The Temporalities of Policymaking: The Case of HIV Test-and-Treat Policy Adoption in Zimbabwe

Meg Moran; Morten Skovdal; Edith Mpandaguta; Rufurwokuda Maswera; Noah Kadzura; Freedom Dzamatira; Constance Nyamukapa; Simon Gregson; Malebogo  Tlhajoane

doi:10.1016/j.healthplace.2019.102246

The Temporalities of Policymaking: The Case of HIV Test-and-Treat Policy Adoption in Zimbabwe

Meg Moran, Morten Skovdal^*, Edith Mpandaguta, Rufurwokuda Maswera, Noah Kadzura, Freedom Dzamatira, Constance Nyamukapa, Simon Gregson, Malebogo Tlhajoane

^*Corresponding author for this work

Section of Health Services Research

1 Citation (Scopus)

Abstract

Despite calls for “rapid adoption” of global health policies and treatment guidelines; there is little understanding of the factors that help accelerate their adoption and implementation. Drawing on in-depth interviews with sixteen Zimbabwean policymakers, we unpack how different factors, rhythmic experiences and epochal practices come together to shape the speeding up and slowing down of test-and-treat implementation in Zimbabwe. We present an empirically derived framework for the temporal analysis of policy adoption and argue that such analysis can help highlight the multiple and messy realities of policy adoption and implementation - supporting future calls for ‘rapid’ policy adoption.

Original language	English
Article number	102246
Journal	Health & Place
Number of pages	8
ISSN	1353-8292
DOIs	https://doi.org/10.1016/j.healthplace.2019.102246
Publication status	Published - Jan 2020

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10.1016/j.healthplace.2019.102246Licence: CC BY

Moran et al 2020Final published version, 404 KBLicence: CC BY

Cite this

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AU - Mpandaguta, Edith

AU - Maswera, Rufurwokuda

AU - Kadzura, Noah

AU - Dzamatira, Freedom

AU - Nyamukapa, Constance

AU - Gregson, Simon

AU - Tlhajoane, Malebogo

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AB - Despite calls for “rapid adoption” of global health policies and treatment guidelines; there is little understanding of the factors that help accelerate their adoption and implementation. Drawing on in-depth interviews with sixteen Zimbabwean policymakers, we unpack how different factors, rhythmic experiences and epochal practices come together to shape the speeding up and slowing down of test-and-treat implementation in Zimbabwe. We present an empirically derived framework for the temporal analysis of policy adoption and argue that such analysis can help highlight the multiple and messy realities of policy adoption and implementation - supporting future calls for ‘rapid’ policy adoption.

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The Temporalities of Policymaking: The Case of HIV Test-and-Treat Policy Adoption in Zimbabwe

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