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Lesson
Overall project success depends to a large extent on the successful implementation of risk mitigation measures carefully identified at appraisal. Weak institutional arrangements and lack of ownership saddled the implementation of this program. A lack of capacity and coordination among different agencies compounded the difficulties. The difficulties could have been minimized or avoided through the timely implementation of risk mitigation measures drawn at appraisal. The measures should be based on a thorough assessment of all potential risks throughout the project period.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program 
Report Date:
Lesson
Close consultation with stakeholders during project design and implementation is especially needed to address the difficulties commonly arising from finding appropriate sites for solid waste and medical waste management facilities in urban projects. Due to lack of land and higher costs of construction than estimated at appraisal, it was not possible to construct the integrated waste treatment facilities, slaughterhouses, and medical waste management facilities planned under this program. These components were eventually dropped.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program 
Report Date:
Lesson
Political support is crucial to the success of PPPs.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Local government units (LGUs) are important as facilitators of health projects but should not be overburdened with health care investments.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Private sector providers need motivation to expand their services in poor and remote areas and strive for better quality of care.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
A bigger role for midwives can enhance the performance of similar future projects in the Philippines.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
A project that requires behavioral change within communities needs a long-term agenda. Measuring the impact of such a project will take time. A project may be deemed successful on the basis of short-term outcomes, but it may not endure, particularly if there were deficiencies during project implementation. Thus, setting impact performance indicators to be achieved by 2012 (the year of project closing) might have been too short-term.

Project Number: 38117-013
Project Name: Nutrition Improvement through Community Empowerment Project
Report Date:
Lesson
Capacity development requires continuous investment. Human resource development is key to providing improved health services. A large number of health staff, including medical doctors and midwives, received scholarships to build capacity in obstetrics and neonatal care. However, local governments' fiscal capacity to finance capacity development was limited or nonexistent. Significant investments, both in terms of capacity building and health infrastructure, will be required to meet the maternal mortality MDG target by 2015.

Project Number: 34149-013
Project Name: Second Decentralized Health Services
Report Date:
Lesson
Project scope and coverage should be feasible. To increase impact, project resources should not be spread over a large geographic area. A large number of intended outputs most likely will slow down project implementation. Investment priorities based on health needs and poverty incidence may contribute to increased effectiveness.

Project Number: 34149-013
Project Name: Second Decentralized Health Services
Report Date:
Lesson
Project management has significant roles in achieving project objectives. The weak project management and insufficient capacity of project stakeholders prevented the delivery of optimum project benefits.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date:
Lesson
Covering a large number of remote villages spread over four provinces may not be an effective way to maximize the use of resources. The effectiveness of the investment in generating development impact, as well as project efficiency, would have improved in a focused geographic approach.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date:
Lesson
More attention should be given to operation and maintenance (O&M) planning and management, including awareness of resource requirements for O&M measures and sound financial and reporting systems.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date:
Lesson
Community facilitators and consultants must be qualified and committed; sufficient time should be allocated for community empowerment - ensuring that community members are sufficiently involved in prioritizing their needs, developing investment proposals, and making decisions.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date:
Lesson
Involving beneficiaries at all stages of planning and implementation of upgrading activities and promoting inclusive community empowerment are critical in ensuring pro-poor investments and sustainability.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date:
Lesson
Indicators to measure the achievement of project outcome need to carefully consider the scope of all activities carried out under all outputs.

Project Number: 34152-013
Project Name: Community Water Services and Health Project
Report Date: