Publication:

Migration, risk behaviour and HIV vulnerability among rural migrants in Uttar Pradesh: evidence from the link worker scheme in Moradabad

Background Migration has emerged as an important socio-economic phenomenon influencing health vulnerabilities in rural India. In states such as Uttar Pradesh, seasonal and circular migration often expose individuals to environments that increase the risk of HIV transmission. This study examined the relationship between migration patterns and HIV vulnerability among high-risk groups in rural Moradabad district.

Methods The study was conducted under the link worker scheme (LWS) implemented by Sharnam Sansthan in Moradabad district. A quantitative survey of 120 respondents was carried out using a structured questionnaire. Data were collected with the support of cluster link workers working under the programme to understand migration patterns, awareness levels, and risk behaviours related to HIV.

Results The findings indicate that most migrants were young and middle-aged men engaged in informal labour sectors with low educational levels and unstable income. Migration was largely seasonal, with many migrants spending three to six months in urban destinations such as Delhi, Ludhiana, and Gurugram. Although awareness of HIV/AIDS was relatively widespread, misconceptions about transmission and prevention persisted. Risk behaviours, including inconsistent condom use and engagement with sex workers, were reported during migration periods.

Conclusions The study highlights the need to strengthen community-based interventions, expand HIV testing services, and improve awareness programmes to reduce HIV vulnerability among migrant populations in rural areas.