Fear and stigma continue to undermine efforts to address openly the impact of HIV/AIDS on our society. A short drive from Port Shepstone in KwaZulu-Natal, Mrs Mtimkulu, a grandmother, is single-handedly raising her grand-daughter Siyanda following the death of Siyanda's mother from an AIDS-related disease. In this audio report, Mrs Mtimkulu and Penny Gwacela, a home-based workers with the South Coast Hospice, explain the additional problem of stigma that the family face.