Background: WHO is going through reforms which started in 2011. The Reform process intensified when the WHO was put to the test during the Ebola outbreak in West Africa in 2014. Weaknesses observed raised widely expressed concern about the response of the WHO in emergencies. Dwindling financial resources and multiple partners interested in its mandate also largely contributed to WHO reforms. WHO African Region introduced the Transformation Agenda programme in 2015 designed to accelerate implementation of WHO reforms within Africa.