How to Take Your HIV Medicine Khmer

===1. Today we will talk about tablets called anti-retro virals (or ARVs ).===
[translation needed here]
===2. These tablets are a treatment for people who have HIV.===
[translation needed here]
===3. Not everyone who has HIV needs to take ARVs.===
[translation needed here]
===4. Now it’s time to answer a question! Try to answer by pressing the buttons on the controller. You can hear any question again by pressing the middle button.===
[translation needed here]
===5. Does everyone with HIV need treatment with ARVs?===
[translation needed here]
===6. Press the up arrow if you think Yes,===
[translation needed here]
===7. Or press the down arrow if you think No===
[translation needed here]
===8. Press a button now.===
[translation needed here]
===9. That’s right, not everyone who has HIV needs to start taking ARVs.===
[translation needed here]
===10. In our blood there are small parts that protect us. We call these parts CD4 cells. These CD4 cells are important. They protect our bodies and help to keep us healthy.===
[translation needed here]
===11. The HIV virus attacks these protective CD4 cells.===
[translation needed here]
===12. Health workers can measure how many CD4 cells you have in your blood by doing a CD4 test. If you have below 200 cells you need to start taking ARVs.===
[translation needed here]
===13. If the CD4 test is not available, you can ask a health worker to look at your body. They will look at you carefully and decide about your treatment. They will say if you should start taking ARVs.===
[translation needed here]
===14. When you start on ARV treatment you must continue this for THE REST OF YOUR LIFE.===
[translation needed here]
===15. You must not stop taking ARVs because you can’t afford to travel to the health centre. Always make sure you have enough tablets.===
[translation needed here]
===16. Now here are some more questions for you:===
[translation needed here]
===17. How do you know if you need to start taking ARVs?===
[translation needed here]
===18. Your health worker will do a blood test,===
[translation needed here]
===19. Or your friend will tell you?===
[translation needed here]
===20. Press a button now.===
[translation needed here]
===21. Yes! Your health worker will tell you if you need to start taking ARVs. They will do a blood test or look carefully at your body.===
[translation needed here]
===22. How long should you continue taking ARVs after you have started?===
[translation needed here]
===23. For the rest of your life,===
[translation needed here]
===24. Or until you finish your packet of tablets?===
[translation needed here]
===25. Press a button now.===
[translation needed here]
===26. Yes, that’s right. You must take ARVs for the rest of your life.===
[translation needed here]
===27. Now we will learn how the ARV treatment works.===
[translation needed here]
===28. ARVs kill the HIV virus in your blood and allow the CD4 cells to increase again.===
[translation needed here]
===29. If you stop taking the ARVs, the HIV will come back. When the HIV comes back it may have changed, so the ARVs do not work so well when you start taking them again.===
[translation needed here]
===30. This may happen even if you miss taking your ARVs for only one day.===
[translation needed here]
===31. Now it’s time for another question. Are you ready?===
[translation needed here]
===32. Is HIV cured by taking the ARV treatment?===
[translation needed here]
===33. Yes,===
[translation needed here]
===34. Or no?===
[translation needed here]
===35. Press a button now.===
[translation needed here]
===36. Well done, that is the most important thing to learn from this lesson. ARVs do not cure HIV so you must continue to take ARVs for the rest of your life.===
[translation needed here]
===37. Find a friend or member of your family who will remind you to take your ARV tablets every day. This is very helpful.===
[translation needed here]
===38. If you forget to take a tablet you must take it as soon as you remember. Then you must continue to take the tablets as usual. Try not to forget any more tablets!===
[translation needed here]
===39. What should you do if you forget to take an ARV tablet?===
[translation needed here]
===40. You should stop taking the tablets,===
[translation needed here]
===41. Or you should take a tablet as soon as you remember?===
[translation needed here]
===42. Press a button now.===
[translation needed here]
===43. That’s correct! Take the tablet as soon as you remember and try not to forget again. It’s good to have someone to remind you to take your tablets every day.===
[translation needed here]
===44. Now we will learn a bit more about ARV treatment.===
[translation needed here]
===45. Most people will get a combination tablet. ===
[translation needed here]
===46. This is a tablet that has three different drugs all in one tablet. You usually take one of these tablets in the morning and one at night.===
[translation needed here]
===47. It is very important with ARVs that you have at least three different drugs as three drugs are much better than one.===
[translation needed here]
===48. Often the treatment is different at the beginning and for the first two weeks, to allow your body time to adjust to these different drugs.===
[translation needed here]
===49. Listen carefully when your health worker starts your treatment. You may need to take more than one tablet and you may need to take the tablets at different times of day.===
[translation needed here]
===50. If you have no problems it will be changed to one tablet in the morning and one at night after the first two weeks.===
[translation needed here]
===51. There are several types of ARVs and the health worker at your clinic may recommend a different type for you.===
[translation needed here]
===52. Always listen carefully to what the health workers at the clinic tell you.===
[translation needed here]
===53. To make sure you understand how to take your medicine repeat the instructions to someone before you leave the clinic.===
[translation needed here]
===54. Now try a few more questions to see if you understand how to take ARVs.===
[translation needed here]
===55. Should everyone on ARVs take one tablet twice a day?===
[translation needed here]
===56. Yes,===
[translation needed here]
===57. Or no?===
[translation needed here]
===58. Press a button now.===
[translation needed here]
===59. That was a difficult question! Well done! The answer is no. Many people will have one tablet twice a day, but your health worker may recommend different ARVs. ===
[translation needed here]
===60. Who should you ask for advice on how to take your ARVs?===
[translation needed here]
===61. A friend,===
[translation needed here]
===62. Or the health workers at the clinic?===
[translation needed here]
===63. Press a button now.===
[translation needed here]
===64. Correct! The health workers at your local clinic will tell you how to take the ARVs. Show that you understand how to take your medicine. To do this, repeat the instructions to someone before you leave the clinic.===
[translation needed here]
===65. Never take traditional medicine or tribal medicine with ARVs. Traditional medicines may stop the ARVs working.===
[translation needed here]
===66. If you have other tablets from the health centre, check that it is OK to take them with your ARVs.===
[translation needed here]
===67. Never share your ARVs with other members of your family or friends. ===
[translation needed here]
===68. You may think that someone in your family needs treatment for HIV. Encourage them to go to the clinic for an HIV test. Then they will get their own treatment if they need it.===
[translation needed here]
===69. Can you take traditional medicines at the same time as ARVs?===
[translation needed here]
===70. Yes, you can take ARVs and traditional medicines together,===
[translation needed here]
===71. Or no, you cannot take ARVs with traditional medicine?===
[translation needed here]
===72. Press a button now.===
[translation needed here]
===73. Correct. You must not take ARVs with any other medicine, unless your health worker agrees.===
[translation needed here]
===74. If a friend, a member of your family or your child has HIV, can you share your medicine with them?===
[translation needed here]
===75. Yes,===
[translation needed here]
===76. Or no?===
[translation needed here]
===77. Press a button now,===
[translation needed here]
===78. Correct. You must never share medicine with other people. If you share your medicine, you will not have enough tablets for yourself. If you miss taking tablets, the ARVs will not work so well. We have just learned this.===
[translation needed here]
===79. Let’s continue. ARVs are very safe drugs, but it is possible that you may develop a bad reaction to one of them.===
[translation needed here]
===80. You may get skin rashes or vomiting. Your legs may feel numb or tingle.===
[translation needed here]
===81. You may get these problems or other health problems when you start to take ARVs. If you get any of these problems, go to your local health clinic immediately. Do not wait for your next appointment.===
[translation needed here]
===82. Your health worker may need to change your ARV medicine.===
[translation needed here]
===83. If you have a treatment supporter in your community it is good to discuss together what you can do. Your treatment supporter will know how to describe your symptoms to the health worker and will help you get advice.===
[translation needed here]
===84. If you have a bad reaction to the tablets what should you do?===
[translation needed here]
===85. You should stop taking the tablets immediately,===
[translation needed here]
===86. Or you should go to the health centre?===
[translation needed here]
===87. Press a button now.===
[translation needed here]
===88. You are right. You must never stop taking ARV tablets, but it is important to get advice quickly if you have a problem. Go to your health centre or talk to your community treatment supporter immediately.===
[translation needed here]
===89. When you start taking ARVs you will usually feel better.===
[translation needed here]
===90. However there is no way to know that the treatment is working unless you have regular checks at your clinic. You should also have a CD4 test if possible. ===
[translation needed here]
===91. The health workers will then be able to change your treatment if necessary.===
[translation needed here]
===92. If you remember to take your ARVs regularly, you only need to have a CD4 test every 6 months.===
[translation needed here]
===93. Remember that ARV treatment is for the rest of your life.===
[translation needed here]
===94. Now here are the last few questions for you!===
[translation needed here]
===95. How do you know your tablets are still working well?===
[translation needed here]
===96. Because you feel really well,===
[translation needed here]
===97. Or you need to have a CD4 blood test to check if they are working? ===
[translation needed here]
===98. Press a button now.===
[translation needed here]
===99. That’s right, regular CD4 checks are very important.===
[translation needed here]
===100. How long do you need to continue taking ARVs?===
[translation needed here]
===101. For the rest of your life,===
[translation needed here]
===102. Or for about 3 years?===
[translation needed here]
===103. Press a button now.===
[translation needed here]
===104. Well done! That is the most important thing in this lesson. You must take ARVs for life!===
[translation needed here]
===105. This lady has HIV. She has been taking ARVs for several years. She has never forgotten to take her medicine.===
[translation needed here]
===106. She has a normal CD4 count.===
[translation needed here]
===107. Here she is telling other people about ARVs.===
[translation needed here]
===108. She is also teaching about the types of food to eat. It is important to eat healthy foods when you take ARVs.===
[translation needed here]
===109. Remember that the most important thing is to take ARVs for life.===
[translation needed here]
===110. Once you start ARV treatment you must continue to take the tablets for the rest of your life.===
[translation needed here]
===111. That was the wrong answer. Let’s go back and listen again.===
[translation needed here]
===112. Sorry! Wrong answer.===
[translation needed here]
===113. Hello. The title of this lesson is “How to Take Your HIV Medicine”. To begin, press the arrow pointing to the right. After you have finished this lesson the arrow pointing down will take you to the quiz. To listen again press the middle button.===
[translation needed here]
===114. You have now finished the lesson. Well done! Now press the arrow pointing down to play the quiz and try to win a gold star!===
[translation needed here]
===115. Correct! ===
[translation needed here]
===116. ‘How to Take Your HIV Medicine’.===
[translation needed here]