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Lesson
Establishing a comprehensive coordination unit for rural health transformation is a gargantuan and complex task requiring dedicated programming and targeted resources. A feature of the intended design, where the project support unit would be integrated into the Department of Health (DOH) to establish a comprehensive coordination unit for rural health transformation, was not realized. The ambition was relevant, and the government’s capability to manage projects to improve primary health care and coordinate partner programs should be strengthened.

Project Number: 41509-013
Project Name: Rural Primary Health Services Delivery Project
Report Date:
Lesson
It is particularly important for complex sector development programs to (i) better plan the completion timeline, (ii) avoid linking performance indicators to multiple targets, and (iii) include in the project scope components that will address major beneficiary needs (house service connections in this program) that would enhance program relevance. The weak institutional capacity of implementing agencies and water source sustainability affected the project’s effectiveness and sustainability. The gender equality and social inclusion design could also have been better aligned.

Project Number: 42267-026
Project Name: Rajasthan Urban Sector Development Program
Report Date:
Lesson
Direct community contracting fosters strong community ownership of completed infrastructure that in turn breeds widespread support for the proper operation and maintenance (O&M) of the infrastructure assets.

Project Number: 46094-001
Project Name: Neighborhood Upgrading and Shelter Project (Phase 2)
Report Date: