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Lesson
In support of MOH's sectorwide management strategy, ADB's participation in the sectorwide management approach along with other partners in a jointly administered project proved the benefits of close collaboration among health partners. While the Health Sector Support Project (HSSP) was cofinanced by different donors and implemented through an integrated project implementation arrangement under the sectorwide management approach, the project was administered by each donor agency with different implementation schedules.

Project Number: 32430-013
Project Name: Health Sector Support Project
Report Date:
Lesson
Building on lessons from the Basic Health Services Project, the project gave greater emphasis to close monitoring and supervision by MOH to ensure that civil works were closely coordinated with the supply of equipment and drugs under minimum package of activities (MPA) and complementary package of activities (CPA) guidelines. However, efficient planning, a well-executed plan, and close oversight by MOH would have allowed timely completion of civil works and avoided cost overruns.

Project Number: 32430-013
Project Name: Health Sector Support Project
Report Date:
Lesson
The success of nongovernment organization (NGO) contracting of health services under the project provided the foundation for Ministry of Health's (MOH) introduction of new contracting arrangements (internal contracting) based on the government's Policy on Public Service Delivery (2006) and adoption of MOH's procedures and guidelines on contracting arrangements.

Project Number: 32430-013
Project Name: Health Sector Support Project
Report Date:
Lesson
Overall, the project outcome appears successful. However, an important opportunity was missed. The project did not establish a recognized baseline with pre- and post-project comparisons to demonstrate to ADB, the government, and key stakeholders the natural resource management, environmental, community, and economic benefits. It would have been possible to provide well-documented evidence that the project had achieved its primary goal.

Project Number: 33418-013
Project Name: Tonle Sap Environmental Management Project
Report Date:
Lesson
Alternative livelihood programs, while functioning satisfactorily, were focused on individual households, with little built-in capacity for extension. Small-scale livelihood activities must be appropriate to the situation. TSEMP has shown that the most successful small-scale activities are those that people themselves can sustain, given their income, time, and material constraints. Training is a necessary part of livelihood work, particularly if the participants have no previous experience.

Project Number: 33418-013
Project Name: Tonle Sap Environmental Management Project
Report Date:
Lesson
Cross-ministerial implementation of projects brings complications beyond just day-to-day technical issues. Experience shows this to have been the case with other projects. The Tonle Sap Environmental Management Project (TSEMP) experienced many delays caused by having to obtaining agreement and approval across departments.

Project Number: 33418-013
Project Name: Tonle Sap Environmental Management Project
Report Date:
Lesson
The project can point to the setting up of community fisheries organizations (CFOs) and the empowerment of local communities as huge successes in the short and medium term. However, in the long term, the CFOs may come under considerable pressure from outside interests without technical and moral support from the Fisheries Administration (FiA) provincial teams in the field.

Project Number: 33418-013
Project Name: Tonle Sap Environmental Management Project
Report Date: