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Through its response to large-scale humanitarian needs precipitated by over a million South Sudanese refugees fleeing to Uganda throughout 2016 and 2017, World Vision has built an understanding of the needs and aspirations and gained the trust of many refugee and host communities in the region. This case study examines World Vision’s experience of adapting its programming in a refugee context to respond to the multiple needs of vulnerable children, families and communities; support them to achieve their long-term aspirations; and determine how these efforts can best foster social cohesion among and between households and communities.