Policy-Making, Trust and the Demand for Public Services: Evidence from a Mass Sterilization Campaign
- Author(s)
- Dijana Zejcirovic, Gianmarco León-Ciliotta, Fernando Fernandez
- 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
- External organisation(s)
- University Pompeu Fabra, Universität Bern
- Journal
- American Economic Journal: Economic Policy
- Volume
- 17
- Pages
- 181-215
- ISSN
- 1945-7731
- Publication date
- 02-2025
- 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