ELPF GRANT NUMBER TF0C0802 MDTF GRANT NUMBER TF0C0811 MDTF GRANT NUMBER A6567 (Amendment) Trust Fund Grant Agreement (Additional Financing for the Stunting Prevention and Reduction Project) between REPUBLIC OF RWANDA and INTERNATIONAL DEVELOPMENT ASSOCIATION Acting as Administrator of the Multi-Donor Trust Fund for Scaling up Nutrition and, the Early Learning Partnership Multi-Donor Trust Fund ELPF GRANT NUMBER TF0C0802 MDTF GRANT NUMBER TF0C0811 MDTF GRANT NUMBER A6567 (Amendment) TRUST FUND GRANT AGREEMENT AGREEMENT dated as of the Signature Date between REPUBLIC OF RWANDA (“Recipient”) and INTERNATIONAL DEVELOPMENT ASSOCIATION (“Bank”), acting as acting as administrator of the Multi-Donor Trust Fund for Scaling up Nutrition and, the Early Learning Partnership Fund for the purpose of: (i) providing additional financing for activities related to the Original Project and (ii) amending specific provisions of the Original MDTF Grant Agreement (as defined in the Appendix to this Agreement). The Recipient and the Bank hereby agree as follows: Article I Standard Conditions; Definitions 1.01. The Standard 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 Standard Conditions or in the Appendix this Agreement. Article II The Project 2.01. The Recipient declares its commitment to the objectives of the project described in Schedule 1 to this Agreement (“Project”). To this end, the Recipient shall cause the Project to be carried out by Rwanda Biomedical Center (“RBC” or “Project Implementing Entity”) in accordance with the provisions of Article II of the Standard Conditions, Schedule 2 to this Agreement and the Project Agreement. Article III The Grant 3.01. The Bank agrees to extend to the Recipient a grant from various sources in the following amounts, which in aggregate do not exceed nine million United States Dollars (USD 9,000,000) (“Grant”), to assist in financing the Project: (a) an amount not to exceed four million United States Dollars (USD 4,000,000) (“ELPF Grant”); and (b) an amount not to exceed five million United States Dollars (USD 5,000,000) (“MDTF Grant”). 3.02. The Recipient may withdraw the proceeds of the Grant in accordance with Section III of Schedule 2 to this Agreement. 2 3.03. The Grant is funded out of the abovementioned trust funds for which the Bank receives periodic contributions from the donors to the trust funds. In accordance with Section 3.02 of the Standard Conditions, the Bank’s payment obligations in connection with this Agreement are limited to the amount of funds made available to it by the donors under the abovementioned trust funds, and the Recipient’s right to withdraw the Grant proceeds is subject to the availability of such funds. Article IV Additional Remedies 4.01. The Additional Events of Suspension referred to in Section 4.02(k) of the Standard Conditions 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 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 the Project Agreement. Article V Effectiveness; Termination 5.01. This Agreement shall not become effective until evidence satisfactory to the Bank has been furnished to the Bank that the conditions specified below have been satisfied: (a) The execution and delivery of this Agreement on behalf of the Recipient has been duly authorized or ratified by all necessary government action; (b) The Subsidiary Agreement referred to in Section I.B. of Schedule 2 to the Financing Agreement has been executed on behalf of the Recipient and the Project Implementing Entity and been duly authorized or ratified by all necessary governmental and corporate action; and (c) The Project Implementation Manual has been updated and adopted by the Project Implementing Entity, in a manner satisfactory to the Bank. 5.02. As part of the evidence to be furnished pursuant to Section 5.01, there shall be furnished to the Bank an opinion or opinions satisfactory to the Bank of counsel acceptable to the Bank or, if the Bank so requests, a certificate satisfactory to the Bank of a competent official of the Member Country, showing the following matters: 3 (a) on behalf of the Recipient, that this Agreement has been duly authorized or ratified by, and executed and delivered on its behalf and is legally binding upon it in accordance with its terms; (b) on behalf of the Recipient and the Project Implementing Entity, the Subsidiary Agreement referred to in Section I.B. of Schedule 2 to the Financing Agreement has been duly authorized by the Recipient and the Project Implementing Entity and is legally binding upon each such party in accordance with its terms. 5.03. Except as the Recipient and the Bank shall otherwise agree, this Agreement shall enter into effect on the date upon which the Bank dispatches to the Recipient notice of its acceptance of the evidence required pursuant to Section 5.01 (“Effective Date”). If, before the Effective Date, any event has occurred which would have entitled the Bank to suspend the right of the Recipient to make withdrawals from the Grant Account if this Agreement had been effective, the Bank may postpone the dispatch of the notice referred to in this Section until such event (or events) has (or have) ceased to exist. 5.04. Termination for Failure to Become Effective. This Agreement and all obligations of the parties under it shall terminate if it has not entered into effect by the date ninety (90) days after the date of this Agreement, unless the Bank, after consideration of the reasons for the delay, establishes a later date for the purpose of this Section. The Bank shall promptly notify the Recipient of such later date. Article VI Recipient’s Representative; Addresses 6.01. The Recipient’s Representative referred to in Section 7.02 of the Standard Conditions is the Recipient’s minister responsible for finance. 6.02. For purposes of Section 7.01 of the Standard 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 4 6.03. For purposes of Section 7.01 of the Standard Conditions: (a) the Bank’s address is: International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America; and (b) the Bank’s Electronic Address is: Telex: Facsimile: 248423 (MCI) or (+1) 202 477 6391 64145 (MCI) 5 AGREED as of the Signature Date. REPUBLIC OF RWANDA By _____________________________________ Authorized Representative Uzziel Ndagijimana Name:__________________________ Minister of Finance and Economic Planning Title:_________________________ 25-Apr-2023 Date: ___________________________ INTERNATIONAL DEVELOPMENT ASSOCIATION acting as Administrator of the Multi-Donor Trust Fund for Achieving Nutrition Impact at Scale and, the Early Learning Partnership Fund By _____________________________________ Authorized Representative Keith E. Hansen Name: __________________________ Country Director Title: ___________________________ 13-Apr-2023 Date: ___________________________ 6 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 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; and (b) training, logistical support and new information technology tools, services and equipment. 7 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. 8 SCHEDULE 2 Project Execution Section I. Institutional and Other Arrangements A. Institutional Arrangements. 1. Without limitation upon, and in furtherance to, the provisions of Section 2.01 of Article II to this Agreement, the Recipient shall ensure that the Project is carried out in accordance with the provisions of Sections I.A to I.F of Schedule 2 to the Financing Agreement, which are incorporated by reference into this Agreement, with the following modifications (unless the context otherwise requires): (i) the terms “Association” and “Financing”, whenever used in those sections, shall be construed for purposes of this Agreement as referring, respectively, to the “Bank” (as defined herein above in the opening paragraph of this Agreement) and the “Grant” (as defined in Section 3.01 of Article III of this Agreement). 2. So long as any part of the Financing provided under the Financing Agreement shall remain undisbursed and/or outstanding, and unless the Recipient has been notified otherwise by the Bank: (i) all actions taken, including approvals given, by the International Development Association (the “Association”) pursuant to: (i) any sections of, and/or schedules to, the Financing Agreement; and/or (ii) the General Conditions, shall be deemed to be take nor given in the name, and on behalf of, the Association and the Bank; and (ii) all information or documentation furnished by the Recipient to the Association pursuant to the provisions of any sections of the Financing Agreement or the General Conditions, and/or any appendices, schedules, or supplemental letters thereto, shall be deemed to be furnished to both, the Association and the Bank. Section II. Project Monitoring, Reporting and Evaluation A. Project Reports The Recipient shall ensure that each Project Report is furnished to the Bank not later than forty-five (45) days after the end of each calendar semester, covering the calendar semester. 9 Section III. Withdrawal of Grant Proceeds A. General 1. The Recipient may withdraw the proceeds of the Grant in accordance with the provisions of: (a) Article III of the Standard Conditions; and (b) this Section; to finance Eligible Expenditures in the amount allocated and, if applicable, up to the percentage set forth against each Category of the following table, excluding: Category Amount of the Amount of the Percentage of MDTF Grant ELPF Grant Expenditures Allocated Allocated to be Financed (expressed in (expressed in (inclusive of USD) USD) Taxes) (1) Goods, non- consulting services, consulting services, 500,000 0 100% and Training under Part 1(i) of the Project (2) Performance-Based Payments under Part 4,300,000 0 43% 2(a) of the Project (3) Goods, non- consulting services, consulting services, 200,000 300,000 17% and Training under Part 3 of the Project (4) Goods, non- consulting services, consulting services 0 3,700,000 31% and Training under Part 1(iv) of the Project TOTAL AMOUNT 5,000,000 4,000,0000 B. Withdrawal Conditions; Withdrawal Period 1. Notwithstanding the provisions of Part A of this Section no withdrawal shall be made for payments made prior to the Signature Date. 2. The Closing Date is December 31, 2025. 10 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 World Bank for implementation under the Project in accordance with Section I.E of Schedule 2 to the Financing 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 2 of the Appendix to the Standard 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. “CHWs” means Community Health Workers. 5. “District” means an administrative subdivision of the Recipient, established pursuant to the Recipient’s Organic Law No. 29/2005 of December 31, 2005. 6. “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 the Financing Agreement and Section C of the Schedule to the Project Agreement. 7. “Financing Agreement” means the financing agreement between the International Development Association and the Recipient, dated the same date as this Agreement, (Credit No. 7282-RW and Credit No. 7283-RW) for the Project, as such financing agreement may be amended from time to time. 8. “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 World Bank pursuant to Section I.E of Schedule 2 to the Financing Agreement, consisting of expenditures for local and international travel; salaries of contractual staff (other than consultants); per diems; office rental; office supplies; bank account fees; maintenance of equipment, facilities and rental vehicles used for Project implementation; fuel; 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. 11 9. “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 World Bank’s website on December 1, 2017, and referred to in Section I.F. of Schedule 2 to the Financing Agreement, as the same may be changed from time to time with the prior written agreement of the World Bank. 10. “MINAGRI” means the Recipient’s ministry of agriculture and animal resources; or any successor thereto. 11. “MINALOC” means the Recipient’s ministry of local government; or any successor thereto. 12. “MINECOFIN” means the Recipient’s ministry of finance; or any successor thereto. 13. “MINICOM” means the Recipient’s ministry of trade and industry; or any successor thereto. 14. “MININFRA” means the Recipient’s ministry in charge of infrastructure; or any successor thereto. 15. “NCDA” means the national child development agency established pursuant to Presidential Order No 083/01 of 28/08/2020. 16. “Original MDTF Grant Agreement” means the grant agreement for the Original Project between the Republic of Rwanda and the International Development Association acting as administrator for the Multi-Donor Trust Fund for Achieving Nutrition Impact at Scale dated March 7, 2018 (Grant No. A6567). 17. “Original Project” means the Project described in Schedule 1 to the Original MDTF Grant Agreement. 18. “PBF” means Performance-Based Financing. 19. “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. 20. “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 the Financing Agreement. 12 21. “Procurement Regulations” means, for purposes of paragraph 20 of the Appendix to the Standard Conditions, the “World Bank Procurement Regulations for IPF Borrowers”, dated November 2020. 22. “Project Implementing Entity” means the RBC. 23. “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. 24. “Project Implementation Manual” or “PIM” means the RBC’s manual, and referred to in Section I.C. of Schedule 2 to the Financing Agreement, as the same may be amended from time to time with the prior written agreement of the Bank. 25. “Project Agreement” means the agreement between the Bank and t he Project Implementing Entity relating to the implementation of all or part of the Project, as such agreement may be amended from time to time. “Project Agreement” includes the Standard Conditions as applied to the Project Agreement, and all appendices, schedules and agreements supplemental to the Project Agreement. 26. “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 the Financing Agreement. 27. “RAB” means the Rwanda Agricultural Board, established and operating pursuant to Law N°14/2017 of 14/04/2017 establishing Rwanda Agriculture and Animal Resources Development Board (RAB) and determining its mission, organization and functioning. 28. “RBC” means the Rwanda Biomedical Centre, an independent legal entity established and operating pursuant to the Project Implementing Entity Legislation. 29. “RBC-SPIU” means the Single Project Implementing Unit within RBC. 30. “Signature Date” means the later of the two dates on which the Recipient and the Bank signed this Agreement and such definition applies to all references to “the date of the Grant Agreement” in the Standard Conditions. 31. “Standard Conditions” means the “International Bank for Reconstruction and Development and International Development Association Standard Conditions for Grant Financing Made by the Bank out of Trust Funds”, dated February 25, 2019. 32. “Subsidiary Agreement” means the subsidiary agreement referred to in Section I.B of Schedule 2 to the Financing Agreement. 13 33. “Subsidiary Financing” means the amount of the Financing to be made available to RBC and referred to in Section I.B. of Schedule 2 to the Financing Agreement. 34. “Supplemental PBF Manual for the Targeted Districts” means a manual to be prepared and adopted by RBC and referred to in Section I.D of Schedule 2 to the Financing Agreement, as the same may be amended from time to time with the prior written agreement of the World Bank. 35. “Targeted Districts” means Bugesera, Gakenke, Huye, Karongi, Kayonza, Ngororero, Nyabihu, Nyamagabe, Nyaruguru, Rubavu, Ruhango, Rusizi, and Rutsiro. 36. “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 Bank pursuant to Section I.E. of Schedule 2 to the Financing 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. 37. “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. 38. “WASH” means Water, Sanitation and Hygiene. Section II. Amendments to the Original MDTF Grant Agreement. 1. The table under section IV.A(2) of Schedule 2 of the Original MDTF Grant Agreement is deleted and replaced with the table below: Category Amount of the Grant Percentage of Allocated Expenditures to be (expressed in USD) Financed (inclusive of Taxes) (1) Goods, non-consulting services, consulting services, and Training 3,000,000 75% under Part 1(i) of the Project 14 (2) Goods, non-consulting services, consulting services, and Training 6,730,435 100% under Part 2(ii) of the Project (3) Performance-Based Payments under Part 5,269,565 100% 2(i) of the Project (4) Goods, non-consulting services, consulting 0% until GFF A6783 services, and Training 2,500,000 fully utilized, under Parts 3(i) and thereafter 100% (ii) of the Project (5) Goods, non-consulting 0% until IDA Credit services, consulting No. 61870-RW fully services and Training 2,500,000 utilized, thereafter under Part 1(vii) of the 100% Project TOTAL AMOUNT 20,000,000 2. The Association has established March 31, 2025,as the later date for the purpose of Section IV.B.2 of Schedule 2 to the Original MDTF Grant Agreement. 15