An administrative district of the Western Region, capital Nkroful, created from the former Nzema East District in 2007 (L.I. 1918). It has seven area councils: Aiyinase, Asasetre, Nkroful, Awiebo, Esiama, Kikam and Atuabo.
Esiama and Kikam are area councils of Ellembelle District.