This document describes a project in Lesotho that used keyhole gardens to improve food and nutrition security for orphans and HIV/AIDS-affected children. Keyhole gardens are low-cost, low-maintenance raised bed gardens that provide high yields of vegetables year-round. The project trained communities to build and maintain keyhole gardens, complemented with livestock, hygiene and food processing interventions. An evaluation found that keyhole gardens increased household food availability and dietary diversity and the intervention strengthened social networks. The experience demonstrates how low-cost home gardening approaches can successfully address food insecurity when implemented through community participation and capacity building.