Prevention Along The Highways Project


Funded By   : AIDS Prevention And Control Project, Voluntary Health Services, United States Agency for International Development.
Primary Target : Adolescents, Youth, Married men and women, High risk groups, Other organized and unorganized labourers, General Population.

The PATH Project focuses on prevention of STD/HIV/AIDS among the long-distance truckers and highway female sex workers - two of the most risk prone sects vulnerable to these diseases.

The major components used in this project include Behaviour Change Communication, STD Prevention and Control and Condom Promotion through

    • One-to-One interaction
    • One-to-Group interaction and
    • BCC events.

'Stay away from sex before marriage', Alienate from temptations', 'Adhere to discipline', 'Avoid peer pressure' and 'Be faithful to your partner' are the core messages used as an intervention strategy.

Goal

To bring down the incidence HIV/AIDS, Truckers, Allied Workers, WIP and Eunuchs at the project area in Madurai and Theni Dts.

Objectives

  • To increase the knowledge of Truckers, Allied Workers, WIP and Eunuchs regarding safe sexual practices.
  • To promote condoms among the target population.
  • To identify, refer and counsel STD cases among the target population.
  • To create an enabling environment in the target area

Target People

  • Truck Drivers
  • Cleaners
  • Petrol Bunk Employees
  • Vulcanising Employees
  • Automobile Workshop Employees
  • Load Men
  • Commerical Sex Workers (CSW’s) / Women In Prositution (WIP).
  • Associations (Truckers & Allied Workers)
  • Doctor’s Associations

Strategies

  • Behaviour Change Communication
  • STD Prevention and Control.
  • Condom promotion.
  • Enabling environment.
  • Peer Education.

 

 

Activities

  • Intervention
    • One to One
    • Meeting
  • Behaviour Change Communication
  • IEC Materials Distribution
  • Screening Films
  • Peer Group Educator Formation
  • Condom Promotion & Distribution
  • Street Play
  • STD Referral Services
  • Counselling
  • Educational Programmes
  • Group Meeting

Other activity planned

  • Social Marketing
  • Advisory Committee

 

Coverage

Cluster No. / Zone Target Group **
Male Female Total
I. Madurai to Annanji Vilakku - NH49 Extn. (72 Kms) 163437 17270 180707
II. Madurai to Kottampatti - NH45B (56 Kms) 129806 3579 133385
III. Moolakarai to Kodai Road - NH7 (40 Kms) 74141 8651 82792

** => One to One, One to Group and Repeat Visits

STI Identified        => Male – 10033; Female – 2029
Referral                 => Male – 10033; Female – 2029
Treatment             => 15187    Ref. Card. Collection => 1060

Output achieved :

S. No. Activity Cumulative Figures
1 One to One Trucker-181584, WIP - 16706
2 One to Group Trucker-190288, WIP - 12249.
3 Referred for Counseling Trucker- 12061; WIP – 4882
4 Total Counseling Trucker-11990, WIP – 2898
5 No. of PLHA identified Trucker - 108, WIP - 80
6 No. of IEC materials distributed 465200
5 STI identification Trucker - 10033, WIP - 2029.
6 VCTC referral Trucker - 11250, WIP - 2043.
7 Condom demo Trucker - 253033, WIP - 20125
8 Condom distribution  Total  = 3626285
(Free  = 1624219  + social marketing = 2002066 )

Impact of the project

  • Truckers and Helpers having non regular sex has decreased from 48% to 26.1%
  • Involvement in paid sex has also declined from 38% to 22%
  • Involvement in casual sex has decreased from 16.4% to 7.6%
  • Condom usage of the WIP with their clients in the last sexual encounter has increased to 87.5%
  • Condom usage with live-in partners has increased to 28.5%

Source : BSS – Wave VIII – APAC