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Lesson
A health equity fund (HEF) is mainly funded through donor support and should have a larger government contribution to ensure ownership and commitment. Launch of comprehensive social health protection mechanisms such as HEF should be accompanied by an independent evaluation to assess cost-effectiveness, financial sustainability, and appropriate mechanisms to expand nationwide. Comprehensive communication interventions would have been beneficial to ensure a common understanding about beneficiaries' entitlements and providers' obligations.

Project Number: 32313-022
Project Name: Health System Development Project
Report Date:
Lesson
Consider carefully the implications of any major reallocation of project resources. When there are substantial unit-cost increases in a particular cost category (e.g., equipment or civil works), consider the project's overall objectives and priorities carefully before deciding to reallocate funds from other inputs. The alternative of reducing the quantities of those inputs having inflated costs will usually be an option.

Project Number: 32313-022
Project Name: Health System Development Project
Report Date:
Lesson
Project design should include detailed implementation plans for the first year. If project implementation is not carefully planned, delays are inevitable. Simply listing outputs and fixing a timetable does not constitute effective planning, as illustrated by substantial delays of the training activities in this project.

Project Number: 32313-022
Project Name: Health System Development Project
Report Date:
Lesson
The calculation of the economic and financial internal rates of return at appraisal should be made in a manner that facilitates their re-evaluation at project completion.

Project Number: 34355-013
Project Name: Central Region Urban Environmental Improvement Project
Report Date:
Lesson
The project provided sufficient resources to implement gender-focused design features. The provision of adequate resources is critical to both successful design and effective implementation of the gender action plan. The project was an excellent example of how attention to gender equality through a comprehensive and well-targeted gender action plan can lead to practical and strategic gender equality results.

Project Number: 34355-013
Project Name: Central Region Urban Environmental Improvement Project
Report Date:
Lesson
Sanitation coverage indicators should be simplified by using nominal targets rather than ratios. Monitoring of coverage ratios requires that two independent parameters - physical outputs and population growth - be known. This is complicated by the continuing growth of the service areas under the control of the concerned utilities.

Project Number: 34355-013
Project Name: Central Region Urban Environmental Improvement Project
Report Date:
Lesson
The loan covenants required compliance with most financial covenants within a certain number of months from the loan effectiveness date. It would be better to link the achievement of such covenants to the delivery date of project assets instead of the loan effectiveness date.

Project Number: 34355-013
Project Name: Central Region Urban Environmental Improvement Project
Report Date:
Lesson
The recruitment of consultants by executing agencies remains time-consuming. This problem is not specific to the project, but common in all ADB-financed projects in Viet Nam. Delays in consultant recruitment result in delays of the entire associated project. In the future, advance actions and project readiness filters should be applied to minimize start-up delays.

Project Number: 34355-013
Project Name: Central Region Urban Environmental Improvement Project
Report Date: