Journal Article

Contribution of a large-scale HIV prevention program on condom use by long-distance truck drivers in India: A decomposition analysis

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.