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 faiq.sediqi@jack.ngo,
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Delivery-date: Sun, 31 Jul 2022 00:53:59 -0400
From: "STANICZAI, Shah Mansoor" <staniczais@who.int>
To: "asady@jack.af" <asady@jack.af>
CC: 'Rahmatullah Rahmani' <rahmatullah.rahmani@un.org>, "HAMIDI, Hosna"
	<hamidih@who.int>, "'Dr. Wali Saddat'" <dr.wali@jack.ngo>, 'Mohammad aref
 Tabesh' <drtabesh@yahoo.com>, "ahmad@jack.ngo" <ahmad@jack.ngo>, 'nooromari'
	<nooromari@jack.ngo>, 'Sardar Wali Takal' <takal@jack.af>,
	"faiq.sediqi@jack.ngo" <faiq.sediqi@jack.ngo>, "haseeb.shirzada@jack.ngo"
	<haseeb.shirzada@jack.ngo>, "ARWAL, Said Habib" <arwals@who.int>, "TANOLI,
 Jamshed" <tanolij@who.int>
Subject: RE: [EXT] JACK_AHF project#21380_Performance update_Two indicators
 lagging behind targets
Thread-Topic: [EXT] JACK_AHF project#21380_Performance update_Two indicators
 lagging behind targets
Thread-Index: Adij7bTJOPeIHLukSyC0W021JQVeAAAqbBrQ
Date: Sun, 31 Jul 2022 04:51:49 +0000
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Dear Dr. Asady,
It is well noted. Thank you for keeping us updated.

The trend of the data indicates lower confirmed cases of COVID-19. I assume=
 we may not have sufficient time to consider reprogramming by reducing COVI=
D-19 case management capacity and move the available balance for AWD respon=
se.

Re-family planning, in the last 20 years, despite of the number of interven=
tions, utilization of contraceptives remain very low (around 20 - 22%). Tho=
ugh households have very good knowledge of family planning/contraceptive pr=
oducts. Due to number of factors, knowledge did not convert to the practice=
.

Best regards,

Mansoor Staniczai, MD, MPH

Health Cluster Support Officer

[cid:image001.png@01D7C667.3A162560]

From: asady@jack.af <asady@jack.af>
Sent: Saturday, July 30, 2022 12:57 PM
To: STANICZAI, Shah Mansoor <staniczais@who.int>
Cc: 'Rahmatullah Rahmani' <rahmatullah.rahmani@un.org>; HAMIDI, Hosna <hami=
dih@who.int>; 'Dr. Wali Saddat' <dr.wali@jack.ngo>; 'Mohammad aref Tabesh' =
<drtabesh@yahoo.com>; ahmad@jack.ngo; 'nooromari' <nooromari@jack.ngo>; 'Sa=
rdar Wali Takal' <takal@jack.af>; faiq.sediqi@jack.ngo; haseeb.shirzada@jac=
k.ngo
Subject: [EXT] JACK_AHF project#21380_Performance update_Two indicators lag=
ging behind targets

Dear Dr Sahib Staniczai

Greetings

As you know JACK is implementing AHF project #21380 which includes three co=
mponents, namely provision of primary health care services in Kunduz, traum=
a care services in Parwan and COVID-19 rapid response services in Kabul pro=
vince. The project started on 26th March 2022 and will end on 25th Septembe=
r 2022. All project indicators are performing well, either as per the targe=
ts or more than targets. There are only two indicators which are performing=
 behind the initial targets. The targets for these indicators were set base=
d on the previous data, however, after commencing the project the situation=
 changed significantly and our current data show that we may not be able to=
 achieve the expected results until end of the project. Specific justificat=
ions are presented as below:

1.      COVID-19 confirm cases detected by RRTs and DCs were set to be 5,84=
1, while, our teams were able to detect only 142 confirmed cases until now.=
 The number might increase to maximum 1,000 by end of project. This might b=
e due to smaller fourth wave of the COVID-19 during February and March 2022=
.

