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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
Behavioral change communication, whether through mass media or interpersonal communication, is complex and specialized, and requires specialized expertise; a chief technical adviser should be provided throughout project implementation.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
The ministries have a strong tradition of top-down training programs to be implemented by the provinces, often in an ad hoc manner. Provincial capacity to plan and coordinate training activities is insufficient. Provinces also lack core capacities in teaching methodology and in monitoring staff performance.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Projects should be responsive to change; as the media environment altered, the project design should have been adjusted.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
A lack of exit planning resulted in no proper plan for continuation of activities and future use of information, education, and communication materials, including websites, interpersonal communication and training materials.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
The project was designed to target vulnerable groups, including the poor, women and children, and ethnic minorities. It mainly targeted poor provinces in border areas, including 7 provinces out of 20 with a predominantly ethnic minority population. The project interventions benefited poor women and children, who are more at risk of communicable diseases. However, based on ADB's results framework criteria, the project is rated unsatisfactory for gender equity. It only partially complied with gender and ethnic minority covenants.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Evaluation of the two nongovernment organization-implemented voluntary counseling and testing services demonstrated that population mapping, coordination between government agencies and the recruitment of suitable peers improved service targeting (particularly vulnerable populations). Setting optimistic testing targets that encouraged broad-brush recruitment of clients adversely affected testing results.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Project monitoring was not systematic. An indicator list was prepared during the project's early stages, but the indicators were not adjusted and routinely reported as a result of weak monitoring capacity.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Financial management requires further improvement through training of provincial staff, timely approvals of annual operational plans, and timely liquidation of advances.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Project delays were mostly caused by lengthy administrative processes resulting from complex ADB and government procedures.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Carrying out project administration through existing structures helped speed up project implementation. Delegation of project activities to concerned departments and provinces facilitated implementation. Inclusion of project activities in national and provincial annual operational plans provided better integration of health services and funding.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Low cost norms made it difficult to attract competent, full-time staff for the central project management unit, resulting in project delays. There is a need to ensure proper staffing of the central project management unit.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Participation in regional dialogues and other knowledge management activities has, through learning and sharing, made national and provincial communicable diseases control leaders more competent, cooperative, and competitive. However, participation in internet-based learning and sharing is still at a nascent stage.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control 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: