The World Bank E-32, Agargaon: Sher-e-Bangla Nagar, Dhaka 1207. Bangladesh Phone: (880-2) 5566-7777, (880) 96-0440-4000 Facsmile: (880-2) 5566-7778, 5566-7779 Abdoulaye Seck Country Director for Bangladesh and Bhutan Dated: February 5. 2023 Secretary Sharifa Khan Economic Relations Division Ministry of Finance Block 8. Room 3 Sher-e-Bangla Nagar Agargaon, Dhaka Bangladesh: Health and Gender Support Project for Cox's Bazar District (Grant No. D592-BD) Amendment to the Financing Agreement Dear Secretary Khan: We refer to the Financing Agreement between the People's Republic of Bangladesh (the "Recipient") and the International Development Association (the "Association") dated June 4. 2020 (the "Agreement") for the I Health and Gender Support Project for Cox's Bazar District (the "Project"). We also refer to the letter from your office, dated December 14, 2022. requesting restructuring of the Project. We are pleased to inform you that after due consideration, the Association has agreed with your request and consequently proposes to amend the Agreement as set forth below: 1. The table under Section III.A of Schedule 2 to the Agreement is amended to read as follows: Category Amount of the Percentage of Expenditures to Grant Allocated be Financed (expressed in SDR) (inclusive of Taxes) (1) Goods (excluding vehicles), works. 7,000,000 100% non-consulting services, consulting services. Training and incremental operating costs for the Project (2) Goods (excluding vehicles but 102,300,000 100% including Specialized Vehicles). w orks, non-consulting services, consulting services, Training and Operating Costs for payments made tinder contracts with UN Agency(ies) (3) Emergency Expenditures Linder Part 0 4 of the Project TOTAL AMOUNT 109,300,000 2. Section lII.B.2 of Schedule 2 to the Financing Agreement is amended to read as follows: "2. The Closing Date is June 30. 2024, 3. The Results Framework is revised and attached as Annex-I to this letter of amendment. Except as specifically amended in this letter, all other terms and conditions of the Agreement shall remain in full force and effect. The Association will disclose this amendment letter and related information on this Financing Agreement in accordance with the Association's P-olicx on Access to Information. By entering into this amendment letter, the Recipient consents to disclosure ef this amendment letter and related information. Please confirm your agreement to the foregoing 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 letter to us and retaining one original for your records. Upon receipt by the Association 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 Bv Abdoulave Seek AGREED: PEOPLE'S REPUBLIC OF BANGLADESH Authorized Representative Name: Md. Shahriar Kader Siddiky Economc Rmatons Division Title: Minnstry of Finance Gat e: The Pec t s Reoubkc of 6angiash Date: (5.' p3 ANNEX I Revised Results framework Project Development Objectives(s) Improve the access to and utilization of HNP and GBV response services among the host and the displaced Rohingya population in Cox's Bazar district. Project Development Objective Indicators by Objectives/ Outcomes Indicator Name PBC Baseline End Target Improve the access to and utilization of HNP and GBV resonse services among the host and DRP in CXB Number of MOHFW facilities in CXB district providing 24/7 normal delivery (Number) 2.00 20.00 Number of children (0-11 months) in CXB district who have received three doses of pentavalent vaccines (disaggregated by 90,029.00 99,215.00 gender, host and DRP) (Number) Number of women and girls utilizing GBV response services from the health facilities in CXB district (disaggregated by host 5,106.00 150,000.00 and DRP) (Number) Intermediate Results Indicators by Components Indicator Name PBC Baseline End Target Strengthening integrated HNP& GBV response services in all tiers of health care & in the DRP camps Number of cases received services from all community clinics in CXB district (disaggregated by gender) (Number) 789,825.00 2,225,000.00 Action: This indicator has been Revised Number of women and girls referred from one stop crisis cells to one stop crisis center (Number) 38.00 25.00 Number of children 0-23 months who received IYCF counselling at UH&FWCs of CXB district (Number) 2,101.00 34,000.00 Number of cases screened for hypertension at the CCs in CXB district (disaggregated by gender) (Number) 0.00 33,120.00 Number of cases screened for type II diabetes mellitus at the CiCs in CXB district (disaggregated By gender) (Number) 0.00 22,080.00 Number of women receiving emergency contraceptive pills from CCs, UH&FWCs, UzHCs and MCWC in CXB district 2,207.00 2,000.00 (Number) ANNEX 1 Revised Results frameiork Project Development Objectives(s) Improve the access to and utilization of HNP and GBV response services among the host and the displaced Rohingya population in Cox's Bazar district. Project Development Objective Indicators by Objectives/ Outcomes Indicator Name PBC Baseline End Target Improve the access to and utilization of HNP and GBV resonse services among the host and DRP in CXB Number of MOHFW facilities in CXB district providing 24/7 normal delivery (Number) 2.00 20.00 Number of children (0-11 months) in CXB district who have received three doses of pentavalent vaccines (disaggregated by 90,029.00 99,215.00 gender, host and DRP) (Number) Number of women and girls utilizing GBV response services from the health facilities in CXB district (disaggregated by host 5,106.00 150,000.00 and DRP) (Number) Intermediate Results Indicators by Components Indicator Name PBC Baseline End Target Strengthening integrated HNP& GBV response services in all tiers of health care & in the DRP camps Number of cases received services from al community clinics in CXB district (disaggregated by gender) (Number) 789,825.00 2225,000.00 Action: This indicator has been Revised Number of women and girls referred from one stop crisis cells to one stop crisis center (Number) 38.00 25.00 Number of children 0-23 months who received lYCF counseling at UH&FWCs of CX8 district (Number) 2'101,00 34,000.00 Number of cases screened for hypertension at the CCs in CXB district (disaggregated by gender) (Number) 0.00 33,120.00 Number of cases screened for type II diabetes mellitus at the CCs in CXB district (disaggregated By gender) (Number) 0.00 22,080.00 Number of women receiving emergency contraceptive pills from Cs, UH&FWCs, UzHCs and MCWC in CXB district 2,207.00 2,000.00 (Number)