[1][2] Co-founded by Leigh Blake and Alicia Keys, the organization aims to "realize the end of AIDS for children and families, by combating the physical, social and economic impacts of HIV.

"[3] Keep a Child Alive organizes the annual fundraiser gala The Black Ball, established in 2004, where celebrities and philanthropists gather to support and raise awareness for the cause.

[4] KCA cofounder and President Leigh Blake was first inspired to start the initiative in 2003 after an encounter at the AIDS Research and Family Care Clinic, which she helped fund, in Mombasa, Kenya.

A woman named Anne brought her three-year-old son Brine for medical care, refusing to leave until she received the "drugs that you have in America for your children".

She discovered first-hand the extensive impact of the AIDS epidemic years later when she visited South Africa, a trip that was the impetus to co-founding Keep a Child Alive.

[13] "Spirit of a Child" is the brainchild of Patrick O'Neill and Nikki Weinstein and features the children of Agape Orphanage paired with such celebrities as Kanye West, David Byrne, Lorraine Bracco, Lenny Kravitz, Cynthia Nixon, Nas, John Legend and others.

[citation needed] I Am AfricanThe I Am African campaign stirred up controversy with its appropriation of tribal markings and face-paint worn by noted celebrities like Gisele Bündchen, Gwyneth Paltrow, David Bowie, Sarah Jessica Parker, and Sting.

[14] Photographed by Michael Thompson, the ads initially appeared in a fashion supplement to Condé Nast magazines in September and has since received both positive and negative attention in the press, blogs, and among other social activists.

The campaign features celebrities including Katie Holmes, Kim Kardashian, Usher, Ryan Seacrest, Alicia Keys, Jaden and Willow Smith, Swizz Beatz, Serena Williams, creative produced by GK Reid.

[citation needed] KCA maintains that the reason it is able to give such a large percentage of monthly donations is because it relies on larger contributions from foundations, corporations, and major individual donors to support management and administrative costs.