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Lesson
The project was complex and involved many stakeholders (DBP, DOH and PHIC, LGUs, private sector venture, small-scale private providers, and local beneficiaries). A careful stakeholder analysis involving consultations with all participants to identify needs, constraints, and potential benefits could have improved the project design, its assumptions, and risk mitigation strategies.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Local government units (LGUs) are important as facilitators of health projects but should not be overburdened with health care investments.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Private sector providers need motivation to expand their services in poor and remote areas and strive for better quality of care.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
A bigger role for midwives can enhance the performance of similar future projects in the Philippines.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Political support is crucial to the success of PPPs.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
No new lessons

Project Number: 33278-013
Project Name: Health Sector Development Program
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:
Lesson
Design flaws resulted from the rehabilitation of existing facilities. Budget constraints may have led to the use of substandard materials. Some equipment was purchased that did not meet technical specifications. Further improvements can be made by improving specifications, adequately budgeting for works and equipment, and ensuring proper commissioning.

Project Number: 33278-013
Project Name: Health Sector Development Program
Report Date:
Lesson
A high on-lending rate prevented the targeted provinces from participating. At appraisal, careful consideration needs to be given to the project's financial feasibility. Limited project funds could finance only about 30% of required investments in targeted health facilities. Although additional funding was mobilized to complete upgrading of these facilities, more detailed advanced planning could mitigate financing risks.

Project Number: 33278-013
Project Name: Health Sector Development Program
Report Date:
Lesson
Health Sector Development Program supported the entire Health Sector Reform Agenda, with six reform areas, a large number of stakeholders, multiple levels, and intervening policy alterations, making it a complex undertaking. However, the government reported that ADB's support for the entire reform program helped advance reforms. Nevertheless, careful consideration should be given to the scope of program support.

Project Number: 33278-013
Project Name: Health Sector Development Program
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
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: