In 2021 an L3 emergency was announced in Afghanistan following change in power in the country. Our client Health programme worked with partners to provide essential health services for children and women in need across the country. Services are provided through health facilities and mobile teams for remote, hard-to-reach and in-need areas. Monitoring and technical support are key functions to verify programme implementation and improve the quality of service, including MNCAH, EPI, and especially health in emergency activities in all provinces of the country, as well as at the regional and national levels.

In addition, in September 2021, the world bank suspended the Sehatmandi project in Afghanistan, this threatens to collapse the health system in the country, our client have worked to sustain the services through CERF fund until a new mechanism is created. A monitoring framework of this modality is being created including monitoring field visits to health facilities receiving support through our client.

Also, in 2021, vaccination against COVID 19 started in the country, adding more burden to the already overwhelmed health system, the introduction of new vaccine targeting different population groups, required another additional monitoring framework and tools to track the progress and ensue quality and equity.

Objective:

Extenders are expected to carry out a range of duties, as outlined below, to support monitoring functions, demand generation, accountability to affected population mechanisms, technical facilitation and programme implementation.

Those duties, which are described in detail below, do not include neither programmatic nor financial authority. Extenders are identified among Afghani citizens with specific expertise and a thorough knowledge of the territory in which they operate, based on their residency and/or work experience.

Key duties and responsibilities:

• Conduct regular situation monitoring in specific areas based on requests by the programme or Zonal Office, to assess the overall humanitarian situation and document the needs of affected populations, in particular women and children health needs.  
  

• Conduct regular visits to monitor Health programme activities supported by our client, and facilitate our client staff programmatic visits, with a focus on: 
  

• Assessing programme implementation by Implementing Partners through PCAs (Programme Cooperation Agreements) and SSFAs (Small-Scale Funding Agreements) as well as programme implementation by partners and agencies according to the our client Afghanistan Country Office Work Plans. 
  

• Checking EPI supplies chain systems and equipment in place and their functionality status, including following SOPs in vaccine storage and utilization.

• cSupporting Health information system and data registration reviews and assessments, and the implementation of Data Quality Improvement plans and microplanning activities.

• Verifying health supplies are delivered to target beneficiaries in line with relevant programme documents and flag any delays and bottlenecks.

• Conducting post-distribution monitoring (PDM) of supplies to assess beneficiaries’ feedback in terms of the quality, timeliness and relevance of supplies delivered. Other end-user monitoring of specific programmes will be conducted as required by the Zonal Office.

• Collecting direct feedback form beneficiaries and affected population about the situation and needs, and the suitability of the services provided and how to improve.
  

• Provide technical services to our client projects primarily in hard-to-reach areas, through ensuring regular and systematic technical advice, quality assurance and technical guidance to implementing partners and counterparts, for the efficient implementation of our client programmes and effective achievement of results for the benefit of Afghani children and women.
  

• Identify capacity and technical gaps of implementing partners and counterparts and provide technical support to ensure capacity building and on job training as needed. 
  

• Support the implementation of Mobile Health and Nutrition Teams (MHNT) supported by our client through technical support and capacity building and monitor the service implementation and quality. and work with partners at the provincial level to improve MHNT programme results.
  

•  Monitor the work of health facilities supported through our client CERF and other funds using the common checklists and tools.
  

• Support EPI programme routine immunization activities including -but not limited to- service delivery, cold chain system, vaccine and non-vaccine supplies, information system.
  

• Support emergency preparedness and response activities implementation and monitoring.
  

• Report any suspected PSEA case directly to the responsible our client focal point and inform the programme specialist.
  

• Report any suspected fraud case to the Zonal programme specialist or relevant our client staff.
  

• Coordinate the monthly working\monitoring plan with the regional extender, and share the progress and visits repots on timely manner.
  

• Participating in PHCC, Staff meeting with SP, EPI subcommittee and relevant meetings. 

Reporting to regional health extender.

Minimum Qualification and Experience:

• Having certificate in health, medicine, public health, nursing, midwife or related field.

• Minimum of 2 years of experience in in health, medicine, public health, nurse, midwife or related field.

• Proficiency in data analysis and interpretation.

• Excellent communication skills for effective collaboration with healthcare professionals and stakeholders.

• Proven ability to contribute to the enhancement of health programs through data-driven insights.

• Reporting skills

This role has no team management responsibility.