This document summarizes pilot projects using innovative methods to deliver HIV self-tests, including vending machines, vouchers, and mail delivery in the US. Over 732 HIV self-tests were delivered through these methods between 2012-2014, including 51 via vending machines, 210 by vouchers, and 471 via mail. Of the 159 people surveyed after receiving a test, 6 (3.8%) screened positive for HIV and all 6 were successfully linked to medical care. The projects demonstrated these alternative delivery methods can help expand HIV screening, including reaching some who had never previously tested.

1. Innovations in HIV Self-Testing Delivery
Vending machines, Vouchers and US Mail
Jeffrey D. Klausner, MD, MPH
Professor of Medicine and Public Health
Attending Physician UCLA CARE Clinic and Ronald Reagan Medical Center
Program in Global Health and Division of Infectious Diseases
David Geffen School of Medicine
Department of Epidemiology
Karin and Jonathan Fielding School of Public Health
Pre-CROI Meeting—Innovations in HIV Self-testing
Seattle
February 23, 2015
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2. Disclosures
• Dr. Klausner is a faculty member of the University of California Los Angeles
• Dr. Klausner is a guest researcher with the US CDC Mycotics Diseases Branch
• Dr. Klausner is a member of the WHO STD Guidelines group
• Dr. Klausner is a board member of YTH, Inc, non-profit
• Dr. Klausner is medical advisor for Healthvana.com
• In the past 12 months, Dr. Klausner has received:
– Travel support for meeting coordination and speaking from Standard Diagnostics, Inc.
– Research funding or donated supplies from the NIH, CDC, Hologic, Inc., Alere, Inc.,
Chembio, Inc. Cepheid, Standard Diagnostics, Inc. and MedMira, Inc.
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FDA approved for home self-testing, July 2012

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UCapit™

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November 2012 and September 2013
PLOS One July 2014

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July – November 2013

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Social media promotion
April and November 2014

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= app opening blast
11,939 website visits in 6 weeks
334 self-test requestsHuang et al. ID Week 2014
Medline et al. CROI 2015

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N = 334 test requests
Huang et al. ID Week 2014
Medline et al. CROI 2015

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Social media promotion-2

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16. October 13 to November 11, 2014
4,389 website visitors
• 333 self-test requests
– 192 (58%) USPS mailed tests
– 55 (17%) promotional codes Walgreens.com
– 58 (17%) vouchers
– 28 (8%) vending machine
• 52 survey respondents:
– 38% last tested for HIV over a year ago or had never tested
– Forty-eight (92%) reported using the self-test was easy
– One person reported testing HIV positive and sought
medical care
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17. Summary
• Pilot projects using vending machines,
vouchers and US mail delivery
– 732 HIV self-tests delivered
• 51 vending, 210 vouchers, 471 mail
– Of 159 surveyed, 6 (3.8%) newly HIV+
– 100% linked to care
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UCLA November 2012- November 2014

18. Thank you and Acknowledgements
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• Emily Huang
• Robert Marlin
• Alex Medline
• Sean Young
• Walgreens™
• UCLA Center for HIV
Identification, Prevention,
and Treatment (CHIPTS)
NIMH MH58107
• UCLA Center for AIDS
Research (CFAR)
NIAID AI028697
JDKlausner@mednet.ucla.edu