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Lesson
Implementation of government’s priorities. Involving the provincial and district levels and strengthening their capacity to identify and address the local needs reflected the government’s Sam Sang initiative, giving provinces and the districts more responsibilities and authorities. The reforms offered an opportunity to effectively apply the new policy, resulting in a strong government support for HSGP. ADB’s capacity-building activities at the provincial level in previous health projects provided useful experience to better target technical support at all levels.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Impact indicators in the results framework need to have casual connection to the program’s outputs and outcomes. The civil service and budgetary reforms supported by the program will contribute to more efficient public administration and budget expenditures over time. However, they can only contribute at the margin to poverty and maternal mortality reduction, which were the impact indicators for the program. These indicators were not aligned with the impact statement, which aimed for improved service delivery.

Project Number: 46059-001, 46059-002
Project Name: Governance and Capacity Development in Public Sector Management Program - Subprogram 2
Report Date:
Lesson
Understanding and addressing the needs of all those involved in the sector. The health system requires two types of personnel: (i) health services providers; and (ii) administrative personnel responsible for planning, budgeting, resource allocation, and monitoring. Both need to be involved.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
The implementation arrangements ensured that the provincial health offices, as implementing agencies, were stakeholders of the reforms. Rather than simply following instructions from the center, the provinces were involved in the program, better understood the reform objectives, and supported the implementation of the HSRS.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Intersector coordination. ADB involvement in the financial sector facilitated dialogue with and support from the MOF and ensured better harmonization of the financial systems from different sectors. This support from one key sector, for instance, reinforced effectiveness of the reforms and is likely to enhance the sustainability of the program.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Program design and implementation in least developed (and fragile) countries need to take account of the limited administrative capacity of the government. While ADB designed a program which supported the government in undertaking reforms and sufficient consulting services resources to help bridge capacity gaps, the timeframe for the program was too ambitious and ADB did not provide adequate continuity in the staff providing project supervision. These deficiencies contributed to the underperformance in program outcomes.

Project Number: 46059-001, 46059-002
Project Name: Governance and Capacity Development in Public Sector Management Program - Subprogram 2
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
It is important to pay particular attention to the risk bearing as well as overall project management capacity of entities when conducting stakeholder mapping.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
Projects involving a behavioral change need to have a full-fledged change management component and engage in more consultations with direct stakeholders.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
Introduction of new technologies, particularly those involving more than a like-for-like replacement of the ones already in use, requires collaboration with experts and private suppliers throughout the design, testing, and repeated price discovery stages.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
In addition to assessing the value chain and market conditions, the technical viability and suitability of the business model and deployment mechanism should be tested prior to the large-scale dissemination of new technologies.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
A multitranche financing facility (MFF) that initially focuses on piloting, capacity building, behavioral and technology change management, and the establishment of a more robust financial intermediation mechanism may have been more appropriate for this project.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
Besides being managed by the most suitable executing agency (EA), onlending schemes need to be informed by a robust assessment of stakeholder capacity and commitment to borrow, which should consider feedback from all relevant groups.

Project Number: 43207-013
Project Name: Market Transformation through Introduction of Energy-Efficient Electric Vehicles Project
Report Date:
Lesson
Strong donor and government interagency coordination is necessary to optimize the use of scarce TA resources.

Project Number: 46059-001, 46059-002
Project Name: Governance and Capacity Development in Public Sector Management Program - Subprograms 1 and 2
Report Date:
Lesson
Formal mechanisms are necessary to ensure proper coordination among relevant government agencies in the design and implementation of donor-assisted reform programs.

Project Number: 46059-001, 46059-002
Project Name: Governance and Capacity Development in Public Sector Management Program - Subprograms 1 and 2
Report Date: