Global health Initiatives as a ‘Drunken Boat’: The Meningitis Vaccines Project Case Study

Based on an analysis of the Meningitis Vaccine Project (MVP), a public-private partnership (PPP) set up to introduce MenAfriVac® vaccine in African countries, this article examines failures accelerated disease control programme that targeted highly infectious disease. I argue integration into World Health Organization’s (WHO) Expanded Programme Immunisation had effect reinforcing inequalities access, particular during epidemic emergencies. will also show how shortages outbreak Niger led political tensions and emergence parallel unregulated ‘black market’ vaccines.