
African Union Champion · 2026–2030
Three Zeros. One continental promise.
Almost every maternal and newborn death in Africa is preventable, and the interventions that prevent them are known, costed and proven on this continent. This is the Roadmap for delivering them by 2030 — and the public record of what it achieves.
- 70%
- of global maternal deaths occur in AfricaRoadmap 1.1
- 442
- maternal deaths per 100,000 live births — the continental ratioMMEIG, 2025
- 40%
- of child mortality in Africa is newborn deathsRoadmap 1.1
Jiongeze Tuwavushe Salama.
A mandate given by Heads of State
At the February 2026 Assembly, the African Union appointed H.E. Dr. Samia Suluhu Hassan, President of the United Republic of Tanzania, as its Champion for Maternal and Child Health under Decision AU/Dec.25(XXXIX). This site is the public record of that mandate: the Roadmap it rests on, and the two numbers it is accountable for.
The Roadmap is a political leadership and delivery-acceleration framework, not a new policy or a parallel programme. It supports all 55 Member States to translate commitments they have already made into financed, accountable implementation.
The mandate in fullThe political promise
Three Zeros by 2030
Each Zero converts a continental target into a promise citizens can hold their leaders to, and each is a stress test of the same five system functions: community coverage, access and referral, quality of care, commodities, and data and accountability.
- 01
Zero Home Delivery
Every birth, a safe birth.
Every birth is managed by skilled health personnel in a properly equipped medical environment, supported by timely access to a functional emergency referral pathway.
The pathway to this ZeroMeasured by
Births occurring in a health facility with skilled attendance
- 02
Zero Preventable Maternal and Newborn Deaths
Every death counts. Every death is acted upon.
No mother or newborn dies from a cause preventable through timely, quality, evidence-based care. This requires effective care across the continuum, from adolescent and reproductive health through pregnancy, childbirth, emergency care and the postnatal period.
The pathway to this ZeroMeasured by
Maternal Mortality Ratio · Neonatal Mortality Rate
- 03
Zero Unvaccinated Children
Every child identified, reached and protected.
No child is left without age-appropriate immunisation. The priority is to identify and reach zero-dose children and communities systematically missed by routine immunisation services.
The pathway to this ZeroMeasured by
Age-appropriate immunisation coverage and zero-dose follow-up
What is measured
Two numbers, published
This site reports the Maternal Mortality Ratio and the Neonatal Mortality Rate — the pairing the Roadmap uses as the headline measure for Zero Preventable Maternal and Newborn Deaths. Both are sourced, both cover all 55 Member States, and neither is a placeholder.

| Indicator | Today | 2030 target | Source |
|---|---|---|---|
| Maternal Mortality Ratio (MMR)SDG 3.1 | 442 across the continent | Below 70 by 2030 | MMEIG, 2025 |
| Neonatal Mortality Rate (NMR)SDG 3.2 | 7 of 55 Member States at or below the target | 12 or fewer by 2030 | UN IGME, 2025 |
Both figures are country-validated during 2026 and reported to the AU Summit. Where a Member State has no comparable UN estimate, the Scorecard says so rather than leaving the cell blank.
Accountability, in public
The Continental Scorecard
A seven-indicator Presidential RMNCAH Scorecard gives Heads of State a concise view of mortality, safe childbirth, service readiness, immunisation reach and financing. Country baselines are validated by Member States during 2026, then published whether or not they flatter.
Open the Scorecard| SD | Sudan | 256 | 23.7 |
| BF | Burkina Faso | 242 | 23.8 |
| CG | Congo | 241 | 16.5 |
| SN | Senegal | 237 | 20.9 |
| GH | Ghana | 234 | 18.1 |
| GA | Gabon | 233 | 16.3 |

Why a Head of State
The solutions are known. The priority is delivery.
Maternal and child survival is not a technical problem waiting for an invention. Skilled birth attendance, emergency obstetric and newborn care, vaccines and adolescent-responsive services are known, costed and proven on this continent.
What they need is political priority: budget lines defended, health workers deployed, results reported in public. Tanzania’s own record anchors the mandate — a reported maternal mortality ratio down from 556 to 104 between the 2015/16 and 2022 surveys, alongside facility deliveries up from 51% to 81%.
The mandate in fullThese are not slogans; they are measurable political commitments.
The evidence
What a decade of delivery looks like

Maternal mortality ratio
556104
per 100,000 live births · 2015/16 to 2022 TDHS
Neonatal mortality
2624
per 1,000 live births · 2010 to 2022
Facility deliveries
51%81%
of births · 2010 to 2022
Skilled birth attendance
49%85%
of births · 2010 to 2022
What the record shows
Political leadership has greater impact when linked to measurable accountability.
Go the extra mile
The extra mile is a distance, and it is divisible.
It is the gap between what we already know saves a life and the woman or child who has not yet received it. Presidents, midwives, fathers and students each close a different part of it. Say which part is yours.
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