OFFICIAL DOCUMENTS The World Bank 1818 H Street N.W. (202) 473-1000 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Washington, D.C. 20433 Cable Address: INTBAFRAD INTERNATIONAL DEVELOPMENT ASSOCIATION U.S.A. Cable Address: INDEVAS 4 / 0 , 2015 H.E. Tabu Abdallah Manirakiza Minister of Finance and Economic Development Planning Ministry of Finance and Economic Development Planning Republic of Burundi Ref.: Republic of Burundi: Health Sector Development Support Project (P101160) (Grant No. H8080-BI and Grant MDTF-HRI TF-0 13043) Amendments to the Financing Agreement and to the Grant Agreement Excellency: 1. We refer to the Financing Agreement between the Republic of Burundi ("Recipient") and the International Development Association ("Association") for the Health Sector Development Support Project, dated December 10, 2012 (the "Financing Agreement"). 2. We also refer to the Grant Agreement ("Agreement") between the Republic of Burundi ("Recipient") and International Bank for Reconstruction and Development and International Development Association (collectively "World Bank") both acting as administrator of the Multi- Donor Trust Fund for Health Results Innovation ("Trust Fund") for the above referenced project, dated December 10, 2012. 3. We also refer to your letter dated December 23, 2014 requesting the World Bank to advance the closing date from December 31, 2018 to June 30, 2017 and to reallocate proceeds under Section IV of Schedule 2, A.2 of the Financing Agreement and the Grant Agreement. I am pleased to inform you that the World Bank concurs with the request. 4. Therefore, the closing date under Section IV, Schedule 2, para. B.2 of the Financing and the Grant Agreement is changed to June 30, 2017. In addition, the tables in Section IV of Schedule 2, para. A.2 to the Financing Agreement and of the Grant Agreement are amended as follows: IDA Grant H-8080-BI Category Amount of the Percentage of Grant Allocated Expenditures to be (expressed in SDR) Financed (inclusive of Taxes) 1) (a) Results -Based Payments under Part 1(a) of 700,000 50% the Project in Fiscal Year 2014 (b) Results-Based Payments under Part 1(a) of the 3,089,110 50% Project in Fiscal Year 2015 (c) Results-Based Payments under Part 1(a) of the 3,089,110 50% Project in Fiscal Year 2016 (d) Results-Based Payments under Part 1(a) of the 1544,555 50% Project in Fiscal Year 2017 (e) Results-Based Payments under Part 1(a) of the 0 50% Project in Fiscal Year 2018 2) Results-Based Payments under Part 1(b) of the 870,625 37.5% Project 3) Results-Based Payments under Part 1(c) of the 3,327,000 100% Project 4) Works, goods, non-consulting services and 186,200 100% consultants' services, under Part 2 of the Project 5) Goods, consultants' services, Training and 3,600,300 100% Operating Costs under Part 3 of the Project 6) Goods, consultants' services, Training and 93,100 2.5% Operating Costs under Part 4 of the Project TOTAL AMOUNT 16,500,000 TF Grant-013043 Category Amount of the Percentage of Grant Allocated Expenditures to be (expressed in US$) Financed (inclusive of Taxes) 1) (a) Results -Based Payments under Part 1(a) of 1,075,000 50% the Project in Fiscal Year 2014 (b) Results-Based Payments under Part 1(a) of the 4,511,000 Project in Fiscal Year 2015 (c) Results-Based Payments under Part 1(a) of the 4,511,000 Project in Fiscal Year 2016 (d) Results-Based Payments under Part 1(a) of the 2,255,500 Project in Fiscal Year 2017 (e) Results-Based Payments under Part 1(a) of the 0 Project in Fiscal Year 2018 2) Results-Based Payments under Part 1(b) of the 2,187,500 62.5% Project 3) Goods, consultants' services, Training and 5,460,000 97.5% Operating Costs under Part 2 of the Project TOTAL AMOUNT 20,000,000 5. All other terms of the Financing Agreement shall remain the same. 6. Please confirm your understanding to the foregoing, on behalf of the Recipient, by signing, dating, and returning to us one of the enclosed originals of this Amendment. Upon receipt by the Bank of the original of this Amendment countersigned by you, this Amendment will become effective as of the countersignature. Sincerely, International Dev pment Association Philippe Don'e Country Director for Burundi, Ug da and Tanzania Africa Region AGREED: Repu 1 f Buru iv, QUE DU B Cabinet du Ministre thorized Representative des Finance o Name vo 3b At Title tv S7W6 Date: O 0 e q2 Distribution: - H.E Dr. Sabine Ntakarutimana, Ministre de la Santé Publique et de la Lutte contre le SIDA - Madame Josiane Kamikazi, Conseiller Technique et Point Focal Banque Mondiale au Ministre des Finances et de la Planification du Développement Economique - Dr Liboire Ngirigi, Directeur Général des Services de Santé au Ministre de la Santé Publique et de la Lutte contre le Sida - Madame Anny Yvette Munezero, Directeur Général des Ressources au Ministère de la Santé Publique et de la Lutte contre le Sida - Son Excellence Ernest Ndabashinze, Ambassadeur du Burundi aux Etats-Unis d'Amérique - Monsieur Peter Larose, Administrateur pour le Burundi à la Banque Mondiale Bec: Messrs/Mmes: P. Dongier, 1. Yanga (AFCEI); S. Shah, S. Hye, R. Menon (AFCE1); A. Yazbeck, E. Kennedy, C. Shelton, R. Javed, A. Sangara, M. D. El Idrissi, T. Morimoto, A. Karibwami; R. Mpendwanzi, R. Shugugu, M. Vledder, A. Nikolova (GHNDR); Nneoma Nwogu (LEGAM); J. Owino, F. Diallo (WFALA); M. Ndikumasabo, B. Diallo, C. simbananiye (CGODR); R. Radji, C. Rwagatore, A. Museri (AFMBI); Wbdocs.