This study has three specific objectives:
1. To examine whether the use of English, in the African context, is a barrier to the advancement and success of health science researchers either individually, nationally or internationally, and to the advancement of health science more widely in Africa.
2. To examine whether the use of English, in the African context, is contributing to wider structural inequalities within the general health science research ecosystem.
3. To recommend practical solutions to addressing concerns identified.
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