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Lesson
Accessibility of healthcare data in Azerbaijan needs to be improved. Reports from the Ministry of Health Care are not publicly available on its website. In addition, the State Agency for Mandatory Health Insurance considers healthcare information to be highly sensitive. Accordingly, this information is not contained on its website. Information related to daily coronavirus infections and vaccinations was released publicly. It would be useful for the agency to disseminate gender, age, and region-disaggregated information to the public.

Project Number: 55073-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The development partner assistance was ambitious. Its timeliness and the volume of ADB's Comprehensive Response to the COVID-19 Pandemic (CPRO) financial assistance were well-received by the government. However, this led to a rushed design and inadequate attention to monitoring of implementation, particularly regarding existing capacities to collect gender-disaggregated data in the absence of any existing digital social security systems.

Project Number: 54243-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
A comprehensive social welfare framework can greatly strengthen the impact of emergency response measures and programs that were intended to mitigate the impact of the COVID-19 pandemic on the most vulnerable households. As intended, the program helped to successfully mitigate the impacts of the COVID-19 pandemic on citizens and businesses. It was aligned with ADB's Strategy 2030 and the Pacific Approach.

Project Number: 54243-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
In designing the design and monitoring frameworks (DMFs) for the COVID-19 Pandemic Response Option (CPRO), the approach was to extract aspects of the government's response plan that reflected ADB priorities and offered points of engagement with the government, and to restrict the number of indicators and targets so as not to burden the government. However, an unintended consequence is that this can weaken the logic and evidence base of the DMF, making it difficult to satisfactorily demonstrate the achievement of the program outcome.

Project Number: 54193-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
High staff turnover worsens capacity constraints. In this project, it aggravated lack of capacity to undertake procurement using ADB's Procurement Guidelines and the increased risk of misconduct and delays during implementation. Additional procurement capacity building for executing agency staff during implementation is therefore necessary even if procurement capacity risk is considered minimal at project appraisal.

Project Number: 48226-003
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Unforeseeable changes in the regulatory framework introduced after project approval can result in changes in project design and scope. In this case, it prompted lengthy discussions that ended up with the cancellation of one output. The experience needs to be considered for projects that plan to address complex issues with multisectoral involvement in countries like Mongolia that are still transitioning and frequently introduce changes in the existing regulations.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
High turnover of staff in project implementing and other relevant agencies affects institutional memory. It requires additional time and effort to introduce to new staff while ensuring close involvement and ownership in project implementation.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Inavailability of data could hinder the achievement of a project's intended results. While gender data was available in major programs like the Emergency Subsidy Program, such data was unavailable for others. Of the six outputs in the gender monitoring matrix, two were not achieved as the following data were unavailable: (i) the number of micro, small, and medium enterprise beneficiaries under the small business wage subsidy program and those registered to women; and (ii) thenumber of micro, small, and medium enterprises that benefited from tax relief and those registered to women

Project Number: 54138-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Quick disbursing budget support is an effective instrument to respond to a crisis. Such an approach allows for strong alignment with government priorities and supports the government's ownership of the response measures. The eligibility criteria provide the necessary framework for due diligence. Timely upstream support can then be complemented with other forms of support–technical assistance, knowledge work, project investments–to reinforce the intended impact.

Project Number: 54138-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
A program's design and monitoring framework (DMF) needs to be agile and flexible. A key aspect of a crisis is that it rapidly evolves and at the outset more is often unknown than known. The DMF therefore needs to be realistic and subject to change when new evidence emerges, or the context evolves. Hence, during the implementation and monitoring of the program, the DMF should be revisited and updated as needed.

Project Number: 54138-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
ADB staff and departments faced an unprecedented challenge in proceeding (urgently) with program development while learning how to apply the criteria and template for the new COVID-19 Pandemic Response Option (CPRO) modality and applying the 'One ADB' review process.

Project Number: 54169-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
No new lessons

Project Number: 54156-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The urgency of the lending produced outcomes that, while unavoidable, are nevertheless instructive. For example, target setting was difficult because the contours of the pandemic were fluid. Liaising with the government was also challenging. The timeline for initial response was tight, and ADB worked with a small number of government teams in the interest of speed. This concentrated approach to planning was complicated by the pandemic affecting government officials’ health and well-being personally.

Project Number: 54139-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The COVID-19 pandemic experience provided the government an opportunity to develop its approach to monitoring and reporting. During the loan period; ADB supported the executing agency in the quarterly monitoring of expenditures under the government’s emergency loans. This was appreciated by the government and because it provided the only English-language summary of government expenditure under the two emergency decrees, the quarterly monitoring was continued at government’s request even after loan closure.

Project Number: 54177-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
An integrated approach to sustainable recovery is necessary to enhance the development impact of the CARES program. While the CPRO’s primary purpose was to deliver emergency assistance to support the government’s pandemic response, it also supported overall measures to keep the government on track in pursuing structural reforms that would enable a sustainable recovery from the pandemic. Such measures cohere around an integrated approach to meet Cambodia’s medium- and long-term recovery needs, including an improved investment environment and sound fiscal governance.

Project Number: 54195-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date: