Coercion takes various forms. First, there are repeated visits to the homes of holdouts. Various bribes and threats are also employed. According to interviews in villages and press accounts in El Commercio, hungry women are offered the opportunity to participate in food programs, including programs supported by the U.S., if they agree to sterilization. Women already participating in food programs have been threatened with expulsion.
Rural women report that no mention is made of sterilization's health risks.
There have even been sterilizations performed on women without their consent, often during the course of other medical procedures. Her baby later died. Dr. Yong Motta attempts to defend the pressure tactics. The U.S. has some responsibility for all this. It has been pushing population control in Peru for three decades.