With inflation spiraling out of control, food and medicine supplies dwindling and violent crimes on the rise, women as young as 27 are seeking out surgeons to avoid unwanted pregnancies.

A study by PLAFAM, the biggest family planning clinic in the country, estimates that about 23 percent more Venezuelan women are being sterilized today as compared to four years ago, said the clinic’s director, Enrique Abache. “The financial crisis is one of the main causes for this,” he explained.

Years of government mismanagement have fueled what is now a full-blown humanitarian crisis in a country where infant mortality has almost doubled in recent years. A study of nearly 1,500 adults last year by a group of academic and social-service groups found that 87 percent of them lacked enough money to buy the food they needed.

“It wasn’t a hard decision to make,” said a recently sterilized mother of two, who spoke on condition of anonymity because of the personal nature of the topic. “It was the most feasible option … because of the country’s financial situation.”