This article examines the role of international non-governmental organizations (INGOs) in social welfare provision in addressing the developmental and material needs of orphans in rural China. Data from qualitative interviews with INGO representatives and state officials were combined with documentary analysis to investigate the ways in which the state and civil society respond to orphans’ needs. It was found that while INGOs are actively contributing to the social provision of orphans, in part reflecting the pluralization of welfare, there is an urgent need for the Chinese government to play a more proactive role in safeguarding the care and protection of one of China’s most vulnerable population groups.