I am going to presenting the results from a comprehensive literature review looking at care pathways in under-5 deaths in Sub-Saharan Africa. The majority of child deaths on the African continent happen at home, outside of formal healthcare services. However, increasingly studies have shown that a majority of children were taken to a healthcare provider for care during their final illness. This literature review summarises the findings from studies across sub-Saharan Africa to describe the care pathway for under-5 deaths using the “Pathways to Survival” framework. By understanding where in the pathway children drop out of the formal healthcare system we are better able to direct future interventions to reduce under-5 mortality.