GRANT NUMBER E335-ZM Financing Agreement (Zambia Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach) between REPUBLIC OF ZAMBIA and INTERNATIONAL DEVELOPMENT ASSOCIATION GRANT NUMBER E335-ZM FINANCING AGREEMENT AGREEMENT dated as of the Signature Date between REPUBLIC OF ZAMBIA (“Recipient”) and INTERNATIONAL DEVELOPMENT ASSOCIATION (“Association”). WHEREAS: A. The Participating Countries, including the Recipient, and the Regional Bodies, have agreed to participate in the MPA Program; B. Under Phase I of the MPA Program, the Association extended financial assistance to the Federal Democratic Republic of Ethiopia, Republic of Kenya, and Democratic Republic of Sao Tome and Principe, as well as to the Regional Bodies; C. Under subsequent phases of the MPA Program, the Association will extend or has extended financing to the Recipient and other Participating Countries; D. The Recipient, having satisfied itself as to the feasibility and priority of the Project, has requested the Association to assist in the financing of the project described in Schedule 1 to this Agreement (“Project”); and WHEREAS the Association has also agreed, on the basis, inter alia, of the foregoing, to extend the financing provided for in Article II of this Agreement to the Recipient upon the terms and conditions set forth in this Agreement. NOW THEREFORE, the Association and the Recipient 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 grant, which is deemed as Concessional Financing for purposes of the General Conditions, in an amount equivalent to thirty-eight million Special Drawing Rights (SDR 38,000,000) (“Financing”), to assist in financing the Project. -2- 2.02. The Recipient may withdraw the proceeds of the Financing in accordance with Section III of Schedule 2 to this Agreement. 2.03. The Maximum Commitment Charge Rate is one-half of one percent (1/2 of 1%) per annum on the Unwithdrawn Financing Balance. 2.04. The Payment Dates are March 15 and September 15 in each year. 2.05. The Payment Currency is Dollar. ARTICLE III — PROJECT 3.01. The Recipient declares its commitment to the objectives of the Project and the MPA Program. To this end, the Recipient shall carry out the Project, through the Ministry of Health, in accordance with the provisions of Article V of the General Conditions and Schedule 2 to this Agreement. ARTICLE IV — EFFECTIVENESS; TERMINATION 4.01. The Additional Conditions of Effectiveness consist of the following: (a) The Recipient has established the Project Implementation Unit and hired or assigned: (i) a Project coordinator, (ii) a financial management specialist, (iii) a procurement specialist; and (iv) an environmental specialist and a social specialist in accordance with the Environmental and Social Commitment Plan (ESCP); all with terms of reference, qualifications, and experience satisfactory to the Association. 4.02. The Effectiveness Deadline is the date ninety (90) days after the Signature Date. 4.03. 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 V — REPRESENTATIVE; ADDRESSES 5.01. The Recipient’s Representative is the minister responsible for finance and national planning. 5.02. For purposes of Section 11.01 of the General Conditions: (a) the Recipient’s address is: Ministry of Finance and National Planning P.O. Box 50062 Lusaka, Zambia; and -3- (b) the Recipient’s Electronic Address is: Telex: Facsimile: 42221 (+260 211) 253494/251078 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 United States of America; and (b) the Association’s Electronic Address is: Telex: Facsimile: 248423 (MCI) 1-202-477-6391 -4- AGREED as of the Signature Date. REPUBLIC OF ZAMBIA By _____________________________________/s1/ Authorized Representative Situmbeko Musokotwane Name: __________________________ /n1/ Minister of Finance & National Planning Title: __________________________/t1/ 04-Sep-2024 Date: __________________________/d1/ INTERNATIONAL DEVELOPMENT ASSOCIATION By _____________________________________/s2/ Authorized Representative Achim Fock Name: __________________________/n2/ Country Manager Title: __________________________ /t2/ 17-Aug-2024 Date: __________________________/d2/ -5- SCHEDULE 1 Project Description The objective of the Project is to strengthen health system resilience and multisectoral preparedness and response to Health Emergencies in the Republic of Zambia. The Project constitutes a phase of the MPA Program, and consists of the following parts: Part 1: Strengthening the Preparedness and Resilience of the Health System to Manage Health Emergencies (HEs) 1.1. Developing health workforce through Training, and regulatory and management mechanisms including: (a) technical assistance for updating of training guidelines and manuals to integrate the community event surveillance mechanism and climate emergency preparedness and response, and to implement the integrated community health service package and other related guidelines and standard operating procedures mentioned under Part 2.1 below; and (b) provision of Training (i) based on the abovementioned updated training guidelines and manuals and other key existing guidelines including for integrated disease surveillance and response, rapid response teams, and gender-based violence training; and (ii)to enhance the use of digital tools, as well as provision of supporting tools for health workers such as communication devices. 1.2. Operationalizing information systems for HEs and digitalizing the health sector through: (a) expansion of the function of the executive data dashboard that will enable real time information sharing for informed decision-making by the leadership; (b) developing, implementing, and rolling out of a communication platform for health workers to enable real-time communication and strengthen the disease surveillance system at the community level; (c) developing and enhancing e-learning modules and integration of those modules into the health worker communication platform; and (d) technical assessments to ensure rollout, interoperability and sustainability of digital solutions. Part 2: Improving the Detection of and Response to HEs through a Multisectoral Approach 2.1. Strengthening emergency management structures and processes and patient- centered healthcare provision through: (a) updating and implementing a patient- centered integrated community health service package and other required -6- guidelines and standard operating procedures to support equitable and inclusive access to Reproductive, Maternal, Newborn, Child, Adolescent Health, and Nutrition (RMNCAH-N) services and non-communicable disease (NCD) prevention and treatment during a HE; (b) supporting a referral system by (i) developing and gradually operating a digital emergency transport management system, and (ii) procuring ambulances and equipment required for primary health care facilities and community health workers in accordance with the Recipient’s 2022-2026 National Health Strategic Plan; (c) development and implementation of standardized national clinical case management guidelines and training packages for priority diseases and health hazards at national and subnational levels, designed to address gender, poverty and related barriers to access to care in a HE; (d) ensuring stable service delivery during HEs at the primary health care level facilities through, inter alia: (i) new installation and rehabilitation of water, sanitation and hygiene (“WASH”) facilities, (ii) solarization and/or electrification of selected health facilities with a consideration of energy efficiency, (iii) provision of reliable internet where possible, (iv) support for strengthening infection, prevention and control (IPC); and (v) operation and maintenance of selected primary health care level facilities. 2.2. Supporting risk communication and community engagement through: (a) enhancement of a two-way community feedback mechanism and communication channels taking into account a multi-sectoral approach and gender differences in access and use of media and messaging to inform the multisectoral emergency response strategy and other priorities such as gender-based violence, and (b) strengthening gender-equitable engagement of community members and community structures in defining, developing, evaluating, and reviewing health service delivery. 2.3. Supporting climate change adaptive emergency preparedness and response through: (a) technical assistance for the development of sub-national and facility- level climate emergency preparedness and management plans, including for climate adaptive infrastructure; (b) simulations for health workers and administrators on climate and HE preparedness and response at national, decentralized, and community levels; (c) development of an observatory for climate events through the development of a surveillance system by integrating meteorological data, as well as the development and monitoring of a climate and health early warning system, for climate shocks and climate-sensitive diseases; (d) technical assistance for developing a national response plan for flooding and drought focused on the prevention of climate-sensitive diseases; (e) conducting risk assessments for climate shocks and climate sensitive diseases; and (f) technical assistance for developing and implementing WASH climate risk management plan for HEs. -7- Part 3: Project Management Supporting Project management and monitoring and evaluation including: (a) supporting the MPA Program learning agenda; (b) supporting Project coordination and management including procurement, financial management, environmental and social aspects including strengthening of the grievance redress mechanisms, monitoring and evaluation and reporting; all, through the acquisition of goods, provision of technical advisory services, training, and Operating Costs; and (c) supporting cross border-related administrative activities and collaboration with the Regional Bodies. Part 4: Contingent Emergency Response Provision of immediate response to an Eligible Crisis or Emergency, as needed. -8- SCHEDULE 2 Project Execution Section I. Implementation Arrangements A. Institutional Arrangements. 