Public Clinics in Eastern Cape
122 government health facilities
The Eastern Cape is home to roughly 6.7 million people, many in deep rural areas where the nearest district hospital can be over 60 km away. The province has 122 public health facilities listed here, including 78 district hospitals and 1 tertiary hospital (Nelson Mandela Academic Hospital in Mthatha). TB remains a major burden — the OR Tambo and Buffalo City districts consistently report some of the highest TB incidence rates nationally. For life-threatening emergencies, the closest 24-hour casualty is usually a district hospital; 82 of the 122 facilities here operate around the clock. If you are in a rural area without transport, call the provincial ambulance service at 10177.
Services available in Eastern Cape
Health tips for Eastern Cape
Eastern Cape has among the highest TB rates in the country. If you have a cough lasting more than two weeks, get screened — sputum tests are free at any clinic. Treatment is 6 months and fully covered.
Many Eastern Cape clinics serve communities 30+ km away. Ask your clinic about outreach days when mobile teams visit local areas, or about patient transport for hospital appointments.
During June/July and November/December initiation seasons, hospitals in the Eastern Cape see a spike in admissions. Families should know the location of the nearest hospital with a surgical unit before the season starts.
What to bring to a public clinic
- 1 South African ID or passport
Required for registration. No one will be turned away without ID, but it speeds up the process.
- 2 Clinic card (patient-held record)
Your green clinic card tracks your visit history. If you have lost it, ask the clinic to issue a new one.
- 3 Road to Health booklet
Mandatory for all children under 5. Tracks immunisations, growth, and developmental milestones.
- 4 Chronic medication list or pill bottles
If you take chronic medication, bring the packaging or a list of names and dosages so the clinician can check for interactions.
- 5 Referral letter (if applicable)
District hospitals require a referral from a clinic or CHC unless it is an emergency.