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  11. Findings From The First Year Of A Federally Funded, Direct-to-consumer Hiv Self-test Distribution Program - United States, March 2023-march 2024

Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program - United States, March 2023-March 2024

Travis Sanchez, Robin J MacGowan, Jennifer Hecht

    MMWR. Morbidity and Mortality Weekly Report
    |June 20, 2024

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    View abstract on PubMed

    Summary
    This summary is machine-generated.

    The Together TakeMeHome program successfully mailed over 443,000 HIV self-tests (HIVSTs) nationwide. This initiative reached many individuals previously untested or undiagnosed for HIV, facilitating early diagnosis and linkage to care.

    Area of Science:

    • Public Health
    • Epidemiology
    • HIV/AIDS Prevention

    Background:

    • The Centers for Disease Control and Prevention (CDC) initiated the Together TakeMeHome (TTMH) program to increase access to HIV self-tests (HIVSTs).
    • HIVSTs are crucial for early diagnosis and linkage to care, especially among populations disproportionately affected by HIV.

    Purpose of the Study:

    • To evaluate the reach and impact of the TTMH program in distributing HIVSTs directly to consumers via mail.
    • To assess the characteristics of individuals receiving HIVSTs and their engagement with HIV testing and prevention services.

    Main Methods:

    • The TTMH program utilized an online portal for direct-to-consumer distribution of HIVSTs.
    • CDC promoted the program through established partnerships and tailored social marketing resources.

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  • Data were collected through post-order questionnaires and follow-up surveys from participants.

    • Main Results:

    • Between March 2023 and March 2024, 443,813 HIVSTs were distributed to 219,360 individuals.
    • A significant proportion of respondents (67.9%) belonged to priority populations, with 24.1% being never-tested and 24.8% not tested in the past year.
    • Among surveyed participants, 88.3% used an HIVST, 27.1% shared tests, 11.7% accessed other preventive services, and 1.9% reported a new positive result.

    Conclusions:

    • Mailed HIVST distribution effectively reaches large numbers of individuals, including those with infrequent or no prior HIV testing.
    • The TTMH program demonstrates a viable strategy for early HIV diagnosis and connecting individuals to prevention and care services.
    • Public health stakeholders should recognize and support such programs, encouraging discussions about self-testing and ensuring follow-up care.