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Lesson
Output and outcome performance monitoring was generally limited to the baseline, midterm and end of program survey. Key core performance data should be collected, analyzed and reported on a quarterly basis, in alignment with standard government indicators. This provides provinces and the national level with an up-to-date status of program performance and comparative data across provinces. These data should inform the annual planning process and identify where additional support is needed.

Project Number: 41376-022
Project Name: Health Sector Development Program
Report Date:
Lesson
Funding is necessary, but is not sufficient for building capacity in the provinces and districts as they move to decentralized governance. Strengthening regulatory arrangements and institutional capacity is dependent on good management and financial procedures. A number of the provinces have increased management and technical competency and can play a valuable role through mentoring and/or twinning programs to help expand successful initiatives to others provinces.

Project Number: 41376-022
Project Name: Health Sector Development Program
Report Date:
Lesson
The coverage for the health equity fund (HEF) scheme supported by the program increased from three pilot provinces to cover all eight target provinces. This resulted in a higher number of eligible beneficiaries and health service utilization by the poor. Despite this, a large percentage of the eligible beneficiaries were not accessing the free HEF-funded services.

Project Number: 41376-022
Project Name: Health Sector Development Program
Report Date:
Lesson
The program tested a new fund flow mechanism for the health sector. Based on the successful trial the government has increased funding for health at the provincial level, resulting in expanded health services coverage, particularly for maternal, newborn, and child health care (MNCH) services and the provision of free health care for the poor.

Project Number: 41376-022
Project Name: Health Sector Development Program
Report Date:
Lesson
The project provides a good example of the need for sound in-depth analysis of political economy conditions at design to confirm that the policy and institutional setting are ready for intended changes/reforms. This should be matched with the flexibility (by ADB and government) to quickly adapt implementation arrangements and activity plans in response to changes in institutional arrangements.

Project Number: 33356-014, 33356-013
Project Name: Nam Ngum River Basin Development Sector Project
Report Date:
Lesson
Concentrating effort on farmer production and marketing groups (FPMGs) through a learning-by-doing process turned what was a pilot project at the outset into a demonstration at completion. FPMGs were shown to be successful as units for production and marketing, extension delivery, provision of skills and technology and as contracted primary suppliers. However, the project's approach was costly in terms of scale because FPMGs required intensive support. Although all groups still exist at completion it is not clear how they may expand or be replicated.

Project Number: 31351-013, 31351-014
Project Name: Smallholder Development Project
Report Date:
Lesson
Better coordination with other development partners and government agencies during the original project design stage could have helped avoid the need to re-formulate the rural roads component and strengthened the government's commitment to make counterpart funds available on a timely basis. Robust design and monitoring framework (DMF) preparation is essential for setting clear project objectives, targets and performance indicators within a logical results chain.

Project Number: 31351-013, 31351-014
Project Name: Smallholder Development Project
Report Date: