THE WORLD BANK IBRD *IDA I WORL BANKGROUP April 12th, 2023 H.E Ernesto Max Tonela Minister Ministry of Economy and Finance Av. 10 de Novembro, No. 929, loAndar Maputo, Mozambique Excellency, Republic of Mozambique: Primary Health Care Strengthening Program (MDTF Grant Number TFOA9398) Fourth Amendment to the Grant Agreement We refer to the Grant Agreement for the above-captioned Project between the Republic of Mozambique ("Recipient") and the International Development Association ("World Bank") acting as administrator of the Multi-Donor Trust Fund for the Mozambique Primary Health Care Strengthening Program-for-Results ("MDTF"), dated March 21, 2019, as amended (the "Agreement"). Further to your letter dated December 27, 2022, we are pleased to inform you that the World Bank proposes to amend the Agreement as follows: (a) The table in Section IV.A of Schedule 2 to the Agreement is hereby deleted and replaced with the table in Annex to this amendment letter. All other provisions of the Agreement, except as amended herein shall remain in full force and effect. Sincerely, Ida ZiP varayi-Riddihough ountry Director Mozambique, Conioroy, Madagascar, Mauritius, and Seychelles Eqsten and Southern Africa Region AGREED: REPUBLIC OF MOZAMBI(i* E By:_'l Authorized Representative Name: Ernesto Max Elias Tonela Title: Minister of Economy a Date: % A. -2- Annex Category Disbursement Linked Amount of the Grant Disbursement (including Result Allocated Calculation Formula Disbursement (as applicable) (expressed in USD) Linked Indicator as applicable) (1) DLI #1: The Previous: Total of USD FY2018 - No Recipient has The Recipient has increased 5,400,000, of which: scalability increased the the percentage of FY2019 - FY number of Institutional Deliveries in USD 600,000 is Allocated Amount x districts, out of the the 42 lagging districts allocated in FY 2018; [Actual Achievement 42 defined as defined in the Investment USD 1,600,000 in FY up to DLR 1.2 - DLR lagging in the Case 2019; 1.1] / [DLR 1.2 - DLR Investment Case, ' 1.1] +undisbursed with at least 85 USD 1,600,000 in FY 11 nibre percent DLR#1.1: The Recipient has 2020; amount from previous Institutional increased the percentage of USD 1,600,000 in FY targets met Deliveries. Institutional Deliveries in 42 2021; and FY2020 No scalability Lagging Districts to 66.8% FY2021 - FY [FY 2018] 200,0 Allocated Amount x (Baseline: 66.1%) 2 [Actual Achievement up to DLR 1.4 - DLR 1.3] / [DLR 1.4 - DLR DLR#1.2: The Recipient has '1.3] + undisbursed increased the percentage of amount from previous Institutional Deliveries in 42 targets met Lagging Districts to 81% FY2022 - FY [FY 2019] Allocated Amount x [Actual Achievement Revised: up to DLR 1.5 - DLR The Recipient has increased 1.4] / [DLR 1.5 - DLR the number of districts, out 1.4] + undisbursed of the 42 defined as lagging amount from previous in the Investment Case, with targets met. at least 85 percent institutional deliveries DLR#1.3: The Recipient has increased the number of districts with at least 85 percent institutional deliveries to 29 [FY 2020] DLR#1.4: The Recipient has increased the number of districts with at least 85 percent institutional deliveries to 32 [FY 2021] DLR#1.5: The Recipient has increased the number of districts with at least 85 -3- percent institutional deliveries to 37 [FY 2022] (2) DLI #2: The DLR#2.3.1: The Recipient Total of USD FY2020 - No Recipient has has increased the percentage 7,800,000 of which: scalability increased the of Secondary and Technical FY2021 - percentage of Schools offering sexual and USD 4,000,000 is 2.4.1: FY Allocated Secondary and reproductive health services allocated in FY 2020 Amount x [Actual Technical Schools to 19% [FY 2020] (USD 2,000,000 for Achievement up to offering sexual and (Baseline: 0%) DLR#2.3.1, USD DLR 2.4.1 - DLR reproductive health 1,000,000 for 2.3.1] / [DLR 2.4.1 - services DLR#2.3.2: The Recipient DLR#2.3.2; and USD DLR 2.3.1] + (information and has completed a gaps 1,000,000 for DLR#2. undisbursed amount contraceptive identification of current 3.3); and from previous targets methods). Training Materials [FY USD 3,800,000 in FY met 2020] 2021 2.4.2: No scalability (USD 1,300,000 for 2.4.3: No scalability DLR#2.3.3: The RecipientDL#AlUS has finalized the harmonization of M&E 1,000,000 forFY2022 - Tools DLR#2.4.2; and USD Tos1,500,000 for 2.5.1: FY Allocated [FY 2020] DLR#2.4.3). Amount x [Actual Achievement up to DLR#2.4. 1: The Recipient DLR 2.5.1 - DLR has increased the percentage 2.4.1] / [DLR 2.5.1 - of Secondary and Technical DLR 2.4.1] + , Schools offering sexual and undisbursed amount reproductive health services from previous targets to 40% [FY 2021] met. 2.5.2: No scalability DLR#2.4.2: The Recipient has approved updated Training Materials [FY 2021] DLR#2.4.3: The Recipient has approved updated Adolescent and Youth- Friendly Services (SAAJ) Guidelines [FY 2021] DLR#2.5. 1: The Recipient has increased the percentage of Secondary and Technical Schools offering sexual and reproductive health services to 50% [FY 2022] 'DLR#2.5.2: The Recipient has completed training for health providers and focal -4- points on improved M&E tools [FY 2022] (3) DLT#3: The The Recipient has met the Total of USD FY2018 - No Recipient has ifollowing targets for Couple 12,100,000 of which: scalability increased Couple 'Years of Protection. USD 1,400,000 is FY2019 - FY Years of allocated in FY 2018; Allocated Amount x Protection. DLR#3.1: 2,135,012 [FY USD 3,500,000 in FY [Actual Achievement 2018] (Baseline: 1,722,692) 2019; USD 4,000,000 up to DLR 3.2 - DLR in FY 2020; 3.1] / [DLR 3.2 - DLR DLR#3.2: 2,336,463 [FY USD 3,200, 000 to FY 3.1] + undisbursed 2021; and USD amount from previous 2,500,000 is allocated targets met to FY 2022. FY2020 - FY DLR#3.3: 3,190,000 Allocated Amount x [FY 2020] [Actual Achievement up to DLR 3.3 - DLR 3.2]!/ [DLR 3.3 - DLR DLR#3.4: 3,360,000 [FY 3.2] + uDiRseD 3.2] + undisbursed 2021] amount from previous targets met DLR#3.5: 3,540,000 [FY FY2021 - FY 2022] Allocated Amount x [Actual Achievement up to DLR 3.4 - DLR 3.3] / [DLR 3.4 - DLR 3.3] + undisbursed amount from previous targets met FY2022 - FY Allocated Amount x [Actual Achievement up to DLR 3.5 - DLR 3.4] / [DLR 3.5 - DLR 3.4] + undisbursed amount from previous targets met. (4) DLI#4: The DLR#4. 1.1: The Recipient Total of USD FY2018 - No Recipient has has trained at least 6 6,900,000 of which: scalability. increased the trainers, 100% of district FY2020 - FY percentage of nutrition representatives, USD 500,000 is Allocated Amount x children between and 30% of Community allocated in FY 2018 [Actual Achievement 0-24 months of age Health Workers, and for DLR#4. 1.1; up to DLR 4.3 - receiving the identified 30% of Baseline] / [DLR 4.3 - Nutrition volunteers, in 6 of the 8 USD 2,900,000 in FY Baseline] + Intervention targeted provinces on the 2020;and undisbursed amount Package (NIP) in NIP [FY 2018] USD 3,500,000 in FY from previous targets the eight provinces 2021. met (Cabo Delgado, DLR#4.1.2: The Recipient Inhambane, has finalized the Monitoring FY2021 - Manica, Nampula, and Evaluation System [FY FY A Niassa, Sofala, 2018]FY Allocated Amount Tete and x [Actual Achievement -5- Zambezia) with a up to DLR 4.4 -DLR prevalence of DLR#4.3: The Recipient has 4.3] / [DLR 4.4 - DLR stunting above 35 ensured that 15% of children 4.3] + undisbursed percent. are benefiting from the amount from previous Modified NIP [FY 2020] targets met (Baseline: 0) FY2022 - FY DLR#4.4: The Recipient has Allocated Amount x ensured that 30% of children [Actual Achievement are benefitting from the up to DLR 4.5 - DLR Modified NIP [FY 2021] 4.] / [DLR 4.5 - DLR 4.] + undisbursed amount from previous DLR#4.5: The Recipient has ensured that 40% of children are benefitting from the NIP [FY 2022] (5) DLI#5: The DLR#5.1: Actual Domestic Total of USD FY2018 - No Recipient has Health Expenditure as a 2,000,000 of which: scalability in creased the percentage of total Domestic FY2019 - FY Domestic Health Government Expenditure at USD 500,000 is Allocated Amount x Expenditures as a least 8.5% [FY 2018] allocated in FY 2018; [Actual Achievement percentage of total (Baseline: 7.9%) USD 500,000 in FY up to DLR 5.2 - DLR Domestic 2019; 5.1] / [DLR 5.2 - DLR Governmet DLR#5.2: Actual Domestic USD 500,000 in FY 5.1] + undisbursed Health Expenditure as a 2020; and amount from previous percentage of total Domestic USD 500,000 in FY targets met Government Expenditure at 2021. FY2020 - FY least 8.5% [FY 2019] Allocated Amount x [Actual Achievement DLR#5.3: Actual Domestic up to DLR 5.3 - DLR Health Expenditure as a 5.2] / [DLR 5.3 - DLR percentage of total Domestic 5.2] + undisbursed Government Expenditure at amount from previous least 9% [FY 2020] targets met FY2021 - FY Allocated Amount x DLR#5.4: Actual Domestic [Actual Achievement Health Expenditure as a up to DLR 5.4 - DLR percentage of total Domestic 5.3] / [DLR 5.4 - DLR 'Government Expenditure at 5.3] + uDiRseD least 9.5% [FY 2021] 5.3] + undisbursed amount from previous targets met (6) DLI#6: The DLR#6.3.1: Actual Total of USD FY2020 - Recipient has provincial expenditures in 3,000,000 of which: 6.3.1: Allocated increased health the Underserved Provinces USD 1,000,000 is Amount x [Actual expenditures from from the Sub-Account allocated to FY2020 achievement up to the Sub-Account Resources increased to USD lor DLR#6.3.3; DLR 6.3.1 - Baseline] Resources in 9 million [FY2020] USD 1,000,000 is / [DLR 6.3.1 - (Baseline: 0) allocated in FY 2021; Baseline] -6- Underserved I and USD 1,000,000 is 6.3.2: Allocated Areas. DLR#6.3.2: Actual district allocated in FY 2022. Amount x [Actual expenditures in the achievement up to Underserved Districts from DLR 6.3.2 - Baseline] the Sub-Account Resources / [DLR 6.3.2 - increased to USD 4 million Baseline] [FY2020] (Baseline: 0) 6.3.3: Allocated Amount x [Actual DLR#6.3.3: Domestic | achievement up to Health Expenditures for the DLR 6.3.3- Baseline] Underserved Areas [DLR 6.3.3 - Baseline] maintained as a share of provincial and district FY2021 - Domestic Health Allocated Amount x Expenditures [FY2020] [Actual achievement (Baseline: 32% for up to DLR 6.4 - Underserved Provinces Baseline] / [DLR 6.4 - andl 6% in Underserved Baseline] Districts in 2019) FY2022 - DLR#6.4: The Recipient has 'Alcae A signed Results Agreements Acta A mnt with eleven provinces u ohDLRe6.5 t (Baseline: 0) up to DLR 6.5 - [FY 202 1Baselmne] / [DLR 6.5 - [FY 2021] Baseline] + undisbursed amount DLR#6.5: The Recipient from previous targets has disbursed grants to 90% ' met of primary health care facilities with internment in the three Underserved Provinces (Baseline: 0) [FY 2022] (7) DLI#7: The The Recipient has met the Total of USD IFY2018 - No Recipient has following percentages of 6,000,000 of which: scalability increased the Technical Health Personnel FY2019 - number of assigned to the primary USD 600,000 is Technical Health 'health care network: allocated in FY 2018; 7.2.1: FY Allocated Personnel assigned USD 1,600,000 in FY Amount x [Actual to the primary '22019 (USD 100,000 for Achievement up to health care DLR#7.1: 12,205 [FY 2018] DLR#7.2.1 and USD DLR 7.2.1 - DLR 7.1] network. (Baseline: 11,970) 1,500,000 for / [DLR 7.2.1 - 7.1] + DLR#7.2.2); undisbursed amount DLR#7.2.1: 15,431 [FY USD 100,000 in FY from previous targets 2019] 2020 for DLR#7.3.1; met USD 1,600,000 is 7.2.2: FY Allocated allocated in 2021 (USD Amount x [Actual DLR#7.2.2: The Recipient 600,000 for Achievement up to has increased the number of DLR#7.4. 1; and USD DLR 7.2.21 - health facilities in the 1,000,000 for Baseline] / [DLR primary care network that DLR#7.4.2); and USD 7.2.21 - Baseline] -have at least two active -7- maternal child health 2,100,000 is allocated (MCH) nurses to 688 [FY in 2022 (USD FY2020 - 2019] 1,100,000 for 731: FYAllocated DLR#7.5.1; and USD DLR#7.3.1: 15,566 [FY 1,000, 00 for Achievement up to 2020] DLR#7.5.2). DLR 7.3.1 - DLR 7.2.1] / [DLR 7.3.1 - DLR#7.3.2: The Recipient DLR 7.2.1] + has increased the number of undisbursed amount health facilities in the fr previous targets primary care network that met have at least two active 7.3.2: FY Allocated MCH nurses to 704 [FY Amount x [Actual 2020] Achievement up to DLR 7.3.2 - DLR 7.2.2] / [DLR 7.3.2 - DLR#7.4.1: 16,182 [FY 7.2]+ 2021]DLR 7.2.2] + 2021] undisbursed amount from previous targets DLR#7.4.2: The Recipient met has increased the number of health facilities in the FY2021 - rimary care network that have at least two active 7.4.1: FY Allocated MCH nurses to 728 [FY Achievement up to 2021] DLR 7.4.1 - DLR 7.3.1] / [DLR 7.4.1 - DLR#7.5.1: 17,153 [FY DLR 7.3.1] + 2022] undisbursed amount from previous targets DLR#7.5.2: The Recipient met has increased the number of 7.4.2: FY Allocated health facilities in the Amount x [Actual primary care network that Achievement up to have at least two active DLR 7.4.2 - DLR MCH nurses to 768 [FY 7.3.2] / [DLR 7.4.2 - 2022] DLR 7.3.2] + undisbursed amount from previous targets met FY2022 - 7.5.1: FY Allocated Amount x [Actual lAchievement up to IDLR 7.5.1 - DLR 7.4.1] / [DLR 7.5.1 - DLR 7.4.1] + undisbursed amount from previous targets met 7.5.2: FY Allocated Amount x [Actual -8- Achievement up to DLR 7.5.2 - DLR 7.4.2] / [DLR 7.5.2 - DLR 7.4.2] + undisbursed amount from previous targets met (8) DLI#8: The DLR#8.1: The Recipient has Total USD 9,800,000 FY2018 - No Recipient has designed and piloted of which: scalability increased the hospital scorecards in 6 FY2019 - FY number of district district and rural hospitals, USD 500,000 is Allocated Amount x and rural hospitals which receive performance- allocated in FY 2018; [Actual Achievement receiving based allocations according 'up to DLR 8.2 - DLR performance-based to their performance [FY USD 2,500,000 is 8.1] / [DLR 8.2 - DLR allocations in 2018] (Baseline: 0) allocated in FY 2019; 8.1] + undisbursed accordance with a USD 800,000 is amount from previous miimm f neallocated in FY 2020; tamout frme viu scorecard DLR#8.2: The Recipient has USD 3, 000, 000 is assessment in the demonstrated that 30% of allocated in FY 2021; FY2020 - FY previous Fiscal district and rural hospitals and USD 3,000,000 is Allocated Amount x Year (FY). received performance-based allocated in FY 2022. [Actual Achievement allocations in accordance up to DLR 8.3 - DLR with a minimum of two 8.2] / [DLR 8.3 - DLR scorecard assessments in the 8.2] + undisbursed previous Fiscal Year [FY amount from previous 2019] targets met FY2021 - FY DLR#8.3: The Recipient has Allocated Amount x demonstrated that 15 district [Actual Achievement and rural hospitals receive up to DLR 8.4 - DLR allocations based on |8.3] / [DLR 8.4 - DLR prioritized action plans that 8.3] + undisbursed respond to scorecard amount from previous evaluations [FY 2020] targets met (Baseline: 0) FY2022 - FY Allocated Amount x DLR#8.4: The Recipient has [Actual Achievement demonstrated that up to DLR 8.5 - DLR 31 district and rural 8.4] / [DLR 8.5 - DLR hospitals received 8.4] + undisbursed performance-based amount from previous allocations in accordance targets met with a minimum of one scorecard assessment in the previous Fiscal Year [FY 2021] DLR#8.5: The Recipient has demonstrated that 44 district and rural hospitals received performance-based allocations in accordance with a minimum of one scorecard assessment in the previous Fiscal Year [FY 2022] (9) DLI#9: The DLR#9. 