Kakamas Lower Orange Kakamas is situated on the banks of the Orange River about 80 kilometres west of Upington.
Temperatures are extreme with hot summers and cold winter.
The vineyards along the Orange River form a green strip in an otherwise arid but beautiful landscape. The sub-district forms part of the Benede Orange Region, one of six health regions in the Northern Cape province. There is little accurate data about the health status of the people in the Kakamas sub-district. The town has a small hospital which falls under the regional office and a clinic which is run by the municipality. The district surgeon system is also still operating.