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Lesson
Careful political economy analysis can help identify potential legal or regulatory changes on the horizon that could impact planned interventions. In this case, changes in the regulatory framework related to hazardous waste management resulted in the cancelation of one output.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Support cannot be directed to the most vulnerable in a crisis in the absence of a social protection system that can be utilized or adapted for this purpose—which provides an additional reason for working with developing member countries to establish and strengthen such systems.

Project Number: 54346-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
When functions and responsibilities are decentralized, policy dialogue with the concerned local authorities during project processing is just as important as dialogue at the central level.Although ULBs in Bangladesh depend on LGD, they enjoy some autonomy. The ULBs rapidly realized the benefit of better governance and financial management and these components were timely implemented. However, it took longer for the ULBs to appreciate the benefits of investments in sanitation and food safety funded by the project loan.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program
Report Date:
Lesson
Regular or periodic harmonization of policies is essential in a regional project in which a number of countries, with different levels of development, are engaged together to deliver regional public goods.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
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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
Report Date:
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
Report Date: