A lot of Africa has a very strong community health network thanks to lessons learnt from ebola alongside various vaccination, contraception and primary healthcare models.
The smaller villages are really remote, without much travel due to a lack of personal transport, so are unlikely to be in contact with the virus and those places which do have instances of the virus are low pop so wouldn’t effect overall numbers greatly.
As Patrium points out the famine in Ethiopia which distorted our perception of Africa being a land of starvation is no longer the case and africans despite their comparative poverty don’t eat themselves into malnourished obesity which, along side facilitated vectors of transmission, is a big factor in the severity of the pandemic in the states.
UK is fat, densely populated and well travelled so has similar corona problems to the US.
I bet Africa has less virus incubators where dozens of people share air in a badly ventilated room for 8 hours a day too.
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