Downham is a village and civil parish in Lancashire, England. It is in the Ribble Valley district and at the United Kingdom 2001 census had a population of 156. The 2011 Census includes neighbouring Twiston giving a total for both parishes of 214. The village is on the north side of Pendle Hill off the A59 road about 3 miles from Clitheroe. Much of the parish, including the village is part of the Forest of Bowland Area of Outstanding Natural Beauty.