All Issues >> 2016 >> Issue-7


Contribution of a Large-Scale HIV Prevention Program on Condom Use by Long-Distance Truck Drivers in India: A Decomposition Analysis

Author:Damodar Sahu, Niranjan Saggurti, Ram Manohar Mishra, Deepika Ganju, Laxmikant Chavan, Arvind Pandey

Keywords:HIV prevention, IBBS, Truckers, Highways, time location cluster

Type:Original Article

Abstract:"Background: This paper examines the impact of the HIV prevention programme among long-distance truck drivers in promoting consistent condom use with paid female partners in India. Methods: The study utilizes data from two rounds of the Integrated Biological and Behavioural Assess met along National Highways (IBBS-NH), 2007 and 2009-10. Using the time location cluster sampling approach, major transshipment locations covering the bulk of India’s transport volume along four route corridors were surveyed. Long-distance truck drivers were interviewed about their sexual behaviour, condom use practices, and exposure to HIV prevention interventions. Results: Consistent condom use with paid female partners was in-creased by 11% among long distance truck drivers from round 1 to round 2 (Total increase 11%). Truckers exposed to intensive pro-gram exposure were two times more likely to use condom consistently with paid partners (OR 2.1; 95% CI 1.4-3.1; p-value <0.0001). Out of a total increase in consistent condom use with paid partners, truckers who were exposed to the program contributed 58%. Conclusions: This study results highlight the ability of intensive programs to reach truckers who have sex outside marriage with HIV prevention interventions and promote safe sex practices among them. "