Online distribution

Online approaches allow clients to access services (e.g., ordering a self-test kit) from anywhere with an Internet connection and have a self-test kit sent to them. By using online distribution, organizations can integrate HIV self-testing into existing online services or develop new online services to increase the accessibility of self-test kits. Online self-test kit distribution has the potential to increase access to HIV testing in locations where services are limited (e.g., rural and remote communities) and for populations that do not feel comfortable accessing health services because of stigma or other barriers. While online self-test kit distribution can increase accessibility, access to online services requires access to the Internet and a device (e.g., smartphone, laptop) and access to an address, which some people may not have. Another issue with online distribution is that clients may access self-test kits in areas with limited confirmatory testing and support services, resulting in issues with linkage to care following a test. 

“Offers confidentiality for people who live in small communities who may know staff at the clinics/labs” – Dialogue participant

“Reduces awkward conversations with medical staff about risk and exposure” – Dialogue participant

The following best-practice recommendations outline strategies to consider when developing or integrating approaches to distributing HIV self-test kits online. 

Practice-based recommendations:

1. Consider integrating self-test kits into existing online services (e.g., mailouts, online outreach) or developing new online services. 

2. Consider developing user-friendly online order forms that allow people to order self-tests for delivery (e.g., mail, bike) or pickup from your organization.

3. If providing an online ordering system, implement address validation tools and automated messaging systems to ensure accurate information input and timely delivery of self-test kits.

4. Prioritize data security and privacy considerations when implementing online distribution systems. Ensure that sensitive information is protected and that users feel confident in their privacy when accessing self-test kits online.

5. Consider how to provide information and support (i.e., linkage to care) to people who receive self-test kits through online services.