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Home | Expertise | HIV | Orphans and vulnerable children (OVC)

Orphans and vulnerable children (OVC)

HIV and AIDS and their socioeconomic effects cause significant risks and vulnerabilities for children and adolescents, including orphanhood and HIV acquisition.

In 2023, an estimated 14.1 million children under age 18 had lost one or both parents due to AIDS. In the same year, an estimated 1.4 million children ages 0–14 were living with HIV, and only 57% of them were on HIV treatment.

UNAIDS notes that although improvements in reducing new HIV infections is greatest among children, progress has stalled in recent years.

For more than two decades, FHI 360 has worked in partnership with PEPFAR, USAID and local organizations to implement community-based, family-centered and child-focused programs to support orphans and vulnerable children (OVC) in Africa and the Caribbean. In Africa, FHI 360 has implemented more than 25 OVC programs since 1997.

Two parents sit on a step surrounded by their 3 young children.
Yirga (center left) and Birhan (center right) sit with their children (left to right): Saymon, 13, Kiyana, 4, and Yemane, 6, outside their home in Mekele, Ethiopia. Birhan and Yirga are both living with HIV and were reconnected to their antiretroviral therapy following the conflict in their region. Photo credit: Genaye Eshetu for FHI 360

We provide comprehensive, family-centered services to highly vulnerable children, including infants who have been exposed to HIV, children who are living with HIV, children whose caregivers are living with HIV or are deceased due to AIDS (are orphans), and children experiencing a combination of these risk factors and their families. We use case management to improve health, education, protection and socioeconomic outcomes as well as strengthen child and family resilience.

FHI 360’s work, in collaboration with HIV clinical partners, contributes to improved access to HIV testing and improved care and treatment outcomes for children and adolescents living with HIV. Through this work, we contribute to the achievement of the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95 goals and PEPFAR’s goal of an AIDS-free generation.

Through our OVC programs, FHI 360 also supports the implementation of evidence-based interventions in high-HIV burden communities to prevent sexual violence and HIV acquisition among adolescent boys and girls who are most at risk.

FHI 360 also provides technical assistance and support to local community organizations to strengthen their technical and organizational capacity to implement care and support activities for OVC. We also help local government organizations strengthen their capacity to coordinate and lead local OVC responses.

Featured video

Mother, survivor, entrepreneur: How HIV services helped a family thrive amid crisis

Birhan, who is living with HIV, lost access to her lifesaving medicine during the war in Ethiopia’s Tigray region. An FHI 360 partner played a critical role in helping her, her husband and others regain access.
View on YouTube

Featured stories and resources

  • Story

    How a local partner ensured HIV treatment continuity amid Tigray’s war

    November 25, 2024
    man smiling in office with arms crossed.
  • Story

    Birhan’s story: Support for living with HIV during a crisis

    November 25, 2024
    Family of 5 sit with their children outside their home in Ethiopia’s Tigray region.
  • Resource

    Resource package for children and adolescents living with HIV

  • Page

    Children, adolescents and young people

Featured projects

  • Project

    USAID Caring for Vulnerable Children (CVC) activity

  • Project

    COVida – Together for Children

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FHI 360

We are a nonprofit organization that mobilizes research, resources and relationships so that people everywhere can access the opportunities they need to lead full, healthy lives.

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