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Adolescent Health and Development Program

Checklist of Packages of Services


For the Month of __________________

Basic Services 10-14 15-19 TOTAL


General Health Assessment-History and Physical
Exam
Dental Assessment
Psychosocial Risk Assessment and Management
Nutrition Assessment and Counseling
Micronutrient Supplementation
Immunization
Basic Diagnostic Tests
Reproductive Health Assessment and Counseling
Fertility awareness, menstrual health issues,
sexual and reproductive health counseling
including contraceptive counseling
Pap smear and pelvic exam if sexually active
Adolescent male reproductive health issues
Gender issues (VAWC Desk)
Voluntary Counseling and Testing for STIs and
HIV
Risk Assessment (HEADSS)

Prepared by:
________________________________
AHDP Coordinator

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