Second-Wave Neoliberalism: Gender, Race, and Health Sector Reform in Peru

Paperback | March 31, 2011

byChristina Ewig

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The first wave of neoliberal reform that swept across Latin America in the early 1990s focused on economic policies favoring structural adjustment, such as currency devaluation, cuts in state-supplied social services, and removal of protection for domestic industry against global competition. This wave has been the subject of widespread debate and criticism for its negative impact on the most vulnerable strata of society. But the second wave of the mid-1990s, which saw the introduction of many social policy reforms, has not received nearly as much attention. Christina Ewig seeks to correct this imbalance in scholarly research by presenting a case study of the multifaceted efforts to reform the health sector in Peru under the Fujimori regime.

Second-Wave Neoliberalism combines top-down analysis of policy formation with bottom-up analysis of policy implementation using both qualitative and quantitative approaches—interviews and ethnographic observations along with formal surveys. Ewig’s findings lead her to conclude that neoliberal health reforms have brought greater social stratification and, in many ways, have increased gender, racial, and class inequity. But the story is complex, with real progress in some areas and surprising paradoxes in others, such as feminist involvement in family planning policy that resulted in a massive sterilization program targeting poor, indigenous women.

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The first wave of neoliberal reform that swept across Latin America in the early 1990s focused on economic policies favoring structural adjustment, such as currency devaluation, cuts in state-supplied social services, and removal of protection for domestic industry against global competition. This wave has been the subject of widesprea...

Christina Ewig is Associate Professor of Gender and Women's Studies and Political Science at the University of Wisconsin–Madison.

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Format:PaperbackDimensions:272 pages, 9 × 6 × 0.6 inPublished:March 31, 2011Publisher:Penn State University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0271037121

ISBN - 13:9780271037127

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Extra Content

Table of Contents

Contents

List of Tables and Figures

Preface and Acknowledgments

List of Acronyms

1. Intersecting Legacies of Inequality

2. Colonization and Co-optation: Historical Legacies of Inequality in the State Health System

3. Global Currents: Neoliberal and “Rights-Based” Development Paradigms

4. Gendered Divisions: The National Politics of Health Reform

5. Mimicking Markets: Gender Equity and Public Health System Reforms

6. Controlling Poor Women’s Bodies: Intersections of Race, Gender, and Family Planning Policy

7. Insuring Gender Equity? Public and Private Insurance Schemes

Conclusion

Methodological Appendix

References

Index

Editorial Reviews

“Graduate students and professionals alike will find this extensive and constantly engaging research beneficial because it raises important questions and gives valuable insights for those in the field of gender and social policy.”

—Constanza Tabbush, Bulletin of Latin American Research