last=Jemsana|first=Busisiwe|date=13 March 2016|work=South African Broadcasting Corporation}}{{Dead link|date=December 2019 |bot=InternetArchiveBot |fix-attempted=yes }}{{Cite news|url=https://mg.co.za/article/2016-01-05-matric-pass-rate-drops-to-707|title=Matric results 2015: Pass rate drops to 70.7%|last=Quintal|first=Genevieve|work=The M&G Online|access-date=2 May 2017|language=en|archive-date=3 January 2017|archive-url=https://web.archive.org/web/20170103004644/http://mg.co.za/article/2016-01-05-matric-pass-rate-drops-to-707|url-status=live}}

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.{{Cite news|url=http://www.dispatchlive.co.za/news/2016/03/09/r530-million-of-unspent-ec-budget-meant-for-poor-schools-given-to-other-provinces/|title=R530-million of unspent EC budget meant for poor schools given to other provinces.|last=Majangaza|first=Sino|date=9 March 2016|work=DispatchLIVE|access-date=2 May 2017|language=en-US|archive-date=10 January 2017|archive-url=https://web.archive.org/web/20170110015837/http://www.dispatchlive.co.za/news/2016/03/09/r530-million-of-unspent-ec-budget-meant-for-poor-schools-given-to-other-provinces/|url-status=live}}{{Cite news|url=http://www.dispatchlive.co.za/news/2016/03/24/ec-to-return-unspent-r1bn-challenge-is-incapacity-to-utilise-funds/|title=EC to return unspent R1bn: challenge is 'incapacity to utilise funds'|last=Phandle|first=Gugu|date=24 March 2016|work=DispatchLIVE|access-date=2 May 2017|language=en-US}}

Equal Education's 2017 report, Planning to Fail, found a "systemic failure in Eastern Cape education".{{cite news|last1=Damba-Hendrik|first1=Nombulelo|title=Systemic "failure in Eastern Cape education"|url=http://www.groundup.org.za/article/systemic-failure-eastern-cape-education/|access-date=28 April 2017|date=28 April 2017|archive-date=28 April 2017|archive-url=https://web.archive.org/web/20170428032559/http://www.groundup.org.za/article/systemic-failure-eastern-cape-education/|url-status=live}}

• Rhodes University (Makhanda)
• Nelson Mandela University (Gqeberha)
• University of Fort Hare (main campus in Alice, satellite campuses in Bhisho and East London)
• Walter Sisulu University (campuses in Buffalo City, Butterworth, Mthatha and Komani)

• College of the Transfiguration, Makhanda

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.{{Cite web |date=May 2018 |title=State of Provincial Healthcare System Spotlight on Eastern Cape |url=https://www.tac.org.za/wp-content/uploads/2018/06/tac-eastern-cape-state-of-health-report-may-2018.pdf |website=TAC (Treatment Action Campaign)}}

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.{{Cite web |last1=Mncedisi Willie |first1=Michael |last2=Maqbool |first2=Mudasir |date=March 2023 |title=Access to public health services in South Africa's rural Eastern Cape Province |url=https://www.researchgate.net/publication/369659101 |website=Applied Sciences Research Periodicals}}

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.{{Cite journal |date=5 April 2022 |editor-last=Isaakidis |editor-first=Petros |title=Association of HIV infection and antiretroviral therapy with the occurrence of an unfavorable TB treatment outcome in a rural district hospital in Eastern Cape, South Africa: A retrospective cohort study |pmc=8982869 |last1=Van De Water |first1=B. J. |last2=Fulcher |first2=I. |last3=Cilliers |first3=S. |last4=Meyer |first4=N. |last5=Wilson |first5=M. |last6=Young |first6=C. |last7=Gaunt |first7=B. |last8=Le Roux |first8=K. |journal=PLOS ONE |volume=17 |issue=4 |pages=e0266082 |doi=10.1371/journal.pone.0266082 |doi-access=free |pmid=35381042 |bibcode=2022PLoSO..1766082V }} Additionally, the Eastern Cape has a high overall HIV prevalence rate (25.2%) as of 2017.{{Cite journal |last1=Water |first1=Brittney J. van de |last2=Fulcher |first2=Isabel |last3=Cilliers |first3=Suretha |last4=Meyer |first4=Nadishani |last5=Wilson |first5=Michael |last6=Young |first6=Catherine |last7=Gaunt |first7=Ben |last8=Roux |first8=Karl le |date=2022-04-05 |title=Association of HIV infection and antiretroviral therapy with the occurrence of an unfavorable TB treatment outcome in a rural district hospital in Eastern Cape, South Africa: A retrospective cohort study |journal=PLOS ONE |language=en |volume=17 |issue=4 |pages=e0266082 |doi=10.1371/journal.pone.0266082 |doi-access=free |pmid=35381042 |pmc=8982869 |bibcode=2022PLoSO..1766082V |issn=1932-6203}} In 2018, HIV/AIDS was the second leading underlying natural cause of death in the Eastern Cape with a 5.9% prevalence rate.{{Cite web |date=2018 |title=Mortality and causes of death in South Africa: Findings from death notification |url=https://www.statssa.gov.za/publications/P03093/P030932018.pdf |access-date=2024-01-20 |website=www.statssa.gov.za}} 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.{{Cite journal |last1=Rheeder |first1=Paul |last2=A. Morris-Paxton |first2=Angela |last3=G. Ewing |first3=Rose-Marie |last4=Woods |first4=Dillon |date=2017 |title=The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa |journal=African Journal of Primary Health Care & Family Medicine|volume=9 |issue=1 |pages=e1–e7 |doi=10.4102/phcfm.v9i1.1466 |pmid=29113445 |pmc=5675926 }}

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.{{Cite news |date=2019-12-20 |title=South Africa initiation schools suspended after circumcision deaths |url=https://www.bbc.com/news/world-africa-50838014 |access-date=2024-01-20 |language=en-GB}}{{Cite web |date=2013-07-08 |title=Botched Circumcisions Kill 30 South African Boys |url=https://www.voanews.com/a/thirty-more-south-african-boys-die-after-botched-circumcision-ritual/1697451.html |access-date=2024-01-20 |website=Voice of America |language=en}}

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.{{Cite web |last=Koyana |first=Xolani |title=Nine boys in hospital after botched circumcisions |url=http://ewn.co.za/2015/06/17/Complications-from-botched-circumcision-hospitalise-9-teens |url-status=live |archive-url=https://web.archive.org/web/20170209172642/http://ewn.co.za/2015/06/17/Complications-from-botched-circumcision-hospitalise-9-teens |archive-date=9 February 2017 |access-date=2 May 2017}}{{Cite web |last=Dayimani |first=Malibongwe |title=Five Eastern Cape initiates have died since November's start of summer initiation season |url=https://www.news24.com/news24/southafrica/news/five-eastern-cape-initiates-have-died-since-novembers-start-of-summer-initiation-season-20221208 |access-date=2024-01-20 |website=News24 |language=en-US}}{{Cite web |title=Initiate dies after assault at illegal circumcision school |url=https://www.timeslive.co.za/news/south-africa/2023-11-28-initiate-dies-after-assault-at-illegal-circumcision-school/ |access-date=2024-01-20 |website=TimesLIVE |language=en-ZA}} 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.{{Cite news |date=18 June 2008 |title=Eastern Cape initiation claims another victim |url=https://mg.co.za/article/2008-07-18-eastern-cape-initiation-claims-another-victim |url-status=live |archive-url=https://web.archive.org/web/20180313092202/https://mg.co.za/article/2008-07-18-eastern-cape-initiation-claims-another-victim |archive-date=13 March 2018 |access-date=2 May 2017 |work=The M&G Online |language=en}} 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.

File:Aloe Ferox between Cofimvaba and Ngcobo.jpg on the R61 route between Cofimvaba and Ngcobo.]]

{{unreferenced section|date=July 2022}}

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 {{convert|800|km}} of untouched and pristine coastline along with beaches, and big-five game viewing in a malaria-free environment.

The Addo Elephant National Park, situated {{convert|73|km}} from Port Elizabeth, was proclaimed in 1931. Its {{convert|743|km2}} 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 in the Southern Drakensberg. It is on the slopes of Ben Macdhui, the highest mountain peak in the Eastern Cape {{convert|3001|m}}.

The National Arts Festival, held annually in Grahamstown, is Africa's largest cultural event,{{citation needed|date=July 2022}} 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.{{citation needed|date=March 2019}}

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.{{citation needed|date=March 2019}}

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.

• 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)

{{Main|List of people from the Eastern Cape}}

The Eastern Cape has been home to many major anti-apartheid leaders such as Robert Sobukwe, Oliver Tambo, Nelson Mandela, Walter Sisulu, Winnie Mandela, Govan Mbeki, Alfred Xuma, Cecilia Makiwane, Noni Jabavu, Thabo Mbeki, 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.

{{Reflist|30em}}

{{wikivoyage|Eastern Cape}}

• [https://web.archive.org/web/20090822063534/http://www.info.gov.za/aboutsa/landpeople.htm#ec Eastern Cape National Government information]
• [http://www.ecprov.gov.za/ Eastern Cape Provincial Government]
• [http://www.ecsecc.org/ Eastern Cape Socio-Economic Consultative Council]
• [http://www.ecdc.co.za/ Eastern Cape Development Corporation]
• [https://web.archive.org/web/20180629064523/http://www.queenstown.org.za/ www.queenstown.org.za]

{{Eastern Cape province}}

{{Provinces of South Africa}}

{{Authority control}}

Category:Provinces of South Africa

Category:States and territories established in 1994

Category:1994 establishments in South Africa