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Lesson
Understanding and addressing the needs of all those involved in the sector. The health system requires two types of personnel: (i) health services providers; and (ii) administrative personnel responsible for planning, budgeting, resource allocation, and monitoring. Both need to be involved.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
The implementation arrangements ensured that the provincial health offices, as implementing agencies, were stakeholders of the reforms. Rather than simply following instructions from the center, the provinces were involved in the program, better understood the reform objectives, and supported the implementation of the HSRS.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Intersector coordination. ADB involvement in the financial sector facilitated dialogue with and support from the MOF and ensured better harmonization of the financial systems from different sectors. This support from one key sector, for instance, reinforced effectiveness of the reforms and is likely to enhance the sustainability of the program.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Better data and information. A better use of more accurate data for planning and budgeting by newly trained personnel at the central, provincial, and district levels could have significantly improved allocative efficiency in the health sector, enabling better targeted policies and activities in operational and development plans.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Learning from and drawing on the achievements of past interventions is critical to the success of comprehensive policy reforms supported by the programmatic approach to policy-based lending (PBL).

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
Air quality improvements strengthen people’s health and capacity to fight infections

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
The implementation and sustainability of policy reforms, which can be challenging, require strong and continued political ownership, commitment, leadership, and coordination among key government agencies.

Project Number: 51199-001
Project Name: Ulaanbaatar Air Quality Improvement Program
Report Date:
Lesson
Supplementing programmatic assistance with sufficient, targeted technical assistance (TA) is effective in achieving reforms

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
A multiple tranche arrangement ensures satisfactory progression of reforms and strengthens government accountability for the reforms.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
Participatory development and full alignment of reform programs with country strategies and plans foster strong ownership and commitment from the government.

Project Number: 47137-003, 47137-006
Project Name: Health Sector Governance Program (Subprograms 1 and 2)
Report Date:
Lesson
In addition to the lessons identified in the TCR, an additional lesson would be: Allowing flexibility to expand the scope and modify planned activities is beneficial for achieving the desired outcome. In this TA, the additional funding through the Republic of Korea e_x005F_x0002_Asia and Knowledge Partnership Fund supported the identification of policy reform actions for the regulatory environment governing local health care delivery to ease forward implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Rather than indicate how co_x005F_x0002_financing was utilized, the TCR could have indicated any lesson learned from the co-financing experience with the Republic of Korea e-Asia and the Knowledge Partnership Fund.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
Rather than being a lesson learned, this is a statement of a requirement. ADB projects categorized Gender Equity (GEN) or Effective Gender Mainstreaming (EGM) are required to include gender sensitive indicators to their DMFs.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
(Referring to the new TA classification): This is not a lesson learned and not sufficiently specific to the TA design such as linkage to the consistency of the TA with the CPS, technical soundness of the TA, or adequacy of the design process.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA demonstrates innovation potential for broader health services management and health sector policy reform by leveraging advanced technologies.

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