Health Care in the Central Highlands Project

The considerable delays in implementation were due to complicated procurement regulations of both ADB and the government. These delays and price inflation resulted in the quality of civil works being compromised in some locations and some facilities deviating from the design. Delays in equipment procurement led to the purchase of inappropriate and out-dated equipment. Limited district administrative capacity resulted in delays in imprest accounts being replenished, which constrained progress. Current government per diem allowances for training courses are very low; this limited participation. Delays in procuring consultants, especially for the Health Care Fund for the Poor, delayed disbursement.