In recent years the policy focus has increased for maternal, newborn and child health (MNCH) in Africa. The African Union now has three regional strategies in various stages of development: Road Map for reduction of maternal and newborn mortality (2004); Child Survival Framework (2005); Maputo Sexual and Reproductive Health and Rights Plan of Action (2006). Each of these policy frameworks allow for national government adaptation and implementation in country with support from partners under the principles of the Paris declaration on aid effectiveness - "One plan, One coordinating mechanism, One monitoring and evaluation mechanism." Already 35 countries have started the process of a national Road Map which was initiated through the MNCH Task Force in 2004. These policy frameworks represent a great advance, but they are only the first step on the road to lives saved through increased coverage of essential interventions. The time is short - there are only nine years left before the 2015 target for the Millennium Development Goals (MDGs). Africa can and must accelerate progress. (excerpt)