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Policy-Making, Trust and the Demand for Public Services: Evidence from a Mass Sterilizations Campaign

Author

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  • León-Ciliotta, Gianmarco
  • Zejcirovic, Dijana
  • Fernández Bazán, Fernando

Abstract

We study a mass sterilization campaign in which more than 300,000 Peruvian women were sterilized. Many of these are alleged to have been performed without appropriate or informed consent. The subsequent disclosure of the alleged illegal sterilizations caused a reduction in the usage of contraceptive methods, prenatal and birth delivery services, and –more generally– the demand for medical services in affected areas. As a result, child health also worsened. The results persist for at least 17 years after the information disclosure and are driven by disappointed supporters of the regime. Learning about the government’s malpractices undermined trust in institutions.

Suggested Citation

  • León-Ciliotta, Gianmarco & Zejcirovic, Dijana & Fernández Bazán, Fernando, 2022. "Policy-Making, Trust and the Demand for Public Services: Evidence from a Mass Sterilizations Campaign," CEPR Discussion Papers 17361, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:17361
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    More about this item

    Keywords

    Trust; Public policy; Reproductive health;
    All these keywords.

    JEL classification:

    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • N36 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Latin America; Caribbean

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