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Lesson
Conducting a comprehensive needs assessment before drawing up civil works and equipment lists, ensure that the right inputs are made in the right places.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Rationalization of PHC institutions and provision of adequate health financing should go 'hand in hand'. Thus, the restructuring of health institutions should be accompanied by trained primary health care (PHC) staff, sufficient coverage of PHC facilities, adequate supplies of essential drugs and medical commodities, and health reform;

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Intensive information campaigns ensure a high degree of community participation in PHC management, sourcing of financing, co-sharing, contributions in kind, and other expressions of support that help to sustain health reform projects.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
The need for advance recruitment of consultants to assist with planning and review, pre-implementation preparations, and legal support to ensure that project implementation is not delayed.

Project Number: 33036-013
Project Name: Health Sector Reform Project
Report Date:
Lesson
Providing long-term technical assistance at the state level would be more appropriate to support long-term development, including human resource development and monitoring and quality control systems. Institutional capacity developments require gradual changes and long-term support at the local level would be more efficient.

Project Number: 33312-013
Project Name: Basic Social Services Project
Report Date:
Lesson
It is essential to include maintenance components for new systems and facility renovations to ensure the sustainability of project outputs. The project initiated several new monitoring systems and supported renovation of health and education facilities. Since it often takes time for staff to understand the usage of new systems and facilities, 6 to 12 months of maintenance services are required to support the gradual shift of maintenance responsibility to the national and state governments.

Project Number: 33312-013
Project Name: Basic Social Services Project
Report Date:
Lesson
Adequate consultation and participation at the state and community level during project design and scope change are essential for understanding the institutional capacity, and for identifying appropriate implementation arrangements and required technical assistance. Although most of the project activities were at state level, the project was designed to be managed at the national level. Consultations with all stakeholders at state or lower level during the design and preparation of scope changes would have been helpful to identify most appropriate activities and arrangements.

Project Number: 33312-013
Project Name: Basic Social Services Project
Report Date:
Lesson
Although the Federated States of Micronesia (FSM) government and ADB flexibly responded to the changes required as a result of second Compact, few activities were implemented during the first 5 years after the project was approved. To respond to such changes, long-term technical assistance on the ground and closer communication between local stakeholders and ADB is critical, through consultations and review missions.

Project Number: 33312-013
Project Name: Basic Social Services Project
Report Date:
Lesson
To improve ownership, state governments should be closely involved in project monitoring and evaluation.

Project Number: 33312-013
Project Name: Basic Social Services Project
Report Date:
Lesson
Need for steps to be taken at an early stage to keep the TA on track, and ensure that it is being managed according to the objectives of the loan program that it is supporting. IED’s 2005 SAPE for Social Sectors in Pakistan in fact had anticipated these based on the issues that it identified from the then implementation of SDSSP.

Project Number: 34337-033
Project Name: Sindh Devolved Social Services Project [Loan 2049-PAK]
Report Date:
Lesson
No new lessons

Project Number: 34337-013
Project Name: Sindh Devolved Social Services Program
Report Date:
Lesson
Improving the quality of the feasibility study will minimize uncertainty in identifying subprojects and lead to more precise cost estimates. When subproject cost estimates are uncertain, adequate physical contingencies should be provided in sector projects to mitigate against potential cost overruns.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
Community-based organizations should be provided basic operation and maintenance kits to ensure sustainability of project activities.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
If there are many small subprojects, the sector project modality should be adopted only with an executing agency having strong implementation capacity.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
Community-based projects should be implemented with more involvement of local administrations than of just the central government.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date: