Kampala Hill is bordered by Makerere to the north, Nakasero to the east, Mengo to the south and Namirembe to the west.

When the city expanded to other neighbouring hills, the place began to be referred to as Old Kampala, a name that is still in use today, 120 years later.

As of June 2014[update], the hill is a mixed commercial and residential neighbourhood with high-rise apartment complexes, shops, restaurants, bars, cafes, bed-and-breakfast establishments and several motels.

[2] Before the arrival of the British, Kampala Hill, along with the neighbouring environs, was a favourite hunting ground of the King of Buganda.

The original fort was relocated to a different site on the hill in 2003, to accommodate the largest mosque in Uganda, with a seating capacity of 15,000 people, built with monetary assistance from Libya.