When parents give birth to an HIV-positive child, they face an incredibly difficult choice: when and
how to disclose the child’s status. Many opt to keep it secret into their teen years rather than face a
painful conversation. But this deception often backfires, undermining the child’s health and trust.

Seeing one’s own child suffer is anguishing for any parent. The temptation to shield them from the
harsh truth is understandable. But HIV is now a manageable condition rather than a death sentence.
With proper care and medication, an HIV-positive child can live a long, happy life.

Concealing their status robs them of this. Teens who don’t know they have HIV cannot take
precautions against transmission or stick to drug regimens. Finding out later in life from someone
else is far more psychologically damaging than being told compassionately by a parent. It destroys
the bonds of trust a family is built on.

Worse, parents’ motivation often comes from shame rather than protection. But there is no shame
in circumstances beyond one’s control. The stigma around HIV persists, but parents should summon
the courage to defy it for their child’s wellbeing.

Withholding this vital health information is a decision one makes for oneself, not for the child. It
prioritizes short-term avoidance of a difficult talk over a lifetime of optimal medical care. This
helplessly watching a child unknowingly endanger themselves.

Instead, parents must resolve to tell their children the truth in an age-appropriate way. With
honesty, love and support, an HIV diagnosis can be managed instead of feared. Concealing the truth
serves no one. If more parents take this courageous step, the stigma around HIV will slowly begin to
abate. But it starts with openness within families, giving children power over their health. This path
is painful but necessary.