Search

Displaying 46 - 60 of 233

Lesson
Regular supervision with coaching is essential for maintaining and improving the quality of health services delivery. Especially in rural areas, supervision is also required to support often isolated local staff and helps to retain health-workers. Civil works successfully rehabilitated health facilities under the project, but regular supervision of public health facilities by health staff of the economic operators, as agreed in the MOAs, were not sufficiently sustained.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
The PPMS should be developed and established prior to the start of project implementation. This would ensure that all implementation activities are effectively monitored and causes of delays and mitigating actions described clearly. Benefit monitoring and evaluation is essential to measuring project impact and outcome indicators so as to measure achievement. This should not be left to the executing or implementing agency and should be undertaken by qualified monitoring and evaluation specialists, including the collection of primary and secondary data.

Project Number: 40037-013
Project Name: Lae Port Development Project
Report Date:
Lesson
ADB resident mission should be more proactive in monitoring project implementation. It is contingent on the resident mission to assist the executing agency in identifying corrective measures and even use its technical resources to assist in resolving issues. The delay due to unresolved resettlement issues took too long to solve resulting in increased project cost. With local knowledge and experience, the resident mission would be in a good position to identify options in resolving such issues.

Project Number: 40037-013
Project Name: Lae Port Development Project
Report Date:
Lesson
Combination of major expressway construction and link roads improvement, including national and provincial highways and rural roads, contributes to inclusive economic growth. On financing, ADB financed 13.2% of the project cost with the balance provided by the national and provincial governments including loans from the Bank of China and the China Construction Bank. Leveraging funds was a key aspect of ADB financing under the project.

Project Number: 40626-013
Project Name: Yunnan Integrated Road Network Development Project
Report Date:
Lesson
The presence of ADB in such a consortium gives added credence to the project’s viability. Project-level lessons. The validation views that community-based routine rural road maintenance by women proved successful resulting in lower costs and improved work. The approach, using performance-based contracting, addressed the funding shortage to maintain rural roads and assisted poor women in rural communities. This approach to routine rural road maintenance should prove to be a model for similar activities in other provinces not only in PRC but also in other countries.

Project Number: 40626-013
Project Name: Yunnan Integrated Road Network Development Project
Report Date:
Lesson
There is a need for ADB projects to further strengthen the quality of economic analysis, particularly in the areas of quantification and valuation of economic benefits, and shadow pricing, to strengthen reporting on project performance. The methodology needs to be better understood by all, and more consistency is required by ADB staff, consultants, and the government in such analyses. Perhaps better and more explicit guidelines are called for.

Project Number: 40626-013
Project Name: Yunnan Integrated Road Network Development Project
Report Date:
Lesson
Changes in government policy during project implementation can influence project outcomes. The project benefited from an improved health insurance mechanism introduced by the Government of Viet Nam.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
When projects are implemented under decentralization, consultation and capacity building of the provinces and implementing agencies at the decentralized level are essential and need to start during project preparation. The needs identified by the central level may not be felt at the decentralized level, which could result in delays or non-implementation of project activities, reducing the potential benefits of the project.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
To achieve poverty reduction and equity, the needs of disadvantaged groups must be identified not only by technically qualified experts, but also by the intended beneficiaries. Planning and budgeting for health services must be based on accurate and disaggregated data that are made available on time.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
No additional lessons

Project Number: 40061-013
Project Name: Java-Bali Electricity Distribution Performance Improvement Project
Report Date:
Lesson
Private health providers can play an important role when developing a network of quality health services in rural and other underserved areas. The needs of private sector entities and small-scale health providers, however, are different. Easy access to credit by small-scale providers, in itself, is insufficient. Needs and constraints also should be addressed. This covers (i) technical support—referral networks, continuous training, and colleagues’ advice; and (ii) family support—access to schools for children, work opportunities for the spouse, safety, and other needs and constraints.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
The project was complex and involved many stakeholders (DBP, DOH and PHIC, LGUs, private sector venture, small-scale private providers, and local beneficiaries). A careful stakeholder analysis involving consultations with all participants to identify needs, constraints, and potential benefits could have improved the project design, its assumptions, and risk mitigation strategies.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Project ownership is important. With DBP, a financial institution as executing agency, DOH did not have primary responsibility for this health project. Inter-sector collaboration can bring significant benefits but is not easy: it requires significant efforts and a clear governance structure with specific reporting and coordination mechanisms. Leadership is essential and needs to be carefully established to ensure effectiveness and efficiency. The HSIAC should have been more actively involved and better coordinated the project.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Additional consideration should have been given to the provision of the following, which addresses problems encountered: engagement of institutional strengthening consulting expertise would have improved project design;

Project Number: 37697-013
Project Name: Urban Development Sector Project
Report Date:
Lesson
Enhanced microfinance expertise during the inception phase to ensure success of any small loan program;

Project Number: 37697-013
Project Name: Urban Development Sector Project
Report Date: