Evidence map›Paper›PMID 41467698›Full record

Trial reportAIDS (London, England)2026

Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.

Pamela M Murnane, Elizabeth A Bukusi, Phelgona Otieno, Edward A Frongillo, Rachel L Burger, Elly Weke, Pauline Wekesa, Annie McDonough, Lisa M Butler, Sheri D Weiser and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2026. 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

11 authors.

Pamela M MurnaneDepartment of Epidemiology and Biostatistics.
Elizabeth A BukusiDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, CA, USA.
Phelgona OtienoCenter for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, University of South Carolina, SC.
Rachel L BurgerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, CA, USA.
Elly WekeCenter for Microbiology Research, Kenya Medical Research Institute.
Pauline WekesaCenter for Microbiology Research, Kenya Medical Research Institute.
Annie McDonoughSchool of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lisa M ButlerDepartment of Public Health Services, Queen's University, Kingston, Ontario, Canada.
Sheri D WeiserDepartment of Medicine, University of California San Francisco, CA, USA.
Craig R CohenInstitute for Global Health Sciences.

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
Sustainable Development for Improved HIV Health and Prevention in Kenya (SD4H-Kenya)D43TW011306 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BUKUSI, ELIZABETH ANNE, COHEN, CRAIG R · 2020 to 2024
$1.9M
Implementing a risk score to facilitate enhanced adherence support for pregnant and postpartum women at risk of viremiaK01MH119910 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MURNANE, PAMELA MAE · 2019 to 2023
$922k
FIC NIH HHS D43 TW011306NIMH NIH HHS K01 MH119910NIMH NIH HHS R01 MH107330
6 · The paper itself

Abstract

objectivesWe examined whether effects of an agricultural livelihood intervention on food insecurity and psychosocial outcomes remained robust in pregnant compared to nonpregnant women living with HIV, and whether potentially negative associations between pregnancy and these outcomes were alleviated by the intervention.

designSecondary analysis of the Shamba Maisha cluster-randomized controlled trial ( N  = 396 women; NCT02815579). The intervention included agribusiness training and supplies.

methodsFood insecure women with HIV in Kenya were followed for 24 months between 2016 and 2019. Food insecurity, empowerment, social support, depression, HIV stigma, and intimate partner violence were collected at all visits. We estimated the effect of the intervention on trends for each outcome via mixed-effects regression, separately for women who did and did not become pregnant during follow-up, and whether trends differed by pregnancy status, separately by arm and adjusted for demographic factors.

resultsIn comparison to controls, the intervention was associated with a greater decline in food insecurity among women who became pregnant (3.35 points, 95% confidence interval (CI): -5.63, -1.06) and who did not become pregnant (3.43 points, 95% CI: -4.34, -2.52). Effects on psychosocial outcomes were also comparable in pregnant and nonpregnant women. Having an incident pregnancy was associated with disempowerment among controls (difference in trend -0.22, 95% CI -0.44, -0.00) but not in the intervention arm.

conclusionsWe observed comparable benefits of an agricultural livelihood intervention on food security and psychosocial outcomes regardless of pregnancy status. Agricultural livelihood interventions may hold promise for improving pregnancy outcomes through improved maternal food security.

Indexed as

AgricultureFood InsecurityHIV InfectionsPregnancy Complications, InfectiousAdolescentAdultDepressionFemaleHumansKenyaPregnancySocial StigmaSocial SupportYoung Adultempowermentfood insecurityHIVKenyamental healthpregnancy

Identifiers

PMID41467698
PMCPMC12970629

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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.