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Lesson
The knowledge team (formerly Knowledge Advisory Services Center) from the former Sustainable Development and Climate Change Department administered the TA and supervised consultants until the TA was transferred to the Partner Funds Division. Managing consultants through external resources should be based on a clear understanding of ADB procedures and guidelines and should be adopted only if necessary.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
The development of specialized expertise requires careful selection and the engagement of qualified consultants and proper management of expectations from all parties. Future thinking and foresight is a specialized expertise. It is crucial to identify and engage consultants with proven experience to ensure they can provide the necessary guidance and insights. It is also a new approach for ADB and thus, clear onboarding, communication, and setting expectations for both Staff and consultants who were critiical to the success of the TA.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
Hands-on involvement of ADB Staff in the conduct of capacity building workshops and documentation allows for rapid learning and upscaling of new technologies being introduced and further developed. The future thinking and foresight activities were implemented by ADB Staff and individual consultants. ADB Staff were ands-on in the conduct of the workshop and the documentation. This facilitated rapid learning and scaling up of future thinking and foresight approaches under other TA projects.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
Establishing robust partnerships with country teams in resident missions is essential for designing capacity-building initiatives with DMCs and for generating buy-in to new approaches to engage with DMCs. ADB can use future thinking and foresight to engage with DMC agencies to develop interdisciplinary scenarios relevant to futures planning. The futures scenarios enable conversations beyond the most preferred futures which are normally described in national development plans.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
Regular involvement of country teams from resident missions and with external partner experts in the field are crucial in ensuring the continued relevance and significance of TA support. For this TA, the design and planning were also informed by discussion with relevant department leading country programming work.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
Involving relevant stakeholders within ADB and in DMCs in the design and implementation phases enhances the relevance and impact of the TA outputs. IPCC was ideally placed to manage consultant engagement, prepare and complete the Synthesis Report of the Sixth Assessment Report, and disseminate findings. ADB can collaborate with IPCC further in other climate change-related activities

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
The relevance of a TA could attract interest from other resident missions and lead to changes in scope and implementation arrangements to accommodate requests for support. Initially, this TA was designed to provide quick response to developing member countries' (DMCs) need to improve development planning.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
Leveraging regional platforms is essential in ensuring that the knowledge generated from a TA is widely disseminated to the intended users, as it fosters collaboration among various stakeholders and promotes continuous learning across DMCs. Noting the urgency and importance of the Intergovernmental Panel on Climate Change’s (IPCC)) report and its implications, it was appropriate to organize dissemination workshops for ADB Staff (including ADB Board members), and for DMC government officials and civil society organizations, so that mutual understanding could lead to integrated activities.

Project Number: 52299-001
Project Name: Demonstrating Future Thinking and Foresight in Developing Member Countries
Report Date:
Lesson
The new TA classification (knowledge and support TA and transaction TA) has removed the prescriptive nature of the previous TA types (such as capacity development TA and project preparatory TA). Increased flexibility in TA classification led to increased relevance during TA implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The EHR roadmap provides options for the replication and scale-up of EHR for the LHC system. This will be further piloted under LHCSDP’s grant-financed component.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA’s efforts to develop a subnational expenditure framework for SLHCP implementation were hampered by challenges in obtaining robust historical health sector expenditure data for provincial levels. Future efforts to generate financial data from local governments require engagement not only with MOH, but also the Ministry of Finance.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Development partners are willing to support national policy reforms when the country shows clarity and leadership. Republic of Korea e-Asia and Knowledge Partnership Fund additional financing allowed the TA to develop with the government innovative approaches, particularly to include IT-based solutions in the health services management.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Mapping and analysis of the policy and institutional frameworks governing LHC management helped in addressing the key challenges to develop and implement a subnational expenditure framework for SLHCP.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA highlighted the value of strong leadership by the implementing agency. The MOH Department of Planning and Finance was effective in coordinating inputs of development partners under a common analytical framework for the LHC reform agenda (the Master plan), thereby ensuring that investments of each development partner, including ADB, the World Bank, and World Health Organization, were complementary and without duplication.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
There is a strong need to support executing agencies throughout project design and implementation to deliver gender analysis and mainstreaming. Gender-sensitive indicators and gender_x005F_x0002_related risks must be included in project frameworks.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date: