JezK

Edit File: 1650193193.M7056P67983.mocha3025.mochahost.com,S=71901,W=73079:2,S

Envelope-to: dr.tokhi@jack.ngo,
 asady@jack.ngo,
 dr.sadat@jack.ngo,
 dr.tabesh@jack.ngo,
 ahmad@jack.ngo,
 Takal@jack.ngo,
 Faiq.sediqi@jack.ngo,
 Obaid.shahzad@jack.ngo,
 haseeb.shirzada@jack.ngo,
 syusofzai@jack.ngo
Delivery-date: Sun, 17 Apr 2022 06:59:53 -0400
MIME-Version: 1.0
References: <009d01d85164$c8975510$59c5ff30$@jack.ngo>
In-Reply-To: <009d01d85164$c8975510$59c5ff30$@jack.ngo>
From: dr sayed Ismail Sadat <drsadat.57@gmail.com>
Date: Sun, 17 Apr 2022 15:25:58 +0430
Message-ID: <CAPsUn4qDUQr0PpVAsJ2eRXTW0HUPxnB3DX1MaiqKGT55ccP1Dw@mail.gmail.com>
Subject: Re: TPM-WHO findings on Kabul and Parwan Sehatmandi projects (BPHS/EPHS)
To: Abdullah Asady <asady@jack.ngo>
Cc: dr.sadat@jack.ngo, dr.tabesh@jack.ngo, 
	Shuaib Shahram <shuaibshahram@gmail.com>, "Noor Ahmad [JACK" <ahmad@jack.ngo>, 
	Sardar Wali Takal <Takal@jack.ngo>, "Dr. Faiq Sediqi" <Faiq.sediqi@jack.ngo>, Obaid.shahzad@jack.ngo, 
	"Shirzada, Haseeb" <haseeb.shirzada@jack.ngo>, dr.tokhi@jack.ngo, syusofzai@jack.ngo
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Dear Dr Sahib Asady

Greetings

First of all, thank you so much for your email

Please receive the comments and justifications TPM report hereby annexed
with this email. For your kind review and consideration.

Best Regards,

*Dr.  Sayed Ismail Sadat   **MD, MPH, *

*Project Manager KBL Sehatmandi*

*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)  *

*Address**:* House # Shahr-e-Naw Tawseaa Square , 10th District,

Beside Afghanistan TV , Kabul Afghanistan

*Ph.*: +93 799603622

What=E2=80=99s app: +93 706828108

*Email*: drsadat.57@gmail.com

*Website*: www.jack.ngo

=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=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
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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
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P Every 3000 sheets of paper costs us a tree. Please don't print this
e-mail unless you really need to

On Sat, Apr 16, 2022 at 12:07 PM <asady@jack.ngo> wrote:

> Dear colleagues in Kabul and Parwan
>
>
>
> Greetings
>
>
>
> We received the TPM report of the assessments conducted on 17 provinces
> from Aqrab to end of Jaddi 1400. The Kabul and Parwan projects were
> included in the assessments. The assessment components were HMIS
> verification, health facility functionality, and drug quality. Though we
> had good performances in many areas, we received a number of undesirable
> observations listed below. Could you please go through carefully and
> provide your comments/justifications for each of them in the attached
> format so that we can argue against and rebut the findings where possible=
.
>
>
>
> 1.     TPM findings on Kabul Sehatmandi:
>
> a.     *BPHS MSS (Minimum Standard of Services) for staff availability,
> as per SOP/BPHS guidelines:* None of the provinces met the minimum
> standards of facilities with SOP staff availability score (present during
> visit+ verified 3 months) as defined in revised SOP/BPHS guidelines;
>
> b.     *BPHS MSS for availability of medicines:* None of the 17 provinces
> met the minimum standard of facilities with a drugs availability score
> >90%, as defined in revised SOP/BPHS guidelines. This indicator is
> persistently problematic and has remained low since the first round of th=
e
> TPM verification;
>
> c.     *BPHS MSS for availability of equipment: *None of the 17 provinces
> met the minimum standards of facilities with an equipment availability
> score >95%, as defined in revised SOP/BPHS guidelines. This indicator has
> also remained problematic since the first round of TPM verification;
>
> d.     *BPHS MSS for availability of at least one female community health
> worker (CHW) per health post*: Out of the 17 provinces, 10 provinces met
> the minimum standards. The six provinces not meeting the MSS were: Wardak=
,
> Takhar, *Parwan*, Nangarhar, Logar, *Kabul*, and Faryab.
>
> 2.     TPM findings on Parwan Sehatmandi:
>
> a.     *BPHS MSS (Minimum Standard of Services) for staff availability,
> as per SOP/BPHS guidelines:* None of the provinces met the minimum
> standards of facilities with SOP staff availability score (present during
> visit+ verified 3 months) as defined in revised SOP/BPHS guidelines;
>
> b.     *BPHS MSS for availability of medicines:* None of the 17 provinces
> met the minimum standard of facilities with a drugs availability score
> >90%, as defined in revised SOP/BPHS guidelines. This indicator is
> persistently problematic and has remained low since the first round of th=
e
> TPM verification;
>
> c.     *BPHS MSS for availability of equipment: *None of the 17 provinces
> met the minimum standards of facilities with an equipment availability
> score >95%, as defined in revised SOP/BPHS guidelines. This indicator has
> also remained problematic since the first round of TPM verification;
>
> d.     *BPHS MSS for availability of at least one female community health
> worker (CHW) per health post*: Out of the 17 provinces, 10 provinces met
> the minimum standards. The six provinces not meeting the MSS were: Wardak=
,
> Takhar, *Parwan*, Nangarhar, Logar, *Kabul*, and Faryab;
>
> e.     *BPHS MSS for all key staff present at least 70% of staff time
> during the verified three months*: out of the17 provinces, 12 provinces
> met the MSS, while five provinces (Bamyan, Faryab, *Parwan*, Nooristan,
> and Saripul) did not reach the MSS for availability of key staff;
>
> f.      *EPHS MSS for Medicines availability:* Seven provinces (*includin=
g
> Parwan*) did not achieve the minimum standards;
>
> g.     For EPHS services, out of the 8 provinces with EPHS facilities,
> six provinces achieved the optimal threshold of a HMIS score greater than
> 95%, as defined in the SOP 2020. Just two provinces, Parwan and Wardak
> scored lower than the optimal threshold, with a HMIS score of *94.9%* (
> Parwan) and 92% respectively.
>
> The deadline for submission of our comments/justifications is tomorrow
> morning, thus, I would most appreciate if you can send the responses by
> tonight.
>
> I most appreciate your continuous hard work and resilience.
>
>
>
>
>
> =E2=80=98Together we can achieve more=E2=80=99
>
>
>
> Best Regards,
>
>
>
> [image: cid:image003.jpg@01D4B669.F250F440]
>
>
>
> *Abdullah =E2=80=9CAsady=E2=80=9D **MD, MMDSc (Malaysia)*
>
> *Head of Monitoring, Evaluation and Research *
>
> *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)  *
>
> *Address**:* First Street of Karta-e-Chahar, Kabul Afghanistan
>
> Behind AWCC Main Office, House # 08
>
> *Ph*: +93(0)731 087928
>
> *Email*: asady@jack.ngo
>
> *Website*:*www.jack.ngo *
>
>
> =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=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-mai=
l
> in error, please notify the sender; do not disclose copy, distribute, or
> take any action in reliance on the contents of this information; and dele=
te
> it from your system. Any other use of this e-mail is prohibited. The view=
s
> expressed herein are those of the author and do not necessarily reflect t=
he
> views or policies of jack (Afghanistan). Electronic transmissions may be
> recorded and monitored.*For Verification Please Read the Barcode Reader.
> *
>
> [image: jack smart code]
>
>
>
>
>
>
>
> P Every 3000 sheets of paper costs us a tree. Please don't print this
> e-mail unless you really need to
>
>
>

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<div dir=3D"ltr">Dear Dr Sahib =
AsadyGreetingsFirst of all, thank you so much for
your email

