Background: Foot and Mouth disease is a notifiable trans-boundary disease, which is endemic in a large area of Sub-Saharan Africa, including Uganda. Recently, the disease has emerged from new areas, with high impact, hence threatening the food security and livelihoods of different animal owners. This study described the temporal and spatial distribution of FMD in Uganda, and factors associated with its occurrence Methods: Data previously archived at the Ministry of Agriculture, Animal Industry and Fisheries (MAAIF) in Uganda, from 2010 to 2021, were analyzed using Microsoft Excel, QGIS and R software Results: A total of 22,690 FMD cases were reported in Uganda between 2010 and 2021 with an average and median of 1169 and 37 outbreaks per year respectively. In this period, FMD was reported at least once in 58 districts (43%) of all districts of the country (n = 135). The occurrence of FMD outbreaks was found to be seasonal with peak outbreaks in November and a low in August. FMD was reported all over the country, with the majority of cases 45% (10,211) reported from Eastern, 38% (8,685) from western region, 6% (1,354) from northern region and 11% (2,440) from central region. Most FMD cases were reported during the dry month of November, January, and February. Conclusion: FMD occurred in all the four regions of the country and showed statistically significant decrease in the long-term trend. Numbers of outbreaks were relatively higher during dry season. The spatial and temporal distribution identified in this study should be considered in controlling the disease. As unregulated and frequent animal movements are the likely causes of high outbreak occurrence during the dry season, animal movement regulations should be considered for the long-term control of FMD. Recommendation: Strategic vaccination of animals should commence at least a month prior to the onset dry season to ensure immunity against the virus, together with restrictions on animal movements during dry season and farmers have to be aware about the risk of unrestricted animal movement.