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CSV
Lesson
Preparedness should be front and center of a disaster and/or pandemic response. The government set up a health emergency operations center and a WHO emergency operations center in 2018, and invested in medical camp kit tents, initially meant to be deployed for disaster relief. During the pandemic, the tents were repurposed to screen and treat patients with respiratory symptoms. In 2019, the country upgraded its Royal Centre for Disease Control laboratory, with equipment to not only handle new and deadly influenza viruses but also SARS-CoV-2.

Project Number: 54183-001
Project Name: COVID-19 Active Response and Expenditure Support Program COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Social relief and economic stimulus packages are key to alleviating the impacts of wide-scale disasters and/or pandemics. The government designed and implemented a comprehensive social relief and economic stimulus program on top of the public health measures, which were the main drivers behind Bhutan’s success against COVID-19. Every effort was made to minimize the financial hardship for needy households and small businesses as a result of the pandemic.

Project Number: 54183-001
Project Name: COVID-19 Active Response and Expenditure Support Program COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
A robust targeting and monitoring system is essential to prioritizing the poor and vulnerable in emergency assistance and disaster risk reduction. While the government’s National Resilience Fund monitoring system ensured that social relief reached the poor and the vulnerable and other affected groups as envisaged, the preparation of reports took almost 1 month on average. The COVID-19 experience indicates that pandemics affect women and women differently because of gender inequalities caused by socioeconomic conditions and societal gender norms, which put women and girls at a disadvantage.

Project Number: 54183-001
Project Name: COVID-19 Active Response and Expenditure Support Program COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Nonpartisan, broadly upheld leadership is crucial to the success of pandemic/crisis response programs. Leading the national efforts in the fight against the pandemic, His Majesty the King traveled extensively across the country to achieve the highest level of preparedness and to instill public confidence by alleviating the difficulties faced by the people and ensuring uninterrupted supply of food and essential commodities. His Majesty’s compassionate leadership resulted in building mutual trust and confidence among the people and their leaders.

Project Number: 54183-001
Project Name: COVID-19 Active Response and Expenditure Support Program COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Combating pandemics of COVID-19’s scale requires a whole-of-society-and-government approach. While replicating the Bhutanese experience may be difficult given the country's uniqueness in many ways, Bhutan's strong leadership and the government's relentless endeavor to implement public safety measures while vaccinating nearly the entire adult population is notable. Bhutan’s COVID-19 response with a whole-of-society-and-government approach under the leadership of the King is exemplary and provides a model for combating pandemics of such a scale.

Project Number: 54183-001
Project Name: COVID-19 Active Response and Expenditure Support Program COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Geotechnical conditions, which are very difficult to fully assess during appraisal, can increase the cost as well as technical and commercial uncertainties associated with hydropower development.

Project Number: 37399-013
Project Name: Green Power Development Project
Report Date:
Lesson
A thorough impact assessment and monitoring will help mitigate the risks posed by middle-scale HPPs to the environment.

Project Number: 37399-014
Project Name: Green Power Development Project
Report Date:
Lesson
The rapid launch and accelerated implementation of the project made necessary by the threat that avian influenza would become a pandemic made it difficult to define verifiable indicators for a number of the outputs under the regional capacity building and regional coordination components. A mid-term review of the project would have facilitated a review and updating of the design and monitoring framework.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The project supported the One Health concept, which emphasizes the links between animal health and human health and emerging animal and human diseases. One Health provided a platform for unprecedented integration of animal, human and ecosystem health issues to fight the threat of avian influenza. The systematic collaboration of technical agencies across disciplines, such as FAO (veterinarians) and WHO (medical doctors) and civil society organizations (community health workers) supported by the project has promoted this concept since the beginning of the project.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB's high-level steering committee demonstrated ADB's institutional support, which enhanced coordination between development partners. The committee, comprising the heads of all regional departments and the Strategy and Policy Department and chaired by the director general of RSDD, provided prompt policy guidance and expedited decisions and actions. It also ensured that the needs of the countries were ascertained and that they had adequate access to project resources.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
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
Each new outbreak of disease confronts projects such as this one, as well as the implementing partners and global community, with a fresh challenge, because its early spread outpaces the gathering of scientific evidence needed to formulate containment policies. Each successive outbreak is followed by an initial opaque period characterized by a frustrating lack of scientific evidence on which to base policies and technical guidance.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
CSV