STE´ PHANIE ROUSSEAU The Politics of Reproductive Health in Peru: Gender and Social Policy in the Global South Abstract This article analyzes the politics of reproductive health policy- making in Peru in the context of healthcare reform initiatives undertaken since the early 1990s. In Latin America, women’s body politics are emerging within a complex architecture of insti- tutionalized social stratification and religious lobbies. The case of Peru is approached from a gendered, specifically South-World analysis, revealing the deep embedding of a vast constellation of reproductive healthcare issues within the nascent social welfare policy-making process. Through limited national public health insurance schemes, a new social policy model, based on a targeted poverty-reduction paradigm, is now partially addressing the repro- ductive health needs of the majority of Peruvian women. Policy implementation, however, is highly contested, fragile, and has been subject to setbacks and deadly abuses. The article shows that, in addressing developing countries such as Peru, the role of international actors and the impact of unconsolidated democratic institutions are two key variables in the comparative analysis of social policy regime formation. Body politics, a crucial site for the definition of women’s citizenship, is a realm in which public policy is a pivotal intervening Spring 2007 Pages 93–125 doi:10.1093/sp/jxm002 # The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please e-mail:
[email protected]. Advance Access publication March 28, 2007 94 V Rousseau variable, as shown by the recent feminist literature on state and social politics (O’Connor, Orloff, and Shaver 1999; Stetson 2001; Mazur 2002).