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Displaying 4831 - 4842 of 4842

Lesson
Lessons from the irregularities with civil works in Zavhan aimag are the need to (i) provide external monitoring of civil works in addition to regular monitoring by Ministry of Health (MOH) and various statutory inspection bodies (ADB has organized external monitoring for subsequent projects in the health sector), and (ii) strengthen the bid evaluation capacity of MOH (the weak capacity of some of the firms involved in irregularities could have been detected at an early stage).

Project Number: 31242-013
Project Name: Second Health Sector Development Project
Report Date:
Lesson
The level of complexity of the National Land Information System (NLIS) was also a challenge for ADB. While the technical assistance consultant provided useful reporting and briefing notes, the consultant and ADB were unable to prevent delays that resulted from the negotiations between the executing agency and contractor. More technical support during NLIS design could have helped.

Project Number: 30531-013
Project Name: Cadastral Survey and Land Registration Project
Report Date:
Lesson
Future projects designed to address rural gravel road maintenance issues need to be more carefully designed through (i) identification of project roads during appraisal; (ii) identification of suitable gravel sources in proximity of the project roads; and (iii) prior commitment from each pradeshiya sabha to participate in the project, including prior establishment and commitment of funds to a road maintenance account.

Project Number: 31282-013
Project Name: Southern Province Rural Economic Advancement Project
Report Date:
Lesson
The program was overly ambitious in its scope and in its implementation structure. Only after modification of the scope and implementation arrangements was progress made. This could have been avoided, had a proper risk assessment and risk mitigation plan been prepared, based on the lessons learned from the previous program. Although the Pasig River Development Plan provided a good framework for the implementation of environmental improvement projects, more and longer-term assistance is required to establish the institutional setting for its effective implementation.

Project Number: 30308-013
Project Name: Pasig River Environmental Management and Rehabilitation Sector Development Program
Report Date:
Lesson
Community participation in all stages of implementation, from identification to design to construction processes, is critical for the success of investments.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
Report Date:
Lesson
The text book rental scheme (TRS) can serve as one of the models on textbook provision for other countries in Central Asia given the efficiency and effectiveness by which it was implemented. Contributing to the successful implementation of this scheme is the government's commitment and the design's alignment to government's priorities. Resources were used efficiently to establish functional arrangements that ensured sustainability of funding and made available and affordable textbooks to students and teacher's guides to teachers.

Project Number: 36510-013
Project Name: Second Textbook Development Project
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:
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: