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Lesson
Regional collaboration for health security is increasingly becoming important with deepening regional integration.

Project Number: 42179-013
Project Name: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention Project
Report Date:
Lesson
Improving HIV/AIDS service quality is a prolonged process that requires a comprehensive approach and continuous monitoring.

Project Number: 42179-013
Project Name: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention Project
Report Date:
Lesson
More intensive support from ADB gender specialists throughout the project period is vital to ensuring the effective implementation of gender action plans (GAPs).

Project Number: 42179-013
Project Name: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention Project
Report Date:
Lesson
Successful innovations require careful consideration of the project context.

Project Number: 42179-013
Project Name: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention Project
Report Date:
Lesson
The rapid launch and accelerated implementation of the project made necessary by the threat that avian influenza would become a pandemic made it difficult to define verifiable indicators for a number of the outputs under the regional capacity building and regional coordination components. A mid-term review of the project would have facilitated a review and updating of the design and monitoring framework.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The project supported the One Health concept, which emphasizes the links between animal health and human health and emerging animal and human diseases. One Health provided a platform for unprecedented integration of animal, human and ecosystem health issues to fight the threat of avian influenza. The systematic collaboration of technical agencies across disciplines, such as FAO (veterinarians) and WHO (medical doctors) and civil society organizations (community health workers) supported by the project has promoted this concept since the beginning of the project.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB's high-level steering committee demonstrated ADB's institutional support, which enhanced coordination between development partners. The committee, comprising the heads of all regional departments and the Strategy and Policy Department and chaired by the director general of RSDD, provided prompt policy guidance and expedited decisions and actions. It also ensured that the needs of the countries were ascertained and that they had adequate access to project resources.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB was able to use its convening power effectively because it had the necessary in-house technical expertise. Public health experts on ADB's staff with knowledge of emerging infectious diseases were involved in designing and implementing the project. This in-house expertise made the dialogue with the technical and regional agencies to strengthen regional collaboration within and across the animal health and human health sectors possible.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
Each new outbreak of disease confronts projects such as this one, as well as the implementing partners and global community, with a fresh challenge, because its early spread outpaces the gathering of scientific evidence needed to formulate containment policies. Each successive outbreak is followed by an initial opaque period characterized by a frustrating lack of scientific evidence on which to base policies and technical guidance.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
Carrying out project administration through existing structures helped speed up project implementation. Delegation of project activities to concerned departments and provinces facilitated implementation. Inclusion of project activities in national and provincial annual operational plans provided better integration of health services and funding.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Participation in regional dialogues and other knowledge management activities has, through learning and sharing, made national and provincial communicable diseases control leaders more competent, cooperative, and competitive. However, participation in internet-based learning and sharing is still at a nascent stage.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The ministries have a strong tradition of top-down training programs to be implemented by the provinces, often in an ad hoc manner. Provincial capacity to plan and coordinate training activities is insufficient. Provinces also lack core capacities in teaching methodology and in monitoring staff performance.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The project was designed to target vulnerable groups, including the poor, women and children, and ethnic minorities. It mainly targeted poor provinces in border areas, including 7 provinces out of 20 with a predominantly ethnic minority population. The project interventions benefited poor women and children, who are more at risk of communicable diseases. However, based on ADB's results framework criteria, the project is rated unsatisfactory for gender equity. It only partially complied with gender and ethnic minority covenants.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Financial management requires further improvement through training of provincial staff, timely approvals of annual operational plans, and timely liquidation of advances.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date: