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1Ukraine: The Pluses and Minuses of Harm ReductionOkraina : Ny Lafy Tsara Sy Ratsin'ny Fampihenana Ny Fanaintainana
2How does substitution therapy change the life of people living with drug addiction?Fomba ahoana no ahafahan'ny fitsaboana fanolo manova ny fiainan'ny olona miaina amin'ny fidorohana zava-mahadomelina?
3Bloggers from the Association of Substitution Treatment Advocates of Ukraine (ASTAU) [ru] use their blogs to share their personal and firsthand life's stories.Ireo bilaogera avy amin'ny Association of Substitution Treatment Advocates of Ukraine (ASTAU) [ru] na Fikambanan'ny Mpisolovavan' ny Fitsaboana Fanolo ao Okraina, dia mampiasa ny bilaoginy hizaràna ny traikefa niainany.
4Blogger Viktoria Lintsova has been a patient of the opiate replacement therapy for three years.Ilay bilaogera Viktoria Lintsova dia nanaraka ny fitsaboana fanolo ny opium nandritra ny telo taona.
5As an activist of the ASTAU, she often represents the Association at various conferences, roundtable discussions, and on television shows where she promotes the ideas of harm reduction programs using her life story as an example of the positive effects that such program has on those on living with drug addictions.Amin'ny maha mafàna fo azy ao amin'ny y ASTAU, matetika izy no misolo tena ny fikambanana amin'ny karazana famelabelarana, adihevitra an-databatra boribory, ary seho mivantana amin'ny fahitalavitra izay hampahafatarany ny foto-kevitry ny fandaharan'asa fampihenana ny fanaintainana, amin'ny fampiasana ny tantaram-piainany ho ohatra amin'ny vokatra tsara azo avy amin'izany fandaharan'asa izany, izay natao ho an'ireo miaina miankin-doha amin'ny zava-mahadomelina.
6In her native city of Kirovohrad, Viktoria established a self-support group which helps replacement therapy patients to overcome common problems together.Any amin'ny renivohitr'i Kirovohrad, tanàna nahaterahany, i Viktoria dia nametraka vondrona mahaleo tena izay manampy ireo marary manaraka ny fitsaboana fanolo mba hiaraka hiady amin'ny olana iraisana.
7In her recent post she analyzes the pluses and minuses of her life as a patient of substitution therapy, and concludes that despite some challenges, her life has significantly changed for better.Ao amin'ny lahatsorany vao haingana dia mamakafaka ny lafiny tsara sy lafiny ratsy amin'ny fiainany, tamin'ny naha marary nanaraka ny fitsaboana fanolo azy izy, ary mamintina fa na teo aza ireo fitsapana sasany dia nisy fiovana tsara azo notsapain-tanana ny fiainany.
8She wrote [ru]:Toy izao ny nosoratany [ru]:
9When I feel angry and annoyed because I have to visit the substitution therapy site everyday, and when I envy people who live without a dependency on medication, I recall my life as a drug addict, when I did not have the substitution therapy, but instead had a drug addiction.Rehefa mahatsiaro tena ho tezitra na sorisorena aho satria tsy maintsy mamonjy ny toby fitsaboana fanolo isan'andro, sy koa rehefa mitsiriritra ireo olona izay miaina tsy miankin-doha amin'ny fanafody, dia mahatsiaro ny fiainako fony aho mpidoroka, fony aho mbola tsy nanao fitsaboana fanolo, fa mbola niankin-doha tamin'ny fihinana zava-mahadomelina.
10Every morning I had to secure a ‘good feeling' for myself, meaning to find a dose of drugs.Isa- maraina dia tsy maintsy mitady ‘fahasambarana' ho ahy manokana aho, izany hoe mitady zava-mahadomelina hatrany.
11Viktoria shared a story of how she became a drug addict and described her numerous attempts to overcome the dependency.Notantarain'i Viktoria ny fomba nahatonga azy ho niankin-doha tamin'ny zava-mahadomelina ary nanoritsoritany ireo fotoana maro nanandramany handresy ny fiankinan-doha.
12She blogged:Hoy izy nibilaogy:
13I became a ‘hostage of kef (high)' in 1994, when I tried drugs for the first time and they immediately became my ‘close friends' for many long years.Lasa ‘takalonain'ny ‘kef' (karazana zava-mahadomelina)' aho ny taona 1994, tamin'ny fotoana nanandramako zava-mahadomelina voalohany indrindra dia lasa namako akaiky avy hatrany ireny nandritra ny taona maro.
14Just in a few months I had become an addict, meaning that the opiates had become a part of the metabolism of my body (on a physical level), and only drug users could understand these terrible things that were going on in my mind… A sense of guilt, anxiety, despair, and what was the hardest was that I hated myself because of the necessity to find drugs which made me commit such acts which I am ashamed of even after many years.Tao anatin'ny volana vitsy monja dia lasa niankin-doha aho, midika fa ny ôpioma dia efa lasa ampahany amin'ny toe-batako (raha ny vatana no resahina), ary ireo mpidoroka zava-mahadomelina irery ihany no afaka mahatsapa izany zavatra mahatsiravina izany izay nandeha tao an-tsaiko……Karazana fahamelohan-tena, fikorotanana, famoizam-po, ary ny tena loza, dia nanjary nankahala ny tenako aho noho ny filàna zava-mahadomelina izay nahatonga ahy hanao fihetsika mahamenatra ahy, na dia taona maro aty aoriana aza.
