Willingness of Voluntary Counseling and Testing Among Long Distance Truck Drivers: A Window of Opportunity in Control of Retroviral Disease

Arodiwe I. O. *

Department of Paediatrics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.

Arodiwe E. B.

Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.

*Author to whom correspondence should be addressed.


Objective: To evaluate the factors influencing the practice of voluntary counselling and testing among long-distance truck drivers as it affects the spread of retroviral disease.

Design: This was a quantitative cross-sectional study conducted in the major bus terminals in Enugu State, Nigeria.  A questionnaire-based tool was used to collect data from a population of adult bus drivers.

Setting: It was conducted at the 3 main motor parks in Enugu metropolis from January 2019 – March 2020. 

Participants: 500 long-distance truck drivers aged 19-65 years.

Intervention: The knowledge and practices of the participants were assessed using a semi-structured interview guide. They were interviewed on various aspects of HIV/AIDS.

Main Outcome Measures: Knowledge and practices. On Knowledge and practice performance scale rating; < 50% is poor, 50 -75% is fair, and > 75% is good.

Results: Among the five hundred (500) long-distance truck drivers (LDTD) studied 68.0% showed a fair knowledge of HIV/AIDS. The prevalent high-risk behaviour was multiple sexual partners (73.2%). The practice of voluntary counselling and testing was poor, as (17.0%) had practised it; however, their risk perception was high at (76.0%).  Fortunately, there was also a high willingness to screen 302 (60.4%) which was significantly higher in those with a tertiary level of education (100%) and the married participants (75.8 %) (χ2=174.4, p < 0.01).

Conclusion: There was a high-risk perception in this study population with a high willingness to be tested. We hereby recommend regular screening service at the motor packs of truck drivers in Enugu State.

Keywords: HIV testing, willingness, truck drivers, Enugu

How to Cite

Arodiwe I. O., and Arodiwe E. B. 2023. “Willingness of Voluntary Counseling and Testing Among Long Distance Truck Drivers: A Window of Opportunity in Control of Retroviral Disease”. Advances in Research 24 (6):96-104. https://doi.org/10.9734/air/2023/v24i6990.


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Olugbenga-Bello AI, Amusan OA, Oludele EA, Oluogun OA. Knowledge, attitude and uptake of voluntary confidential counseling and testing (VCCT) for HIV/AIDS, among young adults in an urban settlement in southwest Nigeria. The Social Sciences Medwell Journals. 2008;3:442-447.

Michael H. Merson. The HIV–AIDS pandemic at 25 — The global response. N Engl J Med. 2006;354:2414-2417.

Nzuobontane D, Blackett KN, Kuaban C. Cardiac involvement in HIV infected people in Yaounde, Cameroon. Postgraduate Medical Journal. 2002;78:678-681.

National scale up strategy for HIV counseling and testing in Nigeria. National AIDS/STD Control Programme, Federal Ministry of Health; 2017.

Araoye MO, Kayode O, Akande TM, Ndom RJE. Strategies for preventing STD/AIDS among commercial drivers. Nigerian Medical Practitioner. 1999;38:1-3, 5-10.

Mupemba K. The Zimbabwe HIV prevention program for truck drivers and commercial sex workers: a behaviour change intervention. 133-137 in Resistances to Behavioural Change to Reduce HIV/AIDS Infection, ed. J.C. Caldwell et al. Canberra: Australian National University; 1999.

United Nations programme on AIDS, HIV/AIDS – related stigmatization, discrimination and denial forms, contexts and determinants UNAIDS; 2015.

United Nations programme on AIDS: 4th National Conference on HIV/AIDS in Nigeria; 2014;40.

Okekearu I. Barriers of stigmatization and discrimination, human right Issues and ethical dilemma. Workshop on HIV/AIDS; 2002.

Global HIV/AIDS initiative Nigeria (GHAIN): HIV/AIDS-what to know and do. 2005;12.

Global HIV/AIDS Initiative Nigeria (GHAIN), counseling and testing. 2004;20.

Horizons. Research update: youth and HIV/AIDS Washington, DC. Population council/Horizons; 2000.

Inem AV, Adelokun AO, Avankogbe OO. A VCT programme for PMTCT of HIV on practice based research network (PBRN) Hospital in Lagos, Nig. Nigeria Medical Practitioner. 43:6.

Ofili AN; Knowledge, attitude and practice of long distance drivers towards HIV/AIDS. International Conference on AIDS. Bangkok, Thailand. Int Conf AIDS; 2004.

Oduwole M, Jeminusi OA, Aderogba OI, Okuboyejo OB. Long distance truck drivers (LDTD’s) HIV/AIDS knowledge and attitude on the use of condoms. Int. Conf AIDS. 2002; 14(4):7-12;

Status of the epidemic. 4th National Conference on HIV/AIDS on Nigeria. 2004;18

Onwasigwe CN, Aniebue NP, Ndu AC. HIV/AIDS awareness and sexual behavior of Nigerian long Distance Drivers. Journal of College of Medicine. 2001;6:44-46.

Mukodzani L, Mupemba K, Marck J. All roads lead to Harare: the response of the Zimbabwe transport industry to HIV/AIDS. In The Continuing African HIV/AIDS Epidemic, ed. I.O. Orubuloye, J. C. Caldwell and J.P.M. Ntozi. Canberra: Australian National University. 1999; 131-138

Wilson D, Sibanda A, Nyathi B, Lamson N, Sibanda T. Ethnographic and quantitative research to design a community intervention among long-distance truck drivers in Zimbabwe. In Focusing Interventions among vulnerable groups for HIV infection: experiences from Eastern and Southern Africa. NARESA Monograph No. 2. Nairobi: Network of AIDS Researchers of Eastern and Southern Africa. 1994;99-108.

Rao KS, Pilli RD, Rao AS, Chalam PS. Sexual lifestyle of long distance lorry drivers in India: B. M. J. 1999;318:162-163.

Malta M, Bastos FI, Pereira-Koller EM, Cunha MD, Marques C, Strathdee SA. A qualitative assessment of long distance truck drivers’ vulnerability to HIV/AIDS in Itajai, southern Brazil. AIDS Care. 2006;18:489-496.

Meda N, SangareL, lankoande S, Campaore IP, Catraye J, Sanou PT, Van – Dyck E, Cartoux M, and Sondre RB. The HIV epidemic in Burkina Faso: current Status and the knowledge level of the population about AIDS, 1994-1995. Rev Epidemiol. Sante. Public. 1998;46: 14-23.

ODU OO, Asekun-Olarinmoye EO, Bamisdele JO, Egbewale BE, Amusom OA , Olowu AO. Knowledge, Attitude to HIV/AIDS and sexual behavior of students in a tertiary institution in South –Western Nigeria. European Journal of Contraceptive and Reproductive Health Care. 2008;13(1):90-96.

Joint united nations Programme on HIV/AIDS (UNAIDS). HIV/AIDS-related discrimination, stigmatization and denial UNAIDS. 2001;7.

De Bruyn T. HIV/AIDS: discrimination and stigma. Definitions and concepts. Ottawa. Canadian HIV/AIDS Legal Network and the Canadian AIDS Society; 1999.

Ambati BK, Ambati J Rao AN. Dynamic of knowledge and attitude about AIDS among the educated in Southern India. AIDS Care. 1997;3:319–330.

Mbugua GG, Muthani LN, Mutura CW, Oogo SA, Waiyaki PG, Linda CP and Hearst N. Epidemiology of HIV infection among long distance truck drivers in Kenya. East Afr Med. J Aug. 1995; 72(8):515–8.

Obbo C. HIV transmission through social and geographic networks in Uganda. Soc. Sci Med. 1993;36 (7): 949–55.

Marck J. Long-distance truck drivers’ sexual cultures and attempts to reduce HIV risk behaviour amongst them: a review of the African and Asian literature. In: Caldwell J, Caldwell P, Anarfi J, et al. eds. Resistance to behavioural change to reduce HIV/AIDS Infection. Canberra, Australia: Health Transition Centre, National Centre for Epidemiology and Population Health, Australian National University. 1999;91–100.

The world bank: Confronting AIDS. Public priorities in a global epidemic. New York. Oxford University Press; 1999.

Kippax S. Effective HIV prevention: the indispensable role of social science. Journal of the International AIDS Society. 2012 Apr;15(2):17357.