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

Author(s)
Dijana Zejcirovic
Abstract

We study a large-scale family planning intervention in which more than 260,000 Peruvian women were sterilized. Many of these medical procedures are alleged to have been performed without patient consent. The subsequent disclosure of alleged illegal sterilizations caused reductions 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 worsened. The results persist for at least 17 years after the information disclosure and are driven by disappointed supporters of the implementing government. Learning about the government’s malpractices undermined trust in institutions.

Organisation(s)
Department of Economics
Journal
American Economic Journal: Economic Policy
ISSN
1945-7731
Publication date
2024
Peer reviewed
Yes
Austrian Fields of Science 2012
502024 Public economy, 502046 Economic policy
Keywords
Portal url
https://ucrisportal.univie.ac.at/en/publications/adf36741-1d0b-4007-9c0d-63e4ee457bbf