03-Feb-2025 Date: _____________ H.E. Ahmed Shide Minister of Finance Ministry of Finance Addis Ababa Federal Democratic Republic of Ethiopia Re: IDA Grant 7687- ET GFF Grant TF0C6790 (Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health) Additional Instructions: Disbursement and Financial Information Letter Excellency: I refer to the Financing Agreement between Federal Democratic Republic of Ethiopia (the “Recipient”) and the International Development Association (the “Association”); and to the GFF Grant Agreement between the Recipient and Association, acting as administrator of the Global Financing Facility for Women, Children and Adolescents Multi-Donor Trust Fund, for the above-referenced Project. The General Conditions, as defined in the Financing Agreement, as well as Standard Conditions, as defined in the GFF Grant Agreement, provide that the Recipient may from time-to-time request withdrawals of amounts from the Credit Account and from Grant Account in accordance with the Disbursement and Financial Information Letter, and such additional instructions as the Association may specify from time to time by notice to the Recipient. The General Conditions and Standard Conditions also provide that the Disbursement and Financial Information Letter may set out Project specific financial reporting requirements. This letter constitutes such Disbursement and Financial Information Letter (“DFIL”) and may be revised from time to time. I. Disbursement Arrangements, Withdrawal of Funds, and Reporting of Uses of Funds. The Disbursement Guidelines for Investment Project Financing, dated February 2017, (“Disbursement Guidelines”) are available in the Association’s public website at https://www.worldbank.org and its secure website “Client Connection” at https://clientconnection.worldbank.org. The Disbursement Guidelines are an integral part of the DFIL, and the manner in which the provisions in the guidelines apply to the Credit and Grant is specified below. (i) Disbursement Arrangements General Provisions (Schedule 1). The table in Schedule 1 sets out the disbursement methods which may be used by the Recipient, and conditions, information on registration of authorized signatures, processing of withdrawal applications (including minimum value of applications and processing of advances), instructions on supporting documentation, and frequency of reporting on the Designated Account. (ii) Electronic Delivery. Section 11.01(c) of the General Conditions. The Recipient will deliver Withdrawal Applications (with supporting documents) electronically through the Association’s web-based portal “Client Connection” at https://clientconnection.worldbank.org. This option will be affected after the officials designated in writing by the Recipient who are authorized to sign and deliver Withdrawal Applications have registered as users of “Client Connection”. The designated officials will deliver Applications electronically by completing the Form 2380, which is accessible through “Client Connection”. By signing the Authorized Signatory Letter, the Recipient confirms that it is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the Association by electronic means. The Recipient may exercise the option of preparing and delivering Withdrawal Applications in paper form on exceptional cases (including those where the Borrower encounters legal limitations), and which were previously agreed with the Association. By designating officials to use SIDC and by choosing to deliver the Applications electronically, the Recipient confirms through the authorized signatory letter its agreement to: (a) abide by the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation, available in the Association's public website at https://worldbank.org and “Client Connection”; and (b) to cause such official to abide by those terms and conditions. II. Financial Reports and Audits. (i) Financial Reports. The Recipient through MoH, must prepare and furnish to the Association not later than Sixty (60) days after the end of each calendar quarter, interim unaudited financial reports (“IFR”) for the Project covering the quarter. (ii) Audits. The Recipient through MoH, will have the Project financial statements audited in accordance with the provisions of Section 5.09 of the General Conditions by an auditor with qualifications, experience, and terms of reference satisfactory to the Association. Each audit of the Financial Statements must cover the period of one fiscal year of the Recipient, commencing with the fiscal year in which the first withdrawal was made. The audited Financial Statements for each such period must be furnished to the Association not later than six (6) months after the end of such period. III. Other Information. For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Association’s website (http://www.worldbank.org/) and “Client Connection”. The Association recommends that you register as a user of “Client Connection”. From this website you will be able to prepare and deliver Applications, monitor the near real-time status of the Credit, and retrieve related policy, financial, and procurement information. For more information about the website and registration arrangements, or if you have any queries in relation to the above, please contact the Association by email at AskLoans@WorldBank.org using the above reference. Yours sincerely, ______________________________ Maryam Salim Country Director for Ethiopia, Eritrea, Sudan and South Sudan Eastern and Southern Africa Region Attachments 1. Form of Authorized Signatory Letter 2. Interim unaudited Financial Report (IFR) Schedule 1: Disbursement Provisions Basic Information Country Federal Democratic Republic of Closing Date  Section III.B.2. of Schedule 2 to IDA Grant Ethiopia the Financing Agreement. Number 7687-ET Recipient Federal Democratic Republic of  Section III.B.2. of Schedule 2 to Ethiopia the GFF Grant Agreement. Name of the Project Innovative Systems to Promote Disbursement Four months after the closing date. GFF Grant TF0C6790 Integrated, Resilient, and Enhanced Deadline Date Number Responses to Women and Girls’ Subsection 3.7 ** Health (INSPIRER) Disbursement Methods and Supporting Documentation Disbursement Methods Methods Supporting Documentation Section 2 (**) Subsections 4.3 and 4.4 (**) Direct Payment Yes Copy of records Reimbursement Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL Advance (into a Designated Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL Account) Special Commitments Yes Copy of Letter of Credit Designated Account (Sections 5 and 6 **) Pooled between IDA grant and GFF TF (Managed by the Variable Type Ceiling Ministry of Health (MoH)) Financial Institution – National Bank of Ethiopia USD Currency Name Frequency of Reporting Quarterly Based on 2 quarters cash forecast based Amount Subsection 6.3 (**) on the approved AWPB Minimum Value of Applications (subsection 3.5) The minimum value of applications for Reimbursement, Direct Payment is USD 50,000 equivalent. Authorized Signatures (Subsection 3.1 and 3.2 **) The form for Authorized Signatories Letter is provided in Attachment 1 of this letter Withdrawal and Documentation Applications (Subsection 3.3 and 3.4 **) i) Authorized Signatures &(ii) Applications An authorized signatory letter in the Form attached (Attachment 2) should be furnished to the Association at the address indicated below providing the name(s) and specimen signature(s) of the official(s) authorized to sign Applications. Please provide completed and signed (a) applications for withdrawal, together with supporting documents, and (b) applications for special commitments, together with a copy of the commercial bank letter of credit, to the address indicated below: The World Bank, Loan Department, Delta Center, 13th Floor, Upper Hill, Menengai Road, Nairobi, Kenya. Tel: 254 20 2936 000 Attention: Loan Department Additional [Information][Instructions]  GFF TF proceeds of Category 1 should be used first to the extent possible. IDA Grant Category 1 proceeds may be used after the GFF TF funds are fully disbursed  Funds from the designated US$ account will be further transferred into local currency (Birr) account to be held by MoH. From the Birr account, MoH will transfer the funds to the separate local‐ currency bank accounts to be opened by Ethiopian Public Health Institute (EPHI), Ethiopia Pharmaceuticals Supply Service (EPSS), and Regional Health Bureaus (RHBs). Other ** Sections and subsections relate to the “Disbursement Guidelines for Investment Project Financing ”, dated February 2017. [Attachment 1 – Form of Authorized Signatory Letter] [Letterhead] Ministry of Finance [Street address] [City] [Country] [DATE] International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Re: [Grant][Credit]1 No. _______-___ (Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health) Attention: _______________________, Country Director I refer to the Credit Agreement (“Agreement”) between the International Development Association (the “Association”)[, acting as implementing of the ]2 and [name of recipient] (the “Recipient”), dated _______, providing the above Credit. For the purposes of Section 2.03 of the General Conditions as defined in the Agreement, any 3[one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign applications for withdrawal [and applications for a special commitment] under this Credit. For the purpose of delivering Applications to the Association, including by electronic means, 4[each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting 5[individually] 6[jointly], to deliver Applications, and evidence in support thereof on the terms and conditions specified by the Association. 1 Instruction to the Recipient: use “Credit” or “Grant” as applicable. Please delete this footnote in final letter that is sent to the Associations. 2 Instruction to the Recipient: add text in line with the Grant Agreement if applicable; if not applicable delete it. Please delete this footnote in final letter that is sent to the Associations 3 Instruction to the Recipient: stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete this footnote in final letter that is sent to the Association. 4 Instruction to the Recipient: stipulate if more than one person needs to jointly sign Applications, if so, please indicate the actual number. Please delete this footnote in final letter that is sent to the Association. 5 Instruction to the Recipient: use this bracket if any one of the authorized persons may sign; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the Association. 6 Instruction to the Recipient: use this bracket only if several individuals must jointly sign each Application; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the Association. This confirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the Association by electronic means. In full recognition that the Association shall rely upon such representations and warranties, including without limitation, the representations and warranties contained in the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation (“Terms and Conditions of Use of SIDC”), the Recipient represents and warrants to the Association that it will cause such persons to abide by those terms and conditions. This Authorization replaces and supersedes any Authorization currently in the Association records with respect to this Agreement. [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ Yours truly, / signed / ______________ Attachment 2 - Interim unaudited Financial Statements Ministry of Health (MoH) Innovative Systems To Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Sources & Uses of Funds (in Ethiopian Birr & US$) For The Quarter Ended_____________________ Current Cumulative Cumulative Quarter Year to date to date Particulars (ETB/US$) (ETB/US$) (ETB/US$) Remarks Opening Balance Designated USD Account (at MoH) - - - Pooled Birr Account at MoH - - - Birr Bank Account Balances at Federal Institutions - - - Birr Bank Account Balance at Regional H. Bureaus - - - Cash on hand at MoH and all other entities Advances/receivables at MoH and other entities - - - Account Payables at MoH and other entities (-) - - - Total Opening Balance - - - Add: Sources IDA - - - MDTF - - - Others (state.) - - - Total Source for the Period - - Total Available Fund for The Period - - - Less: Program Expenditures - Component 1: Expand access to quality interventions for women and girls, including through tech-enabled care Component 2: Improved service delivery through innovative interventions in climate-stressed & conflict-affected areas Component 3: Strengthen data systems and reinforce decision-making to ensure high-quality care Component 4: Project Implementation and Monitoring - - - Total Expenditures (Annex .) - - - Total Available Fund Less Total Expenditures - - - Foreign Exchange Difference (Annex ….) - - - Net Fund Available - - - Ending Balance Designated USD Account (at MoH) - - - Pooled Birr Account at MoH - - - Birr Bank Account Balances at Federal Institutions - - - Birr Bank Account Balance at Regional H. Bureaus - - - Cash on hand at MoH and all other entities - - - Advances/receivables at MoH and other entities - - - Account Payables at MoH and other entities (-) - - - Total Ending Balance - - - NOTES: Exchange Rate i. Exchange rate used to determine ending Cash Balance - rate prevailing at the reporting date - …........... ii. The gain or loss on the exchange rate is determined by the rate prevailing at the reporting date. Prepared By_____________________ Approved By ____________ Signature _______________________ Signature ______________ Date __________________________ Date _____________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Consolidated Expenditures Summary By components and subcomponents (in Ethiopian Birr & USD) For The Quarter Ended__________________ Current Reporting Quarter Year to date (YTD) Project Life Cumulative to date Budge Annual Actu % t Actual % % Particulars Budget Budget al Util. (YTD) (YTD) Var. Util. Budget Actual Var. Utilize Expenditures: Component 1: Expand access to quality interventions for women and girls, including through tech-enabled care Subcomponent 1.1: Develop and implement system-based cervical cancer prevention transitioning to a community-based and digitally supported service delivery platforms Subcomponent 1.2: Build HEWs capacity to provide quality care through establishing digital learning platforms – AI supported and interactive mobile application support. Subcomponent 1.3: Enhance service delivery availability and efficiency through the introduction of portable AI-enabled ultrasound machines for 500 health centers and avoid unnecessary referrals Subcomponent 1.4: Phased learning and scaled implementation of m-Mama emergency response system through improved remote triage, digitalized dispatch system, patient outcome tracking using both public ambulance and private ‘taxis ambulance” using the M- Mama experience Sub Total Component 1 Component 2: Improved service delivery through innovative interventions in climate- stressed & conflict-affected areas Subcomponent 2.1: Provide renewable solar energy for 500 health centers to provide adequate lighting in delivery rooms to enable safe night-time deliveries for continuous service provision and avoid unnecessary referrals Subcomponent 2.2: Implement waterless toilet technologies to improve the WASH system of 240 high-patient volume health facilities in climate-stressed and water-scarce areas Subcomponent 2.3: Implement innovative environmental technology (Ecosterly 75+) for medical waste management in four selected hospitals to support medical waste treatment and recycling process Subcomponent 2.4: Revise minimum design requirement for health facility construction and renovations standards to include alternative renewable energy sources; digital connectivity standards; and materials to ensure facility resilience in times of climate-related shocks Sub Total Component 2 Component 3: Strengthen data systems and reinforce decision-making to ensure high- quality care Subcomponent 3.1: Provide institutional capacity-building to implement health sector innovations including integration of data generated through project-supported innovations (M-Mama, HPV vaccination & HEW skill development) Subcomponent 3.2: Develop health data governance standards and establish a certification process for web-based applications including mobile apps, for the country to adhere to these data governance standards Subcomponent 3.3: Improve decision-making capacity in big data analytics, modeling, and proactive surveillance using metrological, environmental, and public health data to predict the impact of climate change and design innovative solutions Sub Total Component 3 COMPONENET 4: Project Implementation & Monitoring Subcomponent 4.1: Provide program management and implementation monitoring support including supportive supervision to Regional Health bureaus and implementing entities. Subcomponent 4.2: Conduct mid-term and end-line evaluation of the implementation of innovative interventions supported by the project including impact evaluation of the m- Mama emergency response. Sub Total Component 4 Grand Total of the Project Actual Actual Current Year to quarter date Cumulative (ETB/US (ETB/US to date By Disbursement Sources $) $) (ETB/US$) DA MDTF Others Total Prepared By________________________________ Signature ________________________ Approved By___________________ Date _____________________ Signature ____________________ Date ________________________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Consolidated Expenditures Summary by Cost Categories (in Ethiopian Birr & USD) For The Quarter Ended__________________ Current Reporting Quarter Year to date (YTD) Project Life Cumulative to date Budge Annual Actu % t Actual % % Particulars Budget Budget al Util. (YTD) (YTD) Var. Util. Budget Actual Var. Utilize Expenditures: Component 1: Expand access to quality interventions for women and girls, including through tech-enabled care works Goods Consulting Services Non-consulting Training &workshops Sub Total Component 1 Component 2: Improved service delivery through innovative interventions in climate- stressed & conflict-affected areas works Goods Consulting Services Non-consulting Training &workshops Sub Total Component 2 Component 3: Strengthen data systems and reinforce decision-making to ensure high- quality care works Goods Consulting Services Non-consulting Training &workshops Sub Total Component 3 COMPONENET 4: Project Implementation & Monitoring works Goods Consulting Services Non-consulting Training &workshops Operating costs Sub Total Component 4 Grand Total of the Project Actual Actual Current Year to quarter date Cumulative (ETB/US (ETB/US to date By Disbursement Sources $) $) (ETB/US$) DA MDTF Others Total Prepared By________________________________ Signature ________________________ Approved By___________________ Date _____________________ Signature ____________________ Date ________________________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Expenditure Apportionment Worksheet (USD) For The Quarter Ended__________________ Project Life Cumulative to Quarter Year to date Date Particulars (USD) (USD) (USD) Total Expenditure Less: Exp from Direct Payments/Special Commitments : Exp from UN advances : Exp from Counterpart contribution Balance after direct payments & SC Balance allocated to: 1- IDA (DA) Total Current Docume quarter Total Remaining Allocatio nted so expenditure Documen undocument Category n far allocated ted ed balance Category 1: Gds, wks, non-cs, cs & trng. & optg cost Total 2- MDTF/others Total Current Docume quarter Total Remaining Allocatio nted so expenditure Documen undocument Category n far allocated ted ed balance Category 1: Gds, wks, tr. non-cs, cs, trng, and opt costs Total Prepared By______________________ Approved By___________________________ Signature ________________________ Signature ________________________ Date ________________________________ Date ____________________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Budget Versus Actual Expenditures Summary Report by Implementing Entities Implementing Entity Annual Budget YTD budget YTD (ETB) (ETB) Expenditure Percentage (ETB) (%) [A] [B] [C] [D =C/B] MoH EPHI EPSS Regional Health Bureaus: - Tigray RHB Afar RHB Amahara RHB Oromia RHB Sidama RHB Central Ethiopia (CER) RHB Southwest Ethiopia (SWE) RHB South Ethiopia (SE) RHB Benishangul-Gumuz RHB Gambella RHB Somali RHB Harari RHB Dire Dawa City Admin HB Addis Ababa City Admin HB Total Expenditures Prepared By______________________ Approved By_______________________ Signature ________________________ Signature ________________________ Date ________________________________ Date ____________________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Expenditures Forecasts & Cash Requirements (In Ethiopia Birr & USD) For The 6 Months From--------------------- to ---------------------------- Annual Budget Quarter… Quarter…... Total for Six Particulars (ETB) (ETB) (ETB) Months Expenditures for the Next Six Months ETB USD Component 1: Expand access to quality interventions for women and girls, including through tech-enabled care Subcomponent 1.1: Develop and implement system- based cervical cancer prevention transitioning to a community-based and digitally supported service delivery platforms Subcomponent 1.2: Build HEWs capacity to provide quality care through establishing digital learning platforms for continuing education and capacity building to deliver basic preventive and promotive health services for women and girls – AI supported and interactive mobile application support. Subcomponent 1.3: Enhance service delivery availability and efficiency through introduction of portable AI-enabled ultrasound machines for 500 health centers and avoid unnecessary referrals Subcomponent 1.4: Phased learning and scaled implementation of m-Mama emergency response system through improved remote triage, digitalized dispatch system, patient outcome tracking using both public ambulance and private ‘taxis ambulance” using the M-Mama experience Sub Total Component 1 Component 2: Improved service delivery through innovative interventions in climate-stressed & conflict-affected areas Subcomponent 2.1: Provide renewable solar energy for 500 health centers to provide adequate lighting in delivery rooms to enable safe night-time deliveries for continuous service provision and avoid unnecessary referrals Subcomponent 2.2: Implement waterless toilet technologies to improve the WASH system of 240 high-patient volume health facilities in climate- stressed and water-scarce areas Subcomponent 2.3: Implement innovative environmental technology (Ecosterly 75+) for medical waste management in four selected hospitals to support medical waste treatment and recycling process Subcomponent 2.4: Revise minimum design requirement for health facility construction and renovations standards to include alternative renewable energy sources; digital connectivity standards; and materials to ensure facility resilience in times of climate-related shocks Sub Total Component 2 Component 3: Strengthen data systems and reinforce decision-making to ensure high-quality care Subcomponent 3.1: Provide institutional capacity- building to implement health sector innovations including integration of data generated through project-supported innovations (M-Mama, HPV vaccination & HEW skill development) Subcomponent 3.2: Develop health data governance standards and establish a certification process for web-based applications including mobile apps, for the country to adhere to these data governance standards Subcomponent 3.3: Improve decision-making capacity in big data analytics, modeling, and proactive surveillance using metrological, environmental, and public health data to predict the impact of climate change and design innovative solutions Sub Total Component 3 Component 4: Project Implementation and Monitoring Subcomponent 4.1: Provide program management and implementation monitoring support including supportive supervision to Regional Health bureaus and implementing entities. Subcomponent 4.2: Conduct mid-term and end-line evaluation of the implementation of innovative interventions supported by the project including impact evaluation of the m-Mama emergency response. Sub Total Component 4 Total Expenditures for the Next Six Months Ending cash Balance Designated USD Account (at MoH) Pooled Birr Account at MoH Birr Bank Account Balances at Federal Institutions Birr Bank Account Balance at Regional H. Bureaus Cash on hand at MoH and all other entities Advances/receivables at MoH and other entities Account Payables at MoH and other entities (-) Total Ending Balance Cash Requirements for The Next Six Months Contribution from disbursements Sources IDA MDTF/others (if any…) Total Contribution from funders Note: - The Exchange rate used is the rate prevailing at the reporting date Prepared By_________________ Approved By_________________ Signature __________________ Signature ___________________ Date _____________________ Date _____________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Fund flow statement Local Bank a/c ______________ (Birr) As of ……………………………. Birr Balance brought forward - - Cash Transfer from DA Account - Cash Transfer from Others - - - Funds available for use - - Fund transfer to: Implementing entities 1. …. 