As the Sub-Saharan African sub-continent continues to grapple with the challenges posed by upsurges in orphanhood, a number of studies have attempted to document how best the response initiatives needs to be crafted to systematically meet the needs of the OVCs. This monograph attempts to contribute to the body of literature on understanding community OVC care. Basing mainly on qualitative evidence from Kenya and Uganda, the study addresses the challenges and complexities that many ingenious community OVC care institutions are grappling with in providing an array of care and support services to the OVCs. It argues that an appropriate informed synergistic response in tandem with local aspirations has the potential to greatly stem the impact of the orphaning crisis in Uganda and Kenya. The analysis of the findings provides vital information and prospects regarding the de- institutionalization of OVC support and response services in the sub-continent. This monograph will prove an invaluable reading masterpiece to OVC development practitioners and analyst as well as students in the social science domain interested in OVC community care.