To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Chapter 3 presents a comparative analysis of the healthcare reforms in Chile, Mexico, and Peru during the 2000s. It focuses on whether political parties or technocrats shaped the legislative and implementation process. The core argument is that reforms closely aligned with political parties’ core values (programmatic commitment) resulted in higher-quality policy, better funding, and more effective, sustainable access to healthcare. Chile’s AUGE (Acceso Universal con Garantías Explícitas; Universal Access with Explicit Guarantees) reform exemplifies a programmatic path: parties were directly engaged in agenda-setting, debate, and implementation, leading to policy endurance and real improvements in coverage, funding, and infrastructure. In contrast, Mexico’s Seguro Popular (Popular Insurance) and Peru’s AUS (Aseguramiento Universal en Salud; Universal Health Insurance) followed a technocratic path, with disengaged parties and reforms dominated by technocrats. These reforms achieved expanded formal coverage but suffered from unstable funding, inadequate infrastructure, and an inability to deliver on the promise of effective access. The study finds that other factors – such as economic growth, state capacity, clientelism, or federalism – do not, by themselves, explain the variation in reform quality. Only genuine party commitment to the reform’s core values ensured its success and longevity. The chapter underscores the importance of aligning party values with social policy to achieve meaningful, lasting reform outcomes in Latin America.
The Peruvian political system has entered a cycle of profound crisis. High levels of instability have added to the endemic incapacity to forge an institutionalized party system. In recent years, party fragmentation has increased, and ideological polarization has reached unprecedented levels of radicalization. As Sartori’s theory predicts, this constitutes the breeding ground for the emergence of radical political projects at the extremes of the ideological spectrum. Chapter 6 focuses on the emergence of an autonomous far-right project in Peru under the leadership of Opus Dei businessman Rafael López Aliaga. Through the appropriation of a former personal party, Renovación Popular has developed into an incipient personalistic party, articulating a socially conservative agenda and populist rhetoric that differentiates it from other right-wing parties like Fujimorismo. Its relatively successful trajectory – third place in the 2021 presidential elections, a national legislative group, and access to the Metropolitan mayorship of Lima along with twelve municipal districts – provides relevant information regarding the characteristics of far-right projects ruling local governments and their consequences for democracy. The chapter conceives the far right’s emergence in Peru as an expected consequence of its political crisis, and argues that its strength should not be considered a surprise.
Combining compelling field research with sharp analysis, The Politics of Healthcare Expansion unravels why efforts to expand equitable healthcare so often fall short – and why some succeed. Through comparative case studies from Chile, Mexico, and Peru, this book reveals how political party commitment, or the lack of it, shapes the design, implementation, and sustainability of healthcare reform. Moving beyond ideology, it demonstrates the crucial role of programmatic party engagement and analyzes the impact of technocrats and external actors when political parties are weak or disengaged. With timely lessons highlighted by the region's COVID-19 experience, this book offers rigorous insights and practical implications for anyone seeking to understand or influence social policy reform in emerging democracies.
Reconstructions of Moche ritual sacrifice have relied heavily on iconographic depictions of elaborate rituals conducted on mountains and sacrifices at adobe temples. Scholars have categorized mountain scenes, proposed that Huaca de la Luna symbolized sacred mountains, and argued that one of the main mountain scenes entails the liberation of a figure known as Dios A. However, the large corpus of mountain iconography remains underanalyzed, and few existing publications incorporate data from mountainside sites. In this article, I propose a more specific Mountainside Sacrifice and Cave Opening mythic narrative encoded in these scenes, comparable to the Presentation Theme / Sacrifice Ceremony. I argue that future surveys and excavations must include thorough investigations of north coast mountains of Peru.
Mobility has become a central focus of research into material culture. We chart the life-cycle of one mobile object: a painting commissioned in 1790s Peru by an indigenous man, painted by an indigenous artist, and intended for the king of Spain. Its history demonstrates the importance of exploring not simply the fact that objects moved around, but the particular reasons why they were in motion, and the particular ways in which they circulated. In the case of this painting, its creation, trajectory, disappearance, and afterlife were determined by two forms of damage characteristic of the eighteenth century: colonial violence and imperial warfare. These forces set objects in motion, and they conditioned the ways in which this painting was repeatedly reinterpreted and physically rearranged. Its history exemplifies the interconnections between imperial and colonial conflict, and the mobility and reception of artworks in this globalising era. Warfare and violence, we show, were powerful, and overlooked, factors that shaped the meanings and changing materiality of objects as they circulated.
The sixteenth century witnessed the expansion of Spain's empire on a global scale, as the Americas and portions of Asia fell within its dominions. Catholicism played a critical role in the Spanish colonization campaign, with the cult of saints at the centre of an expansionist agenda. In this book, Jonathan E. Greenwood offers an interdisciplinary examination of the recognition and veneration of sainthood through the case study of the canonization of Ignatius of Loyola, the founder of the Jesuits. Integral to this phenomenon were the miracles and devotional objects that navigated through the official canonization process conducted in Europe, which was overseen by the church hierarchy, and its oftentimes unsanctioned counterparts. Greenwood demonstrates how non- European cultic devotions to Ignatius were made manifest through images, relics, and reports of intercessions. Although the pope's role in the naming of a saint was paramount, the uninhibited practices of colonial subjects proved to be equally important and worthy of consideration, culminating in the canonization of Ignatius.
Chapter 6 examines five of the nine modal cases of political instability in the region (the seventh chapter examines the other four). These are the ones where T is neither below nor above one standard deviation of its mean. My model anticipates 77 percent of the years with successful military coups in Argentina, the Dominican Republic, Guatemala, El Salvador, Honduras, Peru, Panama, Brazil, and Venezuela. Unlike the highly unstable cases I analyze in Chapter 5, each of the modal cases stumbled into more liberalized political orders. Chapter 6 also explores why military coups ended democratic experiments or reformist interludes in Argentina, Guatemala, El Salvador, Peru, and Brazil.
Labour contractors (enganchadores) were key figures in capitalist modernisation in northern Peru after 1880. Via overlapping networks of monetary, moral and coercive mechanisms, they shaped circuits of accumulation by linking highland labour to coastal sugar plantations. The reliance of coastal sugar planters on highland enganchadores for guaranteeing labour supply highlights the failure of an independent national state to consolidate in this period beyond local and regional hegemonies. Therefore, an examination of enganchadores and the hybrid markets they embodied challenges both linear narratives about the rise of modern economies and conceptual binaries between market and non-market, state and non-state and centre and periphery in Peru and globally.
Chapter 8 tests the cross-regional validity of the refined theory by tracing processes in Ecuador and Peru and comparing them with patterns in Slovakia and Poland. After a brief discussion of antecedent conditions and crises before critical periods of major market reform, I assess neoliberal junctures in Ecuador and Peru with special attention to the hypothetically crucial variations in terms of political agency. The next two sections analyze divergent path dependencies that stemmed from nuanced juncture contingencies, ultimately showing that illiberal tendencies in the Andes were shaped in ways consistent with theoretical expectations. Finally, I compare the South American and Eastern European cases by focusing on the mechanisms of production and reproduction linking neoliberal junctures and subsequent illiberal tendencies. Contrary to prior research, I conclude that Andean illiberalism’s capacities to be politically dominant and to be contestatory vis-à-vis liberal democracy are, as in Eastern Europe, best understood as distinct adaptations to societal reactions resulting from prior historical contingencies. By offering a theoretically grounded comparative account, this chapter invites new ways of thinking about developments after neoliberal reforms in Latin America.
Chapter 7 further develops the study’s critical juncture framework and justifies its extension to cases in South America. Drawing lessons from Eastern Europe, I begin by distinguishing between varying illiberal tendencies in Slovakia and Poland, based on which I offer new theoretical insights. As I elaborate sequences linking (1) illiberals’ divergent ability to be politically dominant back to whether neoliberal reform agents were social democrats or polarizing populists, and (2) contestatory versus moderate tendencies back to whether or not anti-neoliberal protest was institutionalized during critical periods of early market reform, I elaborate the argument about the durable effects of contingency associated with postcommunist junctures. I then make the case for applying the refined framework to South American cases. Here, I note some blind spots in scholarship on Latin American populism and highlight important commonalities between dynamics in Eastern Europe and the Andes. Next, I review the advantages of analyzing developments in Ecuador and Peru from a comparative perspective that is sensitive to both cross- regional and intra-regional patterns of similarity and difference. Ending with a discussion of the insufficiency of standard explanations of illiberal trends, the chapter sets the stage for the paired comparison that follows.
The magazine Renacimiento was one of the most important periodical publications in the evangelical world during the first decades of the twentieth century. Founded in 1921 by missionary Juan Ritchie, it became the voice of the Peruvian Evangelical Church (Iglesia Evangélica Peruana – IEP), the first national denomination in Peru. The magazine was part of initial efforts to develop Protestant journalistic work, in which other Protestant missionary agencies also participated. However, the influence of the Renacimiento was decisive in creating a Protestant consciousness and developing reactions to various social and religious topics based in a nascent evangelical identity. This chapter will focus on selections from the first years of the magazine (1921–1930), paying close attention to the political and social dimensions of faith in its articles as well as the construction of evangelical identity. Its aim is to contribute to our understanding of this crucial period of evangelical history by analyzing a forum in which the voices of missionaries and national leaders converged.
Francisco García Calderón (1883–1953) was one of the most prestigious Spanish American intellectuals during the first decades of the twentieth century, when he was considered “the best interpreter of the continent’s realities.” A Peruvian national, he was born in Valparaíso while his father (then provisional president of Peru) was held prisoner by the Chilean government following the negotiations that ended the War of the Pacific. The family returned to Peru in 1889, and settled in Lima, where García Calderón grew up. He studied philosophy and letters at the Universidad de San Marcos, graduating in 1903. He soon rose to prominence among a new generation of intellectuals, particularly when the Uruguayan José Enrique Rodó wrote the prologue of his first book De litteris (1904). In 1906, he moved with his mother and siblings to Paris, where he spent the next four decades of his life. His book Les démocraties latines de l’Amérique was first published in French with a preface by the French president Raymond Poincaré, in 1912. While some fragments of the book appeared in Spanish in 1951, the full first Spanish version was published by the Biblioteca Ayacucho in Caracas in 1979.
Four: I turn from the cormorant itself to the bird’s natural product, guano, a resource that in the nineteenth century brought the Pacific into the global economy, profoundly affected the environment worldwide and enriched Europeans through the de facto slavery of thousands of Chinese indentured labourers on the Peruvian guano islands. Beginning with the filthy riches made from the guano trade by the UK-based Gibbs family, I outline the chemistry of guano, the European capitalisation of guano, and the conditions of labour of the guano workers. I then turn to the James Bond novel Dr No, locating Ian Fleming’s interest in guano and his transposition of the guano trade from Peru to the Caribbean in his banking family’s close connection with the Gibbses. I conclude with a discussion of the origins in the history of guano of the idea of dirt as ‘matter out of place’.
This study assessed changes in complete pneumococcal vaccination coverage (CPVC) among Peruvian children <5 years before and after the COVID 19 pandemic and evaluated regional differences, associated sociodemographic factors and wealth-related inequality. 2018–2023 Demographic and Health Surveys (DHS) was analyzed. CPVC was defined as receiving the full 2 + 1 schedule of the 13 valent pneumococcal vaccine. Children aged 13–60 months were included. Multivariable analysis used modified Poisson regression and wealth related inequality was assessed using the Concentration index and Erreygers’s corrected Concentration index at national and regional levels. Among 95,586 children, CPVC decreased from 71.9% in 2019 to 69.4% in 2020 (p = 0.003), then returned to pre Covid levels from 2021 onward (72.2% in 2023; p = 0.001), particularly in Lima Metropolitana. Puno (53.3–58.6%) and Madre de Dios (50.9–62.1%) consistently showed the lowest coverage. Nationally, wealth- or sociodemographic related inequalities were minimal; however, regional interactions indicated that the effect of wealth on CPVC varied by area. Depending on the region, factors such as age group, household members and mather’s education were associated with lower CPVC, whereas age at first pregnancy, institutional birth, antenatal care and access to information increased CPVC. Ucayali showed persistently higher CPVC among wealthier populations. Despite a temporary decline during the pandemic, CPVC in Peru rapidly recovered, although regional gaps persist.
This chapter explores why, despite being central players in transnational drug markets, Mexico and Peru’s post-authoritarian trajectories of peace and violence differ. It first examines how the Mexican military developed a powerful counterinsurgent state to fight leftist insurgents and dissidents under one-party rule. Once it succeeded in suppressing rebels through a Dirty War, authoritarian specialists in violence helped transform local traffickers into transnational drug cartels. After democratization, the first administration failed to adopt a transitional justice (TJ) process and subsequent governments deployed the surviving counterinsurgent state to fight a War on Drugs, leading to the proliferation of conflicts that turned Mexico into one of the world’s most violent democracies. Focusing then on Peru, the chapter traces the rise of the counterinsurgent state under military dictatorship, its expansion during the civil war, and its transformation under Alberto Fujimori’s dictatorship. After defeating the rebels, the head of Fujimori’s secret service seized control of transnational drug-trafficking. Following the collapse of dictatorship, the adoption of a robust truth commission and the prosecution of Fujimori’s security apparatus led to the dismantling of the counterinsurgent state, prevented the outbreak of large-scale drug wars, and set Peru on a twenty-year path of relative peace. However, failure to adopt TJ “boosters” opened a new era of violence.
LGBTQ+ youth globally face increased suicide risk, yet evidence from Latin America, particularly Peru, is limited. Understanding factors influencing suicidality among LGBTQ+ youth in Peru is essential for developing culturally relevant interventions. This study analyzed data from The Trevor Project’s 2024 Peru National Survey on the Mental Health of LGBTQ+ Young People (N = 4,643; age 14–24, mean age = 17.34). Logistic regression models examined associations between suicide-related outcomes (lifetime and past-year suicidal ideation, past-year suicide attempts), and positive screens for depressive and anxiety symptoms, mental healthcare desire, sexual orientation “outness” and perceived community acceptance. Approximately 73.5% reported lifetime suicidal ideation, 55.0% past-year ideation and 37.1% past-year attempts. Positive screens for depressive and anxiety symptoms were associated with higher odds of suicidality (aOR range: 1.80–2.88). Compared to youth who did not desire care, both unmet (aOR range: 1.64–2.16) and met (aOR range: 1.26–1.36) mental healthcare desire were associated with higher odds of suicidality, with unmet need showing stronger effects. Higher outness (aOR range: 1.56–1.75), younger age (14–17 years), and gender diversity were associated with higher odds of suicidality. Findings highlight the urgent need for accessible, identity-affirming mental health interventions in Peru, tailored to developmental stages and responsive to the stressors faced by LGBTQ+ youth.
Working closely with a detailed 1582 register of the free Afro-Peruvian population of Cusco, Peru, this article explores how the strategic representations of individual registrants reflect the intersectional impact of unfree labor practices and increasing racial marginalization in the early colonial Andes. The growing population of free Afro-Peruvian men and women navigated practices and policies that promoted racial inequalities and coerced labor based on race, class, and gender. The 1582 registry reflects municipal attempts to subject Cusco’s free Afro-Peruvians to ordinances that acknowledged the relative independence of skilled workers (oficiales), while requiring others to reside and serve in the homes of Spanish masters (amos). Analyzing entries for the nearly 150 people registered reveals ways that intersectional status and identity affected the experience of registration and the strategies for providing personal information to the Spanish notary. The declarations and omissions contained in the document highlight personal choices that people made to preserve their independence and that of their families. The social and economic independence displayed by many oficiales contrasts with the silence of individuals who lived and worked in the households of wealthy and powerful Spaniards, navigating unequal and enmeshed relationships. The range of individual experiences and statuses evident in the 1582 registry helps explain why the restrictive goal of the proceeding failed in the following years, as well as why a free Afro-Peruvian community did not flourish in Cusco during the later colonial period.
In this article, we advocate a SPEAKERHOOD STUDIES approach as part of an effort to decenter the ‘native speaker’ in linguistics. Recent critiques of native-speakerhood problematize this construct's links to essentializing discourses born of ethnolinguistic nationalism and colonialism and advocate for more specific and less reductionist approaches to describing speakers in linguistics (e.g. Babel & Grammon 2021, Birkeland et al. 2024, Cheng et al. 2021). We argue that it is important to consider—indeed, to center—conceptions of speakerhood in multilingual, transnational communities that offer a contrast to discourses centered on language purism, nationalism, and standard language ideologies. We examine data from speakers of Quechua, analyzing ways in which their ideologies of speakerhood diverge from naturalized scientific discourses in linguistics, in order to demonstrate the possibilities and the stakes of a speakerhood studies approach.