The Lancet has published an article by 2017 Tutu Fellow Yap Boum titled: Burden of disease in francophone Africa 1990–2017: the triple penalty? Yap co-authored the article with Yvonne Mburu. He looks into the triple penalty of disease burden faced by francophone African countries and unpacks why this is the case.
He outlines what this triple penalty is. The first is that francophone countries bear the highest burden of diseases in Africa; the second is that, despite carrying the highest burden of disease, francophone countries receive the lowest amounts of medical research funds globally. The third is linked to the inequalities arising from the dominance of the English language in global health.