Rakai District Uganda lies in the Central Region and is one of the districts bordering Tanzania. Its administrative and political center is Rakai town, located about 65.5 km southwest of Masaka. Covering more than 3,351 square kilometers, Rakai is home to over 518,000 people (2014 census).
The district gained global attention as the site of Uganda’s first recorded HIV/AIDS case in the early 1980s at Kasensero Landing Site on Lake Victoria. Since then, HIV/AIDS has remained a major health challenge in the area, with prevalence rates reaching as high as 12% in 2014.
Location and Administrative Units
Rakai District shares borders with:
- Lyantonde District (northwest)
- Lwengo District (north)
- Kyotera District (northeast)
- Kalangala District (east)
- Kagera Region, Tanzania (south)
- Isingiro District (southwest)
- Kiruhura District (northwest)
The district is divided into Kakuuto County and Kooki County. Apart from Rakai town, key urban centers include Kiziba, Mweruka, and Lwentulege.
The Masaka–Mutukula Road, a vital highway, passes through Rakai, linking Uganda to Tanzania and facilitating cross-border trade.
Population and Growth
- 1991 Census: ~330,400
- 2002 Census: ~404,330
- 2012 Estimate: ~484,400
- 2014 Census: ~518,008
The district has experienced steady population growth at about 1.8% annually, despite health and social challenges.
Economy and Livelihoods
The district’s economy is largely based on agriculture and trade.
- Crop Farming: Cassava, maize, bananas, beans, and coffee.
- Livestock Rearing: Cattle, goats, and poultry.
- Fishing: Along Lake Victoria, especially around Kasensero Landing Site.
- Cross-Border Trade: Due to its proximity to Tanzania, Rakai benefits from commercial exchanges across Mutukula border post.
Health Challenges
Rakai District is internationally known for its HIV/AIDS history, but other health challenges persist. Common issues include:
- Malaria
- Childhood malnutrition
- Respiratory infections
- Diarrheal diseases
- Obstetric complications
- Skin diseases
The HIV/AIDS epidemic reshaped the district’s demographics and economy, making public health a central focus of local governance and NGO interventions.






