Towards "evidence-making intervention" approaches in the social science of implementation science: The making of methadone in East Africa

The International Journal on Drug Policy
Tim RhodesSteffanie Strathdee

Abstract

In this commentary, we take the recent introduction of methadone treatment in response to emerging problems of HIV linked to heroin addiction in Kenya as a case for reflecting on the social science of implementation science. We offer a framework of 'evidence-making intervention' which we hold as distinct from mainstream 'evidence-based intervention' approaches. Whilst accepting that interventions are shaped in their contexts, evidence-based intervention approaches tend to imagine a stable intervention object with universal effect potential. By contrast, an evidence-making intervention approach investigates how an intervention, and the knowledge which constitutes it, is made locally, through its processes of implementation. Drawing on qualitative research generated in Kenya prior to (2012-2013) and during (2014-2015) the implementation of methadone treatment, we explore the making of 'methadone promise' as a case of evidence-making intervention. We show how enactments of methadone promise make multiple methadones, through which a binary is negotiated between the narratives of methadone as hope for addiction recovery and methadone as hope for HIV prevention. Addiction recovery narratives predominate, despite methadone's incorpora...Continue Reading

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Citations

Mar 22, 2016·The International Journal on Drug Policy·Tim Rhodes, Reychad Abdool
Mar 28, 2016·The International Journal on Drug Policy·Reychad Abdool
Jan 23, 2016·The International Journal on Drug Policy·Eric A RatliffSheryl A McCurdy
May 14, 2016·The International Journal on Drug Policy·Tim RhodesTom Decorte
Mar 17, 2018·Sexual Health·Elan LazuardiChristy E Newman
Sep 29, 2018·The American Journal of Bioethics : AJOB·Adrian CarterCynthia Forlini
Aug 6, 2020·Maternal and Child Health Journal·Gitau MburuKhoshnood Kaveh
Nov 18, 2020·The International Journal on Drug Policy·Cameron Duff
Oct 24, 2020·The International Journal on Drug Policy·Aysel Sultan, Cameron Duff
Jul 28, 2020·The International Journal on Drug Policy·Cameron Duff
Nov 1, 2020·The International Journal on Drug Policy·Emily JenkinsRebecca J Haines-Saah
May 25, 2021·Substance Use & Misuse·James NdimbiiTim Rhodes

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