Over the past several decades, donors, multilateral organizations and governments have invested substantial resources in developing and disseminating improved varieties of sorghum and millet in Sub-Saharan Africa (SSA). Researchers believe that sorghum and millet have the ability to improve food security and mitigate the influence of climate change on food production for some of the most vulnerable populations. As a result, agricultural scientists have focused on developing improved cultivars to increase the relative benefits of these two crops and disseminate this technology to a larger number of farmers. This report provides an overview of the development and dissemination of improved sorghum and millet cultivars, factors that influence the adoption of improved cultivars among farmers in SSA, and examples of interventions designed to encourage adoption in SSA. We find that while national governments and international research institutes have successfully developed a number of improved sorghum and millet cultivars, adoption rates in SSA (particularly in West and Central Africa) are low. The literature suggests that overall efforts have increased adoption rates, but at varying costs.