Evidence map›Paper›PMID 40372058›Full record

Trial reportAIDS (London, England)2025

Effect of a climate-smart intervention on agriculture and nutrition of people with HIV.

Tammy M Nicastro, Adrienne Rain Mocello, Elly Weke, Elizabeth A Bukusi, Edward A Frongillo, Craig R Cohen, Sheri D Weiser, Suneetha Kadiyala, Helen A Harris-Fry

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in AIDS (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02815579 (Agricultural Intervention for Food Security and HIV Health Outcomes in Kenya), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02815579 nacompletednot on this map

Agricultural Intervention for Food Security and HIV Health Outcomes in Kenya

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2019Enrolled746ConditionsHIVArmsShamba Maisha Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tammy M NicastroInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, California, USA.
Adrienne Rain MocelloInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, California, USA.
Elly WekeCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Elizabeth A BukusiCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Edward A FrongilloArnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Craig R CohenInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, California, USA.
Sheri D WeiserInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, California, USA.
Suneetha KadiyalaDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Helen A Harris-FryDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UK.

Funding

Agricultural intervention for food security and HIV healthoutcomes in KenyaR01MH107330 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, WEISER, SHERI DAWN · 2015 to 2019
$4.7M
NIMH NIH HHS R01 MH107330Wellcome Trust
6 · The paper itself

Abstract

objectiveTo evaluate impacts of Shamba Maisha , a climate-smart agriculture intervention, on agricultural and nutrition outcomes of people with HIV.

designSecondary analysis of a parallel, nonblinded cluster-randomized controlled trial.

settingWestern Kenya.

participantsClusters were clinics providing HIV services to more than 350 patients. Participants were adults aged 18-60 years in a patient support group, receiving antiretroviral therapy for at least 6 months, with access to land and water source, and moderate-to-severe food insecurity and/or BMI less than 18.5 kg/m 2 .

interventionA market-rate loan (175 USD) for irrigation pump and agricultural inputs, and a series of training sessions on climate-smart agriculture and financial management. Trial registration: NCT02815579. OUTCOMES: Primary outcomes: dietary diversity (count of food groups/day) and crop diversity (count of crops/year). Secondary outcomes: low mid-upper arm circumference (MUAC <24.5 cm), value of agricultural production (1000 KSH/year), farmland use (hectares). Outcomes were assessed at 0, 6, 12, 18, and 24 months. Analyses were by intention-to-treat.

resultsBetween June 2016 and December 2017, 16 clinics were randomly allocated to intervention or control (1 : 1 ratio). Seven hundred and twenty participants were enrolled (366 intervention; 354 control), and 677 participants evaluated (344 intervention; 333 control). Relative to control, the intervention increased crop diversity {mean difference-in-difference: 1.9 [95% confidence interval (CI) 1.52, 2.32]} and value of agriculture production [3.9 (0.05, 7.73)], and reduced farmland use [-0.9 (-1.34, -0.42)]. There was no effect on diet diversity [-0.2 (-0.37, 0.03)] or MUAC (OR 0.76 [0.39, 1.45]).

conclusionClimate-smart agriculture interventions can improve agricultural outcomes but may benefit from additional nutrition-sensitivity to improve nutrition.

Indexed as

AgricultureDietHIV InfectionsNutritional StatusAdolescentAdultFemaleHumansKenyaMaleMiddle AgedYoung AdultagriculturedietHIVKenyalivelihoods

Identifiers

PMID40372058
PMCPMC12324949

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.