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Lesson
Close consultation with stakeholders during project design and implementation is especially needed to address the difficulties commonly arising from finding appropriate sites for solid waste and medical waste management facilities in urban projects. Due to lack of land and higher costs of construction than estimated at appraisal, it was not possible to construct the integrated waste treatment facilities, slaughterhouses, and medical waste management facilities planned under this program. These components were eventually dropped.

Project Number: 39305-013
Project Name: Urban Public and Environmental Health Sector Development Program 
Report Date:
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
Changes in government policy during project implementation can influence project outcomes. The project benefited from an improved health insurance mechanism introduced by the Government of Viet Nam.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
When projects are implemented under decentralization, consultation and capacity building of the provinces and implementing agencies at the decentralized level are essential and need to start during project preparation. The needs identified by the central level may not be felt at the decentralized level, which could result in delays or non-implementation of project activities, reducing the potential benefits of the project.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
To achieve poverty reduction and equity, the needs of disadvantaged groups must be identified not only by technically qualified experts, but also by the intended beneficiaries. Planning and budgeting for health services must be based on accurate and disaggregated data that are made available on time.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
Complementary reforms and investments in service delivery and financing result in the sustained expansion of access to health care services.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
A sound design, developed through a consultative process, is critical to the success of a complex project.

Project Number: 40019-013
Project Name: Health Care in the South Central Coast Region Project
Report Date:
Lesson
Project design should be thorough, realistic in cost and time estimation, and in the delivery of target outputs.

Project Number: 35377-013, 35377-023
Project Name: Regional Road Development Project
Report Date:
Lesson
ADB missions and Resident Mission support. During the early stages, the project would have benefited from more frequent missions by suitably qualified staff, as well as the involvement of an international transport staff person at the Mongolia Resident Mission to support project implementation.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Provisions for price escalation in civil works contracts. The absence of such provisions contributed to repeated contract terminations and delays. In inflationary conditions, contracts need to include provisions for price escalation.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Cost estimation. The initial cost estimates based on the feasibility-level design were inaccurate. Cost estimates based on a detailed design, together with an analysis of unit rates and price escalation factors, would have produced more reliable estimates which would have helped to reduce the implementation delays early in the project.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
Incorporating lessons and risk mitigation. Previous ADB-funded road projects in Mongolia had shown that the MRT and contractors have limited experience and that there have been problems with contractors' mobilization efforts. These lessons were not sufficiently incorporated in the implementation arrangements.

Project Number: 35377-013
Project Name: Regional Road Development Project
Report Date:
Lesson
The adequacy and appropriateness of project design have to be tailored to the project’s ultimate objectives and complexities. The PCR provided weak justification of the relevance of the extension and the insufficiency of indicators.

Project Number: 39662-012, 39662-022
Project Name: Prevention and Control of Avian Influenza in Asia and the Pacific
Report Date:
Lesson
No additional lesson.

Project Number: 32239-013
Project Name: Urban and Environmental Improvement Project
Report Date:
Lesson
The importance of establishing a baseline data at an early stage of project implementation, or during project preparation to enable the accurate evaluation of the project’s results is a recurring issue that warrants serious attention.

Project Number: 37115-013
Project Name: Health Care in the Central Highlands Project
Report Date: