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

Gianmarco Leon-Ciliotta, Dijana Zejcirovic and Fernández Bazán, Fernando
Authors registered in the RePEc Author Service: Fernando Fernandez

No 17361, CEPR Discussion Papers from C.E.P.R. Discussion Papers

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.

Keywords: Trust; Public policy; Reproductive health (search for similar items in EconPapers)
JEL-codes: I14 I18 N36 O10 (search for similar items in EconPapers)
Date: 2022-06
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Working Paper: Policy-Making, Trust and the Demand for Public Services: Evidence from a Mass Sterilization Campaign (2022)
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