Monthly food box shipped to rural Alaska Native households that include traditional proteins when available (e.g., caribou, salmon) and are pro-rated in value by household size.

Households allocated to the wait list arm will receive food support as described in the intervention arm after 3 months.

A monthly box of food shipped to a household that preferentially contains traditional protein such as moose meat or salmon. Additional food items included to compliment the protein for preparing meals, such as rice or canned vegetables. The monthly value of the food box contents will be $100, $200, or $250 depending on household size (<5 people, 5-10 people, and >10 people). Food support will be provided for 3 months prior to assessing outcomes. Households will continue to receive food support in both arms (intervention and wait list) after the study ends.

Household Hunger Scale, US Agency for International Development. Participant reported 30-day look back at household food security using 9 frequency-of-occurrence questions (rarely, sometimes, or often). Responses tabulated into household hunger score (little/no, moderate, severe hunger).

Dietary Diversity Questionnaire developed by the Food and Agriculture Organization. 24-hour recall of foods consumed by the participant to inform yes/no responses to 17 categories of foods (e.g., vitamin A rich fruits, organ meats).