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Lesson
When it comes to mass drug administration programs, greater attention should be given to prophylaxis— especially in the Lao PDR with its high prevalence of helminth infection in rural areas. For remote and hard-to-reach areas, the best possible delivery mechanism for helminth prevention is yet to be identified.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Experienced and dedicated teams contribute to implementation success. The project largely inherited the oversight and management teams from ADB’s first GMS CDC project. Continuity of staff and consistency of support from ADB contributed significantly to the success of the project in achieving most of its outcome and outputs. The appointment of high-ranked officials as project directors ensured effective coordination and implementation of project activities.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Strong laboratory capacity and field epidemiology vital for rapid response. The project has appropriately targeted the strengthening of laboratory capacity and field epidemiology as essential for accurate early detection of disease outbreaks. These investments boosted the level of diagnostic preparedness, and the CLV countries rightly requested continued support in improving laboratory quality and building capacity in field epidemiology. The ongoing GMS Health Security Project continues to support these areas as well as hospital infection prevention and control.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Effective communicable disease control starts in the communities. Community preparedness to detect and respond to communicable disease outbreaks is crucial to effective CDC. The MHV model was a learning experience for public health and local leaders in this project. Through community participation, the local stakeholders who are most directly affected were empowered, which in turn encourages ownership and sustainability of the MHV concept.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Investments in regional cooperation are essential for health security. The ability of communicable diseases to cross international boundaries and affect large number of people demands a sustained and coordinated response among neighboring countries. The continued cooperation between the CLV countries provided a good practice for a coordinated response mechanism against this threat. The regional design enabled the sharing of knowledge, experiences, and resources and supported better data capture and timely information exchange, which are essential to CDC.

Project Number: 41505-012
Project Name: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Multisector collaboration is most beneficial for HIV/AIDS prevention.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
Context−specific behavior change programs are crucial to HIV/AIDS prevention.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
The private sector can be a viable partner in health services delivery.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
Report Date:
Lesson
ADB's high-level steering committee demonstrated ADB's institutional support, which enhanced coordination between development partners. The committee, comprising the heads of all regional departments and the Strategy and Policy Department and chaired by the director general of RSDD, provided prompt policy guidance and expedited decisions and actions. It also ensured that the needs of the countries were ascertained and that they had adequate access to project resources.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB was able to use its convening power effectively because it had the necessary in-house technical expertise. Public health experts on ADB's staff with knowledge of emerging infectious diseases were involved in designing and implementing the project. This in-house expertise made the dialogue with the technical and regional agencies to strengthen regional collaboration within and across the animal health and human health sectors possible.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
Each new outbreak of disease confronts projects such as this one, as well as the implementing partners and global community, with a fresh challenge, because its early spread outpaces the gathering of scientific evidence needed to formulate containment policies. Each successive outbreak is followed by an initial opaque period characterized by a frustrating lack of scientific evidence on which to base policies and technical guidance.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The rapid launch and accelerated implementation of the project made necessary by the threat that avian influenza would become a pandemic made it difficult to define verifiable indicators for a number of the outputs under the regional capacity building and regional coordination components. A mid-term review of the project would have facilitated a review and updating of the design and monitoring framework.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The project supported the One Health concept, which emphasizes the links between animal health and human health and emerging animal and human diseases. One Health provided a platform for unprecedented integration of animal, human and ecosystem health issues to fight the threat of avian influenza. The systematic collaboration of technical agencies across disciplines, such as FAO (veterinarians) and WHO (medical doctors) and civil society organizations (community health workers) supported by the project has promoted this concept since the beginning of the project.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The sequence of reforms in the policy matrix was such that all substantial results could be achieved only after the completion of second tranche actions. In addition, liberal assessment of compliance allowed the release of the first tranche without achieving much toward sustainable outputs. More result-oriented sequencing of policy actions for the first tranche could have achieved some sustainable improvements in social service delivery.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date:
Lesson
Given provincial and district capacity limitations, a Program focusing on a single sector would have had a better chance of success. Sustained support in one sector can be less demanding for both the government and ADB. Multi-sector policy reform interventions involving governance reform are difficult to manage, and a new system of local political governance imposed by the federal government added further complications.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date: