The COVID-19 pandemic showed that the current global health architecture is not fit for purpose. While rich countries hoarded vaccines, low and middle income countries were left behind, coping with massive global healthcare inequalities. Despite lofty promises, COVAX, the global initiative launched during the pandemic to ensure a fair and equitable distribution of tests, treatments, and vaccines failed to deliver on its promises.  This episode of Rethinking Humanitarianism explores how the global health architecture can be adjusted to make it more inclusive, and better placed to respond in a more equitable way during a future pandemic.  Guests: Petro Terblanche, managing director of Afrigen; Fifa Rahman, civil society representative at the ACT-Accelerator