Search

Displaying 106 - 120 of 289

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
Where WUAs are expected to participate in designing irrigation and drainage schemes, it is important that they be established in advance of the design process to ensure ownership.

Project Number: 32494-023
Project Name: Agriculture Rehabilitation Project
Report Date:
Lesson
Engaging local expertise to undertake the survey and design of works expedites implementation, reduces costs associated with engaging international and national consultants for the purpose, provides the government with continuing access to project-relevant expertise, and builds national capacity for future projects.

Project Number: 32494-023
Project Name: Agriculture Rehabilitation Project
Report Date:
Lesson
Before the project, microfinance was nearly absent in the rural areas of the CHT. The project introduced a relatively sustainable microfinance arrangement through local NGOs. Despite the existence of the other project providing grant assistance, the microfinance facilities under the ADB project are gradually expanding to meet demand in remote communities.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
The sustainability of several community development subprojects owned by beneficiary groups was considered an issue during implementation. However, except for a few specific technical support requirements, the beneficiary groups assumed responsibility for activities such as the maintenance of small irrigation and power tiller schemes. Besides, several group members also gained access to micro-credit through the project. The Palli Karma Shahayak Foundation (PKSF) or other NGOs may further expand their microenterprise activities in the CHT after the project.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
The rural roads improved under the project generally established all-weather connectivity between remote communities and growth-center markets and other important centers with economic, health, and educational facilities. Nongovernment organizations (NGOs) and other government service providers could also reach rural remote inhabitants more easily.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
When designing and implementing rural infrastructure in remote areas with indigenous populations as potential workers and beneficiaries, there must be a careful review of local habits and customs to understand how these can accommodate the common modalities of civil contracting. The original project schedule was too optimistic and did not leave enough time for careful review and adjustment. In such a case, a component that does not suit the needs of a specific target population could leave that population unserved or bypassed.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
The improvement of connectivity and access between rural and remote areas of the CHT, especially with the market centers, was crucial for development. The project directly and indirectly affected all aspects of rural life in the CHT. During the project completion review mission and earlier missions, villagers asked whether more livelihood projects would be provided in their area.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
The unilateral withdrawal of a relatively large amount of cofinancing by Danida (around 50% of the total amount allocated for the rural access component) after project approval considerably delayed implementation and created difficulties in meeting project objectives and targets. The cofinancing was unfortunately a condition of loan effectiveness. The project was declared effective in October 2002, after the cofinancing condition was declared void.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
Lesson
The project was initiated and prepared in 1999-2000, only 2 years after the signing of the Peace Accord, ending 25 years of insurgency and instability. Many high-risk incidents during project implementation could therefore be expected. The executing and implementing agencies had just been established, and their institutional capacity to implement projects was still being developed and strengthened.

Project Number: 32467-013
Project Name: Chittagong Hill Tracts Rural Development Project
Report Date:
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
The focus of the EA and PSU was on implementation of the policy matrix. Considerably less importance was given to the loan covenants. The PSU indicated that it would have recruited local support groups if it had been a condition in the policy matrix; however, since it was not a tranche condition, the PSU did not feel compelled to comply. This was also the case with covenants related to social sector expenditures and conditional grants, which were key covenants for ensuring improved social sector performance.

Project Number: 32264-013
Project Name: Punjab Devolved Social Services Program
Report Date:
Lesson
The implementation efficiency of the program was constrained by the late recruitment of the Technical Assistance Management Agency (TAMA), and the lack of recruitment of local support groups. The TAMA was meant to mobilize about 4,000 person-months of consulting services. The local support groups were expected to be mobilized in each district for 3 years to enhance capacity. For the majority of program implementation, these tasks became the responsibility of ADB and the program support unit (PSU), albeit with insufficient resources, which negatively affected implementation efficiency.

Project Number: 32264-013
Project Name: Punjab Devolved Social Services Program
Report Date: