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Mosvold Hospital is located within the centre of the town. The hospital was initially established as an Evangelical Alliance Mission hospital but has subsequently been taken over by the KwaZulu-Natal Department of Health. There are a number of schools in the town including Ingwavuma High School, Nansindlela School, and Isicelosethu High School.

Ingwavuma was founded by Sir Charles Saunders of Eshowe in 1895 as a magistracy for the Ngwavuma region. During the Boer War in 1899 the settlement was razed to the ground by a Boer commando under the command of Joachim Ferrera. The serving magistrate, B. Colenbrander , escaped with his staff to the flats below and eventually found his way to Ubombo . Ingwavuma remained desolate until 1900 when it was re-established and the magistrate returned. In the 1980s the Apartheid government planned to transfer the town and surrounding magisterial district to Swaziland as part of a land deal to give Swaziland access to the sea. This move was opposed by the then KwaZuluKwaZulu was a bantustan in South Africa, intended by the apartheid government as a semi-independent homeland for the Zulu people. Its capital was Ulundi. It was led by Chief Mangosuthu Buthelezi of the Inkatha Freedom Party until its abolition in 1994. government and the Zulu King Goodwill ZwelethiniGoodwill Zwelethini kaBhekuzulu (b. 14 July 1948 at Nongoma) is the current ( 2004) king of the Zulu nation. He became king on the death of his father king Cyprian Bhekuzulu kaSolomon in 1968. Prince Israel Mcwayizeni KaSolomon acted as the regent 1968- 1 established a residence near the town. The transfer was never executed. The surviving historic buildings of the town include the residency (now the municipal buildings, the police station and the Old Gaol BuildingThe Old Gaol Building is a historic wood and iron building dating from the 1900s which in Ingwavuma, KwaZulu-Natal Province, South Africa. The building is located near the welfare buildings. In 2004 the building was restored as part of a project run by Na).