1. Project Implementation Unit (a) The Recipient through the Ministry of Health, shall establish and thereafter maintain, throughout the period of implementation of the Project, the project implementation unit (“Project Implementation Unit” or “PIU”) with a mandate, terms of reference, composition, and resources satisfactory to the Association, to be responsible for, inter alia: (i) day to day management, implementation and coordination of the Project including, procurement, financial management, environmental and social aspects, monitoring and evaluation; (ii) the preparation of Annual Work Plan and Budget and procurement plans; (iii) monitoring and evaluation, including collecting and compiling data and monitoring indicators; (iv) the preparation of Project Reports; as set forth in the Project Implementation Manual. The PIU shall coordinate with the Zambia National Public Health Institute (ZNPHI) as well as relevant Recipient’s directorates, units, and institutions as specified in the Project Implementation Manual. (b) The Recipient shall, hire or assign and thereafter maintain at the PIU throughout the implementation of the Project: (i)a Project coordinator, (ii) a financial management specialist, (iii) a procurement specialist, (iv) a monitoring and evaluation specialist, (v) environmental and social staff as required under the ESCP, and (vi) any other staff as needed for the Project Implementation Unit, under terms of reference and with qualification and experience acceptable to the Association and as further detailed in the Project Implementation Manual. 2. Project Steering Committee Not later than six (6) months after the Effective Date, the Recipient shall establish and thereafter maintain throughout the period of implementation of the Project, a Project steering committee (“Project Steering Committee”) with a mandate, terms of reference, composition, and resources satisfactory to the Association, chaired by the Permanent Secretary for Technical Services, and shall be responsible for, inter alia overseeing the Project implementation and making strategic decisions as further detailed in the Project Implementation Manual. -9- 3. Regional Advisory Committee The Recipient shall designate at all times during Project implementation representative(s) to participate in the Regional Advisory Committee, under terms of reference and with qualified and experienced members in adequate number, all satisfactory to the Association and as further set out in the Project Implementation Manual. B. Project Implementation Manual 1. Not later than forty-five (45) days after the Effective Date, the Recipient shall prepare and adopt an implementation manual acceptable to the Association (“Project Implementation Manual” or “PIM”), 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) procurement arrangements; (iv) disbursement arrangements, reporting requirements, financial management procedures and audit procedures; (v) monitoring and evaluation; (vi) arrangements for preventing, detecting, reporting, investigation, remediation and otherwise addressing fraud and corruption, including compliance with the Anti-Corruption Guidelines (which shall be annexed thereto); (vii) roles and responsibilities of the Project Steering Committee and the PIU in the implementation of the Project; (viii) Personal Data collection and processing requirements in accordance with applicable national law and good international practice; (ix) environmental and social framework aspects, including a detailed description of the grievance redress mechanism process as well as any process for recording and reporting project- related accidents and incidents; (x) details on the composition and working arrangements of the Regional Advisory Committee; and (xi) such other arrangements and procedures as shall be required for the effective implementation of the Project. 2. The Recipient shall exchange views with the Association on the PIM prior to its adoption, and thereafter ensure that the Project is carried out in accordance with the PIM. 3. In case of any conflict between the provisions of the PIM and the provisions of this Agreement, the provisions of this Agreement shall prevail. Except as the Association shall otherwise agree, the Recipient shall not amend, abrogate or waive any provision of the PIM. C. Annual Work Plan and Budget 1. The Recipient shall carry out the Project in accordance with annual work plans and budgets to be prepared by the PIU and furnished to the Association not later than -10- October 31 of each year during the implementation of the Project (the first such Annual Work Plan and Budget being due two (2) months after the Effective Date), or any later date as agreed upon with the Association, and containing all activities proposed for inclusion in the Project for the next fiscal year, including: (a) detailed timetables for the sequencing and implementation of proposed Project activities; (b) types of expenditures required for such activities and a proposed financing plan; and (c) any Operating Costs, and Training that may be required under the Project. 2. The Recipient shall ensure that in preparing any training plan proposed for inclusion in an annual work plan and budget it shall identify in the training plan: (i) the objective and content of the Training envisaged; (ii) the selection method of the institutions or individuals conducting such Training, and said institutions if already known; (iii) the expected duration and an estimate of the cost of said Training; and (iv) the selection method of the personnel who will attend the Training, and number and names of such personnel if already known. 3. The Recipient shall exchange views with the Association on each such proposed consolidated annual work plan and budget and take into account comments which the Association may have before approval of the final annual work plan and budget not later than two (2) months after the date referred to in Section I.C.1 of this Schedule (once approved by the Association and finalized, an “Annual Work Plan and Budget”). 