To support Member States most affected by road traffic fatalities, and adapting from the United Nations Development Account 9th tranche project “Strengthening the national road safety management capacities of selected developing countries and countries with economies in transition”, the Secretary-General’s Special Envoy for Road Safety strongly supports road safety performance reviews in Africa. This United Nations Road Safety Performance Review (RSPR) of Ethiopia has demonstrated huge magnitude of road safety problems, which exerts a burden on social, economic and health sectors of the country. The review shows that Ethiopia has not achieved the goal of the United Nations Decade of Action for Road Safety (2011-2020), which expected to reduce road fatalities and injuries by 50 percent by 2020 (WHO, 2015). On the contrary, trends reveal that the road traffic deaths and serious injuries increased every year during the same period. Furthermore, it seems that the trends are likely to continue in 2020, the final year of the Decade.