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Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model

Authors Sharma V, Saggurti N, Bharat S

Received 25 October 2014

Accepted for publication 1 December 2014

Published 23 March 2015 Volume 2015:7 Pages 83—94

DOI https://doi.org/10.2147/HIV.S76416

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Shenghan Lai


Varun Sharma,1 Niranjan Saggurti,2 Shalini Bharat1

1School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India; 2HIV AIDS Program, Population Council, New Delhi, India

Abstract: Long-distance truckers (LDTDs) are vulnerable to human immunodeficiency virus infection and other sexually transmitted infections due to the nature of their work, working environment, and frequent mobility. This paper examines and comments on the health care coverage provisioned under “Kavach” Project. Data from the Integrated Behavioural and Biological Survey, National Highway gathered from 2,066 LDTDs in Round 1 and 2,085 LDTDs in Round 2, who traveled in four extreme road corridors travelled by LDTDs in India, were used for analysis. Analysis reveals that service capacity in terms of socially marketed condoms per thousand LDTDs has increased from Round 1 to Round 2 (4,430 to 6,876, respectively). Accessibility coverage in terms of knowledge about the Khushi clinic has significantly decreased between Rounds 1 and 2 (60.9% to 54.6%; P<0.001). Acceptability coverage has increased between the two rounds (13.8% to 50.6%; P<0.001). Contact coverage has also increased between the rounds (12.7% to 22.3%; P<0.001). Effectiveness coverage for preventive and curative care has also increased significantly. This paper comments on the gaps in accessibility and acceptability of health care coverage and emphasizes the need for further studies to assess the contextual factors that influence the effectiveness and efficiency of interventions designed to address access barriers and to identify what combination of interventions may generate the best possible outcome.

Keywords: HIV, long-distance truck drivers, mobility, national highways, Tanahashi framework, India

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