Every day, road crash causes thousands of deaths and injuries as well as significant amount of economic losses. Africa takes the highest share of the road crash burden relative to its low level of motorization and road network density, currently experiences 26.9 fatalities for every 100,000 people compared with 9.3 in Europe. African road fatalities is expected to rapidly increase with vehicle ownership, road network development and population increase unless Africa invests on road safety. The level of road safety awareness is increasing, but the managerial, technical and financial capacities are still low. Africa needs strong commitment to bring effective and sustainable improvements.