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Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
The rapid launch and accelerated implementation of the project made necessary by the threat that avian influenza would become a pandemic made it difficult to define verifiable indicators for a number of the outputs under the regional capacity building and regional coordination components. A mid-term review of the project would have facilitated a review and updating of the design and monitoring framework.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
The project supported the One Health concept, which emphasizes the links between animal health and human health and emerging animal and human diseases. One Health provided a platform for unprecedented integration of animal, human and ecosystem health issues to fight the threat of avian influenza. The systematic collaboration of technical agencies across disciplines, such as FAO (veterinarians) and WHO (medical doctors) and civil society organizations (community health workers) supported by the project has promoted this concept since the beginning of the project.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB's high-level steering committee demonstrated ADB's institutional support, which enhanced coordination between development partners. The committee, comprising the heads of all regional departments and the Strategy and Policy Department and chaired by the director general of RSDD, provided prompt policy guidance and expedited decisions and actions. It also ensured that the needs of the countries were ascertained and that they had adequate access to project resources.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
ADB was able to use its convening power effectively because it had the necessary in-house technical expertise. Public health experts on ADB's staff with knowledge of emerging infectious diseases were involved in designing and implementing the project. This in-house expertise made the dialogue with the technical and regional agencies to strengthen regional collaboration within and across the animal health and human health sectors possible.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
Each new outbreak of disease confronts projects such as this one, as well as the implementing partners and global community, with a fresh challenge, because its early spread outpaces the gathering of scientific evidence needed to formulate containment policies. Each successive outbreak is followed by an initial opaque period characterized by a frustrating lack of scientific evidence on which to base policies and technical guidance.

Project Number: 39662-012
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
Support to HIV/AIDs should have been considered relative to other health issues in the Pacific. At the time of project design it would have been interesting to know what the main causes of death in the Pacific were, and where AIDS stood in relation to these.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
Given that multiple streams of funding for HIV/AIDS were already available, it may have been more efficient for ADB to work in partnership with another donor who had more experience and technical expertise in HIV/AIDS.

Project Number: 38599-022
Project Name: HIV/AIDS Prevention and Capacity Development in the Pacific
Report Date:
Lesson
In a project of this nature, where there are serious security risks, and a potential for contractors' or consultants' suspension of works, or expected contract variations due to type of terrain, prompt decision making becomes critically important. This can be achieved through exceptional involvement of donors. ADB provided enhanced supervision both from headquarters and Afghanistan Resident Mission (AFRM). Staff were closely involved in identifying and promptly resolving issues.

Project Number: 39467-013
Project Name: North-South Corridor Project
Report Date:
Lesson
In future projects, both the government and donors should prepare realistic project schedules by carefully taking into account (a) the security situation and the time and resources required to carry out remedial actions for the safety of project teams throughout the projects; (b) actual construction period available in a year considering the altitude of the project areas and inclement weather conditions; (c) probability of rebidding due to lack of interest, competition, or exorbitant costs (beyond acceptable limits) offered by some interested bidders; (d) delays in contractor mobilization;

Project Number: 39467-013
Project Name: North-South Corridor Project
Report Date:
Lesson
Scrutiny of contractors and consultants before their selection is critical to the success of any project. In particular, in projects like this, which draw minimum interest because of security hazards, lack of oversight may jeopardize project implementation. Therefore, in Afghanistan, specifically in projects like this, such risks may be averted by giving more emphasis to quality and the performance record of both the consultants and the contractors, and not just the lowest price.

Project Number: 39467-013
Project Name: North-South Corridor Project
Report Date:
Lesson
Adverse security issues and project start-up delays are two main factors that have adversely affected and delayed almost all previous projects in Afghanistan, except those where these issues were carefully handled in advance. Furthermore, insufficient surveys during project processing, and major changes in the technical design parameters during project implementation, can also cause serious implementation delays and significant cost overrun. The project suffered security issues until the situation was fixed with the help of additional security arrangements.

Project Number: 39467-013
Project Name: North-South Corridor Project
Report Date:
Lesson
Projects should be responsive to change; as the media environment altered, the project design should have been adjusted.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
A lack of exit planning resulted in no proper plan for continuation of activities and future use of information, education, and communication materials, including websites, interpersonal communication and training materials.

Project Number: 38581-022
Project Name: HIV/AIDS Prevention among Youth Project
Report Date:
Lesson
The project was designed to target vulnerable groups, including the poor, women and children, and ethnic minorities. It mainly targeted poor provinces in border areas, including 7 provinces out of 20 with a predominantly ethnic minority population. The project interventions benefited poor women and children, who are more at risk of communicable diseases. However, based on ADB's results framework criteria, the project is rated unsatisfactory for gender equity. It only partially complied with gender and ethnic minority covenants.

Project Number: 36672-012, 37604-022, 38017-012
Project Name: Greater Mekong Subregion Regional Communicable Diseases Control Project
Report Date: