CREDIT NUMBER A (Non-Concessional) 7282-RW CREDIT NUMBER B (Concessional) 7283-RW (amendment) CREDIT NUMBER 6187-RW Financing Agreement (Additional Financing for the Stunting Prevention and Reduction Project) between REPUBLIC OF RWANDA and INTERNATIONAL DEVELOPMENT ASSOCIATION CREDIT NUMBER A (Non-Concessional) 7282-RW CREDIT NUMBER B (Concessional) 7283-RW (amendment) CREDIT NUMBER 6187-RW FINANCING AGREEMENT AGREEMENT dated as of the Signature Date between REPUBLIC OF RWANDA (“Recipient”) and INTERNATIONAL DEVELOPMENT ASSOCIATION (“Association”) for the purpose of (i) amending the Original Financing Agreement; and (ii) providing additional financing for activities related to the Original Project. The Recipient and the Association hereby agree as follows: ARTICLE I — GENERAL CONDITIONS; DEFINITIONS 1.01. The General Conditions (as defined in the Appendix to this Agreement) apply to and form part of this Agreement. 1.02. Unless the context requires otherwise, the capitalized terms used in this Agreement have the meanings ascribed to them in the General Conditions or in the Appendix to this Agreement. ARTICLE II — FINANCING 2.01. The Association agrees to extend to the Recipient a credit , as such amount may be converted from time to time through a Currency Conversion (“Financing”), which includes: (a) a credit, which is deemed as Non-concessional Financing for purposes of the General Conditions, in the amount of two billion six hundred and eight million seven hundred thousand Yens (JPY 2,608,700,000.) (“Credit A”); (b) a credit, which is deemed as Concessional Financing for purposes of the General Conditions, in the amount of fifty million United States Dollars ($50,000,000) (“Credit B”), To assist in financing the project described in Schedule 1 to this Agreement (“Project”). 2.02. The Recipient may withdraw the proceeds of the Financing in accordance with Section III of Schedule 2 to this Agreement. 2.03. For Credit A, the Front-end Fee is one quarter of one percent (¼ of 1%) of the Credit A amount. 2.04. (a) For Credit A, the Commitment Charge is one-quarter of one percent (¼ of 1%) per annum on the Unwithdrawn Credit Balance of Credit A; and -2- (b) for Credit B, the Maximum Commitment Charge Rate is one-half of one percent (1/2 of 1%) per annum on the Unwithdrawn Financing Balance of Credit B. 2.05. The Interest Charge applicable to Credit A is the Reference Rate plus the Variable Spread or such rate as may apply following a Conversion; subject to Section 3.09(e) of the General Conditions. 2.06. The Payment Dates are May 1 and November 1 in each year. 2.07. The principal amount of Credit A and Credit B shall be repaid in accordance with Schedule 3 to this Agreement. 2.08. (a) For Credit A, the Payment Currency is Yen. (b) For Credit B, the Payment Currency is Dollar. ARTICLE III — PROJECT 3.01. The Recipient declares its commitment to the objective of the Project. To this end, the Recipient shall cause the Project to be carried out by the Rwanda Biomedical Center (“RBC”) in accordance with the provisions of Article V of the General Conditions, Schedule 2 to this Agreement and the Project Agreement. ARTICLE IV — REMEDIES OF THE ASSOCIATION 4.01. The Additional Events of Suspension consist of the following: (a) the Project Implementing Entity Legislation has been amended, suspended, abrogated, repealed, or waived so as to affect materially and adversely the ability of the Project Implementing Entity to perform any of its obligations under this Agreement and the Project Agreement; and (b) the Recipient has taken or permitted to be taken any action which would prevent or interfere with the performance by the Project Implementing Entity of its obligations under this Agreement and the Project Agreement. 4.02. The Additional Events of Acceleration consist of the following: (a) the event specified in paragraph (a) of Section 4.01 of this Agreement occurs; and (b) the event specified in paragraph (b) of Section 4.01 of this Agreement occurs and is continuing for a period of sixty (60) days after notice of the event has been given by the Association to the Recipient. -3- ARTICLE V — EFFECTIVENESS; TERMINATION 5.01. The Additional Conditions of Effectiveness consist of the following: (a) The updated Subsidiary Agreement has been executed on behalf of the Recipient and the Project Implementing Entity and all conditions precedent to its effectiveness, save for the effectiveness of this Agreement, shall have been met. (b) The Project Implementation Manual has been updated and adopted by the Project Implementing Entity in a manner satisfactory to the Association. 5.02. The Effectiveness Deadline is the date ninety (90) days after the Signature Date. 5.03. For purposes of Section 10.05(b) of the General Conditions, the date on which the obligations of the Recipient under this Agreement (other than those providing for payment obligations) shall terminate is twenty (20) years after the Signature Date. ARTICLE VI — REPRESENTATIVE; ADDRESSES 6.01. The Recipient’s Representative is its minister responsible for finance. 6.02. For purposes of Section 11.01 of the General Conditions: (a) the Recipient’s address is: Ministry of Finance and Economic Planning 12 KN 3 Ave P.O BOX 158 Kigali, Rwanda; and (b) the Recipient’s Electronic Address is: Telex: Facsimile: E-mail: (+250) 25 257 7581 (+250) 25 257 5756 info@minecofin.gov.rw 6.03. For purposes of Section 11.01 of the General Conditions: (a) the Association’s address is: International Development Association 1818 H Street, N.W. Washington, D.C. 20433 -4- United States of America; and (b) the Association’s Electronic Address is: Telex: Facsimile: 248423 (MCI) 1-202-477-6391 AGREED as of the Signature Date. REPUBLIC OF RWANDA By _____________________________________/s1/ Authorized Representative Uzziel Ndagijimana Name: __________________________ /n1/ Minister of Finance and Economic Title: __________________________ /t1/ Planning 25-Apr-2023 Date: __________________________ /d1/ INTERNATIONAL DEVELOPMENT ASSOCIATION By _____________________________________/s2/ Authorized Representative Keith E. Hansen Name: __________________________ /n2/ Country Director Title: __________________________ /t2/ 13-Apr-2023 Date: __________________________/d2/ -5- SCHEDULE 1 Project Description The objective of the Project is to contribute to the reduction in the stunting rate among children under five years of age (with a focus on those under two) in the Targeted Districts, and to provide immediate and effective response in the case of an eligible crisis or emergency. The Project consists of the following parts: Part 1. Prevention of Stunting at Community and Household Levels (i) Designing and implementing a new national communication strategy, including a state of the art media campaign and innovative communications tools customized to the Rwandan context; (ii) Training, mentoring, and providing equipment to CHWs to improve growth promotion and supporting community-level approaches for improving nutrition, such as the positive deviance methodology and strategies for reaching adolescent girls; (iii) Financing of Performance-Based Payments to CHWs to, inter alia, conduct growth promotion, including early identification and interventions targeted to children falling behind; (iv) Strengthening and/or establishing home-based, early childhood development models of care; (v) Providing targeted support to vulnerable households with young children under five (5) years of age to improve access to WASH interventions; (vi) Strengthening multi-sectoral district planning, budgeting, coordination, supervision, and monitoring; and (vii) Supporting the provision of fortified blended food for pregnant and lactating women and children between six to thirty-three (6-23) months in the targeted districts. Part 2. High Impact Health and Nutrition Services Improving the impact of health and nutrition services provided by eligible health centers in Targeted Districts through: (a) financing of Performance-Based Payments to eligible health centers to incentivize the utilization and coverage of an enhanced package of high-impact nutrition and health interventions;(b) training, logistical support and new information technology tools, services, and equipment. -6- Part 3. Monitoring and Evaluation and Project Management Institutional strengthening and building capacity for, inter alia, (a) carrying out Project monitoring and evaluation; (b) facilitating knowledge sharing at community and district level; and (c) coordinating, managing and supervising Project activities. Part 4. Contingent Emergency Response Component Providing immediate response to an Eligible Crisis or Emergency, as needed. -7- SCHEDULE 2 Project Execution Section I. Implementation Arrangements A. Institutional Arrangements. Single Project Implementation Unit – RBC 1. The Recipient shall: (a) maintain, within RBC, the Single Project Implementation Unit (“RBC-SPIU”) throughout Project implementation, and no later than three (3) months after the Effective Date, appoint within RBC-SPIU, a team headed by a Project coordinator/focal point with experience in community nutrition matters and comprised of a monitoring and evaluation specialist, two accountants and an internal auditor, and such other technical, safeguards (including on medical waste management) and fiduciary specialists as may be agreed with the Association, all under terms of reference, and with qualifications and experience satisfactory to the Association; and (b) ensure that throughout Project implementation, the RBC- SPIU has adequate resources and staffing to carry out its responsibilities under the Project, all as further detailed in the PIM. 2. The RBC-SPIU shall be responsible for the day-to-day management and implementation of the financial management, procurement, and safeguard aspects of the Project. RBC 3. The Recipient shall ensure that, throughout Project implementation, the RBC has adequate resources and staffing, with qualifications and experience acceptable to the Association, to carry out its responsibilities under the Project, as further detailed in the PIM. 4. The RBC shall be responsible for overall Project management and implementation, including the monitoring and evaluation and technical aspects of the Project. Project Steering Committee (“PSC”) 5. The Recipient shall establish, and thereafter maintain, throughout Project implementation, the PSC, which shall be headed by a high-level representative of the NCDA and Ministry of Health and shall also include, inter alia, high level representatives of the MINECOFIN, MININFRA, WASAC, MINICOM, MINAGRI, RAB, MINALOC and the Targeted Districts, and shall be responsible for providing overall strategic guidance on the implementation of the Project, all as further detailed in the PIM. -8- B. Subsidiary Agreement. 1. To facilitate the carrying out the Project by the Project Implementing Entity, the Recipient shall make part of the proceeds of the Financing available to the Project Implementing Entity under a subsidiary agreement between the Recipient and the Project Implementing Entity, under terms and conditions approved by the Association, which shall include: (a) the obligation of the Recipient to provide the Financing on a grant basis to RBC; and (b) the right of the Recipient to suspend or terminate the right of the Project Implementing Entity to use said proceeds of the financing, or to obtain a refund of all or any part of the amount of the financing then withdrawn, upon the Project Implementing Entity failure to perform any of the obligations under the Subsidiary Agreement. 2. The Subsidiary Agreement shall further include the obligation of the Project Implementing Entity to: (a) implement the Project with due diligence and efficiency and in conformity with appropriate administrative, technical, financial, economic, environmental and social standards and practices, including the provisions of the Anti-Corruption Guidelines applicable to recipients of loan proceeds other than the Recipient, the Medical Waste Management Plan, and in accordance with the provisions of this Agreement; (b) (i) procure all goods, works and services required under the Project and to be financed out of the proceeds of the Financing in accordance with the General Conditions; and (ii) ensure that all such goods, works and services are used exclusively for the purposes of the Project; (c) ensure that all facilities relevant to the Project shall at all times be properly operated and maintained and that all necessary repairs and renewals of such facilities shall be made promptly as needed; (d) with respect to records management: (i) maintain records adequate to record the progress of the Project (including its cost and the benefits to be derived from it), to identify the goods, works and services financed out of the proceeds of the Financing and disclose their use in said parts; (ii) furnish such records and information as may be requested by the Recipient or the Association; and (iii) retain all records evidencing expenditures under the Project for the period of time specified in the General Conditions; (e) with respect to monitoring and evaluation: (i) maintain policies and procedures adequate to enable it to monitor and evaluate on an ongoing basis, in accordance with indicators acceptable to the Recipient and the Association, the progress of the Project and the achievement of its -9- objective; (ii) prepare periodic reports, in form and substance satisfactory to the Recipient and the Association, integrating the results of such monitoring and evaluation activities and setting out measures recommended to ensure the continued efficient and effective execution of the Project and to achieve its objective, each such report to cover a calendar semester; (iii) furnish each such report to the Recipient and the Association within forty-five (45) days after the end of such period; and (iv) prepare, and furnish to the Recipient a final report of such scope and in such detail as the Recipient and the Association shall reasonably request, on the execution of the Project, and furnish the same to the Recipient and the Association not later than six (6) months after the end of the Project; (f) with respect to financial management: (i) maintain a financial management system and prepare financial statements in accordance with consistently applied accounting standards acceptable to the Recipient and the Association, both in a manner adequate to reflect its operations and financial condition, including the operations, resources and expenditures related to the Project; (ii) avail the records pertaining to said parts to external and internal auditors; (iii) prepare interim financial reports covering each quarter, and furnish them to the Recipient and the Association not later than forty-five (45) days after the end of the period covered by such reports, and provide such other information concerning such financial statements as the Recipient or the Association may from time to time reasonably request; and (iv) have its financial statements audited by independent auditors and applying standards both acceptable to the Association at least once in each fiscal year; (g) for purposes of carrying out Part 1(vi) of the Project, enter into District Agreements, under terms and conditions acceptable to the Association, with the Targeted Districts, as further detailed in the Project Agreement; (h) provide the Performance-Based Payments to eligible CHWs and/or health centers in a timely manner, in accordance with the Recipient’s PBF Manual and Supplemental PBF Manual for the Targeted Districts; and (i) enable the Recipient and the Association to inspect the Project, their operations and any relevant records and documents. 3. The Recipient shall exercise its rights under the Subsidiary Agreement in such manner as to protect the interests of the Recipient and the Association and to accomplish the purposes of the Financing. Except as the Association shall otherwise agree, the Recipient shall not assign, amend, abrogate or waive the Subsidiary Agreement or any of its provisions. -10- C. Project Implementation Manual (“PIM”) 1. The Recipient shall cause RBC to update and adopt the Project Implementation Manual, in a manner and substance satisfactory to the Association. 2. The Recipient shall cause RBC to carry out the Project in accordance with the Project Implementation Manual, which shall contain detailed work flow, methods and procedures for the implementation of the Project, including but not limited to: (i) administration and coordination arrangements, including placement of necessary human resources for Project implementation; (ii) performance indicators of the Project; (iii) monitoring and evaluation; (iv) social and environmental safeguards, particularly on the management and disposal of medical waste; (v) financial management guidelines and procedures; (vi) corruption and fraud measures; (vii) implementation modalities for each Part of the Project; and (viii) roles and responsibilities of various agencies and stakeholders in the implementation of the Project; and except as the Association shall otherwise agree in writing, not amend or waive, or permit to be amended or waived any provision of the Project Implementation Manual. 3. In case of conflict between the provisions of the Project Implementation Manual and this Agreement, those of this Agreement shall prevail. D. PBF Manual and Supplemental PBF Manual for the Targeted Districts 1. The Recipient shall cause RBC to carry out Parts 1(iii) and 2(i) of the Project in accordance with the PBF Manual and a supplemental PBF manual for the Targeted Districts, to be adopted by RBC in form and substance satisfactory to the Association (“Supplemental PBF Manual for the Targeted Districts”), which shall contain detailed arrangements and procedures for PBF payments under Parts 1(iii) and 2(i) of the Project, including, inter alia: (a) requirements to be fulfilled by the eligible health centers and eligible CHWs in the Targeted Districts; (b) contractual arrangements, including a template performance-based contract; (c) key nutrition indicators to be achieved, such as, for example, percentage of women who attended four or more antenatal care visits during their most recent pregnancy; (d) PBF implementation guidelines and procedures; (e) payment methods; (f) the mechanisms for verification and counter-verification; and (g) rules and procedures governing a redress mechanism for the PBF payments and except as the Association shall otherwise agree in writing, not amend or waive, or permit to be amended or waived any provision of the PBF manual and/or Supplemental PBF Manual for the Targeted Districts. -11- 2. In case of conflict between the provisions of the PBF Manual and the Supplemental PBF Manual for the Targeted Districts and this Agreement, those of this Agreement shall prevail. E. Annual Work Plan and Budget 1. The Recipient shall, and shall cause RBC to not later than May 30th of each year (commencing on July 1, 2023), prepare and furnish to the Association, an annual work plan, in form and substance satisfactory to the Association, informed by the PIM and containing activities proposed for implementation under the Project and milestones to be achieved during the following Fiscal Year, together with a proposed budget for the purpose. 2. The Recipient shall and shall cause RBC to exchange views with the Association on each such proposed Annual Work Plan and Budget, and shall thereafter adopt, and carry out such program of activities for such following Fiscal Year as shall have been agreed with the Association, as such plan may be subsequently revised during such following Fiscal Year with the prior written agreement of the Association. F. Safeguards. 1. The Recipient shall carry out, and shall cause the Project Implementing Entity, Targeted Districts, and eligible health centers to carry out, the Project in accordance with the provisions of the Medical Waste Management Plan (“MWMP”). 2. The Recipient shall not amend, abrogate or waive, or permit to be amended, abrogated or waived, the MWMP or any provision thereof without prior approval in writing by the Association. 3. The Recipient shall ensure that all technical assistance under the Project shall only be undertaken pursuant to terms of reference reviewed and found satisfactory by the Association, such terms of reference to ensure that the technical assistance takes into account, and calls for application of the Association’s environmental and social safeguard policies and the Recipient’s own laws relating to the environment, social and health and safety aspects. 4. Without limitation upon its other reporting obligations under this Agreement, the Recipient shall cause RBC, for the MWMP, collect, compile and furnish to the Association on a six (6)-monthly basis (or with more frequency or in a separate report whenever the circumstances warrant), reports in form and substance satisfactory to the Association, on the status of compliance with the MWMP, as part of the Project Reports, giving details of: -12- (a) measures taken in furtherance of the MWMP; (b) conditions, if any, which interfere or threaten to interfere with the smooth implementation of the MWMP; and (c) remedial measures taken or required to be taken to address such conditions. 5. The Recipient shall cause the RBC to maintain, throughout Project implementation, and publicize the availability of a Project-level grievance feedback and redress mechanism, in a form and substance satisfactory to the Association, to hear and determine fairly and in good faith all complaints raised in relation to the Project, and take all measures necessary to implement the determinations made by said grievance feedback and redress mechanism in a manner satisfactory to the Association. G. Contingent Emergency Response Component 1. In order to ensure the proper implementation of Part 4 of the Project (“Contingent Emergency Response Part”) ,the Recipient shall ensure that: (a) a manual (“CERC Manual”) is prepared and adopted in form and substance acceptable to the Association, which shall set forth detailed implementation arrangements for the Contingent Emergency Response Part, including: (i) any structures or institutional arrangements for coordinating and implementing the Contingent Emergency Response Part; (ii) specific activities which may be included in the Contingent Emergency Response Part, Eligible Expenditures required therefor (“Emergency Expenditures”), and any procedures for such inclusion; (iii) financial management arrangements for the Contingent Emergency Response Part; (iv) procurement methods and procedures for the Contingent Emergency Response Part; (v) documentation required for withdrawals of Financing amounts to finance Emergency Expenditures; (vi) a description of the environmental and social assessment and management arrangements for the Contingent Emergency Response Part; (vii) a template Emergency Action Plan; (b) the Emergency Action Plan is prepared and adopted in form and substance acceptable to the Association; (c) the Emergency Response Part is carried out in accordance with the CERC Manual and the Emergency Action Plan; provided, however, that in the event of any inconsistency between the provisions of the CERC Manual or the Emergency Action Plan and this Agreement, the provisions of this Agreement shall prevail; and -13- (d) neither the CERC Manual or the Emergency Action Plan is amended, suspended, abrogated, repealed or waived without the prior written approval by the Association. 2. The Recipient shall ensure that the structures and arrangements referred to in the CERC Manual are maintained throughout the implementation of the Contingent Emergency Response Part, with adequate staff and resources satisfactory to Association. 3. The Recipient shall ensure that: (a) the environmental and social instruments required for the Contingent Emergency Response Part are prepared, disclosed and adopted in accordance with the CERC Manual and the ESCP, and in form and substance acceptable to the Association; and (b) the Contingent Emergency Response Part is carried out in accordance with the environmental and social instruments in a manner acceptable to the Association. 4. Activities under the Contingency Emergency Response Part shall be undertaken only after an Eligible Crisis or Emergency has occurred. Section II. Project Monitoring, Reporting and Evaluation The Recipient shall furnish to the Association each Project Report not later than forty-five (45) after the end of each calendar semester, covering the calendar semester. Section III. Withdrawal of the Proceeds of the Financing A. General Without limitation upon the provisions of Article II of the General Conditions and in accordance with the Disbursement and Financial Information Letter, the Recipient may withdraw the proceeds of the Financing to finance Eligible Expenditures in the amount allocated and, if applicable, up to the percentage set forth against each Category of the following table: -14- Category Amount of Credit Amount of Credit Percentage of A Allocated B Allocated Expenditures to be (expressed in Yen) (expressed in USD) Financed (Inclusive of Taxes) from Credit A and Credit B (1) Goods, non- consulting services, consulting services 3,500,000 100% and Training under Part 1(ii) of the Project (2) Performance-Based Payments under Part 4,257,000 100% 1(iii) of the Project (3) Goods, non- consulting services, consulting services, Training, and 8,098,000 69% Incremental Operating Costs under Parts 1(iv) (4) Goods, non- consulting services, consulting services, Training, and 2,608,700,000 8,401,000 100% Incremental Operating Costs under Part 1(v) and (vi) (5) Goods, non- consulting services, consulting services, Training, and 2,448,000 83% Incremental Operating Costs under Part 3 of the Project -15- (6) Goods, non- consulting services, consulting services 12,500,000 100% and Training under Part 1(vii) of the Project (7) Performance-Based Payments under Part 5,639,000 57% 2(a) of the Project (8) Goods, non- consulting services, consulting services, 5,157,000 100% under Part 2(b) of the Project (9) Emergency Expenditures under 0 Part 4 of the Project TOTAL AMOUNT 2,608,700,000 50,000,000 B. Withdrawal Conditions; Withdrawal Period 1. Notwithstanding the provisions of Part A of this Section, no withdrawal shall be made: (a) for payments made prior to the Signature Date, except that withdrawals up to an aggregate amount not to exceed five hundred thousand United States Dollars ($500,000) may be made for payments made prior to this date but on or after March 31, 2022, for Eligible Expenditures under Category (2); or (b) for Emergency Expenditures under Category (9) until: (i) (A) the Recipient has determined that an Eligible Crisis or Emergency has occurred, and has requested the Association to address such Eligible Crisis or Emergency under Part 4 of the Project and in accordance with the provisions of this Agreement; and (B) the Association has agreed with such determination, accepted said request and notified the Recipient thereof; and (ii) the Recipient has adopted the CERC Manual and Emergency Action Plan, in form and substance acceptable to the Association. -16- 2. The Closing Date is December 31, 2025. -17- SCHEDULE 3 A. Repayment Schedule applicable to Credit A Commitment-Linked Amortization Repayment Schedule The following table sets forth the Principal Payment Dates of the Credit and the percentage of the total principal amount of the Credit payable on each Principal Payment Date (“Installment Share”). Level Principal Repayments Principal Payment Date Installment Share On each May 1 and November 1 Beginning May 1, 2028 through May 1, 2057 1.67% On November 1, 2057 1.47% B. Repayment Schedule applicable to Credit B Date Payment Due Principal Amount of the Credit repayable (expressed as a percentage)* On each May 1 and November 1 commencing May 1, 2033, to and including 1.25% November 1, 2072 * The percentages represent the percentage of the principal amount of the Credit to be repaid, except as the Association may otherwise specify pursuant to renumbered Section 3.03(b) (originally numbered Section 3.05(b)) of the General Conditions. -18- APPENDIX Section I. Definitions 1. “Annual Work Plan and Budget” means the program of activities agreed each Fiscal Year between the Recipient, RBC and the Association for implementation under the Project in accordance with Section I.E. of Schedule 2 to this Agreement during the following Fiscal Year, as the same may be revised from time to time in accordance with said Section. 2. “Anti-Corruption Guidelines” means, for purposes of paragraph 5 of the Appendix to the General Conditions, the “Guidelines on Preventing and Combating Fraud and Corruption in Projects Financed by IBRD Loans and IDA Credits and Grants”, dated October 15, 2006 and revised in January 2011 and as of July 1, 2016. 3. “Category” means a category set forth in the table in Section III.A of Schedule 2 to this Agreement. 4. “CERC Manual” means the manual referred to in Section I.G of Schedule 2 to this Agreement, as such manual may be updated from time to time with the agreement of the Association, and which is an integral part of the Project Implementation Manual. 5. “CHWs” means Community Health Workers. 6. “Contingent Emergency Response Part” means any activity or activities to be carried out under Part 4 of the Project to respond to an Eligible Crisis or Emergency. 7. “District” means an administrative subdivision of the Recipient, established pursuant to the Recipient’s Organic Law No. 29/2005 of December 31, 2005. 8. “District Agreement” means the agreement to be entered into between the RBC and each Targeted District for purposes of implementing Part 1(vi) of the Project and referred to in Section I.B.2(g) of Schedule 2 to this Agreement and Section I.C. of the Schedule to the Project Agreement. 9. “Eligible Crisis or Emergency” means an event that has caused, or is likely to imminently cause, a major adverse economic and/or social impact to the Recipient, associated with a natural or man-made crisis or disaster. 10. “Emergency Action Plan” means the plan referred to in Section I.G of Schedule 2 detailing the activities, budget, implementation plan, and monitoring and evaluation arrangements, to respond to the Eligible Crisis or Emergency. -19- 11. “Emergency Expenditures” means any of the eligible expenditures set forth in the CERC Manual referred to in Section I.G of Schedule 2 to this Agreement and required for the Contingent Emergency Response Part. 12. “General Conditions” means the “International Development Association General Conditions for IDA Financing, Investment Project Financing”, dated December 14, 2018 (revised on August 1, 2020, April 1, 2021, and January 1, 2022). 13. “Incremental Operating Costs” means the reasonable expenditures incurred by RBC on account of Project implementation (which expenditures would not have been incurred absent of the Project), based on an Annual Work Plan and Budget approved by the Association pursuant to Section I.E. of Schedule 2 to this Agreement, consisting of expenditures for local and international travel; salaries of contractual staff (other than consultants); per diems; office rental; office supplies; maintenance of equipment, facilities and rental vehicles used for Project implementation; fuel; bank account fees; refurbishment, repair and maintenance of existing facilities used for project services; rental equipment and vehicles; communication costs; consumables; costs of translation, printing, photocopying but excluding salaries, honoraria or allowances for Recipient’s civil servants and RBC permanent staff. 14. “Medical Waste Management Plan” or “MWMP” means RBC’s plan to manage medical waste in relation to Project activities carried out in the eligible health centers in the Targeted Districts, dated November 2017, disclosed in country on December 7, 2017, and at the Association’s website on December 1, 2017, and referred to in Section I.F. of Schedule 2 to this Agreement, as the same may be changed from time to time with the prior written agreement of the Association. 15. “MINAGRI” means the Recipient’s ministry of agriculture and animal resources; or any successor thereto. 16. “MINALOC” means the Recipient’s ministry of local government; or any successor thereto. 17. “MINECOFIN” means the Recipient’s ministry of finance; or any successor thereto. 18. “MINICOM” means the Recipient’s ministry of trade and industry; or any successor thereto. 19. “MININFRA” means the Recipient’s ministry in charge of infrastructure; or any successor thereto. 20. “Multi-Donor Trust Fund for Achieving Nutrition at Scale Grant Agreement” means the grant agreement providing for the grant no. TFA6567 for the Project -20- between the Association and the Recipient, dated the same date as this Agreement, as such grant agreement may be amended from time to time. 21. “NCDA” means the national child development agency established pursuant to Presidential Order No 083/01 of 28/08/2020. 22. “Original Financing Agreement” means the financing agreement for the Original Project between the Republic of Rwanda and the International Development Association dated March 7, 2018 (Credit No 61870-RW). 23. “Original Project” means the Project described in Schedule 1 to the Original Financing Agreement. 24. “PBF” means Performance-Based Financing. 25. “PBF Manual” means the RBC’s documents entitled “Grille d’Evaluation de la Quantite et de la Qualite du Centre de Sante”, dated October 2015 and “PBF Payments to Community Health Workers”, dated December 2017. 26. “Performance-Based Payments” means the payments to be made by RBC with the proceeds of the Financing under Category 2 to eligible health centers in accordance with Section I.D of Schedule 2 to this Agreement. 27. “Procurement Regulations” means, for purposes of paragraph 85 of the Appendix to the General Conditions, the “World Bank Procurement Regulations for IPF Borrowers”, dated November 2020. 28. “Project Agreement” means the project agreement between the Association and RBC entered into under the Original Project. 29. “Project Implementing Entity” means the RBC. 30. “Project Implementing Entity Legislation” means the Recipient’s Law 032/01 of 06/05/2022 establishing the RBC and determining its mission, organization and functioning. 31. “Project Implementation Manual” or “PIM” means the RBC’s manual, and referred to in Section I.C. of Schedule 2 to this Agreement, as the same may be amended from time to time with the prior written agreement of the Association. 32. “PSC” or “Project Steering Committee” means the steering committee to be established for the Project, and referred to in Section I.A.5 of Schedule 2 to this Agreement. 33. “RAB” means the Rwanda Agricultural Board, established and operating pursuant to Law No. 14/2017 of 14/04/2017 establishing Rwanda Agriculture and Animal -21- Resources Development Board (“RAB”) and determining its mission, organisation and functioning. 34. “RBC” means the Rwanda Biomedical Centre, an independent legal entity established and operating pursuant to the Project Implementing Entity Legislation. 35. “RBC-SPIU” means the Single Project Implementing Unit within RBC. 36. “Signature Date” means the later of the two dates on which the Recipient and the Association signed this Agreement and such definition applies to all references to “the date of the Financing Agreement” in the General Conditions. 37. “Subsidiary Agreement” means the subsidiary agreement referred to in Section I.B of Schedule 2 to this Agreement. 38. “Supplemental PBF Manual for the Targeted Districts” means a manual to be prepared and adopted by RBC, and referred to in Section I.D, as the same may be amended from time to time with the prior written agreement of the Association. 39. “Targeted Districts” means Bugesera, Gakenke, Huye, Karongi, Kayonza, Ngororero, Nyabihu, Nyamagabe, Nyaruguru, Rubavu, Ruhango, Rusizi, and Rutsiro. 40. “Training” means the reasonable costs associated with training, workshops and study tours provided under the Project, based on an Annual Work Plan and Budget approved by the Association pursuant to Section I.E. of Schedule 2 to this Agreement, consisting of reasonable expenditures (other than expenditures for consulting services) for: (a) local and international travel, room, board incurred by trainers and trainees in connection to their training; (b) course fees; (c) training facility rentals; and (d) training material preparation, acquisition, reproduction and distribution expenses. 41. “WASAC” means Water and Sanitation Corporation, a company limited by shares fully owned by the Government of Rwanda, registered since 1st August 2014 with the Rwanda Development Board (Office of the Registrar General) under number 103370539. 42. “WASH” means Water, Sanitation and Hygiene. Section II. Amendments to the Original Financing Agreement. 1. Section I.A(5) of Schedule 2 to the Original Financing Agreement “Project Steering Committee (PSC)” is amended and restated as follows: “The Recipient shall establish, and thereafter maintain, throughout Project implementation, the PSC, which shall be headed by a high-level representative of the -22- NCDA and Ministry of Health and shall also include, inter alia, high level representatives of the MINECOFIN, MININFRA, WASAC, MINICOM, MINAGRI, RAB, MINALOC and the Targeted Districts, and shall be responsible for providing overall strategic guidance on the implementation of the Project, all as further detailed in the PIM.” 2. The following definitions in the Appendix to the Original Financing Agreement are amended and restated as follows: ““NCDA” means the national child development agency established pursuant to Presidential Order No. 083/01 of 28/08/2020. “Project Implementing Entity Legislation” means the Recipient’s Law 032/01 of 06/05/2022 establishing the RBC and determining its mission, organization and functioning. “MINAGRI” means the Recipient’s ministry of agriculture and animal resources; or any successor thereto.” 3. The Association has established December 31, 2025, as the later date for the purpose of Section III.B.2 of Schedule 2 to the Original Financing Agreement.