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Mitooma District is bordered by Bushenyi District to the north, Sheema District to the east, Ntungamo District to the south, and Rukungiri District to the west. Mitooma, where the district headquarters are located is located approximately 25 kilometres (16 mi), by road, southwest of Bushenyi, the nearest large town. This location lies approximately 85 kilometres (53 mi), by road, west of Mbarara, the largest city in Ankole sub-region.