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Lesson
It is critical for project design to include key activities and budget for the executing agency and implementing agency to be accountable for realizing the targets indicated in the design and monitoring framework (DMF). In this case, the DMF indicator for “report identifying and addressing constraints on achieving gender balance in senior hospital management” was canceled due to the absence of activities and resources planned at the project design stage to identify and address the gender parity issues in senior hospital management.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date:
Lesson
Specificity of intended outcome is essential to enable programming, innovation, and cycles of project improvement. The project’s outcomes were broadly defined and lacked clear pathways detailing how the outputs would interact with each other and achieve the outcomes. The vagueness is likely part of the reason that the design had significant gaps and flawed assumptions on how the activities would lead to the intended outcomes.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
Government’s effective and responsive implementation of the program and use of funds highlighted the importance of being able to adjust allocations as demanded by the crisis. The government successfully utilized its ADB countercyclical loan to support its relief and stimulus program under its two pandemic emergency decrees and funds (FY2020 and FY2021). In particular; the Cabinet responded rapidly to the successive waves of COVID-19; allocating and reallocating budgets to work plans and projects where they were most needed at any one time.

Project Number: 54177-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Government ownership of new programs supported by ADB through results-based lending (RBL) should be clarified and firmly understood by all relevant agencies prior to implementation.

Project Number: 47354-003
Project Name: Supporting National Urban Health Mission
Report Date: