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CSV
Lesson
Monitoring and evaluation. Data were regularly collected, and efforts were made not to create a separate monitoring system but use existing information. However, project monitoring was incomplete and insufficiently used as a management tool to achieve results. Substantive project evaluation was very useful.

Project Number: 30285-013
Project Name: Rural Health Project
Report Date:
Lesson
Efforts to strengthen routine surveillance and laboratory capacity will achieve only limited success where health information systems and laboratory services are weak.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
No new lessons

Project Number: 34207-013
Project Name: Northwestern Rural Development Project
Report Date:
Lesson
Lengthy administrative processes. Implementation delays were largely caused by lengthy procurement and financial control procedures at all levels. While the project management unit (PMU) and provincial project management unit (PPMU) capacity was also an issue, the government's administrative procedures were time consuming. ADB administration was considered relatively efficient.

Project Number: 30285-013
Project Name: Rural Health Project
Report Date:
Lesson
Even if a project is aligned with regional strategies, designs need to incorporate sufficient national consultation and consider country absorptive and technical capacity and commitment.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
New or innovative projects should establish consistency of country definitions of dataand monitoring variables with international conventions during project preparation.This consistency is particularly important if such variables are to be used for projectperformance reporting and the determination of outcome and impact at project completion.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
Report Date:
Lesson
Targeting. The project improved services for the poor and had a substantial focus on maternal care but provided less targeted support for ethnic minorities. Several of the interventions for ethnic minorities didn't materialize. The project evaluation study showed that the poor in general and ethnic minorities in particular benefited from the government support for commune health stations (CHSs) and health insurance, while ADB funding provided more general public support. More could have been achieved with better targeting for minorities, assuming MOH concurrence.

Project Number: 30285-013
Project Name: Rural Health Project
Report Date:
Lesson
The sequence of reforms in the policy matrix was such that all substantial results could be achieved only after the completion of second tranche actions. In addition, liberal assessment of compliance allowed the release of the first tranche without achieving much toward sustainable outputs. More result-oriented sequencing of policy actions for the first tranche could have achieved some sustainable improvements in social service delivery.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date:
Lesson
National M&E remains a challenge due to lack of capacity and minimal regional support to assist participating DMCs. While regional evaluations of some activities have taken place, they need to focus on impact or outcome indicators rather than on the process of implementation.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
Piloting reforms. While government ownership of project formulation was strong, proposed pilots were too ambitious given MOH constraints and the lack of detailed plans or technical support. On the other hand, the project flexibly responded to several policy changes and national developments by adjusting its scope, which counterparts appreciated. Demand-led programming improved project impact.

Project Number: 30285-013
Project Name: Rural Health Project
Report Date:
Lesson
Given provincial and district capacity limitations, a Program focusing on a single sector would have had a better chance of success. Sustained support in one sector can be less demanding for both the government and ADB. Multi-sector policy reform interventions involving governance reform are difficult to manage, and a new system of local political governance imposed by the federal government added further complications.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date:
Lesson
No new lessons

Project Number: 42477-013
Project Name: Emergency Assistance for Post-Conflict Recovery
Report Date:
Lesson
Establishing a project steering committee is challenging where separate development partner committees already exist to oversee arrangements for Pacific countries.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
Priorities for health sector development. One issue with health projects in Viet Nam is that the Ministry of Health (MOH) and the provinces typically give priority to upgrading facilities and staff. Provinces may be less focused on sector reforms and improving outcomes, perhaps as this is not seen as a role of projects, and the results are less understood and tangible. Provinces need to focus more on improving the quality of services and maintaining assets.

Project Number: 30285-013
Project Name: Rural Health Project
Report Date:
Lesson
Capacity in the executing and implementing agencies was expected to be built through the accompanying TA loan. Program outputs like developing sector strategies, implementing expenditure tracking and service delivery surveys, training communities to manage and monitor social service delivery, and other outputs critical to achieving Program outcome depended on effective technical assistance (TA) loan administration. However, executing agency capacity to administer the TA loan was inadequate.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date:
CSV