In 1997, he was appointed Patriarchal Vicar of Alexandria by Patriarch Petros VII to assist him at the outset of his Patriarchate and after ten months he was elected as Metropolitan of Cameroon.Блаженнейший Патриарх Александрийский Феодор II(Blessed Patriarch Theodore II of Alexandria) (In Russian) Retrieved on 28 Feb 2018 He greatly developed missionary activity there. He built churches, schools and hospitals, helping many Africans and local Greeks. In 2002, he was transferred to the Holy Metropolis of Zimbabwe, where he established four missionary centres in Harare, a Hellenic Cultural Centre for 400 delegates, two large missionary centres in Malawi, with a hospital, technical schools and nursery schools. Aided by the Greek Parliament he renovated the Hellenic Square (School-Church-Vicarage) in Beira, Mozambique. He founded churches and contributed to the establishment of the Hellenic Communities of Botswana and Angola.
