Lessons.adb.org

Health Sector Development Program Evaluation Lessons

WebHealth Sector Development Program supported the entire Health Sector Reform Agenda, with six reform areas, a large number of stakeholders, multiple levels, and intervening policy alterations, making it a complex undertaking. However, the government reported that ADB's support for the entire reform program helped advance reforms. …

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URL: https://lessons.adb.org/lesson/1785

Health Sector Development Program Evaluation Lessons

WebThe program tested a new fund flow mechanism for the health sector. Based on the successful trial the government has increased funding for health at the provincial level, resulting in expanded health services coverage, particularly for maternal, newborn, and child health care (MNCH) services and the provision of free health care for the poor.

Category:  Health Go Health

Second Health Care in the Central Highlands Project

WebA holistic project design is essential for increasing public health-care utilization. Ultimately, the project aimed at increasing public health-care utilization, which is influenced by both supply- and demand-side interventions. The interventions appropriately addressed the supply side through improvements in health facilities, equipment, and …

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Health Human Resources Sector Development Program

WebThe 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.

Category:  Health Go Health

Second Urban Primary Health Care Project Evaluation Lessons

WebBehavior change communication and marketing is important for expanding coverage of primary health care services delivery and raising awareness among partnership agreement area residents, especially women and children. Identification and targeting of the poor must be based on a simple set of criteria and supported by existing poverty maps or

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Rural Health Project Evaluation Lessons

WebRural Health Project While government ownership of project formulation was strong, proposed pilots were too ambitious given MOH constraints and the lack of detailed plans or technical support. On the other hand, the project flexibly responded to several policy changes and national developments by adjusting its scope, which counterparts …

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Health Expenditure and Livelihoods Support Program Evaluation …

WebThe development partner assistance was ambitious. Its timeliness and the volume of ADB's Comprehensive Response to the COVID-19 Pandemic (CPRO) financial assistance were well-received by the government. However, this led to a rushed design and inadequate attention to monitoring of implementation, particularly regarding existing …

Category:  Health Go Health

Health Expenditure and Livelihoods Support Program Evaluation …

WebHealth Expenditure and Livelihoods Support Program. Coordinating or shared reporting and the use of government’s own systems would ease the burden of monitoring and reporting the implementation of crisis response programs. Developing a monitoring system that can be effectively implemented during a pandemic when there are competing demands on

Category:  Health Go Health

Health Sector Support Project Evaluation Lessons

WebIn support of MOH's sectorwide management strategy, ADB's participation in the sectorwide management approach along with other partners in a jointly administered project proved the benefits of close collaboration among health partners. While the Health Sector Support Project (HSSP) was cofinanced by different donors and implemented …

Category:  Health Go Health

Health Care in the Central Highlands Project Evaluation Lessons

WebThe selection of adjoining provinces in the Central Highlands had several benefits. First, these provinces have a large number of poor ethnic minorities and other residents with low health status and limited access to health services. As such, these areas align with both the government's policy of supporting disadvantaged groups and ADB's …

Category:  Health Go Health

Health Sector Support Project Evaluation Lessons

WebBuilding on lessons from the Basic Health Services Project, the project gave greater emphasis to close monitoring and supervision by MOH to ensure that civil works were closely coordinated with the supply of equipment and drugs under minimum package of activities (MPA) and complementary package of activities (CPA) guidelines. However, …

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Rural Health Project Evaluation Lessons

WebTargeting. The project improved services for the poor and had a substantial focus on maternal care but provided less targeted support for ethnic minorities. Several of the interventions for ethnic minorities didn't materialize. The project evaluation study showed that the poor in general and ethnic minorities in particular benefited from the government …

Category:  Health Go Health

Health Expenditure and Livelihoods Support Program Evaluation …

WebA comprehensive social welfare framework can greatly strengthen the impact of emergency response measures and programs that were intended to mitigate the impact of the COVID-19 pandemic on the most vulnerable households. As intended, the program helped to successfully mitigate the impacts of the COVID-19 pandemic on citizens and …

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Lao People’s Democratic Republic: Health Sector Development …

WebThe successful implementation of HSDP is the result of ADB’s long-term commitment to the health sector in the Lao PDR. Long-term commitment and policy dialogue built on trust and confidence between ADB and MOH, and the government, in general. The SDP modality was proposed by ADB in 2007 for the Health System Development Project but MOH was not …

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Second Health Sector Development Project Evaluation Lessons

WebPolicy 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 …

Category:  Health Go Health

Second Health Sector Development Project Evaluation Lessons

WebLessons 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 …

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Fourth Health Sector Development Project Evaluation Lessons

WebFourth Health Sector Development Project. Ensuring close coordination between relevant agencies and capacity building are essential for land acquisition and resettlement activities are carried out in a timely and satisfactory manner. For this project, close coordination was forged between the implementing unit and the Land Agency.

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Fourth Health Sector Development Project Evaluation Lessons

WebFourth Health Sector Development Project. Unforeseen events outside the control of the executing agency, such as amendments to laws and regulations and changes in decisions, require additional effort, time, and resources—and accordingly, flexibility in the project. This is especially relevant in the context of a country such as Mongolia

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Fifth Health Sector Development Project Evaluation Lessons

WebUnforeseeable changes in the regulatory framework introduced after project approval can result in changes in project design and scope. In this case, it prompted lengthy discussions that ended up with the cancellation of one output. The experience needs to be considered for projects that plan to address complex issues with multisectoral …

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Rural Health Project Evaluation Lessons

WebRural Health Project. Monitoring and evaluation. Data were regularly collected, and efforts were made not to create a separate monitoring system but use existing information. However, project monitoring was incomplete and insufficiently used as a management tool to achieve results. Substantive project evaluation was very useful.

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Second Health Care in the Central Highlands Project

WebFinance and financial aspects. Epidemics. Project management. Timely planning of project extensions and a more realistic extension period will improve loan utilization. Undisbursed amounts under this project resulted largely from new government policies as well as contextual and operational factors. Various activities were canceled …

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Lao People’s Democratic Republic: Health Sector Development …

WebNeed to better identify barriers to access and use of primary health care services by the intended beneficiaries. HSDP addressed supply-side issues, but demand for services needs to be increased and oriented through better information and communication, and social marketing addressed to the beneficiaries. The health sector needs to mobilize …

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