JezK

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Envelope-to: dr.rahim@jack.ngo
Delivery-date: Sun, 14 Aug 2022 14:57:42 -0400
MIME-Version: 1.0
From: Naseer Javed <naseerjaved2@gmail.com>
Date: Sun, 14 Aug 2022 11:56:37 -0700
Message-ID: <CAEQEN4=BoFfyK9Gyp_j7Uhm44k7aGD4eKthhp4fF7JM5C2h6eg@mail.gmail.com>
Subject: Monitoring Findings Tolat Health Post related to Zarshakh BHC Paghman
To: abmaroofhakimhakimi@gmail.com
Cc: "Dr.khalil samadi" <drkhalils@gmail.com>, Abdul basir Rasuli <basirrasuli@yahoo.com>, dr.rahim@jack.ngo, 
	abdulbasirrahimi20@gmail.com, 
	Sayed Haroon Osman parwani <osmanparwani2019@gmail.com>, Shaista Mehraban <smehraban@unicef.org>, 
	Shafiqullah Safi <shsafi@unicef.org>, Said M Yaqoob Azimi <sazimi@unicef.org>
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Dear Respected colleagues,

Greetings!

Last Tuesday, I had supportive supervision visits from Zarshak BHC-related
Tolat health post. I and the CHS of the clinic observed the work and
activities of the CHWs of the Tolat Health post.

Below are the main findings which need your kind consideration and
follow-up.

*District: Paghman *

*HF: Zarshakh BHC*

*Health Post: Tolat*

*Code:9627*

*Total number of Houses in their catchment area: 150*

*Date of Visit:09 August 2022 *

*The main findings:*

*1-     *Based on interviews with CHWs, from last year they haven=E2=80=99t=
 got any
training in Nutrition.

*2-     *Unavailability of the ICE material.

*3-     *The health post needs a small board to show or point to the Health
Post.

*4-     *There was not any clear evidence for screening of all children
under 5 in their catchment area in the last three months.

*Recommended action:*

1-     The CHWs should visit every single home in their catchment area at
least once a quarter to find out malnutrition cases to refer them to the
BHC, and along with this, they should spread the nutrition key messages to
the families.

2-     Refresher training for CHWs regarding nutrition activities.

3-     CWS should have a separate room in their house as a health post, and
the wall of the health post should be covered by wall banners, charts,
brushers, leaflets=E2=80=A6etc.

4-     Provide the ICE material.

During this visit, on-the-job training was done and pointed some action
points to the CHWs and CHS for further improvement of the program.

I hope you will follow up on the above action points in other HP and
improve their work.

Best regards,

--=20

Dr. Naseer Ahmad Javed
MD, Internal Specialist
Nutritional Technical Extender, Kabul
Ph #: 0093788285428
        0093793688575
WhatsApp #: 0093788285428
Email: naseerjaved2@gmail.com

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<div dir=3D"ltr"><p class=3D"MsoNormal" style=3D"line-height:11.75pt;backgr=
ound-image:initial;background-position:initial;background-size:initial;back=
ground-repeat:initial;background-origin:initial;background-clip:initial;mar=
gin:0in 0in 8pt;font-size:11pt;font-family:Calibri,sans-serif">Dear
Respected colleagues,</p>

<p class=3D"MsoNormal" style=3D"line-height:11.75pt;background-image:initia=
l;background-position:initial;background-size:initial;background-repeat:ini=
tial;background-origin:initial;background-clip:initial;margin:0in 0in 8pt;f=
ont-size:11pt;font-family:Calibri,sans-serif">Greetings!=C2=A0</p>

<p class=3D"MsoNormal" style=3D"line-height:11.75pt;margin:0in 0in 8pt;font=
-size:11pt;font-family:Calibri,sans-serif">Last Tuesday, I had supportive s=
upervision visits
from Zarshak BHC-related Tolat health post. I and the CHS of the clinic obs=
erved
the work and activities of the CHWs of the Tolat Health post.</p>

<p class=3D"MsoNormal" style=3D"line-height:11.75pt;margin:0in 0in 8pt;font=
-size:11pt;font-family:Calibri,sans-serif">Below are the main findings whic=
h need your kind
consideration and follow-up.</p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>District:
Paghman </i></b></p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>HF:
Zarshakh BHC</i></b></p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>Health
Post: Tolat</i></b></p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>Total
number of Houses in their catchment area: 150</i></b></p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>Date
of Visit:09 August 2022 </i></b></p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>The
main findings:</i></b></p>

<p class=3D"gmail-MsoListParagraphCxSpFirst" style=3D"margin:0in 0in 0.0001=
pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif">=
<b><i>1-<span style=3D"font-style:normal;font-variant-numeric:normal;font-v=
ariant-east-asian:normal;font-weight:normal;font-stretch:normal;font-size:7=
pt;line-height:normal;font-family:&quot;Times New Roman&quot;">=C2=A0=C2=A0=
=C2=A0=C2=A0
</span></i></b><span dir=3D"LTR"></span>Based on interviews with CHWs, from=
 last year they haven=E2=80=99t got any training in Nutrition.</p>

<p class=3D"gmail-MsoListParagraphCxSpMiddle" style=3D"margin:0in 0in 0.000=
1pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif"=
><b><i>2-<span style=3D"font-style:normal;font-variant-numeric:normal;font-=
variant-east-asian:normal;font-weight:normal;font-stretch:normal;font-size:=
7pt;line-height:normal;font-family:&quot;Times New Roman&quot;">=C2=A0=C2=
=A0=C2=A0=C2=A0
</span></i></b><span dir=3D"LTR"></span>Unavailability of the ICE material.=
</p>

<p class=3D"gmail-MsoListParagraphCxSpMiddle" style=3D"margin:0in 0in 0.000=
1pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif"=
><b><i>3-<span style=3D"font-style:normal;font-variant-numeric:normal;font-=
variant-east-asian:normal;font-weight:normal;font-stretch:normal;font-size:=
7pt;line-height:normal;font-family:&quot;Times New Roman&quot;">=C2=A0=C2=
=A0=C2=A0=C2=A0
</span></i></b><span dir=3D"LTR"></span>The health post needs a small board=
 to
show or point to the Health Post.=C2=A0 </p>

<p class=3D"gmail-MsoListParagraphCxSpLast" style=3D"margin:0in 0in 0.0001p=
t 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif"><=
b><i>4-<span style=3D"font-style:normal;font-variant-numeric:normal;font-va=
riant-east-asian:normal;font-weight:normal;font-stretch:normal;font-size:7p=
t;line-height:normal;font-family:&quot;Times New Roman&quot;">=C2=A0=C2=A0=
=C2=A0=C2=A0
</span></i></b><span dir=3D"LTR"></span>There was not any clear evidence
for screening of all children under 5 in their catchment area in the last t=
hree
months. </p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif"><b><i>Recommended action:</i=
></b></p>

<p class=3D"gmail-MsoListParagraphCxSpFirst" style=3D"margin:0in 0in 0.0001=
pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif">=
1-<span style=3D"font-variant-numeric:normal;font-variant-east-asian:normal=
;font-stretch:normal;font-size:7pt;line-height:normal;font-family:&quot;Tim=
es New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0
</span><span dir=3D"LTR"></span>The CHWs should visit every single home in =
their catchment area at
least once a quarter to find out malnutrition cases to refer them to the BH=
C,
and along with this, they should spread the nutrition key messages to the
families. </p>

<p class=3D"gmail-MsoListParagraphCxSpMiddle" style=3D"margin:0in 0in 0.000=
1pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif"=
>2-<span style=3D"font-variant-numeric:normal;font-variant-east-asian:norma=
l;font-stretch:normal;font-size:7pt;line-height:normal;font-family:&quot;Ti=
mes New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0
</span><span dir=3D"LTR"></span>Refresher training for CHWs regarding nutri=
tion activities. </p>

<p class=3D"gmail-MsoListParagraphCxSpMiddle" style=3D"margin:0in 0in 0.000=
1pt 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif"=
>3-<span style=3D"font-variant-numeric:normal;font-variant-east-asian:norma=
l;font-stretch:normal;font-size:7pt;line-height:normal;font-family:&quot;Ti=
mes New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0
</span><span dir=3D"LTR"></span>CWS should have a separate room in their ho=
use as a health post, and
the wall of the health post should be covered by wall banners, charts, brus=
hers,
leaflets=E2=80=A6etc.</p>

<p class=3D"gmail-MsoListParagraphCxSpLast" style=3D"margin:0in 0in 0.0001p=
t 0.5in;line-height:normal;font-size:11pt;font-family:Calibri,sans-serif">4=
-<span style=3D"font-variant-numeric:normal;font-variant-east-asian:normal;=
font-stretch:normal;font-size:7pt;line-height:normal;font-family:&quot;Time=
s New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0
</span><span dir=3D"LTR"></span>Provide the ICE material. </p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif">During this visit,
on-the-job training was done and pointed some action points to the CHWs and=
 CHS
for further improvement of the program. </p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif">I hope you will follow up on
the above action points in other HP and improve their work.</p>

<p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:normal;=
font-size:11pt;font-family:Calibri,sans-serif">Best regards,=C2=A0</p><div>=
<br></div>-- <br><div dir=3D"ltr" class=3D"gmail_signature" data-smartmail=
=3D"gmail_signature"><div dir=3D"ltr"><div><br></div><div><br></div><div><s=
pan style=3D"font-family:&quot;Times New Roman&quot;,serif">Dr. Naseer Ahma=
d Javed</span><br></div><div><span style=3D"font-family:&quot;Times New Rom=
an&quot;,serif">MD, Internal Specialist</span><span style=3D"font-family:&q=
uot;Times New Roman&quot;,serif">=C2=A0</span><br></div><div><div><font fac=
e=3D"Times New Roman, serif">Nutritional Technical=C2=A0Extender, Kabul</fo=
nt></div><div><font face=3D"Times New Roman, serif">Ph #: 0093788285428</fo=
nt></div><div><font face=3D"Times New Roman, serif">=C2=A0 =C2=A0 =C2=A0 =
=C2=A0 0093793688575</font></div><div><font face=3D"Times New Roman, serif"=
>WhatsApp #: 0093788285428</font></div><div><font face=3D"Times New Roman, =
serif">Email: <a href=3D"mailto:naseerjaved2@gmail.com" target=3D"_blank">n=
aseerjaved2@gmail.com</a>=C2=A0</font></div><div><font face=3D"Times New Ro=
man, serif">=C2=A0</font></div><div><font face=3D"Times New Roman, serif"><=
br></font></div></div></div></div></div>

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