LAUSR

Key Points Question Does a multisectoral, climate-adaptive, agricultural livelihood intervention improve health outcomes for individuals living with HIV and food insecurity? Findings In this cluster randomized clinical trial of 720 participants, the intervention did not lead to improvements in HIV viral suppression for adults living with HIV and receiving antiretroviral therapy. Viral suppression approached the UNAIDS goal of at least 95% in both study groups in the setting of widespread test and treatment policies launched during the study, and the intervention led to improvements of predefined secondary outcomes, including food security, mental health, self-confidence, and social support. Meaning In the setting of high-quality HIV service delivery, a multisectoral agricultural and livelihood intervention did not affect viral suppression.