It is an administrative region in Southern Somalia that consists of four districts: Jowhar (the regional capital), Balad,Adale, Aden Yabal. Middle Shabelle is named after the Shabelle River which passes through the region for 150kilometers. It borders Galgaduud to the North, Hiraan to the West, Lower Shabelle and Banadir region to the South and the Indian Ocean to the East.
The region supports livestock production, rain-fed and irrigated agriculture and fisheries. The total population in the region is estimated at 514, 901. As of September 2014, the region hosts an estimated 51,000 IDPs (UNHCR total IDPs per region report, September 2014). The Middle Shabelle region has faced multiple hazards and calamities ranging from floods, low rainfall resulting in chronic food security and clan conflicts.