Summary This paper explores households’ coping strategies in rural South Africa, where HIV/AIDS morbidity and mortality are having profound effects on household resources. Older women’s pensions play a potentially crucial role in multi-generational households during crises and for day-to-day subsistence. We conducted semi-structured interviews with 30 elderly women from the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) fieldsite, who were eligible for the South African non-contributory pension. Although we stratified our sample by household mortality experience, the area’s high levels of migration, unemployment, and HIV/AIDS prevalence made our respondents’ pensions an important, regular, and reliable source of household-income regardless of their households’ mortality profile.