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LESSONS:

HIV/AIDS Prevention and Capacity Development in the Pacific

sector: Health | country: Cook Islands Kiribati Marshall Islands, Republic of the Micronesia, Federated States of Nauru Palau, Republic of Papua New Guinea Samoa Solomon Islands Timor-Leste Tonga Tuvalu Vanuatu

There are several lessons from the project. First, even if a project is aligned with regional strategies, designs need to incorporate sufficient national consultation and consider country absorptive and technical capacity and commitment. Second, efforts to strengthen routine surveillance and laboratory capacity will achieve only limited success where health information systems and laboratory services are weak. Third, an executing agency’s ability to implement project activities within set timeframes is diluted where there is limited PMU capacity, a lack of experience with ADB procedures, and inadequate executive oversight. Fourth, establishing a project steering committee is challenging where separate development partner committees already exist to oversee arrangements for Pacific countries. Fifth, national M&E remains a challenge due to lack of capacity and minimal regional support to assist participating DMCs. While regional evaluations of some activities have taken place, they need to focus on impact or outcome indicators rather than on the process of implementation.

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