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It is well established that truckers (drivers and helpers) have higher rates of nonmarital sex than any other occupational group. Because of this multipartner sexual activity, truckers form a key group of prevention efforts for HIV and sexually transmitted infections (STIs). Thus far, HIV/STI prevention interventions for truckers have been geared to providing risk-reduction information and services within a heterosexual context. Recent evidence suggests that a significant number of truckers engage in male-to-male (MSM) sexual activity that has implications for HIV/STI transmission. Therefore, information on the nature and extent of MSM activity among these populations is urgently needed for the design and implementation of comprehensive prevention programs. The Transport Corporation of India Foundation (TCIF) is implementing Project Kavach to reduce HIV/STI vulnerability among 1.5 million truckers and their partners. TCIF collaborated with the Population Council to undertake an exploratory study to understand the dynamics of same sexual behavior among truckers. As stated in this report, evidence from this research will guide TCIF in designing appropriate program strategy and activities to provide comprehensive HIV/STI prevention services to their key population of truckers.