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Decolonising implementation science: a call for methodological pluralism.
Sali Hafez1, Agata Pacho1, Ruth Ponsford1
1Centre for Evaluation, London School of Hygiene & Tropical Medicine, London, UK.
The Lancet. Global Health
|January 10, 2026
Summary
Decolonizing implementation science requires moving beyond equity to a disruptive approach. Integrating diverse ways of knowing enhances justice, effectiveness, and scientific robustness in research.
Area of Science:
- Implementation Science
- Decolonial Studies
- Health Equity
Background:
- The decolonization of implementation science is a critical and necessary undertaking.
- Current efforts often focus on equity, but a more profound transformation is needed.
Purpose of the Study:
- To advocate for a disruptive decolonial approach in implementation science.
- To challenge the field's existing methodological and epistemological frameworks.
- To promote methodological pluralism by integrating diverse ways of knowing.
Main Methods:
- This viewpoint synthesizes critical perspectives on implementation science.
- It involves interrogating the colonial underpinnings of academic research.
- It calls for a confrontation with established ways of knowing.
Main Results:
- A decolonial approach enriches implementation science beyond mere equity considerations.
- Methodological pluralism is presented as more just, effective, and scientifically robust.
- Diverse ways of knowing are essential for a decolonized field.
Conclusions:
- Decolonizing implementation science necessitates a fundamental shift in its foundational principles.
- Embracing methodological pluralism and diverse epistemologies is crucial for scientific advancement.
- Confronting the colonial architecture of research is essential for true transformation.
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