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Lesson
A strong Monitoring and evaluation (M&E) mechanism is a requisite to identify and quickly act upon emerging challenges. The delays noted in this project present an opportunity for M&E improvement—that is, a strong evaluation function would have helped timely identification and quick resolution of the delays in the activity, procurement, and disbursement fronts. The government also noted challenges in the project’s M&E systems, particularly concerning the accuracy and completeness of these activities.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date:
Lesson
A holistic project design is essential for increasing public health-care utilization. Ultimately, the project aimed at increasing public health-care utilization, which is influenced by both supply- and demand-side interventions. The interventions appropriately addressed the supply side through improvements in health facilities, equipment, and human resources.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date:
Lesson
Timely planning of project extensions and a more realistic extension period will improve loan utilization. Undisbursed amounts under this project resulted largely from new government policies as well as contextual and operational factors. Various activities were canceled because of government restrictions on the use of loan proceeds for soft components (e.g., training, workshops, etc). Non-disbursements were also associated with other policy modifications, such as restrictions on the recruitment of international consultants. But contextual and operational factors also played a role.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date:
Lesson
Foreseeable delays in procurement and disbursements may be overcome by (i) including project readiness measures such as advance actions; and (ii) ensuring dedicated, full-time) and qualified staff with relevant experience for key project management positions. Amounting to 1.5 years in this project, these delays were attributable to the complexity of procedures in Viet Nam, the COVID-19 pandemic, and the large number of project facilities involved.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date:
Lesson
Prior review of Gender targets strengthens likely outcomes. The midterm review recognized that because of the nature of construction work, positions attractive to female unskilled workers were limited. The unmet target could have been avoided if the midterm review had reviewed a priory the feasibility of the targets.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date: