Starting as a firm operating in Kenya, the firm has expanded its geographical coverage to three continents;
Africa, Asia, Eastern Europe, the Caribbean, South Pacific. Specific countries where the firm has provided technical assistance services in the three continents are:
- Africa: Botswana, Burundi, Egypt, Ethiopia, Ghana, Kenya, Lesotho, Malawi, Mauritius, Namibia, Nigeria, Rwanda, Sierra Leone, Somalia, South Africa, South Sudan, Swaziland, Tanzania, The Gambia, Uganda, Zanzibar, Zambia, Zimbabwe,
- Asia: Bhutan, India, Malaysia,Nepal and the Philippines
- Eastern Europe: Armenia
- Latin America and the Caribbean: Belize, Dominica, Jamaica, Grenada, St Vincent & the grenadines, Trinidad & Tobago
- South Pacific: Fiji, Tonga, Samoa
ALMACO is a regional partner for East Africa under the Grant Management Solution (GMS), a project providing technical assistance to countries implementing Global Fund programmes.