 This qualitative study explored community perceptions of rapid diagnostic tests, RDTs, and how they can be used to improve malaria case management at drug shops in Bugoy, western Uganda. The study found that while drug shop clients valued RDTs, the cost of the test limited its use. Additionally, mistrust in negative results and fear about treatment options for conditions other than malaria led to non-adherence to negative RDTs. Improved access to RDTs, increased understanding of malaria symptoms, and improved communication between drug shop vendors and clients could help reduce misdiagnosis and improve adherence to RDT results. This article was authored by Victoria Sheila's, No Bird Mumbra, Amos Mazureka, and others.