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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
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
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
No new lessons

Project Number: 36296-013
Project Name: Second Urban Primary Health Care Project
Report Date:
Lesson
The need to take immediate action to scale down project costs, and/or cancel part of the corresponding loan, when it becomes apparent that the government is unable or unwilling to put up the necessary counterpart funds. While it is important to correctly and objectively assess implementation constraints and implementation capacity, countries with serious development needs and weak institutional capacity should be assisted with building up this capacity as part of project design.

Project Number: 30210-013
Project Name: Reproductive Health Project [Loan 1900(SF)-PAK]
Report Date:
Lesson
The need for more frequent review missions, probably with an appropriate consultant/advisor on board, in the early years of implementation and for as long as project implementation is deemed off track; and

Project Number: 30210-013
Project Name: Reproductive Health Project [Loan 1900(SF)-PAK]
Report Date:
Lesson
The need for start-up TA to set the stage for effective project implementation as part of the loan covenant, establish the PCUs and/or PIUs, and ensure that a realistic implementation arrangement is put in place, even if it means revising the project implementation design, drafting a management operation manual, assisting in the opening of imprest accounts, training project staff on ADB procurement and disbursement procedures and reporting requirements, and initiating the preparation of procurement and disbursement documents;

Project Number: 30210-013
Project Name: Reproductive Health Project [Loan 1900(SF)-PAK]
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: