OFFICIAL The World Bank DOCUMENTS E-32, Agargaon, Sher-e-Bangla Nagar, Dhaka 1207, Bangladesh Phone: (880-2) 5566-7777, (880) 96-0440-4000 Facsimle: (880-2) 5566-7778, 5566-7779 Abdoulaye Seck Country Director for Bangladesh and Bhutan Dated: June 12, 2023 Secretary Sharifa Khan Economic Relations Division Ministry of Finance Block 8, Room 3 Sher-c-Bangla Nagar Agargaon, Dhaka Dear Secretary Khan: Bangladesh - Health Sector Support Project (Grant No. TF0A6941) Amendment to Grant Agreement We refer to the Grant Agreement ("Grant Agreement") dated November 5, 2018 between the People's Republic of Bangladesh ("Recipient") and the International Bank for Reconstruction and Development/International Development Association ("World Bank"), acting as administrator of Bangladesh Health Sector Support Project Multi-Donor Trust Fund (HSSP-MDTF), as amended. We also refer to a letter from the Economic Relations Division, Ministry of Finance, dated January 26, 2023, regarding restructuring of the Project, We are pleased to inform you that the Association has agreed with your request. Furthermore, additional contributions have been received from donors of the HSSP-MDTF, thereby increasing the available Grant funds by ten million eight hundred eighty-five thousand three hundred and twelve United States Dollars (US$10,885,312). Accordingly, the Grant Agreement is hereby amended as follows: 1. Paragraph (D) of the WHEREAS clause is hereby revised to read as follows: "(D) the Recipient has requested the World Bank to provide additional financial assistance in support of Parts 1-3 of the Project and the World Bank has agreed to make available to the Recipient an additional grant in an amount equal to one hundred thirty-one million one hundred and sixty thousand seven hundred and nineteen United States Dollars ($131,160,719); and" 2. Section 3.01 is hereby revised to read as follows: "3.01. The World Bank agrees to extend to the Recipient, on the terms and conditions set forth or referred to in this Agreement, a grant in an amount not to exceed one hundred thirty-one million one hundred and sixty thousand seven hundred and nineteen United States Dollars ($131,160,719) ("Grant") to assist in financing Parts 1-3 of the Project." -2- 3. Section Ill.B.4. of Schedule 2 to the Financing Agreement is amended to read as follows: "4. The Closing Date is June 30, 2024." 4. Annex to Schedule 2 is hereby revised to read as set forth in the Attachment to this amendment letter. Except as specifically amended in this Amendment, all other terms and conditions of the Grant Agreement shall remain in full force and effect. The World Bank will disclose this Amendment and related information in accordance with the World Bank's Policy on Access to Information. By countersigning this Amendment, the Recipient consents to disclosure of this Amendment and related information. Please confirm your agreement to this Amendment on behalf of the Recipient by countersigning and dating the form of confirmation set forth below and returning one fully countersigned original of this Amendment to us and retaining one original for your records. Upon receipt by the World Bank of the countersigned original of this amendment letter, this amendment letter shall become effective as of the date of the countersignature. Sincerely, INTERNATIONAL DEVELOPMENT ASSOCIATION By Abdoulaye Seek AGREED: PEOPLE'S REPUBLIC OF BANGLADESH By: Authorized Representative Name: Md. Shahriar Kader Siddiky Additional Secretary Economic Relations Division Title: Miistry of Finance Govt. of The People's Republic of Bangladesh Date: C0 7/ f TZP23 Attachment Revised Annex to Schedule 2 Disbursement-Linked Indicators, Disbursement-Linked Results and Allocated Amounts Applicable to the Project DLR Pero FY201 FY202020 FY2021 Component 1. Governance and Stewardship DLI 1. Citizen feedback system is strengthened -US$10,002,940 DLRs DLR 1. 1 Assessment of DLR 1.2 GRS guidelines are DLR 1.3 An annual GRS performance report for previous calendar current GRS is completed approved (1) year published (2) Allocaed DLR 1.1 US$3,000,000 DLR 1.2 US$4,002,940 DLR 1.3 US$3,000,000 (US$1,500,000 per annual report) DLI 2. Budget planning and allocation are improved - US$20,745,076 DLRs DLR 2.2 Increase in the percentage (%) from FY2016 baseline in repair and maintenance expenditure at the levels of Upazila and below (2) Alloctedamont DLR 2.2 US$20,745,076 (US$30,418 per 1% increase from FY2016 baseline) Component 2. Health, Nutrition and Population Systems Strengthening DLI 3. Financial management system is strengthened - US$14,199,051 - DLR 3.2 MOPA endorses DLR 3.3 MOF concurs to DLR 3.4 MOPA approves FMAU FMAU recruitment rules (1) FMAU recruitment rules (1) recruitment rules (1) llocakted DLR 3.2 US$10,199,051 DLR 3.3 US$2,000,000 DLR 3,4 US$2,000,000 DLI 4. Asset management is improved - US$2,208,000 DLRI? DLR 4.2 Number of District Hospitals in which AMS is implemented (2) Al!ocated Amount DLR 4.2 US2,208,000 (US$92,000 per District Hospital) DLI 5. Procurement process is improved using information technology - US$8,071,365 DLRs DLR 5.1 e-GP is initiated for DLR 5.2 National competitive tenders (NCTs) using e-GP as a percentage (%) of all specified NCTs procurement by MOHFW issued by MOHFW (2) (1) Targets 34% of NCTs 89% of NCTs 80% of NCTs Allocated DLR 5.1 US$1,200,000 DLR 5.2 US$6,871,365 (US$33,849 per 1% of NCTs) Amunsts -4- Disbursement-Linked Indicators, Disbursement-Linked Results and Allocated Amounts Applicable to the Project DLR Period FY201 FY2 09 FY2020 F`2021 DLP,s DLR 6.1 CMSD DLR 6.2 MOF concurs to restructuring proposal is CMSD restructuring proposal endorsed by MOPA and (1) submitted to MOF (1) AiocaIted DLR 6.1 US$2,500,000 DLR 6.2 US$2,500,000 DLI 7. Availability of midwives for maternal care is increased - US$17,551,714 DLRs DLR 7.1 At least 2,500 midwife posts are created by MOHFW and recruitment of midwives is underway (1) DLR 7.2 Number of Upazila Health Complexes with at least 2 accredited diploma midwives (2) Allocated DLR 7.1 US$11,370,000 AmouDLR 7.2 US$6,181,714 (US$10,549 per Upazila Health Complex) DLR 8. Information system is strengthened, including gender-disaggregated data - USS2,204,156 DLR 8.1 Number of Community Clinics providing complete essential data to DHIS2, including gender- d isaggregated, reported for the previous CY (2) Allocaed Amount DLR 8.1 US$2,204,156 (US$323.19 per I Community Clinic) Component 3. Provision of Quality Health, Nutrition and Population Services DLI 9. Post-partum family planning services are improved - US$6,898,660 DLR. DLR 9.2 Reporting and DLR 9.3 Assessment and action training guidelines for PPFP plan are completed for services are approved (1) expansion of PPFP services in targeted health facilities in Sylhet and Chattogram divisions (1) DLR 9.4 Percentage (%) of targeted Public Health Facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chattogram divisions, reported for the previous CY (2) A/located DLR 9.2 US$1,500,000 DLR 9.3 US$4,205,885 Anwants DLR 9.4 US$1,192,775 (US$47,711 per 1% of targeted facilities) DLI 10. Utilization of maternal health care services is increased - US$4,486,391 -- ㄱ 보 -5- 긔」 - -6- Disbursement-Linked Indicators, Disbursement-Linked Results and Allocated Amounts Applicable to the Pirgiect D-ER Period F 3 "2 0 IN I FY2019 PY2020 FY2 02 1 A flocaied DLR 13.4 US$4,912,488 (US$64,638 per 1% of registered pregnant mothers) Az,noimd,, DLI 14. Infant and child nutrition services are expanded - US$8,426,407 DLR 14.2 Reporting and DLR 14.3 Assessment is quality assessment completed of child nutrition guidelines for infant and service quality in Sylhet and child nutrition services are Chattogram divisions (f approved (I ) DLR 14.4 Percentage (%) of registered infants and children aged under 2 years receiving specified nutrition services in Sylliet and Chattogram. divisions, reported for previous CY (2) DLR 14.2 US$2,400,000 - TDLR 14.3 US$4,000,000 DLR 14.4 US$2,026,407 (US$35,551 per 1% of registered infant and children aged tinder 2 years) DLR 15. School-based adolescent ILW pr ograrri is developed and implemented - US$3,040,007 LYER s DLR 15.1 Revised teacher DLR 15.2 Assessment of DLR 15.3 MOHFW completes training manual is approved current school-based services in training for MOHFW's school- (1) Sylhet and Chattogram based adolescent HNP program in divisions is jointly completed at least 50 schools in targeted with the education sector (1) districts of Sylhet and Chattograrn divisions (1) AMocaied DLR 15.1 US$1,500,000 DLR 15.2 US$1,000,000 DLR 15.3 US$540,007 DLR 16. Ernergi" challenges are addressed - US$4,385,566 DLR_v DLR 16.1 Urban Health DLR 16.2 Guidelines for Coordination Committee screening, referral and meets and agrees on actions treatment of hypertension are to improve coordination on approved (1) urban health (1)__ A flocaled DLR 16.1 US$385,566 DLR 16.2 US$4,000,000 Arnowyls Notes: 1. These are non-scalable DLRs and shall be achieved once only. The tirneframe for achievement of these DLR is indicative, but no later than the Closing Date. 2. These are scalable DLRs, and the timefrarne for achievement of these DLRs is indicative, but not later than the Closing Date,