Food and livelihood insecurity is an insidious and long-term consequence of HIV, affecting the health, productivity, and assets of families affected by the disease. One intervention implemented to address this complex problem is the Urban Gardens Program for HIV-Affected Women and Children (UGP) in Ethiopia. The program targeted beneficiaries in 23 urban centers across Ethiopia using school gardens and community group gardens. FANTA reviewed the program to assess its acceptability and ownership, evaluate outcomes, and identify options for transitioning and sustaining the program’s successful activities.