The emergence of microplastics (MPs) as microcontaminants in environmental drinking water sources is a problem in Africa that requires immediate action. Therefore, this review focused on understanding the sources of MPs in African water systems, treatment strategies, analytical methods for identification and quantification, and Africa's pollution index. From the findings, the source of MPs in African water systems was attributed to unregulated importation of plastic products, poor waste management, lack of awareness, poor environmental value system and the inability of local polymer industries to adjust to new policies on plastic management. Most studies identified microfibers and microbeads to be the primary sources of plastics that break down to MPs in African drinking water sources, with polystyrene (PS), polypropylene (PP), and polyethylene (PE) being frequently detected. Current methods for identification, and quantification of MPs in most studies conducted in Africa were not developed in Africa but was adopted from developed countries and, in some cases, modified to meet specific analytical requirements. More studies are necessary for in-depth understanding of the fate and pollution index of MP in African environmental water systems. Furthermore, the interaction between MP and other pollutants in the water system still needs to be better understood. This review suggests membrane and rapid sand filtration methods as promising methods that may be considered for removing MPs from water systems in Africa.