“…Numerous fears on the part of caregivers and healthcare providers were cited as barriers to disclosure. These included fear the child would disclose to others [25,32,35–38,42,44,45,49,51–55,59], fear of subsequent stigma or negative effects from others knowing the diagnosis [25,32,35,37,44,47,49,51,52,54–56,59], concerns for worsening the child's emotional or physical health [25,32,36,38,41–45,47,51,53–56,59], believing the child is unready or too young [25,35–37,39,43–45,47,51–55,59], feeling unprepared for questions or the disclosure process [43,53–56] and fear of the children's resentment [25,45,53,54,56,59]. In a survey of Nigerian caregivers’ reasons for non-disclosure, caregivers reported fears of the child subsequently telling other children (41%) or family and friends (33.7%), concerns the child was too young to understand (63%), fears the parents would be blamed (26.5%) and fears of psychological disturbance for the child (31%) [45].…”