Evidence map›Paper›PMID 42050609›Full record

ArticleBMC health services research2026

Perspectives on oral health integration into HIV care and research in low-resource settings: insights from patients and key stakeholders in Uganda.

William Buwembo, Laban Muteebwa, Ian G Munabi, Adriane Kamulegeya, Arabat Kasangaki, Aloysius G Mubuuke, Katumba Sentongo, Catherine Lutalo Mwesigwa, Annet Kutesa, Lauren L Patton and 2 more

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

William BuwemboDepartment of Anatomy, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda. william.buwembo@mak.ac.ug.
Laban MuteebwaDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Ian G MunabiDepartment of Anatomy, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.
Adriane KamulegeyaSchool of Dentistry, College of Health Sciences, Makerere University, Kampala, Uganda.
Arabat KasangakiDepartment of Pediatric Dentistry, School of Dentistry, Uganda Christian University, Kampala, Uganda.
Aloysius G MubuukeDepartment of Radiology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Katumba SentongoFormer Registrar Uganda Medical and Dental Practitioners' Council, Kampala, Uganda.
Catherine Lutalo MwesigwaSchool of Dentistry, College of Health Sciences, Makerere University, Kampala, Uganda.
Annet KutesaSchool of Dentistry, College of Health Sciences, Makerere University, Kampala, Uganda.
Lauren L PattonAdams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0002-8253-4588
Ronald P StraussAdams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
Fred Collins SemitalaDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

Funding

Building Implementation Science Capacity at Makerere University to Strengthen the Response to the HIV/AIDS Epidemic in UgandaD43TW010037 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI KAMYA, MOSES ROBERT, SEMITALA, FRED C · 2015 to 2025
$3.3M
Strengthening HIV Oral Health Human Resource for Research Capacity in Uganda.D71TW012761 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI BUWEMBO, WILLIAM, SEMITALA, FRED C · 2024 to 2025
$60k
FIC NIH HHS D43TW010037FIC NIH HHS D71 TW012761FIC NIH HHS D71TW012761
6 · The paper itself

Abstract

backgroundOral health conditions are common among people living with HIV (PLHIV), yet many have unmet needs for oral health care. In most low-income countries like Uganda, oral health is not yet integrated into HIV care settings. We explore stakeholder's perspectives on oral health integration in HIV care and research settings in Uganda.

methodsWe conducted four focus group discussions (FGDs) among people living with HIV (PLHIV) and eighteen (18) semi-structured interviews among key stakeholders including policy makers, educators and practitioners in fields of HIV and oral health. The participants for both interviews and FGDs were selected purposively. The interviews and FGDs were audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis in OpenCode software version 4.03.

resultsParticipants reported that oral conditions are common and had substantial physical, nutritional, psychological, and social consequences. Participants reported significant financial barriers to accessing oral healthcare and expressed reluctance to seek services outside HIV clinics due to fear of disclosure of their HIV status. Participants consistently emphasized that oral health is often neglected within HIV care settings, citing inadequate skills among health care providers, limited involvement of oral health professionals, and the absence of clear policies supporting integration. Key barriers to integrating oral health into HIV care and research included limited local evidence to inform policy, insufficient funding, inadequate infrastructure, and weak multidisciplinary collaboration. Participants highlighted the need for capacity building, generation of local research evidence, and leveraging the existing HIV care and academic infrastructure to support integrated HIV-oral health services and research.

conclusionOral health remains a neglected yet important component of HIV care with significant consequences on the quality of life of PLHIV. Strengthening HIV-oral health research capacity and integrating oral health care within HIV care clinics through multidisciplinary collaboration, targeted training/capacity building and locally generated evidence are essential for informed policy and improved comprehensive HIV care in low-resource settings. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Delivery of Health Care, IntegratedHIV InfectionsOral HealthAdultFemaleFocus GroupsHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedQualitative ResearchResource-Limited SettingsStakeholder ParticipationUgandaHIV careOral healthPerspectivesResearchStakeholders

Identifiers

PMID42050609
PMCPMC13339466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.