4. The Recipient shall carry out the activities included in each of the Annual Work Plan and Budget during the fiscal year to which they related. The Annual Work Plan and Budget may be revised during the fiscal year to which it relates, with the prior written agreement of the Association. D. Environmental and Social Standards 1. The Recipient shall ensure that the Project is carried out in accordance with the Environmental and Social Standards, in a manner acceptable to the Association. 2. Without limitation upon paragraph 1 above, the Recipient shall ensure that the Project is implemented in accordance with the Environmental and Social Commitment Plan (“ESCP”), in a manner acceptable to the Association. To this end, the Recipient shall ensure that: (a) the measures and actions specified in the ESCP are implemented with due diligence and efficiency, as provided in the ESCP; (b) sufficient funds are available to cover the costs of implementing the ESCP; -11- (c) policies and procedures are maintained, and qualified and experienced staff in adequate numbers are retained to implement the ESCP, as provided in the ESCP; and (d) the ESCP, or any provision thereof, is not amended, repealed, suspended or waived, except as the Association shall otherwise agree in writing, as specified in the ESCP, and ensure that the revised ESCP is disclosed promptly thereafter. 3. Without limitation upon the provisions of paragraph 2 above, if sixty (60) days prior to the Closing Date, the Association determines that there are measures and actions specified in the ESCP which will not be completed by the Closing Date, the Recipient shall: (a) not later than thirty (30) days before the Closing Date, prepare and present to the Association, an action plan satisfactory to the Association on the outstanding measures and actions, including a timetable and budget allocation for such measures and actions (which action plan shall be deemed to be considered an amendment of the ESCP); and (b) thereafter, carry out said action plan in accordance with its terms and in a manner acceptable to the Association. 4. In case of any inconsistencies between the ESCP and the provisions of this Agreement, the provisions of this Agreement shall prevail. 5. The Recipient shall ensure that: (a) all measures necessary are taken to collect, compile, and furnish to the Association through regular reports, with the frequency specified in the ESCP, and promptly in a separate report or reports, if so requested by the Association, information on the status of compliance with the ESCP and the environmental and social instruments referred to therein, all such reports in form and substance acceptable to the Association, setting out, inter alia: (i) the status of implementation of the ESCP; (ii) conditions, if any, which interfere or threaten to interfere with the implementation of the ESCP; and (iii) corrective and preventive measures taken or required to be taken to address such conditions; and (b) the Association is promptly notified of any incident or accident related to or having an impact on the Project which has, or is likely to have, a significant adverse effect on the environment, the affected communities, the public or workers, in accordance with the ESCP, the environmental and social instruments referenced therein and the Environmental and Social Standards. 6. The Recipient shall establish, publicize, maintain and operate an accessible grievance mechanism, to receive and facilitate resolution of concerns and -12- grievances of Project-affected people, and take all measures necessary and appropriate to resolve, or facilitate the resolution of, such concerns and grievances, in a manner acceptable to the Association. 7. The Recipient shall ensure that all bidding documents and contracts for civil works under the Project include the obligation of contractors, subcontractors and supervising entities to: (a) comply with the relevant aspects of ESCP and the environmental and social instruments referred to therein; and (b) adopt and enforce codes of conduct that should be provided to and signed by all workers, detailing measures to address environmental, social, health and safety risks, and the risks of sexual exploitation and abuse, sexual harassment and violence against children, all as applicable to such civil works commissioned or carried out pursuant to said contracts. E. Contingent Emergency Response 1. In order to ensure the proper implementation of contingent emergency response activities under 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; and (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.  F. Memoranda of Understanding with IGAD 1. In order to maximize the benefits of regional harmonization for purposes of the Project, no later than three (3) months after the Effective Date, the Recipient shall enter into a memorandum of understanding with IGAD (the “MOU), in form and substance satisfactory to the Association, as such MOU shall include provisions to the effect of ensuring that the Recipient shall participate in any activity carried out by IGAD under the MPA, including inter alia training events, workshops, data collection and analysis or knowledge-sharing. 