It doesn't surprise me, it is a conglomeration of 3rd world studies. Well that's not completely true there was one study from Spain with 24 patient's under study (why even include that?).
This article is not proof that Ivermectin works. It is suggestive that Ivermectin should be studied in a larger clinical trial by a first world medical system. For that reason this study is important as it brings together data to show ivermectin needs to be studied further.
The papers studied in this meta analysis have varied dosing on ivermectin. So we still have no proof of what an optimal dose of ivermectin is (keyword is proof, I know various doctors have suggested a dosing range, so we need statistical proof).
As drugs go Ivermectin is relatively harmless. If you get COVID-19 and want to take I have no problem with you using the medication in conjunction with your doctor. At best it might have an effect. At worst you may have some mild side effect from the drug and get sick from COVID-19 anyway.
If you are trying to convince me that Ivermectin is a statistically proven treatment for COVID-19, I'm afraid the drug will have to jump through a few more hoops.
Did YOU get the jab?
Are you a doctor? Did you read the .pdf analysis?