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Lesson
Attention to staff turnover at executing and implementing agencies can decrease the risk of misconduct and delays in project implementation. In this case, high staff turnover in the executing agency resulted in the inability to conduct procurement using ADB’s Procurement Guidelines.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Careful political economy analysis can help identify potential legal or regulatory changes on the horizon that could impact planned interventions. In this case, changes in the regulatory framework related to hazardous waste management resulted in the cancelation of one output.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Defining output and outcome indicators that reflect central elements of planned interventions and results chain can convincingly demonstrate attribution of observed outcomes to project-financed activities. In this case, the mismatch between some outputs, outcomes, and their associated indicators raised questions about attribution

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
For the gender action plan, indicators need to be designed to require reporting of baseline and latest data disaggregated by sex for evidence that the practice exists. In this project, indicators such as “MOH public information on drug safety including rapid alert system improved by 2014 (data on persons affected by unsafe drugs are sex-disaggregated)” and “minutes of community meetings and attendance lists were disaggregated by sex” were reported without evidence of sex-disaggregated data.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
It is critical for project design to include key activities and budget for the executing agency and implementing agency to be accountable for realizing the targets indicated in the design and monitoring framework (DMF). In this case, the DMF indicator for “report identifying and addressing constraints on achieving gender balance in senior hospital management” was canceled due to the absence of activities and resources planned at the project design stage to identify and address the gender parity issues in senior hospital management.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
Development partners, such as the World Bank, Australian Department of Foreign Affairs, and United Nations Children’s Fund (UNICEF), have been working alongside ADB in supporting the 4Ps program that has led the Department of Social Welfare and Development to request for joint review missions.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
The Pantawid Pamilyang Pilipino Program (4Ps) program did not increase the number of children fully immunized before 1 year of age or collect complete data during the impact evaluation rounds on the share of beneficiary children aged 6–14 years of age who were working. It is recommended that future support to the 4Ps program include technical assistance to support the government to identify key issues preventing immunization before 1 year of age and ensure robust M&E of children’s attendance in school and participation in work and labor activities.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Proposing reforms during crises requires careful risks assessments, including in particular the likelihood of reforms being sustained, and well-prepared mitigation measures. It also requires an in-depth knowledge of the sector in the country through previous successful involvement and will demand intensive policy dialogue to be pursued after the crisis. These conditions, which were met by ADB for this overall project, were essential for the success of the project. Social protection and social assistance programs are politically sensitive.

Project Number: 42322-012
Project Name: Food and Nutrition Social Welfare Program and Project 
Report Date:
Lesson
Technical knowledge in the sector and confident partnership with the sector’s main agencies built up over long-term policy dialogue are required for successful interventions and country assistance in a period of crises. When the food and financial crises required rapid assistance to Mongolia, ADB’s sector knowledge and the relations built up over several years of policy dialogue and assistance were the basis for rapidly preparing a program and project package to assist the government.

Project Number: 42322-012
Project Name: Food and Nutrition Social Welfare Program and Project 
Report Date:
Lesson
Project preparation should have included better articulation of the need or logic for integrating a program loan and a project loan in a sector development program (SDP). Policy dialogue, which is essential to clearly establish an understanding among the executing agencies that policy reforms and project loan financed investments are interlinked, should have been undertaken; however, this was missing in this SDP. Two separate loans delivered in sequence may have been preferable and more manageable.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program
Report Date:
Lesson
When functions and responsibilities are decentralized, policy dialogue with the concerned local authorities during project processing is just as important as dialogue at the central level.Although ULBs in Bangladesh depend on LGD, they enjoy some autonomy. The ULBs rapidly realized the benefit of better governance and financial management and these components were timely implemented. However, it took longer for the ULBs to appreciate the benefits of investments in sanitation and food safety funded by the project loan.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program
Report Date:
Lesson
In a project involving several ministries, the choice of the executing agency (or agencies) and the role of each ministry must be carefully assessed and discussed with the government and all concerned ministries.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program
Report Date:
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
Programs such as this should take a holistic approach to measuring and abating air pollution. Although substantial progress has been made, longer-term policy measures to address the ongoing air quality issue in Mongolia are still needed The increased concentrations of sulfur dioxide and nitrogen dioxide show shortcomings in the program’s overall achievements, along with the concentrations of small particulate matter which remain above World Health Organization’s guidelines, necessitating more policy actions.

Project Number: 53028-001
Project Name: Ulaanbaatar Air Quality Improvement
Program and Ulaanbaatar Air Quality Improvement
Program – Phase 2
Report Date: