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Lesson
Determining and improving the effectiveness of large and complex projects are far more complicated than measuring progress against the indicators in the design and monitoring framewrok (DMF). The emphasis on quantitative measures, even if well considered, could result in displacing goals and/or inaccurately representing project success or failure. In the context of the COVID-19 pandemic and the Implementation timelines, some DMF targets were unrealistic. The project provided for formative evaluations but they were not closely coordinated with the DMF.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Specificity of intended outcome is essential to enable programming, innovation, and cycles of project improvement. The project’s outcomes were broadly defined and lacked clear pathways detailing how the outputs would interact with each other and achieve the outcomes. The vagueness is likely part of the reason that the design had significant gaps and flawed assumptions on how the activities would lead to the intended outcomes.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Use of data and planning to target delivery strategies improve performance. Staffing and access to medical supplies were common challenges and well recognized during project design and documented during the project, including through the formative evaluations, the DFAT-funded independent evaluation, and the project midterm review. The chief executive officers (CEOs) of the provincial health authorities in high-performing provinces identified the use of data and planning to target delivery strategies as a factor in improved performance.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Establishing a comprehensive coordination unit for rural health transformation is a gargantuan and complex task requiring dedicated programming and targeted resources. A feature of the intended design, where the project support unit would be integrated into the Department of Health (DOH) to establish a comprehensive coordination unit for rural health transformation, was not realized. The ambition was relevant, and the government’s capability to manage projects to improve primary health care and coordinate partner programs should be strengthened.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
The impact of the cross-border facility (CBF) in the project completion report. Data on traffic and trade flows in and out of Cambodia can provide a before and after assessment. This helps in determining the impact and benefits of improving a CBF.

Project Number: 43309-013
Project Name: Provincial Roads Improvement Project
Report Date:
Lesson
The supporting technical assistance was assessed successful but was let down by the lack of institutional ownership, which can often be the case. For ADB’s future projects, it is important to focus more attention on the design and implementation of such assistance by closely following the consultants’ outputs and ensuring that the government is fully aware of their results

Project Number: 43309-013
Project Name: Provincial Roads Improvement Project
Report Date:
Lesson
Adequate and thorough preparation at design enhances the project’s quality at entry which is critical in supporting the government’s and ADB’s priority to promote rural development and reduce poverty. Specifically, a greater consideration of the design and scope for improving disaster risk management and climate resilience could support the upgrading and rehabilitation of other infrastructures, such as roads, energy, and social services, resulting in higher development impacts.

Project Number: 40190-013
Project Name: Greater Mekong Subregion Flood and Drought Risk Management and Mitigation Project
Report Date:
Lesson
A project performance monitoring system (PPMS) based only on implementation and gender data has limited usefulness. To adequately evaluate the impact of a project and estimate its economic internal rate of return that reflects the primary and secondary benefits of the project, a PPMS needs to include the economic data of project beneficiaries, e.g., avoided economic losses.

Project Number: 40190-013
Project Name: Greater Mekong Subregion Flood and Drought Risk Management and Mitigation Project
Report Date:
Lesson
Financial sustainability of project assets and benefits, in this case, the sanitary and phytosanitary system, should be addressed at the outset or during implementation and not only identified as an issue at appraisal, and establishing appropriate financing mechanisms for operation and maintenance at the outset would help ensure adequate maintenance after project completion.

Project Number: 43120-013
Project Name: Trade Facilitation: Improved Sanitary and Phytosanitary (SPS) Handling in Greater Mekong Subregion Trade Project
Report Date:
Lesson
Active support of relevant government agencies and strong ownership of the project management units contribute significantly to project success. In developing member countries where institutional capacity is weak, it is critical that concerned agencies are both capacitated and committed in achieving the intended results.

Project Number: 43120-013
Project Name: Trade Facilitation: Improved Sanitary and Phytosanitary (SPS) Handling in Greater Mekong Subregion Trade Project
Report Date:
Lesson
A well-designed monitoring and evaluation system helps ensure proper attribution of project investments to the achieved outcomes, at project completion. Specifically, a monitoring and evaluation system, with sufficient and dedicated staff, could monitor and assess pertinent project-related data. These help in corroborating that systematically gathered information during implementation is indeed the result of a project’s intervention.

Project Number: 40190-013
Project Name: Greater Mekong Subregion Flood and Drought Risk Management and Mitigation Project
Report Date:
Lesson
Irrigation infrastructure development would be more impactful if it can be combined with modern agricultural concepts, like climate smart agriculture, conservation farming, on-farm water use efficiency, and integrated water resource management to enhance the development effectiveness of the project. Collaborative efforts with agricultural agencies to simultaneously work on these aspects and better emphasis on crop diversification would have provided better development outcomes.

Project Number: 44328-013
Project Name: Uplands Irrigation and Water Resources Management Sector Project
Report Date:
Lesson
Irrigation and climate change adaptation interventions have rooms for improvement by employing multidisciplinary approaches. While the traditional engineering approaches are quite useful, ecosystem-based holistic approaches, such as consideration of the irrigation infrastructure development with the management of the watersheds that could supply water, needs to be considered in the approach in future irrigation projects.

Project Number: 44328-013
Project Name: Uplands Irrigation and Water Resources Management Sector Project
Report Date:
Lesson
In-depth analysis of the sector’s constraints and challenges both internally and externally, including the institutional arrangements and policies, can provide more realistic implementation of reforms focused on road maintenance.

Project Number: 40173-044
Project Name: Highlands Region Road Improvement Investment Program - MFF and Project 3
Report Date:
Lesson
In terms of project design, in-depth analysis of various loan modality options and risks assessment, taking in consideration the ountry’s huge capacity and institutional gaps, can help design an appropriate loan modality. For example, a sector lending, which can also run for a decade and sustain capacity support to the sector, requires a sector analysis that covers a thorough analysis of the factors that affect the performance of the sector, including policy, institutional or regulatory frameworks, as well as the sustainability of the investment.

Project Number: 40173-044
Project Name: Highlands Region Road Improvement Investment Program - MFF and Project 3
Report Date: