The temporalities of policymaking: The case of HIV test-and-treat policy adoption in Zimbabwe.
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ABSTRACT:
SUBMITTER: Moran M
PROVIDER: S-EPMC7274170 | biostudies-literature | 2020 Jan
REPOSITORIES: biostudies-literature
Publications
The temporalities of policymaking: The case of HIV test-and-treat policy adoption in Zimbabwe.
Moran Meg M Skovdal Morten M Mpandaguta Edith E Maswera Rufurwokuda R Kadzura Noah N Dzamatira Freedom F Nyamukapa Constance C Gregson Simon S Tlhajoane Malebogo M
Health & place 20191125
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 anal ...[more]
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Project description: Not available
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Project description:This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers. Policy dialogues allow research evidence to be considered together with the views, experiences and tacit knowledge of those who will be involved in, or affected by, future decisions about a high-priority issue. Increasing interest in the use of policy dialogues has been fuelled by a number of factors: 1. The recognition of the need for locally contextualised 'decision support' for policymakers and other stakeholders 2. The recognition that research evidence is only one input into the decision-making processes of policymakers and other stakeholders 3. The recognition that many stakeholders can add significant value to these processes, and 4. The recognition that many stakeholders can take action to address high-priority issues, and not just policymakers. In this article, we suggest questions to guide those organising and using policy dialogues to support evidence-informed policymaking. These are: 1. Does the dialogue address a high-priority issue? 2. Does the dialogue provide opportunities to discuss the problem, options to address the problem, and key implementation considerations? 3. Is the dialogue informed by a pre-circulated policy brief and by a discussion about the full range of factors that can influence the policymaking process? 4. Does the dialogue ensure fair representation among those who will be involved in, or affected by, future decisions related to the issue? 5. Does the dialogue engage a facilitator, follow a rule about not attributing comments to individuals, and not aim for consensus? 6. Are outputs produced and follow-up activities undertaken to support action?
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