Amendment No. 1 to the Agreement between the U.S. Agency for International Development (USAID)
and the International Bank for Reconstruction and Development and the International Development
 Association regarding the Mozambique Primary Health Care Strengthening Program Single Donor
                                Trust (Trust Fund No. TF073298)
                 Donor Reference USAID Agreement No. 656-D2D-656-19-018-005

1.       Reference is made to the Agreement between the U.S. Agency for International Development
(USAID) (the “Donor”) and the International Bank for Reconstruction and Development and the
International Development Association (collectively, the “Bank” or the Grantee”) regarding the
Mozambique Primary Health Care Strengthening Program Single Donor Trust Fund
(Trust Fund No. TF073298) effective as of April 22, 2019 (the “Agreement”).

2.      The Bank acknowledges that USAID agrees, subject to legislative appropriations, to provide the
sum of four million seven hundred twenty-five thousand United States Dollars (US$4,725,000) (the
“Contribution”) for the Trust Fund in accordance with the terms of the Agreement.

3.     USAID shall deposit the Contribution in the currency specified in paragraph 2 above into such bank
account designated by the Bank promptly following countersignature of this amendment (the
“Amendment”) and submission of a payment request by the Bank.

4.       When making a deposit, USAID shall instruct its bank to include in its deposit details information
(remittance advice) field of its SWIFT deposit message, information indicating: the amount deposited, that
the deposit is made by USAID for Trust Fund No. 072863 (the Disability Inclusive Education in Africa
Single-Donor Trust Fund), and the date of the deposit (the “Deposit Instructions”). In addition, USAID
shall provide a copy of the Deposit Instructions to the Bank’s Accounting Trust Funds Division by e -mail
sent to tfremitadvice@worldbank.org or by fax sent to (202) 614-1315.

5.      In addition, the following Sections are amended as follows:

        (a) Section C.1 of the Schedule (Attachment 1) to the Agreement is hereby amended to read as
follows:

        “C.      Amount of Contribution and Payment
              1. The total estimated amount of all contributions to be provided under this Agreement for
                 the period shown in B.1 above is US$22,500,000. USAID hereby obligates the amount of
                 US$8,350,000 for expenditures during the period set forth in Paragraph B above and as
                 shown in the Indicative Budget below.”

         (b) The table in Section D “Indicative Budget” of the Schedule (Attachment 1) to the Agreement
is deleted and replaced by the following:

                                                                Estimated Amount      Obligated Amount

 “Bank Executed (BE)

 Component 1. Management and Administration of the TF                      200,000                100,000

 Component 2. Technical Analysis and Operational Research                  800,000                550,000

 Component 3. Enhanced Supervision                                         500,000                350,000




                                                                                                         1
 Subtotal (BE)                                                          1,500,000             1,000,000

 Recipient Executed (RE)

 Component 4. Nutrition (DLI 4)                                         4,500,000            1,000,000,

 Component 5. Community Health Workers (DLI 10)                       15,500,000              6,000,000

 Subtotal (RE)                                                        20,000,000              2,500,000

 Trust Fund Fee (5-2% graduated fee assessed on RE)                     1,000,000              350,000

 Total Budget in holding currency                                     22,500,000             8,350,000”



6.       All other terms of the Agreement shall remain the same.

7.       Each of the Bank and USAID represents, by confirming its agreement below, that it is authorized
to enter into this Amendment and act in accordance with these terms and conditions. The Bank and USAID
are requested to sign and date this Amendment, and upon possession by the Bank of this fully signed
Amendment, this Amendment shall become effective as of the date of the last signature.


INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT
INTERNATIONAL DEVELOPMENT ASSOCIATION



By:      ____________________________________/s1/
             Mark Lundell
Name: ____________________________________/n1/

Title:           Country Director
         ____________________________________/t1/

Date:           30-Jan-2020
         ____________________________________/d1/


U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)



By:      ____________________________________/s2/
             Jennifer Adams
Name: ____________________________________/n2/

Title:           Mission Director
         ____________________________________/t2/

Date:           05-Feb-2020
         ____________________________________/d2/




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