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Lesson
Designing an improved and more relevant curriculum that focuses on competency-based learning objectives and promotes high cognitive skills requires further support and commitment from the Ministry of Public Education. Expected project outputs related to improvements in the curriculum were only partially achieved. Curriculum development was also assessed as less efficient in achieving outputs due to delays in fielding consultants and differences in perceptions of curriculum by national education developers and international consultants.

Project Number: 36510-013
Project Name: Second Textbook Development Project
Report Date:
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 project completion mission noted that some farmers interviewed were unaware of their obligations to the government for on-farm rehabilitation cost recovery, despite having signed a repayment agreement with each water users' association and the government before rehabilitation works. This suggests that farmers had limited awareness of the cost-recovery requirements and that the farmers who were not willing to pay for rehabilitation might have been included in on-farm irrigation and drainage (I&D) systems.

Project Number: 30458-013
Project Name: Ak Altin Agricultural Development 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
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
Policy reforms should not be too numerous and should be well integrated into an overall project. Highest priority should be given to policy reforms (and covenants) that are necessary for project implementation or sustainability. A stakeholder analysis should be conducted for all proposed policy reforms, and a strategy developed for moving systematically to the desired policy reform reflected in the project's design and monitoring framework.

Project Number: 31242-013
Project Name: Second Health Sector Development Project
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:
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: