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Lesson
Policy dialogue for an SDP goes beyond the concerned sector and requires dialogue with other agencies and government officials.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Health human resources management (including planning, teaching, and quality control) requires skills that are very different from sector financing.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The traditional project management structure may need to be reconsidered when implementing a sector development plan (SDP).

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
When data are not available or are incomplete at appraisal, the project should consider supporting the development of a robust health management information system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
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
Do not assume the automatic translation of inputs into outcomes. International experience has documented that increasing inputs is only weakly correlated with improved learning outcomes.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date:
Lesson
Take hard evidence more seriously in the analysis of what drives learning outcomes.

Project Number: 40347-013
Project Name: Secondary Education Sector Development Program
Report Date:
Lesson
Changes in government policy during project implementation can influence project outcomes. The project benefited from an improved health insurance mechanism introduced by the Government of Viet Nam.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
When projects are implemented under decentralization, consultation and capacity building of the provinces and implementing agencies at the decentralized level are essential and need to start during project preparation. The needs identified by the central level may not be felt at the decentralized level, which could result in delays or non-implementation of project activities, reducing the potential benefits of the project.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
To achieve poverty reduction and equity, the needs of disadvantaged groups must be identified not only by technically qualified experts, but also by the intended beneficiaries. Planning and budgeting for health services must be based on accurate and disaggregated data that are made available on time.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
Advance contracting enables timely startup.

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