Over the past decade, and coinciding with the rise in HIV/AIDS incidence, there has been a spectacular increase in the number of orphans in Malawi. Few orphans eat as many as two poor meals a day; most have few clothes, no shoes, bedding or soap. Hungry, poorly clothed children do not go to school or if they go, do not stay. Without completing at least primary school, job prospects are low. Without education or work orphans remain poor and become involve in casual sexual relationships. Orphans give birth to orphans. Those who are HIV positive give birth to those who are susceptible to HIV. Cycles of poverty, orphanhood and HIV/AIDS continue.

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