This study was conducted as an inquiry into the living conditions of children living with terminally ill parents due to HIV and AIDS. It examined possible support systems that such children can access from general communities in which they live. The study was also purposed to identify specific needs related to the fact of living with terminally ill parents due to HIV and AIDS. Both qualitative and quantitative research methods were employed in conducting the study. These included interviews, focus group discussions and questionnaires. Social workers, class teachers and parents were the main respondents in the study. The study revealed that children living with terminally ill parents suffer multidimensional effects that are social, economic and psychological. Children assume adult responsibilities at a very early stage including that of fending for the family. In an effort to meet family needs, older children resort to a host of activities in an attempt to earn money for self and family survival from temporary paid labor, sex work to rudimentary trade. In effect, children become prone to abuse, exploitation and are exposed to crime.