Werkendam is the largest town, and the small city of Woudrichem is the historical centre of Altena.
Altena is a rural community with population centres mainly concentrated along the surrounding waterways.
De Biesbosch National Park is partially situated in the western part of Altena.
A car ferry in the very western part connects the city of Dordrecht with Altena.
Church attendance is high, and Christian-oriented political parties receive many votes.