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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
Guidance for completing CPRO DMFs underscored the dynamic nature of a crisis operation and the need to be prepared to strengthen, amend or add DMF indicators during implementation. The fact that this was not followed reflects a built-in lack of flexibility with DMFs (and perhaps the difficulty of making changes in accordance with existing Project Administration Instructions).

Project Number: 54178-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
The design and monitoring frameworks (DMFs) of the COVID-19 Pandemic Response Option (CPRO) extracted aspects of the government’s response plan that were important to ADB and restricted the number of indicators and targets in order not to burden the government. However, this made demonstrating outcome-level achievement difficult because it relies too much on one or two indicators and targets (weak horizontal logic) and is narrowly and inadequately supported by a minimal number of outputs (weak vertical logic).

Project Number: 54178-001
Project Name: COVID-19 Rapid Response Program
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
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
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
Determining and improving the effectiveness of large and complex projects are far more complicated than measuring progress against the indicators in the design and monitoring framewrok (DMF). The emphasis on quantitative measures, even if well considered, could result in displacing goals and/or inaccurately representing project success or failure. In the context of the COVID-19 pandemic and the Implementation timelines, some DMF targets were unrealistic. The project provided for formative evaluations but they were not closely coordinated with the DMF.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Use of data and planning to target delivery strategies improve performance. Staffing and access to medical supplies were common challenges and well recognized during project design and documented during the project, including through the formative evaluations, the DFAT-funded independent evaluation, and the project midterm review. The chief executive officers (CEOs) of the provincial health authorities in high-performing provinces identified the use of data and planning to target delivery strategies as a factor in improved performance.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Basing the reporting requirements on the monitoring systems of the government’s own response plan and providing dedicated assistance for monitoring and evaluation will help reduce the burden of the government in meeting the reporting requirements of massive budget support, pandemic response programs such as the CPRO. Budget support mechanisms are relatively new for the borrower, as most development assistance is delivered as project funding or through technical assistance.

Project Number: 54179-001
Project Name: COVID-19 Fiscal Response Program
Report Date:
Lesson
Insufficient up-to-date macroeconomic data on government websites, which could hinder timely and effective planning especially during crisis periods, needs to be rectified. The State Statistical Committee (SSC) has numerous macroeconomic indicators on its website. However, in most cases, very recent data are missing. International organizations such as ADB, the IMF and the World Bank release forecasts of macroeconomic indicators for upcoming years, and SSC should consider following the same approach.

Project Number: 55073-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Accessibility of healthcare data in Azerbaijan needs to be improved. Reports from the Ministry of Health Care are not publicly available on its website. In addition, the State Agency for Mandatory Health Insurance considers healthcare information to be highly sensitive. Accordingly, this information is not contained on its website. Information related to daily coronavirus infections and vaccinations was released publicly. It would be useful for the agency to disseminate gender, age, and region-disaggregated information to the public.

Project Number: 55073-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Sex-disaggregated data need to be accurate and usable for in-depth analyses to support policy development and program planning and implementation. The government has increased its focus on gender equality and has made significant progress on gender data tracking and transparency. Although there are a few publicly available national resources, they lack qualitative information.

Project Number: 55073-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The development partner assistance was ambitious. Its timeliness and the volume of ADB's Comprehensive Response to the COVID-19 Pandemic (CPRO) financial assistance were well-received by the government. However, this led to a rushed design and inadequate attention to monitoring of implementation, particularly regarding existing capacities to collect gender-disaggregated data in the absence of any existing digital social security systems.

Project Number: 54243-001
Project Name: Health Expenditure and Livelihoods Support Program
Report Date:
Lesson
In designing the design and monitoring frameworks (DMFs) for the COVID-19 Pandemic Response Option (CPRO), the approach was to extract aspects of the government's response plan that reflected ADB priorities and offered points of engagement with the government, and to restrict the number of indicators and targets so as not to burden the government. However, an unintended consequence is that this can weaken the logic and evidence base of the DMF, making it difficult to satisfactorily demonstrate the achievement of the program outcome.

Project Number: 54193-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date: