The province has an economy dominated by subsistence agriculture with occasional plantations for cash crops such as copra, and by logging activities. The province is seldom visited by tourists due to poor infrastructure, lack of roads, hotels, modern medical care, and endemic malaria. Most areas have a "Rest House", a house where guests can seek accommodation for the night or two, but many residents are willing to take in visitors for the night.
Santa Isabel is the longest Island in the Solomon Islands. The first European contact to the Solomon Islands was made by Spanish navigator Álvaro de Mendaña de Neira in 1568, who gave them their name. The highest point is Mount Kubonitu, also known as Mount Sasari at 1,120 metres (3,670 ft).