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The first wave of the COVID-19 pandemic to hit Africa (February-September 2020) was not particularly virulent either in terms of cases detected or lethality. However, the presence of the virus and the subsequent restrictions exacerbated pre-existing inequalities based on ethnicity, class and gender. This paper analyses the impacts of the pandemic on refugee women, who are subject to "structural vulnerability" and "multisystemic violence" in Africa. After analysing the ten African countries with the largest refugee populations, the different forms and levels of these impacts are systematised, along with the consequences and implications for refugee women in the long term, highlighting the need for strategies to be adopted towards this group at various levels. [ABSTRACT FROM AUTHOR]