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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:
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
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
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
The nonachievement of outputs related to the implementation of case-based payment mechanisms underlines the importance of ensuring stakeholders beyond target hospitals, such as Viet Nam Social Security, are engaged in initiatives for hospital financing reform.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The program’s implementation delays mirror the experience of other ADB health sector investments, indicating constraints to project readiness in the MOH. ADB and the MOH should engage in deeper dialogue to identify project readiness actions for future investment projects.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The central role of Viet Nam’s tier-one HPTIs in supporting the development of lower-level HPTIs nationwide was illustrated under the program. HMU, UMP, and Hue University of Medicine and Pharmacy each played mentoring roles to the second and third tier HPTIs involved in the program, across areas pertaining to accreditation, curriculum development, faculty development programs, and CME delivery, among others.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The program demonstrated the value addition of the SDP modality in supporting a government-led reform agenda, where operationalizing reforms requires policy and regulatory actions coupled with stimulus from targeted investments. Drawing on its successful experience implementing the program, the MOH has elected to pursue an SDP modality to deliver its reform agenda for the local health care system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Greater consideration should be given to ensuring the availability of data sources when preparing DMF indicators. Reliable data for the assessment of impact indicators pertaining to MMR and life-expectancy could not be sourced, despite DMF indicators being revised at implementation to enable objective measurement.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Advance contracting enables timely startup.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date: