Background: Periods of droughts can lead to decreased food security, and altered behaviours, potentially affecting outcomes on antiretroviral therapy (ART) among persons with HIV (PWH). We investigated whether decreased rainfall is associated with adverse outcomes among PWH on ART in Southern Africa.
Methods: Data were combined from 11 clinical cohorts of PWH in Lesotho, Malawi, Mozambique, South Africa, Zambia, and Zimbabwe, participating in the International epidemiology Databases to Evaluate AIDS Southern Africa (IeDEA-SA) collaboration.
Objective: To assess the potential bidirectional relationship between food insecurity and HIV infection in sub-Saharan Africa.
Design: Nationally representative HIV impact assessment household-based surveys.
Setting: Zambia, Eswatini, Lesotho, Uganda and Tanzania and Namibia.