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Global health initiatives as a 'Drunken Boat'. The meningitis vaccines project case study

Thiongane O.. 2021. Medicine Anthropology Theory, 8 (1) : p. 1-12.

DOI: 10.17157/mat.8.1.5228

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

Mots-clés : santé publique; vaccination; méningite; programme d'aide; partenariat public-privé; afrique au sud du sahara; programme de lutte

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