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Lesson
Development partners are willing to support national policy reforms when the country shows clarity and leadership. Republic of Korea e-Asia and Knowledge Partnership Fund additional financing allowed the TA to develop with the government innovative approaches, particularly to include IT-based solutions in the health services management.

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
Mapping and analysis of the policy and institutional frameworks governing LHC management helped in addressing the key challenges to develop and implement a subnational expenditure framework for SLHCP.

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 highlighted the value of strong leadership by the implementing agency. The MOH Department of Planning and Finance was effective in coordinating inputs of development partners under a common analytical framework for the LHC reform agenda (the Master plan), thereby ensuring that investments of each development partner, including ADB, the World Bank, and World Health Organization, were complementary and without duplication.

Project Number: 50285-001
Project Name: Support to Strengthening Local Health Care Program
Report Date:
Lesson
The EHR roadmap provides options for the replication and scale-up of EHR for the LHC system. This will be further piloted under LHCSDP’s grant-financed component.

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:
Lesson
The importance of data availability goes beyond the preparation of DMF indicators.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Procurement procedures for outputs financed by ADB and the government budget are different.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Policy dialogue for an SDP goes beyond the concerned sector and requires dialogue with other agencies and government officials.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Health human resources management (including planning, teaching, and quality control) requires skills that are very different from sector financing.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The traditional project management structure may need to be reconsidered when implementing a sector development plan (SDP).

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
When data are not available or are incomplete at appraisal, the project should consider supporting the development of a robust health management information system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Timely collection of correct data is essential for monitoring the implementation, for assessing progress in achieving the program objectives, and as a basis for further planning and decision making.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The nonachievement of outputs related to the implementation of case-based payment mechanisms underlines the importance of ensuring stakeholders beyond target hospitals, such as Viet Nam Social Security, are engaged in initiatives for hospital financing reform.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date: