Adolescent IDI

Basic Information

Punctuation Key

Symbol Represents: Indicates that the text preceding the colon identifies the speaker

-Use “I” for Interviewer and “R” for Respondent [text] Text inserted in brackets are transcriber’s notes on the speaker’s tone of voice when

important to the meaning, non-word verbal reactions such sighing, laughter, crying, and other explanatory notes to improve understanding.

[relationship to the speaker]

Signifies that the speaker used an individual’s name, and it has been replaced with the individual’s relationship to the speaker, for confidentiality reasons

“quote” [identify quoted speaker]

Signifies the speaker is relating an actual or hypothetical quote by a friend, acquaintance, or even themselves

Underline Indicates a speaker’s emphasisItalics [text] Indicates use of a local language term or phrase OR and English term or phrase when

speaking local language, followed by an explanation or attempted translation… or , Signifies a pause or break in speech[X] Inaudible or incomprehensible part on the recording[##:##:##] Time stamps, to be included approximately every 5 minutes of recording, and at the

end of the recording, in the format HH:MM:SS.

Transcript

Transcript

[Start time00:00:00.0]

I: So, we have a report of how you performed for that 3 months when you had that cap, what do you see your percentage? In that report

R: 21.54%

I: 21.54%, yes. What do you think of your performance?

R: I think it was not good.

I: It was not good, yes. What do you think is the reason why you performed so?

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R: I was a little busy with school.

I: You were a little busy with school?

R: Yeah

I: Okay, what else?

R: Apart from that…

I: Apart from school?

R: Nothing

I: Nothing. It is just school. Because if you look at this, the number of days that you’ve missed opening this thing is 14 days. So, during this time, what was happening?

R: During that time I was carrying.

I: You were?

R: I was carrying

I: You carry them as you go to school. Okay. And then what happens when you carry them as you go to school because you started at around July and then there is this day you missed, can you see the days that have a dash?

R: Yeah

I: Those are the days that you missed. How many times in a day do you take drugs?

R: Two times a day

I: So when you open that bottle like in a, you are supposed to open in the morning and then open again in the evening, so you find that in most cases you were opening… if you see a 1, those are the times you were opening the bottle. So you find that in most cases, you were opening once. Like here you opened thrice, this is a Thursday… what happened so that you opened three times on this day?

R: I can’t remember.

I: You can’t remember. But if you just look at this calendar, you’ll see that most of the time it was being opened only once, here you can say that you opened twice. So, you were taking the drugs like, was it in the morning or in the evening that the medication was being taken?

R: When I open it once in the morning, I also take out the medicine for evening time.

I: Oooh when you take the morning medicine, you take also everything including for evening?

R: Yeah

I: So that was why you were opening once?

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R: Yeah.

I: Why were you doing that?

R: I was taking it to school.

I: And how would you carry it after taking it out of the bottle?

R: There is this paper bag that we are given

I: Oooh, you are given a paper bag to carry them in.

R: Yeah.

I: That is so nice. So, you interview ID is, we will not call you by name, so you ID is 013. So this is interview 013. Even when you want to, even when we’re sharing a story and you want to mention somebody’s name, you don’t say their name the way it is for purposes of confidentiality. Which language are you comfortable with? English,

R: English

I: Luo, Kiswahili

R: Also

I: So we can mix?

R: Yeah

I: Okay. First I would like you to tell me, you mentioned school was a challenge with you adherence. What other challenge did you have? Apart from school.

R: Apart from school…

I: Yeah apart from school. Can you see how I’m talking, I want you to talk that was… (Laugher)So, tell me apart from school which other challenge did you have? Or your fellow experience when taking medication.

R: The challenge is that sometimes you are with your friends and you’ve gone out and your time for taking drugs reaches when you are a little far away from home. So, you have to rush home. So the time will pass a little bit.

I: Where would you usually go out?

R: Maybe we’ve gone to town.

I: Just out and about.

R: Yeah.

I: Okay. So you can go out and time passes?

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R: Yeah

I: Any other challenge that adolescent have? Or maybe you have had.

R: The other challenge is taking the drugs while at school.

I: At what times do you take medicine?

R: 6am and 6pm

I: Where does 6am find you?

R: 6am finds when I’m leaving home for school.

I: So you carry and swallow in class?

R: Before I used to excuse myself and swallow but I was a little uncomfortable because sometimes the teacher is in class and you don’t want to tell them why you are going out… but I later informed the class teacher. So it is him who would come and get me out of class.

00:05:20.0

I: So you’d swallow the morning medication in class?

R: Yeah

I: What about the evening medicine?

R: There are some days that we leave a little late so sometimes I can be late or I would also just swallow at school.

I: So you would carry. You carry the one for morning and also the evening… and that is why you said you open you cap only once. What else is a challenge in regards with taking medication, maybe time?

R: Time. I don’t think.

I: There is no time, apart, when you’re on holidays, doesn’t 6 find you still asleep?

R: In the morning?

I: Yeah

R: No. I just have to get up.

I: How do you keep time?

R: I’ve a phone which I set the alarm. Yeah

I: What about in the evening?

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R: Even in the evening

I: You don’t miss the time

R: I don’t miss

I: Any other challenge that you have experienced? Maybe financial challenge… getting to the hospital on your clinic days to pick drugs

R: None

I: How do you get there?

R: It is close

I: You walk?

R: Yeah, I walk.

I: Okay. Are there fellow adolescents who are facing challenges, maybe financial challenges when it comes to getting to the hospital to take medication?

R: Yeah. Some of the come from far.

I: They come from far?

R: Yeah. Sometimes they don’t have fare

I: How far? Give an example of how far they come from?

R: There are some who come from Homa Bay and they come to Kisumu to take medication. Yeah.

I: They have a challenge with fare?

R: Fare

I: What about forgetfulness, is there a time that you just forget?

R: Forgetting to swallow?

I: Yeah.

R: I once forgot.

I: What happened?

R: I just forgot.

I: You just forgot… (Laughter) In most cases like maybe not you, maybe other adolescents, if they forget, what normally makes them forget medication?

R: Like friends

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I: Friends

R: Peers, yeah

I: Their peers. What have the peers done?

R: Maybe they have gone out, sometimes they forget the time.

I: Okay. While they are out and about?

R: Yeah.

I: Okay. Any other challenge maybe that I’ve not mentioned that you think it makes you not to adhere or not to take medication as required?

R: None

I: Okay. And when we come pill itself, [x], what challenges do you experience when it comes to the ARVs?

R: ARVs…

I: Yeah

R: Mmmh, none

I: None. What about the size?

R: The size, I used to complain but I adapted.

I: Can you talk loudly. I’m sitting in front of you but I can hardly hear you. (Laughs)

R: The size, I used to complain but I adapted later. These days I’m used to it.

I: You’re used to them. Before what was the problem?

R: Before, they appeared to be very big. I wasn’t able to swallow and sometimes I would choke so I have to take a lot of water and yet sometimes in the morning you don’t feel like taking water.

I: And any other challenge with the drug itself? What about the taste?

R: The taste?

I: Yeah

R: It is not a challenge.

I: How does it taste like?

R: Its taste… it is tasteless

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I: What about the color? Has the color ever discouraged you? I mean, you just look at the color and get discouraged.

R: (Laughter) No. It is okay.

I: And to other adolescents?

R: There are those who say that the color scares them.

I: (Laughter) The color scares them. What else do they say? Maybe not you, maybe other adolescents. What do they say about the pill, the medicine?

R: That you can’t carry it in a container, when it shakes, it attracts attention from people…

I: That if you carry it in a bag, it makes noise?

R: Yeah. So they think, I mean, they don’t want people to know but when they are carrying it, it does… and people hear.

00:10:29.0

I: Oooh, what about side effects, what do you hear them saying about the side effects of these drugs?

R: They are saying that, some say that after eating, they feeling like throwing.

I: Oooh after taking the medication?

R: Yeah

I: Okay. Any other thing you hear or you’ve experienced about this medication? About the number, the number that you swallow, how many do you take in the morning and how many do you take in the evening?

R: In the morning, I take 4 and 3 in the evening.

I: 3 in the evening. How do you feel about the number of drugs that you swallow?

R: It is a little high.

I: They are many. How many would you had wished you’d be swallowing in the morning?

R: Like 2 tablets

I: 2 tablets in the morning. What about in the evening?

R: Just two tablets

I: Two in the morning and two in the evening. What else about the drugs?

R: Nothing

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I: Is there a time that you just feel you’re healthy, I mean you just feel you are okay so that you don’t feel like swallowing?

R: No. (Laughter)

I: There is no day that you just feel health and you feel like just not taking even for 3 days?

R: We were told that we should be swallowing them on a daily basis.

I: Every day?

R: Yeah. So, I just swallow.

I: Is there a time you ever gave up, like, you were just fed up with the medicine?

R: No

I: What about at the initial stages?

R: At the initial, I was still young so, I was still young so my mother used to motivate me

I: Did you know the reason why you were taking them? When you were young

R: Before, when I was young, my mother hadn’t told me. She was just encouraging me to swallow saying that I was unwell.

I: At what point did you come to, to realize like the reason why you were taking them?

R: When I reached like class 4, we started studying about HIV and AIDS and drugs that make the virus inactive. That is when I realized.

I: You realized by yourself or your mother told you or the teacher told you or the nurse told you?

R: I realized…

I: Or you’re the one who just connected the dots?

R: Yeah

I: You’re the one who connected the dots.

R: Yeah.

I: Did you ask your mother after connecting the dots?

R: Yeah

I: Then what did your mother say?

R: She told me I [x]

I: How did you feel at that time?

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R: I didn’t feel bad because it is something that started long ago.

I: You’d been, it had been part of you?

R: Yeah

I: Okay. So far from that time until now, how do you feel about ARVs and medication in general?

R: I think they have really helped me.

I: They’ve helped you?

R: Yeah

I: Why do you say so?

R: Because I’m healthy.

I: You just feel you’re okay.

R: Yeah. Before, I used to fall ill often and I’m taken to the hospital but these days I don’t fall ill.

I: Okay. You mentioned about the challenge of time, you’ve said that you set the alarm, you said that when you go to school, you take out the drugs and put in that bag as you go to school. These other challenges that adolescents face maybe like going out with friends, what do you think can be done so that they can avoid those challenges? Like forgetting.

R: I think, you need to talk to one friend and tell them what is going on so that then they can be reminding you.

I: Reminding you.

R: Yeah

I: What else can be done to avoid forgetting? Like right now there is too much going out, is it not? (Laughter)

00:15:14.1

R: You’re supposed to limit the going out time.

I: Okay. Any other? None. And you personally, you as 013, we said your baptismal name here is 013. So you as 013, what is your motivator, where do you get your strength? The strength for adhering

R: My mom because she also takes drugs here so as she takes hers it reminds me that I’m supposed to also swallow mine.

I: You both swallow the same time?

R: No

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I: Different times… so your mum is your strength, your motivator? What else motivates you?

R: The teachings they always give us here every Sunday of the month.

I: You come here and you’re taught.

R: Only that.

I: Okay. So you have mentioned about your mum being your pillar, apart from mum, who else is motivating you in your family.

R: My brother.

I: Your brother. Is he younger or elder?

R: The elder one.

I: How does he support you?

R: Reminds me of the time

I: How else?

R: Sometimes he brings me here.

I: He brings you here?

R: Yeah

I: Okay. How else? Apart from your brother and mum, who else?

R: No one else

I: In your family it is you, your mum, you brother and who else?

R: I only live with my mum and brother.

I: Your mum and brother.

R: Yeah

I: Okay. So they know, they help you, they assist you. What about emotional support. You understand emotional support where you just want to talk to someone and share with your problems so that the stress reduces a little bit. Who do you talk to for emotional support?

R: Mostly it is my mum.

I: Okay. What about your friends? Are there any friends with whom you have shared your status?

R: No

I: what about school mates? Maybe like your desk mate?

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R: Even school mates, no!

I: Even school mates, no. You’re still not comfortable. Okay. What about your cousins?

R: Yeah, there are some cousins whom I’ve told.

I: You’ve told them. What made you share with them?

R: I think we were just taught like we should tell at least some people so that they know.

I: How’re they supporting you?

R: They motivate me to continue using the drugs.

I: Are they older than you or younger or of the same age?

R: They are older than me.

I: So it is your mum, your brother and your cousins. What about teachers in school?

R: I’ve a teacher in school, my class teacher.

I: You told them?

R: Yeah

I: How supportive was he or she? Is it a he or a she?

R: It is a he.

I: What did he say or how has he supported you?

R: He is the one who would come to class to remind me when I’m supposed to take medication.

I: So what happened in class, were you leaving the class or you just take the drugs while at your desk?

R: I go out. I go to his office.

I: You take water and everything else and go with it?

R: Water is in school, so I just take a bottle and a cap.

I: Oooh, what about if he is absent? There is a time that a teacher misses coming to school.

R: He calls the deputy.

I: He calls the deputy. So the deputy is aware?

R: Yeah.

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I: Okay. Any other support the teacher gave you apart from allowing you to go and swallow your drugs in his office?

R: When is it time to go and pick the drugs, I’ve no problem, he tells me to just go. I don’t have a problem.

I: He doesn’t deny you the permission?

R: No

I: Okay. Another support that he gives you?

R: He motivates me.

I: How does he motivate you?

R: He encourages me to continue taking the medicine, that I should take the drugs on time.

I: The way it is required?

R: Yeah

I: Okay. Any other challenge you have faced… let’s start from your family, is there a time that maybe you feel that mum is not supporting you?

R: No.

I: What about your brother?

R: They are quite okay all of them.

I: Your cousins?

R: All of them are okay

00:20:22.7

I: What about the teachers, is there a like you felt like they’re not supporting you in adherence, in medication?

R: They’ve been good.

I: Maybe not you, what about other adolescents, have you interacted with others whose families are not supported?

R: Yeah. There are some, who, the teachers, the school does not have water. Since there is no water, they can’t swallow their drugs. The teachers have also not supported them very well.

I: You don’t come with the water from home?

R: You can come with it but maybe…

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I: It gets finished or something?

R: Yeah

I: So there are some cases where the teachers are not supportive?

R: Yeah

I: What about, there are those who have shared maybe with their desk mates, have you ever heard of challenges, maybe someone has shared with a desk mate and they are not supportive of they are facing a barrier because of sharing?

R: Yeah, some, when they share with their friends, the friends go and starts sharing with others yet you told only them. So they share with others and you are not comfortable with that.

I: Okay. Any other barrier that some maybe facing maybe from the family, from the relatives, maybe from guardians?

R: No

I: And from your own experience, why have you not been comfortable sharing with maybe your friends. You have friends?

R: Yeah, I’ve friends

I: Boys or girls?

R: Both boys and girls

I: You have never shared with them?

R: No

I: What has made you not be comfortable?

R: Maybe, I don’t know, it is just because I’m not comfortable.

I: You’re not just comfortable. Okay. Any other challenges from your peers? What you hear them say about support from family, from relatives, from schools…

R: There is none

I: Nothing. Okay. What about when we come to the community? Where you stay, the community around you? Whether here or back in the village, the cultural practices, are there some which are barriers to these adolescents?

R: Yeah

I: Like which cultural practices?

R: There some who don’t believe in coming to hospital.

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I: Where do they go to? (Laugher)

R: They go for prayers.

I: At Ndumba wa Ndumba?

R: I think it is only that.

I: It’s only that, so, what about these traditional herbs?

R: We were told that the drugs are not compatible with the traditional herbs but there are some who still, even when they have malaria, they go for traditional herbs and they’re also swallowing these drugs. So you find that the viral load goes up.

I: Any other traditional practices that affect adherence?

R: None

I: None. What about traditional practices like wife inheritance? You know wife inheritance?

R: Yeah

I: In a case where, there is an example, in a case where adolescent is in a family where a wife has been inherited and then there is this new father and there is no emotional support from the mother. Are there such cases? Or maybe this dad is not gentle?

R: I’ve never heard of such cases.

I: You’ve never heard of such cases. Any other thing from the community way of life that hinders adherence?

R: None

I: None. What about the positive side of the culture? There is the positive side of the culture that you’ve heard of?

R: No

I: No. Okay. When it comes to things like clinical services, when you come here at the hospital, what support do you get?

R: The motivational talks

00:25:18.1

I: Motivational talks

R: That are given, yeah.

I: You’re offered motivational talks?

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R: Yeah. There is something about adherence.

I: There is something on adherence?

R: Yeah.

I: When you go there what do they tell you?

R: They just remind you that you should keep time. Also, have good nutrition to lower your viral load. Yeah.

I: So there’re those motivational talks that you go for in the adherence room?

R: Yeah.

I: What other support do you get from the clinic as adolescents?

R: Apart from…

I: The Sunday one, what are you taught on the Sunday one?

R: The Sunday one we’re also taught

I: Is it only adolescents or you’re mixed.

R: There is a session for adolescents and also for adults.

I: Okay. So what’re you told when you go for the adolescent one?

R: It is usually about adherence

I: About adherence. Okay. Any other support from the clinic? How are these staffs when you come here on your clinic day? How do the staffs relate with you?

R: The staffs are good.

I: Why are you saying they are good yet people usually complain saying, “if you go to Russia, if you go to Russia”?

R: No, they’re quite okay.

I: How do they treat you so that’re saying they are okay?

R: They give you all the services you need. Like when you go to the clinic, they enquire if you’ve had any problems, yeah. They find out if maybe you’re seek or having any problem.

I: Any other thing that makes you very happy when you come to the clinic, okay, it makes you look forward to coming to the clinic?

R: They’re friendly

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I: They’re friendly. Okay, any other thing?

R: No

I: There is no day they have ever talked to you rudely?

R: No

I: What about waiting time?

R: Waiting time, sometimes you’ve to wait for long because there are many people.

I: What time do you get there?

R: I usually arrive here at 8

I: And then how long does it take to be served so that you can leave?

R: The longest I’ve ever waited is 4 hours but some other times I take 2 hours

I: So within 2 hours you’ll have been served and left?

R: Yeah

I: Any other thing about the clinic that you’d like to share? How you are treated at the clinic?

R: None

I: Is there any other time you’d have wished to transfer so that you can go to another clinic?

R: To another clinic… no

I: You’re comfortable with the clinic?

R: Yeah

I: What about other adolescents? That was you… (Laughter) What do you hear others saying about the clinic when you come to the children’s club? You do share?

R: Yeah. Those who come from far would love to get transfer and get a hospital that is close to home.

I: For those that come from far?

R: Yeah

I: Any other thing that you think other adolescent would like to experience?

R: None

I: Okay. What about back home in the community, do you have, you have the children’s club at the hospital?

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R: Yeah

I: Back at home, are the small groups for teenagers or adolescents where you come together and share, not probably on HIV but just on matters affecting adolescent?

R: There is none

I: There are no groups.

R: Yeah

I: Okay. What about religion? How does religion affect adherence?

R: I don’t see how it affects.

I: Prayers and adherence. Mum has never told you to stop taking drugs and only start going to the pastor for prayers? (Laughter)

R: No

I: Or are there some adolescents who have been taken to the pastor, maybe not you, by their caregivers or their parents have taken them to a preacher?

R: I’ve heard of one who abandons medication, they come from prayers and then abandon drugs saying that…

I: They’ve been healed

R: Yeah.

I: Then what happens to them?

R: Then later on they become sick

00:30:20.1

I: So there are cases where people prefer prayers?

R: Yeah

I: Any other case that you’ve heard of?

R: No other

I: Okay. But is there a time that you get prayers or religion encouraging adherence?

R: Yeah

I: Like which cases?

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R: Like us in the mosque sometimes the imam encourages people to go to the hospital when they’ve a problem. They shouldn’t stay at home

I: They should not stay at home, they should look at health from the hospital?

R: Yeah

I: Okay. Any other encouragement? You have groups in your religion that supports youths or adolescents?

R: No

I: Any other factor that you think religion encourages adherence?

R: Apart from that, there is none.

I: What about stigma? How does stigma affect adherence?

R: Stigma… when you feel that you’re stigmatized, you’re not comfortable taking medication where people are. Sometimes you have to wait until you’re free alone and then you find that your scheduled time passes

I: Okay. Any other way that stigma influences adherence?

R: None

I: None. What about social class, social class like some feel they are up there and some feel they’re down…Any ideas?

R: None

I: And when it comes to government facilities or government systems, with government system, we’re talking about those infrastructure that the government provides like the health system, the education system we’ve already talked about and maybe economic system influence adherence of not only adolescents but any other person but I’m specifically talking about adolescents. When you look at something like the political situation, how does that affect adherence or the adolescent?

R: I don’t know.

I: When you look at it in terms of peace, in terms of good will…

R: I don’t know

I: What about in terms of health system, has the government not provided hospitals?

R: Yeah

I: So which action by the government do you think helps the children or adolescents in taking medication?

R: They’ve provided the drugs, the drugs are for free.

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I: The drugs are free, that is one. What else do you see the government doing, maybe it is not doing so well but it is trying?

R: Creating awareness

I: Creating awareness in what way?

