Project-Financed PHN Research

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US$198 million project for which the Bank lent however, the Ministry of Health expressed appreUS$150 million. For the follow-on project, 10 hension about assuming the loan commitmnent withoperational research studies were commissioned out having direct administrative responsibility. A with project preparation facility funds. compromise was worked out by which the Ministry would enter into a "consultative" relationship The Amazon Basin Malaria Control Project with IPEA, but would itself be responsible for the also contains funds for research to be administered contracting and administration of the proposed as grants to research institutions. Changes in the studies. It was decided to make a separate US$2 organization of research institutes in Brazil have million loan for the project. slowed implementation of the grant program, but recently progress has been made in funding reFrom the start implementation was slow. search proposals. From Board approval in June 1984 to loan signing recently progress has been made in funding reFrom the start implementation was slow. search proposals. From Board approval in June 1984 to loan signing took approximately six months, and it was another The research financed by the Northwest year before effectiveness in January 1986. Six Region Integrated Development Program Project months before the project was originally scheduled had repercussions far beyond Brazil. The emerg- to close, 41 percent of the loan funds had been ing pattern of malaria control strategies based on committed to 20 studies, but actual disbursements the research substantially influenced thinking in the totalled only US$270,000. The project was international malaria community. Previous efforts extended an additional two years, and closed on to 'eradicate' malaria were being recognized as December 31, 1989 with the cancellation of unrealistic. There was a growing appreciation that US$279,000. At closing, the Bank had received it would be necessary to shift to malaria control, only one completed study. and that different strategies would be needed. The success of the Brazilian project in using opEarly in 1989, a new administrator was put erational research to shape effective local proin charge of science and technology in the Minisgrams made it a model closely observed by the try. He felt that policy research was important international community. and that the loan funds should be utilized to Early in 1989, a new administrator was put in charge of science and technology in the Ministry. He felt that policy research was important and that the loan funds should be utilized to support the research. As a result, 64 research projects were identified under the project. As of this writing, reports for 23 studies have been received by the Bank, but many research projects

# _Brazil: Healdt Policy Studies_

The National Health Policy Studies Project have simply been left uncompleted. in Brazil, a stand-alone part of the Second Health Project approved in fiscal year 1984, is one of the Many implementation problems can be few Bank projects in any sector aimed exclusively attributed to thg fact that the Ministry is<sup>not a</sup> at funding policy research. It also illustrates the research institution, nor had it any experience with importance of carefil project design and close research administration. Although IPEA did have supervision. (This discussion draws extensively such experience, the respective roles and responsifrom a draft Project Completion Report on the bilities of the two institutions were not well deproject.) fined, and coordination problems persisted Many implementation problems can be<sup>not a</sup> research institution, nor had it any experience with research administration. Although IPEA did have bilities of the two institutions were not well defined, and coordination problems persisted throughou **t** he project. The compromise design assigned the role of evaluating study proposals to a coordinatin **g** roup, CIPLAN, within the Minission-making.

The project was appraised jointly with the assigned the role of evaluating study proposals to Sao Paulo Basic Health Project approved at the a coordinatin **g** roup, CIPLAN, within the Minissame time in fiscal year 1984. As originally try, which further complicated and delayed decidiscussed, the project was to be administered by sion-making. the Government Planning Institute (IPEA) or another research institution. During negotiations,