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Lesson
The traditional project management structure may need to be reconsidered when implementing a sector development plan (SDP).

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
When data are not available or are incomplete at appraisal, the project should consider supporting the development of a robust health management information system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Greater consideration should be given to ensuring the availability of data sources when preparing DMF indicators. Reliable data for the assessment of impact indicators pertaining to MMR and life-expectancy could not be sourced, despite DMF indicators being revised at implementation to enable objective measurement.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
When it comes to mass drug administration programs, greater attention should be given to prophylaxis— especially in the Lao PDR with its high prevalence of helminth infection in rural areas. For remote and hard-to-reach areas, the best possible delivery mechanism for helminth prevention is yet to be identified.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The nonachievement of outputs related to the implementation of case-based payment mechanisms underlines the importance of ensuring stakeholders beyond target hospitals, such as Viet Nam Social Security, are engaged in initiatives for hospital financing reform.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Experienced and dedicated teams contribute to implementation success. The project largely inherited the oversight and management teams from ADB’s first GMS CDC project. Continuity of staff and consistency of support from ADB contributed significantly to the success of the project in achieving most of its outcome and outputs. The appointment of high-ranked officials as project directors ensured effective coordination and implementation of project activities.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The program’s implementation delays mirror the experience of other ADB health sector investments, indicating constraints to project readiness in the MOH. ADB and the MOH should engage in deeper dialogue to identify project readiness actions for future investment projects.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Strong laboratory capacity and field epidemiology vital for rapid response. The project has appropriately targeted the strengthening of laboratory capacity and field epidemiology as essential for accurate early detection of disease outbreaks. These investments boosted the level of diagnostic preparedness, and the CLV countries rightly requested continued support in improving laboratory quality and building capacity in field epidemiology. The ongoing GMS Health Security Project continues to support these areas as well as hospital infection prevention and control.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The central role of Viet Nam’s tier-one HPTIs in supporting the development of lower-level HPTIs nationwide was illustrated under the program. HMU, UMP, and Hue University of Medicine and Pharmacy each played mentoring roles to the second and third tier HPTIs involved in the program, across areas pertaining to accreditation, curriculum development, faculty development programs, and CME delivery, among others.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Effective communicable disease control starts in the communities. Community preparedness to detect and respond to communicable disease outbreaks is crucial to effective CDC. The MHV model was a learning experience for public health and local leaders in this project. Through community participation, the local stakeholders who are most directly affected were empowered, which in turn encourages ownership and sustainability of the MHV concept.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The program demonstrated the value addition of the SDP modality in supporting a government-led reform agenda, where operationalizing reforms requires policy and regulatory actions coupled with stimulus from targeted investments. Drawing on its successful experience implementing the program, the MOH has elected to pursue an SDP modality to deliver its reform agenda for the local health care system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Investments in regional cooperation are essential for health security. The ability of communicable diseases to cross international boundaries and affect large number of people demands a sustained and coordinated response among neighboring countries. The continued cooperation between the CLV countries provided a good practice for a coordinated response mechanism against this threat. The regional design enabled the sharing of knowledge, experiences, and resources and supported better data capture and timely information exchange, which are essential to CDC.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Well-conceived and structured TA associated with the program addressed the obstacles presented by system inefficiencies and limited capacity. Survey data and other forms of monitoring can be subject to local manipulation by incumbents and unintended beneficiaries. A related problem is rent-seeking in local agencies and the government can similarly distort monitored data, and misdirect public transfer payments and other benefits.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date:
Lesson
The complication arose from the government’s decision, during SP2, to inject the other half of the anticipated policy output units into the subprogram, by extending it by another 5 months. This put considerable work and budget pressure on the project team. And that may have been a factor in the inability to fully achieve several output actions in time for this report.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date:
Lesson
The interim restructuring of the program, at the request of the government, lowered the total program cost to the government. It also put greater emphasis on the program’s design features than on embedding the program deeper within public institutions. This may have been fiscally expedient but will have long-term costs that are hard to measure now. The government may have employed the program’s national consultants after it decided to fund SP2 and SP3, but ADB is unlikely to receive information on the results.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date: