Sub-Saharan African countries are grappling with unchecked urbanization driven by rural-to-urban migration, with nearly half of the population expected to be urban by 2030 and 3 in 5 by 2050. Rapid urban expansion, especially in capital cities, has led to the proliferation of slums, outpacing government planning efforts. Over half (54%) of urban dwellers in Sub-Saharan Africa now reside in slums, coinciding with a slowdown in essential intervention coverage and increased child mortality in urban areas compared to rural regions. The Countdown to 2030 led by APHRC initiative’s analysis reveals the erosion of the urban advantage in Sub-Saharan Africa, with a focus on maternal, newborn, and child health, aiming to address urban health inequities. This session presents findings from analyses of urban inequalities, subnational disparities, and gender and poverty-related disparities, utilizing existing data. The format involves interactive audience engagement on country responses, resilience, urban health equity, and universal health coverage.