This document discusses strategies for improving the efficiency of delivering HIV viral load and early infant diagnosis test results from laboratories to clinics. Traditional paper-based reporting systems can result in delays and lost results. Newer electronic and mobile health platforms show promise in reducing turnaround times, but also face challenges from limited infrastructure in low-resource settings. Specifically, laboratory information systems, SMS messaging, and SMS printers are being used to deliver results digitally, with some programs reporting up to 50% reductions in turnaround times. However, merely delivering results is not enough - systems also need to ensure results are received and acted upon to improve patient outcomes.