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Lesson
Regular or periodic harmonization of policies is essential in a regional project in which a number of countries, with different levels of development, are engaged together to deliver regional public goods.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The initial indicators for assessing the benefits can be refined during implementation to yield reliable results.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Following wider lessons learned from ADB projects, recruitment of a single specialist to support implementation and monitoring of both gender and safeguards technical areas is insufficient.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
In public health projects, it is important that the underlying results chain have adequate components to ensure the welfare of ultimate beneficiaries, and not just confined to serving the involved agencies and their stakeholders.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Assessing and clarifying the indirect economic welfare generated by the provision of public goods is essential since these are not readily evident, especially in a regional context.

Project Number: 41505-012, 41507-012, 41508-013
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Experienced and dedicated teams contribute to implementation success. The project largely inherited the oversight and management teams from ADB’s first GMS CDC project. Continuity of staff and consistency of support from ADB contributed significantly to the success of the project in achieving most of its outcome and outputs. The appointment of high-ranked officials as project directors ensured effective coordination and implementation of project activities.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Strong laboratory capacity and field epidemiology vital for rapid response. The project has appropriately targeted the strengthening of laboratory capacity and field epidemiology as essential for accurate early detection of disease outbreaks. These investments boosted the level of diagnostic preparedness, and the CLV countries rightly requested continued support in improving laboratory quality and building capacity in field epidemiology. The ongoing GMS Health Security Project continues to support these areas as well as hospital infection prevention and control.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Effective communicable disease control starts in the communities. Community preparedness to detect and respond to communicable disease outbreaks is crucial to effective CDC. The MHV model was a learning experience for public health and local leaders in this project. Through community participation, the local stakeholders who are most directly affected were empowered, which in turn encourages ownership and sustainability of the MHV concept.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Investments in regional cooperation are essential for health security. The ability of communicable diseases to cross international boundaries and affect large number of people demands a sustained and coordinated response among neighboring countries. The continued cooperation between the CLV countries provided a good practice for a coordinated response mechanism against this threat. The regional design enabled the sharing of knowledge, experiences, and resources and supported better data capture and timely information exchange, which are essential to CDC.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
When it comes to mass drug administration programs, greater attention should be given to prophylaxis— especially in the Lao PDR with its high prevalence of helminth infection in rural areas. For remote and hard-to-reach areas, the best possible delivery mechanism for helminth prevention is yet to be identified.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
The adequacy and appropriateness of project design have to be tailored to the project’s ultimate objectives and complexities. The PCR provided weak justification of the relevance of the extension and the insufficiency of indicators.

Project Number: 39662-012, 39662-022
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:
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: