Evidence from the most recent World Health Organization (WHO) survey on the global burden of disease shows that nearly 600,000 Africans die annually and millions more suffer from chronic illnesses caused by air pollution from inefficient and dangerous traditional cooking fuels and stoves. This tragic and avoidable first-order public health crisis disproportionately harms women and children. Moreover, cooking with wood, charcoal, crop waste, dung, coal, and potentially dangerous and polluting modern fuels, such as kerosene, also imposes tremendous direct costs on economies and households in Sub-Saharan Africa (SSA) and contributes to a wide range of negative environmental and climate change effects.This overview report, prepared in support of the World Bank’s Africa Clean Cooking Energy Solutions (ACCES) initiative, builds on earlier reports from the World Bank and the Global Alliance for Clean Cookstoves (GACC). The report establishes a baseline for the SSA cooking landscape and offers an overview of emerging opportunities to encourage increased investment in clean and improved cooking businesses across the region. This report covers the full range of clean and improved cooking solutions in SSA that can enhance the fuel efficiency and emissions performance of traditional technologies, each varying widely in terms of fuel feedstock, design, construction materials, methods of production, and harm mitigation potential.