This study investigated correlation and regression analyses designed to asses the respective relationships between the Household Food Insecurity Access Scale/ Prevalence (HFIAS/ HFIAP) as a measure of food access, the Household Dietary Diversity Score, the Months of Adequate Household Food Provisioning (MAHFP) as a measure of food stability and (i) gender, (ii) education level, (iii) household income and (iv) agricultural strategies of households in North Sumatra province. Cross-sectional survey was conducted in Tobasa and Samosir Regency and its purpose was (1) to assess the food security status of rural households (N = 192), (2) to identify the influence of selected factors on their food security condition and (3) to deliver outcomes which might play an important role in establishing appropriate policies and intervention strategy to prevent and reduce food insecurity. Due to the proven applicability in many studies, Food and Nutrition Technical Assitance’s method was implemented for the comprehensive household food security analysis. The findings showed that 51.6% (n = 99) households were considered as moderately or severely food insecure, 18.8% of the sample as mildly food insecure (n = 36) and less than a third (n = 57) of households was food secure. Further analysis investigated the correlation between household food security status and selected variables. The results higlighted the role of rural education, agriculture extension services, creation of employment opportunities and improved dietary diversity in reducing household food insecurity.