Uganda is among the top ten countries with the highest rate of maternal mortality in the world. Millennium Development Goal (MDG) 5 called for a 75% reduction in the rates of maternal mortality by 2015.Sections 1 and 2 of the Sustainable Development Goal (SDG) 3 call for the reduction in the maternal mortality ratio to less than 70 per 100,000 live births by 2030 globally.

Maternal Mortality Ratio (MMR) in Uganda has decreased from 678 to 343 maternal deaths per 100,000 live births between 1990 and 2015.Though Uganda has made significant gains with reducing maternal mortality over the years, the rate is still relatively high. As a result of the high rates of maternal mortality, newborns also face a high risk of dying during and after pregnancy and childbirth. Approximately 27 out of 1,000 births result in the death of a newborn child in Uganda and newborns have a 54% chance of dying before their first birthday.

There is a need for concerted effort from all stakeholders to improve health services in order to make small but significant changes to meet the needs of mothers and children in Uganda. Key stakeholders in the health sector, such as ministries, Members of Parliament, district leaders, religious and cultural leaders, women leaders, and the private sector can work together to raise awareness. If government, local leaders, health workers and communities can combine their efforts to commit to practical solutions, the lives of more mothers and children can be saved. Countries such as Algeria, Tunisia, Ethiopia, Egypt and Rwanda have made significant gains in reducing maternal mortality rates. Uganda can do the same

The First Lady of Uganda is the national RMNCAH Champion. In her advocacy program of OAFLA UG, different activities have been organized including
1. Facilitating the implementation of the International Safe Motherhood
2. Motivational workshop and an award ceremony for best performing midwives nationwide
3. Advocacy workshops with members of Parliament on RMNCAH
OAFLA Uganda has successfully developed Partnerships between key ministries and Parliament with the objective of raising awareness and advocating for the affairs of women, children and adolescents in Uganda. One case is the commitment by members of Parliament who formed a Parliamentary Task Force for advocacy on RMNCAH