Meghalaya plans mandatory HIV testing before marriage

The government of Meghalaya is considering the introduction of legislation to make HIV/AIDS testing compulsory before marriage due to the rising number of cases in the state, according to Health Minister Ampareen Lyngdoh. Meghalaya is currently ranked sixth in the country regarding HIV/AIDS prevalence, with the northeastern region as a whole facing significant challenges, as noted by Lyngdoh. Reflecting on Goa's policy of mandatory testing, Lyngdoh questioned, "If Goa has implemented such a measure, why shouldn't Meghalaya adopt similar legislation?" She believes these laws would be beneficial to the broader community.

The state has expressed its readiness to undertake strong measures. Lyngdoh attended a meeting led by Deputy Chief Minister Prestone Tynsong, with Social Welfare Minister Paul Lyngdoh and eight MLAs from East Khasi Hills district present to design a comprehensive policy on HIV/AIDS as an urgent mission.

The Health Department has been tasked with preparing a cabinet note on this policy. Lyngdoh mentioned that similar meetings would take place in the Garo Hills and Jaintia Hills regions to formulate area-specific approaches, consulting with bureaucrats and medical experts.

She voiced her concern about the increase in cases, disclosing that East Khasi Hills has recorded 3,432 HIV/AIDS cases, with only 1,581 patients currently receiving treatment. "These figures are concerning, especially in East Khasi Hills, and the Jaintia Hills region has unfortunately reported the highest numbers in the state," Lyngdoh stated.

She emphasized that while public awareness is generally sufficient, the critical issue remains enhancing testing and screening efforts. According to her, 159 deaths have occurred due to disruption in Antiretroviral Therapy (ART) in that district. "It's essential we integrate everyone tested positive into the treatment system. HIV/AIDS can be managed effectively, similar to cancer or TB, with proper treatment," she urged.

The primary transmission mode in the state is through sexual contact, Lyngdoh highlighted, adding that drug injection is not yet a major transmission factor due to difficulties in identifying users.

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