The Oti Region is one of the six newly created regions of Ghana in 2019. The Region has 8 administrative districts with Dambai as the regional capital. The districts are Biakoye, Jasikan, Kadjebi, Krachi East, Krachi Nchumuru, Krachi West, Nkwanta South and Nkwanta North. The Regional Health Directorate is situated at Worawora in the Biakoye District.
The region occupies a land area of about 18,741 km2. The Oti Region is bordered on the north by the Northern region, to the south by the Volta Region, and to the west by the Volta Lake and east by the Republic of Togo. The Region stretches from Northern part of Kpando Municipality in the Volta Region to the Northern part of Ghana.
It has a total of 1,191 communities, many of which are small settlements. The region has a total population of 759,869 people with estimated growth rate of 2.4% based on the 2010 national population and housing census projection. The major economic activities are farming forming 60% of the total work force and others including fishing, trading and poultry.
The Region is much drier than the rest of the southern areas of Ghana, due to its proximity to the north. The vegetation consists of mostly of grassland, especially savannah with clusters of drought-resistant trees such as baobabs or acacias. Between December and April is the dry season. The wet season is between about May and November with an average annual rainfall of 750 to 1050 mm (30 to 40 inches). The highest temperatures are reached at the end of the dry season, the lowest in December and January. However, the hot Harmattan wind from the Sahara blows frequently between December and the beginning of February. The temperatures can vary between 14 °C (59 °F) at night and 40 °C (104 °F) during the day.
The region is drained by the rivers Oti, Asukawkaw, Menu and Dayi all of which flow into the Volta Lake. It has riverine communities where boat transport is vital.
Major tourist attractions include the Kyabobo National Park, beautiful mountain scenery and the majestic Volta Lake are beautiful sides to behold.
The road network in the region is generally poor, thus requiring robust vehicles for travel in those areas as well as the usage of river transport to reach the island communities created as a result of the construction of the Volta dam. During the rainy season, accessibility is even more difficult and sometimes impossible. This affects service delivery in these areas. Although, telecommunication has improved, the situation is still poor in the region.