2. The Recipient shall exercise its rights and obligations under the MOU 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 MOU or any provision contained therein (whether in whole or in part). 3. In the event of any conflict between the provisions of the MOU and those of this Agreement the provisions of this Agreement shall prevail. Section II. Project Monitoring, Reporting and Evaluation 1. The Recipient shall furnish to the Association each Project Report not later than one month after the end of each calendar semester, covering the calendar semester. -14- 2. Except as may otherwise be explicitly required or permitted under this Agreement or as may be explicitly requested by the Association, in sharing any information, report or document related to the activities described in Schedule 1 of this Agreement, the Recipient shall ensure that such information, report or document does not include Personal Data. 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: Category Amount of the Percentage of Financing Expenditures to be Allocated Financed (expressed in SDR) (inclusive of Taxes) (1) Goods, works, non- consulting services, consulting services, 38,000,000 100% Training and Operating Costs under Parts 1, 2 and 3 of the Project (2) Emergency Expenditures under Part 0 100% 4 of the Project TOTAL AMOUNT 38,000,000 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; or (b) for Emergency Expenditures under Category (2), unless and until all of the following conditions have been met in respect of said expenditures:    -15- (i) (A) the Recipient has determined that an Eligible Crisis or Emergency has occurred, and has furnished to the Association a request to withdraw Financing amounts under Category (2); 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. 2. The Closing Date is June 30, 2029. -16- APPENDIX Definitions 1. “Annual Work Plan and Budget” means the work plan and budget prepared annually by the Recipient in accordance with the provisions of Section I.C. of Schedule 2 to this Agreement.  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.E. 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 Operations Manual. 5. “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. 6. “ECSA-HC” means East, Central and Southern Africa Health Community, a regional organization established and operating under the ECSA Convention. 7. “ECSA Convention” means the Convention of the East, Central and Southern Africa Health Community dated November 22, 2002, which entered into force and effect as of July 1, 1980, in accordance with Article 17 of the Convention, pursuant to which ECSA-HC was established and is operating. 8. “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. 9. “Emergency Action Plan” means the plan referred to in Section I.E. of Schedule 2 to this Agreement, detailing the activities, budget, implementation plan, and monitoring and evaluation arrangements, to respond to the Eligible Crisis or Emergency. 10. “Emergency Expenditures” means any of the eligible expenditures set forth in the CERC Manual referred to in Section I.E. of Schedule 2 to this Agreement and required for the Contingent Emergency Response Part. -17- 11. “Environmental and Social Commitment Plan” or “ESCP” means the environmental and social commitment plan for the Project, dated May 3, 2024, as the same may be amended from time to time in accordance with the provisions thereof, which sets out the material measures and actions that the Recipient shall carry out or cause to be carried out to address the potential environmental and social risks and impacts of the Project, including the timeframes of the actions and measures, institutional, staffing, training, monitoring and reporting arrangements, and any environmental and social instruments to be prepared thereunder. 12. “Environmental and Social Standards” or “ESSs” means, collectively: (i) “Environmental and Social Standard 1: Assessment and Management of Environmental and Social Risks and Impacts”; (ii) “Environmental and Social Standard 2: Labor and Working Conditions”; (iii) “Environmental and Social Standard 3: Resource Efficiency and Pollution Prevention and Management”; (iv) “Environmental and Social Standard 4: Community Health and Safety”; (v) “Environmental and Social Standard 5: Land Acquisition, Restrictions on Land Use and Involuntary Resettlement”; (vi) “Environmental and Social Standard 6: Biodiversity Conservation and Sustainable Management of Living Natural Resources”; (vii) “Environmental and Social Standard 7: Indigenous Peoples/Sub- Saharan African Historically Underserved Traditional Local Communities”; (viii) “Environmental and Social Standard 8: Cultural Heritage”; (ix) “Environmental and Social Standard 9: Financial Intermediaries”; (x) “Environmental and Social Standard 10: Stakeholder Engagement and Information Disclosure”; effective on October 1, 2018, as published by the Association. 13. “General Conditions” means the “International Development Association General Conditions for IDA Financing, Investment Project Financing”, dated December 14, 2018 (Last revised on July 15, 2023). 14. “Health Emergencies” or “HEs” means any acute or chronic shocks to health systems that by virtue of scale, timing, or unpredictability overwhelm routine capabilities and hinder the provision of essential health services. 15. “IGAD” means Intergovernmental Authority on Development, a regional economic community set up through IGAD Constitutive Agreement, responsible for carrying out the Project. 16. “IGAD Constitutive Agreement” means the agreement establishing the Inter - Governmental Authority on Development of March 21, 1996. 17. “Ministry of Health” means the Recipient’s ministry in charge of public health, or any successor thereto. -18- 18. “MOU” means the memorandum of understanding in accordance with section I.F. of Schedule 2 to this Agreement. 19. “MPA Program” means the multiphase programmatic approach program designed to strengthen health system resilience and multisectoral preparedness and response to health emergencies in Eastern and Southern Africa. 20. “NCD” means non-communicable disease. 21. “Operating Costs” means the reasonable incremental expenses incurred by the Recipient in connection with Project implementation, including consumable materials and supplies, communications, mass media and printing services, vehicle insurance, rental, operation and maintenance, utilities, office rental and maintenance, charges for the opening and operation of bank accounts required for the Project, travel, lodging and per diems, and salaries of contractual staff working on the Project (other than consulting services), but excluding salaries of officials of the Recipient. 22. “Participating Countries” means the countries participating: (i) in Phase I of the MPA Program, namely Federal Democratic Republic of Ethiopia, Republic of Kenya, and Democratic Republic of Sao Tome and Principe; (ii) in subsequent phases of the MPA Program including the Recipient under this phase of the MPA Program. “Participating Country” means any one of the Participating Countries. 23. “Personal Data” means any information relating to an identified or identifiable individual. An identifiable individual is one who can be identified by reasonable means, directly or indirectly, by reference to an attribute or combination of attributes within the data, or combination of the data with other available information. Attributes that can be used to identify an identifiable individual include, but are not limited to, name, identification, number, location data, online identifier, metadata and factors specific to the physical, physiological, genetic, mental, economic, cultural or social identity of an individual. 24. “Procurement Regulations” means, for purposes of paragraph 85 of the Appendix to the General Conditions, the “World Bank Procurement Regulations for IPF Borrowers”, dated September 2023. 25. “Project Implementation Manual” or “PIM” means the Project’s implementation manual referred to in Section I.B of Schedule 2 to this Agreement. 26. “Project Implementation Unit” means the implementation unit to be established in accordance with Section I.A.1 of Schedule 2 to this Agreement. 27. “Project Steering Committee” means the steering committee to be established in accordance with Section I.A.2 of Schedule 2 to this Agreement. -19- 28. “Recipient’s 2022-2026 National Health Strategic Plan” means the Recipient’s national health strategic plan adopted on February 23, 2023. 29. “Regional Advisory Committee” or “RAC” means the committee to be co- convened by the Regional Bodies that shall: (a) be responsible for interregional- level coordination of Project implementation among the Participating Countries and the Regional Bodies including, inter alia: (i) providing strategic guidance and oversight; (ii) act as the main mechanism for interregional knowledge exchange and planning, and exploring opportunities for partnerships; and (iii) monitoring and evaluation of Project implementation, and reporting and record keeping; (b) meet semi-annually in the first year of Project implementation and annually thereafter; and (c) include representatives of all Participating Countries and Regional Bodies, as well as representatives of the Association and other entities as further described in the PIM. 30. “Regional Bodies” means the regional and sub-regional organizations participating in this MPA Program, namely IGAD and ECSA-HC, and any other regional body as agreed by the Association and notified in writing to the Recipient, all listed in the PIM. “Regional Body” means any one of the Regional Bodies. 31. “RMNCAH-N” means reproductive, maternal, newborn, child, adolescent health, and nutrition. 32. “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. 33. “Training” means the training of persons involved in Project -supported activities, based on the Annual Work Plan and Budget approved by the Association, such as, tuitions, seminars, workshops, and study tours, and costs associated with such activities including travel and subsistence costs for training participants, costs associated with securing the services of trainers, rental of training facilities, preparation and reproduction of training materials, and other costs directly related to training preparation and implementation. 34. “WASH” means water, sanitation and hygiene. 35. “Zambia National Public Health Institute” or “ZNPHI” means the Recipient’s national public health institute established and operating to pursuant to the Zambia National Public Health Institute Act, 2020 (Act No. 19 of 2020, assented on December 18th, 2020) and the Statutory Instrument No. 34 of 2021, as amended from time to time, or any successor thereto.