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Lesson
During project implementation, key project officers in ADB and the Ministry of Agriculture and Water Resources changed, contributing to delayed decision making and project implementation. A new project officer should take over the project administration and management with adequate time, and ADB should ensure that the previous project officer accompanies a new project officer on mission to ensure a seamless transition in project administration.

Project Number: 30458-013
Project Name: Ak Altin Agricultural Development Project
Report Date:
Lesson
The project was particularly effective in meeting the needs of the government. The project responded very effectively by repairing the damaged rural gravel roads and pedestrian bridges after the May 2003 floods. As requested by the government, the project also responded positively by changing its scope from gravel roads to paved surface roads. The responsiveness and flexibility demonstrated by the project was laudable, and the project provided a worthy example for the design and management of future projects.

Project Number: 31282-013
Project Name: Southern Province Rural Economic Advancement Project
Report Date:
Lesson
If there are many small subprojects, the sector project modality should be adopted only with an executing agency having strong implementation capacity.

Project Number: 31197-013
Project Name: Community-Based Infrastructure Services Sector Project
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Lesson
As the project proved, communities are powerful agents for designing and implementing projects that they themselves benefit from. Those community developed projects are likely to be sustainable.

Project Number: 32143-013
Project Name: Community-Based Early Childhood Development Project
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:
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: