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Supporting a Leading U.S. Medical Institution in Africa

by Aldo Figaro | Jun 4, 2025 | Case Studies

Supporting a Leading U.S. Medical Institution in Africa

Expanding into new countries can be a real challenge, especially when it involves just one or two employees in each location. This case study highlights how an international health-focused institution partnered with Africa HR Solutions to expand into Sierra Leone, Zimbabwe, and Malawi, while staying compliant and keeping operations simple and cost-effective.

The Premise

Our client is a well-renowned academic and medical institution committed to improving global health through research, education, and patient care. As part of their work, they have launched healthcare projects in several African countries and needed a reliable way to manage local employment without setting up entities in each country. Since 2018, Africa HR Solutions has been supporting their African operations with Employer of Record (EOR) services.

Medical university lecture

The Challenges

The client needed to hire one employee each in Sierra Leone, Zimbabwe, and Malawi to support their on-the-ground health initiatives. However, setting up a legal entity in each country for just a single hire was neither practical nor cost-effective. The administrative burden, ongoing maintenance costs, and legal obligations would far outweigh the benefits. In addition, each country presented its own set of complex employment laws, payroll systems, contract requirements, and statutory benefits. Navigating these local frameworks without in-country expertise posed a significant risk. What they needed was a simplified, compliant solution that would allow them to quickly onboard employees, stay on the right side of local regulations, and focus on their mission without being weighed down by unnecessary overheads.

The Solution

Africa HR Solutions provided a simple and compliant solution through our EOR (Employer of Record) services. We handled all aspects of hiring and payroll for their local employees, including contracts, tax contributions, and benefits. This allowed the client to focus on their health projects while we took care of the legal and administrative side of things.

Every country has different rules when it comes to employment and payroll. Africa HR Solutions made sure the client followed all local laws in Sierra Leone, Zimbabwe, and Malawi. We processed payroll, calculated benefits, and ensured all payments were made on time and in line with local regulations. This helped the client avoid legal risks and gave them peace of mind.

The Conclusion

Since 2018, Africa HR Solutions has been helping this global health organisation grow its impact in Africa. By managing local employment and payroll, we’ve enabled them to focus on what matters most: improving healthcare outcomes. We're proud to play a part in their mission and to support their ambitions across the continent.