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Tajikistan - Community and Basic Health Project (Inglês)

Ratings for the Community and Basic Health Project for Tajikistan were as follows: outcomes were moderately satisfactory, risk to development outcome was moderate, Bank performance was moderately satisfactory, and Borrower performance was moderately satisfactory. Some lessons learned included: expectations for implementation of reform projects in countries with changing political environments should be realistic and potential implementation delays should be anticipated and proactively addressed, especially in the case of complex projects covering a wide range of activities. This project demonstrated that close work with oblast or rayon authorities, communities, and population was critical for building broad ownership and support to project activities at lower levels. Coordination initiatives should be initiated upstream among Development Partners (DPs') headquarters offices at a program planning stage to avoid constraints in coordination at the country level when DPs' respective programs or projects have been pre-defined at their headquarters. The right composition of a task team, including specialized technical and strong task management and operational skills, is required to supervise complex projects in challenging environments. Streamlined results framework and adequate monitoring arrangements are essential to guide implementation and measure results. The Bank teams should anticipate that construction on new sites may become necessary even if not initially envisaged and, therefore, ensure an appropriate mechanism is in place to confirm the location and nature of works prior to initiation.

Detalhes

  • Data do documento

    2013/06/28

  • TIpo de documento

    Conclusão da Implementação e Relatórios sobre Resultados

  • No. do relatório

    ICR1581

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Tajiquistão,

  • Região

    Europa e Ásia Central,

  • Data de divulgação

    2013/07/15

  • Disclosure Status

    Disclosed

  • Nome do documento

    Tajikistan - Community and Basic Health Project

  • Palavras-chave

    intermediate outcome;monitoring and evaluation plan;comprehensive health care;Administrative and Civil Service Reform;maternal and child health;ip disbursements archived;public expenditure tracking survey;efficient use of resource;economic and financial analysis;participatory monitoring and evaluation;quality health care;population and reproductive health;aide memoire;primary health care;living standard survey;assessment of outcome;effective service delivery;client satisfaction survey;outputs by components;assessment of risk;quality of health;world health organization;Country Assistance Strategies;international cooperation agency;formal nutrition education;Health Care Delivery;Continuing Medical Education;country assistance strategy;Compulsory Health Finance;state property management;health financing reform;accessing health services;Environmental Management Plan;health delivery system;community at large;basic health care;quality of supervision;quality at entry;Learning and Innovation Credit;water supply system;equity of access;health finance indicators;public health programs;ischemic heart disease;annual budget process;reallocation of fund;public information efforts;health sector performance;pregnant woman;family medicine;standard design;rural area;baseline data;baseline cost;finance reform;civil works;patient satisfaction;household expenditure;Health Workers;health department;rural health;Project Monitoring;poor health;equitable distribution;grant funds;Disease Surveillance;basic package;communication strategy;health benefit;donor coordination;health reform;health budget;oblast level;donor community;government body;mountainous region;world development;disbursement profile;community structure;rent seeking;health status;rationalization plan;financial barrier;Civil War;physical barrier;low-income group;radio spots;Social Welfare;hospital management;financial protection;typhoid fever;winter season;reform objectives;Health cost;inservice training;outcome indicator;complementary measure;social infrastructure;construction work;donor support;vulnerable household;community nurse;informal payment;treasury account;chronic malnutrition;state budget;health needs;grant financing;primary care;building standard;grant program;Child development;fiduciary capacity;cumulative target;Antenatal Care;environmental safeguard;international ngos;resource generation;monitoring equipment;monitoring indicator;field work;investment lending;community survey;strategic objective;budget allocation;photovoltaic energy;financing mechanism;international partners;capitation payment;primary author;statistical data;community awareness;external partner;addressing need;poor household;results framework;communication programs;international donor;legislative review;personal health;policy formulation;beneficiary survey;stakeholder workshop;Exchange Rates;medical statistics;community health;state committee;european commission;household wealth;community benefits;community level;outreach model;epidemiological profile;geographic disparities;health fund;health outcome;hospital bed;hospital level;public budget;government budget;provider payment;accounting department;software package;fee revenue;

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