OR Tambo DM is the largest District Municipality in the Eastern Cape Province that is resident to more than 1.7 million people and exceeds in size and population the countries of Botswana, Lesotho and Swaziland.

• 88% of the households live below minimum poverty level
• 71.5% of the economically active population is unemployed
• 47.5% of the population is under 15 years of age
• 93.3% of inhabitants live in rural conditions
• 75% of the population do not have formal RDP standard water supply