Preventive Examinations Also for Adolescents - Hesse Expands Child Health Checks with New U10 and U11 Screenings

Hesse has expanded its child health check programme to improve early detection of developmental issues. Two new voluntary check-ups, U10 and U11, now bridge the gap between the existing U9 and the later J1 examination. These additions come alongside efforts to increase participation in the voluntary J1 check-up for adolescents.

In Hesse, nine mandatory paediatric check-ups (U-Untersuchungen) are required for every child from birth to age six. The first, U1, takes place immediately after delivery, while the last, U9, occurs around the child's sixth birthday. Each of these appointments now includes written invitations, reminders, and notifications to the youth welfare office if families repeatedly miss them.

To cover the period between U9 and the later J1 check-up, two new voluntary examinations—U10 (ages seven to eight) and U11 (ages nine to ten)—have been introduced. However, these are not covered by statutory health insurance.

The J1 check-up, designed for 12- to 14-year-olds, remains voluntary but has seen strong uptake. In 2023, 147,682 children in Hesse attended the J1, achieving a participation rate of around 92.5%. To maintain or improve this figure, the state now sends personal invitations to families, encouraging them to book the appointment.

Authorities plan to extend these personalised reminders further, aiming to ensure even more adolescents receive the check-up.

The expanded programme means children in Hesse now have more opportunities for health monitoring between early childhood and adolescence. With high participation in the J1 and new voluntary check-ups in place, the state continues to push for broader coverage. The use of invitations and reminders helps families stay on track with recommended appointments.