Search

Displaying 556 - 570 of 870

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
Advance actions were one of the measures to reduce project startup delay. However, there seems to be inadequate clarity on implementing advance actions in the government rules, and a good mechanism to make the subproject civil works ready for execution before or right after the project becomes effective. Currently, government control over the provincial debt ceiling and implementation of relevant budget management policies also contribute to startup delays and, therefore, limit project readiness.

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
A coherent design and monitoring framework (DMF) is necessary as a basis for project planning, monitoring, and evaluation. The DMF for this project made evaluation a more difficult exercise than it should have been and weakened design relevance. The outcome indicator is too technical, unfamiliar to the executing agency, and was difficult to reevaluate.

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
Having a strong, experienced executing agency was important to the success of this project. The professional, permanent and technical central project office (CPO) added value to project implementation and the quality of project outputs. However, for new similar projects, these implementation arrangements, where a central ministry such as Ministry of Agriculture and Rural Development (MARD) work as the executing agency, is in principle no longer possible in accordance with the new government policy.

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
Safeguards policy implementation is strengthened by proactive interventions to empower women through their participation, voice and leadership. This has been the experience of organizing consultations for vulnerable women-headed households during the land acquisition and resettlement due diligence process and those affected by (post) resettlement.

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
Responsibility for quality control of project outputs should be clearly defined among the loan implementation support consultant and executing agency. The project management and implementation support consultant (PMISC)

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
Project procurement plan should be developed in close consultation with the executing agency and resident mission staff in charge of project implementation, considering the lessons under other projects, and be flexibly adjusted. Time-consuming recruitment of many consultants along with unsuitable selection methods resulted in implementation delays. For future projects of similar nature and scope, suitable procurement packaging and selection methods should be set up based on the requirements for project progress and capacity of the EA and/or IAs.

Project Number: 42080-013
Project Name: Strengthening Water Management and Irrigation Systems Rehabilitation Project
Report Date:
Lesson
In designing the desired outputs that are linked to higher-level results, it is important to be consistent within particular operations and across operations that form the program.

Project Number: 36172-063
Project Name: Strengthening Public Management Program
Report Date:
Lesson
Strengthening PFM systems at subnational levels requires delineation of key institutional arrangements of the chosen federal system, careful selection of intervention, attention to connecting subnational PFM to the main PFM reform agenda, and productive engagement of key national agencies to reduce unhealthy competition in achieving reforms.

Project Number: 36172-063
Project Name: Strengthening Public Management Program
Report Date:
Lesson
Strengthening public financial management )PFM) in a country that is undertaking peace building and state restructuring is challenging; therefore, working toward a long-term horizon, in a flexible way, and with attention to sequencing and overall coherence, is essential.

Project Number: 36172-063
Project Name: Strengthening Public Management Program
Report Date:
Lesson
The PPP model can help finance relatively large infrastructure projects that directly increase export and government revenue. This approach is particularly relevant in developing countries with weak private sector participation in infrastructure and which lack the capacity for commercial borrowing because of debt sustainability considerations. Some examples of countries in a similar situation are the Kyrgyz Republic, the Lao People’s Democratic Republic, Nepal, and Tajikistan where large hydropower potential can be developed to increase their power exports using the PPP model.

Project Number: 37399-013
Project Name: Green Power Development Project
Report Date: