This is the VOA Special English Health Report.
Translators Without Borders is an American nonprofit group. It provides language services to nongovernmental organizations such as, yes, Doctors Without Borders. The group recently trained some new translators in Nairobi in how to put health information into local languages for Kenyans.
For health translators, finding the rights words is not just about language but also culture.
Muthoni Gichohi is a manager for Family Health Options Kenya, the group that organized the training. She says she has no problem expressing the names of body parts in English. But as a Kikuyu she says there are some words in her first language that may be "provocative" if she said them in public.
MUTHONI GICHOHI: "So I have got to really put it in another way that it is still delivering the same message, but the words will be different."
Trainer Paul Warambo says the same issue arises with Kenya’s national language.
PAUL WARAMBO: "Sometimes you are also forced to use euphemisms -- use a language that is more acceptable to the people. For example, in Swahili, we will not call a body part -- the vagina, for example -- we will not call it by its name. We use kitu chake --- her thing. You do not just mention it by the name, you say ’her thing.’"
PAUL WARAMBO说：“有时候你也被迫用词委婉。例如在斯瓦希里语中，有些身体部位我们不能直呼其名，例如阴道。我们用kitu chake（斯瓦希里语），意思是她的东西。你不能直接提到它的名字，你用‘她的东西’代替。”
The culture of a community will largely decide how words and expressions are translated into socially acceptable language.
In some cases, the way people in a culture think about an activity or object becomes the translated name for that activity or object.
Paul Warambo explains how the term "sexual intercourse" is commonly translated from English into Ki’Swahili.
PAUL WARAMBO: "We always say, in Ki’Swahili, ’kutenda kitendo kibaya’ -- to do something bad. So, imagine sex was associated with something bad, emanating from the African cultural context."
PAUL WARAMBO说：“ 用斯瓦希里语我们通常称其为’kutenda kitendo kibaya’，意思是干坏事。非洲的文化背景下认为性是一件坏事。”
Whether or not a community will accept or even listen to a message is especially important in health care.
Lori Thicke co-founded Translators Without Borders in nineteen ninety-three. She says, in general, a lot of development organizations have often overlooked the importance of language in changing health behavior.
LORI THICKE: "It is true that people do not think of translation. It is absolutely not on the radar, but it is so critical if you think about it, for people to get information, whether it is how to take their medication, whether it is where to find supplies in a crisis situation."
Muthoni Gichohi and her team recently opened a health information center in a Maasai community. She learned that young Maasai cannot say certain things in the presence of elders. Also, men are usually the ones who speak at public gatherings, so people might not accept a message given by a woman.