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Assessment of targeted intervention programme under the National AIDS Control Program among men who have sex with men
Shruti Vashisht1, Nishakar Thakur1, Shashi Kant1
1Centre for Community Medicine, AIIMS, New Delhi, India.
Introduction:
The population of men who have sex with men (MSM) in India is vulnerable to HIV/AIDS. India instituted a targeted intervention (TI) programme to reduce this vulnerability. We aimed to measure the assessment of the TI programme for MSM.
Materials And Methods:
The national Integrated Biological and Behavioural Survey (IBBS) was carried out in 2014-2015. We analysed MSM data from the IBBS and used bivariate and multivariate logistic regression to calculate the unadjusted and adjusted odds ratios with 95% confidence intervals. The use of a condom during their last sexual intercourse and consistent condom use during the previous month were considered indicators of programme effectiveness. The propensity score matching method was used to assess the effectiveness of the TI programme.
Results:
The matched-samples estimate (i.e., average treatment effect on treated) for the use of condoms during their last sexual intercourse increased by 10.0% (0.10; 95% confidence interval [CI] 0.08-0.12), and consistent condom use during the previous month increased by 9.0% (0.09; 95% CI 0.07-0.10) among those who had received condoms from the peer educator/outreach worker compared with those who had not received condoms.
Conclusions:
The TI programme intervention among MSM was effective in reducing HIV risk behaviours, as evidenced by an increase in the use of condoms during their last sexual intercourse and consistent condom use during the last month.
Insights
India's targeted intervention (TI) program effectively reduced HIV risk behaviors among men who have sex with men (MSM). The program increased condom use, demonstrating its success in HIV prevention efforts.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Men who have sex with men (MSM) in India face a high risk of HIV/AIDS.
- India's targeted intervention (TI) program aims to mitigate this vulnerability.
Purpose of the Study:
- To assess the effectiveness of the TI program in reducing HIV risk behaviors among MSM in India.
Main Methods:
- Analysis of data from the 2014-2015 Integrated Biological and Behavioural Survey (IBBS) among MSM.
- Utilized logistic regression and propensity score matching to evaluate program impact.
- Key indicators included condom use during last sexual intercourse and consistent condom use in the past month.
Main Results:
- A 10.0% increase in condom use during last sexual intercourse was observed among participants receiving condoms from peer educators.
- Consistent condom use in the past month increased by 9.0% for those who received condoms through the program.
- These increases were statistically significant (95% CI).
Conclusions:
- The TI program intervention demonstrated effectiveness in reducing HIV risk behaviors among MSM.
- Increased condom usage is a key indicator of the program's success in HIV prevention.
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