Most countries in Africa have introduced the use of local languages as the language of learning and teaching for the first few years of schooling. Meaning that for the first few years of learning, learners learn mathematics in their local languages. In response to this, most research has focused on the challenges of using local languages in multilingual mathematics classrooms in schools. Not much research focuses on how the teacher educators prepare the prospective teachers to teach mathematics in multilingual classrooms. To further knowledge in the area of multilingualism in mathematics education, I, in this paper, present an analysis of the literature on multilingual teacher education in Africa. Specifically, I look at what it is that governments in interested countries are doing in teacher education programs in response to the introduction of local languages in schools. From the literature examined, I found that although there is awareness in a number of countries of the need for multilingual teacher education, not much has been done in order to train mathematics teachers on how to use local languages in the classroom. I therefore recommend that, for those countries that have implemented or planning to introduce the use of local languages in schools, some reforms should also take place in teacher education programs in terms of training the prospective teachers how to teach in local languages.