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This document is the latest report by NACO and is part of the larger 2018-19 Annual Report of the MoHFW. It provides a detailed review of the HIV epidemic in India. It analyzes the status of the epidemic through a data lens and also reviews NACO programs for HIV prevention, detection, treatment, and research. This document is an essential read for health department officials, and social and civil society organization employees who design, assess and implement HIV programs.