Early childhood development (ECD) programmes are crucial for the holistic growth of children, especially those orphaned by AIDS in Nairobi's Eastleigh. The study employed a qualitative approach involving interviews with parents, caregivers, and programme administrators to understand the impact on child development and family welfare. The findings suggest that targeted ECD programmes can mitigate the adverse effects of orphanhood on child development and family welfare. Further research should focus on scaling up these successful models and incorporating more gender-sensitive interventions to address unique challenges faced by female-headed households.