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Lesson
Defining output and outcome indicators that reflect central elements of planned interventions and results chain can convincingly demonstrate attribution of observed outcomes to project-financed activities. In this case, the mismatch between some outputs, outcomes, and their associated indicators raised questions about attribution

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
For the gender action plan, indicators need to be designed to require reporting of baseline and latest data disaggregated by sex for evidence that the practice exists. In this project, indicators such as “MOH public information on drug safety including rapid alert system improved by 2014 (data on persons affected by unsafe drugs are sex-disaggregated)” and “minutes of community meetings and attendance lists were disaggregated by sex” were reported without evidence of sex-disaggregated data.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
Specificity of intended outcome is essential to enable programming, innovation, and cycles of project improvement. The project’s outcomes were broadly defined and lacked clear pathways detailing how the outputs would interact with each other and achieve the outcomes. The vagueness is likely part of the reason that the design had significant gaps and flawed assumptions on how the activities would lead to the intended outcomes.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Better data and information. A better use of more accurate data for planning and budgeting by newly trained personnel at the central, provincial, and district levels could have significantly improved allocative efficiency in the health sector, enabling better targeted policies and activities in operational and development plans.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
The initial indicators for assessing the benefits can be refined during implementation to yield reliable results.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
When data are not available or are incomplete at appraisal, the project should consider supporting the development of a robust health management information system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
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Lesson
Timely collection of correct data is essential for monitoring the implementation, for assessing progress in achieving the program objectives, and as a basis for further planning and decision making.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The importance of data availability goes beyond the preparation of DMF indicators.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Well-conceived and structured TA associated with the program addressed the obstacles presented by system inefficiencies and limited capacity. Survey data and other forms of monitoring can be subject to local manipulation by incumbents and unintended beneficiaries. A related problem is rent-seeking in local agencies and the government can similarly distort monitored data, and misdirect public transfer payments and other benefits.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date:
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: