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Table 2 Summary of school health package [[21]]*

From: Using HPV vaccination for promotion of an adolescent package of care: opportunity and perspectives

Health screening

On-site service

Health education

Foundation phase (Gr R-3) [approx. age 5–7 years]

•Oral health

•Deworming (includes bilharzia and malaria control where appropriate)

•Hand washing

•Vision

•Immunisation

•Personal & environmental hygiene

•Hearing

•Oral health (where available)

•Nutrition

•Speech

•Minor ailments

•Tuberculosis

•Nutritional assessment

 

•Road safety

•Physical assessment (Gross & fine motor)

 

•Poisoning

•Mental Health

 

•Know your body

•Tuberculosis

 

•Abuse (sexual, physical and emotional abuse)

•Chronic illnesses

  

•Psychosocial Support

  

Intermediate phase (Gr 4–6) [approx. age 9–11 years]

•Oral health

•Deworming

•Personal & environmental hygiene

•Vision

•Minor ailments

•Nutrition

•Hearing

•Counselling and referral for sexual and reproductive health as needed

•Tuberculosis

•Speech

 

•Medical and Traditional Male circumcision

•Nutritional assessment

 

•Abuse (sexual, physical and emotional abuse including bullying, violence)

•Physical assessment

 

•Puberty ( e.g. physical and emotional changes, menstruation & teenage pregnancy)

•Mental Health

 

•Drug & substance abuse

•Tuberculosis

  

•Chronic illnesses

  

•Psychosocial Support

  

Senior phase (Gr 7–9) [approx. age 12–14 years]

•Oral health

•Minor ailments

•Personal & environmental hygiene

•Vision

•Counselling and referral for sexual and reproductive health as needed

•Nutrition

•Hearing

 

•Tuberculosis

•Speech

 

•Abuse (sexual, physical and emotional abuse including bullying, violence)

•Nutritional assessment

 

•Sexual & reproductive health

•Physical assessment

 

â—‹Menstruation

•incl. anaemia

 

â—‹Contraception

•Mental Health

 

â—‹STIs incl. HIV

•Tuberculosis

 

â—‹MMC & Traditional

•Chronic illnesses

 

â—‹Teenage pregnancy, CTOP, PMTCT

•Psychosocial support

 

â—‹HCT & stigma mitigation

  

•Drug and substance abuse

  

•Suicide

Further Education and Training (FET) (Gr 10–12) [approx. age 15–17 years]

•Oral health

•Minor ailments

•Personal & environmental hygiene

•Vision

•Counselling and referral for sexual and reproductive health as needed

•Nutrition

•Hearing

 

•Tuberculosis

•Speech

 

•Abuse (sexual, physical and emotional abuse including bullying, violence)

•Nutritional assessment

 

•Sexual & reproductive health

•Physical assessment incl. anaemia

 

â—‹Menstruation

•Mental Health

 

â—‹Contraception

•Tuberculosis

 

â—‹STIs incl. HIV

•Chronic illnesses

 

â—‹MMC & Traditional

•Psychosocial support

 

â—‹Teenage pregnancy, CTOP, PMTCT

  

â—‹HCT & stigma mitigation

  

•Drug and substance abuse

  

•Suicide

•All schools

 

•Environmental assessment

 

•First aid kit

 

•Water and sanitation

 

•Cooking area

 

•Physical safety

 

•School nutrition programmes (where appropriate).

  1. STIs sexually transmitted infections, MMC medical male circumcision, CTOP choice of termination of pregnancy, PMTCT prevention of mother-to-child transmission of HIV, HCT HIV counselling and testing.
  2. *Each child should be assessed through health screening at least once in each of the four educational phases; more frequently (on request) in the case of sub-optimal learning. There is currently no detail in the draft plan on frequency of on-site services and health education but it appears that the intention is for this to be on-going.