This document summarizes challenges facing pension systems in Sub-Saharan Africa and options for reforming them. It discusses how existing earnings-based schemes have very low coverage rates due to factors like rural/informal employment and high contribution rates. It also notes aging populations and civil servant schemes are increasing fiscal pressures. Policy options presented include parametric reforms like changing retirement ages and social pensions to reduce elderly poverty, with principles of targeting modest replacement rates and gradual reforms. A process of actuarial modeling and evaluating full social protection measures is suggested for reform consideration.