Parliament Question: Regulation of HIV/AIDS in the country

GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE RAJYA SABHA UNSTARRED QUESTION NO. 434 TO BE ANSWERED ON 3RD FEBRUARY, 2026 REGULATION OF HIV/ AIDS IN THE COUNTRY 434. SHRI A. A. RAHIM: Will the Minister of HEALTH AND FAMILY WELFARE be pleased to State: (a) the total number of people living with HIV/AIDS in the country during each of the last five years, State-wise; (b) the number of new HIV infections and AIDS-related deaths reported in the same period; (c) the reported modes of transmission of HIV among newly-identified patients, including unsafe medical practices, sexual transmission and mother-to-child routes, year-wise; (d) the availability and annual supply of antiretroviral therapy medicines across States, including any shortages recorded; (e) whether any assessment has been conducted on gaps in prevention programmes among high- risk and economically marginalised groups; and (f) the measure proposed to strengthen early detection, safe medical practices, treatment access and prevention initiatives? ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL) (a) & (b) States/UTs wise distribution of people living with HIV (PLHIV), estimated number of new HIV infections and estimated number of AIDS related death for the last five years are placed at Annexure I, II and III respectively. (c) Proportional distribution of self-reported modes of transmission of HIV by newly detected PLHIV for the last five years is at Annexure IV. (d) The Government of India provides free Antiretroviral Therapy (ART) to all PLHIV through ART Centres and Link ART Centres under the National AIDS & STD Control Programme (NACP). Antiretroviral (ARV) medicines are procured centrally and supplied to States/UTs based on the number of PLHIV on ART. No shortages of ARV medicines have been reported across the country as the availability and supply is continuously monitored through the online Supply Chain Management System, and timely corrective actions are taken to prevent stock-outs at ART centres.(e) Yes, the NACP has been assessed periodically. The NACP Phase V Mid-term review was undertaken in 2025 for all programme components, including prevention, by National Institute of Health & Family Welfare, Delhi. All the review missions reported that most of the targets under NACP has been achieved and even surpassed. Some key recommendations regarding prevention aspects of high-risk groups include: (i) Strengthening ownership and advocacy at state and district level through capacity building and community engagement, and (ii) Continuous monitoring of Targeted Interventions programme of NACP to respond to the high-risk groups. (f) Under NACP, some of the measures undertaken to strengthen prevention, early detection, safe medical practices, and treatment access are given below.  The targeted intervention and link worker scheme projects are executed through Non- Governmental Organizations (NGOs) and Community-Based Organizations (CBOs), engaged by State AIDS Control Societies (SACS) through Social Contracting Mechanism under the NACP. These prevention initiatives target specific high-risk groups such as female sex workers, men who have sex with men, hijra/transgender persons, people who inject drugs, migrants and truckers.  Besides this, awareness generation activities are conducted to improve self-risk perception and route of transmission amongst youth and other vulnerable populations.  The HIV Counseling and Testing Service (HCTS) provides Community Based Screening for HIV targeting the early detection and spreading of HCTS Services to the remote area as well as the people who seldom use clinical visit. New case detections are linked to free ART drugs through ART centers.  To prevent the spreading of HIV from mother to Child, HIV screening among pregnant women is provided as part of elimination of mother to child transmission of HIV infection. ******Annexure–I Annexure referred to in reply to parts (a) and (b) of Rajya Sabha unstarred Question No. 434 for reply on 03.02.2026 State/UT & year wise cumulative number of People living with HIV (PLHIV) State/UTs 2020-21 2021-22 2022-23 2023-24 2024-25 A&N Islands 146 158 180 220 257 Andhra Pradesh 2,61,302 2,62,137 2,64,757 2,71,363 2,76,633 Arunachal Pradesh 274 323 765 1,606 2,176 Assam 11,364 12,966 16,088 21,592 26,109 Bihar 76,870 80,471 87,096 94,556 1,00,416 Chandigarh 7,377 6,205 6,025 5,780 5,996 Chhattisgarh 21,686 23,375 25,315 27,289 29,987 DNH & DD - 238 340 1,828 2,003 Delhi 49,339 51,492 55,104 57,714 63,256 Goa 3,592 3,724 3,890 4,078 4,285 Gujarat 90,541 93,426 97,867 1,00,721 1,04,423 Haryana 24,165 28,906 34,218 39,182 44,344 Himachal Pradesh 5,378 5,603 5,937 6,279 6,698 J&K and Ladakh 3,806 3,820 4,171 4,232 4,577 Jharkhand 14,678 15,518 16,701 18,057 19,658 Karnataka 2,15,268 2,18,614 2,23,353 2,27,463 2,32,795 Kerala 16,449 16,775 17,748 18,530 19,031 Lakshadweep - - - - - Madhya Pradesh 40,844 42,916 46,277 50,491 54,343 Maharashtra 3,52,254 3,47,409 3,55,652 3,62,392 3,68,023 Manipur 15,230 15,802 16,370 16,566 16,920 Meghalaya 4,313 4,996 6,096 7,247 8,262 Mizoram 13,868 15,235 16,701 18,347 20,141 Nagaland 13,479 14,501 16,013 17,664 19,239 Odisha 25,903 27,340 29,260 31,270 34,166 Pondicherry 1,613 1,645 1,664 1,742 1,791 Punjab 57,172 61,223 70,510 80,795 89,159 Rajasthan 57,119 60,014 63,849 68,368 72,697 Sikkim 269 306 355 394 446 Tamil Nadu 1,46,318 1,47,708 1,51,291 1,54,921 1,58,324 Telangana 1,06,383 1,09,274 1,14,077 1,20,633 1,25,383 Tripura 2,397 3,324 4,887 6,441 7,560 Uttar Pradesh 1,08,978 1,15,589 1,25,498 1,35,232 1,47,856 Uttarakhand 6,257 6,815 7,448 8,398 9,842 West Bengal 55,490 58,578 62,962 67,339 72,456 India 18,10,122 18,56,426 19,48,465 20,48,730 21,49,252Annexure–II Annexure referred to in reply to parts (a) and (b) of Rajya Sabha unstarred Question No. 434 for reply on 03.02.2026 State/UT & year wise estimated number of Annual New HIV Infection States/UTs 2020 2021 2022 2023 2024 A&N Islands 15 15 16 20 19 Andhra Pradesh 2,256 4,386 5,239 3,509 2,864 Arunachal Pradesh 79 68 173 360 328 Assam 1,160 2,078 2,832 2,021 1,757 Bihar 5,593 8,827 9,177 8,272 7,694 Chandigarh 79 67 77 82 166 Chhattisgarh 2,613 1,788 1,535 1,252 800 DNH & DD 71 78 85 90 93 Delhi 2,896 2,736 2,961 2,711 2,590 Goa 43 113 112 96 90 Gujarat 1,893 2,507 2,408 2,671 2,362 Haryana 2,265 2,037 2,110 2,897 2,900 Himachal Pradesh 121 112 172 209 213 J&K and Ladakh 174 284 223 175 194 Jharkhand 963 1,368 1,196 743 838 Karnataka 1,219 3,792 3,421 3,175 4,618 Kerala 772 403 259 325 292 Lakshadweep - - - - - Madhya Pradesh 2,744 1,540 1,498 1,516 1,601 Maharashtra 7,815 5,410 4,461 4,444 5,334 Manipur 951 978 844 686 546 Meghalaya 679 1,191 1,018 929 681 Mizoram 1,098 1,549 1,029 1,227 1,088 Nagaland 1,450 1,096 1,050 1,008 928 Odisha 2,129 2,179 1,844 1,135 1,091 Puducherry 188 181 102 89 65 Punjab 1,348 1,382 2,001 9,103 6,785 Rajasthan 1,744 2,284 2,390 3,355 4,020 Sikkim 17 34 19 28 24 Tamil Nadu 2,418 1,498 2,335 1,761 1,487 Telangana 2,559 2,007 1,947 2,962 3,022 Tripura 404 522 746 1,330 1,171 Uttar Pradesh 5,628 8,445 9,883 7,841 6,373 Uttarakhand 367 485 517 479 532 West Bengal 3,798 1,525 2,731 1,956 1,899 India 57,549 62,965 66,411 68,457 64,465Annexure–III Annexure referred to in reply to parts (a) and (b) of Rajya Sabha unstarred Question No. 434 for reply on 03.02.2026 State/UT & year wise estimated number of Annual Death due to HIV States/UTs 2020 2021 2022 2023 2024 A&N Islands 21 20 13 10 7 Andhra Pradesh 7,074 9,186 6,708 5,310 4,364 Arunachal Pradesh 11 13 23 21 16 Assam 379 677 609 337 243 Bihar 1,769 2,471 2,649 1,839 1,265 Chandigarh 99 6 15 17 35 Chhattisgarh 993 1,281 1,128 984 827 DNH & DD 7 10 15 11 11 Delhi 693 948 1,121 1,026 927 Goa 105 70 53 33 24 Gujarat 509 810 857 800 697 Haryana 952 595 375 305 269 Himachal Pradesh 27 73 113 65 46 J&K and Ladakh 76 143 126 137 122 Jharkhand 278 388 304 194 149 Karnataka 4,060 6,742 6,577 5,599 5,675 Kerala 247 121 127 288 221 Lakshadweep - - - - - Madhya Pradesh 1,006 998 820 1,082 720 Maharashtra 4,368 5,834 6,631 7,461 6,858 Manipur 812 841 579 490 499 Meghalaya 275 73 66 52 33 Mizoram 167 192 113 132 135 Nagaland 314 307 265 214 169 Odisha 1,222 1,627 1,514 955 825 Puducherry 244 163 74 52 40 Punjab 430 580 625 566 961 Rajasthan 284 422 353 441 388 Sikkim 2 3 3 5 2 Tamil Nadu 1,150 2,079 2,017 1,867 1,296 Telangana 1,523 1,755 2,369 2,816 3,035 Tripura 7 8 19 44 50 Uttar Pradesh 1,999 2,428 2,225 1,816 1,549 Uttarakhand 226 390 327 184 119 West Bengal 615 716 814 709 585 India 31,944 41,970 39,627 35,862 32,162Annexure–IV Annexure referred to in reply to part (c) of Rajya Sabha unstarred Question No. 434 for reply on 03.02.2026 Year-wise proportional distribution of self-reported modes of transmission of HIV among newly detected cases (2020-21 to 2024-25) Year Heterosexual Homosexual/b Through Mother to Through Not isexual infected child blood and specified syringes and blood /unknown needles products 2020-21 83.1% 2.5% 6.4% 3.4% 0.7% 3.9% 2021-22 80.1% 3.9% 6.2% 3.3% 1.1% 5.4% 2022-23 75.4% 4.1% 11.2% 3.2% 1.0% 5.1% 2023-24 74.4% 4.7% 12.5% 2.9% 1.0% 4.5% 2024-25 73.7% 5.4% 11.5% 3.5% 1.2% 4.7%