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Edit File: 1610996098.M253649P361155.mocha3025.mochahost.com,S=57599,W=58743:2,S
Return-Path: <ahmad@jack.ngo> Received: from mocha3025.mochahost.com by mocha3025.mochahost.com with LMTP id 2MAnCILZBWDDggUAaMJ/gg (envelope-from <ahmad@jack.ngo>); Mon, 18 Jan 2021 13:54:58 -0500 Return-path: <ahmad@jack.ngo> Envelope-to: hadi@jack.ngo, dr.niazi@jack.ngo, dr.safar@jack.ngo, ghani@jack.ngo, musawy@jack.ngo, nooromari@jack.ngo, takal@jack.ngo Delivery-date: Mon, 18 Jan 2021 13:54:58 -0500 Received: from [103.42.2.251] (port=65240 helo=ProgramManager) by mocha3025.mochahost.com with esmtpsa (TLS1.2) tls TLS_ECDHE_RSA_WITH_AES_256_GCM_SHA384 (Exim 4.93) (envelope-from <ahmad@jack.ngo>) id 1l1Zfc-001WPP-Em; Mon, 18 Jan 2021 13:54:57 -0500 From: <ahmad@jack.ngo> To: <dr.safar@jack.ngo> Cc: <ghani@jack.ngo>, <dr.niazi@jack.ngo>, <musawy@jack.ngo>, <hadi@jack.ngo>, "'Sardar Wali Takal'" <takal@jack.ngo>, <nooromari@jack.ngo>, <majeedhasan1984@gmail.com> References: <00a601d6edc0$dc610d60$95232820$@jack.ngo> In-Reply-To: <00a601d6edc0$dc610d60$95232820$@jack.ngo> Subject: RE: Looking for coordination meeting with all colleagues Date: Mon, 18 Jan 2021 23:23:37 +0430 Message-ID: <013501d6edcb$5c065070$1412f150$@jack.ngo> MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0136_01D6EDF1.13FF7BA0" X-Mailer: Microsoft Outlook 15.0 Thread-Index: AQJYCvUgsgfKaoUb9bed5KRM/sCmY6krb6SQ Content-Language: en-us This is a multipart message in MIME format. ------=_NextPart_000_0136_01D6EDF1.13FF7BA0 Content-Type: multipart/alternative; boundary="----=_NextPart_001_0137_01D6EDF1.13FF7BA0" ------=_NextPart_001_0137_01D6EDF1.13FF7BA0 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Dear Dr. Sahib Safar,=20 =20 First let me to thank you for the excellent work , and it is highly = appreciated for JACK leadership. Followings are my answers as approval = and all mentioned points will be one by one discussed with provincial = management team and provide full support.=20 =20 * According to decision on Thursday 14th of January 2021 by MoPH = in video conference, every district center should take samples. RRTs = will take samples but not in health facilities, DCs must take samples in = Health facility they are. Our district center officers are MDs and they = are not trained on sample collection. They can infect themselves or even = their sample collection may not be effective at all. Our DCs are in DHs = and CHCs, there are lab technicians in each CHC and DH. According to = Contract, ERHSP project should not affect negatively on Sehatmandi = project, however if lab technicians of CHCs and DHs help in sample = collection and it does not affect negatively on Sehatmandi project, we = will be in safe zone from critics of PPHD and MoPH. =20 Answer: All the lab-technicians of the relevant health facility where = there is DC , are assigned to provide full support to DC focal point, = but at first one day training or orientation should organize and to plan = for those lab-technicians on sample collection at COVID-19 hospital by = the PCR colleagues.=20 =20 =20 * ERHSP project currently does not have any ambulance contracted, = however if RRTs, DCs and any health facility report a severe or critical = case of COVID-19 outside the Kunduz city, how should we transfer them to = COVID-19 hospital? Although ERHSP project activities should not affect = negative on Sehatmandi project, but we do not have any other choice = rather than to use ambulances of Sehatmandi project. We should decide a = best way to use them and not affect negatively on Sehatmandi project. Answer#2: Let me to check it first with GCMU and then your will receive the final = decision on Thursday meeting. =20 * We only have 9 DCs and there are 75 Health facilities. Excluding = 28 Sub health centers, other health facilities should have a direct = focal point for COVID-19 suspect cases. The best choice for this option = is CHS of each health facility. According to Contract of ERHSP project, = CHW should help in contact tracing, case finding and awareness, CHS can = coordinate these activities and effectivey monitor the process by CHWs = in community level and by himself in Health facility level. In 28 Sub = health centers, Health facility in charge should be responsible for = COVID-19 suspect case report to RRTs. We only have 5 RRTs and 9 DCs and = they cannot cover all 75 HF. My recommendation is that after decision on = this, an official letter should be issued and cascade to all HFs for = better supporting of RRTs. Answer#3: All CHSs , CHWs and whole CBHC teams are assigned to provide any kind of = support and an official letter will be send to HFs accordingly.=20 * As we all know contact tracing is the most important part of = ERHSP project, however it is only possible by passive surveillance. = Passive surveillance is done by CHWs, CHSs and health facility in = charges (SHCs). We have to make an action plan for passive surveillance = in order to achieve the goal of active surveillance.=20 =20 Answer#4: CBHC team is assigned to provide any kind of support , so I will follow = with BPHS program and they will assign them once again and we are = totally agree.=20 =20 * There are 371 cases not traced (some from first round of ERHSP = project). I will strictly follow them and will report back the activity = by 20th January 2021. I might need help from HMIS department. If we do = not trace these cases before Wednesday, MoPH might send us a letter = officially because we are the only province in Afghanistan having 371 = active cases. Answer#4: =20 High important issue is it. Dr. Majeed and all other BPHS staff are at = your service so, I will call to Dr Ghani to arrange needed staff for you = and please take the lead . =20 * Dr Majid hassan has noted down the documents needed by TPM. We = will arrange our documents in second round in accordance with TPM = checklist. I will need help of Dr Sahib Majid Hassan and I am sure he is = fully supportive as always (Thanks). Answer: =20 Totally agree ,=20 I would like to honestly admit that in Contract and Technical proposal = of ERHSP project, only one part was non understandable for me. The = indicator percentage, how they are calculated. I would like to kindly = request for an orientation on these indicator percentage =20 Answer: Orientation will be conducted to you. =20 =20 With Best Regards, =20 =20 Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D MD,PGD (Leadership) PGD (NMD), PMP Program Manager=20 Just for Afghan Capacity and Knowledge =D8=A8=D9=84=D9=86=D8=AF = =D8=A8=D8=B1=D8=AF=D9=86 =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 = =D9=88 =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C = =D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9) =20 Address: First Street of Karta-e-Chahar, Kabul Afghanistan=20 Behind AWCC Main Office, House # 08 Ph: +93 +93(0)748480909=20 Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo =20 Website:www.jack.ngo=20 =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D This e-mail and any files transmitted with it may contain privileged or = confidential information. It is solely for use by the individual for = whom it is intended, even if addressed incorrectly. If you received this = e-mail in error, please notify the sender; do not disclose copy, = distribute, or take any action in reliance on the contents of this = information; and delete it from your system. Any other use of this = e-mail is prohibited. The views expressed herein are those of the author = and do not necessarily reflect the views or policies of jack = (Afghanistan). Electronic transmissions may be recorded and = monitored.For Verification Please Read the Barcode Reader. =20 =09 =09 =20 =20 =20 =20 P Every 3000 sheets of paper costs us a tree. Please don't print this = e-mail unless you really need to =20 =20 =20 =20 From: dr.safar@jack.ngo [mailto:dr.safar@jack.ngo]=20 Sent: Monday, January 18, 2021 10:09 PM To: ahmad@jack.ngo Cc: ghani@jack.ngo; dr.niazi@jack.ngo; musawy@jack.ngo; hadi@jack.ngo; = 'Sardar Wali Takal' <takal@jack.ngo>; nooromari@jack.ngo; = majeedhasan1984@gmail.com Subject: Looking for coordination meeting with all colleagues =20 Dear Dr Sahib Ahmad =20 We have deployed 2 RRTs and 5 district center focal points up to now. = Their performance is good, however it needs to get improved. MoPH and = PPHD is giving us feedback on RRTs and DCs performance each and every = day. I have gone through challenges and am writing them in below lines: = (although we need to discuss it in a Coordination meeting, here I will = only write them down) =20 * According to decision on Thursday 14th of January 2021 by MoPH = in video conference, every district center should take samples. RRTs = will take samples but not in health facilities, DCs must take samples in = Health facility they are. Our district center officers are MDs and they = are not trained on sample collection. They can infect themselves or even = their sample collection may not be effective at all. Our DCs are in DHs = and CHCs, there are lab technicians in each CHC and DH. According to = Contract, ERHSP project should not affect negatively on Sehatmandi = project, however if lab technicians of CHCs and DHs help in sample = collection and it does not affect negatively on Sehatmandi project, we = will be in safe zone from critics of PPHD and MoPH. * ERHSP project currently does not have any ambulance contracted, = however if RRTs, DCs and any health facility report a severe or critical = case of COVID-19 outside the Kunduz city, how should we transfer them to = COVID-19 hospital? Although ERHSP project activities should not affect = negative on Sehatmandi project, but we do not have any other choice = rather than to use ambulances of Sehatmandi project. We should decide a = best way to use them and not affect negatively on Sehatmandi project. * We only have 9 DCs and there are 75 Health facilities. Excluding = 28 Sub health centers, other health facilities should have a direct = focal point for COVID-19 suspect cases. The best choice for this option = is CHS of each health facility. According to Contract of ERHSP project, = CHW should help in contact tracing, case finding and awareness, CHS can = coordinate these activities and effectivey monitor the process by CHWs = in community level and by himself in Health facility level. In 28 Sub = health centers, Health facility in charge should be responsible for = COVID-19 suspect case report to RRTs. We only have 5 RRTs and 9 DCs and = they cannot cover all 75 HF. My recommendation is that after decision on = this, an official letter should be issued and cascade to all HFs for = better supporting of RRTs. * As we all know contact tracing is the most important part of = ERHSP project, however it is only possible by passive surveillance. = Passive surveillance is done by CHWs, CHSs and health facility in = charges (SHCs). We have to make an action plan for passive surveillance = in order to achieve the goal of active surveillance.=20 * There are 371 cases not traced (some from first round of ERHSP = project). I will strictly follow them and will report back the activity = by 20th January 2021. I might need help from HMIS department. If we do = not trace these cases before Wednesday, MoPH might send us a letter = officially because we are the only province in Afghanistan having 371 = active cases.=20 * Dr Majid hassan has noted down the documents needed by TPM. We = will arrange our documents in second round in accordance with TPM = checklist. I will need help of Dr Sahib Majid Hassan and I am sure he is = fully supportive as always (Thanks). * I would like to honestly admit that in Contract and Technical = proposal of ERHSP project, only one part was non understandable for me. = The indicator percentage, how they are calculated. I would like to = kindly request for an orientation on these indicator percentage.=20 =20 I would like to kindly request our colleagues who are in copy to kindly = read all of above points, we will discuss them in Thursday meeting and = will come up on a decision. Our internal coordination leads us to = endless success.=20 =20 Thank you & Best Regards,,, =20 Dr-Mohammad Hashim =E2=80=9CSafar=E2=80=9D MD/GP/Social Service Provider Project Manager-AHF Project Just for Afghan Capacity and Knowledge =D8=A8=D9=84=D9=86=D8=AF = =D8=A8=D8=B1=D8=AF=D9=86 =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 = =D9=88 =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C = =D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9) =20 Address: Kunduz,Kocha Sinama,First Region Beside Da Afghanistan Bank, House # 08 Ph: +93 787 047 554 - +93 744 990 143 - +93792711163 Email: Dr.Safar@jack.ngo <mailto:Dr.Safar@jack.ngo>=20 Email: Parvez.Safar@gmail.com <mailto:Parvez.Safar@gmail.com> =20 Website:www.jack.ngo =20 ------=_NextPart_001_0137_01D6EDF1.13FF7BA0 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable <html xmlns:v=3D"urn:schemas-microsoft-com:vml" = xmlns:o=3D"urn:schemas-microsoft-com:office:office" = xmlns:w=3D"urn:schemas-microsoft-com:office:word" = xmlns:m=3D"http://schemas.microsoft.com/office/2004/12/omml" = xmlns=3D"http://www.w3.org/TR/REC-html40"><head><meta = http-equiv=3DContent-Type content=3D"text/html; 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mso-level-number-position:left; text-indent:-.25in; font-family:"Courier New";} @list l0:level9 {mso-level-number-format:bullet; mso-level-text:=EF=82=A7; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-.25in; font-family:Wingdings;} ol {margin-bottom:0in;} ul {margin-bottom:0in;} --></style><!--[if gte mso 9]><xml> <o:shapedefaults v:ext=3D"edit" spidmax=3D"1027" /> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"1" /> </o:shapelayout></xml><![endif]--></head><body lang=3DEN-US = link=3D"#0563C1" vlink=3D"#954F72"><div class=3DWordSection1><p = class=3DMsoNormal><span style=3D'color:#1F497D'>Dear Dr. Sahib Safar, = <o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span style=3D'color:#1F497D'>First let me to thank = you for the excellent work , and it is highly appreciated for JACK = leadership. Followings are my answers as approval and all mentioned = points will be one by one discussed with provincial management team and = provide full support. <o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoListParagraph style=3D'text-indent:-.25in;mso-list:l0 level1 = lfo2'><![if !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>According to = decision on Thursday 14<sup>th</sup> of January 2021 by MoPH in video = conference, every district center should take samples. RRTs will take = samples but not in health facilities, DCs must take samples in Health = facility they are. Our district center officers are MDs and they are not = trained on sample collection. They can infect themselves or even their = sample collection may not be effective at all. Our DCs are in DHs and = CHCs, there are lab technicians in each CHC and DH. According to = Contract, ERHSP project should not affect negatively on Sehatmandi = project, however if lab technicians of CHCs and DHs help in sample = collection and it does not affect negatively on Sehatmandi project, we = will be in safe zone from critics of PPHD and MoPH.<o:p></o:p></p><p = class=3DMsoListParagraph><o:p> </o:p></p><p class=3DMsoNormal = style=3D'margin-left:.25in'><span = style=3D'background:yellow;mso-highlight:yellow'>Answer: All the = lab-technicians of the relevant health facility where there is DC , are = assigned to provide full support to DC focal point, but at first one day = training or orientation should organize and to plan for those = lab-technicians on sample collection at COVID-19 hospital by the PCR = colleagues.</span> <o:p></o:p></p><p class=3DMsoNormal = style=3D'margin-left:.25in'><o:p> </o:p></p><p class=3DMsoNormal = style=3D'margin-left:.25in'><o:p> </o:p></p><p = class=3DMsoListParagraph style=3D'text-indent:-.25in;mso-list:l0 level1 = lfo2'><![if !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>ERHSP project = currently does not have any ambulance contracted, however if RRTs, DCs = and any health facility report a severe or critical case of COVID-19 = outside the Kunduz city, how should we transfer them to COVID-19 = hospital? Although ERHSP project activities should not affect negative = on Sehatmandi project, but we do not have any other choice rather than = to use ambulances of Sehatmandi project. We should decide a best way to = use them and not affect negatively on Sehatmandi = project.<o:p></o:p></p><p class=3DMsoNormal>Answer#2:<o:p></o:p></p><p = class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>Let me to check it = first with GCMU and then your will receive the final decision on = Thursday meeting.</span><o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>We only have 9 DCs = and there are 75 Health facilities. Excluding 28 Sub health centers, = other health facilities should have a direct focal point for COVID-19 = suspect cases. The best choice for this option is CHS of each health = facility. According to Contract of ERHSP project, CHW should help in = contact tracing, case finding and awareness, CHS can coordinate these = activities and effectivey monitor the process by CHWs in community level = and by himself in Health facility level. In 28 Sub health centers, = Health facility in charge should be responsible for COVID-19 suspect = case report to RRTs. We only have 5 RRTs and 9 DCs and they cannot cover = all 75 HF. <b>My recommendation is that after decision on this, an = official letter should be issued and cascade to all HFs for better = supporting of RRTs.</b><o:p></o:p></p><p = class=3DMsoNormal>Answer#3:<o:p></o:p></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>All CHSs , CHWs and = whole CBHC teams are assigned to provide any kind of support and an = official letter will be send to HFs accordingly.</span> = <o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>As we all know = contact tracing is the most important part of ERHSP project, however it = is only possible by passive surveillance. Passive surveillance is done = by CHWs, CHSs and health facility in charges (SHCs). We have to make an = action plan for passive surveillance in order to achieve the goal of = active surveillance. <o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p = class=3DMsoNormal>Answer#4:<o:p></o:p></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>CBHC team is assigned = to provide any kind of support , so I will follow with BPHS program and = they will assign them once again and we are totally agree.</span> = <o:p></o:p></p><p class=3DMsoNormal><o:p> </o:p></p><p = class=3DMsoListParagraph style=3D'text-indent:-.25in;mso-list:l0 level1 = lfo2'><![if !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>There are 371 = cases not traced (some from first round of ERHSP project). I will = strictly follow them and will report back the activity by = 20<sup>th</sup> January 2021. I might need help from HMIS department. If = we do not trace these cases before Wednesday, MoPH might send us a = letter officially because we are the only province in Afghanistan having = 371 active cases.<o:p></o:p></p><p = class=3DMsoNormal>Answer#4:<o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>High important issue is = it. Dr. Majeed and all other BPHS staff are at your service so, I will = call to Dr Ghani to arrange needed staff for you and please take the = lead .</span> =C2=A0<o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>Dr Majid hassan = has noted down the documents needed by TPM. We will arrange our = documents in second round in accordance with TPM checklist. I will need = help of Dr Sahib Majid Hassan and I am sure he is fully supportive as = always (Thanks).<o:p></o:p></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>Answer:<o:p></o:p></span= ></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'><o:p> </o:p></span>= </p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>Totally agree</span> , = <o:p></o:p></p><p class=3DMsoNormal>I would like to honestly admit that = in Contract and Technical proposal of ERHSP project, only one part = was non understandable for me. The indicator percentage, how they are = calculated. I would like to kindly request for an orientation on these = indicator percentage<o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoNormal><span = style=3D'background:yellow;mso-highlight:yellow'>Answer: Orientation = will be conducted to you.</span><o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span style=3D'color:#1F497D'>With Best = Regards,<o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span style=3D'color:#1F497D'><img width=3D49 = height=3D38 id=3D"Picture_x0020_21" = src=3D"cid:image001.jpg@01D6EDEA.15EBE680" = alt=3D"cid:image003.jpg@01D4B669.F250F440"></span><b><span = style=3D'font-size:16.0pt;font-family:"Arial",sans-serif;color:#3615FB'><= o:p></o:p></span></b></p><p class=3DMsoNormal><b><span = style=3D'font-size:8.0pt;font-family:"Arial",sans-serif;color:#3615FB'>&n= bsp; &nb= sp; <o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:12.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D = </span></b><b><span style=3D'font-size:7.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>MD,PGD (Leadership) PGD (NMD), = PMP</span></b><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Program Manager = <o:p></o:p></span></b></p><p class=3DMsoNormal><b><span = style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Just for Afghan Capacity and = Knowledge</span></b><span dir=3DRTL></span><span = dir=3DRTL></span><b><span lang=3DFA dir=3DRTL = style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><span dir=3DRTL></span><span = dir=3DRTL></span> = =D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 = =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 = =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C = =D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9) = </span></b><b><span style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Address</span></b><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>:</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'> First Street of Karta-e-Chahar, Kabul = Afghanistan <o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Behind AWCC Main Office, House # = 08<o:p></o:p></span></p><p class=3DMsoNormal><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Ph</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>: +93 +93(0)748480909 = <o:p></o:p></span></p><p class=3DMsoNormal><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Email</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>: <a = href=3D"mailto:ahmad@jack.ngo">ahmad<span = style=3D'font-size:9.0pt'>@jack.ngo</span></a></span><span = style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'> <o:p></o:p></span></p><p = class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Website</span></b><span = style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>:<u>www.jack.ngo </u></span><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></p><p = class=3DMsoNormal><span = style=3D'color:#1F497D'>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= </span><span style=3D'color:#1F497D'><o:p></o:p></span></p><p = class=3DMsoNormal><span style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#1F497D;background:white'>This e-mail and any files = transmitted with it may contain privileged or confidential information. = It is solely for use by the individual for whom it is intended, even if = addressed incorrectly. If you received this e-mail in error, please = notify the sender; do not disclose copy, distribute, or take any action = in reliance on the contents of this information; and delete it from your = system. Any other use of this e-mail is prohibited. The views expressed = herein are those of the author and do not necessarily reflect the views = or policies of jack (Afghanistan). Electronic transmissions may be = recorded and monitored.</span><b><span = style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:red;background:white'>For Verification Please Read = the Barcode Reader. <o:p></o:p></span></b></p><p = class=3DMsoNormal><!--[if gte vml 1]><v:shapetype id=3D"_x0000_t75" = coordsize=3D"21600,21600" o:spt=3D"75" o:preferrelative=3D"t" = path=3D"m@4@5l@4@11@9@11@9@5xe" filled=3D"f" stroked=3D"f"> <v:stroke joinstyle=3D"miter" /> <v:formulas> <v:f eqn=3D"if lineDrawn pixelLineWidth 0" /> <v:f eqn=3D"sum @0 1 0" /> <v:f eqn=3D"sum 0 0 @1" /> <v:f eqn=3D"prod @2 1 2" /> <v:f eqn=3D"prod @3 21600 pixelWidth" /> <v:f eqn=3D"prod @3 21600 pixelHeight" /> <v:f eqn=3D"sum @0 0 1" /> <v:f eqn=3D"prod @6 1 2" /> <v:f eqn=3D"prod @7 21600 pixelWidth" /> <v:f eqn=3D"sum @8 21600 0" /> <v:f eqn=3D"prod @7 21600 pixelHeight" /> <v:f eqn=3D"sum @10 21600 0" /> </v:formulas> <v:path o:extrusionok=3D"f" gradientshapeok=3D"t" o:connecttype=3D"rect" = /> <o:lock v:ext=3D"edit" aspectratio=3D"t" /> </v:shapetype><v:shape id=3D"Picture_x0020_1" o:spid=3D"_x0000_s1026" = type=3D"#_x0000_t75" alt=3D"jack smart code" = style=3D'position:absolute;margin-left:-2.25pt;margin-top:.75pt;width:69p= t;height:69pt;z-index:251659264;visibility:visible;mso-wrap-style:square;= mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-w= rap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0= ;mso-position-horizontal:absolute;mso-position-horizontal-relative:text;m= so-position-vertical:absolute;mso-position-vertical-relative:text;mso-wid= th-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-rela= tive:page'> <v:imagedata src=3D"cid:image003.png@01D6EDEA.15E90050" o:title=3D"jack = smart code" /> </v:shape><![endif]--><![if !vml]><span = style=3D'mso-ignore:vglayout'><table cellpadding=3D0 cellspacing=3D0 = align=3Dleft><tr><td width=3D6 = height=3D982></td></tr><tr><td></td><td><img width=3D92 height=3D92 = src=3D"cid:image006.jpg@01D6EDEA.15EBE680" alt=3D"jack smart code" = v:shapes=3D"Picture_x0020_1"></td></tr></table></span><![endif]><b><span = style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:red;background:white'><o:p> </o:p></span></b></= p><p class=3DMsoNormal><b><span = style=3D'color:red'><o:p> </o:p></span></b></p><p = class=3DMsoNormal><span = style=3D'font-size:24.0pt;font-family:Webdings;color:green'><o:p> </= o:p></span></p><p class=3DMsoNormal><span = style=3D'font-size:24.0pt;font-family:Webdings;color:green'><o:p> </= o:p></span></p><br style=3D'mso-ignore:vglayout' clear=3DALL><p = class=3DMsoNormal><span = style=3D'font-size:24.0pt;font-family:Webdings;color:green'>P</span><b><s= pan = style=3D'font-size:7.5pt;font-family:"Arial",sans-serif;color:green'> = </span></b><span = style=3D'font-size:7.5pt;font-family:"Arial",sans-serif;color:green'>Ever= y 3000 sheets of paper costs us a tree. Please don't print this e-mail = unless you really need to</span><span = style=3D'color:#4864A7'><o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><p = class=3DMsoNormal><span = style=3D'color:#1F497D'><o:p> </o:p></span></p><div><div = style=3D'border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in = 0in 0in'><p class=3DMsoNormal><b>From:</b> dr.safar@jack.ngo = [mailto:dr.safar@jack.ngo] <br><b>Sent:</b> Monday, January 18, 2021 = 10:09 PM<br><b>To:</b> ahmad@jack.ngo<br><b>Cc:</b> ghani@jack.ngo; = dr.niazi@jack.ngo; musawy@jack.ngo; hadi@jack.ngo; 'Sardar Wali Takal' = <takal@jack.ngo>; nooromari@jack.ngo; = majeedhasan1984@gmail.com<br><b>Subject:</b> Looking for coordination = meeting with all colleagues<o:p></o:p></p></div></div><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoNormal>Dear Dr = Sahib Ahmad<o:p></o:p></p><p class=3DMsoNormal><o:p> </o:p></p><p = class=3DMsoNormal>We have deployed 2 RRTs and 5 district center focal = points up to now. Their performance is good, however it needs to get = improved. MoPH and PPHD is giving us feedback on RRTs and DCs = performance each and every day. I have gone through challenges and am = writing them in below lines: (although we need to discuss it in a = Coordination meeting, here I will only write them down)<o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>According to = decision on Thursday 14<sup>th</sup> of January 2021 by MoPH in video = conference, every district center should take samples. RRTs will take = samples but not in health facilities, DCs must take samples in Health = facility they are. Our district center officers are MDs and they are not = trained on sample collection. They can infect themselves or even their = sample collection may not be effective at all. Our DCs are in DHs and = CHCs, there are lab technicians in each CHC and DH. According to = Contract, ERHSP project should not affect negatively on Sehatmandi = project, however if lab technicians of CHCs and DHs help in sample = collection and it does not affect negatively on Sehatmandi project, we = will be in safe zone from critics of PPHD and MoPH.<o:p></o:p></p><p = class=3DMsoListParagraph style=3D'text-indent:-.25in;mso-list:l0 level1 = lfo2'><![if !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>ERHSP project = currently does not have any ambulance contracted, however if RRTs, DCs = and any health facility report a severe or critical case of COVID-19 = outside the Kunduz city, how should we transfer them to COVID-19 = hospital? Although ERHSP project activities should not affect negative = on Sehatmandi project, but we do not have any other choice rather than = to use ambulances of Sehatmandi project. We should decide a best way to = use them and not affect negatively on Sehatmandi = project.<o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>We only have 9 DCs = and there are 75 Health facilities. Excluding 28 Sub health centers, = other health facilities should have a direct focal point for COVID-19 = suspect cases. The best choice for this option is CHS of each health = facility. According to Contract of ERHSP project, CHW should help in = contact tracing, case finding and awareness, CHS can coordinate these = activities and effectivey monitor the process by CHWs in community level = and by himself in Health facility level. In 28 Sub health centers, = Health facility in charge should be responsible for COVID-19 suspect = case report to RRTs. We only have 5 RRTs and 9 DCs and they cannot cover = all 75 HF. <b>My recommendation is that after decision on this, an = official letter should be issued and cascade to all HFs for better = supporting of RRTs.</b><o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>As we all know = contact tracing is the most important part of ERHSP project, however it = is only possible by passive surveillance. Passive surveillance is done = by CHWs, CHSs and health facility in charges (SHCs). We have to make an = action plan for passive surveillance in order to achieve the goal of = active surveillance. <o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>There are 371 = cases not traced (some from first round of ERHSP project). I will = strictly follow them and will report back the activity by = 20<sup>th</sup> January 2021. I might need help from HMIS department. If = we do not trace these cases before Wednesday, MoPH might send us a = letter officially because we are the only province in Afghanistan having = 371 active cases. <o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>Dr Majid hassan = has noted down the documents needed by TPM. We will arrange our = documents in second round in accordance with TPM checklist. I will need = help of Dr Sahib Majid Hassan and I am sure he is fully supportive as = always (Thanks).<o:p></o:p></p><p class=3DMsoListParagraph = style=3D'text-indent:-.25in;mso-list:l0 level1 lfo2'><![if = !supportLists]><span style=3D'font-family:Symbol'><span = style=3D'mso-list:Ignore'>=C2=B7<span style=3D'font:7.0pt "Times New = Roman"'> = </span></span></span><![endif]><span dir=3DLTR></span>I would like to = honestly admit that in Contract and Technical proposal of ERHSP project, = only one part was non understandable for me. The indicator = percentage, how they are calculated. I would like to kindly request for = an orientation on these indicator percentage. <o:p></o:p></p><p = class=3DMsoNormal><o:p> </o:p></p><p class=3DMsoNormal><b>I would = like to kindly request our colleagues who are in copy to kindly read all = of above points, we will discuss them in Thursday meeting and will come = up on a decision. Our internal coordination leads us to endless success. = <o:p></o:p></b></p><p class=3DMsoNormal><o:p> </o:p></p><p = class=3DMsoNormal><span style=3D'color:#1F4E79'>Thank you & Best = Regards,,,<o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'color:#1F497D'><img border=3D0 width=3D61 height=3D48 = id=3D"Picture_x0020_1" src=3D"cid:image005.jpg@01D6EDEA.15E90050" = alt=3D"cid:image003.jpg@01D4B669.F250F440"></span><b><span = style=3D'font-size:16.0pt;font-family:"Arial",sans-serif;color:#3615FB'><= o:p></o:p></span></b></p><p class=3DMsoNormal><b><span = style=3D'font-size:8.0pt;font-family:"Arial",sans-serif;color:#3615FB'>&n= bsp; &nb= sp; <o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-family:"Segoe = UI",sans-serif;color:#548DD4'>Dr-Mohammad Hashim =E2=80=9CSafar=E2=80=9D = </span></b><b><span style=3D'font-size:7.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>MD/GP/Social Service = Provider</span></b><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-family:"Segoe = UI",sans-serif;color:#548DD4'>Project Manager-AHF = Project</span></b><b><span style=3D'font-size:12.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Just for Afghan Capacity and = Knowledge</span></b><span dir=3DRTL></span><span = dir=3DRTL></span><b><span lang=3DFA dir=3DRTL = style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><span dir=3DRTL></span><span = dir=3DRTL></span> = =D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 = =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 = =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C = =D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9) = </span></b><b><span style=3D'font-size:8.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'><o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Address</span></b><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>:</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'> Kunduz,Kocha Sinama,First = Region<o:p></o:p></span></p><p class=3DMsoNormal><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Beside Da Afghanistan Bank, House # = 08<o:p></o:p></span></p><p class=3DMsoNormal><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Ph</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>: +93 787 047 554 - +93 744 990 143 - = +93792711163<o:p></o:p></span></p><p class=3DMsoNormal><b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Email</span></b><span = style=3D'font-size:10.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>: <a = href=3D"mailto:Dr.Safar@jack.ngo">Dr.Safar@jack.ngo</a><o:p></o:p></span>= </p><p class=3DMsoNormal><b><span = style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Email: </span></b><u><span = style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:blue'><a = href=3D"mailto:Parvez.Safar@gmail.com">Parvez.Safar@gmail.com</a></span><= /u><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'> <o:p></o:p></span></b></p><p = class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>Website</span></b><span = style=3D'font-size:9.0pt;font-family:"Segoe = UI",sans-serif;color:#548DD4'>:<u>www.jack.ngo<o:p></o:p></u></span></p><= p class=3DMsoNormal><o:p> </o:p></p></div></body></html> ------=_NextPart_001_0137_01D6EDF1.13FF7BA0-- 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