HIV Surge in Meghalaya Prompts ₹25-Crore Action Plan, Over 10,000 on Treatment

Shillong: Meghalaya is grappling with a sharp rise in HIV infections, with more than 10,000 individuals currently undergoing treatment across the state, Health Minister W. Shylla told the Assembly on Wednesday.

Addressing lawmakers during a question raised by NPP MLA Mehtab Chandee A. Sangma, the minister revealed that 10,293 people living with HIV are presently receiving antiretroviral therapy (ART). He described the situation as deeply concerning and said the government has sanctioned a ₹25-crore intervention programme spanning five years to curb the growing caseload.

According to Shylla, the mission-mode initiative is designed to strengthen prevention, expand awareness, and improve access to treatment services. The state has witnessed 749 HIV-related deaths over the past decade. East Khasi Hills recorded the highest number at 435, followed by West and East Jaintia Hills. Other districts such as Ri Bhoi, West Khasi Hills, West Garo Hills, and East Garo Hills reported comparatively fewer cases.

The minister clarified that most fatalities were caused by opportunistic infections linked to weakened immunity, rather than HIV itself.

He also outlined several challenges in tackling the epidemic. Provisions under the HIV and AIDS Act, including strict confidentiality norms and mandatory consent for testing, while essential for protecting patients’ rights, have made early diagnosis more difficult. Social stigma continues to discourage many from coming forward for screening and timely medical care.

“Fear and discrimination remain major barriers,” Shylla noted, stressing the importance of community awareness and supportive healthcare systems.

The health department is now stepping up outreach and education campaigns to encourage voluntary testing and ensure sustained treatment adherence. Shylla reiterated that although HIV has no cure, medical advancements have transformed it into a manageable condition, allowing those affected to lead healthy and productive lives with proper therapy.

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