Movement of people and flow of commodities are mostly dependent upon the transportation infrastructures, Pakokku District located at the western part of Ayeyarwady River is poor in transportation system although it has two good waterways: Ayeyarwady and Chindwin.

By 1947 Construction of the union of Burma, Pakokku province was established with two districts in 1948.

Townships are Pakokku, Mindat, Yesagyo, Pauk, Seikphyu, Myaing, Gangaw, Htilin, Saw, Kanpetlet and Matupi.

In October 2011, 7 wards and 95 villages were flooded because of heavy rain from tropical storm 02B which made a landfall at Myanmar-Bangladesh border on 19 Nov. All 4 townships of the District except Yesagyo were affected.

The total loss in the flood amounted to 1,522.95 million MMK, according to official data.

UN agencies and international nongovernmental organizations such as WFP, UNICEF, BAJ and others donated 6,800 bags of rice, 18,390 viss of edible oil, 36,828 viss of gram and 3285 viss of salt worth US$261,620, 500 kilos of bleaching power, 440,000 tablets of water guard, 2,200 bottles of water guard, 2,200 sets of commodes, 2,200 cakes of carbolic soap, 2,200 sets of water family kit, four 400-gallon-capacity fibre water tanks worth US$53,782, 287 viss of edible oil, 3,442 packets of instant noodle, 1,642 viss of salt, 821 tinned fish, biscuits, cakes of soap, aluminium pots, torch lights, dry cells, steel bowls and T-shirts worth MMK 3.46 million.