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Lesson
Better coordination with Australian Aid was an explicit part of the PRMAP from the beginning. Adjustments to ADB’s country strategy and the design of follow-on programs may be better informed if there is sharing of information during and after each intervention.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
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Lesson
No additional lessons

Project Number: 35174-013, 35174-022, 35174-023, 35174-032
Project Name: Education Sector Program (Subprograms I–III)
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Lesson
Take hard evidence more seriously in the analysis of what drives learning outcomes.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date:
Lesson
Do not assume the automatic translation of inputs into outcomes. International experience has documented that increasing inputs is only weakly correlated with improved learning outcomes.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date:
Lesson
The project demonstrated that vertical programs such as HIV/AIDS can be efficiently integrated into PHC services. While specific technical support and management will remain necessary at the central level to guarantee quality and effectiveness of the program interventions, implementation at the local level would yield better results when integrated into PHC, whenever possible.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
Under the project, a template was developed for the MOAs between NDOH, local health authorities, and the economic operators. While the objective of this standardization was to accelerate the signing of MOAs, it had, in fact, an opposite result, i.e., with the MOA not considering the local conditions, constraints and needs at the onset, the MOAs were not always satisfactory, causing delays in signing. Sector level lessons.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
Regular supervision with coaching is essential for maintaining and improving the quality of health services delivery. Especially in rural areas, supervision is also required to support often isolated local staff and helps to retain health-workers. Civil works successfully rehabilitated health facilities under the project, but regular supervision of public health facilities by health staff of the economic operators, as agreed in the MOAs, were not sufficiently sustained.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
To achieve poverty reduction and equity, the needs of disadvantaged groups must be identified not only by technically qualified experts, but also by the intended beneficiaries. Planning and budgeting for health services must be based on accurate and disaggregated data that are made available on time.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
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Lesson
Changes in government policy during project implementation can influence project outcomes. The project benefited from an improved health insurance mechanism introduced by the Government of Viet Nam.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
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Lesson
When projects are implemented under decentralization, consultation and capacity building of the provinces and implementing agencies at the decentralized level are essential and need to start during project preparation. The needs identified by the central level may not be felt at the decentralized level, which could result in delays or non-implementation of project activities, reducing the potential benefits of the project.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
Private health providers can play an important role when developing a network of quality health services in rural and other underserved areas. The needs of private sector entities and small-scale health providers, however, are different. Easy access to credit by small-scale providers, in itself, is insufficient. Needs and constraints also should be addressed. This covers (i) technical support—referral networks, continuous training, and colleagues’ advice; and (ii) family support—access to schools for children, work opportunities for the spouse, safety, and other needs and constraints.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
The project was complex and involved many stakeholders (DBP, DOH and PHIC, LGUs, private sector venture, small-scale private providers, and local beneficiaries). A careful stakeholder analysis involving consultations with all participants to identify needs, constraints, and potential benefits could have improved the project design, its assumptions, and risk mitigation strategies.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Project ownership is important. With DBP, a financial institution as executing agency, DOH did not have primary responsibility for this health project. Inter-sector collaboration can bring significant benefits but is not easy: it requires significant efforts and a clear governance structure with specific reporting and coordination mechanisms. Leadership is essential and needs to be carefully established to ensure effectiveness and efficiency. The HSIAC should have been more actively involved and better coordinated the project.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Targeting requires an integrated assessment of key socioeconomic indicators.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date:
Lesson
Advance contracting enables timely startup.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date: