UC BERKELEY AUTHOR: Sandra McCoy
DATE OF PUBLICATION: October 2018
REFERENCE: Fahey CA, Njau PF, Dow WH, Kapologwe N, McCoy SI. AIDS. 2018. doi: 10.1097/QAD.0000000000002056.
SUMMARY/ABSTRACT: Food insecurity (FI) impedes antiretroviral therapy (ART) adherence. We previously demonstrated that short-term cash and food incentives increased ART possession and retention in HIV services in Tanzania. To elucidate potential pathways that led to these achievements, we examined whether incentives also improved FI. DESIGN: Three-arm randomized controlled trial. METHODS: From 2013 to 2015, 805 food-insecure adult ART initiates (≤90 days) at three clinics were randomized to receive cash or food transfers (∼$11/month for ≤6 months, conditional on visit attendance) or standard-of-care (SOC) services. We assessed changes from baseline to 6 and 12 months in: FI (severe; access; dietary diversity), nutritional status (body weight; body-mass index), and work status. Difference-in-differences average treatment effects were estimated using inverse-probability-of-