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Lesson
The ministries have a strong tradition of top-down training programs to be implemented by the provinces, often in an ad hoc manner. Provincial capacity to plan and coordinate training activities is insufficient. Provinces also lack core capacities in teaching methodology and in monitoring staff performance.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Projects should be responsive to change; as the media environment altered, the project design should have been adjusted.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
A lack of exit planning resulted in no proper plan for continuation of activities and future use of information, education, and communication materials, including websites, interpersonal communication and training materials.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
The project was designed to target vulnerable groups, including the poor, women and children, and ethnic minorities. It mainly targeted poor provinces in border areas, including 7 provinces out of 20 with a predominantly ethnic minority population. The project interventions benefited poor women and children, who are more at risk of communicable diseases. However, based on ADB's results framework criteria, the project is rated unsatisfactory for gender equity. It only partially complied with gender and ethnic minority covenants.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Evaluation of the two nongovernment organization-implemented voluntary counseling and testing services demonstrated that population mapping, coordination between government agencies and the recruitment of suitable peers improved service targeting (particularly vulnerable populations). Setting optimistic testing targets that encouraged broad-brush recruitment of clients adversely affected testing results.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Project monitoring was not systematic. An indicator list was prepared during the project's early stages, but the indicators were not adjusted and routinely reported as a result of weak monitoring capacity.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Financial management requires further improvement through training of provincial staff, timely approvals of annual operational plans, and timely liquidation of advances.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date:
Lesson
Project delays were mostly caused by lengthy administrative processes resulting from complex ADB and government procedures.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
Carrying out project administration through existing structures helped speed up project implementation. Delegation of project activities to concerned departments and provinces facilitated implementation. Inclusion of project activities in national and provincial annual operational plans provided better integration of health services and funding.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
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
National M&E remains a challenge due to lack of capacity and minimal regional support to assist participating DMCs. While regional evaluations of some activities have taken place, they need to focus on impact or outcome indicators rather than on the process of implementation.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
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:
Lesson
Establishing a project steering committee is challenging where separate development partner committees already exist to oversee arrangements for Pacific countries.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
Capacity in the executing and implementing agencies was expected to be built through the accompanying TA loan. Program outputs like developing sector strategies, implementing expenditure tracking and service delivery surveys, training communities to manage and monitor social service delivery, and other outputs critical to achieving Program outcome depended on effective technical assistance (TA) loan administration. However, executing agency capacity to administer the TA loan was inadequate.

Project Number: 37218-013
Project Name: Balochistan Devolved Social Services Program
Report Date:
Lesson
An executing agency's ability to implement project activities within set timeframes is diluted where there is limited PMU capacity, a lack of experience with ADB procedures, and inadequate executive oversight.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
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