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    Inside WHO's reforms: Progress, failures, and unfinished business

    WHO claims to have implemented its most ambitious reform under Director-General Tedros Adhanom Ghebreyesus. However, experts and current and former staff argue that critical changes are still needed.

    By Jenny Lei Ravelo // 10 April 2025

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    U.S. President Donald Trump has accused the World Health Organization of failing to adopt much-needed reforms, citing it as one of the reasons why he withdrew the U.S. from the United Nations body.

    But WHO Director-General Tedros Adhanom Ghebreyesus has shot back and defended the organization, saying it “has implemented the deepest and most wide-ranging reforms in the organization’s history.”

    Over the past eight years, WHO revamped its organizational structure, introduced new divisions and positions, launched high-profile initiatives, started strengthening its country offices, and pushed for changes in its funding model. In addition, it has pursued nearly 100 reforms to improve WHO’s transparency, efficiency, and effectiveness.

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    More reading:

    ► WHO grapples with deepening funding shortfall

    ► Trump's executive order on WHO, explained (Pro)

    ► Tedros refutes Trump’s claims of WHO’s lack of independence

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    About the author

    • Jenny Lei Ravelo

      Jenny Lei Ravelo@JennyLeiRavelo

      Jenny Lei Ravelo is a Devex Senior Reporter based in Manila. She covers global health, with a particular focus on the World Health Organization, and other development and humanitarian aid trends in Asia Pacific. Prior to Devex, she wrote for ABS-CBN, one of the largest broadcasting networks in the Philippines, and was a copy editor for various international scientific journals. She received her journalism degree from the University of Santo Tomas.

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