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Otuke District is bordered by Agago District to the north, Abim District to the northeast, Napak District to the east, Amuria District to the southeast, Alebtong District to the south, Lira District to the southwest and Pader District to the northwest. Otuke, where the district headquarters are located, lies approximately 66 kilometres (41 mi), by road, east of Lira, the largest city in the sub-region. The coordinates of the district are:02 30N, 33 30E (Latitude:2.5000; Longitude:33.5000).