Evidence map›Paper›PMID 42879464›Full record

ArticlePloS one2026

Client, health care provider, and policymaker perspectives on point-of-care/near-point-of-care testing for sexually transmitted infections in community pharmacies in Uganda.

Annet A Onzia, Adelline Twimukye, Johan H Melendez, Matthew M Hamill, Peter Kyambadde, Agnes Kiragga, Yukari C Manabe, Rosalind Parkes-Ratanshi

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Annet A OnziaInfectious Diseases Institute, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0002-6741-1512
Adelline TwimukyeInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Johan H MelendezJohns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Matthew M HamillJohns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Peter KyambaddeMinistry of Health of Uganda, National STI Control Unit, Kampala, Uganda, Uganda.
Agnes KiraggaAfrican Population and Health Research Center, Kitisuru, Nairobi, Kenya.
Yukari C ManabeJohns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Rosalind Parkes-RatanshiInfectious Diseases Institute, Makerere University, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoint-of-care or near-point-of-care (POC/near-POC) tests for sexually transmitted infections (STIs) are often unavailable and unaffordable in low-resource settings, despite the World Health Organization's (WHO) recommendation that such testing be offered, leading to empiric treatment. Private community pharmacies (CPs) are often the first point of contact for people with symptoms of STIs, where pharmacists dispense treatment without diagnostic testing or prescriptions. This study evaluated clients,' providers,' and policymakers' perspectives on POC/near-POC STI testing in community pharmacies for targeted management.

methodsBetween June and September 2022, we nested a qualitative study into a prospective cohort of clients seeking both STI and non-STI treatments in community pharmacies in Kampala and Wakiso districts in Uganda. They were tested for HIV, syphilis, trichomonas, chlamydia, and gonorrhea using POC/near-POC tests. A purposive sample of 50 participants consented to participate in in-depth and key informant interviews. Data were analyzed thematically using NVivo version 14 with an inductive approach, with results reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).

resultsClients (n = 35), health care providers (n = 9), and policymakers (n = 6) described the benefits of POC/near-POC tests for HIV/STIs at community pharmacies, citing affordability, accessibility, and convenience. Participants noted that such testing could promote behavioral change, shorten turnaround time for results, speed access to treatment relative to conventional laboratory methods, and support sustainable antimicrobial resistance control. Reported barriers included limited awareness among clients and health workers, inadequate privacy and space, long waiting times, unclear self-sample collection instructions, stigma around HIV testing, and reluctance to test for non-HIV STIs. Participants recommended raising STI awareness, offering clearer explanations of test results, expanding test access, reducing stigma, provider training, and ensuring a sustainable supply chain for testing kits.

conclusionsPOC/near-POC testing for HIV/STIs was highly acceptable to both pharmacy clients and providers in this study. Integrating such testing into community pharmacy settings could strengthen national HIV/STI management programs, and addressing the identified barriers could improve access to HIV/STI diagnostics and strengthen linkage to care.

Indexed as

Health PersonnelPoint-of-Care TestingSexually Transmitted DiseasesAdultCommunity Pharmacy ServicesFemaleHIV InfectionsHumansMalePharmaciesPoint-of-Care SystemsProspective StudiesRapid Diagnostic TestsUgandaYoung Adult

Identifiers

PMID42879464
PMCPMC13671497

What OpenQuestion holds

Textmetadata
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.