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Doctor-Patient Communication in Tanzanian Public Hospitals: Language Use, Code-Switching, and Accommodation Strategies MAKULILO, PRISCA BONIPHACE
Informasi Vol. 55 No. 1 (2025): Informasi
Publisher : Universitas Negeri Yogyakarta

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Abstract

This study examined how language use and communication strategies influence doctor-patient interactions in Tanzanian public hospitals. Guided by Communication Accommodation Theory, the study focused on Amana, Mwananyamala, and Temeke Regional Referral Hospitals. Using a phenomenological qualitative design, data were collected through observations, interviews, and document reviews from 90 participants (30 doctors, 30 nurses, and 30 patients). Data were analyzed using NVivo 12 software, enabling thematic coding and sentiment analysis. Findings revealed that Swahili was the dominant language, but code-switching with English was common, particularly for technical terms. While simplification, analogies, non-verbal cues, and occasional third-party interpretation improved understanding, excessive or unexplained English terms led to confusion especially among elderly or less-educated patients. Cultural and linguistic mismatches further hindered communication when doctors failed to adapt to patients' backgrounds. The study recommends Swahili communication training, standardized bilingual materials, and integration of communication skills into medical education. These findings contribute to efforts toward linguistically inclusive and culturally responsive healthcare in Tanzania. 
Morphological Productivity and Lexical Innovation in Swahili: Digital Communication and Language Transformation in Social Media Spaces Makulilo, Prisca Boniphace
Language, Technology, and Social Media Vol. 3 No. 2 (2025): December 2025 | Language, Technology, and Social Media
Publisher : WISE Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70211/ltsm.v3i2.176

Abstract

Swahili, as a major lingua franca in East Africa, is undergoing significant transformation through digital communication, particularly on social media platforms. This study explores the morphological and lexical innovations emerging in digital Swahili, with a focus on affixation, compounding, and reduplication. Employing a qualitative approach, the research draws data from 150 social media posts, interviews, and group discussions involving 15 Swahili speakers from urban and rural contexts. The findings reveal increased morphological productivity, with speakers integrating foreign lexical items into Swahili through creative adaptation. Code-mixing and hybrid expressions are also prevalent, reflecting both linguistic innovation and sociocultural identity negotiation. While these developments enhance the expressiveness of Swahili in digital settings, they raise challenges related to language standardization and intergenerational comprehension. This study offers new insights into Swahili’s adaptation to digital environments, highlighting its potential as both a technological and cultural medium. The findings inform ongoing discussions in language policy, digital literacy, and the preservation of African languages in globalized communication.
Analyzing the Impact of Verb Extensions on Semantic Role Variability in Kiha Makulilo, Prisca Boniphace
Journal of Language and Literature Vol 24, No 2 (2024): October
Publisher : Universitas Sanata Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/joll.v24i2.7959

Abstract

The research analyzes the impact of verb extensions on semantic role variability in Kiha. In doing so, the study explores how verb extensions affect the semantic roles of arguments in a sentence, spotting trends and patterns in the usage of verb extensions, and the differences in their corresponding semantic roles. Verb extensions on semantic role variability are linguistic aspects that scholars did not find particularly fascinating to research. This study is interested in examining how verb extensions affect semantic role variability. Due to their proficiency in both writing and speaking Kiha, two informants who are native speakers, aged 83 and 73, were selected for the data collection process using the qualitative approach and elicitation technique. Data is presented using the fragmentation method, and coding is applied to ensure that the study is consistent with other studies that were cited in the literature. Lexical Mapping Theory is the framework for examining the data. The study concludes that the applicative verb extension has four semantic roles: beneficiary, recipient, reason/cause, and locative. Likewise, causative verb extension has two semantic roles: causee and instrument. Reciprocal and passive verb extensions have shared participant semantic roles.