Confidentiality,a double-edged sword

Now, 76-year-old grandmother Ena* of Mutare, a town on the border between Zimbabwe and Mozambique, is living with HIV herself. But the burden of caring for her eight orphaned grandchildren remains entirely hers.

"Someone should have told me that my children were dying from AIDS," laments Mbuya, as grandmothers are known colloquially in this part of the world. "I could have taken precaution while I cared for them during their illness. I could have avoided exposing myself to the virus. Now, who will care for me when I eventually fall ill from AIDS? Who will care for my orphaned grandchildren when I die from this disease?"