Shillong, February 25: Meghalaya has recorded the highest HIV caseload in the country, with 10,293 people currently receiving antiretroviral therapy (ART), Health Minister Ampareen Lyngdoh Shylla informed the Assembly on Wednesday.

Replying to a query raised by Mehtab Chandee A Sangma of the National People’s Party, the minister announced a Rs 25-crore, five-year mission-mode programme aimed at addressing the rise in HIV/AIDS cases in the state. The initiative has been approved by Chief Minister Conrad K Sangma and the state cabinet and will focus on expanding testing infrastructure and strengthening manpower.

According to official data presented in the Assembly, 749 deaths linked to HIV-related complications were recorded in Meghalaya over the past decade, largely due to opportunistic infections rather than HIV/AIDS directly. District-wise figures showed the highest number of deaths in East Khasi Hills district (435), followed by West Jaintia Hills district (123) and East Jaintia Hills district (90).

Other affected districts included Ri Bhoi district (51), Eastern West Khasi Hills district (16), West Khasi Hills district (8), South West Khasi Hills district (7), West Garo Hills district (9), East Garo Hills district (4), South Garo Hills district (3), North Garo Hills district (1) and South West Garo Hills district (2).

The minister highlighted several challenges in tackling the disease, including confidentiality provisions under the HIV and AIDS (Prevention and Control) Act, lack of consent for testing, refusal to continue medication, and persistent social stigma discouraging individuals from seeking diagnosis and treatment. The Health Department is intensifying awareness campaigns and working with community stakeholders to improve testing and treatment uptake.

Meghalaya currently operates 392 standalone Integrated Counselling and Testing Centres (ICTCs) along with four mobile testing units across the state. Legislators have also extended logistical support, including the donation of a Bolero vehicle to assist patient transport.

Shylla stated that HIV, though incurable, can be effectively managed with timely treatment, allowing individuals to lead a dignified life. Meanwhile, the National AIDS Control Organisation has allocated Rs 17.8 crore to the Meghalaya AIDS Control Society for the 2025-26 financial year to strengthen awareness programmes, outreach activities, opioid substitution therapy, screening and patient care services.