HVCs suffer from displacement, marginalization, dissolution of family protection and segregation from the community making them feel they are an economic burden thus they fall behind educationally and even socially. Female HVCs face additional challenges including commercial sexual exploitation. Child girls are actively engaged in commercial sex as a means for survival. They are victims of physical assault, rape, unwanted pregnancies, underage motherhood and lack of self-esteem trauma, rejection and death among others. According to US President’s Emergency Plan for AIDS Relief services for HVCs 6 core areas that can be used in combination with economic strengthening efforts to assist children, families and communities.