Disclosure of HIV-Status to Children in Low- and Middle-Income Country Settings (R21)

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This Funding Opportunity Announcement (FOA) issued by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, solicits grant applications from institutions/organizations that propose exploratory and observational studies of disclosure of HIV infection status to children infected and affected by HIV infection in low-resource settings and for HIV-infected women (and other caretakers) disclosing their HIV status to their children, or both. Proposed studies may use program data, questionnaires, interviews, focus groups and other appropriate methods, to assess the predictors, barriers, perceptions, and currently used approaches to pediatric HIV disclosure in low-resource settings. Also of interest are evaluations of observed and self-reported psychological, behavioral, and medical effects in the child and family unit after disclosure for the purpose of devising disclosure intervention models that can be further evaluated and implemented in that setting. The development or adaptation of interventions to assist families in disclosing, if deemed appropriate, are also encouraged. Applications in response to this FOA may deal with disclosing to HIV-infected children their own HIV status and/or for assisting HIV-infected mother, fathers, and other caretakers in disclosing their HIV status to their children or both. In the body of this FOA, disclosure is meant to include any of these processes, and adult is meant to include any caretaker responsible for the well-being of the child(ren).

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