There was some development in South American level but that was also not comparable to the other continents like Europe, Asia and Africa.

[3][4] PATHF was founded on 23 May 1977, which made it one of the five continental confederations affiliated with International Handball Federation.

The first executive committee was composed of President Dr. Peter Buehning Sr. (USA), Vice-President Mr. Juan Mainzhausen (Argentina), Secretary General Mr. Walter Schwedhelm (Mexico), and Treasurer Mr. Francis Geulen (Canada).

^2 PATHF was succeeded by NACHC and SCAHC as per the decision of Extraordinary IHF Congress held at Gothenburg (Sweden) on 3 July 2019.

It also had a subsidiary i.e. PATHF Executive Committee, which takes decisions during the intervals of Council Meetings.