South Africa’s AIDS epidemic has orphaned over one million children. Since 2006, McKinsey has worked closely with Ikageng, one of the largest organisations supporting orphans and vulnerable children, to provide financial support, operational assistance, and social programs. McKinsey has counseled Ikageng’s founder and board; designed and implemented operational improvements; and helped with financial controls, budgeting, and information management. Our consultants have volunteered their time to lead initiatives including a football club and a mentorship program for teenage girls.