When a developing country is struggling to meet the very basic needs of its population, it is hardly surprising that national development plans, social protection strategies and donor policies place an overwhelming emphasis on poverty reduction and the provision of basic public services such as health, education, and water and sanitation. It is precisely at these times however that people who are already vulnerable, for reasons not only associated with levels of material income but also with their fundamental human capacities, are even more at risk. This may include children (including orphans, street/working children, children at risk of abuse and neglect, children lacking appropriate care), the disabled of all ages and older people with limited capacities. Whilst poverty may be one of the drivers that leads people to require social care and support, income generation alone will not, in many cases, provide the solution to meeting the needs of people who are dependent on others for basic care or protection.