Warned that she was ill, we expected to find 50-year-old Salome Kombe in bed and ready to die. Though she is among an older demographic of HIV-infected Tanzanians, Salome is by no means retiring. Surprisingly, she walked to greet us, looking happy and strong. HIV-positive and living in a one-room shack, Salome is unemployed and struggles to care for three grandchildren; ensuring they have enough food is a daily effort. Her neighbors and family offer some support, but are equally poor.