The Millennium Development Goals (MDGs) have passed and the post-2015 has dawned upon us whereby we have to renew and rename our developmental goal’s vows in the form of the Sustainable Development Goals (SDGs) and Post-2015 developmental agenda. Africa still lags behind in achieving envisaged developmental goals, particularly health related developmental goals. It is therefore timely to ask, is it authentic for the African continent to agree and set goals on a ground that maintains, or even better, sustains the current status quo of inequity and inaccessibility? Or should we not seek transformation of the inherited legacies and structures in order to progressively combat the challenges we are faced with?