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Lesson
The traditional project management structure may need to be reconsidered when implementing a sector development plan (SDP).

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
When data are not available or are incomplete at appraisal, the project should consider supporting the development of a robust health management information system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Timely collection of correct data is essential for monitoring the implementation, for assessing progress in achieving the program objectives, and as a basis for further planning and decision making.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The importance of data availability goes beyond the preparation of DMF indicators.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The central role of Viet Nam’s tier-one HPTIs in supporting the development of lower-level HPTIs nationwide was illustrated under the program. HMU, UMP, and Hue University of Medicine and Pharmacy each played mentoring roles to the second and third tier HPTIs involved in the program, across areas pertaining to accreditation, curriculum development, faculty development programs, and CME delivery, among others.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The program demonstrated the value addition of the SDP modality in supporting a government-led reform agenda, where operationalizing reforms requires policy and regulatory actions coupled with stimulus from targeted investments. Drawing on its successful experience implementing the program, the MOH has elected to pursue an SDP modality to deliver its reform agenda for the local health care system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Greater consideration should be given to ensuring the availability of data sources when preparing DMF indicators. Reliable data for the assessment of impact indicators pertaining to MMR and life-expectancy could not be sourced, despite DMF indicators being revised at implementation to enable objective measurement.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The nonachievement of outputs related to the implementation of case-based payment mechanisms underlines the importance of ensuring stakeholders beyond target hospitals, such as Viet Nam Social Security, are engaged in initiatives for hospital financing reform.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The program’s implementation delays mirror the experience of other ADB health sector investments, indicating constraints to project readiness in the MOH. ADB and the MOH should engage in deeper dialogue to identify project readiness actions for future investment projects.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The integrated approach to disaster recovery operations beyond infrastructure restoration to also include activities directed at restoring livelihood and improving the resilience of infrastructure and economic activity to disasters.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date:
Lesson
Enhance transparency for effective oversight. The government-established ERRA Council, headed by the prime minister, consists of independent and reputable individuals from civil society in the affected regions. The council followed the reconstruction process and reviewed and reported regularly to the general public on its progress and outcomes, developing a sense of ownership. Independent oversight, involving representatives of civil society disseminating information to key constituents, promoted transparency and enhanced the credibility of the host government.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date:
Lesson
Articulate policies, strategy, and standards early. The local populations and nongovernment organizations (NGOs) started reconstruction work well before provincial and federal governments started articulating their responses. Expectations rose, and some facilities, especially in health, were built by bilateral donors to standards that were much higher than the capacity of the line agencies to maintain them. This resulted in inconsistencies, violations of policies and standards developed for reconstruction work, and unsustainable operation of completed facilities.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date:
Lesson
Clarify roles and respect existing mandates. Initial delays in implementation of the project were caused by confusion about the roles of new and existing institutions. Any large- scale reconstruction operation requires clear delineation of the mandates of levels of government, to provide the structure and clarity required for all stakeholders to work with maximum efficiency. To the extent possible, the provincial and regional governments and federal agencies should be provided with capacity to perform their mandated roles.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date:
Lesson
Have a dedicated lead institution. The dedicated federal (Earthquake Reconstruction and Rehabilitation Authority or ERRA) and provincial reconstruction authorities led the overall coordination and monitoring, and facilitated procedures, policies, and strategies for reconstruction. This arrangement allowed efficient and transparent reconstruction, and established the government's commitment to and credibility in mobilizing resources.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date:
Lesson
Institutionalize - fast-tracking - and flexibility. The technical assistance (TA) attached to the project allowed flexible responses to diverse capacity gaps, and fast-tracked procurement and disbursement, and the implementation of the safeguards policy. The flexibilities allowed under the emergency policy reduced procurement time and enabled efficient mobilization of resources.

Project Number: 39631-013
Project Name: Earthquake Emergency Assistance Project
Report Date: