JezK

Edit File: 1663140244.M516851P2659544.mocha3025.mochahost.com,S=17143,W=17540:2,RS

Envelope-to: ashraf@jack.ngo,
 dr.tabesh@jack.ngo
Delivery-date: Wed, 14 Sep 2022 03:24:04 -0400
From: <ali.reza@jack.ngo>
To: "'Naseer Javed'" <naseerjaved2@gmail.com>
Cc: <dr.tabesh@jack.ngo>,
	"'Dr.Mh.Barak Samim'" <dr.mohammadbarak@gmail.com>,
	"'Shaista Mehraban'" <smehraban@unicef.org>,
	"'Shafiqullah Safi'" <shsafi@unicef.org>,
	"'Said M Yaqoob Azimi'" <sazimi@unicef.org>,
	<abdulbasirrahimi20@gmail.com>,
	<ashraf@jack.ngo>
References: <CAEQEN4=okA6tZO=DHCkefOtGRBw6YCq=mBug9dTBm4o=uTDzPA@mail.gmail.com>
In-Reply-To: <CAEQEN4=okA6tZO=DHCkefOtGRBw6YCq=mBug9dTBm4o=uTDzPA@mail.gmail.com>
Subject: RE: Monitoring Finding from Waki Khas SHC Sarubi District
Date: Wed, 14 Sep 2022 11:53:55 +0430
Message-ID: <009f01d8c80a$f6794340$e36bc9c0$@jack.ngo>
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Dear Dr. SB Jawed=20

Many thanks for sharing such important points, well noted & will take =
action accordingly.=20

BRs

=20

From: Naseer Javed [mailto:naseerjaved2@gmail.com]=20
Sent: Wednesday, September 14, 2022 12:51 AM
To: ali.reza@jack.ngo
Cc: dr.tabesh@jack.ngo; Dr.Mh.Barak Samim; Shaista Mehraban; Shafiqullah =
Safi; Said M Yaqoob Azimi; abdulbasirrahimi20@gmail.com
Subject: Monitoring Finding from Waki Khas SHC Sarubi District

=20

Dear Respected colleagues,

Greetings!=20

Last week I had supportive supervision visits from Waki Khas SHC related =
to Sarubi District.

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

District: Surobi=20

HF: Waki Khas SHC

Code:2922

Date of Visit:20 August 2022=20

The main findings:

=20

1-      The nutrition counselor was present, but she did not work based =
on their TOR.

2-     The GMP and screening were not properly done for the entire under =
5 children.

3-     She had the GMP and Screening register book but it was not filled =
by her.=20

4-     The norms for the detection of SAM cases (MUAC, Z-Score, Edema) =
were not properly followed.

5-     Poor stock or storage place for RUTF.

6-     Poor documentation.

7-     Unavailability of the ICE material.

8-     Appetite tests were not done for the OPDSAM patient.

Recommended action:

1-     NC needs refresher training.

2-     Follow up supportive supervision visits.=20

3-     Provide the ICE material.=20

=20

During this visit, on-the-job training was done, I worked with them on =
all affected parts and mentioned some action points to the HF staff for =
further improvement of the program.=20

I hope you will follow up on the above action points.

=20

Best regards,=20

=20

--=20

=20

Dr. Naseer Ahmad Javed

MD, Internal Specialist=20

Nutritional Technical Extender, Kabul

Ph #: 0093788285428

0093793688575

WhatsApp #: 0093788285428

Email: naseerjaved2@gmail.com <mailto:naseerjaved2@gmail.com> =20

=20

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<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; charset=3Dutf-8"><meta =
name=3DGenerator content=3D"Microsoft Word 15 (filtered =
medium)"><style></style></head><body lang=3DEN-US link=3Dblue =
vlink=3Dpurple><div class=3DWordSection1>Dear Dr. SB Jawed <o:p></o:p>Many thanks for sharing such important points, well noted &amp; will =
take action accordingly. <o:p></o:p>BRs<o:p></o:p><a =
name=3D"_MailEndCompose"><o:p>&nbsp;</o:p></a>From:</span=
> Naseer =
Javed [mailto:naseerjaved2@gmail.com] Sent: Wednesday, =
September 14, 2022 12:51 AM To: =
ali.reza@jack.ngo Cc: dr.tabesh@jack.ngo; Dr.Mh.Barak Samim; =
Shaista Mehraban; Shafiqullah Safi; Said M Yaqoob Azimi; =
abdulbasirrahimi20@gmail.com Subject: Monitoring Finding from =
Waki Khas SHC Sarubi District<o:p></o:p><o:p>&nbsp;</o:p><div>Dear =
Respected colleagues,<o:p></o:p>Greetings!&=
nbsp;<o:p></o:p>Last week =
I had supportive supervision visits from Waki Khas SHC related to Sarubi =
District.<o:p></o:p>Below are =
the main findings which need your kind consideration and urgent =
follow-up.<o:p></o:p>District: =
Surobi <o:p></o:p>=
HF: Waki =
Khas SHC<o:p></o:p>=
Code:2922</=
span><o:p></o:p>=
Date of =
Visit:20 August 2022 <o:p></o:p>=
The main =
findings:<o:p></o:p>=
&nbsp;</spa=
n>&nbsp;<o:p>=
</o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>1-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;</spa=
n>The =
nutrition counselor was present, but she did not work based on their =
TOR.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>2-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; The GMP =
and screening were not properly done for the entire under 5 =
children.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>3-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; She had =
the GMP and Screening register book but it was not filled by her. =
<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>4-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; The norms =
for the detection of SAM cases (MUAC, Z-Score, Edema) were not properly =
followed.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>5-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Poor stock =
or storage place for RUTF.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>6-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Poor =
documentation.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin=
-left:.5in;margin-bottom:.0001pt;line-height:11.75pt;background-image:ini=
tial;background-position:initial;background-size:initial;background-repea=
t:initial;background-origin:initial;background-clip:initial'>7-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Unavailabil=
ity of the ICE material.<o:p></o:p><p =
style=3D'mso-margin-top-alt:0in;margin-right:0in;margin-bottom:8.0pt;marg=
in-left:.5in;line-height:11.75pt;background-image:initial;background-posi=
tion:initial;background-size:initial;background-repeat:initial;background=
-origin:initial;background-clip:initial'>8-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Appetite =
tests were not done for the OPDSAM patient.<o:p></o:p>Recommended=
 action:<o:p></o:p>=
1-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; NC needs =
refresher training.<o:p></o:p>2-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Follow up =
supportive supervision visits. <o:p></o:p>3-<s=
pan style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Provide =
the ICE material. <o:p></o:p>&nbsp;<o:p>=
</o:p>During =
this visit, on-the-job training was done, I worked with them on all =
affected parts and mentioned some action points to the HF staff for =
further improvement of the program. <o:p></o:p>I hope you =
will follow up on the above action points.<o:p></o:p>&nbsp;<o:p>=
</o:p>Best =
regards,&nbsp;<o:p></o:p><div><o:p>&nbsp;</o:p></div>-- =
<o:p></o:p><div><div><div><o:p>&nbsp;</o:p></div><div><o:p>&nbsp;</o:p></div><div>Dr. Naseer Ahmad Javed<o:p></o:p></div><div>MD, Internal =
Specialist&nbsp;<o:p></o:p></div><div><div>Nutritional Technical&nbsp;Extender, =
Kabul<o:p></o:p></div><div>Ph #: =
0093788285428<o:p></o:p></div><div>&nbsp; =
&nbsp; &nbsp; &nbsp; 0093793688575<o:p></o:p></div><div>WhatsApp #: 0093788285428<o:p></o:p></div><div>Email: <a href=3D"mailto:naseerjaved2@gmail.com" =
target=3D"_blank">naseerjaved2@gmail.com</a>&nbsp;<o:p></o:p></div><d=
iv>&nbsp;<o:p></o:p></div><div><o:p>&nbsp;</o:p></div></div></div></div></div></di=
v></body></html>
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