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

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” Proje...

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Autores principales: Sharma, Varun, Saggurti, Niranjan, Bharat, Shalini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376185/
https://www.ncbi.nlm.nih.gov/pubmed/25848319
http://dx.doi.org/10.2147/HIV.S76416
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author Sharma, Varun
Saggurti, Niranjan
Bharat, Shalini
author_facet Sharma, Varun
Saggurti, Niranjan
Bharat, Shalini
author_sort Sharma, Varun
collection PubMed
description 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.
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spelling pubmed-43761852015-04-06 Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model Sharma, Varun Saggurti, Niranjan Bharat, Shalini HIV AIDS (Auckl) Original Research 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. Dove Medical Press 2015-03-23 /pmc/articles/PMC4376185/ /pubmed/25848319 http://dx.doi.org/10.2147/HIV.S76416 Text en © 2015 Sharma et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Sharma, Varun
Saggurti, Niranjan
Bharat, Shalini
Health care coverage among long-distance truckers in India: an evaluation based on the Tanahashi model
title 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_short 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
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376185/
https://www.ncbi.nlm.nih.gov/pubmed/25848319
http://dx.doi.org/10.2147/HIV.S76416
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