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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 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
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:
Lesson
The program’s implementation delays mirror the experience of other ADB health sector investments, indicating constraints to project readiness in the MOH. ADB and the MOH should engage in deeper dialogue to identify project readiness actions for future investment projects.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The central role of Viet Nam’s tier-one HPTIs in supporting the development of lower-level HPTIs nationwide was illustrated under the program. HMU, UMP, and Hue University of Medicine and Pharmacy each played mentoring roles to the second and third tier HPTIs involved in the program, across areas pertaining to accreditation, curriculum development, faculty development programs, and CME delivery, among others.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
The program demonstrated the value addition of the SDP modality in supporting a government-led reform agenda, where operationalizing reforms requires policy and regulatory actions coupled with stimulus from targeted investments. Drawing on its successful experience implementing the program, the MOH has elected to pursue an SDP modality to deliver its reform agenda for the local health care system.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Greater consideration should be given to ensuring the availability of data sources when preparing DMF indicators. Reliable data for the assessment of impact indicators pertaining to MMR and life-expectancy could not be sourced, despite DMF indicators being revised at implementation to enable objective measurement.

Project Number: 40354-013
Project Name: Health Human Resources Sector Development Program
Report Date:
Lesson
Well-conceived and structured TA associated with the program addressed the obstacles presented by system inefficiencies and limited capacity. Survey data and other forms of monitoring can be subject to local manipulation by incumbents and unintended beneficiaries. A related problem is rent-seeking in local agencies and the government can similarly distort monitored data, and misdirect public transfer payments and other benefits.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date:
Lesson
The complication arose from the government’s decision, during SP2, to inject the other half of the anticipated policy output units into the subprogram, by extending it by another 5 months. This put considerable work and budget pressure on the project team. And that may have been a factor in the inability to fully achieve several output actions in time for this report.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date:
Lesson
The interim restructuring of the program, at the request of the government, lowered the total program cost to the government. It also put greater emphasis on the program’s design features than on embedding the program deeper within public institutions. This may have been fiscally expedient but will have long-term costs that are hard to measure now. The government may have employed the program’s national consultants after it decided to fund SP2 and SP3, but ADB is unlikely to receive information on the results.

Project Number: 40003-013
Project Name: Poverty Reduction and Millennium Development Goals Acceleration Program
Report Date: