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CSV
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
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
Leveraging private sector capacities to effectively contribute to emergency measures were key success stories. These were done through constructive partnerships, as demonstrated by the lab development for enhancing testing capacities at the start of the pandemic, and by leveraging women-led self-help groups for manufacturing personal protective equipment.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
India’s investments in social protection frameworks—through the public distribution system, the JAM trinity for direct benefit transfers, and fuel transfers ensured that ongoing social safety net programs could be quickly mobilized to respond to the economic vulnerabilities created during the COVID-19 pandemic.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The CPRO modality is deemed relevant, appropriate, and efficient for this program, as it allows DMCs to address spending requirements for health, social, and economic measures in response to the pandemic. Discussions with the government to align the modality with response measures facilitated critically needed fiscal stimulus to better manage the immediate economic and financial shocks created by the rapidly unfolding COVID-19 pandemic and an overwhelmed health care system.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Changing internal guidance and expectations added significant pressure in designing ADB’s COVID-19 response programs and this has to be managed more effectively in future similar circumstances. ADB was still refining its COVID-19 pandemic response option (CPRO) policy and guidelines when this program was prepared. Managing the changing internal guidelines and expectations added significant pressure.

Project Number: 54358-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
Widespread assistance from development partners (DPs) in times of crisis could lead to fiscal expansion and unsustainable expenditures that require subsequent downward adjustments. The inflow of DP assistance to support the Republic of Marshall Islands’ (RMI) COVID-19 response plan has masked its structural fiscal deficit and led to expenditures that were unsustainable and needed to be adjusted afterwards. With the pandemic winding down, it has become most important for the country to heed the EconMAP’s recommendation for it take steps to address this fiscal deficit.

Project Number: 54358-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
Targeted assistance will help ensure that crisis response programs reach those who need them most. Targeted assistance to women and girls, including in safeguarding their health and safety and prioritizing their coverage in socioeconomic assistance, helped support the well-being of these vulnerable groups. Harmonizing efforts to distribute WASH and dignity kits with those undertaken by a civil society group eliminated the risk of duplication and inefficiencies thus maximizing available assistance from various sources.

Project Number: 54358-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
Better coordination or shared reporting and reliance on government’s own systems would ease the burden of monitoring and reporting the implementation of crisis response programs. Developing an effective reporting and monitoring system during a pandemic is difficult because of competing demands on staff time. This is accentuated when other development partners providing complementary support similarly impose reporting requirements.

Project Number: 54358-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
Clear and complete monitoring and reporting arrangements and systems are crucial to the success of RBLs.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
Mechanisms to ensure the availability of RBL-specific information from all participating states and/or government agencies need to be incorporated in the program design.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
Government ownership of new programs supported by ADB through results-based lending (RBL) should be clarified and firmly understood by all relevant agencies prior to implementation.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date:
Lesson
The adequacy and appropriateness of project design have to be tailored to the project’s ultimate objectives and complexities. The PCR provided weak justification of the relevance of the extension and the insufficiency of indicators.

Project Number: 39662-012, 39662-022
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
CSV