JezK

Edit File: 1663681161.M882973P422940.mocha3025.mochahost.com,S=38485,W=39210:2,S

Envelope-to: dr.tabesh@jack.ngo,
 ali.reza@jack.ngo,
 dr.sadat@jack.ngo
Delivery-date: Tue, 20 Sep 2022 09:39:21 -0400
MIME-Version: 1.0
References: <CAEQEN4=okA6tZO=DHCkefOtGRBw6YCq=mBug9dTBm4o=uTDzPA@mail.gmail.com>
 <009f01d8c80a$f6794340$e36bc9c0$@jack.ngo> <000a01d8cbf1$c94838a0$5bd8a9e0$@jack.af>
 <000e01d8cbfa$3e48ca90$bada5fb0$@jack.ngo> <000801d8cc18$5264f8a0$f72ee9e0$@jack.af>
In-Reply-To: <000801d8cc18$5264f8a0$f72ee9e0$@jack.af>
From: Naseer Javed <naseerjaved2@gmail.com>
Date: Tue, 20 Sep 2022 06:37:37 -0700
Message-ID: <CAEQEN4nO_dxvE6K6ygXfpFG6y841HaGp22U47dHPKWWJnPpo6Q@mail.gmail.com>
Subject: Re: Monitoring Finding from Waki Khas SHC Sarubi District
To: ashraf@jack.af, dr.tabesh@jack.ngo, ali.reza@jack.ngo
Cc: "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, 
	dr.sadat@jack.ngo, dr.sadat.57@gmail.com
Content-Type: multipart/alternative; boundary="000000000000b7027705e91befe4"

--000000000000b7027705e91befe4
Content-Type: text/plain; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable

Thank you so much, Dr. Sb Frohmand, Dr. Tabish, and Colleagues for the
on-time follow-up action.

Your concentration and follow-up action on monitoring findings has the key
rule and made the strength of our mission and it will eliminate the
anarchic action at the Health Facility level.

Best Regards,

On Mon, Sep 19, 2022 at 4:09 AM <ashraf@jack.af> wrote:

> Dear Colleagues,
>
> Great Job has been done and we appreciate your timely response to the
> matters. Besides regular supportive supervisions, please remind non-rando=
m
> supervision of HFs with some previous concerns.
>
>
>
> *--*
>
> *Best Regards,*
>
>
>
> *M. Ashraf =E2=80=9CFarahmand=E2=80=9D*
>
> *MD, Master in Public Health Nutrition *
>
> *Nutrition Program Coordintor *
>
> *Kabul Province, JACK*
>
> Phone/Whatsapp: +93(0)744678665
>
> Alternative Email:ashraf@jack.ngo/ *farahmandashraf@gmail.com
> <farahmandashraf@gmail.com>*
>
>
>
>
>
>
>
>
>
> *From:* dr.tabesh@jack.ngo [mailto:dr.tabesh@jack.ngo]
> *Sent:* Monday, September 19, 2022 12:04 PM
> *To:* ashraf@jack.af; ali.reza@jack.ngo; 'Naseer Javed' <
> naseerjaved2@gmail.com>
> *Cc:* '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;
> dr.sadat@jack.ngo; dr.sadat.57@gmail.com
> *Subject:* RE: Monitoring Finding from Waki Khas SHC Sarubi District
>
>
>
> Dear Dr Sahib Farahmand,
>
>
>
> Thank you very much for sharing the issue, considering the points we (Me
> and Dr sahib Sadat) had a supervision visit from Waki Khas PHC yesterday,
> Sep 18th, 2022.
>
> 1- For some points, immediate action was taken
>
> =C2=B7 On-the-job training was conducted for relevant staff
>
> =C2=B7 the space management was rearranged
>
> =C2=B7 Supply of RUTF, medicines, and logistic items were done
>
> 2- A comprehensive assessment for functionality and unavailability
> of equipment was done and will be supplied soon
>
> 3- For follow-up of weak points, regular supervision visits will be
> conducted
>
>
>
> Regards
>
>
>
> Tabesh
>
>
>
>
>
> *From:* ashraf@jack.af [mailto:ashraf@jack.af <ashraf@jack.af>]
> *Sent:* Sunday, September 18, 2022 11:33 PM
> *To:* ali.reza@jack.ngo; 'Naseer Javed'
> *Cc:* dr.tabesh@jack.ngo; 'Dr.Mh.Barak Samim'; 'Shaista Mehraban';
> 'Shafiqullah Safi'; 'Said M Yaqoob Azimi'; abdulbasirrahimi20@gmail.com
> *Subject:* RE: Monitoring Finding from Waki Khas SHC Sarubi District
>
>
>
> Dear Colleagues,
>
> Greetings
>
>
>
> 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 ma=
ke
> concerns about other facilities as well.
>
> Kindly it is recommended to schedule regular supportive supervision and
> follow-up regarding the findings.
>
> *--*
>
> *Best Regards,*
>
>
>
> *Moh. Ashraf =E2=80=9CFarahmand=E2=80=9D*
>
> *MD, Master in Public Health Nutrition *
>
> *Nutrition Program Coordintor *
>
> *Kabul Province, JACK*
>
> Phone/Whatsapp: +93(0)744678665
>
> Alternative Email: *farahmandashraf@gmail.com <farahmandashraf@gmail.com>=
*
>
>
>
>
>
>
>
> *From:* ali.reza@jack.ngo [mailto:ali.reza@jack.ngo <ali.reza@jack.ngo>]
> *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
>
>
>
> Dear Dr. SB Jawed
>
> Many thanks for sharing such important points, well noted & will take
> action accordingly.
>
> BRs
>
>
>
> *From:* Naseer Javed [mailto:naseerjaved2@gmail.com
> <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
>
>
>
> Dear Respected colleagues,
>
> Greetings!
>
> 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 *
>
> *HF: Waki Khas SHC*
>
> *Code:2922*
>
> *Date of Visit:20 August 2022 *
>
> *The main findings:*
>
>
>
> 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.
>
> 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.
>
> 3- Provide the ICE material.
>
>
>
> During this visit, on-the-job training was done, I worked with them on al=
l
> affected parts and mentioned some action points to the HF staff for furth=
er
> improvement of the program.
>
> I hope you will follow up on the above action points.
>
>
>
> Best regards,
>
>
>
> --
>
>
>
>
>
> Dr. Naseer Ahmad Javed
>
> MD, Internal Specialist
>
> Nutritional Technical Extender, Kabul
>
> Ph #: 0093788285428
>
> 0093793688575
>
> WhatsApp #: 0093788285428
>
> Email: naseerjaved2@gmail.com
>
>
>
>
>

--=20

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

--000000000000b7027705e91befe4
Content-Type: text/html; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable

<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">Thank you so=
 much, Dr. Sb
Frohmand, Dr. Tabish, and Colleagues for the on-time follow-up action.

<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">Your concentration and
follow-up action on monitoring findings has the key rule and made the stren=
gth
of our mission and it will eliminate the anarchic action at the Health Faci=
lity level.<p class=3D"MsoNormal" style=3D"line-height:11.75pt;backgrou=
nd-image:initial;background-position:initial;background-size:initial;backgr=
ound-repeat:initial;background-origin:initial;background-clip:initial;margi=
n:0in 0in 8pt;font-size:11pt;font-family:Calibri,sans-serif"> <p cla=
ss=3D"MsoNormal" style=3D"line-height:11.75pt;background-image:initial;back=
ground-position:initial;background-size:initial;background-repeat:initial;b=
ackground-origin:initial;background-clip:initial;margin:0in 0in 8pt;font-si=
ze:11pt;font-family:Calibri,sans-serif">Best Regards,</div> <div cla=
ss=3D"gmail_quote"><div dir=3D"ltr" class=3D"gmail_attr">On Mon, Sep 19, 20=
22 at 4:09 AM &lt;<a href=3D"mailto:ashraf@jack.af">ashraf@jack.af</a>&gt; =
wrote: </div><blockquote class=3D"gmail_quote" style=3D"margin:0px 0px 0=
px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div clas=
s=3D"msg-4483819614631536218"><div lang=3D"EN-US"><div class=3D"m_-44838196=
14631536218WordSection1">Dear Colleagues, <u=
>Great Job has been do=
ne and we appreciate your timely response to the matters. Besides regular s=
upportive supervisions, please remind non-random supervision of HFs with so=
me previous concerns. <span=
 style=3D"font-size:11pt;font-family:Calibri,sans-serif;color:rgb(31,73,125=
)">=C2=A0--</=
span>Best Regards,<=
/p>=C2=A0M. Ashraf =E2=80=9CFarahmand=E2=80=9D=
MD, Master in Public Health Nutrition <u=
>Nutrition Pro=
gram Coordintor <spa=
n style=3D"font-size:11pt;font-family:Calibri,sans-serif;color:rgb(68,114,1=
96)">Kabul Province, JACKPhone/Whatsapp: +93(0)744678665Alternative Email:ashraf@jack.ngo/ <a href=3D"ma=
ilto:farahmandashraf@gmail.com" target=3D"_blank">farahmandashraf@gmail.com=
</a>=C2=
=A0=C2=A0</s=
pan>=C2=A0<a name=3D"m_-4483819614631536218__MailEndCompose">=C2=A0</a><div><div style=3D"border-right:none;b=
order-bottom:none;border-left:none;border-top:1pt solid rgb(225,225,225);pa=
dding:3pt 0in 0in">From: dr.tabesh@jack.ngo [mailto:<a href=3D"m=
ailto:dr.tabesh@jack.ngo" target=3D"_blank">dr.tabesh@jack.ngo</a>] =
Sent: Monday, September 19, 2022 12:04 PM To: <a href=3D"mail=
to:ashraf@jack.af" target=3D"_blank">ashraf@jack.af</a>; ali.reza@jack.ngo;=
 &#39;Naseer Javed&#39; &lt;<a href=3D"mailto:naseerjaved2@gmail.com" targe=
t=3D"_blank">naseerjaved2@gmail.com</a>&gt; Cc: &#39;Dr.Mh.Barak =
Samim&#39; &lt;<a href=3D"mailto:dr.mohammadbarak@gmail.com" target=3D"_bla=
nk">dr.mohammadbarak@gmail.com</a>&gt;; &#39;Shaista Mehraban&#39; &lt;<a h=
ref=3D"mailto:smehraban@unicef.org" target=3D"_blank">smehraban@unicef.org<=
/a>&gt;; &#39;Shafiqullah Safi&#39; &lt;<a href=3D"mailto:shsafi@unicef.org=
" target=3D"_blank">shsafi@unicef.org</a>&gt;; &#39;Said M Yaqoob Azimi&#39=
; &lt;<a href=3D"mailto:sazimi@unicef.org" target=3D"_blank">sazimi@unicef.=
org</a>&gt;; <a href=3D"mailto:abdulbasirrahimi20@gmail.com" target=3D"_bla=
nk">abdulbasirrahimi20@gmail.com</a>; dr.sadat@jack.ngo; <a href=3D"mailto:=
dr.sadat.57@gmail.com" target=3D"_blank">dr.sadat.57@gmail.com</a> Su=
bject: RE: Monitoring Finding from Waki Khas SHC Sarubi District=
</div></div>=C2=A0</=
p>Dear Dr Sahib Farahmand,</sp=
an>=C2=A0Thank you very much for sharing the issue, conside=
ring the points we (Me and Dr sahib Sadat) had a supervision visit from Wak=
i Khas PHC yesterday, Sep 18th, 2022.<p=
 class=3D"m_-4483819614631536218MsoListParagraph">1-<s=
pan style=3D"font:7pt &quot;Times New Roman&quot;">=C2=A0=C2=A0=C2=A0=C2=A0=
=C2=A0 For som=
e points, immediate action was taken<spa=
n style=3D"font-size:11pt;font-family:Symbol;color:rgb(31,73,125)">=
=C2=B7=C2=A0=C2=A0=C2=
=A0=C2=A0=C2=A0=C2=A0 =
On-the-job training was conducted for relevant staff =
=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 <sp=
an dir=3D"LTR">the space management was rearranged <u=
>=C2=B7=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 =
Supply of RUTF, medicines, and logisti=
c items were done 2-=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 <u=
>A comprehensive assessment for functi=
onality and unavailability of equipment was done and will be supplied soon =
3-=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0 For follow-up of weak points, regular supervision visit=
s will be conducted =C2=A0Regards<=
/p>=C2=
=A0<s=
pan style=3D"font-size:11pt;font-family:Calibri,sans-serif;color:rgb(31,73,=
125)">Tabesh =C2=A0=C2=A0<div><div style=3D"border-right:no=
ne;border-bottom:none;border-left:none;border-top:1pt solid rgb(225,225,225=
);padding:3pt 0in 0in">From: <a href=3D"mailto:ashraf@jack.af" t=
arget=3D"_blank">ashraf@jack.af</a> [<a href=3D"mailto:ashraf@jack.af" targ=
et=3D"_blank">mailto:ashraf@jack.af</a>] Sent: Sunday, September=
 18, 2022 11:33 PM To: <a href=3D"mailto:ali.reza@jack.ngo" targe=
t=3D"_blank">ali.reza@jack.ngo</a>; &#39;Naseer Javed&#39; Cc: <a=
 href=3D"mailto:dr.tabesh@jack.ngo" target=3D"_blank">dr.tabesh@jack.ngo</a=
>; &#39;Dr.Mh.Barak Samim&#39;; &#39;Shaista Mehraban&#39;; &#39;Shafiqulla=
h Safi&#39;; &#39;Said M Yaqoob Azimi&#39;; <a href=3D"mailto:abdulbasirrah=
imi20@gmail.com" target=3D"_blank">abdulbasirrahimi20@gmail.com</a> S=
ubject: RE: Monitoring Finding from Waki Khas SHC Sarubi District</u=
></div></div>=C2=A0<=
/p>Dear Colleagues,=C2=A0 </sp=
an>Greetings=C2=A0 =
=C2=A0We reviewed Dr sahib Jawed=E2=80=99s monitoring resu=
lts on Waki Khas SHC, great job Dr SB. The findings are critical and seriou=
s and without any doubt make concerns about other facilities as well.=C2=A0=
 =C2=A0=C2=A0Kindly=
 it is recommended to schedule regular supportive supervision and follow-up=
 regarding the findings.=C2=A0 --Best Regards,</=
u>=C2=A0<=
/p>Moh. Ashraf =E2=80=9CFarahmand=E2=80=9D=
MD, Master in Pub=
lic Health Nutrition <i=
>Nutrition Program Coordintor Kabul Province, JACK</=
p>Phone/Whatsapp: +93(0)744678665=
Alternative Email: <a hre=
f=3D"mailto:farahmandashraf@gmail.com" target=3D"_blank">farahmandashraf@gm=
ail.com</a>=
=C2=A0=C2=A0=
=C2=A0</=
p><div><div style=3D"border-right:none;border-bottom:none;border-left:none;=
border-top:1pt solid rgb(225,225,225);padding:3pt 0in 0in">Fro=
m:=
 <a href=3D"mailto:ali.reza@jack.ngo" target=3D"_blank">ali.reza@jack.ngo</=
a> [<a href=3D"mailto:ali.reza@jack.ngo" target=3D"_blank">mailto:ali.reza@=
jack.ngo</a>] Sent: Wednesday, September 14, 2022 11:54 AM <b=
>To: &#39;Naseer Javed&#39; &lt;<a href=3D"mailto:naseerjaved2@gmail.co=
m" target=3D"_blank">naseerjaved2@gmail.com</a>&gt; Cc: <a href=
=3D"mailto:dr.tabesh@jack.ngo" target=3D"_blank">dr.tabesh@jack.ngo</a>; &#=
39;Dr.Mh.Barak Samim&#39; &lt;<a href=3D"mailto:dr.mohammadbarak@gmail.com"=
 target=3D"_blank">dr.mohammadbarak@gmail.com</a>&gt;; &#39;Shaista Mehraba=
n&#39; &lt;<a href=3D"mailto:smehraban@unicef.org" target=3D"_blank">smehra=
ban@unicef.org</a>&gt;; &#39;Shafiqullah Safi&#39; &lt;<a href=3D"mailto:sh=
safi@unicef.org" target=3D"_blank">shsafi@unicef.org</a>&gt;; &#39;Said M Y=
aqoob Azimi&#39; &lt;<a href=3D"mailto:sazimi@unicef.org" target=3D"_blank"=
>sazimi@unicef.org</a>&gt;; <a href=3D"mailto:abdulbasirrahimi20@gmail.com"=
 target=3D"_blank">abdulbasirrahimi20@gmail.com</a>; <a href=3D"mailto:ashr=
af@jack.ngo" target=3D"_blank">ashraf@jack.ngo</a> Subject: RE: M=
onitoring Finding from Waki Khas SHC Sarubi District</=
p></div></div>=C2=A0Dear Dr. SB Jawed Many thanks for sharing such important points, well noted &=
amp; will take action accordingly. BRs=
=C2=A0From: Naseer Javed [<a href=3D"ma=
ilto:naseerjaved2@gmail.com" target=3D"_blank">mailto:naseerjaved2@gmail.co=
m</a>] Sent: Wednesday, September 14, 2022 12:51 AM To:</b=
> <a href=3D"mailto:ali.reza@jack.ngo" target=3D"_blank">ali.reza@jack.ngo<=
/a> Cc: <a href=3D"mailto:dr.tabesh@jack.ngo" target=3D"_blank">d=
r.tabesh@jack.ngo</a>; Dr.Mh.Barak Samim; Shaista Mehraban; Shafiqullah Saf=
i; Said M Yaqoob Azimi; <a href=3D"mailto:abdulbasirrahimi20@gmail.com" tar=
get=3D"_blank">abdulbasirrahimi20@gmail.com</a> Subject: Monitori=
ng Finding from Waki Khas SHC Sarubi District=C2=A0<div>Dear Respected colleagues,</spa=
n>Greetings!=
=C2=A0Last week I had supportive supervision visits from Waki Khas =
SHC related to Sarubi District.Below are the main findings which ne=
ed your kind consideration and urgent follow-up.<p=
 class=3D"MsoNormal">District: Surobi H=
F: Waki Khas SHC<sp=
an style=3D"font-size:11pt;font-family:Calibri,sans-serif">Code:2922=
</=
u>Date of Visit:20 August 2022 </i=
><=
u>The main findings:<=
/p>=C2=A0=C2=A0<p style=3D"margi=
n-right:0in;margin-left:0.5in;margin-bottom:0.0001pt;line-height:11.75pt;ba=
ckground-image:initial;background-position:initial;background-size:initial;=
background-repeat:initial;background-origin:initial;background-clip:initial=
">1-<s=
pan style=3D"font-size:7pt">=C2=A0=C2=A0=C2=A0=C2=A0 =C2=A0<=
span style=3D"font-size:11pt;font-family:Calibri,sans-serif">The nutrition =
counselor was present, but she did not work based on their TOR.</=
u><p style=3D"margin-right:0in;margin-left:0.5in;margin-bottom:0=
.0001pt;line-height:11.75pt;background-image:initial;background-position:in=
itial;background-size:initial;background-repeat:initial;background-origin:i=
nitial;background-clip:initial">2-=C2=A0=C2=A0=C2=
=A0=C2=A0 The GMP and screening were not properly done for the entire under 5 chi=
ldren.<p style=3D"margin-right:0in;margin-left:0.5=
in;margin-bottom:0.0001pt;line-height:11.75pt;background-image:initial;back=
ground-position:initial;background-size:initial;background-repeat:initial;b=
ackground-origin:initial;background-clip:initial">3-=C2=A0=C2=A0=C2=A0=C2=A0 She had the GMP and Screening register book but it was =
not filled by her. <p style=3D"margin-right:0in;ma=
rgin-left:0.5in;margin-bottom:0.0001pt;line-height:11.75pt;background-image=
:initial;background-position:initial;background-size:initial;background-rep=
eat:initial;background-origin:initial;background-clip:initial">4-=C2=A0=C2=A0=C2=A0=C2=A0 The norms for the detection of SAM cases =
(MUAC, Z-Score, Edema) were not properly followed.=
<p style=3D"margin-right:0in;margin-left:0.5in;margin-bottom:0.0001pt;line-=
height:11.75pt;background-image:initial;background-position:initial;backgro=
und-size:initial;background-repeat:initial;background-origin:initial;backgr=
ound-clip:initial">5-=C2=A0=C2=A0=C2=A0=C2=A0 </spa=
n>Poor stock =
or storage place for RUTF.<p style=3D"margin-right=
:0in;margin-left:0.5in;margin-bottom:0.0001pt;line-height:11.75pt;backgroun=
d-image:initial;background-position:initial;background-size:initial;backgro=
und-repeat:initial;background-origin:initial;background-clip:initial"><span=
 style=3D"font-size:11pt;font-family:Calibri,sans-serif">6-=C2=A0=C2=A0=C2=A0=C2=A0 Poor documentation.</=
span><p style=3D"margin-right:0in;margin-left:0.5in;margin-bottom:0.000=
1pt;line-height:11.75pt;background-image:initial;background-position:initia=
l;background-size:initial;background-repeat:initial;background-origin:initi=
al;background-clip:initial">7-=C2=A0=C2=A0=C2=A0=C2=
=A0 Un=
availability of the ICE material.<p style=3D"margi=
n-right:0in;margin-bottom:8pt;margin-left:0.5in;line-height:11.75pt;backgro=
und-image:initial;background-position:initial;background-size:initial;backg=
round-repeat:initial;background-origin:initial;background-clip:initial"><sp=
an style=3D"font-size:11pt;font-family:Calibri,sans-serif">8-=C2=A0=C2=A0=C2=A0=C2=A0 Appetite tests were not done for =
the OPDSAM patient.<s=
pan style=3D"font-size:11pt;font-family:Calibri,sans-serif">Recommended act=
ion:1-=C2=A0=C2=A0=C2=A0=C2=
=A0 NC=
 needs refresher training.2-=
=C2=A0=C2=A0=C2=A0=C2=A0 Follow up supportive supervision visits. <=
/span>3-</sp=
an>=C2=A0=C2=A0=C2=A0=C2=A0 Provide the ICE materia=
l. =C2=A0During 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 fur=
ther improvement of the program. I hope =
you will follow up on the above action points.=C2=A0Best regards,=C2=A0<u=
><div>=C2=A0</div><=
p class=3D"MsoNormal">-- <div><div><div>=C2=A0</div><div>=C2=
=A0</div><div>Dr. Naseer Ahmad Javed</=
u></div><div>MD, Internal Specialist=C2=
=A0</div><div><div>Nutritional Tec=
hnical=C2=A0Extender, Kabul</div><div>Ph #: 0093788285428</div><div>=
=C2=A0 =C2=A0 =C2=A0 =C2=A0 0093793688575</div><div>WhatsApp #: 0093788285428</div><div>Email: <a href=3D"mailto:naseerjaved2@gmail.com" target=
=3D"_blank">naseerjaved2@gmail.com</a>=C2=A0</div><div><p=
 class=3D"MsoNormal">=C2=A0</div><div>=C2=A0</div></div></div></div></div></div></div></div=
></blockquote></div> <div> </div>-- <div dir=3D"ltr=
" class=3D"gmail_signature"><div dir=3D"ltr"><div> </div><div> </div>=
<div>Dr. Nase=
er Ahmad Javed </div><div>MD, Internal Specialist=C2=A0 </div><div><div><f=
ont face=3D"Times New Roman, serif">Nutritional Technical=C2=A0Extender, Ka=
bul</div><div>Ph #: 0093788285=
428</div><div>=C2=A0 =C2=A0 =
=C2=A0 =C2=A0 0093793688575</div><div>WhatsApp #: 0093788285428</div><div>Email: <a href=3D"mailto:naseerjaved2@gmail.com" target=3D"_b=
lank">naseerjaved2@gmail.com</a>=C2=A0</div><div>=C2=A0</div><div> </div></div></div></div>

--000000000000b7027705e91befe4--