1: The Recipient has Total USD 12,200,000 FY2018 - No Recipient has designed and piloted health of which: scalability increased the center scorecards with USD 500,000 is FY2019 - FY number of health community consultations in allocated in FY 2018; Allocated Amount x centers in Priority at least 64 Rural Health USD 3,500,000 is [Actual Achievement Districts receiving Centers in Priority Districts, allocated in FY 2019; up to DLR 9.2 - DLR performance-based receiving financial USD 700,000 is 9.1] / [DLR 9.2 - DLR allocations allocations according to allocated in FY 2020; 9.1] + undisbursed according to at their performance [FY 2018] USD 5,500,000 is amount from previous least one scorecard (Baseline: 0) allocated in FY 2021; targets met assessment with and USD 1,800,000 is FY2020 - FY community DLR#9.2: The Recipient has allocated in FY 2022. Allocated Amount x consultations in the demonstrated that 130 Rural [Actual Achievement year (FY) Health Centers in Priority up to DLR 9.3 - DLR y Districts receive 9.2] / [DLR 9.3 - DLR performance-based 9.2] + undisbursed allocations according to at amount from previous least two scorecard I targets met assessments with FY2021 - FY community consultations in Allocated Amount x the last Fiscal Year [FY [Actual Achievement 2019] up to DLR 9.4 - DLR 9.3] / [DLR 9.4 - DLR DLR#9.3: The Recipient has 9.3] + undisbursed demonstrated that 186 amount from previous health centers in priority targets met districts receive financial FY2022 - FY allocations based on Allocated Amount x prioritized action plans that [Actual Achievement Irespond to scorecards up to DLR 9.5 - DLR evaluations [FY 2020] 9.4] / [DLR 9.5 - DLR (Baseline: 0) 9.4] + undisbursed amount from previous DLR#9.4: The Recipient has targets met. demonstrated that 261 health centers in priority districts receive performance-based allocations according to at least one scorecard assessment with community consultations in the last Fiscal Year [FY 2021] DLR#9.5: The Recipient has, demonstrated that 391 health centers in priority districts receive performance-based allocations according to at least one scorecard assessment with community -10- consultations in the last Fiscal Year [FY 2022] (10) DLI#10: The The Recipient has achieved Total USD 3,000,000 FY2018 - No Recipient has the following targets: of which: scalability increased the FY2019 - FY number of active DLR#10.1: 4,723 CHWs USD 2,500,000 is Allocated Amount x community health trained and active [FY 2018] allocated in FY 2018; [Actual Achievement workers (CHWs). (Baseline: 3,380) and USD 500,000 is Iup to DLR 10.2 - allocated in FY 2021. Baseline] / [DLR 10.2 DLR#10.2: 6,523 CHWs Baseline] + undisbursed amount trained and active [FY from previous targets 2019] met FY2020 - DLR#10.3: 6,690 active FY Allocated Amount CHWs [FY 2020] x [Actual Achievement up to DLR 10.3 - DLR DLR#10.4: 7,748 active 10.2] / [DLR 10.3 - CHWs [FY 2021] DLR 10.2] + undisbursed amount from previous targets DLR#10.5.1: 8,800 active met CHWs [FY 2022] FY2021 - FY Allocated Amount DLR#10.5.2: 50% of CHWs x [Actual Achievement deliver services according to up to DLR 10.4 - DLR quality standards [FY 2022] 10.3] + (Baseine:28%)DLR 10.3] + (Baseline: 28%) undisbursed amount from previous targets met FY2022 - 10.5.1: FY Allocated Amount x [Actual Achievement up to DLR 10.5.1 - DLR 10.4] / [DLR 10.5.1 - DLR 10.4] + undisbursed amount from previous targets met 10.5.2: FY Allocated Amount x [Actual Achievement up to DLR 10.5.2 -Baseline] I/ [DLR 10.5.2 - Baseline] (11) DLI#11: The The Recipient has achieved Total USD 7,300,000 FY2018 - No Recipient has the following targets: of which: scalability increased the FY2019 - FY percentage of DLR#11.1: 100% of USD 2,000,000 is Allocated Amount x deaths in eligible hospitals and 50% of health allocated in FY 2019 [Actual Achievement health facilities centers use MGDH to USD 1,800,000 is up to DLR 11.2 - DLR -11- certified by a generate information on allocated in FY 2020 11.1] / [DLR 11.2 - doctor or a causes of death (USD 1, 600,000 for 11.1] + undisbursed qualified clinician (Baseline: 70% of hospitals DLR#1 1.3.1 and USD amount from previous with the cause of and 0% of health centers use 200,000 for targets met death coded using MGDH to generate DLR#1 1.3.2); FY2020 - ICD1O or ICD11, information on the cause of USD 1,700,000 is 11.3.1: FY Allocated and the death death) [FY 2018] allocated in FY 2021 Amount x [Actual record captured in (USD 1,000,000 for Achievement up to SISMA Hospital DLR#11.2: 70% of the DLR#11.4.1 and USD DLR 11.3.1 - Data Management health centers use MGDH to 700,000 for Baseline] / [DLR Module (Modulo de Gestdo de generate information on the DLR# 11.4.2); and USD 11.3.1 - Baseline] + Dados cause of death [FY 2019] 1,800,000 is allocated uidisbursed amount Hospitalares- in FY 2022 for from previous targets AGDI) and DLR#11.3.1: 50% of deaths DLR#11.5.1. met the Recipient has in eligible health facilities 11.3.2: FY Allocated increased the certified by a doctor or Amount x [Actual percentage of qualified clinician with the Achievement up to cause of death coded using DLR 11.3.2 - deaths registered, Cuse of death ecor 13aseline] / [DLR certified, and ICD 10, and the death record captured in the captured in the SISMA 11.3.2 - Baseline] + capturedtin MGDH [FY 2020] undisbursed amount civil registration0) from previous targets system (SiRCEV) nmet within one year of 'their occurrence DLR#11.3.2: 15% of deaths registered, certified, and FY2021 - captured in the civil 11.4.1: FY Allocated registration system Amount x [Actual (SiRCEV) within one year Achievement up to of their occurrence [FY DLR 11.4.1 - DLR 2020] (Baseline: 0) 11.3.1] / [DLR 11.4.1 - DLR 11.3.1] + DLR#1 1.4.1: 60% of deaths undisbursed amount in eligible health facilities from previous targets certified by a doctor or met qualified clinician with the 11.4.2: FY Allocated cause of death coded using Amount x [Actual ICD10 or ICD 11, and the Achievement up to death record captured in the DLR 11.4.2 - DLR SISMA MGDH [FY 2021] i 11.3.2] / [DLR 11.4.2 - DLR 11.3.2] + DLR#1 1.4.2: 20% of deaths undisbursed amount registered, certified and from previous targets captured in the civil met registration system (SiRCEV) within one year FY2022 - of their occurrence [FY 11.5.1: FY Allocated 2021] Amount x [Actual Achievement up to DLR#1 1.5.1: 70% of deaths DLR 11.5.1 - DLR in eligible health facilities 11.4.1] / [DLR 11.5.1 - certified by a doctor or DLR 11.4.1] + qualified clinician with the 'undisbursed amount cause of death coded using -12- ICD 10 or ICD 11, and the from previous targets death record captured in the met SISMA MGDH [FY 2022] 11.5.2: FY Allocated Amount x [Actual DLR#1 1.5.2: 25% of deaths Achievement up to registered, certified, and IDLR 11.5.2 - DLR captured in the civil 11.4.2] / [DLR 11.5.2 - registration system DLR 11.4.2] + (SiRCEV) within one year undisbursed amount of their occurrence [FY from previous targets 2022] met (12) DLR#12: The The Recipient has achieved Total USD 4,500,000 FY2021 - No Recipient has the following targets: of which: scalability introduced reforms DLR#12.4: Expansion of the FY2022 - No to increase the Sistema de Informagilo, USD 1,500,000 is scalability availability of Gestdo, e Logistica das allocated to FY 2021; essential maternal Unidades Sanitdrias and USD 3,000,000 is and reproductive (SIGLUS) to 85% of health allocated to FY 2022 health medicines at facilities [FY 2021] (USD 1,500,000 for primary health care . DLR 12.5.1 and USD facilities. DLR# 12.5.1: Approval by 1,500,000 for 12.5.2). the Cabinet of a decree granting the Central de A ledicamentos e Artigos Aidicos (CMAM) autonomy to enable an optimized single command structure [FY 2022] DLR#12.5.2:Implementation of outsourcing of last mile 'transportation and distribution of medicines [FY 2022] TOTAL 82,500,000 AMOUNT