 In 1998, the recognition that there was a need to expand the basic initiative of Nyumbani Home to other locales gave birth to the Lea Toto program.This is "a community-based outreach program providing services to HIV+ children and their families in the Kangemi, Waithaka, Kawangware, Riruta, Mutuini, Ruthimitu, Kibera and Kariobangi communities of Nairobi, Kenya.