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Lesson
There are limits to what could be done during preparation for the highway upgrade project which itself will likely experience some difficulty during the early years of commercial operation. Several aspects of the ensuing project, which justify some concern at the time of TA loan implementation, relate to (i) the importance of financial sustainability of the expressway and of VEC more generally—for maintenance of the road, management of operations, and fulfillment of debt-service obligations (PCR para.

Project Number: 33307-023
Project Name: Greater Mekong Subregion: Kunming–Haiphong Transport Corridor—Noi Bai–Lao Cai Highway Technical Assistance Project
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Lesson
No additional lessons

Project Number: 33301-013, 33301-032
Project Name: Central Region Livelihood Improvement Project
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Lesson
Program experience demonstrates that accompanying investment projects in a sector development program loan matter. ADB, in selecting the sector lending modality as a broad-based lending instrument, should give careful consideration to the choice of accompanying projects intrinsically linked with the sector performance in all its dimensions.

Project Number: 32285-013
Project Name: Agriculture Sector Development Program
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Lesson
Closer attention to the linkages (or the theory of change) between the provision of infrastructure and the resulting changes in social behavior and development outcomes may have been a more useful basis for project M&E, i.e., what were the behavior changes and could they be observed in project and non-project towns? This lesson applies more broadly to infrastructure projects that identify high level social outcomes and explicit behavior change for their longer-term success.

Project Number: 28315-013
Project Name: Third Provincial Towns Water Supply and Sanitation Project
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Lesson
The central project management unit and provincial project management units have monitored financial flows and activity progress as part of routine quarterly reporting. Limited attention was paid to project outcomes in the project framework; outcomes were not changed during the project. Similarly, measurement of the outcomes of the training programs appears to have been limited. Given ADB's results-based approach to Project Management, both the Ministry of Health and ADB should have given a greater focus to monitoring and evaluation.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date:
Lesson
Investment in civil works and equipment has recurrent budget implications. Monitoring of whether provinces are allocating greater resources to recurrent budgets is difficult as financial tracking is complicated in a devolved financial management system. User fees may help support the ongoing expenditure support for buildings and equipment in the curative sector, but the preventive system has limited capacity to mobilize resources outside of the state budget.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date:
Lesson
The considerable delays in implementation were due to complicated procurement regulations of both ADB and the government. These delays and price inflation resulted in the quality of civil works being compromised in some locations and some facilities deviating from the design. Delays in equipment procurement led to the purchase of inappropriate and out-dated equipment. Limited district administrative capacity resulted in delays in imprest accounts being replenished, which constrained progress.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date:
Lesson
The Joint Annual Health Review, 2010 notes that a shortage of human resources continues in several fields, including preventive medicine, public health, pediatrics, infectious diseases, mental illness, forensics, pathology, tuberculosis and leprosy, food safety and hygiene inspection, medical technology, engineers specialized in medical equipment, health statistics, and hospital management. The provincial health departments identified postgraduate training in health specializations as a major project benefit, leading to more available district staff and specializations.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date:
Lesson
The selection of adjoining provinces in the Central Highlands had several benefits. First, these provinces have a large number of poor ethnic minorities and other residents with low health status and limited access to health services. As such, these areas align with both the government's policy of supporting disadvantaged groups and ADB's overarching objectives of tackling poverty. Ethnic minorities needed continuous targeting as their health status and sociocultural adverse health behaviour warranted project interventions.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date: