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

In September 2022, CDC funded a nationwide program, Together TakeMeHome (TTMH), to expand distribution of HIV self-tests (HIVSTs) directly to consumers by mail through an online ordering portal.To publicize the availability of HIVSTs to priority audiences, particularly those disproportionately affected by HIV, CDC promoted this program through established partnerships and tailored resources from its Let's Stop HIV Together social marketing campaign.The online portal launched March 14, 2023, and through March 13, 2024, distributed 443,813 tests to 219,360 persons.Among 169,623 persons who answered at least one question on a postorder questionnaire, 67.9% of respondents were from priority audiences, 24.1% had never previously received testing for HIV, and 24.8% had not received testing in the past year.Among the subset of participants who initiated a follow-up survey, 88.3% used an HIVST themselves, 27.1% gave away an HIVST, 11.7% accessed additional preventive services, and 1.9% reported a new positive HIVST result.Mailed HIVST distribution can quickly reach large numbers of persons who have never received testing for HIV or have not received testing as often as is recommended.TTMH can help to achieve the goal of diagnosing HIV as early as possible and provides a path to other HIV prevention and care services.Clinicians, community organizations, and public health officials should be aware of HIVST programs, initiate discussions about HIV testing conducted outside their clinics or offices, and initiate follow-up services for persons who report a positive or negative HIVST result.* https://www.cdc.gov/nchhstp/director-letters/launch-of-togethertakemehome.html† https://www.cdc.gov/stophivtogether/index.html§ In the first year, program marketing was developed for MSM; transgender women (of any race); and cisgender Black women.For MSM, imagery was designed specifically to appeal to Black and Hispanic or Latino (Hispanic) men, but messages were placed on social media and dating apps inclusive of all MSM.In this report, these population groups are referred to as priority audiences for program marketing efforts.¶ https://together.takemehome.org** For persons who ordered from the program more than once, only demographic data reported when the first order was placed are considered.