Achieving and exceeding the AIDS targets for the Millennium Development Goals was accomplished due to an unprecedented financial investment from the international community. Since 2010 the discourse has shifted to the need for greater sustainability of funding. HIV testing is an essential tool for epidemic control, the entry point to patient management and further prevention of transmission. Ensuring equitable access to diagnosis is paramount. HIV Self-Testing (HIVST) offers such opportunities through a variety of approaches tailored to meet these needs. With dwindling investments in HIV programming including HIV testing, models of HIVST distribution that are independent from external investments offer options for longer-term sustainability. The STAR project in Southern Africa and the ATLAS project in West-Africa have gathered evidence through research and implementation for such models that could be replicated in other countries that are scaling up HIVST.