PurposeCurrent evidence indicates that humans and animals are at increased risk of multiple health challenges due to microplastic (MP) profusion. However, mitigation is constrained by inadequate scientific data, further aggravated by the lack of evidence in many African countries. This review therefore synthesized evidence on the current extent of MP pollution in Africa and the analytical techniques for reporting.Design/methodology/approachA literature search was undertaken in research databases. Medical subject headings (MeSH) terms and keywords were used in the literature search. The authors found 38 studies from 10 countries that met the inclusion criteria.FindingsMarine organisms had MPs prevalence ranging from 19% to 100%, whereas sediments and water samples had between 77 and 100%. The most common and dominant polymers included polypropylene and polyethylene.Practical implicationsThis review shows that most studies still use methods that are prone to human errors. Therefore, the concentration of MPs is likely underestimated, even though the authors’ prevalence evaluations show MPs are still largely pervasive across multiple environmental matrices. Also, the study reveals significant spatial disparity in MP research across the African continent, showing the need for further research in other African countries.Originality/valueEven though some reviews have assessed MPs pollution in Africa, they have not evaluated sample prevalence, which is necessary to understand not only concentration but pervasiveness across the continent. Secondly, this study delves deeper into various methods of sampling, extraction and analysis of MPs, as well as limitations and relevant recommendations.