2.      Family planning services were stipulated to be 5,400 for the whole =
project span, whereas, our teams were able to distribute family planning to=
ols to 800 CBA women until now. Considering the current circumstances, this=
 figure may go up to 2,000 clients by end of project. This might be due to =
lower number of CBA women in the catchment areas, hesitancy and cultural ba=
rriers to use CYP services, and over-estimation of the target at the beginn=
ing. For example the total number of PNC clients were calculated 1,080 and =
total CBA OPDs would reach to 2,500 by end of project. These figures show t=
hat considering 5,400 clients for family planning services would be too far=
 to reach.

Looking forward to your kind comments/instructions on the possible options =
we might have ahead.

'Together we can achieve more'

Best Regards,

[cid:image003.jpg@01D4B669.F250F440]

Abdullah "Asady" MD, MMDSc (Malaysia)
Technical Director
HP/Whatsapp: +93(0)731 087928
Alternative Email: asady_abdullah@yahoo.com<mailto:asady_abdullah@yahoo.com=
>
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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[jack smart code]

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<div class=3D"WordSection1">
Dear Dr. Asady,<o:p></o:p>
It is well noted. Thank you for keeping us updated.
<o:p></o:p>
<o:p>&nbsp;</o:p>
The trend of the data indicates lower confirmed cases=
 of COVID-19. I assume we may not have sufficient time to consider reprogra=
mming by reducing COVID-19 case management capacity
 and move the available balance for AWD response. <o:p></o:p>
<o:p>&nbsp;</o:p>
Re-family planning, in the last 20 years, despite of =
the number of interventions, utilization of contraceptives remain very low =
(around 20 &#8211; 22%). Though households have very
 good knowledge of family planning/contraceptive products. Due to number of=
 factors, knowledge did not convert to the practice. &nbsp;<o:p></o:p></spa=
n>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
<div>
Best regards,
<o:p></o:p>
<o:p>&nbsp;</o:p>
Mansoor Staniczai, MD, MPH
<o:p></o:p>
<o:p>&nbsp;</o:p>
Health Cluster Support Officer<o:p></o:p></=
b>
<o:p>&nbsp;</o:p>=

World Health Organization (WHO)
|
Kabul, Afghanistan
| Mobile Number (Incl. WhatsApp):=
 +93 794 629 097 | Email:&nbsp;<a href=3D"mailto:staniczais@who.int">stanic=
zais@who.int</a> | Skype: mstaniczai |
 Web:&nbsp;<a href=3D"https://www.who.int/" title=3D"https://www.who.int">w=
ww.who.int</a><o:p></o:p>
<o:p>&nbsp;</o:p>
<img border=3D"0" width=3D"111" height=3D"58" sty=
le=3D"width:1.1583in;height:.6083in" id=3D"Picture_x0020_1" src=3D"cid:imag=
e003.jpg@01D8A4BE.F4C5B9D0" alt=3D"cid:image001.png@01D7C667.3A162560"><o:p=
></o:p>
</div>
<o:p>&nbsp;</o:p>
<div>
<div style=3D"border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in =
0in 0in">
From: asady@jack.af &lt;asady@jack.af&gt; <br=
>
Sent: Saturday, July 30, 2022 12:57 PM 
To: STANICZAI, Shah Mansoor &lt;staniczais@who.int&gt; 
Cc: 'Rahmatullah Rahmani' &lt;rahmatullah.rahmani@un.org&gt;; HAMIDI=
, Hosna &lt;hamidih@who.int&gt;; 'Dr. Wali Saddat' &lt;dr.wali@jack.ngo&gt;=
; 'Mohammad aref Tabesh' &lt;drtabesh@yahoo.com&gt;; ahmad@jack.ngo; 'nooro=
mari' &lt;nooromari@jack.ngo&gt;; 'Sardar Wali Takal' &lt;takal@jack.af&gt;=
;
 faiq.sediqi@jack.ngo; haseeb.shirzada@jack.ngo 
Subject: [EXT] JACK_AHF project#21380_Performance update_Two indicat=
ors lagging behind targets<o:p></o:p>
</div>
</div>
<o:p>&nbsp;</o:p>
Dear Dr Sahib Staniczai <o:p></o:p>
<o:p>&nbsp;</o:p>
Greetings <o:p></o:p>
<o:p>&nbsp;</o:p>
As you know JACK is implementing AHF project #21380 =
which includes three components, namely provision of primary health care se=
rvices in Kunduz, trauma care services in Parwan and COVID-19 rapid respons=
e services in Kabul province. The
 project started on 26th March 2022 and will end on 25th</s=
up> September 2022. All project indicators are performing well, either as p=
er the targets or more than targets. There are only two indicators which ar=
e performing behind the initial
 targets. The targets for these indicators were set based on the pre=
vious data, however, after commencing the project the situation changed sig=
nificantly and our current data show
 that we may not be able to achieve the expected results until end of the p=
roject. Specific justifications are presented as below:&nbsp;
<o:p></o:p>
<o:p>&nbsp;</o:p>
<![if !supportLists]>1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<![endif]>COVID-19 confirm cases det=
ected by RRTs and DCs were set to be 5,841, while, our teams were able to d=
etect only 142 confirmed cases until now. The number might increase to maxi=
mum 1,000 by end of project. This
 might be due to smaller fourth wave of the COVID-19 during February and Ma=
rch 2022.
<o:p></o:p>
<![if !supportLists]>2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<![endif]>Family planning services w=
ere stipulated to be 5,400 for the whole project span, whereas, our teams w=
ere able to distribute family planning tools to 800 CBA women until now. Co=
nsidering the current circumstances,
 this figure may go up to 2,000 clients by end of project. This might be du=
e to lower number of CBA women in the catchment areas, hesitancy and cultur=
al barriers to use CYP services, and over-estimation of the target at the b=
eginning. For example the total
 number of PNC clients were calculated 1,080 and total CBA OPDs would reach=
 to 2,500 by end of project. These figures show that considering 5,400 clie=
nts for family planning services would be too far to reach.&nbsp;
<o:p></o:p>
<o:p>&nbsp;</o:p>
Looking forward to your kind comments/instructions o=
n the possible options we might have ahead.
<o:p></o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p></spa=
n>
<o:p>&nbsp;</o:p></spa=
n>
&#8216;Together we can=
 achieve more&#8217;<o:p></o:p>
<o:p>&nbsp;</o:p></spa=
n>
Best Regards,<o:p></o:=
p>
<o:p>&nbsp;</o:p></spa=
n>
<img border=3D"0" widt=
h=3D"49" height=3D"38" style=3D"width:.5083in;height:.4in" id=3D"Picture_x0=
020_21" src=3D"cid:image006.jpg@01D8A4BD.A06509A0" alt=3D"cid:image003.jpg@=
01D4B669.F250F440"><o:p></o:p>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p=
></o:p>
Abdullah &#8220;Asady&#8221;
MD, MMDSc (Malaysia)<o:p></o:p>
Technical Director
<o:p></o:p>
HP/Whatsapp: +93(0)731 087928
<o:p></o:p>
Alternative Email:
<a href=3D"mailto:asady_abdullah@yahoo.com">asad=
y_abdullah@yahoo.com</a>&nbsp;
<o:p></o:p>
=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D<o:p></o:p>
This e-mail and any =
files transmitted with it may contain privileged or confidential informatio=
n. 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 de=
lete 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 (Af=
ghanistan). Electronic transmissions may be recorded and monitored.<=
b>For
 Verification Please Read the Barcode Reader.&nbsp; <o:p></o:p><=
/p>
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<o:p>&nbsp;</o:p></span=
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<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
 
P
Every 3000 sheets of paper costs us a tree. Please don=
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