AIDS Policy in Uganda: Evidence, Ideology, and the Making of by J. Kinsman

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By J. Kinsman

This publication provides a historical past of AIDS regulate in Uganda, from the beginning of the epidemic within the early Eighties up until eventually 2005. Uganda is widely known across the world as an AIDS 'success story', either for its bringing down HIV occurrence and occurrence over the Nineteen Nineties, and for its leading edge method of scaling up the supply of antiretroviral treatment.

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Extra resources for AIDS Policy in Uganda: Evidence, Ideology, and the Making of an African Success Story

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The fourth step in the ODI model consists of implementation, the actual process of putting a policy into practice. In some respects this is the hardest step of all (Court and Maxwell, 2005:714), and it also probably has the least to do with the direct use of evidence derived from research. Implementation has been framed elegantly, if somewhat tongue-in-cheek, in terms of “a clash between the political will and the administrative won’t” (O’Neil, 2005:762), though it is not always administrative intransigence that impedes policy implementation.

What happened through this very specific, if rather convoluted process, therefore, was that syndromic STD management became established as global best practice, and policy makers throughout the developing world were then encouraged to adopt it. Thus, once it had been repackaged, the evidence from Mwanza fed directly into national-level policy formulation and decision making in countries throughout the world. The Mwanza trial demonstrates how research can contribute to these steps in the policy process, but in some respects it is such a good example precisely because it was a highly unusual case.

Black (2001:275) describes this situation as one in which “a problem is defined and research provides policy options. , 2004). ” These authors were writing about the relationship between evidence and health policy in countries such as the UK and Australia, and collectively they point to a divide between the rhetoric of evidence-based policy making and what has been observed empirically. On the one hand, there is a global trend toward accepting evidence-based policy making as the most rational and appropriate means of defining effective policies, and this is a view to which most nations currently officially subscribe.

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