Human Immunodeficiency Virus / Acquired immunodeficiency syndrome (HIV/AIDS) is a life-threatening, secondary immunodeficiency disease and remains an immune threat to all over the world. HIV/AIDS has emerged as a serious public health emergency in Manipur, Northeast, India. The first HIV positive case in Manipur was reported in 1989 from the blood sample of an intravenous drug user (IDU). Since then Manipur with a population of 3 million has an area of 22.327 km square is reported as the second highest (1.43%) adult HIV prevalent state in the country, according to HIV estimation 2017 by the National AIDs Control Society (NACO). Manipur with hardly 0.2% of Indias population contributes 8% of Indias total positive case. The Strategic Information and Management SYSTEM is created at the State level to integrate from the grass-root level to the topmost level decision-maker for periodical tracking of the epidemic situation in Manip
ur. According to SIMS report 2016-17 by Manipur AIDS Control Society (MACS) the proportion of the male clients with HIV positive cases was found to be 56% followed by 43% of female clients with HIV positive case whereas Transgender / Transsexual with HIV positive case was found to be only 1% . The majority of the HIV positive clients were between the age group 35-49 years (41%) followed by age group 25 to 34 years (26%). One of the main causes of the high HIV prevalence in the state is the easy availability of heroin through illegal drug trafficking from the Golden Triangle area. To Limit the expansion of HIV, the various program has been initiated. NACO initiated Anti-Retroviral Therapy (ART) program countrywide on 1st April 2004 and to intensify the program, the second line ART program was started in January 2008. There are presently 11 ART centres providing free ART in Manipur. In addition, there is two private ART centres.