R: Like the adverts on TV

I: The adverts on TV. Any other thing that you can applaud the government for having tried?

R: Apart from that, there is none.

I: There is none, what about availing of healthcare workers? Or the process of, or the process of testing and counseling for HIV, how have they done?

R: They’ve helped

I: When you come here are there enough doctors or maybe there is one doctor who wants to see say 50 people?

R: The doctors are enough

I: They are enough?

R: Yeah

I: Okay. Any other thing that the government has tried?

R: No other thing.

I: No other thing, what about the economic situation as it is now? When you compare the economic situation with adherence, what can you say?

R: Pass

I: What about availability of food?

R: Right now?

I: Yeah

R: I can say food is not, it is not enough.

I: How does not having enough food affect adherence?

R: Like when you have, I mean, if your nutrition is not proper, that won’t be okay with medication.

00:35:47.0

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I: Any other thing that you think the economic situation or the food situation is affecting adherence for adolescents?

R: [x]

I: That’s all?

R: Yeah, that is all.

I: And we mentioned some barriers like we mentioned for school, for family, for government. Starting with school, if it were you, you as 013, if you’re told to make a policy or make a recommendation on the way forward for kids who are in school, you have been in school and seen the challenges there?

R: Yeah

I: If you’re told to propose an idea of how to make things better, what can you say, what can you propose?

R: I can propose that like the health facility should engage the teachers, they should tell the teachers that there…

I: Talk loudly.

R: They should tell the teachers that there are adolescents that are taking medication and they should be given easy time.

I: They are supposed to give them easy time, yes?

R: Yeah

I: To the teachers, yeah?

R: Yeah

I: Any other recommendation you can advise the school system, the education system?

R: They should ensure there is water in school

I: They should ensure there is water in school?

R: Yeah

I: So that they can have it for swallowing?

R: Yeah

I: What else? What other suggestion can you give?

R: They should give the adolescents motivational talks

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I: Motivational talks…

R: Yeah

I: Even from school, yeah?

R: Yeah

I: That is good. Any other?

R: That is all

I: That’s all. What about those adolescents facing stigma from class mates or from friends, if you were to, to interact with them, if you were to give your opinion, what would you say? What can you recommend?

R: Like they should form some youth groups and just talk about themselves, how they feel and the solutions to their problems like the, those who are stigmatizing others are supposed to be advised against that.

I: They should form a youth group to inform themselves?

R: Yeah

I: Any other suggestion that you can give, maybe to friends, like when you go out you’re worried people will see you, what can be done about that? In terms of awareness… none?

R: Yeah

I: What about family? There are adolescents whose families are not supportive?

R: Yeah

I: What can be told, what can be said to these families or what can be done with these families?

R: Also the families should be told the, should be told about stigma and the effects of stigma, yeah. They should be taught.

I: They should be taught… okay and what would you like to see from the government? What can the government do better? Like what should they continue doing or what they should do better?

R: More doctors should be added. The drugs, yeah, the drugs shouldn’t be charged for, they should be free.

I: They should be free… any other thing you would like to see from the government?

R: No any other thing

I: No any other thing… okay. If I come to you now. Imagine I’m a 16 year old, I’m a 16 year old girl, I’m having a problem with adherence and I’ve been brought to you, what can you tell me?

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R: I can teach you how you can adhere like keeping time, you’re supposed to have reminders like 2 or more. If you’ve an alarm, you’re also need to tell someone to remind you.

I: Apart from having a phone, at least some other person?

R: Yeah.

I: Any other thing that you can tell me if I came to you?

R: I can only motivate you

I: Can you try motivating me… assume I’m a 16 year old and I’ve a big challenge with adherence… (Laughter) 013 motivate me

R: I mean I just tell you to continue taking the drugs and that it is not only you who is taking drugs, that there are others who are taking the medication apart from you, yeah.

I: Any other motivation that you can offer me?

R: That is all

I: That is all… okay, okay. Do you have anything you can add before we close? I have asked you a lot of question?

R: Yeah

I: Can you also ask me a question on adherence? (Laughter)

R: I don’t have any question

I: You don’t have a question…

R: Yeah

I: Would you like us to contact you again for a similar discussion another time?

R: Okay

I: We’re grateful. We have come to the end of this discussion. Thanks so much.

ENDTIME 00:41:57.4

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