“…In previous studies conducted among PLHIV in this region, food insecurity was widespread (Nagata et al, 2012), and up to 34% of men and 25% of women were found to be underweight (Nagata et al, 2013). A number of gendered structural drivers of HIV risk have been observed in Nyanza, including female labor migration and the exchange of fish for sex in the lake ecology (Camlin, Kwena, & Dworkin, 2013; Camlin, Kwena, Dworkin, Cohen, & Bukusi, 2014), women’s economic disempowerment and property rights violations (Dworkin et al, 2013; Lu et al, 2013), and gender-based violence (Hatcher et al, 2013; Turan et al, 2011, 2015). …”