Mizoram Tops India in HIV Prevalence Even as Prevention Ranking Rises

Overview

• Mizoram’s adult HIV prevalence stands at 2.75%, the highest in India against a national average of 0.20%, according to state officials.
• The state improved on NACO/MSACS prevention scorecards, moving from fifth in 2024–25 to third in 2025–26.
• Between April 2024 and November 2025, 3,257 people tested positive from more than 140,000 samples, including 953 women and 179 pregnant women.
• Of the recent cases, 70.4% were sexually transmitted, 27.3% were linked to needle sharing among people who inject drugs, 1.8% were parent-to-child, and 0.8% were from unknown sources.
• The government reports 14 ART centres with 18,355 patients on treatment and is considering church partnerships to encourage premarital HIV testing and broader awareness.