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Lesson
Prior to commencement, implementation arrangements should be agreed by all participating agencies to avoid unnecessary delays.

Project Number: 47320-001
Project Name: Samoa Submarine Cable Project
Report Date:
Lesson
A clear implementation arrangement with respect to technical, institutional, and scope of work helps to avoid prolonged and lengthy implementation delays, especially for projects involving multiple cofinanciers and implementing agencies.

Project Number: 47320-001
Project Name: Samoa Submarine Cable 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
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
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
Political support is crucial to the success of PPPs.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
Report Date:
Lesson
Need for steps to be taken at an early stage to keep the TA on track, and ensure that it is being managed according to the objectives of the loan program that it is supporting. IED’s 2005 SAPE for Social Sectors in Pakistan in fact had anticipated these based on the issues that it identified from the then implementation of SDSSP.

Project Number: 34337-033
Project Name: Sindh Devolved Social Services Project [Loan 2049-PAK]
Report Date:
Lesson
No new lessons

Project Number: 34337-013
Project Name: Sindh Devolved Social Services Program
Report Date: