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Sironko District is bordered by Bulambuli District to the north, Kapchorwa District and Kween District to the northeast, the Republic of Kenya to the east, Bududa District to the southeast, Mbale District to southwest and Bukedea District to the west. Its 'chief town', Sironko, is located approximately 22 kilometres (14 mi), by road, northeast of Mbale, the largest city in the sub-region. The coordinates of the district are:01 14N, 34 15E.

The national census in 2002 estimated the population of the district at about 291,900, with an annual population growth rate of 1.5%. It is estimated that the population of the district in 2009 is approximately 324,000.