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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
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:
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
ADB’s having frequent review missions at the initial stage, active participation in technical discussions, and prompt action on project requests, were critical factors in ensuring that the project remained responsive to recurrent and emerging needs and that implementation was on track with the project timelines.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Installation of project management at a very high level with the President’s office as executing agency and the deputy prime minister as project coordinator facilitated the success of the project. With such high level management support, the adoption of key policy recommendations and implementation of essential reform packages had a much better chance of being acted upon more quickly than if it were anchored on a weak ministry that still needed reform and strengthening.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Intensive information campaigns ensure a high degree of community participation in PHC management, sourcing of financing, co-sharing, contributions in kind, and other expressions of support that help to sustain health reform projects.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
The need for advance recruitment of consultants to assist with planning and review, pre-implementation preparations, and legal support to ensure that project implementation is not delayed.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Conducting a comprehensive needs assessment before drawing up civil works and equipment lists, ensure that the right inputs are made in the right places.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Rationalization of PHC institutions and provision of adequate health financing should go 'hand in hand'. Thus, the restructuring of health institutions should be accompanied by trained primary health care (PHC) staff, sufficient coverage of PHC facilities, adequate supplies of essential drugs and medical commodities, and health reform;

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date: