AIDS is the leading cause of death in South Africa, leaving many children orphaned who are then vulnerable to HIV infection, violence, and malnutrition. The Starfish Greathearts Foundation was started in 2001 to help these orphaned children by providing for their basic needs, education, and hope. By 2008, Starfish had supported over 36,000 children, and aims to help over 100,000 children by 2010.