The USAID Health Policy Initiative, Task Order 1, conducted this comprehensive desk review, followed by a pilot country study (Pfleiderer and O. Kantai, 2010), to better understand the extent of OVC inclusion in GFATM processes. The desk review that resulted in this report reviewed documents for 261 HIV grants retrieved from the grant database on the Global Fund's web site. It did not include other kinds of Global Fund grants, including health systems strengthening (HSS) grants. Specifically, the review examined the extent to which approved country proposals, grant agreements, amended grant agreements, grant performance reports, grant score cards, disbursement requests, and, where relevant, Rolling Continuation Channel (RCC) proposals included OVC-related content. The Global Fund grants reviewed include a broad group of children defined as orphans based on country-level definitions.