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CSV
Lesson
Mapping and analysis of the policy and institutional frameworks governing LHC management helped in addressing the key challenges to develop and implement a subnational expenditure framework for SLHCP.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA highlighted the value of strong leadership by the implementing agency. The MOH Department of Planning and Finance was effective in coordinating inputs of development partners under a common analytical framework for the LHC reform agenda (the Master plan), thereby ensuring that investments of each development partner, including ADB, the World Bank, and World Health Organization, were complementary and without duplication.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
There is a strong need to support executing agencies throughout project design and implementation to deliver gender analysis and mainstreaming. Gender-sensitive indicators and gender_x005F_x0002_related risks must be included in project frameworks.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The new TA classification (knowledge and support TA and transaction TA) has removed the prescriptive nature of the previous TA types (such as capacity development TA and project preparatory TA). Increased flexibility in TA classification led to increased relevance during TA implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The EHR roadmap provides options for the replication and scale-up of EHR for the LHC system. This will be further piloted under LHCSDP’s grant-financed component.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA’s efforts to develop a subnational expenditure framework for SLHCP implementation were hampered by challenges in obtaining robust historical health sector expenditure data for provincial levels. Future efforts to generate financial data from local governments require engagement not only with MOH, but also the Ministry of Finance.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Development partners are willing to support national policy reforms when the country shows clarity and leadership. Republic of Korea e-Asia and Knowledge Partnership Fund additional financing allowed the TA to develop with the government innovative approaches, particularly to include IT-based solutions in the health services management.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
CSV