HIV treatment in Latvia is accessible and covered by the state, and modern ART means a normal lifespan and — once undetectable — no risk of passing HIV on. Here's how you get on treatment, what it costs, where you stand legally, and who to lean on.

🩺 The Acute Diagnosis Pathway

If you test positive via a rapid test at Testpunkts, the result is "reactive." Mozaika staff will help you navigate immediately to LIC (Latvian Infectology Center) for a confirmatory venous blood test.

At LIC, an infectious disease specialist (infektologs) will confirm your diagnosis and become your primary doctor for HIV care.

💊 Treatment and Insurance

Antiretroviral therapy (ART) is prescribed by your infektologs. Latvia has made significant improvements in recent years, and ART is now fully state-funded for all citizens and residents with NVD coverage, meaning the medication is free. Treatment is initiated rapidly following diagnosis.

Your HIV care and ART run through the Infectology Centre of Latvia (Rīgas Austrumu hospital, Linezera iela 3, Riga) — prescription and monitoring are handled by the infectious-disease specialists there, not your GP, and treatment is 100% state-compensated for those with coverage. If you don't have NVD cover, access isn't guaranteed — contact the Infectology Centre and lean on Mozaika or the Baltic HIV Association to work out your options.

⚖️ Disclosure & the Law

U=U is the medical baseline. On treatment with an undetectable viral load, you cannot transmit HIV sexually — this is settled science, and it underpins everything below.

Latvia has strict public-health laws, and intentional transmission of HIV is criminalised. If you are undetectable there is zero risk of transmission to sexual partners — but how U=U intersects with local expectations on partner disclosure is worth checking before you rely on it.

The law on HIV disclosure and criminalisation varies between countries and can change. Don't take your legal position from apps, partners, or rumour: if you're unsure where you stand, get current, confidential advice from Mozaika or your LIC doctor / clinic HIV team — they track the local legal position and can tell you exactly what applies to you.

🫂 Support Services

Mozaika provides essential peer support, counseling, and a safe space. A new diagnosis can feel isolating, especially given Latvia's broader societal views on LGBTQ+ issues and HIV, but connecting with community support helps significantly.

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