This paper is written primarily for individuals with strategic decision-making responsibilities for HIV/AIDS programs, in general, and for OVC programs, specifically-including USAID personnel (such as health and population officers in missions), other donors, and program managers in government and in civil society structures (such as nongovernmental organizations [NGOs] and faith-based organizations [FBOs]). The paper has four main objectives: 1) To present a summary of the global OVC situation and current policy responses; 2) To outline existing policy frameworks for responding to OVC; 3) To identify policy-level gaps in national responses to the growing crisis of OVC; and 4) To propose a country-level "OVC policy package" and recommendations for future policy dialogue and action.