The USAID Health Policy Initiative, Task Order 1, conducted a comprehensive desk review to better understand the nature and extent of OVC in Global Fund HIV/AIDS grants and the processes involved. The project then supported a study in Kenya to explore the country situation influencing these processes. Information for the activity came from a review of proposal and grant-related documents available through the Global Fund website and interviews with key informants in Kenya. Kenya was chosen due to its high HIV prevalence rate, OVC burden, and a succession of proposals and grants over time. The Health Policy Initiative's presence in Kenya and related OVC programming, in addition to USAID/Kenya Mission support were also determining factors for country selection. The activity sought to enrich stakeholders' understanding of OVC GFATM programming to inform and support appropriate prioritization of OVC programming in the future.