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The aim of this study was to identify factors influencing access and retention in secondary schooling for orphans and other vulnerable children living in high HIV prevalence areas of Lesotho. A case study approach was used to address this aim. The findings from this study have been used to inform an intervention that seeks to increase access to learning and thereby reduce drop-out and repetition rates in secondary schools. This study and the intervention are part of a larger programme of research known as the SOFIE Project (see http://sofie.ioe.ac.uk). …