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Lesson
Overall project success depends to a large extent on the successful implementation of risk mitigation measures carefully identified at appraisal. Weak institutional arrangements and lack of ownership saddled the implementation of this program. A lack of capacity and coordination among different agencies compounded the difficulties. The difficulties could have been minimized or avoided through the timely implementation of risk mitigation measures drawn at appraisal. The measures should be based on a thorough assessment of all potential risks throughout the project period.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program 
Report Date:
Lesson
At the methodology level, actions that demonstrate the achievement of program policy matrix milestones should indicate what was achieved, rather than the process of their accomplishment. Cabinet approval is an inadequate indicator to demonstrate the successful implementation of policy reform in Tonga.

Project Number: 52030-001
Project Name: Strengthening Macroeconomic Resilience Program
Report Date:
Lesson
Failing to describe and include the history of prior experience of a particular reform in the program weakens the case for their relevance. In Tonga, civil service reform had an extended history. Pointing out the lessons learned from earlier efforts and how they were incorporated into the current program would have strengthened the justification for these reforms.

Project Number: 52030-001
Project Name: Strengthening Macroeconomic Resilience Program
Report Date:
Lesson
Building systems and organizational capacity is critical to the success of social assistance programs. Moving beyond a pilot to a national CCTprogram requires establishing project management structures, robust systems for information management, accountability mechanisms, and significant human resources. Despite impressive growth, the Philippines' CCT program faced challenges as it expanded nationally.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Enforcement of CCT program conditionalities should be continuously reviewed and improved. Enforcement of health conditionalities under the Philippines' CCT program is hampered by low registration of new births and compounded by manual data collection procedures for compliance verification. The executing agency may need to review program conditions so that the checklist of conditions includes reporting all births and submitting data for all children in the household.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Enhancement of conditional cash transfer programs (CCTs) needs continuing innovation. ADB-supported innovations have also helped strengthen the Philippines’ CCT. The digitally supported Pantawid Pamilya Information System, compliance verification, and grievance redress mechanism brought the program well within reach of the beneficiaries. Additionally, ADB’s continued support to the proxy means test models used for identifying beneficiaries and impact evaluation has ensured a data-driven approach to measuring progress and informing program implementation.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
Social protection can be integrated with broader digital and financial inclusion. Strengthening social protection payment delivery systems can promote broader financial inclusion goals, allowing poor and vulnerable populations to save, borrow, and better plan consumption and investment decisions. In this way, social protection can be an effective tool not just to reduce poverty and build resilience, but also to promote economic empowerment and social inclusion. This requires expanding IT solutions, digital payment options, and financial literacy training for program beneficiaries.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
To support an effective and sustainable exit strategy for beneficiaries, CCTs must strengthen the productive capacity of poor households. With the Philippines CCT law’s 7-year ceiling on duration of family participation,it will be important to communicate clearly with beneficiaries on their co-responsibilities and establish referral pathways.

Project Number: 43407-013
Project Name: Social Protection Support Project
Report Date:
Lesson
A holistic project design is essential for increasing public health-care utilization. Ultimately, the project aimed at increasing public health-care utilization, which is influenced by both supply- and demand-side interventions. The interventions appropriately addressed the supply side through improvements in health facilities, equipment, and human resources.

Project Number: 44265-013
Project Name: Second Health Care in the Central Highlands Project
Report Date:
Lesson
Do not propose establishment of a new business continuity fund during crisis. The business continuity fund was established during the crisis. Actual usage was far less compared with existing instruments for concessional lending and refinancing, as operationalization took time. Unless such a fund can be established on time, proposing a new fund during a crisis should be avoided when good instruments are available.

Project Number: 54184-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Flexibility in adjusting timelines and targets to respond to new and unforeseen factors enhances impact. Difficulties in dealing with the COVID-19 pandemic affected project implementation timelines. The pandemic was unprecedented in scale and unpredictable in terms of the percentage of the workforce testing positive; the mobility restrictions that needed to be imposed to control its spread; and its impact on availability of supplies, materials and expertise needed to implement the project.

Project Number: 54189-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The program had multiple value-additions to strengthening the resilience of the health care system, including strengthening the capacity of intensive care units, staff capacity, laboratory infrastructure, supply chains, and the capacity for testing. It also improved surveillance and supported the adoption of a new IT-based unified health surveillance system. Furthermore, it\] scaled up research interventions for identifying new pathogens, and deployment of newer medical technology through national research institutions.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
Strong coordination between ADB and the executing agency, the Department of Economic Affairs (DEA), and the high level of government ownership of the program were the keys to developing a program focused on the vulnerable sections of society and to delivering an effective response to the pandemic at unprecedented speed and scale. The program supported key initiatives of the government to mitigate pandemic impacts. ADB and the DEA closely interacted to monitor and report on the progress of program implementation.

Project Number: 54182-001
Project Name: COVID-19 Active Response and Expenditure Support Program
Report Date:
Lesson
The government's response to the pandemic was comprehensive and effective. It provided a policy framework through the National Emergency Response Plan, and identified a set of concrete measures, associated expenditures, and financing plan which it brought together under the countercyclical expenditure development plan. The expenditure development plan further combined revenue and expenditure measures shown by international experience to be effective in safeguarding fiscal sustainability.

Project Number: 54174-001
Project Name: COVID-19 Rapid Response Program
Report Date:
Lesson
Projects that plan to introduce systemic reforms require more time for advocating new concepts, building consensus, and overcoming the institutional interests of stakeholders. This was the case with the establishment of the Medicines Regulatory Authority, for which thegovernment spent nearly 10 years.

Project Number: 41243-012
Project Name: Fourth Health Sector Development Project
Report Date: