It is bordered to the north by Roya District across the Kirumi Bridge on the Mara river.

According to the 2022 Tanzania National Census, the population of the Butiama District was 281,656.

[1][2] Paved Trunk road T4 from Mwanza to the Kenyan border passes through Butiama District from south to north.

Trunk road T17 from Musoma to Arusha Region passes through the district from north to south.

As of 2012, Butiama District was administratively divided into 20 wards.