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Lesson
The project’s quality-at-entry can often be assessed through the project DMF. A good project DMF should be self-explanatory and formulated as a real and understandable tool for project implementation and project monitoring by the executing agency, particularly by the PMU staff.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
The importance of a strong and well-functioning PMU, with a full-time and qualified project coordinator, is paramount.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
No new lessons

Project Number: 34149-013
Project Name: Second Decentralized Health Services Project
Report Date:
Lesson
Need for strong emphasis on establishing adequate O&M mechanisms to ensure sustainability of the built infrastructure. Lastly, more guidance is required from district administrations, consultants, and community facilitators to ensure that communities understand the importance of systematic maintenance.

Project Number: 38385-013
Project Name: Rural Infrastructure Support to the PNPM Mandiri Project II
Report Date:
Lesson
Effective utilization of existing institutions avoided start-up problems and delays. This enabled the concerned agencies to immediately trigger implementation activities without waiting for a project management office to be set up. This was attributed to ADB’s own experience in implementing the previous PNPM Mandiri project.

Project Number: 38385-013
Project Name: Rural Infrastructure Support to the PNPM Mandiri Project II
Report Date:
Lesson
Need for market-based remuneration. The government's cost norm is too low and not competitive. Because of this, recruiting experienced senior national consultants (with the exception of retired government employees) remains a challenge. Training allowances are also too low. This also applies to its training allowances, which discourages participation by staff who must travel from where they live and work to take part. Future projects should include a clause that allows remuneration for consultants and allowances for staff training to be market-based.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
Phased approach. Implementing the project across almost four dozen provinces and such a wide geographical area led to challenges both in providing laboratory equipment in a timely manner and in ensuring that training was provided in the use of this equipment. A phased approach prioritizing provinces with stronger technical capacities would ensure a closer link between the provision of equipment and training thus increase efficiency.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
Consideration of local government fiscal capacity. The project originally required participating provinces to provide funds to upgrade the PPMCs (provincial preventive medicine centers), including their laboratories. While local government commitment to preventive health care is significant in Viet Nam, the fiscal situation of some provinces does not allow investments of the scale that was needed. ADB needs to carefully consider the local costs of such infrastructure projects and the fiscal ability of local governments to meet them before committing to an investment.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date: