En el presente trabajo de investigación se realiza un análisis de la evolución jurisprudencial de la distribución gratuita de la píldora del día siguiente y sus consecuencias en los derechos reproductivos y sexuales de la mujer en el Perú. El desarrollo se hace en el marco de los derechos fundamentales, principalmente en el ejercicio del derecho a la autonomía reproductiva de las mujeres, contenido en el más genérico derecho al libre desarrollo de la personalidad. Además, se analizan y discuten sentencias de la Corte Interamericana de Derechos Humanos, sentencias del Tribunal Constitucional peruano y sentencias del Poder Judicial d el Perú. El análisis se realiza en cuatro capítulos. En el primero, se examina los derechos reproductivos y sexuales de la mujer; en el segundo, se estudia los procesos constitucionales que han permitido discutir y dilucidar la evolución jurisprudencial de la píldora del día siguiente; en el tercero, se describe la problemática del acceso y distribución de la píldora del día siguiente en los últimos 20 años, como consecuencia de las decisiones emanadas por el Tribunal Constitucional, Poder Judicial y, por la Corte Interamericana de Derechos Humanos. Finalmente, en el cuarto capítulo se abordan los resultados y conclusiones respecto al tema analizado. / This research work will be analyzed the jurisprudence evolution of the free distribution of the morning-after pill and the consequences on the reproduction and sexual rights of women in Peru. Development will be carried out within the framework of fundamental rights, mainly in the exercise of the right to reproductive autonomy of women, contained in the most generic right to free development of the personalit y. In addition, judgments of the Inter- American Court of Human Rights, judgments of the Peruvian Constitutional Court and judgments of the Judicial Power of Peru will be analyzed and discussed. The analysis will be carried out in four chapters. In the first, the reproductive and sexual rights of women are examined; in the second, the constitutional processes that have allowed discussing and elucidating the jurisprudential evolution of the morning-after pill are studied; the third describes the problem of access to and distribution of the morning after pill in the last 20 years, as a consequence of the decisions issued by the Constitutional Court, the Judiciary and the Inter-American Court of Human Rights. Finally, the fourth chapter addresses the results and conclusions regarding the subject analyzed. / Tesis

Adolescents have become focal points of discussions and debates regarding sexuality and reproductive health matters. However, little research has been done particularly in South Africa to examine their knowledge concerning abortion and emergency contraception. Research indicates that a substantial proportion of adolescent pregnancies are unintended or unwanted. Abortion and emergency contraception are both time-sensitive services. Thus having accurate and comprehensive knowledge about both abortion and emergency contraception is pivotal, in the case of unintended or unwanted pregnancy or when engaging in unprotected sex or experiencing contraceptive failure that could lead to pregnancy. The 1994 International Conference on Population and Development (ICPD) defined reproductive health rights for both men and women as the right to "decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so" (p. 60). That is, men and women should "have the right to make decisions concerning their reproduction free of discrimination, violence and coercion" (ICPD, 1994, p.60). Based on these definitions, it is rather evident that comprehensive and accurate knowledge are at the core of one's ability to make an informed consent. This is confirmed by Adler's (1992, p. 289) definition of informed consent or choice "a) access to sufficient information b) understanding the information c) competence to evaluate potential consequences d) freedom to make a choice and e) the ability to make and express that choice". It is from this framework that this study emerged. The aim of this study was to examine adolescents' knowledge concerning abortion and emergency contraception. The participants were Grade 11 learners between the ages of 15-24 years from five different schools in the Buffalo City Municipality. A sample of 514 was achieved. Data were analysed using descriptive cross-tabulation, chi-square and qualitative methods where appropriate. The results revealed that most of the participants did not have sufficient accurate knowledge concerning the Choice on Termination of Pregnancy Act, consequences of legal abortion and emergency contraceptive pills to make informed decisions. Furthermore, data also revealed that the participants' schools playa role in their sexual activity, their knowledge about the Choice on Termination of Pregnancy Act and about emergency contraceptive pills. Although this method made it feasible for the researcher to make general assumptions, non-responses were one of the limitations of the study. Similar research in various municipalities/cities in and outside the Eastern Cape is recommended so as to increase further awareness concerning the level of knowledge that adolescents have about contraceptive pills particularly emergency contraceptive pills, the Choice on Termination of Pregnancy Act and abortion in general.

The South African government promulgated the Choice on Termination of pregnancy Act (CTOP Act, 92 of 1996). This was a dramatic declaration of intent unprecedented in the African continent and globally. This act changed the outlook of the practice of termination of pregnancy by ensuring that services play a critical role in the delivery of the service. This study, which is qualitative in nature, explored the experiences of Termination of Pregnancy service providers working in three designated public health institutions in the Limpopo Province. Interviews were conducted with six service providers to look at how they construct their practice of providing termination of pregnancy services. The information was analyzed and interpreted by means of a thematic analysis method. Major themes that emerged from the participants’ experiences centred on their relationship with family, colleagues, management, clients, and the community reflecting a sense of alienation and lack of adequate infrastructural support. Inadequate support has been found to greatly contribute to the loss of interest in the work around abortion. / Psychology / M. A. (Clinical Psychology)

The South African government promulgated the Choice on Termination of pregnancy Act (CTOP Act, 92 of 1996). This was a dramatic declaration of intent unprecedented in the African continent and globally. This act changed the outlook of the practice of termination of pregnancy by ensuring that services play a critical role in the delivery of the service. This study, which is qualitative in nature, explored the experiences of Termination of Pregnancy service providers working in three designated public health institutions in the Limpopo Province. Interviews were conducted with six service providers to look at how they construct their practice of providing termination of pregnancy services. The information was analyzed and interpreted by means of a thematic analysis method. Major themes that emerged from the participants’ experiences centred on their relationship with family, colleagues, management, clients, and the community reflecting a sense of alienation and lack of adequate infrastructural support. Inadequate support has been found to greatly contribute to the loss of interest in the work around abortion. / Psychology / M. A. (Clinical Psychology)