Please receive the comments=
 and
justifications=C2=A0TPM report hereby annexed with this email. For
your=C2=A0kind=C2=A0review=C2=A0and=C2=A0consideration.<div><div dir=3D=
"ltr" class=3D"gmail_signature" data-smartmail=3D"gmail_signature"><div dir=
=3D"ltr">Best Regards,=

=C2=A0

=20
=20
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 =20
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=20

=20

=C2=
=A0=C2=A0=C2=A0</sp=
an>

Dr.=C2=A0 Sayed Ismail Sadat=C2=
=A0=C2=A0
MD, MPH, <=
/p>

Project Manager KBL Sehatmandi<spa=
n style=3D"font-family:&quot;Times New Roman&quot;,serif;color:#3615fb"></s=
pan>

Just for Afghan Capacity and Kno=
wledge<span=
 lang=3D"FA" dir=3D"RTL" style=3D"font-size:9.0pt;font-family:&quot;Times N=
ew Roman&quot;,serif;color:#548dd4">=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 =C2=A0=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)=C2=A0 </sp=
an>

Address:<=
/b> House # Shahr-e-Naw Tawseaa Square , 10th District,

Beside
Afghanistan TV , Kabul Afghanistan

Ph.: +93 799603622

What=E2=80=99s
app: +93 706828108

Email: <a href=3D"mailto:drsa=
dat.57@gmail.com" target=3D"_blank">drsadat.57@gmail.com</a>

Website: <a href=3D"http://www.jack.ngo/" target=3D"_blank">www.jack.ngo</a>

=3D=3D=3D=3D=3D=3D=3D=
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D<=
/p>

This e-mail and any files tr=
ansmitted 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 co=
py,
distribute, or take any action in reliance on the contents of this informat=
ion;
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 refle=
ct
the views or policies of jack (Afghanistan). Electronic transmissions may b=
e
recorded and monitored.For Verification Please Read =
the Barcode
Reader.=C2=A0

=20
=C2=A0

=C2=A0

=C2=A0

P Every 3000 sheets =
of paper costs us a tree. Please don&#39;t print
this e-mail unless you really need to<=
/span>

=C2=A0

=C2=A0</div></div></div> </div> <div class=
=3D"gmail_quote"><div dir=3D"ltr" class=3D"gmail_attr">On Sat, Apr 16, 2022=
 at 12:07 PM &lt;asady@jack.ngo&gt; wrote: </div><blockquote class=3D"gm=
ail_quote" style=3D"margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,=
204,204);padding-left:1ex"><div lang=3D"EN-US"><div class=3D"gmail-m_302817=
9490933261708WordSection1">Dear colleagues in Kabul and Parwan</u=
>=C2=A0Greetings <=
/p>=C2=A0We received the TPM report of the =
assessments conducted on 17 provinces from Aqrab to end of Jaddi 1400. The =
Kabul and Parwan projects were included in the assessments. The assessment =
components were HMIS verification, health facility functionality, and drug =
quality. Though we had good performances in many areas, we received a numbe=
r of undesirable observations listed below. Could you please go through car=
efully and provide your comments/justifications for each of them in the att=
ached format so that we can argue against and rebut the findings where poss=
ible. =C2=A01.=C2=A0=C2=A0=C2=A0=C2=A0 TPM findings on Kabul Sehatmand=
i: =
a.=C2=A0=C2=A0=C2=A0=
=C2=A0 BPHS MSS (Minimum Standard of Services) for staff ava=
ilability, as per SOP/BPHS guidelines: None of the provinces met the minimum standards of facilities with =
SOP staff availability score (present during visit+ verified 3 months) as d=
efined in revised SOP/BPHS guidelines;<spa=
n style=3D"line-height:150%">b.=C2=A0=C2=A0=C2=A0=C2=A0 BPHS MSS for availabi=
lity of medicines: None of the =
17 provinces met the minimum standard of facilities with a drugs availabili=
ty score &gt;90%, as defined in revised SOP/BPHS guidelines. This indicator=
 is persistently problematic and has remained low since the first round of =
the TPM verification;c.=
=C2=A0=C2=A0=C2=A0=C2=A0 </sp=
an>BPHS MSS for availability of equipme=
nt: None of the 17 provinces me=
t the minimum standards of facilities with an equipment availability score =
&gt;95%, as defined in revised SOP/BPHS guidelines. This indicator has also remaine=
d problematic since the first round of TPM verification;=
d.<=
span style=3D"font:7pt &quot;Times New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=
=A0 BPHS MSS for availability of at least one female communit=
y health worker (CHW) per health post: Out of the 17 provinces, 10 provinces met the minimum standards. Th=
e six provinces not meeting the MSS were: Wardak, Takhar, Parwan, Nangarhar, Logar, Kabul, and Faryab.=
2.<spa=
n style=3D"font:7pt &quot;Times New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0 <=
/span>TPM findings on Parwan Sehatmandi: <=
/u>a.=C2=A0=C2=A0=C2=A0=C2=A0 =
BPHS MSS (Mini=
mum Standard of Services) for staff availability, as per SOP/BPHS guideline=
s: None of the provinces met th=
e minimum standards of facilities with SOP staff availability score (presen=
t during visit+ verified 3 months) as defined in revised SOP/BPHS guideline=
s;b=
.=C2=A0=C2=A0=C2=A0=C2=
=A0 BPHS MSS for availability of medicines: None of the 17 provinces met the minimum standar=
d of facilities with a drugs availability score &gt;90%, as defined in revi=
sed SOP/BPHS guidelines. This indicator is persistently problematic and has=
 remained low since the first round of the TPM verification;<=
/span>c.=C2=A0=C2=A0=C2=A0=C2=A0 </span=
>BPHS MSS for availability of equipment: None of the 17 provinces met the minimum standards of facilities =
with an equipment availability score &gt;95%, as defined in revised SOP/BPH=
S guidelines. This indicator has also remained problematic since the first round of=
 TPM verification;</spa=
n>d.=C2=A0=C2=A0=C2=A0=C2=A0 BPHS MSS for availabili=
ty of at least one female community health worker (CHW) per health post</sp=
an>: Out of the 17 provinces, 10 provi=
nces met the minimum standards. The six provinces not meeting the MSS were:=
 Wardak, Takhar, Parwan, Nangarhar,=
 Logar, Kabul, and Faryab;<s=
pan style=3D"line-height:150%">e.=C2=A0=C2=A0=C2=A0=C2=A0 BPHS MSS for all key staff p=
resent at least 70% of staff time during the verified three months</=
b>: out of the17 provinces, 12 provinces m=
et the MSS, while five provinces (Bamyan, Faryab, Parwan, Nooristan, and Saripul) did not reach the MSS for av=
ailability of key staff;f.=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 EPHS MSS for Medicines availa=
bility: Seven provinces (inc=
luding Parwan) did not achieve the min=
imum standards;g.=C2=A0=C2=
=A0=C2=A0=C2=A0 For EPHS services, out of the 8 provinces with E=
PHS facilities, six provinces achieved the optimal threshold of a HMIS scor=
e greater than 95%, as defined in the SOP 2020. Just two provinces, Parwan and Wardak scored lower than the optimal t=
hreshold, with a HMIS score of 94.9%</=
span> (Parw=
an) and 92% respectively.The deadline for submission of our comme=
nts/justifications is tomorrow morning, thus, I would most appreciate if yo=
u can send the responses by tonight.I most appreciate your continuous hard work and re=
silience.<=
/u>=C2=A0<=
/u>=C2=A0=E2=
=80=98Together we can achieve more=E2=80=99=
=C2=A0=
Best Regards,=
=C2=A0=
<img width=3D"49" height=3D"38"=
 id=3D"gmail-m_3028179490933261708Picture_x0020_21" src=3D"cid:180372893ef5=
b006a1" alt=3D"cid:image003.jpg@01D4B669.F250F440">=C2=A0=C2=A0=C2=
=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0=C2=A0=C2=A0Abdullah =E2=80=9CAsady=E2=80=9D MD, MMDSc (Malaysia)<u=
>Head =
of Monitoring, Evaluation and Research =
Just for Afghan Capacity and Knowledge<=
/span><sp=
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