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Manafwa District is bordered by Bududa District to the north, the Republic of Kenya to the east and south, Tororo District to the southwest and Mbale District to the west. The district headquarters at Manafwa are located approximately 26 kilometres (16 mi), by road, southeast of Mbale, the largest city of in the sub-region. The coordinates of the district are: 00 54N, 34 20E.

The total surface area of the district is estimated at 451 square kilometres (174 sq mi). The district was created in 1999 and was part of Mbale District, together with Sironko District, before 1999. In 2006, the northern part of Manafwa District was carved off to form Bududa District.