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Table of Contents
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Executive Summary
I. Current Development Trends and Issues
II. The Government's Development Strategy and Development Issues
>>III. ADB’s Development Experience
IV. ADB’s Operational Strategy
V. ADB’s Assistance Program
VI. Risks, Performance Monitoring and Evaluation
Country Strategy and Program Update 2004-2006: People's Republic of China

III. ADB’s Development Experience

A. Review of the 1997 Country Operational Strategy

50. The 1991 and 1997 country operational strategies (COSs) guided ADB’s PRC operations. Since the 1997 COS, there have been changes within ADB including making poverty reduction the overarching objective, adopting the medium- and long-term strategic frameworks, implementing a reorganization, and establishing the PRC Resident Mission (PRCM). The 1997 COS had three broad objectives: (i) improving economic efficiency, (ii) promoting economic growth to reduce poverty in the inland provinces, and (iii) enhancing environmental protection and natural resource management. A broad assessment of the 1997 COS follows.

51. According to the 1997 COS, ADB lending was to focus on (i) physical infrastructure (covering transport, communications, energy, and water supply), (ii) finance and industry, and (iii) agriculture and rural development. Infrastructure was expected to dominate ADB assistance and account for between one half and two thirds of lending in any given year. This expectation was met with infrastructure lending accounting for 58% of total lending between 1997 and 2002. The policy issues identified in the 1997 COS for the infrastructure sectors were generally appropriate and provided a framework for programming TAs. The 1997 COS stated that policy advice through the TA and economic, thematic, and sector work (ETSW) programs would be the core of ADB assistance for the financial and industry sectors, supplemented by selective lending. As it turned out, there was no lending to finance and industry from 1997 to 2002. ADB did provide some policy-based TAs to help address problems in the financial sector but the anticipated demand for lines of credit for loans and for strengthening the financial infrastructure did not materialize. Although some loans were provided to address industrial pollution, ADB has now exited from direct lending to SOEs. The 1997 COS recognized that ADB’s agriculture and rural development portfolio would be modest because of the Government's policy of primarily using concessional funds and domestic resources for this sector. This turned out to be the case and agriculture accounted for 9% of ADB’s lending from 1997 to 2002. The agriculture policy agenda identified in the 1997 COS was too broad and ADB, except for water resource management and land degradation, experienced difficulty in addressing many of the strategic issues in this sector. As expected in the 1997 COS, there were no operations in the health or education sectors.

B. Portfolio Performance

52. The PRC portfolio is one of ADB’s largest and best performing portfolios. As of 31 December 2002, ADB had approved 94 loans to the PRC amounting to $12 billion.41 The PRC portfolio performance is consistently better than the ADB average in terms of disbursement, contract awards, and most key project implementation indicators (Table 2). This reflects the PRC’s strong country ownership, project implementation capability, and internal control systems. Major elements of this system include: (i) initial selection of projects to ensure that the projects are aligned with government priorities; (ii) clear allocation of responsibility at the executing agency level to plan and implement projects and to mobilize substantial counterpart funding before a decision is made to borrow; (iii) feasibility studies prepared by the executing agency, which are independently checked by central government agencies with further quality enhancement through project preparatory technical assistance (PPTA) work, especially in the areas of financial and economic analysis, and resettlement planning;42 (iv) a requirement for local environmental protection bureaus to sign off on domestically prepared environmental impact assessments; and (v) the establishment of executing agencies that are adequately staffed by competent professionals who are involved in project preparation, before external development funds are made available.

Table 2: Portfolio Performance
Item
 
1998
1999
2000
2001
2002
Ongoing Projects at Risk
%
PRC
ADB-wide
-
-
-
-
-
-
6.3
26.4
8.7
16

Generally Successful Rating at Postevaluation of Loans (%)

PRC
ADB-wide
40
57
50
58
67
57
70
57
77
59
Generally Successful Rating at Postevaluation of TA (%)
PRC
ADB-wide
60
56
60
57
64
61
65
59
65
62
Contract Award Ratio (%)
PRC
ADB-wide
18.1
27.3
25.1
25.8
26.2
20.0
22.1
14.9
26.0
22.6
Disbursement Ratio (%)
PRC
ADB-wide
25.6
19.8
19.3
22.2
22.8
20.5;
29.8
20.5
25.9
22.2
TA = technical assistance. Source: ADB Staff Estimates.
Source:
ADB Staff Estimates.

53. Appendix 2, Table A2.8 summarizes project success by sector. Of the 13 PRC projects that have been postevaluated, 1043 were rated as generally successful and three were rated as unsuccessful. The three unsuccessful projects were early projects and included one each in the agriculture, transport, and energy sectors. The principal lessons identified from the evaluation of completed projects are summarized in Box 6. Special studies undertaken by the Operations Evaluation Department (OED) found that the PRC performs well in terms of resettlement, environmental impact assessment, and road maintenance. The establishment of PRCM strengthened ADB’s portfolio management activities. Interaction with executing agencies increased and broader portfolio management activities were undertaken (e.g., country portfolio reviews, procurement reviews, and financial compliance reviews).

54. The central and local governments make substantial efforts to mobilize domestic resources to finance ADB projects, an indicator of strong project ownership. During the past 5 years, ADB provided only 36% of the total financing for ADB-supported projects. The average ADB financing percentage in the PRC is far below the maximum limit allowed by ADB policy.44 ADB has provided very little local cost financing (LCF).45 The availability of counterpart financing has generally not been a problem.

Box 6: Main Lessons Learned from Evaluated Projects in the People’s Republic of China

  • The impact of major policy changes in transition economies (e.g., trade and price liberalization, greater competition and reliance on market forces, financial sector and exchange rate regime changes) on any particular project is difficult to predict, thus increasing project risk.
  • Well-conceived implementation arrangements, and adequate assistance by the ADB, particularly during project implementation, are essential for effective project completion.
  • There is a need to provide training related to ADB operations and to develop sector country knowledge before lending.
  • Environmental mitigation measures and compliance with environmental standards need to be carefully monitored during implementation and after project completion.
  • More effort is needed to develop verifiable, monitorable indicators and to quantify baseline conditions to provide a better basis for measuring project impacts on improving socioeconomic conditions and reducing poverty.
  • Project design should include interventions to strengthen capacity particularly in interior provinces.
  • In some cases the quantity and quality of Asian Development Bank review missions need to be improved.

Source: Operations Evaluation Department, PRC Evaluation Findings.

C. Assessment of ADB’s PRC Operations

55. Overall Assessment. The PRC was selected as the first country for a country assistance program evaluation (CAPE),46 the most comprehensive assessment available of ADB’s country operations. It concluded that the 1997 COS framework was largely reflected in the subsequent lending and TA programs. In terms of providing strategic direction, the 1997 COS was judged to be an improvement over the 1991 COS because the overarching objectives were more directly linked to sector goals and priorities. The CAPE also concluded that the 1991 and 1997 COSs were designed to address ADB’s internal needs. This underscores the need for close consultation with the Government and other stakeholders during CSP formulation. The focus of ADB’s operations narrowed from what was envisaged in the 1997 COS. By 2002, ADB was no longer providing public sector lending for finance,47 commercial sectors (e.g., industry, ago-industry, agro-processing),48 and some types of infrastructure (e.g., ports and telecommunications).49 Lending for the energy sector was less than anticipated, largely because the shortages of electricity were resolved and there was no demand for large conventional generation projects during the period.50 Lending for water supply/wastewater treatment and transport was higher than anticipated.

56. Sector Impacts. Generally the CAPE and portfolio reviews have rated ADB’s performance in infrastructure, both lending and the impact of technical assistance, as satisfactory, but there was less success in terms of project performance in agriculture, industry, and finance. An analysis of the economic internal rates of return (EIRRs) and financial internal rates of return (FIRRs) in project performance audit reports (PPARs) and project completion reports (PCRs) underlines the good performance of the PRC portfolio. The average EIRR for completed projects, weighted by project cost, was 15.2%.51 The average FIRR was 8.8%, well above the average cost of capital.52 The CAPE noted substantial progress in the environmental sector at both the strategic/policy level supported by technical assistance and in terms of lending. The findings of OED’s assessment on selected environmental TAs reconfirmed that these TAs have supported key elements of the PRC’s environmental management strategy. The actions taken to address the key recommendations of the PRC CAPE are summarized in Table 3.

Table 3: Implementation of Country Assistance Program Evaluation Recommendations in the PRC
Recommendations
Actions Taken

ADB should support the work of KPIO and apply adequate due diligence in reviewing and accepting projects. PPTAs could be geared to strengthen PRC feasibility studies.

The TA program should be more focused, better targeted, and managed more effectively. Use cluster TAs to develop long-term relationships with niche agencies.

ADB should develop a better understanding on how to help reform sensitive areas such as state-owned enterprises and the financial sector. High-level dialogue between ADB and the PRC is needed.

ADB should put safety net projects under the poverty classification. Since the PRC is trying to develop a market-oriented social insurance system, this area may be suitable for OCR financing.

ADB should extend its approach of addressing brown environmental issues to cover green issues.1 Cofinancing with the Global Environment Facility for green projects could overcome constraints of using OCR funds for such project (e.g., cost recovery, unavailability of Asian Development Fund resources).

ADB helped strengthen KPIO. Two ADTAs have been completed and a third is in the forward program. PPTAs are designed to strengthen PRC feasibility studies.

There are ongoing efforts to improve the strategic impact of ADTAs in line with a joint Ministry of Finance/ADB report. The forward program includes a more focused ADTA program better targeted on key strategic areas.

There have been extensive discussions with the Government on how to strengthen the strategic impact of ADTAs.

Under ADB’s new project classification system, such projects could be classified as poverty interventions. The Government does not wish to borrow OCR for social security reform but continued ADTA in this area is welcome.

The forward program includes projects to address brown and green environmental issues. The PRC-Global Environment Facility partnership on land degradation will allow ADB to be at the forefront in addressing the associated policy, legal, and institutional issues.

ADTA = advisory technical assistance, KPIO = Key Project Inspectorate Office, OCR = ordinary capital resources,
PPTA = project preparatory technical assistance, TA = technical assistance.
1 Brown issues cover air, water, and solid waste pollution, while green issues focus on the natural environment.

57. Cofinancing. ADB’s cofinancing operations have been effective. About $6 billion in cofinancing has been mobilized, mostly from domestic commercial sources.53 For every $1 of ADB lending to the PRC, there was about $0.50 of cofinancing. ADB was the first multilateral agency to mobilize funds to cofinance projects in the PRC from international commercial sources. ADB also helped introduce the European Investment Bank to the PRC Government. However, except for Department for International Development (DFID) of the United Kingdom and recent French cofinancing for Greater Mekong Subregion (GMS) projects, efforts to mobilize concessional funds from bilateral sources were not successful.

58. Private Sector Operations. Priority areas for private sector operations in the PRC include the financial sector, investment funds (including those that support SMEs), and infrastructure development. ADB has supported nine private sector projects in the PRC. The projects involve aggregate investments of $2.14 billion, for which ADB’s funding consisted of $151.5 million of direct loans, $79.3 million of equity investments, and $171.5 million in complementary financing. For every $1 of direct ADB funding about $8.50 of private sector financing was mobilized. ADB supported the first internationally competitively bid build-operatetransfer (BOT) water supply project in the PRC. While the water project was successful, a power BOT project (the Meizhouwan Project) has been plagued with difficulties related to changes in the sector environment and disputes related to the project. Similar problems have affected many BOTs in the power sector. In the financial sector, ADB provided a TA to strengthen the regulatory framework for foreign and joint-venture banks, and helped improve governance in financial institutions through investments in two banks, one SME fund, and two environment- related funds. While ADB has worked to improve governance in the financial institutions in which it has board representation, experience has demonstrated that there are limits to what a minority shareholder can accomplish in this area.

59. Impacts of TA Operations. The TA portfolio has performed satisfactorily. Of the 134 TAs with a TA completion report, 70% were rated as generally successful,54 25% as partly successful, and 3% as unsuccessful.55 Postevaluation results indicate that the generally successful rating for PRC ADTAs (65%) is higher than the ADB-wide average (58%). While the TA program was effective in areas such as the environment, fiscal policy reforms, poverty reduction, and infrastructure, TA has been less effective in other areas. In general, the CAPE concluded that TA resources were scattered over a large number of operations and better strategic objectives were needed to guide TA operations. Some TAs were supply-driven to satisfy ADB’s internal needs and in some cases there was inadequate government ownership. Although ADB has contributed to policy and institutional change in some areas, the focus and impact of ADB’s knowledge-based products need to be improved by drawing on the results of a joint government/ADB study (Box 7).

Box 7: Improving the Effectiveness of Advisory Technical Assistance

  • Problems related to poor advisory technical assistance (ADTA) performance include: (i) not focusing on the right topic, (ii) lack of executing agency ownership, (iii) weaknesses in formulating and supervising ADTAs, and (iv) poor consultant performance.
  • Areas for improvement: (i) strengthening stakeholder ownership and incentives for the Asian Development Bank and executing agency staff for ADTAs, (ii) improving topic selection, (iii) improving the division of labor between international and domestic consultants, (iv) separating the loan and ADTA programming processes to provide a stronger focus on ADTA programming, (v) improving consultant recruitment and supervision, and (vi) improving the dissemination of technical assistance results.
  • Developing an annual award system to recognize ADTA excellence.

Source: ADB. 2001. Study on Improving the Effectiveness of ADTA.

D. External Funding Coordination and Partnership Agreements

  1. 1. Coordination of External Funding

60. Because of declines in financing both from the World Bank Group, reflecting the end of the PRC’s access to International Development Association funds and concerns about exposure limits, and from the Japan Bank for International Cooperation, official flows to the PRC have declined significantly. By 2000, official flows were about one quarter of the 1995 peak.

61. Almost all major multilateral and bilateral aid agencies are active in the PRC. There is no formal external development aid group. Aid coordination is challenging, partly because of institutional issues in the Government’s aid management system.56 This multiagency framework for aid management sometimes makes coordination between international lending agencies and bilateral grant agencies difficult because of institutional impediments. The Government recognizes the importance of aid coordination and has recently been encouraging development partners to seek ways to collaborate with each other in terms of project financing and knowledge-sharing.

62. As shown in Table 4 and Appendix 2, Table A2.10, most development partners have recently revised their country operational strategies.57 While different development partners may have their own work program, they share many common themes such as poverty reduction, governance, and environmental improvement and have shifted the focus of their operations to help the poorer inland regions. This convergence of strategies offers increasing opportunities for collaboration. In general, support for infrastructure development will lie in the domain of the multilateral institutions such as the World Bank and ADB while the bilateral aid agencies will primarily channel their concessional funds to support environmental improvement, education, and health. ADB will continue to actively seek collaboration with the bilateral agencies to enhance the poverty orientation of its operations during the CSP period. The sharing of knowledge-based products will also continue to underpin collaboration efforts among development partners to increase strategic impacts and reduce duplication and overlap. ADB is committed to deepen its collaboration with other development partners during the implementation of the CSP and will actively seek opportunities to do so.

63. Major external development agencies in Beijing have adopted initiatives to promote coordination, including (i) establishing an informal development partners group that meets monthly, and (ii) the formation of roundtables on specific subjects (e.g., environment, governance, law and development, and energy). ADB’s role in external agency coordination increased after the establishment of PRCM. PRCM participates in local development partners’ group meetings, conducts briefings on ADB operations for development stakeholders, and attends events organized by other partners. The local development partners’ group implemented two key initiatives in 2002: a database web site that provides information on the projects funded by participating external development agencies and a joint commonality study. In April 2003, there was a major coordinated effort to support the Government’s fight against SARS.

64. The establishment of PRCM has increased ADB’s interaction with NGOs and the private sector. PRCM organizes periodic meetings to interact with NGOs and the private sector to focus on poverty reduction, unemployment issues, environmental protection, education, partnerships between public and private sectors, and roles of NGOs in development projects. Interaction with NGOs will be deepened as appropriate funding mechanisms become available. PRCM also provides briefings to interested private sector players, including the foreign chambers of commerce based in Beijing, to share the findings of ADB’s knowledge-based products and to discuss potential business opportunities.

  1. Partnership Agreements

65. ADB will maintain its dialogue with the Government to identify appropriate financing for projects and will pursue cofinancing from external official and commercial sources and domestic banks. It will take steps to identify concessional cofinancing for poverty reduction and environmental projects. However, the budgets for bilateral funds are under pressure and bilateral grant pipelines are full. Thus expectations for mobilizing bilateral grant cofinancing remain modest. As the PRC prefers the benefits of competitive bidding compared to tied procurement, cofinancing from export credit agencies has not been a feature of ADB’s public sector lending program. Considering the reduction in official development assistance, ADB’s cofinancing operations will place increasing priority on cofinancing from semi-commercial and commercial sources, both domestic and international, and the use of credit-enhancement products.

