This brief outlines the major findings of a research project into livelihoods and parental planning in Southern Africa. The aim of the study was to find out how parents and other caregivers are planning and acting to secure their children’s future. The intention was to paint a broad picture of people’s livelihoods to understand their perspectives and experiences, what is affecting their families and welfare, which interventions they are benefiting from, and how they are responding. The results of qualitative household research in rural Chikwawa District in Malawi, as well as peri-urban Amajube District and urban Durban in South Africa, indicate that vulnerable people are aware of the threats to their welfare and that they have limited options to sustain their families and livelihoods, let alone provide their children with the means to achieve a stable existence.
This document offers practical guidance for programs aimed at addressing the needs of children made vulnerable by HIV/AIDS. It provides key definitions, guiding principles, and important considerations for programming decisions. The guidance clarifies PEPFAR/Emergency Plan priorities and the activities that it will fund related to orphans and vulnerable children (OVC). It builds on the principles outlined in the U.S. Five-Year Global HIV/AIDS Strategy, and extends the vision and guidance of the President’s Emergency Plan. The knowledge and evidence base underpinning this guidance continues to grow. With new experiences and learning over time, this OVC Guidance is expected to evolve. Updates will incorporate new insights, improved practices and lessons learned.

