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Viet Nam: Preventive Health System Support Project

The Government of Viet Nam requested the Asian Development Bank (ADB) for support to strengthen the preventive health system in 46 provinces and four national institutes by upgrading provincial laboratories and provincial preventive medicine centers and updating the knowledge and skills of the staff. Considering the significant gaps in the health status of their population, 17 priority provinces – poor provinces with significant number of ethnic populations – were identified for additional support in communicable diseases control and maternal and child health.

This report validates the completion report’s assessment of the project. IED overall assessment: Successful.

Indonesia: Second Decentralized Health Services Project

Indonesia has made substantial progress in improving the health status of women and children, albeit with substantial disparities across provinces. There was a concern that as a result of the decentralization reforms, Indonesia’s progress in reaching the Millennium Development Goals on maternal and child health would become slow or even at the risk of being reversed. Thus, in 2003, the government requested the Asian Development Bank (ADB) to finance the Second Decentralized Health Services Project to help improve the health and nutritional status of vulnerable segments of the population, particularly women and children, in eight provinces. Since the decentralization reforms in the early 2000s, district governments have been responsible in managing the country’s health system.

This report validates the completion report’s assessment of the project. IED overall assessment: Successful.

Pakistan: Punjab Millennium Development Goals Program

In December 2008, ADB approved the Government of Pakistan’s request for support to attain Punjab’s Millennium Development Goals (MDGs), especially MDGs 4 and 5 relating to children and women’s health. The expected outcome of the program was to improve access to quality health services and make them more equitable. The program was designed as a cluster of three subprograms. Subprogram 1 was approved in December 2008 for a single tranche loan of $100 million. Subprogram 2, originally scheduled to be implemented between November 2008 and November 2009, was approved in June 2010 for a single tranche loan of $150 million. Subprogram 3, however, did not materialize as the International Monetary Fund (IMF) terminated its Stand-By Arrangement with Pakistan in October 2011 because the government failed to meet its commitments on implementing certain agreed reforms. The IMF country assessment letter for Pakistan, a prerequisite for ADB program loans, was not issued. After delays in moving the IMF program forward, ADB and the government agreed to cancel Subprogram 3 and the program was terminated.

This report validates the completion report’s assessment of the project. IED overall assessment: Unsuccessful.

Prevention and Control of HIV/AIDS and Other Communicable Diseases in Central Asia Regional Economic Cooperation Countries: Technical Assistance Completion Report

Technical assistance completion reports describe for technical assistance projects the expected impact, outcome and outputs; conduct of activities; evaluation and achievement of the expected outcomes; an assessment and rating; major lessons; and recommendations and follow-up actions. This document dated July 2015 is provided for the ADB project 46096-001.