 It shares boundaries with Pusiga District to the North, Binduri District to the South, Garu-Tempane District to the East and Bawku West to the West 

The kusaas are the indigenous inhabitant of the area with Mamprusi,Bisas, Mossi, etc.who have settled in the area of the Bawku area.There are however large immigrant populations from other locations in northern and southern Ghana as well as from Burkina Faso, Ivory Coast, Togo, Niger and Nigeria.