Though it is likely that Alna, a young Sudanese refugee, contracted HIV from her husband, she refuses to inform him about her HIV status because she fears marginalization from her small community, that her husband will beat or kill her, and that she will be alienated from her children. She also refuses to admit interpreters into the room because she does not trust them to keep her HIV status confidential. She needs HAART (highly active antiretroviral therapy). But for that to be effective, we need to help her understand how important it is to adhere to the prescription regimen to keep the viral load low. And for that she needs an interpreter.