15It is hard to count how many times I tried to overcome the addiction by trying not to use drugs, I went though treatment with narcology doctors and psychiatrists, I moved to a different region, and even to a different country, but my problem of drug addiction was with me all the time as a dark and scary part of me, which I hated but was not able to change.Tsy ho voatanisa hoe impiry aho no nanandrana nanohitra fiankinan-doha amin'ny fanandramana tsy hikasika zava-mahadomelina, Nandeha nanaraka fitsaboana tamin'ny dokotera mpitsabo ireo mpiankin-doha amin'ny zava-mahadomelina sy ireo mpitsabo saina aho. Nifindra tamin'ny faritra samihafa, eny fa na firenena samihafa mihitsy aza, nefa ny olako amin'ny zava-mahadomelina dia nanaraka ahy nandritra ny fotoana rehetra toy ny haizina sy tahotra eo amin'ny fiainako, izay nankahalaiko, saingy tsy voaovako.
16Every new attempt of treatment and rehabilitation ended in the same way - with failure and a return to active drug usage together with despair, self-flagellation, suffering of my loved ones, and sad loneliness of a person who finds one's self in a closed trap.Izay ezaka vaovao mitaona amin'ny fitsaboana ary famerenana mankany amin'ny fiaraha-monina dia tsy nahomby ary miafara hatrany amin'ny fampiasana zava-mahadomelina niaraka tamin'ny fahadisoam-panantenana, fampijalian-tena, ny alahelon'ireo manodidina, ny alahelo amin'ny fahatsapana ho irery sy ny fahatsapana ho voafatotra ao anaty fandrika.
17During the periods of remission, I had dreamed about only one thing - to live like this all the time, without drug injections, to look at this world and be happy, to correct the errors of my past, to renew everything that drugs destroyed. …Nandritra ny fotoanan'ny fitsaboana, zavatra iray ihany no mba nofinofiko - hiaina ny toy izao mandritra ny fotoana rehetra, tsy mandray zava-mahadomelina, hijery ny tontolo ary ho faly, hanintsy ny hadalako taloha, hanavao ny zavatra rehetra nosimbain'ny zava-mahadomelina.
18Now Viktoria has a new life and she uses every opportunity to defend the substitution therapy concept and to advocate the needs and rights of the patients.Ankehitriny i Viktoria dia manana fiainana vaovao ary manararaotra ny fotoana rehetra hanohanana ny fitsaboana ary miaro ny filàna sy ny zon'ny marary.
19She posted:Nampakatra lahatsoratra izy :
20This is my third year as a substitution therapy patient and sometimes I get really tired from daily trips to the site and limited freedom of movement (I can travel only to the cities where I have an opportunity to receive Ednok [analog of Buprenorphine], actually I can find many more ‘minuses' but the ‘plus' is obvious and it outweighs everything - I can live without injections of drugs!Taona fahateloko amin'ny maha marary tsaboina ahy ity, ary indraindray aho mahatsiaro reraka noho ny fandehanana isan'andro any amin'ny toby fitsaboana sy ny famerana ny fahafahako mihetsika ( tsy misy afa-tsy ireo tanàna nahafahako nahita Ednok [mitovy amin'ny Buprenorphine] no mba afaka nalehako), raha ny marina dia mahita ‘lafy ratsy' betsaka aho nefa mivandravandra kosa ny ‘lafy tsara' ary mandresy ny zavatra rehetra - Afaka miaina tsy mandray zava-mahadomelina aho!
21I can plan my day for tomorrow, I wake up without fear that I do not have a dose, I can walk along the streets and not be afraid of police, I can live without a lie, I do not need to hide and be afraid of everything!Afaka mandrindra ny fiainako ampitso aho, afaka mifoha tsy manahy ny tsy ho ampy dozy, afaka mandeha eny amin'ny arabe ary tsy matahotra ny polisy, afaka miaina tsy mandainga, tsy mila miafina intsony na matahotahotra ny zavatra rehetra!
22And all negative statements about the substitution therapy which the media spreads, as well as unprofessional opinions of ignorant and aggressive people and other challenges should be considered as a part of our fight for the right to live.Ary ny fanaratsiana rehetra momba ny fitsaboana fanolo izay aparitaky ny haino aman-jery, sy ny hevitra tsy matihanin'ireo olona tsy mahalala sy mahay vava sy mahery setra ary ireo fisedrana hafa dia tokony heverina ho ampahany amin'ny ady ataonay hànana zo hiaina.
23For the right of receiving the treatment in the format which would be convenient and effective for us.Ho an'ny zo hahazo ny fitsaboana izay mety sy mahomby ho anay.
24For the right of choice…Ho an'ny zo hisafidy….