After ten years, children most affected by HIV remain almost just as vulnerable and neglected

  • least likely to be in school, have access to healthcare, receive normal meals or have their basic needs met
  • unlikely to be receiving psychosocial or other support
  • unlikely to have their births registered
  • frequently victims of property grabbing.

”As a development worker and an HIV-positive father of two young daughters, I find this report greatly alarming and heartbreaking. After ten years the children most affected by HIV are almost just as vulnerable and neglegted as when we started. We dare not turn our backs on the plight of these children. We need renewed commitment from the international community—including policy makers and governments–to assure that each one of these children have access to the basics we all take for granted.”
– Christo Greyling, director of HIV and infectious diseases, World Vision International

Released by World Vision on 7 June in the lead up to the United Nations 2011 High Level Meeting on AIDS in New York on 8-10 June 2011, the report considers measurable indicators such as school attendance, access to health care, nutrition, psychosocial support, property rights and birth registration, in Ethiopia, Mozambique, Uganda and Zambia – four of the countries worst affected by the AIDS epidemic in sub-Saharan Africa.

“Whilst commendable progress has been made, orphans and vulnerable children in many contexts still receive significantly less support than children in the same communities who are not deemed as vulnerable,” says Stuart Kean, senior HIV and AIDS policy advisor for World Vision International. “For some children the situation has worsened over the last five years, so it is imperative that governments and the international community redouble the commitments they made in 2001 and 2006 to respond to the particular needs of orphans and vulnerable children.”

World Vision is calling on governments and the international community to:

  • Prioritise policies and plans that address the vulnerabilities faced by children affected by and living with HIV
  • Make commitments to ensure that at least 15 million people are on HIV treatment by 2015 to keep more parents and carers alive
  • Support the integration of a comprehensive package of paediatric HIV treatment services into Maternal Newborn Child Health services, including the elimination of parent to child transmission
  • Encourage mechanisms for flexible funding for community based organisations to enable better utilisation of funds
  • Ensure that 80% of eligible vulnerable households have received economic support in the last three months
  • Implement national social protection policies and strengthen the capacity of national social welfare systems to ensure the care and protection of children

See the full version of World Vision’s What Difference Does a Decade Make? report to see complete report findings, country reports, and World Vision’s call to governments and all other stakeholders to take specific actions to respond.

About World Vision
World Vision is a Christian humanitarian organization dedicated to working with children, families, and their communities worldwide reach their full potential by tackling the causes of poverty and injustice. We serve the world’s poor — regardless of religion, race, ethnicity or gender. For more information on their efforts, visit

Laura Blank