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

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  • Meg Moran
  • Skovdal, Morten
  • Edith Mpandaguta
  • Rufurwokuda Maswera
  • Noah Kadzura
  • Freedom Dzamatira
  • Constance Nyamukapa
  • Simon Gregson
  • Malebogo Tlhajoane
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 languageEnglish
Article number102246
JournalHealth & Place
Number of pages8
Publication statusPublished - 2020

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