Determining Contribution of Intensive HIV/AIDS Prevention Programme Effects among Long Distance Truck Drivers in Terms of Safe Sex Practices with Paid Female Partners Using Decomposing Analysis

Objective: To appraise the contribution of intensive programme among Long Distance Truck Drivers in terms of safe sex practices with paid female partners.Methods: The key variable -exposure to HIV prevention interventions was divided into three categories - less exposure, moderate exposure and intensive exposure. IBBA Truckers data were analyzed using multiple logistic regression methods to understand the relationship between program exposure and consistent condom use practices. Significant factors were further analyzed using decomposition method to examine the contribution of different components of that factor towards the total increase in consistent condom use over time.Results: There was significant increase in consistent condom use with paid female partners among long distance truck drivers from round1 to round2.Truckers, exposed to intensive intervention programmes 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 total increase in consistent condom use practices with paid partners, truckers who were exposed to Avahan programme contributed 58%. Conclusions: This study results highlight the ability of intensive program to reach truckers who have sex outside marriage with HIV prevention interventions and promote safe sex behaviour among them.