JezK

Edit File: 1658728680.M197558P133976.mocha3025.mochahost.com,S=63968,W=65207:2,S

Envelope-to: nooromari@jack.ngo,
 ahmad@jack.ngo,
 Obaid.shahzad@jack.ngo,
 takal@jack.ngo
Delivery-date: Mon, 25 Jul 2022 01:58:00 -0400
From: Rajeev Gera <rgera@unicef.org>
To: "yyousofzai@aada.org.af" <yyousofzai@aada.org.af>, "nbaleegh@aada.org.af"
	<nbaleegh@aada.org.af>, "ibakhtani@aada.org.af" <ibakhtani@aada.org.af>,
	"nmalang@aada.org.af" <nmalang@aada.org.af>, "habib.ghafoory@gmail.com"
	<habib.ghafoory@gmail.com>, "najmuddin.najm@akdn.org"
	<najmuddin.najm@akdn.org>, "humayoon.helal@akdn.org"
	<humayoon.helal@akdn.org>, "Ikram.Yousufzai@akdn.org"
	<Ikram.Yousufzai@akdn.org>, "matiullah.safi@akdn.org"
	<matiullah.safi@akdn.org>, "Nasratullah.Samimi@akdn.org"
	<Nasratullah.Samimi@akdn.org>, "Abdullah.shenwari@akdn.org"
	<Abdullah.shenwari@akdn.org>, "khakerah.rashidi@akdn.org"
	<khakerah.rashidi@akdn.org>, "Homa.rajabi@akdn.org" <Homa.rajabi@akdn.org>,
	"syed.ahmad@akdn.org" <syed.ahmad@akdn.org>, "hashimi@baran.org.af"
	<hashimi@baran.org.af>, "mdrsaboor@baran.org.af" <mdrsaboor@baran.org.af>,
	"faridhaider@baran.org.af" <faridhaider@baran.org.af>,
	"farid.ayobi@baran.org.af" <farid.ayobi@baran.org.af>,
	"qais.hussaini@baran.org.af" <qais.hussaini@baran.org.af>,
	"drshekibfalah@gmail.com" <drshekibfalah@gmail.com>, "ohpm.afg@gmail.com"
	<ohpm.afg@gmail.com>, "ohpm.mne.director@gmail.com"
	<ohpm.mne.director@gmail.com>, "farhadpaiman@gmail.com"
	<farhadpaiman@gmail.com>, "Dr. Masoud Sarwari" <masoudsarwari@gmail.com>,
	"Daniel.Madhani@sca.org.af" <Daniel.Madhani@sca.org.af>,
	"ahmadshah.pardis@sca.org.af" <ahmadshah.pardis@sca.org.af>,
	"iftekhar.sadaat@sca.org.af" <iftekhar.sadaat@sca.org.af>,
	"ihsanullah.fazli@sca.org.af" <ihsanullah.fazli@sca.org.af>,
	"saif.salihi@sca.org.af" <saif.salihi@sca.org.af>, "Obuya.agiso@sca.org.af"
	<Obuya.agiso@sca.org.af>, "habib.mosawi2@gmail.com"
	<habib.mosawi2@gmail.com>, "mirwais@baran.org.af" <mirwais@baran.org.af>,
	"mirwaiskeliwal@gmail.com" <mirwaiskeliwal@gmail.com>,
	"qawi.qadiri@gmail.com" <qawi.qadiri@gmail.com>, "eshaqkamal@gmail.com"
	<eshaqkamal@gmail.com>, "sl.sadat@bdn.org.af" <sl.sadat@bdn.org.af>,
	"bakhtardn@gmail.com" <bakhtardn@gmail.com>, "caf.director.general@gmail.com"
	<caf.director.general@gmail.com>, "caf.technical.director@gmail.com"
	<caf.technical.director@gmail.com>, "caf.finance.director@gmail.com"
	<caf.finance.director@gmail.com>, "opha.general.director@gmail.com"
	<opha.general.director@gmail.com>, "laily_temor@yahoo.com"
	<laily_temor@yahoo.com>, "arwahab@gmail.com" <arwahab@gmail.com>,
	"Latif.rashed.pd@gmail.com" <Latif.rashed.pd@gmail.com>, "pdd.kble@gmail.com"
	<pdd.kble@gmail.com>, "e_akeed@yahoo.ca" <e_akeed@yahoo.ca>,
	"Khanaqa_nabi@yahoo.com" <Khanaqa_nabi@yahoo.com>, Samiullah Hasanzoi'
	<samiullahhasanzoi@gmail.com>, "bassiry@cha-net.org" <bassiry@cha-net.org>,
	"zarjan@cha-net.org" <zarjan@cha-net.org>, "zeeshan@cha-net.org"
	<zeeshan@cha-net.org>, "faeq@cha-net.org" <faeq@cha-net.org>,
	"majeed@healthnettpoaf.org" <majeed@healthnettpoaf.org>,
	"najeeb@healthnettpoaf.org" <najeeb@healthnettpoaf.org>,
	"suleman@hntpo.org.af" <suleman@hntpo.org.af>, "general_director@saf.org.af"
	<general_director@saf.org.af>, "deputy_gd@saf.org.af" <deputy_gd@saf.org.af>,
	"finance_manager@saf.org.af" <finance_manager@saf.org.af>, "hayat@saf.org.af"
	<hayat@saf.org.af>, "naseem (naseem@healthnettpoaf.org)"
	<naseem@healthnettpoaf.org>, "nooromari@jack.ngo" <nooromari@jack.ngo>,
	"ahmad@jack.ngo" <ahmad@jack.ngo>, "Obaid.shahzad@jack.ngo"
	<Obaid.shahzad@jack.ngo>, "takal@jack.ngo" <takal@jack.ngo>
CC: Nila Yaqoobi <nyaqoobi@unicef.org>, Farhanja Noori <fnoori@unicef.org>,
	Fazil Ahmad <faahmad@unicef.org>, Fouzia Shafique <fshafique@unicef.org>,
	Halima Dao <hdao@unicef.org>, Aki Yoshino <ayoshino@unicef.org>, Alejandro
 Guzman <aguzman@unicef.org>, David Kungu Gitau <dkgitau@unicef.org>
Subject: RE: Additional Outreach Vaccination Services in 152 EPI Low
 Performance Districts of Afghanistan 
Thread-Topic: Additional Outreach Vaccination Services in 152 EPI Low
 Performance Districts of Afghanistan 
Thread-Index: AdiczVOQNi+RaBCpRoetFrJrh51+4AAAACVQAMdJaDA=
Date: Mon, 25 Jul 2022 05:56:14 +0000
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Dear Colleagues,

Good Morning!

For the meeting tomorrow, we have received confirmation and names from only=
 five organizations (details are entered in the attached excel sheet - if c=
heck if anyone has confirmed but not entered here). Please confirm particip=
ation and names of participants with contact details in the excel sheet. Pl=
ease don't copy to everyone and address to me and Dr. Fazil.

Look forward to meeting you/your team at 1 pm tomorrow.

Best regards,
Rajeev

Dr. Rajeev Gera
Immunization Manager
UNICEF Afghanistan Country Office
Mobile: (+93) 799987606

-----Original Appointment-----
From: David Kungu Gitau <dkgitau@unicef.org>
Sent: Thursday, July 21, 2022 11:15 AM
To: yyousofzai@aada.org.af; nbaleegh@aada.org.af; ibakhtani@aada.org.af; nm=
alang@aada.org.af; habib.ghafoory@gmail.com; najmuddin.najm@akdn.org; humay=
oon.helal@akdn.org; Ikram.Yousufzai@akdn.org; matiullah.safi@akdn.org; Nasr=
atullah.Samimi@akdn.org; Abdullah.shenwari@akdn.org; khakerah.rashidi@akdn.=
org; Homa.rajabi@akdn.org; syed.ahmad@akdn.org; hashimi@baran.org.af; mdrsa=
boor@baran.org.af; faridhaider@baran.org.af; farid.ayobi@baran.org.af; qais=
.hussaini@baran.org.af; drshekibfalah@gmail.com; ohpm.afg@gmail.com; ohpm.m=
ne.director@gmail.com; farhadpaiman@gmail.com; Dr. Masoud Sarwari; Daniel.M=
adhani@sca.org.af; ahmadshah.pardis@sca.org.af; iftekhar.sadaat@sca.org.af;=
 ihsanullah.fazli@sca.org.af; saif.salihi@sca.org.af; Obuya.agiso@sca.org.a=
f; habib.mosawi2@gmail.com; mirwais@baran.org.af; mirwaiskeliwal@gmail.com;=
 qawi.qadiri@gmail.com; eshaqkamal@gmail.com; sl.sadat@bdn.org.af; bakhtard=
n@gmail.com; caf.director.general@gmail.com; caf.technical.director@gmail.c=
om; caf.finance.director@gmail.com; opha.general.director@gmail.com; laily_=
temor@yahoo.com; arwahab@gmail.com; Latif.rashed.pd@gmail.com; pdd.kble@gma=
il.com; e_akeed@yahoo.ca; Khanaqa_nabi@yahoo.com; Samiullah Hasanzoi'; bass=
iry@cha-net.org; zarjan@cha-net.org; zeeshan@cha-net.org; faeq@cha-net.org;=
 majeed@healthnettpoaf.org; najeeb@healthnettpoaf.org; suleman@hntpo.org.af=
; general_director@saf.org.af; deputy_gd@saf.org.af; finance_manager@saf.or=
g.af; hayat@saf.org.af; naseem (naseem@healthnettpoaf.org); nooromari@jack.=
ngo; ahmad@jack.ngo; Obaid.shahzad@jack.ngo; takal@jack.ngo
Cc: Nila Yaqoobi; Farhanja Noori; Fazil Ahmad; Rajeev Gera; Fouzia Shafique=
; Halima Dao; Aki Yoshino; Alejandro Guzman
Subject: Additional Outreach Vaccination Services in 152 EPI Low Performanc=
e Districts of Afghanistan
When: Tuesday, July 26, 2022 1:00 PM-2:30 PM (UTC+04:30) Kabul.
Where: Microsoft Teams Meeting

Dear Service Providers

On behalf of our Immunization Services colleagues Dr Rajeev (rgera@unicef.o=
rg<mailto:rgera@unicef.org>) and Dr Fazil (faahmad@unicef.org<mailto:faahma=
d@unicef.org>), I am sharing the below message and attachment on vaccinatio=
n services, and inviting you for a meeting to discuss implementation..

At the meetings we will brief your immunization colleagues on the scope of =
work and provide clarification.

Agenda:

*   Overview of the scope of work - TOR
  *   Implementation period
  *   Funds disbursement
  *   Clarifications from SPs
Expected participants

*   SP's Health/EPI coordinator(s) at organisational/national level
  *   SP's Health/EPI coordinator(s) at each provincial level
Note: Kindly share the name and designation of the above colleagues to dire=
ctly to Rajeev and Fazil (emails as above)

Districts covered are in 30 out of 34 provinces.

The meeting is virtual per link provided.
...........................................................................=
...........................................................................=
...................................

Despite significant investments in the immunization program, lower routine =
immunization coverage ( ~60% for Penta3_AHS2018) remains a major concern in=
 Afghanistan. This lower immunization coverage is one of the major contribu=
ting factors to the country's polio-endemic status. The backbone of the rou=
tine immunization program service delivery is the primary health care healt=
h facilities which in turn are responsible for catering to all health needs=
, including immunization. However, only facility-based immunization service=
s cannot achieve good immunization coverage; therefore, a provision of outr=
each services has been made and needs to be implemented.

With your commitment and efforts, immunization services have continued and =
sustained despite the COVID-19 pandemic and political transition. Now, the =
access to all areas has improved post-August 2021, but the coverage has not=
 shown much improvement in the absence of robust outreach service planning =
and implementation. Therefore, strengthening outreach services is critical =
to use available opportunities and reach more children in all areas. This i=
s integral to the overall responsibility of the health facility and impleme=
nting partner to improve coverage in its catchment area through a combinati=
on of facility-based and outreach service delivery mechanisms. But, underst=
anding the gaps and the need to strengthen the program with the main focus =
on outreach immunization service delivery, NEPI has developed an accelerate=
d vaccination approach with the provision of funding to support the plan. F=
or this purpose, NEPI has identified 152 districts in 30 provinces with a t=
otal of 990 Health Facilities through an assessment based on a combination =
of coverage and risk factors. The funding is being provided for a period of=
 FOUR MONTHS to implement outreach services through the deployment of vacci=
nators (200 in total with distribution as per the list attached). The fundi=
ng provision has been made to support salaries and their training and mobil=
ity. There is also a provision of funds to engage the existing network of C=
HWs. A detailed TOR, list of districts and budget sheet is attached.

The objective of this intervention is to achieve a minimum of 60% of Penta-=
3 coverage in all these districts or a minimum of 20% more than the current=
 baseline (for example, if a district has a baseline of 50% Penta-3, then t=
he target is minimum 70%). However, please use the opportunity to maximize =
the reach and coverage.

A detailed TOR, list of districts and budget sheet is attached. The budget =
is planned for a total of four months but it will be aligned with the perio=
d of current contract and any continuation thereafter.

All work, including planning, implementation and monitoring, has to be done=
 in coordination with PEMTs/REMTs and UNICEF zonal offices. UNICEF zonal of=
fices and Extenders will also support the process and monitor the implement=
ation.

In UNICEF, Immunization team's contact person is Dr. Fazil Ahmad, Immunizat=
ion Specialist and Dr. Rajeev Gera (Immunization Manager) and they will als=
o orient on this.

---------------------------------------------------------------------------=
---------------------------------------------------------------------------=
-------------------------
Kind regards
David

___________________________________________________________________________=
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<div class=3D"WordSection1">
Dear Colleagues,<o:p></o:p>
<o:p>&nbsp;</o:p>
Good Morning!<o:p></o:p>
<o:p>&nbsp;</o:p>
For the meeting tomorrow, we have received confirmat=
ion and names from only five organizations (details are entered in the atta=
ched excel sheet &#8211; if check if anyone has confirmed but not entered h=
ere). Please confirm participation and names
 of participants with contact details in the excel sheet. Please don&#8217;=
t copy to everyone and address to me and Dr. Fazil.<o:p></o:p>
<o:p>&nbsp;</o:p>
Look forward to meeting you/your team at 1 pm tomorr=
ow. <o:p>
</o:p>
<o:p>&nbsp;</o:p>
Best regards,<o:p></o:p>
Rajeev<o:p></o:p>
<o:p>&nbsp;</o:p>
Dr. Rajeev Gera<o:p></=
o:p>
Immunization Manager<o=
:p></o:p>
UNICEF Afghanistan Cou=
ntry Office<o:p></o:p>
Mobile: (+93) 79998760=
6<o:p></o:p>
<o:p>&nbsp;</o:p>
<div>
-----Original Appointment----- 
From: David Kungu Gitau &lt;dkgitau@unicef.org&gt; 
Sent: Thursday, July 21, 2022 11:15 AM 
To: yyousofzai@aada.org.af; nbaleegh@aada.org.af; ibakhtani@aada.org=
.af; nmalang@aada.org.af; habib.ghafoory@gmail.com; najmuddin.najm@akdn.org=
; humayoon.helal@akdn.org; Ikram.Yousufzai@akdn.org; matiullah.safi@akdn.or=
g; Nasratullah.Samimi@akdn.org;
 Abdullah.shenwari@akdn.org; khakerah.rashidi@akdn.org; Homa.rajabi@akdn.or=
g; syed.ahmad@akdn.org; hashimi@baran.org.af; mdrsaboor@baran.org.af; farid=
haider@baran.org.af; farid.ayobi@baran.org.af; qais.hussaini@baran.org.af; =
drshekibfalah@gmail.com; ohpm.afg@gmail.com;
 ohpm.mne.director@gmail.com; farhadpaiman@gmail.com; Dr. Masoud Sarwari; D=
aniel.Madhani@sca.org.af; ahmadshah.pardis@sca.org.af; iftekhar.sadaat@sca.=
org.af; ihsanullah.fazli@sca.org.af; saif.salihi@sca.org.af; Obuya.agiso@sc=
a.org.af; habib.mosawi2@gmail.com;
 mirwais@baran.org.af; mirwaiskeliwal@gmail.com; qawi.qadiri@gmail.com; esh=
aqkamal@gmail.com; sl.sadat@bdn.org.af; bakhtardn@gmail.com; caf.director.g=
eneral@gmail.com; caf.technical.director@gmail.com; caf.finance.director@gm=
ail.com; opha.general.director@gmail.com;
 laily_temor@yahoo.com; arwahab@gmail.com; Latif.rashed.pd@gmail.com; pdd.k=
ble@gmail.com; e_akeed@yahoo.ca; Khanaqa_nabi@yahoo.com; Samiullah Hasanzoi=
'; bassiry@cha-net.org; zarjan@cha-net.org; zeeshan@cha-net.org; faeq@cha-n=
et.org; majeed@healthnettpoaf.org;
 najeeb@healthnettpoaf.org; suleman@hntpo.org.af; general_director@saf.org.=
af; deputy_gd@saf.org.af; finance_manager@saf.org.af; hayat@saf.org.af; nas=
eem (naseem@healthnettpoaf.org); nooromari@jack.ngo; ahmad@jack.ngo; Obaid.=
shahzad@jack.ngo; takal@jack.ngo 
Cc: Nila Yaqoobi; Farhanja Noori; Fazil Ahmad; Rajeev Gera; Fouzia S=
hafique; Halima Dao; Aki Yoshino; Alejandro Guzman 
Subject: Additional Outreach Vaccination Services in 152 EPI Low Per=
formance Districts of Afghanistan
 
When: Tuesday, July 26, 2022 1:00 PM-2:30 PM (UTC+04:30) Kabul. 
Where: Microsoft Teams Meeting<o:p></o:p>
</div>
<o:p>&nbsp;</o:p>
Dear Service Providers<o:p></o:p>
<o:p>&nbsp;</o:p>
On behalf of our Immunization Services colleagues Dr=
 Rajeev (<a href=3D"mailto:rgera@unicef.org">rgera@unicef.org</a>) and Dr F=
azil (<a href=3D"mailto:faahmad@unicef.org">faahmad@unicef.org</a>), I am s=
haring the below message and attachment
 on vaccination services, and inviting you for a meeting to discuss impleme=
ntation..<o:p></o:p>
<o:p>&nbsp;</o:p>
At the meetings we will brief your immunization coll=
eagues on the scope of work and provide clarification.<o:p></o:p>
<o:p>&nbsp;</o:p>
Agenda:<o:p></o:p>
<o:p>&nbsp;</o:p>
<ul style=3D"margin-top:0in" type=3D"disc">
<li class=3D"MsoListParagraph" style=3D"margin-left:0in;mso-list:l1 level1 =
lfo3">Overview of the scope of work &#8211; TOR<o:p></o:p></li><li class=3D=
"MsoListParagraph" style=3D"margin-left:0in;mso-list:l1 level1 lfo3">Implem=
entation period<o:p></o:p></li><li class=3D"MsoListParagraph" style=3D"marg=
in-left:0in;mso-list:l1 level1 lfo3">Funds disbursement<o:p></o:p></li><li =
class=3D"MsoListParagraph" style=3D"margin-left:0in;mso-list:l1 level1 lfo3=
">Clarifications from SPs<o:p></o:p></li></ul>
Expected participants<o:p></o:p>
<ul style=3D"margin-top:0in" type=3D"disc">
<li class=3D"MsoListParagraph" style=3D"margin-left:0in;mso-list:l0 level1 =
lfo6">SP&#8217;s Health/EPI coordinator(s) at organisational/national level=
<o:p></o:p></li><li class=3D"MsoListParagraph" style=3D"margin-left:0in;mso=
-list:l0 level1 lfo6">SP&#8217;s Health/EPI coordinator(s) at each provinci=
al level<o:p></o:p></li></ul>
Note: Kindly share th=
e name and designation of the above colleagues to directly to Rajeev and Fa=
zil (emails as above)<o:p></o:p>
<o:p>&nbsp;</o:p>
Districts covered are in 30 out of 34 provinc=
es.<o:p></o:p>
<o:p>&nbsp;</o:p>
The meeting is virtual per link provided.<o:p></o:p>=

&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8=
230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&=
#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230=
;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#82=
30;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#=
8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;=
..<o:p></o:p>
<o:p>&nbsp;</o:p>
Despite significant investments in the immunization =
program, lower routine immunization coverage ( ~60% for Penta3_AHS2018) rem=
ains a major concern in Afghanistan. This lower immunization coverage is on=
e of the major contributing factors
 to the country's polio-endemic status. The backbone of the routine immuniz=
ation program service delivery is the primary health care health facilities=
 which in turn are responsible for catering to all health needs, including =
immunization. However, only facility-based
 immunization services cannot achieve good immunization coverage; therefore=
, a provision of outreach services has been made and needs to be implemente=
d.<o:p></o:p>
<o:p>&nbsp;</o:p>
With your commitment and efforts, immunization servi=
ces have continued and sustained despite the COVID-19 pandemic and politica=
l transition. Now, the access to all areas has improved post-August 2021, b=
ut the coverage has not shown much
 improvement in the absence of robust outreach service planning and impleme=
ntation. Therefore, strengthening outreach services is critical to use avai=
lable opportunities and reach more children in all areas. This is integral =
to the overall responsibility of
 the health facility and implementing partner to improve coverage in its ca=
tchment area through a combination of facility-based and outreach service d=
elivery mechanisms. But, understanding the gaps and the need to strengthen =
the program with the main focus
 on outreach immunization service delivery, NEPI has developed an accelerat=
ed vaccination approach with the provision of funding to support the plan. =
For this purpose, NEPI has identified 152 districts in 30 provinces with a =
total of 990 Health Facilities through
 an assessment based on a combination of coverage and risk factors. The fun=
ding is being provided for a period of FOUR MONTHS to implement outreach se=
rvices through the deployment of vaccinators (200 in total with distributio=
n as per the list attached). The
 funding provision has been made to support salaries and their training and=
 mobility. There is also a provision of funds to engage the existing networ=
k of CHWs. A detailed TOR, list of districts and budget sheet is attached.<=
o:p></o:p>
<o:p>&nbsp;</o:p>
The objective of this intervention is to achieve a m=
inimum of 60% of Penta-3 coverage in all these districts or a minimum of 20=
% more than the current baseline (for example, if a district has a baseline=
 of 50% Penta-3, then the target is
 minimum 70%). However, please use the opportunity to maximize the reach an=
d coverage.<o:p></o:p>
<o:p>&nbsp;</o:p>
A detailed TOR, list of districts and budget sheet i=
s attached. The budget is planned for a total of four months but it will be=
 aligned with the period of
current contract and any continuation thereafter. <o:p></o:p>=

<o:p>&nbsp;</o:p>
All work, including planning, implementation and mon=
itoring, has to be done in coordination with PEMTs/REMTs and UNICEF zonal o=
ffices. UNICEF zonal offices and Extenders will also support the process an=
d monitor the implementation.<o:p></o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
In UNICEF, Immunization team&#8217;s contact person =
is Dr. Fazil Ahmad, Immunization Specialist and Dr. Rajeev Gera (Immunizati=
on Manager) and they will also orient on this.<o:p></o:p>
<o:p>&nbsp;</o:p>
----------------------------------------------------=
---------------------------------------------------------------------------=
------------------------------------------------<o:p></o:p>
Kind regards<o:p></o:p>
David <o:p></o:p>
<o:p>&nbsp;</o:p>
<div>
______________________=
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--_000_AM6PR05MB58951D5C2CCE682362FD6C1BDF959AM6PR05MB5895eurp_--

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