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

Varun Sharma,1 Niranjan Saggurti,2 Shalini Bharat11School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India; 2HIV AIDS Program, Population Council, New Delhi, IndiaAbstract: Long-distance truckers (LDTDs) are vulnerable to human immunodeficiency virus infection and other s...

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Autores principales:	Sharma V, Saggurti N, Bharat S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/673ecf394ff74c37b5e24a1421e6974f
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spelling	oai:doaj.org-article:673ecf394ff74c37b5e24a1421e6974f2021-12-02T04:16:46ZHealth care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model1179-1373https://doaj.org/article/673ecf394ff74c37b5e24a1421e6974f2015-03-01T00:00:00Zhttp://www.dovepress.com/health-care-coverage-among-long-distance-truckers-in-india-an-evaluati-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373 Varun Sharma,1 Niranjan Saggurti,2 Shalini Bharat11School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India; 2HIV AIDS Program, Population Council, New Delhi, IndiaAbstract: 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, IndiaSharma VSaggurti NBharat SDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2015, Iss default, Pp 83-94 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Sharma V Saggurti N Bharat S Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
description	Varun Sharma,1 Niranjan Saggurti,2 Shalini Bharat11School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India; 2HIV AIDS Program, Population Council, New Delhi, IndiaAbstract: 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
format	article
author	Sharma V Saggurti N Bharat S
author_facet	Sharma V Saggurti N Bharat S
author_sort	Sharma V
title	Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title_short	Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title_full	Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title_fullStr	Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title_full_unstemmed	Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title_sort	health care coverage among long-distance truckers in india: an evaluation based on the tanahashi model
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/673ecf394ff74c37b5e24a1421e6974f
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Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model

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