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Angola - Health Project (English)

The overall outcome of the Health Project is rated as unsatisfactory. The project was complex for a first investment in health sector in a country with little Bank experience and low capacity. Project implementation was affected by the hostilities and has been difficult even in government-controlled areas. The key lessons learned from this project include: 1) When a client is new and unfamiliar with Bank procedures, it is advisable for the Bank to devote additional resources to supervision and technical assistance to acquaint the government more fully with these procedures. 2) The project was approved following the resumption of hostilities in Angola. Given the high uncertainty at that time, it would have been prudent to formulate an exit strategy. 3) Highly motivated teams can make a difference, even when overall conditions are inimical to development. The satisfactory implementation of the essential medicine program is an illustration of what can be achieved in spite of a difficult environment. 4) Technical assistance is a waste of resources when there is little government commitment to sound sector management and institution building. 5) In view of the importance of continued government commitment to a project for its successful implementation and outcome, criteria to assess such commitment should be established early on and continuously monitored during supervision.

Details

  • Document Date

    2000/06/23

  • Document Type

    Implementation Completion and Results Report

  • Report Number

    20338

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Angola,

  • Region

    Africa,

  • Disclosure Date

    2010/06/18

  • Disclosure Status

    Disclosed

  • Doc Name

    Angola - Health Project

  • Keywords

    health post;aids prevention program;AIDS prevention programs;reproductive health and family planning;public health;health facility;national family planning program;quality at entry;Information, Education and Communication;maternal and child health;civil works;participation of local community;contribution to health care;efficient allocation of resource;delivery of health services;health sector policy;essential medicines;national health policies;human resource development;principal performance ratings;public health programs;delivery of service;institutional development impact;reasonable time period;weak financial management;migration of people;technical assistance program;procurement and distribution;water and electricity;technical assistance service;public information campaign;bank supervision missions;migration people;basic health indicators;national health system;health sector management;Sexually Transmitted Disease;construction and equipment;exchange rate;Exchange Rates;construction and rehabilitation;weak public institution;aids control program;distribution of contraceptives;family planning activities;Sexually transmitted diseases;construction of infrastructure;lack of transportation;health sector study;public health department;diagnosis and treatment;health program management;impact on health;population control policy;management and administration;health budget allocation;decentralization of responsibility;human resource planning;Health Care Delivery;extension of credit;financial analyst;trained health worker;

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Citation

Angola - Health Project (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/834871468194063207/Angola-Health-Project