The distribution of farm locations and sizes is paramount to characterize patterns of disease spread. With some regions undergoing rapid intensification of livestock production, resulting in increased clustering of farms in peri-urban areas, measuring changes in the spatial distribution of farms is crucial to design effective interventions. However, those data are not available in many countries, their generation being resource-intensive. Here, we develop a farm distribution model (FDM), which allows the prediction of locations and sizes of poultry farms in countries with scarce data. The model combines (i) a Log-Gaussian Cox process model to simulate the farm distribution as a spatial Poisson point process, and (ii) a random forest model to simulate farm sizes (i.e. the number of animals per farm). Spatial predictors were used to calibrate the FDM on intensive broiler and layer farm distributions in Bangladesh, Gujarat (Indian state) and Thailand. The FDM yielded realistic farm distributions in terms of spatial clustering, farm locations and sizes, while providing insights on the factors influencing these distributions. Finally, we illustrate the relevance of modelling realistic farm distributions in the context of epidemic spread by simulating pathogen transmission on an array of spatial distributions of farms. We found that farm distributions generated from the FDM yielded spreading patterns consistent with simulations using observed data, while random point patterns underestimated the probability of large outbreaks. Indeed, spatial clustering increases vulnerability to epidemics, highlighting the need to account for it in epidemiological modelling studies. As the FDM maintains a realistic distribution of farm location and sizes, its use to inform mathematical models of disease transmission is particularly relevant for regions where these data are not available. We have developed a model to predict the location and size of poultry farms in countries or regions with limited data. This is important because knowing the distribution of farms helps in understanding how diseases spread, especially in areas with rapidly growing farm populations. Our model uses advanced statistical methods and is calibrated with environmental and human activity data to simulate farm locations and sizes, which we tested on farms in Bangladesh, Gujarat (India), and Thailand. We found that our model creates realistic patterns of farm locations and sizes, which are crucial for predicting disease outbreaks. When we simulated disease spread, our model showed that farms clustered together are more vulnerable to large outbreaks. This highlights the need for realistic farm data in disease prevention efforts. Our model can help public health officials in regions without detailed farm information to better plan and respond to potential disease threats. This work is a step towards better protecting both animal and human health from the spread of diseases.