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Lesson
Lessons from the irregularities with civil works in Zavhan aimag are the need to (i) provide external monitoring of civil works in addition to regular monitoring by Ministry of Health (MOH) and various statutory inspection bodies (ADB has organized external monitoring for subsequent projects in the health sector), and (ii) strengthen the bid evaluation capacity of MOH (the weak capacity of some of the firms involved in irregularities could have been detected at an early stage).

Project Number: 31242-013
Project Name: Second Health Sector Development Project
Report Date:
Lesson
Given that the idea of community-based preschools was innovative for the country, sufficient time should be given for a legal and regulatory framework to be established to adequately serve preschool educational services at the community level.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
Report Date:
Lesson
Community participation in all stages of implementation, from identification to design to construction processes, is critical for the success of investments.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
Policy reforms should not be too numerous and should be well integrated into an overall project. Highest priority should be given to policy reforms (and covenants) that are necessary for project implementation or sustainability. A stakeholder analysis should be conducted for all proposed policy reforms, and a strategy developed for moving systematically to the desired policy reform reflected in the project's design and monitoring framework.

Project Number: 31242-013
Project Name: Second Health Sector Development Project
Report Date:
Lesson
Implementing a project in a new field, especially in a dynamically changing transition economy, requires flexibility on the part of both the government and ADB. Willingness to adjust the project's design to a new environment or new findings and acceptance of extra time required for the adjustments is essential. To be successful, the project must also be transparent to receive support from local governments and communities.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
Report Date:
Lesson
Procurement problems can be reduced by introducing prior review of procurement documents. In a sector project with many small subprojects, contracts should be grouped into larger packages to reduce the number of civil works contacts. This will help the PMUs as well as ADB to concentrate more effectively on fewer contracts. Use of clear and stringent evaluation and qualification criteria in selection of contractors should be mandatory, and establishing consortia of contractors should be encouraged.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
Establishing a joint project management unit at sector level can be a more efficient and cost-effective solution and help ensure a harmonized approach among the financing institutions.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
As the project proved, communities are powerful agents for designing and implementing projects that they themselves benefit from. Those community developed projects are likely to be sustainable.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
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
Assess and evaluate human resource development needs. Training needs assessment and post-evaluation of training courses need to be included to assess adequacy, quality and training impact.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Demand-driven approach to improve the local health situation. The project highlighted the importance of evidence-based and demand-driven project planning and implementation to address local health needs better. The establishment of district team problem-solving empowered staff and encouraged intersectoral coordination.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Strengthen management capacity for decentralized health services. While central and local staff were empowered and received diverse technical training, overall more attention needs to be given to the management of health services in the decentralized environment.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Mobilize local leaders. Local leaders and or champions need to be identified to initiate local health care reform initiatives and the financial sustainability of activities. The project demonstrated that local regulations to support health sector reform and ensure sustainability are possible through large-scale socialization and advocacy.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Management skills have to be improved. Training largely focused on technical matters rather than improving management skills. In strengthening decentralization of health services there is a need to focus on health management training and monitoring and evaluation of health staff.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date: