Mikakati ya Usemi Katika Uwasilishaji wa Matatizo ya Afya ya Uzazi Miongoni Mwa Wanaume Katika Kliniki ya Afya ya Uzazi, Kenya

Abstract

Reproductive health is a subject that has been studied among different groups such as women and adolescents by various researchers. These studies have explored reproductive health in various areas ranging from health to language and communication. Men are one group of people who have been shown not to seek health services fast. On communication, delivery of healthcare service depends on how communication will take place between the doctor and patient. Culture puts forth the norms of how language should be used in the context of seeking healthcare service. However. the language used by patients, especially men, while talking to the doctor as they seek reproductive health services in not documented. This study investigated a doctor patient interaction, focusing on the language used to describe reproductive health problems in a reproductive health clinic. The objectives were: to identify and explain linguistic features of men and the doctor as they talk about reproductive health problems at the hospital, to explain the dbeourse strategies chosen and used by men as they present reproductive health problems to the duet: at the hospital and evaluate the cultural trends in the conversation of men on reproductive halt a the hospital. The study was guided by Critical Discourse Analysis, the Discourse- Scnzlolrmgmstic perspective, propagated by Wodak and Reisigl. It was a qualitative study, a iseourse analysis approach. The target population were men who visited a public hospital seeking services on reproductive health. Data collection methods were ethnography of communication, participant observation and interview. Data collection tools included an obsavation schedule and voice recorder. The linguistic features of the doctor patient conversation include: specific conversation structure, history taking, question and answer. Discourse strategies used by men to report reproductive health problems were use of dysphemism, borrowing, euphemism, non-verbal, circumlocution, naming and personification. Men used dysphemis, aggression and silence as power tools against the female doctor. Culture mforms the use of dysphemism and euphemism. Culture aggravates spread of sexually transmitted infections, scoming of men with erectile dysfunction but provides a means to deal with infertility. The study makes a contribution in sociolinguistics by exploring language use in specific context. The study will enrich and make contribution to discourse analysis by testing its methods and approaches in a hitherto seldom explored area.