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India - Family Welfare (Assam, Rajasthan and Karnataka) Project (English)

The Family Welfare (Assam, Rajasthan and Karnataka) Project's outcome is rated as satisfactory, sustainability as likely, institutional development impact as substantial, Bank performance as unsatisfactory, and Borrower performance as satisfactory. Some of the key lessons learned from the implementation include: Political commitment at both the state and central government level is critical for state ownership, successful implementation, and project sustainability. Continuity of the core project team, as well as the Project Director and critical staff in key positions is pivotal for the successful implementation of time bound projects. Management structures and implementation arrangements for the project need to be relevant to the state context and environment. Ensuring adequate funds flow is critical for smooth implementation of the project. The large work force in the health sector justifies the need to have in-house training capacity and facilities. All the training should be part of a human resource development strategy. Strategic choices regarding the roles of the public and private sectors need to be made based on the core strengths of the sectors, institutional needs, and the current capacity of the sector. Involving local communities in sighting of health facilities is crucial in ensuring access. Supervision by the Bank and the government should be heightened to yield better outcomes.




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India - Family Welfare (Assam, Rajasthan and Karnataka) Project (English). Washington, D.C. : World Bank Group.