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Lesson
The implementation and sustainability of policy reforms, which can be challenging, require strong and continued political ownership, commitment, leadership, and coordination among key government agencies.

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
Learning from and drawing on the achievements of past interventions is critical to the success of comprehensive policy reforms supported by the programmatic approach to policy-based lending (PBL).

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
Air quality improvements strengthen people’s health and capacity to fight infections

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
Participatory development and full alignment of reform programs with country strategies and plans foster strong ownership and commitment from the government.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Supplementing programmatic assistance with sufficient, targeted technical assistance (TA) is effective in achieving reforms

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
A multiple tranche arrangement ensures satisfactory progression of reforms and strengthens government accountability for the reforms.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Rather than indicate how co_x005F_x0002_financing was utilized, the TCR could have indicated any lesson learned from the co-financing experience with the Republic of Korea e-Asia and the Knowledge Partnership Fund.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA demonstrates innovation potential for broader health services management and health sector policy reform by leveraging advanced technologies.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
In addition to the lessons identified in the TCR, an additional lesson would be: Allowing flexibility to expand the scope and modify planned activities is beneficial for achieving the desired outcome. In this TA, the additional funding through the Republic of Korea e_x005F_x0002_Asia and Knowledge Partnership Fund supported the identification of policy reform actions for the regulatory environment governing local health care delivery to ease forward implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Rather than being a lesson learned, this is a statement of a requirement. ADB projects categorized Gender Equity (GEN) or Effective Gender Mainstreaming (EGM) are required to include gender sensitive indicators to their DMFs.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
(Referring to the new TA classification): This is not a lesson learned and not sufficiently specific to the TA design such as linkage to the consistency of the TA with the CPS, technical soundness of the TA, or adequacy of the design process.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The successful implementation of HSDP is the result of ADB’s long-term commitment to the health sector in the Lao PDR. Long-term commitment and policy dialogue built on trust and confidence between ADB and MOH, and the government, in general. The SDP modality was proposed by ADB in 2007 for the Health System Development Project but MOH was not yet confident enough about the support of MOF. Policy dialogue continued and in 2009, MOH and MOF were ready for an SDP approach.

Project Number: 41376-022
Project Name: Lao People’s Democratic Republic: Health Sector Development Program
Report Date:
Lesson
Need to better identify barriers to access and use of primary health care services by the intended beneficiaries. HSDP addressed supply-side issues, but demand for services needs to be increased and oriented through better information and communication, and social marketing addressed to the beneficiaries. The health sector needs to mobilize other sectors to achieve health for all. Some barriers cannot be reduced by the health sector alone.

Project Number: 41376-022
Project Name: Lao People’s Democratic Republic: Health Sector Development Program
Report Date:
Lesson
Project design should be thorough, realistic in cost and time estimation, and in the delivery of target outputs.

Project Number: 35377-013, 35377-023
Project Name: Regional Road Development Project
Report Date:
Lesson
An SDP approach increases the transaction costs compared with a programmatic approach. It is, however, a useful transition in supporting the development of a sector, and in establishing collaboration between MOF and line ministries (such as MOH or others). A CDTA grant or loan attached to an SDP or a program increases the chances of successful development of the sector.

Project Number: 41376-022
Project Name: Lao People’s Democratic Republic: Health Sector Development Program
Report Date: