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Lesson
The importance of establishing a baseline data at an early stage of project implementation, or during project preparation to enable the accurate evaluation of the project’s results is a recurring issue that warrants serious attention.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date:
Lesson
A needs assessment should be conducted to ensure that project components are realistically achievable given the proposed time frame and other project resources.

Project Number: 36509-013
Project Name: Woman and Child Health Development Project
Report Date:
Lesson
5. Given the short time frames for EALs, longer-term rehabilitation activities should be mainstreamed in future country operational plans with corresponding alternative funding mechanisms explored.

Project Number: 40282-013, 40282-023
Project Name: Emergency Rehabilitation of Calamity Damage Project
Report Date:
Lesson
4. ADB supported rehabilitation efforts have to be synchronized with those of other donors and humanitarian relief organizations with vast experiences in disaster relief and mitigation to ensure timely delivery, quality, and immediate impact.

Project Number: 40282-013, 40282-023
Project Name: Emergency Rehabilitation of Calamity Damage Project
Report Date:
Lesson
3. Rehabilitating damaged infrastructure and facilities often take a long time, and sometimes require redesign to be sustainable.

Project Number: 40282-013, 40282-023
Project Name: Emergency Rehabilitation of Calamity Damage Project
Report Date:
Lesson
2. Projects for emergency assistance loan (EAL) consideration should be selected more carefully.

Project Number: 40282-013, 40282-023
Project Name: Emergency Rehabilitation of Calamity Damage Project
Report Date:
Lesson
1. Receptivity and capacity to adjust to changes in loan administration policy and procedures, and prompt action on recommended reforms in rural infrastructure rehabilitation works are important in designing and implementing projects.

Project Number: 40282-013, 40282-023
Project Name: Emergency Rehabilitation of Calamity Damage Project
Report Date:
Lesson
The project yielded the following insights for similar, future community-driven development projects: (i) Inclusive involvement of community members in decision making and implementation of infrastructure projects is needed to ensure ownership and transparency. (ii) Community facilitators and consultants must be well selected so that only qualified and committed personnel are deployed to support communities in the empowerment process and on technical matters.

Project Number: 38385-013
Project Name: Rural Infrastructure Support to the PNPM Mandiri Project II
Report Date:
Lesson
To minimize large variations in partner agreement nongovernment organization performance (PANGO), it is necessary to (i) evaluate, contract, and mobilize PANGOs within a specific time frame to avoid delays; (ii) critically evaluate budget proposals to ensure they are sufficient to deliver primary health care services; and (iii) set realistic selection criteria for evaluating the experience of PANGOs and their capacity to deliver services.

Project Number: 36296-013
Project Name: Second Urban Primary Health Care Project
Report Date:
Lesson
Capacity development requires continuous investment. Human resource development is key to providing improved health services. A large number of health staff, including medical doctors and midwives, received scholarships to build capacity in obstetrics and neonatal care. However, local governments' fiscal capacity to finance capacity development was limited or nonexistent. Significant investments, both in terms of capacity building and health infrastructure, will be required to meet the maternal mortality MDG target by 2015.

Project Number: 34149-013
Project Name: Second Decentralized Health Services
Report Date:
Lesson
Project scope and coverage should be feasible. To increase impact, project resources should not be spread over a large geographic area. A large number of intended outputs most likely will slow down project implementation. Investment priorities based on health needs and poverty incidence may contribute to increased effectiveness.

Project Number: 34149-013
Project Name: Second Decentralized Health Services
Report Date:
Lesson
No additional lesson.

Project Number: 32313-012
Project Name: Lao People’s Democratic Republic: Health System Development Project
Report Date:
Lesson
Design flaws resulted from the rehabilitation of existing facilities. Budget constraints may have led to the use of substandard materials. Some equipment was purchased that did not meet technical specifications. Further improvements can be made by improving specifications, adequately budgeting for works and equipment, and ensuring proper commissioning.

Project Number: 33278-013
Project Name: Health Sector Development Program
Report Date:
Lesson
A high on-lending rate prevented the targeted provinces from participating. At appraisal, careful consideration needs to be given to the project's financial feasibility. Limited project funds could finance only about 30% of required investments in targeted health facilities. Although additional funding was mobilized to complete upgrading of these facilities, more detailed advanced planning could mitigate financing risks.

Project Number: 33278-013
Project Name: Health Sector Development Program
Report Date:
Lesson
Health Sector Development Program supported the entire Health Sector Reform Agenda, with six reform areas, a large number of stakeholders, multiple levels, and intervening policy alterations, making it a complex undertaking. However, the government reported that ADB's support for the entire reform program helped advance reforms. Nevertheless, careful consideration should be given to the scope of program support.

Project Number: 33278-013
Project Name: Health Sector Development Program
Report Date: