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Lesson
The project’s quality-at-entry can often be assessed through the project DMF. A good project DMF should be self-explanatory and formulated as a real and understandable tool for project implementation and project monitoring by the executing agency, particularly by the PMU staff.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
The importance of a strong and well-functioning PMU, with a full-time and qualified project coordinator, is paramount.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
Incorporating lessons and risk mitigation. Previous ADB-funded road projects in Mongolia had shown that the MRT and contractors have limited experience and that there have been problems with contractors' mobilization efforts. These lessons were not sufficiently incorporated in the implementation arrangements.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
ADB missions and Resident Mission support. During the early stages, the project would have benefited from more frequent missions by suitably qualified staff, as well as the involvement of an international transport staff person at the Mongolia Resident Mission to support project implementation.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Provisions for price escalation in civil works contracts. The absence of such provisions contributed to repeated contract terminations and delays. In inflationary conditions, contracts need to include provisions for price escalation.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Cost estimation. The initial cost estimates based on the feasibility-level design were inaccurate. Cost estimates based on a detailed design, together with an analysis of unit rates and price escalation factors, would have produced more reliable estimates which would have helped to reduce the implementation delays early in the project.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Need for market-based remuneration. The government's cost norm is too low and not competitive. Because of this, recruiting experienced senior national consultants (with the exception of retired government employees) remains a challenge. Training allowances are also too low. This also applies to its training allowances, which discourages participation by staff who must travel from where they live and work to take part. Future projects should include a clause that allows remuneration for consultants and allowances for staff training to be market-based.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
Phased approach. Implementing the project across almost four dozen provinces and such a wide geographical area led to challenges both in providing laboratory equipment in a timely manner and in ensuring that training was provided in the use of this equipment. A phased approach prioritizing provinces with stronger technical capacities would ensure a closer link between the provision of equipment and training thus increase efficiency.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
Consideration of local government fiscal capacity. The project originally required participating provinces to provide funds to upgrade the PPMCs (provincial preventive medicine centers), including their laboratories. While local government commitment to preventive health care is significant in Viet Nam, the fiscal situation of some provinces does not allow investments of the scale that was needed. ADB needs to carefully consider the local costs of such infrastructure projects and the fiscal ability of local governments to meet them before committing to an investment.

Project Number: 34348-013
Project Name: Preventive Health System Support Project
Report Date:
Lesson
A project that requires behavioral change within communities needs a long-term agenda. Measuring the impact of such a project will take time. A project may be deemed successful on the basis of short-term outcomes, but it may not endure, particularly if there were deficiencies during project implementation. Thus, setting impact performance indicators to be achieved by 2012 (the year of project closing) might have been too short-term.

Project Number: 38117-013
Project Name: Nutrition Improvement through Community Empowerment Project
Report Date:
Lesson
No additional lesson.

Project Number: 32239-013
Project Name: Urban and Environmental Improvement Project
Report Date:
Lesson
No additional lesson.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
No additional lesson.

Project Number: 32313-012
Project Name: Lao People’s Democratic Republic: Health System Development Project
Report Date:
Lesson
Proper problem analysis is needed based on risk and mitigation analysis before rolling out a program under decentralization. Problem analysis was undertaken to some degree during project preparations. Risks were outlined in the project framework (under Assumptions and Risks) but little detail was given in the main text of the report and recommendation of the President, or in the project design.

Project Number: 34007-012, 34007-013
Project Name: Decentralized Health Services Project
Report Date:
Lesson
A comprehensive approach is needed for a well-functioning health system. Well-functioning provincial and district systems have proven to contribute to overall coordination and control of local health service delivery. During evaluation, health facility staff frequently cited the development of human resource capacity through longer-term fellowships as a key benefit of the project. Many of the project-supported fellows are now in key positions within the district and provincial health services. Many fellows thought that their careers would not have progressed so well without the project.

Project Number: 34007-012, 34007-018
Project Name: Decentralized Health Services Project
Report Date: