Speak and Write Language Series
Unit III — Community and Travel
13

Afya na Mwili

Health and the Body · Speak and Write Swahili: Foundations of Practical Communication

Chapter Objectives

By the end of this chapter, you will be able to:

  1. Name common body parts and use them in simple possessive phrases and symptom descriptions.
  2. Describe basic symptoms using kuumwa and common symptom frames.
  3. Use -weza to express ability and inability in affirmative and negative forms.
  4. Use lazima and inabidi to express necessity and obligation in controlled patterns.
  5. Make polite requests for help using naomba and other courtesy frames.
  6. Apply possessive and subject agreement to body-part nouns across the noun classes you have learned.
  7. Read a clinic sign, appointment note, or short health advisory.
  8. Write a short message describing a health problem and requesting assistance.
  9. Pronounce negative and modal verb forms clearly, with correct stress placement.

Communication Scenario

You wake up feeling unwell on the morning of an important appointment. You need to explain your symptoms to someone, ask for help finding a clinic or pharmacy, and understand the advice you receive. Whether you are in Nairobi, Dar es Salaam, or any other Swahili-speaking city, this situation requires you to speak clearly, listen carefully, and make polite requests. By the end of this chapter, you will be able to describe what hurts, ask what you should do, and follow basic advice — all in Swahili.

  1. Think about how you describe pain or illness in English. You might say "I have a headache" or "my stomach hurts." Swahili expresses these ideas differently — not always through a "have" construction. Notice the specific patterns in this chapter rather than translating word for word from English.
  2. The verb -weza (to be able to) is your key grammar tool in this chapter. It works together with another verb in the infinitive. Think about how phrases like "I cannot walk well" or "I am able to come tomorrow" depend on combining two verbs. This is a pattern you will use again and again in Swahili.
Msamiati — Vocabulary

Core Vocabulary

Sehemu za mwili — Body parts

Body-part nouns in Swahili belong to several different noun classes. Rather than introducing a new class in isolation, this chapter uses body-part vocabulary to reinforce and expand the agreement patterns you already know. Study each noun with its class label and plural — this information is essential for correct possessive and subject agreement.

Umoja (Singular)Wingi (Plural)MeaningClass note
kichwavichwahead / headsKI-VI class
usonyusoface / facesU-class sg.; N-class pl.
jichomachoeye / eyesJI-MA class
sikiomasikioear / earsJI-MA class
puapuanose / nosesN-class; same sg. and pl.
mdomomidomomouth; lip / mouths; lipsM-MI class
menomenoteeth (used as pl.; sg. jino)JI-MA class (jino/meno)
shingoshingoneck / necksN-class; same sg. and pl.
begamabegashoulder / shouldersJI-MA class
mkonomikonohand; arm / hands; armsM-MI class
kidolevidolefinger; toe / fingers; toesKI-VI class
mgongomigongoback / backsM-MI class
tumbomatumbostomach; abdomen / stomachsJI-MA class
mguumiguuleg; foot / legs; feetM-MI class
gotimagotiknee / kneesJI-MA class
moyomioyoheart / heartsM-MI class

Agreement with body-part nouns follows the class of the noun itself, not an animate pattern — body parts are not people. You will practise this distinction in the grammar section.

Dalili na maumivu — Symptoms and pain

SwahiliMeaningNote
Ninauma.I am in pain. / I hurt.General pain statement
Kichwa kinauma.My head hurts. / I have a headache.Body part as subject; KI-VI subject marker ki-
Tumbo linauma.My stomach hurts. / I have a stomachache.JI-MA subject marker li-
Mguu unauma.My leg hurts.M-MI subject marker u-
Ninaumwa na …I am suffering from …Passive-like symptom frame; na introduces the cause
Ninaumwa na homa.I have a fever. (I am suffering from fever.)Common illness frame
Nina homa.I have a fever.Simpler alternative using kuwa na
Ninajisikia vibaya.I feel bad / unwell.General expression of feeling ill
Ninajisikia vizuri.I feel well / fine.Positive health expression
Sijisikii vizuri.I do not feel well.Negative form

Magonjwa ya kawaida — Common illnesses

SwahiliMeaningClass / note
homafever; flu-like illnessN-class
maumivupain; aches (general)JI-MA pl. form used for pain; no common sg. in everyday use
kikohozia coughKI-VI class
mafuaa cold; nasal congestionJI-MA class; used in plural form
kichefuchefunauseaKI-VI class; recognition item
malariamalariaN-class; loanword
jerahawound; injuryJI-MA class
uvimbeswellingU-class; recognition item

Dawa na huduma — Remedies and care

SwahiliMeaningNote
dawamedicine; medicationN-class; same sg. and pl.
hospitalihospitalN-class; loanword
klinikiclinicN-class; loanword
duka la dawapharmacy; chemistLiterally "medicine shop"
daktaridoctorN-class; animate agreement
muuguzinurseM-WA class; animate agreement
tembetablet; pillN-class
sindanoinjection; syringeN-class
kupumzikato restInfinitive; common advice verb
kunywa maji mengito drink plenty of waterCommon advice phrase
miadiappointmentM-MI class; pl. miadi same form

Maneno ya msaada wa haraka — Emergency and assistance expressions

SwahiliMeaning
Nisaidie, tafadhali!Please help me!
Nahitaji msaada.I need help.
Naomba msaada.I am asking for / requesting help.
Piga simu daktari.Call a doctor.
Ni dharura.It is an emergency.
Tafadhali niambie …Please tell me …
Kliniki iko wapi?Where is the clinic?
Duka la dawa liko wapi?Where is the pharmacy?

Pronunciation and Spelling

Msisitizo katika vitenzi vya ukanushi na vyenye kishirikishi — Stress in negative and modal constructions

The stress rule you learned at the beginning of the course — stress falls on the second-to-last syllable — continues to apply across all verb forms, including negatives and modal constructions. However, learners often make errors here because negative forms can be longer than their affirmative counterparts, which shifts the stressed syllable.

Compare these affirmative and negative pairs and mark the stressed syllable in each:

AffirmativeStressNegativeStress
ninawezani-na-WE-zasiwezisi-WE-zi
anawezaa-na-WE-zahaweziha-WE-zi
tunawezatu-na-WE-zahatuweziha-tu-WE-zi
ninajisikiani-na-ji-si-KI-asijisikiisi-ji-si-KI-i
Sound Focus — Final vowel changes in negative forms

Notice that ninaweza ends in -a, while its negative siwezi ends in -i. This final-vowel change is a feature of present-tense negation in Swahili for many verbs. The stress stays on the same position relative to the end — second from last — so pronouncing the final syllable clearly is important for the listener to hear the correct vowel. Do not reduce the final -i to a schwa or an English-style unstressed sound. Keep it a clear, short i.

Matamshi ya maombi — Intonation in requests for help

When making a polite request or asking for help, the intonation in Swahili typically rises slightly toward the end of a yes-no question and falls at the end of a statement or command. Practise the following contrasts aloud:

Ninaweza kupata dawa? (rising — yes-no question)
Naomba dawa, tafadhali. (falling — polite request)
Kliniki iko wapi? (rising on wapi — information question)
Siwezi kutembea vizuri. (falling — statement of inability)

Kusoma lebo za dawa — Reading medicine labels and clinic notices

Medicine labels and clinic signs often contain a mixture of Swahili and internationally recognizable abbreviations or loanwords. When reading these aloud, apply standard Swahili pronunciation to all Swahili words and use context clues for any unfamiliar borrowed terms. The following common instructions appear on labels and notices:

  1. Tembe mbili mara tatu kwa siku. — Two tablets three times a day.
  2. Baada ya chakula. — After meals.
  3. Kabla ya kulala. — Before sleeping.
  4. Usichanganye na pombe. — Do not mix with alcohol. (recognition item)
  5. Hifadhi mahali pa baridi. — Store in a cool place. (recognition item)

Practise reading items 1–3 aloud three times each, paying attention to penultimate stress in multi-syllable words.

Grammar Instruction

13.1 Expressing pain and symptoms with kuumwa and symptom frames

Purpose: describe what hurts, using body parts as subjects and the kuumwa construction accurately.

Swahili has two main ways to describe pain. Understanding both — and knowing that they are not direct translations of English "I have a headache" — will prevent common errors.

Pattern 1 — Body part as subject + -uma: The body part itself is the subject of the sentence. The verb kuuma (to hurt; to ache) takes the subject marker of the body-part noun's class.

  • Kichwa kinauma. — My head hurts. / I have a headache. ki- (KI-VI subject marker) + -na- + -uma kichwa = KI-VI class; ki- is the subject marker for KI-VI singular
  • Tumbo linauma. — My stomach hurts. / I have a stomachache. li- (JI-MA subject marker) + -na- + -uma tumbo = JI-MA class; li- is the subject marker for JI-MA singular
  • Mguu unauma. — My leg hurts. u- (M-MI subject marker) + -na- + -uma mguu = M-MI class; u- is the subject marker for M-MI singular
  • Mikono inauma. — My arms hurt. / My hands hurt. i- (M-MI plural subject marker) + -na- + -uma mikono = M-MI plural; i- is the subject marker for M-MI plural
  • Macho yanauma. — My eyes hurt. ya- (JI-MA plural subject marker) + -na- + -uma macho = JI-MA plural; ya- is the subject marker for JI-MA plural
Language Note — The body part is the subject, not the person

In English you say "I have a headache" — the person (I) is the grammatical subject. In Swahili, the common symptom pattern uses the body part as the grammatical subject: Kichwa kinauma — literally "The head hurts" or "A head aches." The person's identity is usually clear from context; you can add a possessive phrase if needed: Kichwa changu kinauma — My head hurts. Do not translate "I have a headache" word for word as Nina maumivu ya kichwa — this is possible but less natural for simple everyday symptoms than the pattern above.

Pattern 2 — Ninaumwa na (I am suffering from …): This pattern places the person as subject and introduces the cause with na. It is particularly useful for illnesses that do not map neatly onto a single body part.

  • Ninaumwa na homa. — I have a fever. (I am suffering from fever.) ni- + -na- + -umw- + -a + na + homa
  • Ninaumwa na kikohozi. — I have a cough. (I am suffering from a cough.) ni- + -na- + -umw- + -a + na + kikohozi
  • Ninaumwa na maumivu ya mgongo. — I have back pain. Literally: I am suffering from back pains.

Mazoezi A — Dalili (Symptoms):

Write a Swahili symptom sentence for each situation. Use the body-part-as-subject pattern (Pattern 1) for items 1–4 and the ninaumwa na pattern (Pattern 2) for items 5–6.

  1. Your head hurts.
  2. Your stomach hurts.
  3. Both your legs hurt.
  4. Your shoulder hurts.
  5. You have a cough.
  6. You have a fever.

13.2 Expressing ability and inability with -weza

Purpose: say what you can and cannot do, using -weza with an infinitive complement.

The verb -weza (to be able to; can; to manage to) works together with a second verb in its infinitive form. The infinitive always begins with ku-. The complete pattern is:

subject marker + tense marker + -weza + infinitive (ku- + verb root)

  • Ninaweza kutembea. — I can walk. / I am able to walk. ni- + -na- + -weza + ku-tembea
  • Anaweza kuja leo. — He/she can come today. a- + -na- + -weza + ku-ja
  • Tunaweza kupumzika. — We can rest. tu- + -na- + -weza + ku-pumzika

For the negative, the negative subject marker replaces the affirmative subject marker, and the final vowel of -weza changes from -a to -i:

PersonAffirmativeNegative
Ininawezasiwezi
you (sg.)unawezahuwezi
he / sheanawezahawezi
wetunawezahatuwezi
you (pl.)mnawezahamwezi
theywanawezahawawezi
  • Siwezi kutembea vizuri. — I cannot walk well. si- (negative I) + -wezi + ku-tembea + vizuri
  • Hawezi kula. — He/she cannot eat. ha- (negative he/she) + -wezi + ku-la
  • Hatuwezi kwenda hospitali sasa. — We cannot go to the hospital now. ha-tu- (negative we) + -wezi + kw-enda + hospitali + sasa
Language Building Block
subject marker + tense marker + -weza + infinitive
Siwezi kutembea vizuri.
I cannot walk well. — si- (neg. I) + -wezi + ku-tembea + vizuri
Ninaweza kuomba msaada.
I can ask for help. — ni- + -na- + -weza + ku-omba + msaada
Hawezi kuja kesho.
He/she cannot come tomorrow. — ha- + -wezi + ku-ja + kesho

Mazoezi B — Uwezo (Ability):

Complete each sentence using the correct form of -weza — affirmative or negative — and the infinitive in parentheses.

  1. Mguu wangu unauma. _____ (I) _____ vizuri. (kutembea — negative)
  2. Daktari _____ kukusaidia. (anaweza — affirmative)
  3. Kichwa kinauma; _____ (she) _____ kazi. (kufanya — negative)
  4. Tutapumzika na _____ (we) _____ kesho. (kuja — affirmative)
  5. Je, _____ (you sg.) _____ hospitali peke yako? (kwenda — affirmative)
  6. Macho yanauma; _____ (I) _____ vizuri. (kusoma — negative)

13.3 Expressing necessity with lazima and inabidi

Purpose: say what someone must or needs to do, using lazima and inabidi in controlled productive patterns.

Two common expressions of necessity in everyday Swahili are lazima and inabidi. Both mean "it is necessary" or "must," and both are followed by a verb. In the patterns you learn here, the verb following them is either an infinitive or a present-tense form.

lazima + infinitive (or present-tense verb form):

  • Lazima upumzike. — You must rest. lazima + subjunctive-origin form; learn as a fixed pattern for now
  • Lazima aende hospitali. — He/she must go to the hospital. Learn as a fixed pattern; the form after lazima is introduced for recognition here
  • Lazima tunywe maji mengi. — We must drink plenty of water. Fixed health advice pattern — productive for this chapter

inabidi + infinitive: Inabidi is a widely used everyday alternative to lazima. It is followed directly by the infinitive and is slightly more conversational in register.

  • Inabidi kupumzika. — It is necessary to rest. / You need to rest. inabidi + ku-pumzika; the subject of the action is understood from context
  • Inabidi kwenda kliniki. — You need to go to the clinic. inabidi + kw-enda + kliniki
  • Inabidi kunywa dawa. — You need to take the medicine. (Literally: to drink medicine) inabidi + ku-nywa + dawa
Language Note — lazima and the form of the following verb

Lazima triggers a verb form derived from the subjunctive in Standard Swahili — for example, upumzike rather than unapumzika. At this stage, learn the most common patterns as fixed productive expressions: Lazima upumzike, Lazima aende, Lazima tunywe. The full subjunctive paradigm is beyond the scope of this foundations course. When in doubt about whether to use lazima or inabidi, inabidi + infinitive is a safe and natural everyday choice that does not require a subjunctive form.

Mazoezi C — Ulazima (Necessity):

Write one lazima sentence and one inabidi sentence for each situation. Use vocabulary from this chapter.

  1. A friend has a fever. Tell them what they must do.
  2. A colleague cannot walk. Tell them where they need to go.
  3. Someone is coughing badly. Give them two pieces of advice — one with lazima and one with inabidi.

13.4 Making polite requests with naomba and other frames

Purpose: ask for help, medicine, or information in a way that is courteous and natural in a health context.

You have already used naomba (I request; I ask for) in food and market contexts. In health situations, polite and clear requests are especially important. The following frames are productive at this level:

  • Naomba msaada, tafadhali. — I am asking for help, please. Most common and broadly polite request opener
  • Naomba dawa ya maumivu. — I would like some pain medicine. naomba + noun phrase; direct pharmacy request
  • Naweza kuona daktari? — Can I see a doctor? ninaweza (can I?) + infinitive; slightly less formal than naomba
  • Tafadhali niambie dawa hii inachukuliwaje. — Please tell me how to take this medicine. Recognition item; models a real pharmacy interaction
  • Ninahitaji … — I need … Direct expression of need; slightly more urgent in tone than naomba

Mazoezi D — Maombi (Requests):

Write appropriate polite request sentences for each situation below. Use naomba, naweza, or ninahitaji as indicated.

  1. You are at a pharmacy. Ask for medicine for a headache. (Use naomba.)
  2. You are at a clinic. Ask if you can see a doctor. (Use naweza.)
  3. You are in pain and need help urgently. (Use ninahitaji.)
  4. Ask where the nearest clinic is. (Use kliniki iko wapi.)

13.5 Possessive agreement with body-part nouns

Purpose: use "my," "your," and "his/her" correctly with body-part nouns across the noun classes you have learned.

Body-part possessives follow the same rule as all Swahili possessives: the possessive concord is controlled by the noun class of the body part, not by the person who possesses it. Review the concords for the classes active in this chapter:

Noun classSingular concordPlural concordExample
KI-VIch-vy-kichwa changu / vichwa vyangu
JI-MAl-y-jicho langu / macho yangu
M-MIw- (before vowel: mw-)y-mkono wangu / mikono yangu
N-class (sg.)y-z-pua yangu / pua zangu
U-class (sg.)w-(varies)uso wangu
  • Kichwa changu kinauma. — My head hurts. kichwa = KI-VI; ch- + -angu
  • Mkono wake unauma. — His/her arm hurts. mkono = M-MI sg.; w- + -ake
  • Macho yake yanauma. — His/her eyes hurt. macho = JI-MA pl.; y- + -ake
  • Miguu yangu inauma. — My legs hurt. miguu = M-MI pl.; y- + -angu; i- is the M-MI plural subject marker on the verb

Mazoezi E — Umiliki wa sehemu za mwili (Body-part possessives):

Complete each phrase with the correct possessive form. Then write a full sentence saying that the body part hurts.

  1. kichwa _____ (my) → sentence: _____
  2. mguu _____ (his/her) → sentence: _____
  3. mikono _____ (our) → sentence: _____
  4. macho _____ (your, singular) → sentence: _____
  5. sikio _____ (their) → sentence: _____
  6. mgongo _____ (my) → sentence: _____

Model Dialogue

Muktadha: Farida hajisikii vizuri asubuhi. Anakwenda kliniki na kuzungumza na muuguzi, Bwana Omondi, kabla ya kuona daktari. Kliniki iko Nairobi.

(Setting: Farida is not feeling well in the morning. She goes to a clinic and speaks with the nurse, Mr. Omondi, before seeing a doctor. The clinic is in Nairobi.)

OMONDIHabari za asubuhi. Karibu kliniki. Ninaweza kukusaidia?Good morning. Welcome to the clinic. Can I help you?
FARIDAHabari nzuri. Asante. Sijisikii vizuri leo. Naomba kuona daktari.Good, thank you. I am not feeling well today. I would like to see a doctor.
OMONDISamahani kusikia hivyo. Inakuumaje? Nini kinauma?Sorry to hear that. What is hurting you? What hurts?
FARIDAKichwa changu kinauma sana. Na ninaumwa na homa — ninajisikia moto mwilini.My head hurts a lot. And I have a fever — I feel hot in my body.
OMONDIUna kikohozi au mafua?Do you have a cough or a cold?
FARIDANdiyo, nina kikohozi kidogo. Lakini siwezi kulala vizuri kwa sababu kichwa kinauma sana.Yes, I have a slight cough. But I cannot sleep well because my head hurts a lot.
OMONDIUmekuwa na homa tangu lini?Since when have you had a fever? (recognition item)
FARIDATangu jana usiku. Nilikuwa napumzika lakini sikupona. Mguu pia unauma kidogo.Since last night. I was resting but I did not recover. My leg also hurts a little.

(Omondi anapima joto la Farida. / Omondi takes Farida's temperature.)

OMONDIJoto lako ni juu kidogo. Inabidi kukaa na kusubiri daktari. Daktari atakuona hivi karibuni. Wakati huo, naomba unywe maji mengi.Your temperature is a little high. You need to wait and see the doctor. The doctor will see you soon. In the meantime, please drink plenty of water.
FARIDAAsante sana. Daktari anaweza kuandika dawa leo?Thank you very much. Can the doctor prescribe medicine today?
OMONDINdiyo, daktari anaweza kukusaidia. Lazima kwanza akuangalie vizuri.Yes, the doctor can help you. First he/she must examine you properly. (recognition item)
FARIDASawa. Ninasubiri. Duka la dawa liko karibu na kliniki hii?Alright. I will wait. Is there a pharmacy near this clinic?
OMONDINdiyo, liko karibu — mita mia moja tu upande wa kulia.Yes, it is nearby — just about one hundred metres to the right. (recognition item)
FARIDAAsante sana kwa msaada wako.Thank you very much for your help.
OMONDIKaribu. Pole sana. Upone haraka.You are welcome. Sorry to hear it. May you recover quickly. (recognition item)

Vocabulary note: moto mwilini = hot in the body; tangu = since; kupona = to recover; pima joto = take temperature; kuandika dawa = to prescribe medicine; kuangalia = to examine; to look at; pole sana = so sorry; expression of sympathy; Upone haraka = May you recover quickly (recognition item — a common cultural expression of goodwill). Items labeled recognition items in the dialogue are not assessed productively.

Maswali ya ufahamu — Comprehension questions:

  1. Farida ana dalili ngapi? Zitaje kwa Kiswahili. (How many symptoms does Farida have? List them in Swahili.)
  2. Kwa nini Farida hawezi kulala vizuri? (Why can Farida not sleep well?)
  3. Omondi anamwambia Farida afanye nini wakati anasubiri daktari? (What does Omondi tell Farida to do while she waits for the doctor?)
  4. Find two sentences in the dialogue that use -weza. Write them out and identify whether each is affirmative or negative.
  5. What expression does Omondi use to show sympathy? Why might a learner want to know this even before they can produce it independently?

Listening

Ask your instructor, a partner, or a text-to-speech tool to read the following passages aloud, twice each. Complete the tasks below as you listen.

Mazungumzo A — Kwa daktari

"Daktari: Habari yako? Mgonjwa: Sijisikii vizuri. Tumbo linauma sana. Daktari: Una kichefuchefu? Mgonjwa: Ndiyo, kidogo. Siwezi kula chakula. Daktari: Tangu lini? Mgonjwa: Tangu jana. Daktari: Inabidi kupumzika na kunywa maji mengi. Lazima uepuke chakula kizito siku mbili. Nitakuandikia dawa. Mgonjwa: Asante daktari."

Mazungumzo B — Duka la dawa

"Mteja: Habari. Naomba dawa ya maumivu ya kichwa. Muuza dawa: Karibu. Una maumivu makubwa? Mteja: Ndiyo, kichwa kinauma sana. Siwezi kufanya kazi. Muuza dawa: Hizi ni tembe nzuri. Mbili mara tatu kwa siku, baada ya chakula. Mteja: Asante. Inabidi kwenda kliniki pia? Muuza dawa: Kama haukupona kesho, ndiyo, inabidi kwenda."

Mazungumzo C — Simu ya msaada

"A: Habari, ninahitaji msaada haraka. B: Karibu, kuna tatizo gani? A: Ndugu yangu anauma sana — mguu wake unauma na hawezi kutembea. B: Anaumwa na jeraha au maumivu? A: Inaonekana ni maumivu tu — mguu wake umevimba kidogo. B: Inabidi ampeleke hospitali au kliniki haraka. A: Sawa, tutaenda. Hospitali iko wapi karibu na mtaa wetu? B: Kuna hospitali ya serikali kilomita moja upande wa kaskazini."

Kazi A — Dalili (Mazungumzo A): Listen to Mazungumzo A. Write down (1) all symptoms mentioned and (2) all the advice the doctor gives. Use Swahili words where you can.

Kazi B — Uwezo (Mazungumzo B): Listen to Mazungumzo B. Write down every sentence containing -weza or a statement of inability. Identify whether each is affirmative or negative.

Kazi C — Ujumbe mkuu (Mazungumzo C): Listen to Mazungumzo C. Answer these questions: (1) What is the symptom described? (2) What advice is given? (3) What question does A ask about location, and what information does B provide?

Listening Script for Instructor, Partner, or Text-to-Speech Use. See Answer Key for expected responses.

Reading

Read the following texts. Look for symptom expressions, -weza forms, necessity expressions, and possessive agreement with body parts as you read.

Maandishi 1 — Ujumbe kwa mwenzako

Habari yako, Amara!

Ninatumai uko vizuri. Mimi sijisikii vizuri leo. Ninaumwa na homa na kichwa changu kinauma sana. Siwezi kufanya kazi wala kusoma. Mgongo wangu pia unauma kidogo.

Nilitembelea kliniki asubuhi. Daktari alisema inabidi kupumzika siku mbili na kunywa dawa mara tatu kwa siku. Lazima niepuke baridi. Pia inabidi kunywa maji mengi.

Kwa hiyo, siwezi kuja kwenye mkutano wetu kesho. Samahani sana. Tunaweza kukutana wiki ijayo badala yake?

Nakutakia afya njema wewe na familia yako.

Kwa heri,
Kofi

Vocabulary note: ninatumai = I hope; wala = nor / neither; nilitembelea = I visited (recognition item); kuepuka = to avoid; baridi = cold; mkutano = meeting; wiki ijayo = next week; badala yake = instead; nakutakia = I wish you (recognition item); afya njema = good health.

Maandishi 2 — Tangazo la kliniki (Clinic notice)

KLINIKI YA AFYA YA JAMII — NAIROBI

Masaa ya kazi: Jumatatu – Ijumaa, saa tatu asubuhi hadi saa kumi na mbili usiku.

Huduma tunazoitoa:

Tunatoa huduma za jumla za afya, pamoja na matibabu ya homa, maumivu, kikohozi, mafua, na majeraha madogo. Kwa dharura, tafadhali nenda hospitali kuu iliyo karibu.

Kwa wagonjwa:

Inabidi kupata nambari yako kabla ya kuona daktari. Kama una dawa za nyumbani, tafadhali zilete ili daktari aweze kuziona. Watoto wanaweza kuonana na daktari wetu wa watoto Jumatano na Ijumaa.

Simu ya dharura: Kama huwezi kuja kliniki, piga simu nambari yetu saa yoyote.

Vocabulary note: jamii = community; masaa ya kazi = working hours; huduma = services; matibabu = treatment; majeraha madogo = minor injuries; hospitali kuu = main/general hospital; nambari = number; zilete = bring them (recognition item); aweze = can (subjunctive, recognition item); saa yoyote = any time.

Maswali ya ufahamu — Comprehension questions:

  1. Kofi ana dalili ngapi katika Maandishi 1? Andika kwa Kiswahili. (How many symptoms does Kofi have in Maandishi 1? Write in Swahili.)
  2. Daktari alimwambia Kofi afanye nini? Orodhesha mambo matatu. (What did the doctor tell Kofi to do? List three things.)
  3. Kwa nini Kofi hawezi kwenda kwenye mkutano kesho? Jibu kwa sentensi kamili ya Kiswahili. (Why can Kofi not go to the meeting tomorrow? Answer in a complete Swahili sentence.)
  4. In Maandishi 2, find two sentences that use inabidi. Write them out and state in English what obligation each expresses.
  5. According to the clinic notice (Maandishi 2), when should a patient go to the main hospital rather than this clinic?

Writing Workshop

  1. Soma mfano. Reread Maandishi 1 (Ujumbe kwa mwenzako). Underline every symptom expression. Circle every form of -weza and lazima/inabidi. Identify the noun class of each body part mentioned and check the possessive concord used.
  2. Panga hali yako. Imagine you are unwell and need to write a short message to a colleague or friend explaining that you cannot meet them as planned. Note three symptoms you have (using vocabulary from this chapter), what advice you have received or need to follow, and one thing you cannot do because of your illness.
  3. Andika rasimu yako ya kwanza. Write eight to ten connected Swahili sentences. Include: at least two symptom descriptions (using both patterns from Section 13.1), at least one sentence with -weza in the negative, at least one sentence with lazima or inabidi, and a polite opening and closing appropriate to a message.
  4. Kagua kwa orodha hapa chini. Check your draft against the editing checklist below.
  5. Andika nakala safi. Produce a clean final version of 100–130 words.

Orodha ya ukaguzi — Editing checklist:

  • Symptom sentences using the body-part-as-subject pattern use the correct class subject marker on the verb (e.g., ki- for KI-VI, li- for JI-MA, u- for M-MI singular).
  • Possessive forms match the noun class of the body part, not the possessor.
  • Negative forms of -weza use -wezi (ending in -i), not -weza.
  • Sentences with inabidi are followed by an infinitive (beginning with ku-).
  • lazima patterns are used only in the fixed expressions practised in this chapter.
  • The opening and closing of the message are appropriate (e.g., Habari yako / Kwa heri).
  • All body part nouns are spelled correctly, including M-MI nouns with m-/mi- prefix.
  • Each sentence ends with a full stop and begins with a capital letter.

Kazi ya ziada — Additional task: Fill in a simple health form for the imaginary patient below. Write their symptoms, one ability they have lost, one thing they must do, and a polite request to the doctor — all in Swahili. You may invent the patient's name and age.

Speaking Practice

Mazoezi ya msingi — Controlled practice

Look at the list of body parts below. Point to each one (on a picture or on your own body) and say aloud: (1) the body part with the possessive -angu, (2) a sentence saying it hurts, and (3) a sentence saying you cannot do one activity because of it. Work through the list: kichwa, tumbo, mguu, mkono, mgongo, macho.

Example: Kichwa changu. Kichwa changu kinauma. Siwezi kusoma kwa sababu kichwa kinauma.

Mchezo wa maswali — Question game

Take turns asking and answering these questions. Give full-sentence answers in Swahili.

  1. Unajisikiaje leo?
  2. Nini kinauma kwako sasa hivi?
  3. Unaweza kufanya kazi leo?
  4. Inabidi ufanye nini ukiwa na homa?
  5. Kliniki iko wapi karibu na nyumba yako?

Mchezo wa kuigiza — Role-play

Work with a partner. One person plays a patient visiting a clinic or pharmacy; the other plays the healthcare worker. The patient must: greet appropriately, describe at least two symptoms, state one thing they cannot do, and make a polite request. The healthcare worker must: ask at least two follow-up questions, give at least two pieces of advice using lazima or inabidi, and close the conversation politely. Then swap roles.

Mbadala wa kujifunza peke yako — Solo alternative

Record yourself playing both roles of the clinic role-play above. Listen back and check: (1) Did you use the correct subject marker with each body-part noun? (2) Did negative -weza forms end in -i? (3) Did you use a polite opening and follow-up questions? Note any errors and re-record the problem sentences.

Culture and Communication

Culture in Context — Healthcare access and forms of care

Access to healthcare across East Africa varies considerably depending on location, economic circumstances, and the type of care needed. In urban centres such as Nairobi and Dar es Salaam, a range of public hospitals, private clinics, pharmacies, and community health posts are available. In rural and peri-urban areas, community health workers, local dispensaries, and pharmacies may be the primary point of contact for common illnesses.

The vocabulary in this chapter equips you to communicate in a range of healthcare settings. When interacting with medical professionals in Swahili, use respectful address — Daktari for a doctor and Muuguzi or a title for a nurse — and be as clear and specific as possible about your symptoms. Healthcare workers appreciate patients who can describe what is wrong rather than simply saying Sijisikii vizuri.

This chapter is designed for language learning and does not constitute medical advice. Use the language you learn here to communicate effectively in real situations; seek qualified medical attention for any genuine health concern.

Culture in Context — Expressing sympathy and well-wishing

When someone is unwell, Swahili speakers typically express sympathy with pole or pole sana — an expression of condolence, sympathy, or commiseration that applies to illness, pain, difficulty, or loss. It is one of the most widely used social expressions in everyday East African Swahili. A common response is asante or nashukuru.

The expression Upone haraka (May you recover quickly) or simply Pona haraka is a natural and appreciated farewell when someone is ill. Learners who use these expressions — even before they can produce them independently — signal cultural awareness and earn goodwill in real interactions.

Pole is broadly used across Tanzania, Kenya, and other East African contexts, though the precise social conventions around its use can vary slightly by region, relationship, and formality. It is safe to use in virtually any setting where someone has experienced discomfort, difficulty, or misfortune.

Regional Variation — Healthcare vocabulary

Some healthcare vocabulary varies between Tanzania and Kenya. The word dawa for medicine is universal. However, the term for a pharmacy may be duka la dawa (common in Tanzania) or simply chemist (widely understood in Kenya, borrowed from British English). Hospitali is standard in both countries. In some Kenyan contexts, kliniki may refer specifically to a smaller clinic, while larger facilities are hospitali. The terms for "nurse" — muuguzi in Standard Swahili — and common illness names like homa and mafua are consistent across both settings. Always identify the setting when regional variation matters for communication.

Common Mistakes

Common Mistake — Translating "I have a headache" word for word

Error: Nina maumivu ya kichwa as the only or default form for "I have a headache"

Correction: The most natural everyday pattern for a simple symptom is the body-part-as-subject pattern: Kichwa kinauma. This literally means "The head hurts" but is the ordinary Swahili way to say you have a headache. Nina maumivu ya kichwa (I have a headache, literally "I have pains of the head") is grammatically possible but less common for straightforward symptom descriptions. Train yourself to use the body-part pattern first.

Common Mistake — Using the wrong subject marker with a body-part noun

Error: Tumbo inaumia. (using i- instead of li- for a JI-MA singular noun)

Correction: Tumbo linauma. — The subject marker on the verb must match the noun class of the body-part noun acting as subject, not the person who feels the pain. tumbo is JI-MA class and takes li- as its singular subject marker. Similarly, kichwa kinauma (KI-VI: ki-), mguu unauma (M-MI singular: u-), and mikono inauma (M-MI plural: i-). Always identify the noun class before writing the verb.

Common Mistake — Keeping -a in the negative form of -weza

Error: Siweza kutembea. (using the affirmative final vowel -a in the negative)

Correction: Siwezi kutembea. — The negative present form of -weza ends in -i, not -a. This final-vowel change is a regular feature of present-tense negation in Standard Swahili. The full negative paradigm is: siwezi, huwezi, hawezi, hatuwezi, hamwezi, hawawezi. Memorize the negative form as a distinct set rather than constructing it mechanically from the affirmative by replacing the subject marker alone.

Common Mistake — Using inabidi without an infinitive

Error: Inabidi pumzika. (omitting the infinitive prefix ku-)

Correction: Inabidi kupumzika. — Inabidi must be followed by a complete infinitive, which in Swahili begins with ku-. The bare verb root — pumzika without ku- — is not an infinitive; it is the form used in finite verb constructions. Always attach ku- to the root when a verb follows inabidi or any expression requiring an infinitive complement.

Common Mistake — Using animate agreement with body-part nouns

Error: Kichwa changu ana maumivu. (using the animate M-WA subject marker a- because the body part belongs to a person)

Correction: Kichwa changu kina maumivu. — Body parts are not people, so they do not take animate agreement. Even though a head belongs to a person, kichwa is KI-VI class and takes ki- (singular) or vi- (plural) agreement. Animate agreement is reserved for nouns that refer to people or animals. The class of the noun itself — not its relationship to a person — controls agreement.

Common Mistake — Using lazima with a straightforward infinitive without knowing the required form

Error: Lazima kupumzika. (using a bare infinitive directly after lazima in contexts where a subject-specific form is expected)

Correction: For subject-specific necessity (you must rest, he must go), lazima requires a subjunctive-derived form: Lazima upumzike. However, if you are not yet certain which form to use, Inabidi kupumzika is a safe and natural alternative that works with the infinitive directly. At this stage, use the fixed lazima patterns taught in this chapter — Lazima upumzike, Lazima aende, Lazima tunywe — and use inabidi + infinitive when you need to express necessity with other verbs or persons.

Chapter Review

Sehemu A — Msamiati (Vocabulary)

1. Write the Swahili word for each of the following: head, stomach, arm/hand, eyes, knee, back, doctor, medicine, clinic, pharmacy.

2. Give the noun class label and plural for each of the body parts in Question 1.

3. Write in Swahili: "I have a fever." / "I feel unwell." / "I cannot sleep well." / "I need help."

4. What does pole mean and when is it used? Give one example sentence in which a Swahili speaker would say it.

5. Write the Swahili expressions for: "two tablets three times a day" / "after meals" / "store in a cool place."

Sehemu B — Sarufi (Grammar)

1. Write a symptom sentence for each body part using the body-part-as-subject pattern. Include the correct subject marker on the verb.

  • kichwa → _____
  • tumbo → _____
  • mguu → _____
  • macho → _____
  • mikono → _____

2. Complete each sentence with the correct form of -weza (affirmative or negative as indicated).

  • Ninaumwa na homa. _____ kufanya kazi. (I — negative)
  • Daktari _____ kukusaidia sasa. (he/she — affirmative)
  • Je, _____ kwenda hospitali peke yako? (you sg. — affirmative)
  • Macho yanauma; _____ kusoma vizuri. (she — negative)

3. Rewrite each sentence using inabidi + infinitive to express the same necessity.

  • Lazima upumzike.
  • Lazima aende kliniki.
  • Lazima tunywe maji mengi.

4. Complete each possessive phrase with the correct concord form. Then write a full sentence saying that body part hurts.

  • kichwa _____ (my) → sentence: _____
  • mkono _____ (his/her) → sentence: _____
  • miguu _____ (your sg.) → sentence: _____
  • tumbo _____ (our) → sentence: _____

5. Identify and correct the error in each sentence.

  • Tumbo inaumia.
  • Siweza kutembea.
  • Inabidi pumzika.
  • Kichwa changu ana maumivu.

Sehemu C — Usomaji (Reading)

1. In Maandishi 1 (Kofi's message), find and list: (a) all symptom expressions, (b) all forms of -weza, and (c) all lazima/inabidi sentences.

2. In the clinic notice (Maandishi 2), what must a patient do before seeing the doctor? Write the answer as a complete Swahili sentence.

3. In Maandishi 1, find the sentence Kichwa changu kinauma sana. Identify the noun class of kichwa, the possessive concord, and the subject marker on the verb.

Sehemu D — Uandishi (Writing)

1. Write a message of 100–130 words to an imaginary friend or colleague explaining that you are unwell and cannot keep a planned appointment. Include: at least two symptom descriptions, one use of negative -weza, one use of lazima or inabidi, and an appropriate opening and closing.

Sehemu E — Kuzungumza (Speaking)

1. Without notes, role-play a brief clinic visit with a partner or aloud to yourself. Describe two symptoms, make one request using naomba, and respond to a question about how long you have felt unwell. Your partner (or imaginary healthcare worker) should give you at least one piece of advice using inabidi.

Mapitio ya jumla — Cumulative review (from Chapters 1–12)

1. You are at a clinic in Dar es Salaam. Greet the nurse appropriately for the time of day and introduce yourself. Then explain your symptoms and make a polite request.

2. Using the present tense you learned in Chapter 7, write two sentences describing what you do every morning. Then add one sentence saying you cannot do one of those things today because of your illness (use negative -weza).

3. Point to two body parts and give their noun class, possessive form with -angu, and the correct subject marker to use with each on the verb -uma. How does this differ from the animate agreement pattern you learned for family vocabulary in Chapter 4?

Chapter Performance Task

Kazi ya Utendaji

Ziara ya Kliniki au Duka la Dawa — Clinic or Pharmacy Visit

Complete the following two-part performance task. Both parts use the vocabulary and grammar of this chapter.

  • Speaking — Role-play: With a partner, act out a visit to a clinic or pharmacy. You play the patient; your partner plays the healthcare worker or pharmacist. As the patient, you must: greet appropriately, describe at least two symptoms using both symptom patterns from Section 13.1, state one thing you cannot do because of your illness (using negative -weza), make at least one polite request using naomba, and ask where a pharmacy or clinic is located. The healthcare worker must ask at least two follow-up questions, give at least two pieces of advice using inabidi or lazima, and close the interaction politely. Then swap roles.
  • Writing — Description and request: After the role-play, write a concise description of 100–130 words in Swahili, as if you were reporting to a friend what happened. Include: what symptoms you described, what the healthcare worker said you should do, what you can and cannot do, and a question you still have about your health or treatment. Apply the editing checklist from the Writing Workshop before submitting.

If you are studying independently: record yourself playing both roles of the clinic role-play, then write the written description. In the recording, take a brief pause between each role so you can clearly hear both sides of the conversation. Review your recording for subject-marker accuracy and correct use of -weza and inabidi.

Answer Key / Ufunguo wa Majibu

Mazoezi A — Dalili (Symptoms)

  1. Kichwa kinauma. / Kichwa changu kinauma.
  2. Tumbo linauma. / Tumbo langu linauma.
  3. Miguu inauma. / Miguu yangu inauma.
  4. Bega linauma. / Bega langu linauma.
  5. Ninaumwa na kikohozi.
  6. Ninaumwa na homa. / Nina homa.

Mazoezi B — Uwezo (Ability)

  1. Siwezi kutembea vizuri.
  2. Daktari anaweza kukusaidia.
  3. Hawezi kufanya kazi.
  4. Tutaweza kuja kesho. (Note: tu-ta-weza — affirmative future; accept tunaweza kuja kesho if learners use the present form as the intended tense was present-affirmative.)
  5. Je, unaweza kwenda hospitali peke yako?
  6. Siwezi kusoma vizuri.

Mazoezi C — Ulazima (Necessity — model answers)

  1. Lazima upumzike. / Inabidi kupumzika. (Accept other natural advice sentences using chapter vocabulary.)
  2. Lazima aende hospitali. / Inabidi kwenda hospitali.
  3. Sample: Lazima upumzike. Inabidi kunywa maji mengi. (Accept any two plausible pieces of advice for a cough.)

Mazoezi D — Maombi (Requests — model answers)

  1. Naomba dawa ya maumivu ya kichwa, tafadhali.
  2. Naweza kuona daktari?
  3. Ninahitaji msaada haraka. / Ninahitaji msaada, tafadhali.
  4. Kliniki iko wapi karibu hapa?

Mazoezi E — Umiliki wa sehemu za mwili (Body-part possessives)

  1. kichwa changu → Kichwa changu kinauma.
  2. mguu wake → Mguu wake unauma.
  3. mikono yetu → Mikono yetu inauma.
  4. macho yako → Macho yako yanauma.
  5. sikio lao → Sikio lao linauma.
  6. mgongo wangu → Mgongo wangu unauma.

Dialogue Comprehension

  1. Farida ana dalili tatu: homa, maumivu ya kichwa, na kikohozi kidogo. Pia, mguu wake unauma kidogo. (Farida has three main symptoms: fever, headache, and a slight cough. Her leg also hurts a little.)
  2. Farida hawezi kulala vizuri kwa sababu kichwa kinauma sana. (Farida cannot sleep well because her head hurts a lot.)
  3. Omondi anamwambia Farida akae na kunywe maji mengi. (Omondi tells Farida to wait and drink plenty of water.)
  4. Affirmative: Daktari anaweza kukusaidia. Negative: Siwezi kulala vizuri. (Accept Siwezi kuja kwenye mkutano etc. if found.)
  5. Omondi says Pole sana (an expression of sympathy) and Upone haraka (may you recover quickly). Knowing recognition expressions like these helps learners understand natural speech and respond appropriately even before they can produce the forms independently — a key part of pragmatic competence.

Listening Responses

Kazi A (Mazungumzo A — model answers):

  • Symptoms: tumbo linauma sana; kichefuchefu (kidogo); hawezi kula.
  • Doctor's advice: kupumzika; kunywa maji mengi; kuepuka chakula kizito siku mbili; daktari ataandika dawa.

Kazi B (Mazungumzo B):

  • Kichwa kinauma sana — affirmative (not a -weza form, but a symptom; accept as inability context).
  • Siwezi kufanya kazi — negative (-weza).
  • Kama haukupona kesho — negative (-pona; recognition item).

Kazi C (Mazungumzo C):

  • Symptom: mguu unauma; hawezi kutembea; umevimba kidogo.
  • Advice: impeleke hospitali au kliniki haraka.
  • Location question: Hospitali iko wapi karibu na mtaa wetu? Answer: hospitali ya serikali kilomita moja upande wa kaskazini.

Reading Comprehension

  1. Kofi ana dalili tatu: homa, maumivu ya kichwa, na maumivu ya mgongo kidogo. (Kofi has three symptoms: fever, headache, and mild back pain.)
  2. Daktari alimwambia Kofi: kupumzika siku mbili; kunywa dawa mara tatu kwa siku; kuepuka baridi; kunywa maji mengi. (Accept any three of these four.)
  3. Kofi hawezi kwenda kwenye mkutano kesho kwa sababu yuko mgonjwa na lazima apumzike. (Kofi cannot go to the meeting tomorrow because he is ill and must rest.)
  4. Sentences with inabidi: (i) Inabidi kupumzika siku mbili — necessity to rest for two days; (ii) Inabidi kwenda hospitali (from clinic notice) — necessity to go to the main hospital for emergencies; (iii) Inabidi kupata nambari yako kabla ya kuona daktari — necessity to get a number before seeing the doctor. Accept any two.
  5. A patient should go to the main hospital (hospitali kuu) when they have an emergency (dharura) — the clinic does not handle emergencies.

Chapter Review — Sehemu B (Selected answers)

Question 1 (symptom sentences):

  • Kichwa kinauma.
  • Tumbo linauma.
  • Mguu unauma.
  • Macho yanauma.
  • Mikono inauma.

Question 2 (-weza forms):

  • Siwezi kufanya kazi.
  • Daktari anaweza kukusaidia sasa.
  • Je, unaweza kwenda hospitali peke yako?
  • Hawezi kusoma vizuri.

Question 3 (inabidi rewrite):

  • Inabidi kupumzika.
  • Inabidi kwenda kliniki.
  • Inabidi kunywa maji mengi.

Question 4 (possessives with full sentences):

  • kichwa changu → Kichwa changu kinauma.
  • mkono wake → Mkono wake unauma.
  • miguu yako → Miguu yako inauma.
  • tumbo letu → Tumbo letu linauma.

Question 5 (error correction):

  • Tumbo inaumia → Tumbo linauma. (JI-MA subject marker li-, not i-; also the standard verb form is -uma not -umia in this pattern.)
  • Siweza kutembea → Siwezi kutembea. (Negative present ends in -i.)
  • Inabidi pumzika → Inabidi kupumzika. (Infinitive prefix ku- required.)
  • Kichwa changu ana maumivu → Kichwa changu kina maumivu. (KI-VI class subject marker ki-, not animate a-.)

Looking Ahead

Unachojua sasa — What you know now

You can now name common body parts, describe symptoms using two productive Swahili patterns, express what you can and cannot do with -weza, state what is necessary with lazima and inabidi, and make polite requests appropriate to health situations. You have also expanded your agreement practice by using body-part nouns — which span several noun classes — as subjects in symptom sentences. Body-part possessives have reinforced the rule that the controlled noun's class, not the possessor's identity, determines the concord. These tools — ability, necessity, and polite requests — build directly into the vocabulary you will need for work, school, and future plans.

Sura ya 14: Kazini na Shuleni — Work and School

Chapter 14 introduces the future tense marker -ta-, purpose clauses with ili, and a broader range of infinitive complements after common verbs. You will discuss occupations, school subjects, responsibilities, and upcoming plans. The ability and necessity expressions you practised in Chapter 13 — -weza, lazima, and inabidi — return in Chapter 14 in contrast with future planning, giving you a richer set of tools for describing what you can do, must do, and will do.