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Lesson
The program required the cooperation of a large number of government agencies, while responsibility for implementation was given to the newly established Pasig River Rehabilitation Commission, without a well-established mandate or political influence. Without high-level political support, coordination became difficult and program outcomes were not achieved. When the responsibility for project implementation was delegated to sector agencies, it became more effective.

Project Number: 30308-013
Project Name: Pasig River Environmental Management and Rehabilitation Sector Development Program
Report Date:
Lesson
Since the project had two implementing agencies supervised by different agencies, project coordination was difficult. A more suitable arrangement involving dual implementation agencies may be through a region-based apex financial institution, which is also assigned responsibility for establishment and operation of enterprise development service support activities and works closely with the regional organization responsible for sustaining the enabling environment.

Project Number: 31282-013
Project Name: Southern Province Rural Economic Advancement Project
Report Date:
Lesson
In general, something as substantial and sensitive as cotton and wheat (C&W) quota system reform cannot be completed within a short time frame and should be undertaken at the national level. Although the Ministry of Agriculture and Water Resources was responsible for implementing the C&W quota system, reform required inputs from other government departments. Such policy reforms are better accomplished through vehicles other than projects, and certainly not a single pilot investment project in one district or region.

Project Number: 30458-013
Project Name: Ak Altin Agricultural Development Project
Report Date:
Lesson
Implementing a project in a new field, especially in a dynamically changing transition economy, requires flexibility on the part of both the government and ADB. Willingness to adjust the project's design to a new environment or new findings and acceptance of extra time required for the adjustments is essential. To be successful, the project must also be transparent to receive support from local governments and communities.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
Report Date:
Lesson
Mobilize local leaders. Local leaders and or champions need to be identified to initiate local health care reform initiatives and the financial sustainability of activities. The project demonstrated that local regulations to support health sector reform and ensure sustainability are possible through large-scale socialization and advocacy.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Management skills have to be improved. Training largely focused on technical matters rather than improving management skills. In strengthening decentralization of health services there is a need to focus on health management training and monitoring and evaluation of health staff.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Capacity building has to be linked to incentive structures. Investment in training has to be linked to incentive schemes (financed by local governments) to ensure staff retention, especially in remote areas. The project showed that several local governments initiated incentive schemes for medical doctors and midwives.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Assess and evaluate human resource development needs. Training needs assessment and post-evaluation of training courses need to be included to assess adequacy, quality and training impact.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Demand-driven approach to improve the local health situation. The project highlighted the importance of evidence-based and demand-driven project planning and implementation to address local health needs better. The establishment of district team problem-solving empowered staff and encouraged intersectoral coordination.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date:
Lesson
Strengthen management capacity for decentralized health services. While central and local staff were empowered and received diverse technical training, overall more attention needs to be given to the management of health services in the decentralized environment.

Project Number: 34007-012
Project Name: Decentralized Health Services I
Report Date: