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In response to rising obesity rates in Peru, front-of-pack labelling (FOPL) for processed foods and beverages was implemented in 2019 as part of Law No. 30 021, with the final phase implemented in 2021, to promote healthier consumer choices. However, policy evaluations investigating implementation and effectiveness are limited. Thus, this study aimed to determine stakeholders’ perceptions of the implementation of the FOPL final phase in Peru.
Design:
Using the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework, semi-structured interviews with stakeholders were conducted and analysed using thematic analysis.
Setting:
Hybrid in-person and virtual interviews took place between February and March 2025.
Participants:
Stakeholders from government, civil society, academia and industry were eligible to participate if involved in FOPL implementation or evaluation in Peru.
Results:
A total of twenty stakeholder interviews were conducted, and four themes were developed. Firstly, stakeholders reported that FOPL reach remained constrained by certain products and locations despite the national law. Secondly, while comprehensive impact evaluations should be prioritised, a lack of complete implementation of Law No. 30021 can impact FOPL effectiveness. Stakeholders emphasised that poor acceptance and unsupportive environments can impede effective FOPL implementation (e.g. industry/political resistance, inadequate FOPL monitoring, poor consumer knowledge and healthier alternatives). Finally, healthier environments to support effective obesity prevention were emphasised, with additional FOPL education, research, and regulation updates necessary to support sustainability.
Conclusions:
Perceptions among stakeholders centred on prioritising future FOPL evaluation and education and on ensuring adequate resources are allocated to ensure that FOPL is properly implemented within supportive environments.
Why do leaders intensify identity entrepreneurship? Existing scholarship treats it as a structural constant, available where cleavages are salient, rather than a behavior whose intensity varies with political conditions. Working within the instrumentalist tradition of social identities, this article theorizes anti-corruption pressure as a cause of that variation. Such pressure varies in biographical content (whether media revelations, congressional proceedings, and prosecutorial acts name the leader and the family), and this content makes legal exposure translatable into a persecution frame. When credible, the translation activates a solidarity mechanism with two outputs emerging at different rates: a loyal base among identity-linked publics whose disapproval attenuates independently of programmatic performance, and endorsement from identity-led social organizations that raises the political costs of accountability. Credibility requires a pre-political biographical anchor; prior polarization and macroeconomic deterioration relax the strategy’s costs. Process tracing of peripheral identity entrepreneurship (PIE) during Pedro Castillo’s presidency in Peru (2021–22) illustrates the argument.
For Indigenous peoples in voluntary isolation (PIACI: Pueblos Indígenas en Aislamiento y en Contacto Inicial), cultural heritage cannot be separated from territorial mobility. Their seasonal migrations encode sophisticated ecological knowledge, resource management practices, and spiritual relationships that constitute irreplaceable intangible heritage facing extinction. This paper contributes to PIACI protection and the epistemic reconstitution of Indigenous ontologies. Although PIACI are present across Amazonian countries, we focus on Peru because the country established the world’s first comprehensive protection framework, which nevertheless reproduces coloniality in its legal design. We analyze the Indigenous concept of “territorial corridors”—vast interconnected territories where PIACI circulate that transcend administrative boundaries—as a decolonial legal innovation. Drawing from collaborative research with Peruvian Indigenous organizations and grounded in the 2024 Tagaeri and Taromenane Inter-American Court decision, we develop juridical foundations for recognizing territorial corridors and “itinerant Indigenous property,” challenging Western sedentary property frameworks and demonstrating how legal systems can evolve to protect cultural diversity in motion.
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 material and visual culture of late precolonial Andean societies-especially the Inka Empire-looked radically different from their predecessors. For millennia, the iconography of the ancient Andes was dominated by warriors, sacrificial rites, apex predators and chimerical beings whose bodies were amalgamations of multiple human and animal species. Yet by AD 1000, these images had almost entirely vanished. This study offers the first ever analysis of these dramatic transformations. Far more than simply a change of aesthetic preferences, or even a shift in ideology, it posits a series of metaphysical revolutions in which Andean sociality was fundamentally altered. The basis of personhood, the creation of value and the nature of political power itself all came to be refigured in far-reaching ways. Specifically, a once-dominant metaphysics focused on the predatory extraction of vitality from enemies disappeared, to be replaced by one grounded in reciprocal exchanges between human and nonhuman beings.
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.
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.