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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
Flexibility in adjusting timelines and targets to respond to new and unforeseen factors enhances impact. Difficulties in dealing with the COVID-19 pandemic affected project implementation timelines. The pandemic was unprecedented in scale and unpredictable in terms of the percentage of the workforce testing positive; the mobility restrictions that needed to be imposed to control its spread; and its impact on availability of supplies, materials and expertise needed to implement the project.

Project Number: 54189-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
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
Challenges encountered in the implementation of the COVID-19 Rapid Response Program highlight concerns that ADB need to address in future similar projects.

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
Allocating dedicated technical assistance resources to support government compliance with ADB requirements, notably those related to Monitoring and evaluation and Gender, is important.

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
ADB's long standing engagement in the country, especially in the health and public finance sectors and in fiscal and macroeconomic policy developed its readiness to respond effectively and quickly. The One ADB approach and the application of the streamlined business processes under the CPRO policy also worked well for Mongolia, as it clearly demonstrated that cutting several bureaucratic layers in the approval process does not necessarily compromise the quality of the end product.

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
The CPRO experience highlighted three main lessons. First, it confirmed Mongolia's solid precrisis record in structural reforms and macroeconomics, which put the country in a strong position to effectively respond to the multifarious impact of the pandemic. Second, the fast approval of the CPRO policy and lending modality enabled ADB to provide critical emergency support to eligible client countries in times of exceptional need, clearly showcasing the importance of institutional

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
The government's response to the pandemic was comprehensive and effective. It provided a policy framework through the National Emergency Response Plan, and identified a set of concrete measures, associated expenditures, and financing plan which it brought together under the countercyclical expenditure development plan. The expenditure development plan further combined revenue and expenditure measures shown by international experience to be effective in safeguarding fiscal sustainability.

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
High turnover of government project staff affects institutional memory and implies additional time and effort to introduce the project’s concepts to a new team to ensure the government is involved and owns the project implementation.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
Unforeseen events outside the control of the executing agency, such as amendments to laws and regulations and changes in decisions, require additional effort, time, and resources—and accordingly, flexibility in the project. This is especially relevant in the context of a country such as Mongolia, which is still transitioning to a market-based economy and rapidly developing, and therefore, frequently introduces new changes to the existing legislation.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
Projects that plan to introduce systemic reforms require more time for advocating new concepts, building consensus, and overcoming the institutional interests of stakeholders. This was the case with the establishment of the Medicines Regulatory Authority, for which thegovernment spent nearly 10 years.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
The program proved to be a timely and effective means of channeling support to the government. Designed with coordinated support from various development partners,the government-led program, was coherent and relevant and delivered most of its intended outputs and outcomes. Several performance Indicators had specific Gender targets, which supported the government’s efforts to deliver on its commitment to women’s empowerment during a period when women were disproportionately affected by the impacts of the pandemic.

Project Number: 54188-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Ensuring close coordination between relevant agencies and capacity building are essential for land acquisition and resettlement activities are carried out in a timely and satisfactory manner. For this project, close coordination was forged between the implementing unit and the Land Agency.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date: