We sought to understand the attitude of caregivers of Thai children with HIV towards HIV disclosure by having 49 caregivers complete a disclosure questionnaire. Their children's median age was 6.9 years, with 55% being male. The children were all on antiretrovirals and had a median CD4 of 20%. None of the caregivers had disclosed to their child, and 37% did not intend to. The main reason for not disclosing was fear of causing the child psychological harm. Only 17% intended to tell the truth if asked by the child. Our caregivers are unprepared, have limited understanding about disclosure and are willing to lie to the child. There is a need to support Thai children and caregivers in disclosing HIV diagnosis.

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