However on 6 February 2012, the northeast part of the district was split off to create a new Akuapim South District, with Aburi as its capital town; thus the remaining part has been renamed as Nsawam-Adoagyire Municipal District, with Nsawam as its capital town.

The municipality is located in the southeast part of Eastern Region and has Nsawam as its capital town.

Nsawam-Adoagyire Municipal District lies in the southwestern part of the Eastern Region.

It covers an area of 440 square kilometres (170 sq mi).

It has an undulating topography with two main ecological zones, the moist semi-deciduous forest and coastal savannah grassland.