During the COVID-19 pandemic, there were both direct and indirect impacts on older adults, especially those living in low- and middle-income countries (LMICs). These impacts were more profound among the older women residing in Sub-Saharan Africa due to the lack of financial, social and healthcare support available. Using feminist political ecology of health theory, the purpose of this study was to investigate the impacts of the COVID-19 pandemic on health and wellbeing among older women residing in Kenya and Uganda. Using surveys from 231 older women in Kenya and 211 women in Uganda, we used a generalized linear model with a complementary loglog link function to identify the factors associated with emotional distress, wellbeing and health status. The results indicated that only 17.7% in Kenya and 14.7% in Uganda had experienced an improvement in wellbeing post-COVID compared to during the pandemic. Further, there remains a sustained impact on emotional distress levels, despite the tremendous decline in COVID-19 case counts and mortality. Several factors, including being unpartnered, and not having a say in household decision-making, negatively impacted emotional distress levels, wellbeing and perceived health status of older women. Recommendations include advocating for increased governmental support, equipping healthcare providers with the knowledge and skills needed to provide care to older women, and including the perspectives of older women through qualitative interviews and deliberative dialogues when creating tailored, context-specific solutions.