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Lesson
Sustained government support needs to be cultivated to ensure the long-term success of reform efforts.

Project Number: 38421-013, 38421-023, 38421-072
Project Name: Promoting Economic Diversification Program
Report Date:
Lesson
It is a good practice in future cluster programs to update and improve the DMF as the program evolves.

Project Number: 38421-013, 38421-023, 38421-072
Project Name: Promoting Economic Diversification Program
Report Date:
Lesson
Since changes brought about by national elections can have a significant impact on program implementation, programs being planned need to be discussed with key political parties at the design stage.

Project Number: 38421-013, 38421-023, 38421-072
Project Name: Promoting Economic Diversification Program
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
For greater effectiveness of the monitoring and evaluation framework of the project, the overall logic and results chains as well as indicators need to be firmly established and tested before project effectiveness.

Project Number: 37287-013, 37287-022
Project Name: Tonle Sap Lowlands Rural Development Project
Report Date:
Lesson
Sector projects of a multisectoral nature face the risk of having implementation problems and achieving lower than expected development outcomes. Additional work at project design needs to identify and establish clear rules about the types of investments that are eligible for financing, ensuring that these contribute to the project’s stated outcomes. At implementation, a close communication of the rules for investment is critical to avoid delays stemming from extensive revisions to proposed investment plans.

Project Number: 37287-013, 37287-022
Project Name: Tonle Sap Lowlands Rural Development Project
Report Date:
Lesson
The sustainability of rural infrastructure interventions, mainly rural roads and irrigation schemes relies heavily on securing funds for their proper O&M. Existing reliance on ad hoc government transfers to cover O&M expenses should 12 evolve into user-paid fees to guarantee the proper functioning of the infrastructure during its expected lifetime.

Project Number: 37287-013, 37287-022
Project Name: Tonle Sap Lowlands Rural Development Project
Report Date:
Lesson
Effective coordination and implementation arrangements foster the success of programs/projects.

Project Number: 41373-012, 41373-013
Project Name: Public Financial Management for Rural Development Program
Report Date:
Lesson
Reform actions have to be sensitive to and sufficiently address the likelihood of institutional resistance.

Project Number: 38421-013, 38421-023, 38421-072
Project Name: Promoting Economic Diversification Program
Report Date:
Lesson
Implementation of reforms takes time and requires long-term commitment and support.

Project Number: 41373-012, 41373-013
Project Name: Public Financial Management for Rural Development Program
Report Date:
Lesson
Alignment with government priorities favors the successful implementation of reform programs.

Project Number: 41373-012, 41373-013
Project Name: Public Financial Management for Rural Development Program
Report Date: