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Lesson
Unforeseeable changes in the regulatory framework introduced after project approval can result in changes in project design and scope. In this case, it prompted lengthy discussions that ended up with the cancellation of one output. The experience needs to be considered for projects that plan to address complex issues with multisectoral involvement in countries like Mongolia that are still transitioning and frequently introduce changes in the existing regulations.

Project Number: 45009-002
Project Name: Fifth Health Sector Development Project
Report Date:
Lesson
Rather than being a lesson learned, this is a statement of a requirement. ADB projects categorized Gender Equity (GEN) or Effective Gender Mainstreaming (EGM) are required to include gender sensitive indicators to their DMFs.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
(Referring to the new TA classification): This is not a lesson learned and not sufficiently specific to the TA design such as linkage to the consistency of the TA with the CPS, technical soundness of the TA, or adequacy of the design process.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
In addition to the lessons identified in the TCR, an additional lesson would be: Allowing flexibility to expand the scope and modify planned activities is beneficial for achieving the desired outcome. In this TA, the additional funding through the Republic of Korea e_x005F_x0002_Asia and Knowledge Partnership Fund supported the identification of policy reform actions for the regulatory environment governing local health care delivery to ease forward implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
There is a strong need to support executing agencies throughout project design and implementation to deliver gender analysis and mainstreaming. Gender-sensitive indicators and gender_x005F_x0002_related risks must be included in project frameworks.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The new TA classification (knowledge and support TA and transaction TA) has removed the prescriptive nature of the previous TA types (such as capacity development TA and project preparatory TA). Increased flexibility in TA classification led to increased relevance during TA implementation.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The TA’s efforts to develop a subnational expenditure framework for SLHCP implementation were hampered by challenges in obtaining robust historical health sector expenditure data for provincial levels. Future efforts to generate financial data from local governments require engagement not only with MOH, but also the Ministry of Finance.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date: