"These calculations also take into account deaths which were not directly because of Covid but instead caused by its knock-on effects, like people being unable to access hospitals for the care they needed. It also accounts for poor record-keeping in some regions, and sparse testing at the start of the crisis.
But the WHO said the majority of the extra 9.5 million deaths seen above the 5.4 million Covid deaths reported were Thought to be direct deaths caused by the virus, rather than indirect deaths."
https://www.bbc.co.uk/news/health-61327778