Cognomen Efram (Efram 
) , globally, is a rare surname. The last name Efram is habitual in Ethiopia, where it is a rare surname, New Zealand, where it is a very rare surname, and Egypt. Measured by absolute frequency, it is the most numerous in Ethiopia, Egypt, and the United States. Likewise, Efram is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Efram | Ethiopia, Indonesia, Sudan, Democratic Republic of the Congo, United States |