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Lesson
The crisis amplified the adverse, preexisting, and self-reinforcing relationship between public health and economic outcomes. This relationship should remain at the forefront of ADB’s engagement with Indonesia. COVID-19 takes a higher toll on individuals who suffer from stunting—a disease that is prevalent in Indonesia and closely associated with poverty.

Project Number: 54139-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Indonesia needs better interoperability among the tiers of its government. In relation to public health, the effectiveness of the government’s initial response to the pandemic was limited by conflicting approaches. The lack of coordination within government; as evidenced particularly by conflicting public messages around social distancing especially in the early stages of the pandemic. These coordination issues were more apparent in the vertical relations between tiers of government than at inter-ministerial levels.

Project Number: 54139-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
It is important to digitalize government services in times of crisis. This effort is best pursued through collaboration with the private sector in Indonesia. The collaboration can strengthen the country's defense against future outbreaks and improve the targeting of social assistance. Digitalization including ithe financial sector should remain a focal point of ADB’s policy dialogue with Indonesia.

Project Number: 54139-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Enhancement of conditional cash transfer programs (CCTs) needs continuing innovation. ADB-supported innovations have also helped strengthen the Philippines’ CCT. The digitally supported Pantawid Pamilya Information System, compliance verification, and grievance redress mechanism brought the program well within reach of the beneficiaries. Additionally, ADB’s continued support to the proxy means test models used for identifying beneficiaries and impact evaluation has ensured a data-driven approach to measuring progress and informing program implementation.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Social protection can be integrated with broader digital and financial inclusion. Strengthening social protection payment delivery systems can promote broader financial inclusion goals, allowing poor and vulnerable populations to save, borrow, and better plan consumption and investment decisions. In this way, social protection can be an effective tool not just to reduce poverty and build resilience, but also to promote economic empowerment and social inclusion. This requires expanding IT solutions, digital payment options, and financial literacy training for program beneficiaries.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
To support an effective and sustainable exit strategy for beneficiaries, CCTs must strengthen the productive capacity of poor households. With the Philippines CCT law’s 7-year ceiling on duration of family participation,it will be important to communicate clearly with beneficiaries on their co-responsibilities and establish referral pathways.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Building systems and organizational capacity is critical to the success of social assistance programs. Moving beyond a pilot to a national CCTprogram requires establishing project management structures, robust systems for information management, accountability mechanisms, and significant human resources. Despite impressive growth, the Philippines' CCT program faced challenges as it expanded nationally.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Institutional and legal frameworks help ensure program and funding sustainability, continuity across political regimes, adequacy and predictability of benefits, and accountability during budget processes. Importantly, these frameworks should provide sufficient flexibility to allow programs to adapt, particularly during times of crises such as COVID-19, and to improve based on socioeconomic trends. For instance,a key feature of the 4Ps law provides for a mechanism to periodically review and adjust benefit levels.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Monitoring and evaluation is crucial to continually improving program design. ADB has provided valuable support to impact evaluations of the Philippines' CCT program since 2010. These have helped identify progress as well as challenges requiring attention. For example, the lack of impact on children’s immunization rates requires revisiting the health conditionalities for all CCT beneficiary children. Similarly, reported school attendance rates remain high without necessarily being affected by the program.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Enforcement of CCT program conditionalities should be continuously reviewed and improved. Enforcement of health conditionalities under the Philippines' CCT program is hampered by low registration of new births and compounded by manual data collection procedures for compliance verification. The executing agency may need to review program conditions so that the checklist of conditions includes reporting all births and submitting data for all children in the household.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Incomplete registration and compliance monitoring and unjustified ceilings on the number of eligible beneficiaries can limit the outreach and transformative potential of conditional cash transfer (CCT) programs. Unde the Philippines' CCT, all target beneficiaries and children within 4Ps households should be registered and monitored.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
The program had multiple value-additions to strengthening the resilience of the health care system, including strengthening the capacity of intensive care units, staff capacity, laboratory infrastructure, supply chains, and the capacity for testing. It also improved surveillance and supported the adoption of a new IT-based unified health surveillance system. Furthermore, it\] scaled up research interventions for identifying new pathogens, and deployment of newer medical technology through national research institutions.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Multi-pronged regulatory and financial support to small businesses and employment security measures provided financial security to the vulnerable households as they responded to macroeconomic shocks. These enhanced program effectiveness in enhancing social and economic protection to vulnerable businesses and sections of the population at the time of COVID.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Leveraging private sector capacities to effectively contribute to emergency measures were key success stories. These were done through constructive partnerships, as demonstrated by the lab development for enhancing testing capacities at the start of the pandemic, and by leveraging women-led self-help groups for manufacturing personal protective equipment.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
India’s investments in social protection frameworks—through the public distribution system, the JAM trinity for direct benefit transfers, and fuel transfers ensured that ongoing social safety net programs could be quickly mobilized to respond to the economic vulnerabilities created during the COVID-19 pandemic.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date: