IntroductionrnAccording to 2016 global HIV statistics, in 2016, globally there are an estimated 36.7rnmillion people living with HIV of which 25. 5 million are in subâ€Saharan Africa and 1.8rnmillion are children .In Ethiopia, by 2017, there are estimated 722,248 people living withrnthe virus of which 57,132 are children up to the age of 14 years according to the Ethiopianrnpublic health institute. Survival of perinatally infected children into adolescence andrnbeyond made disclosure a major challenge for caregivers and healthcare professionalsrnproviding service to HIVâ€infected children. Although disclosure is associated withrnimproved adherence to HAART and attendance to follow up clinics, there are significantrnnumbers of children and adolescents who are receiving treatment without being fullyrninformed about their HIV status because many health care workers fear that disclosurernmay create distress for the child.rnObjectivesrnThe objective of this research was to assess the practices, perspectives and barriers ofrnpediatric HIV disclosure among health care workers in Addis Ababa health facilities,rnEthiopiarnMethodologyrnA quantitative cross sectional study design was conducted at health facilities taking carernof pediatric HIV patients (both adult and pediatric ART clinics) in Addis Ababa, Ethiopiarnfrom June 1, 2017 to July 30, 2017. A structured, standardized and pretested questionnairernwas used to asses 138 HCWs during the study period. Data was collected by trained nursesrnthrough selfâ€administration. Collected data was edited, coded, entered and analyzedrnusing Statistical package for social science (SPSS) version 20. The results were presentedrnwith percentages, frequency tables and figures. Bivariate analysis was done to test thernassociation between pediatric HIV status disclosure by HCPs and different factors of thernhealth care workers. To identify the independent predictors of disclosure to children byrnHCPs, we did multivariable logistic regression.rnResultsrnA total of 138 HCPs included in the study the majority 96(69.6%) were females and nursesrnaccount more than half of the participants 75 (54.3%).More than half of the health carernworkers 76 (55.1%) had work experience of 5 to 10 years. Though most of HCPsrn134(97.1%) believed children will benefit if they are disclosed, more than one third (36.2%)rnof them have not ever disclosed a child. Training on pediatric HIV disclosurern[AOR=6.264; 95%CI: 1.978â€19.841, p value =0.001] and availability of guidelines forrn3rndisclosure [AOR =8.350; 95%CI: 1.737â€40.126, p value =0.001] independently increased thernodds of HIV positive status disclosure to children by HCPs.rnConclusion and RecommendationsrnUnavailability of guidelines at the health facilities and lack of training on pediatric HIVrndisclosure for HCPs have been found healthcare providers constraints in the process ofrndisclosure.rnImproved training and availability of guidelines on pediatric HIV disclosure wouldrnalleviate the discrepancies that exist among healthcare providers on this issue.