Koua may refer to:

Koua, Comoros, a village in Grande Comore, Comoros Koua, Ivory Coast, a town in Montagnes District, Ivory Coast Koua River, a river in New Caledonia KOUA, a satellite station of KGOU broadcasting from Ada, Oklahoma, United States Franck Brice Koua (born 2001), Italian hurdler Vivien Assie Koua (born 1992), Ivorian footballer