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Lesson
Lack of readily available and measurable social and economic data can limit the scope of the design and monitoring framework (DMF). The CPRO loan supported 12 schemes of the PMGKY program, which extended insurance cover for health workers, cash transfers, food and fuel transfers, and employment guarantees.. However, the DMF included only eight schemes for monitoring as part of the CPRO loan because specific results and performance Indicators could not be devised during appraisal considering the urgency of the requirement for assistance.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Multi-pronged regulatory and financial support to small businesses and employment security measures provided financial security to the vulnerable households as they responded to macroeconomic shocks. These enhanced program effectiveness in enhancing social and economic protection to vulnerable businesses and sections of the population at the time of COVID.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Leveraging private sector capacities to effectively contribute to emergency measures were key success stories. These were done through constructive partnerships, as demonstrated by the lab development for enhancing testing capacities at the start of the pandemic, and by leveraging women-led self-help groups for manufacturing personal protective equipment.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
India’s investments in social protection frameworks—through the public distribution system, the JAM trinity for direct benefit transfers, and fuel transfers ensured that ongoing social safety net programs could be quickly mobilized to respond to the economic vulnerabilities created during the COVID-19 pandemic.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The CPRO modality is deemed relevant, appropriate, and efficient for this program, as it allows DMCs to address spending requirements for health, social, and economic measures in response to the pandemic. Discussions with the government to align the modality with response measures facilitated critically needed fiscal stimulus to better manage the immediate economic and financial shocks created by the rapidly unfolding COVID-19 pandemic and an overwhelmed health care system.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Strong coordination between ADB and the executing agency, the Department of Economic Affairs (DEA), and the high level of government ownership of the program were the keys to developing a program focused on the vulnerable sections of society and to delivering an effective response to the pandemic at unprecedented speed and scale. The program supported key initiatives of the government to mitigate pandemic impacts. ADB and the DEA closely interacted to monitor and report on the progress of program implementation.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The program had multiple value-additions to strengthening the resilience of the health care system, including strengthening the capacity of intensive care units, staff capacity, laboratory infrastructure, supply chains, and the capacity for testing. It also improved surveillance and supported the adoption of a new IT-based unified health surveillance system. Furthermore, it\] scaled up research interventions for identifying new pathogens, and deployment of newer medical technology through national research institutions.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Clear and complete monitoring and reporting arrangements and systems are crucial to the success of RBLs.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
Mechanisms to ensure the availability of RBL-specific information from all participating states and/or government agencies need to be incorporated in the program design.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
Government ownership of new programs supported by ADB through results-based lending (RBL) should be clarified and firmly understood by all relevant agencies prior to implementation.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
The adequacy and appropriateness of project design have to be tailored to the project’s ultimate objectives and complexities. The PCR provided weak justification of the relevance of the extension and the insufficiency of indicators.

Project Number: 39662-012, 39662-022
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The rapid launch and accelerated implementation of the project made necessary by the threat that avian influenza would become a pandemic made it difficult to define verifiable indicators for a number of the outputs under the regional capacity building and regional coordination components. A mid-term review of the project would have facilitated a review and updating of the design and monitoring framework.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The project supported the One Health concept, which emphasizes the links between animal health and human health and emerging animal and human diseases. One Health provided a platform for unprecedented integration of animal, human and ecosystem health issues to fight the threat of avian influenza. The systematic collaboration of technical agencies across disciplines, such as FAO (veterinarians) and WHO (medical doctors) and civil society organizations (community health workers) supported by the project has promoted this concept since the beginning of the project.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB's high-level steering committee demonstrated ADB's institutional support, which enhanced coordination between development partners. The committee, comprising the heads of all regional departments and the Strategy and Policy Department and chaired by the director general of RSDD, provided prompt policy guidance and expedited decisions and actions. It also ensured that the needs of the countries were ascertained and that they had adequate access to project resources.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB was able to use its convening power effectively because it had the necessary in-house technical expertise. Public health experts on ADB's staff with knowledge of emerging infectious diseases were involved in designing and implementing the project. This in-house expertise made the dialogue with the technical and regional agencies to strengthen regional collaboration within and across the animal health and human health sectors possible.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date: