CONCLUSIONS
PWH, viral suppression
In summary, a brief, skill‐based alcohol counselling intervention offered over 3 months had no effect compared to the control condition on 24‐week viral suppression among PWH engaged in unhealthy alcohol use, despite reducing levels of unhealthy alcohol use. Our findings highlight that PWH with unhealthy alcohol use in SSA can achieve high levels of viral suppression and, with a brief alcohol intervention, can reduce alcohol use, potentially decreasing associated co‐morbidities and improving health overall.