The temporalities of policymaking: The case of HIV test-and-treat policy adoption in Zimbabwe. (January 2020)

• Record Type: Journal Article
• Authors: Moran, Meg; Skovdal, Morten; Mpandaguta, Edith; Maswera, Rufurwokuda; Kadzura, Noah; Dzamatira, Freedom; Nyamukapa, Constance; Gregson, Simon; Tlhajoane, Malebogo
• Is Part Of: Health & place. Volume 61(2020:Jan.)
• Publication Date: 2020-01
• Subjects: Policy studies -- Temporality -- Test-and-treat -- HIV -- Zimbabwe; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2019.102246
• Languages: English
• ISSNs: 1353-8292

Abstract

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. Highlights: There are calls for the "rapid adoption" of global health policies. There is a need to understand the temporalities of policy adoption and implementation. We unpack the assemblage of temporalities found to speed up, or slow down, HIV test-and-treat policy adoption in Zimbabwe. We present a framework for the temporal analysis of policy adoption.