Background
There is an increasing wealth of research highlighting the positive effect of community engagement on public health efforts [Community-led distribution of HIV self-testing has been shown to be a particularly effective approach for increasing access to testing and onward treatment [Previous literature on the effect of social cohesion on HIV outcomes has not always been consistent, this paper seeks to understand the relationship focusing on a community level measure of cohesion. In addition, there has been minimal literature on the role of community cohesion on the effectiveness of interventions delivered at the community level. Using data from a cluster randomised trial this paper seeks to address both the effect of community measures on HIV outcomes, and whether this association is stronger in the community-led arm compared to the community-based arm.