Grandmothers are the key support structure for children in Lesotho and are essential to their survival. Many of them have lost their own children and family members to HIV/AIDS, leaving them confused, lonely and grief-stricken. Despite their own poverty, illnesses and hopelessness, grandmothers have opened their homes and hearts to Lesotho’s orphaned children, filling the role of parents and guardians. Help Lesotho’s Grandmother Support Program supports grandmothers as they grieve the loss of their children while simultaneously caring for their orphaned grandchildren. Dealing with poverty themselves, many grandmothers struggle to clothe, feed and educate these vulnerable children. By working with grandmothers, Help Lesotho has the ability to reach entire families with real support and education. The grandmothers selected for the program are identified by local chiefs in the rural villages where the program operates. Grandmothers are invited to a monthly Grandmother Day where they will build a strong support network with other grandmothers in the area. Each monthly meeting focuses on a different topic, ranging from dealing with grief and loss, teaching children about the risks of HIV/AIDS, to ways to care for sick family members and friends. Grandmothers are also supported to build a village support network that will ensure program sustainability beyond the 2-year formal program.