Progress towards goals 4 (reducing child mortality) and 5 (improving maternal health) of the millennium development goals (MDGs) has been generally slow in sub-Saharan Africa. To meet these and other MDGs, sub-Saharan Africa’s best hope remains its vast and untapped Human Capital. Yet, about 4 million infants and children continue to die annually from preventable causes, whilst unchecked unintended pregnancy increasingly contributes to unsafe abortion and consequently poor maternal health outcomes. Emerging evidence asserts that the disparity in key family planning and sexual reproductive health indicators is widening, making it clear that our Human Capital has been and is under threat. We need to focus our efforts toward providing robust scientific evidence to guide crucial policy generation and implementation to curb the needless hemorrhage. In doing this we would not only have a fighting chance at meeting the MDGs but we would also have saved and positively impacted countless lives.