Ratings of Second Emergency Social Protection Implementation Support Project (ESPISP II) for Lebanon were as follows: outcomes were moderately satisfactory, risk to development outcome was substantial, Bank performance was moderately satisfactory, and Borrower performance was moderately satisfactory.
... See More + Some of the lessons learned included: (i) Emergency projects include a wide spectrum of responses to crises, but political uncertainty adds to the complexity of emergency assistance; (ii) Institution building in weak, stressed environments is needed and, possibly, requires time and careful analysis; (iii) In complex situations, with a difficult political context, a fragile environment, and low capacity, having the World Bank’s implementation support team in the country office helps tremendously; (iv) Multi-sectoral projects, with several implementing agencies, are notoriously complex, all the more so in an emergency mode; (v) Nevertheless, in some cases, especially in the case of multi-sectoral projects providing a continuation of assistance for multiple, complementary reforms that are under way, it may make sense to proceed with interim, bridging support despite identified risks; (vi) With the basics in place, it makes more sense to start with a program and improve it based on implementation rather than waiting for the ‘perfect’ program; (vii) A functioning safety net program provides an effective vehicle for tackling poverty in response to crises; (viii) The use of scientific evidence, linked with the potential for cost savings and financing, can counter the prevailing challenges of political and confessional favoritism; (ix) Multi-sectoral projects generally require expertise in different areas on both the Government and donor sides; (x) It is possible, in a post-conflict environment, to achieve concrete institutional reforms; and (xi) Behavioral changes are possible, even in small operations.
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Implementation Completion and Results Report ICR4111 JUN 30, 2017
Ratings of Cultural Heritage and Urban Development Project for Lebanon were as follows: outcomes were satisfactory, risk to development outcome was low, Bank performance was satisfactory, Borrower performance was moderately satisfactory, Fiduciary Aspects was satisfactory, and Safeguards was satisfactory.
... See More + Some of the lessons learned included: (i) An integrated approach helped achieve sound results; (ii) Right-sizing investments facilitated implementation; (iii) Sound application of safeguards helped turn challenges into development opportunities; and (iv) Social cohesion proved to be a valid add-on during implementation.
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Implementation Completion and Results Report ICR4079 JUN 15, 2017
The development objective of Health Resilience Project is to increase access to quality health care services to poor Lebanese and displaced Syrians in Lebanon.
... See More + This project has three components. 1) The first component, Scaling up the scope and capacity of the Primary Health Care (PHC) Universal Health Coverage (UHC) program, aims to expand and strengthen the ongoing UHC program to reach a larger number of beneficiaries with a more comprehensive package of enrollment-based preventive health services to meet the growing needs of poor and vulnerable Lebanese. 2) The second component, Provision of health care services in public hospitals, aims to finance the following: (i) provision of special capitation payments to participating public hospitals for delivery of medical and paramedical services to uninsured Lebanese and delivery of emergency healthcare services to eligible beneficiaries, as elaborated in the respective Health Service Provider Agreements; and (ii) Strengthening of the technical and organizational capacities of participating public hospitals for provision of quality healthcare services, through: (a) provision of training to clinical and nonclinical staff; and (b) strengthening the health information management system targeting participating public hospitals, participating Primary Health Care Centers (PHCCs) and the Ministry of Public Health (MoPH). 3) The third component, Strengthening project management and monitoring, aims to finance: (i) Strengthening the capacities of the MoPH and Project Management Unit for implementation, coordination and management of activities under the project; (ii) Carrying out of a comprehensive assessment of hospitals; and (iii) Carrying out of an independent evaluation of project activities and results.
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