Outputs and cost of HIV prevention programmes for truck drivers in Andhra Pradesh, India
Outputs and cost of HIV prevention programmes for truck drivers in Andhra Pradesh, India
复制标题
DOI：
10.1186/1472-6963-9-82
复制
发表时间：
2009-05-21
影响因子：
2.8
通讯作者：
Dandona, Lalit
中科院分区：
文献类型：
--
作者：
Kumar, S. G. Prem;Dandona, Rakhi;Dandona, Lalit
背景：卡车司机艾滋病毒预防规划是艾滋病毒控制工作的一部分，但关于在印度提供此类服务的产出和成本的系统数据并不容易获得，用于进一步规划和利用资源。方法：采用标准化方法，从2005-2006财政年度的书面记录和访谈中收集了印度安得拉邦六个抽样的卡车司机艾滋病毒预防规划的详细成本和产出数据。计算了这些方案的总经济成本，并使用回归分析评估了每个卡车司机的单位服务成本与方案规模的关系。结果：6个项目共为120436名货车司机提供服务，其中长途货车司机占55.9%。向一名卡车司机提供服务的年度经济成本因方案而异，从1.52美元到4.56美元不等（平均2.49美元）。服务一名卡车司机的单位经济成本与方案规模成反比关系（R-2 = 0.63; p = 0.061）。方案工作人员与卡车司机的平均接触次数在方案之间的差异为1.3次，而与同伴教育者的接触次数为5.8次。只有1.7%的卡车司机接受了咨询和艾滋病毒检测。结论：这些数据为进一步规划卡车司机艾滋病毒预防规划和估计这些规划所需的资源提供了信息。研究结果表明，需要加强同伴教育者的作用，并增加卡车司机接受艾滋病毒检测的转诊。
Background: HIV prevention programmes for truck drivers form part of the HIV control efforts, but systematic data on the outputs and cost of providing such services in India are not readily available for further planning and use of resources.Methods: Detailed cost and output data were collected from written records and interviews for 2005-2006 fiscal year using standardized methods at six sampled HIV prevention programmes for truck drivers in the Indian state of Andhra Pradesh. The total economic cost for these programmes was computed and the relation of unit cost of services per truck driver with programme scale was assessed using regression analysis.Results: A total of 120,436 truck drivers were provided services by the six programmes of which 55.9% were long distance truck drivers. The annual economic cost of providing services to a truck driver varied between programmes from US$ 1.52 to 4.56 (mean US$ 2.49). There was an inverse relation between unit economic cost of serving a truck driver and scale of the programme (R-2 = 0.63; p = 0.061). The variation between programmes in the average number of contacts made by the programme staff with truck drivers was 1.3 times versus 5.8 times for contacts by peer educators. Only 1.7% of the truck drivers were referred by the programmes for counseling and HIV testing.Conclusion: These data provide information for further planning of HIV prevention programmes for truck drivers and estimating the resources needed for such programmes. The findings suggest the need to strengthen the role of peer educators and increase referral of truck drivers for HIV testing.