66. The 2002 ADB, PRC, and DFID Poverty Reduction Cooperation Fund will help deepen the poverty orientation of ADB operations. Discussions with DFID and the Government are ongoing on a proposal to develop a provincial partnership agreement. The PRC-GEF Partnership on Operational Program 12 (OP12) will provide opportunities to assist the PRC in combating land degradation and underpin the country’s responses to international conventions such as the Convention to Combat Desertification, Convention on Biological Diversity, and the United Nations Framework Convention on Climate Change. ADB will play the lead external agency coordination role in this area. This experience indicates that if ADB wishes to play a lead role in a sector, it must be prepared to commit the necessary staff resources.

67. Collaboration with other partners is continuously being explored. Agence Française de Développement (AFD) has broadened its operational strategy to cofinance projects in Yunnan province and Thailand in the context of GMS regional cooperation. Such collaboration was arranged for the 2003 Western Yunnan Roads Improvement Project. The Japan Bank for International Cooperation and the European Investment Bank have cofinanced previous ADB projects. Opportunities will be explored to use the Public-Private Infrastructure Assistance Facility. The sharing of information with the Organisation for Economic Co-operation and Development (OECD) has increased as OECD has intensified its activities in the PRC.

Table 4: Summary of Major External Assistance
Item
ADB
World Bank
Japan (JICA/JBIC)
U.K. (DFID)
UNDP
Germany (KfW/GTZ)
Canada (CIDA)
Australia (AusAID)
Country Strategy
Country Strategy and Program (2004-2006): (i) promote equitable and inclusive growth; (ii) make markets work better; (iii) foster regional cooperation (iv) promote environment sustainability
Country Assistance Strategy (2003- 2005) (i) Improve the business environment and transition; (ii) Address the needs of the poorer and lagging regions; (iii) Facilitate environmentally sustainable development.
Economic Cooperation Plan: (i) address global issues, like HIV, Environment, TB; (ii) support reform and open policy; (iii) promote understanding between PRC and Japan; (iv) poverty reduction; (v) support private sector; (vi) promote cooperation.
Country Strategy (2002-2005) Addressing extreme poverty, environmental sustainability, education and health. Three cross cutting themes: effective pro-poor government policies, participation of poor people and tackling social exclusion and gender equity
2nd Country Cooperation Framework (2001- 2005) (i) promote development to reduce disparities; (ii) support economic reform and development (iii) assist PRC’s efforts in meeting global challenges and international cooperation.
Economic Reform and Development of the Market System (March 2003) Themes: (i) Economic Reform; (ii) Development of the Market System
New country programming framework (Approval 2003) Themes: (i) Economic Reform; (ii) Environment (iii) Governance; (iv) Poverty Reduction and (v) Gender
Country Strategy (2002-2005). (i) assist poverty in rural and western PRC; (ii) support governance activities in areas that will directly or indirectly contribute to poverty reduction, working with all levels of government and with civil society.
Sector Focus
Transport; Agriculture and Rural Development; Energy; Environment
Transport; Urban (environmental mitigation); Social Sectors; Energy; Water Management; Agriculture
Environmental protection and conservation; human resource development and poverty reduction
Environmental management and sustainability; Health and Education.
Poverty Reduction; Social Services; Rule of Law and Governance; Environment; AIDS; Health.
Policy advice at political level; legal advice and reform of the legal/judicial system; SME development; vocational training promotion; environment.
Agriculture; Transportation; Energy; Education; Health.
Agriculture and Rural Development; Health; Education.
Geographic Focus
Most of total annual lending in will be for projects in central and western regions.
Three-quarters of projects will support the poorer, inner provinces.
Focus on inland areas but projects in coastal area are not to be excluded.
Focus on 4 provinces -Gansu, Yunnan, Sichuan and Liaoning
Some focus on western region.
Focus on eastern and central provinces (though not exclusively). Trying to increase the share of western provinces.
No provincial focus, intend to do more in the west.
About 10% of the program focuses on governance at the national level. The rest will be in western region.
Type and Scale of Assistance
Lending: $1.5 billion annually TA grants:$12 million- 14 million annually.
$1.2-$1.3 billion
annually (2003-
2005)
Assistance is decided on annual basis. JBIC loans in 2002: ¥121.2 billion. ($1.1 billion) JICA grants: ¥11.7 billion. ($100 million) $60 million grants in 2003-04; and $100 million grants in 2004-05. $45 million grants IDA condition: $39.17 million (2002); Close to market rates: $39.17 million (2002); Grant: $39.17 million (2002) $30 million grants $30 million grants
Proposed partnership arrangements (i) GEF OP12 on land degradation; (ii) Poverty Reduction Fund with DFID; (iii) French Development. Agency for GMS in Yunnan; (iv) Provincial Poverty Agreement with DFID (proposed) (i) GEF on Renewable Energy; (ii) GEF, EU on Sustainable Forestry Project; (iii) AusAID on distance learning in Ningxia; (iii) Blending with DFID; (iv) Health Project with DFID and CIDA (proposed)   (i) WB: traditional co-financing, blending and cooperation in policy work; (ii) ADB: poverty reduction trust fund and possible province poverty cooperation (iii) UNDP: Distance Education and ICT (i) UNDP-GEF on Energy Efficiency; (ii) DFID on Distance Education and ICT in Poor Areas of Western Region.   Proposed Public Health Sector Project with World Bank and DFID (i) World Bank on Action Plan for the Water Sector in PRC; Tarim Basin, Health 9, Ningxia Distance Learning; (iii) UNDP GEF Renewable Energy; (iv) UNICEF on Basic Education

____________________

  1. Lending to the PRC accounts for 12% of cumulative ADB lending.
  2. More than half of those affected by resettlement in ADB projects in all DMCs live in the PRC. The 1998 Land Administration Law, drafted with ADB assistance, provides a relatively good legal policy framework for resettlement. The basic principle in the law is that people affected should at least maintain their original living standards. In the case of ADB-supported projects in the PRC, resettlement is generally carried out well. In most cases ADB’s Resettlement Policy was used to augment and supplement the existing legal provisions applicable under PRC laws. This has contributed to achieving the results reported in a 2000 OED study on resettlement that noted that the majority of those affected expressed satisfaction with the resettlement process and most of the people resettled regained and significantly improved their standard of living.
  3. A total of 77% of postevaluated PRC projects have been rated as generally successful compared to 59% ADBwide.
  4. PRC is classified as a B2 country and the maximum allowable ADB financing is 70%.
  5. In the past 10 years, LCF financing totaled $175 million (1.7% of total lending), excluding $158 million LCF for an emergency loan.
  6. Board Document No. CAP: PRC 98026.
  7. For most of the 1997–2002 period, domestic interest rates were lower that ordinary capital resources (OCR) rates and the domestic financial institutions had adequate liquidity; their problem was to identify bankable projects.
  8. As the PRC’s market reforms progressed it became clear that such businesses should obtain credit from commercial sources rather then being given preferential access to ADB loans.
  9. ADB had limited strategic impact in these areas and their linkage to poverty reduction was weak.
  10. However, power shortages were reported in 2003.
  11. The average EIRRs by sector were energy (18.6%), water supply/waste water treatment (16.3%), transport (16.1%), industry (13.2%), and agriculture (8.1%).
  12. The average FIRRs by sector were: agriculture (12.6%); energy (10.3%); transport (9.4%); water supply (8.9%); and industry (7.0%).
  13. $4.7 billion from domestic commercial sources and $0.9 billion from international commercial sources.
  14. Highly successful and successful under the new rating system.
  15. There was no rating for 2% of the TAs.
  16. The National Development and Reform Commission coordinates projects for external borrowing. The Ministry of Finance (MOF) is the counterpart of the World Bank Group, ADB, and Japan Bank for International Cooperation (JBIC), which collectively account for over 90% of total external assistance. MOF is also the focal point for GEF and export credit. The Ministry of Commerce handles the grant aid programs of United Nations agencies, the European Union, and most bilateral agencies. Other agencies handle special aid programs (e.g., the Ministry of Science and Technology for the Japan International Cooperation Agency; the Ministry of Agriculture for International Fund for Agriculture Development (IFAD) and the Food and Agriculture Organization of the United Nations (FAO); the Ministry of Labor and Social Services for the International Labour Organization (ILO); the People’s Bank of China for IMF; and the Ministry of Health for the World Health Organization (WHO).
  17. Most other development partners consulted with PRCM during the preparation/revision of their CSPs or equivalent


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