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Lesson
Regular supervision with coaching is essential for maintaining and improving the quality of health services delivery. Especially in rural areas, supervision is also required to support often isolated local staff and helps to retain health-workers. Civil works successfully rehabilitated health facilities under the project, but regular supervision of public health facilities by health staff of the economic operators, as agreed in the MOAs, were not sufficiently sustained.

Project Number: 39033-022
Project Name: HIV/AIDS Prevention and Control in Rural Development Enclaves
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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
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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
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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
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Lesson
Project ownership is important. With DBP, a financial institution as executing agency, DOH did not have primary responsibility for this health project. Inter-sector collaboration can bring significant benefits but is not easy: it requires significant efforts and a clear governance structure with specific reporting and coordination mechanisms. Leadership is essential and needs to be carefully established to ensure effectiveness and efficiency. The HSIAC should have been more actively involved and better coordinated the project.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
Private health providers can play an important role when developing a network of quality health services in rural and other underserved areas. The needs of private sector entities and small-scale health providers, however, are different. Easy access to credit by small-scale providers, in itself, is insufficient. Needs and constraints also should be addressed. This covers (i) technical support—referral networks, continuous training, and colleagues’ advice; and (ii) family support—access to schools for children, work opportunities for the spouse, safety, and other needs and constraints.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
The project was complex and involved many stakeholders (DBP, DOH and PHIC, LGUs, private sector venture, small-scale private providers, and local beneficiaries). A careful stakeholder analysis involving consultations with all participants to identify needs, constraints, and potential benefits could have improved the project design, its assumptions, and risk mitigation strategies.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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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
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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
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Lesson
Political support is crucial to the success of PPPs.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
Local government units (LGUs) are important as facilitators of health projects but should not be overburdened with health care investments.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
Private sector providers need motivation to expand their services in poor and remote areas and strive for better quality of care.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
A bigger role for midwives can enhance the performance of similar future projects in the Philippines.

Project Number: 41664-013
Project Name: Credit for Better Health Care Project
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Lesson
Policy reforms, coupled with institutional measures to address system inefficiencies and capacity constraints, enhance the effectiveness of human development interventions.

Project Number: 40003-013
Project Name: Poverty Reduction and Millenium Development Goals Acceleration Program
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Lesson
Accurate baseline data and consistently measurable indicators enable a reliable assessment of end−of−project accomplishments.

Project Number: 40003-013
Project Name: Poverty Reduction and Millenium Development Goals Acceleration Program
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