JezK

Edit File: 1663569302.M613771P1965329.mocha3025.mochahost.com,S=25714,W=26295:2,S

Envelope-to: ali.reza@jack.ngo,
 dr.tabesh@jack.ngo
Delivery-date: Mon, 19 Sep 2022 02:35:02 -0400
From: <ashraf@jack.af>
To: <ali.reza@jack.ngo>,
	"'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>
References: <CAEQEN4=okA6tZO=DHCkefOtGRBw6YCq=mBug9dTBm4o=uTDzPA@mail.gmail.com> <009f01d8c80a$f6794340$e36bc9c0$@jack.ngo>
In-Reply-To: <009f01d8c80a$f6794340$e36bc9c0$@jack.ngo>
Subject: RE: Monitoring Finding from Waki Khas SHC Sarubi District
Date: Mon, 19 Sep 2022 11:03:09 +0430
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Dear Colleagues, =20

Greetings =20

=20

We reviewed Dr sahib Jawed=E2=80=99s monitoring results on Waki Khas =
SHC, great job Dr SB. The findings are critical and serious and without =
any doubt make concerns about other facilities as well.   =20

Kindly it is recommended to schedule regular supportive supervision and =
follow-up regarding the findings. =20

Best Regards,

=20

Moh. Ashraf =E2=80=9CFarahmand=E2=80=9D

MD, Master in Public Health Nutrition=20

Nutrition Program Coordintor=20

Kabul Province, JACK

Phone/Whatsapp: +93(0)744678665

Alternative Email: farahmandashraf@gmail.com

=20

From: ali.reza@jack.ngo [mailto:ali.reza@jack.ngo]=20
Sent: Wednesday, September 14, 2022 11:54 AM
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
Subject: RE: Monitoring Finding from Waki Khas SHC Sarubi District

=20

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 <mailto:ali.reza@jack.ngo>=20
Cc: dr.tabesh@jack.ngo <mailto:dr.tabesh@jack.ngo> ; Dr.Mh.Barak Samim; =
Shaista Mehraban; Shafiqullah Safi; Said M Yaqoob Azimi; =
abdulbasirrahimi20@gmail.com <mailto:abdulbasirrahimi20@gmail.com>=20
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 Colleagues,&nbsp; <o:p></o:p>Greetings&nbsp; <o:p></o:p>&nbsp;<o:p></o:p>We reviewed Dr sahib Jawed=E2=80=99s monitoring results on Waki Khas =
SHC, great job Dr SB. The findings are critical and serious and without =
any doubt make concerns about other facilities as well.&nbsp; =
&nbsp;&nbsp;<o:p></o:p>Kindly it is recommended to schedule regular supportive supervision and =
follow-up regarding the findings.&nbsp; <o:p></o:p>--<o:p></o:p></s=
pan>Best =
Regards,<o:p></o:p><o:p>&nbsp;</o:p=
>Moh. Ashraf =
=E2=80=9CFarahmand=E2=80=9D<o:p></o:p>MD, Master in Public Health Nutrition <o:p></o:p>Nutrition Program Coordintor <o:p></o:p>Kabul Province, JACK<o:p></o:p>Phone/Whatsapp: +93(0)744678665<o:p></o:p>Alternative Email: =
farahmandashraf@gmail.com<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><a =
name=3D"_MailEndCompose"></a><o:p>&nbsp;</o:p><div><div =
style=3D'border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in =
0in 0in'>From:<=
/b> =
ali.reza@jack.ngo [mailto:ali.reza@jack.ngo] Sent: Wednesday, =
September 14, 2022 11:54 AM To: 'Naseer Javed' =
&lt;naseerjaved2@gmail.com&gt; Cc: dr.tabesh@jack.ngo; =
'Dr.Mh.Barak Samim' &lt;dr.mohammadbarak@gmail.com&gt;; 'Shaista =
Mehraban' &lt;smehraban@unicef.org&gt;; 'Shafiqullah Safi' =
&lt;shsafi@unicef.org&gt;; 'Said M Yaqoob Azimi' =
&lt;sazimi@unicef.org&gt;; abdulbasirrahimi20@gmail.com; =
ashraf@jack.ngo Subject: RE: Monitoring Finding from Waki Khas =
SHC Sarubi District<o:p></o:p></div></div><o:p>&nbsp;</o:p>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><o:p>&nbsp;</o:p>From:<=
/b> =
Naseer Javed [<a =
href=3D"mailto:naseerjaved2@gmail.com">mailto:naseerjaved2@gmail.com</a>]=
 Sent: Wednesday, September 14, 2022 12:51 AM To: =
<a href=3D"mailto:ali.reza@jack.ngo">ali.reza@jack.ngo</a> Cc: =
<a href=3D"mailto:dr.tabesh@jack.ngo">dr.tabesh@jack.ngo</a>; =
Dr.Mh.Barak Samim; Shaista Mehraban; Shafiqullah Safi; Said M Yaqoob =
Azimi; <a =
href=3D"mailto:abdulbasirrahimi20@gmail.com">abdulbasirrahimi20@gmail.com=
</a> 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!&nb=
sp;<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></=
span>HF: Waki =
Khas SHC<o:p></o:p></=
span>Code:2922</sp=
an><o:p></o:p></=
span>Date of =
Visit:20 August 2022 <o:p></o:p></=
span>The main =
findings:<o:p></o:p></=
span>&nbsp;=
&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-<spa=
n style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;=
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-<spa=
n 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-<spa=
n 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-<spa=
n 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-<spa=
n 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-<spa=
n 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-<spa=
n style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Unavailabilit=
y 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-<spa=
n 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></=
span>1-<spa=
n style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; NC needs =
refresher training.<o:p></o:p>2-<spa=
n style=3D'font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp; Follow up =
supportive supervision visits. <o:p></o:p>3-<spa=
n 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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