In early 2020, Prof Ashiru in consultation with other African leaders, appointed an interim board which established governance procedures for the new Federation, and formally signed up African countries as members of AFFS to facilitate their inclusion in the first General Assembly. In addition the first virtual conferences of AFFS were planned, in addition to plans for an Inaugural Conference in Cape Town. Dr Paul le Roux and Prof Silke Dyer were appointed as co-chairs for the Inaugural Conference Committee.
The first AFFS board was elected in November 2020. The following executive committee was elected: Prof Gamal Serour (President), Prof Faye Iketobusin (Vice-President), Dr. Paul le Roux (Secretary-General), Dr Ernestine Gwet-Bell (Treasurer-General), Prof Mohamed Khrouf (Editor-in-Chief), Dr Edem Hiadzi (Assistant Secretary-General), Dr Nicholaus Mazuguni (Assistant Treasurer-General), Prof Oladapo Ashiru (Past-President ex officio). Two regional board members were also elected to represented the following regions of Africa - North Africa, Southern Africa, East Africa, West Africa and Central Africa.
Following the first board meeting, ANARA was appointed as the official data collection organisation for Africa with Prof Silke Dyer as chairperson. The African Onco-Fertility Network was established at the first board meeting, and will be chaired by Prof Mohamed Khrouf from Tunisia and Dr Chris Venter from South Arica. Dr Moise Fiadjoe was appointed as the liaison AFFS board member for the GIERAF origination representing the Francophone African countries.
The international community supported the establishment of the AFFS, and representatives from the following organisations were included in the program for the Inaugural AFFS Conference: IFFS, ESHRE, ASRM, FIGO, WHO, AFOG.
The AFFS is seen to be the first democratically elected regional body representing the National Fertility Societies on the African Continent.