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Colombia - Municipal Health Services Project (Inglês)

The assessment of outcome is satisfactory, sustainability likely, though institutional development impacts are only modest. Lessons reinforce once again, the beneficial aspects of flexible projects, which as in this case, the continuous evolution in the interpretation of project objectives, permitted adaptation to radical changes in the policy context. Particularly in this project, such flexibility became an important tool for the project's survival in a changing political, and economic environment, whose highly focused monitoring, and evaluation criteria, adapted to the overall project indicators, allowing an essential, and rigorous post-evaluation. Moreover, the reconciliatory effect that projects supporting health, and social sectors can have in countries suffering from difficult security problems, was demonstrated by this project's state presence at the local level, responsive to people's needs, especially in areas with precarious security.




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