Right now, however, a girl from a poor community in many countries will intersect with the health system only for immunizations as a toddler, and then not again until her first pregnancy (Bruce, 2009a). Adolescents have the lowest levels of health coverage of any age group (The Lancet Commissions, 2016), and represent an obvious next step in the drive for universal coverage. Such sessions could also offer opportunities for beginning to inform girls about their rights (Bruce, 2009a). Services must be of good quality, involve strict protection of privacy, and be free or low cost as has been done in some cases for children under age 5 (Santhya and Jejeebhoy, 2015).