2. …… 3. ………. Total Transfer Bank service charge Other Payments & deposits Total Transfer & bank service Charge Cash at Bank Prepared By___________________________ Approved By ________________ Signature ___________________________ Signature _________________ Date ________________________________ Date ___________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Fund flow statement - Designated Dollar Account No. ……………………. The Period, From …………… to ………………... USD BIRR OPENING BALANCE Add: Receipt Credit Fund Received – IDA Credit/Grant Funds Received – MDTF/others Funds available for use Less: Transfer and Expenditure Transfer to Local Pool birr account as at Expenditures Bank services Charges Total transfer & expenditure closing balance Actual exchange rate of …………… ……………. closing balance /Leger birr account/ Add gain or (Loss) on foreign exchange gain Balance After Gain of foreign exchange Prepared By_____________________ Approved By __________________ Signature ________________________ Signature _______________ Date ___________________________ Date __________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Designated Account Activity/Reconciliation Statement For The Quarter Ended …......... ______, 20____ Particulars Amount in USD 1. Total Advanced to the DA by World Bank to the end of the reporting period 2. Less: Total Amount Documented to DA and/or Recovered by World Bank 3. Equals Present outstanding Amount Advanced to the Designated Account (Number 1 Less Number 2) - 4. Balance of Designated Account per Attached Bank Statement at the end of the reporting period 5. Plus: Total Amount Claimed in this application No. 6. Plus: Total Amount Withdrawn and not yet claimed Reason: ___________________________________ 7. Plus: Amounts claimed in previous applications not yet credited at the date of Bank Statements Application No. Amount Subtotal of previous applications not yet credited 8. Minus: Interest Earned - 9. Total Advance accounted for (no. 4 Through No. 9) - 10. Explanation of any difference between the totals appearing on lines 3 and 9: - The difference is due to the USD equivalent of Account receivable balance at the end of the reporting quarter Account payable balance at the end of the reporting quarter Local account balance at the end of the reporting quarter Others - explain Direct Payment - Approved By __________________________ Signature ___________________________ Date ______________________________ Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Statement of Cash Movement _________<< Insert Name of the Reporting Entity>> Particulars TOTAL /Birr/ Opening Balance Add: Cash transfers during the quarter Transfers from MoH during the quarter Funds available for use Less: Expenditure Component 1: Expand access to quality interventions for women and girls, including through tech-enabled care Subcomponent 1.1: System-based cervical cancer prevention transitioning to a community- based and digitally supported service delivery platforms Subcomponent 1.2: Build HEWs capacity to provide quality care through establishing digital learning platforms – AI supported and interactive mobile application support. Subcomponent 1.3: Enhance service delivery availability and efficiency through the introduction of portable AI-enabled ultrasound machines Subcomponent 1.4: Phased learning and scaled implementation of m-Mama emergency response system Sub Total Component 1 Component 2: Improved service delivery through innovative interventions in climate- stressed & conflict-affected areas Subcomponent 2.1: Provide renewable solar energy for health centers Subcomponent 2.2: Implement waterless toilet technologies to improve the WASH system in climate-stressed and water-scarce areas Subcomponent 2.3: Implement innovative environmental technology (Ecosterly 75+) for medical waste management in the selected hospitals Subcomponent 2.4: Revise minimum design requirement for health facility construction and renovation standards Sub Total Component 2 Component 3: Strengthen data systems and reinforce decision-making to ensure high- quality care Subcomponent 3.1: Provide institutional capacity-building to implement health sector innovations including integration of data generated through project-supported innovations (M-Mama, HPV vaccination & HEW skill development) Subcomponent 3.2: Develop health data governance standards and establish a certification process for web-based applications including mobile apps. Subcomponent 3.3: Improve decision-making capacity in big data analytics, modeling, and proactive surveillance Sub Total Component 3 Component 4: Project Implementation and Monitoring Subcomponent 4.1: Provide program management and implementation monitoring support including supportive supervision to Regional Health bureaus and implementing entities. Subcomponent 4.2: Conduct mid-term and end-line evaluation of the implementation of innovative interventions supported by the project including impact evaluation of the m- Mama emergency response. Sub Total Component 4 Component 4: Project Implementation and Monitoring Total Expenditures Closing balance Breakdown of the closing balance Cash and Bank balances Receivables Payables (-) others Total Closing Balances Prepared by: Name……………………...……………Signature: ………………. Date: ………………. Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Receivables/Advances Aging Analysis _________________ << insert entity name>> As at the Quarter ending __________________ 3- 6 6 months - over 1 over two A/C Details 1 - 3 months months 1 year year years Total 4203 Staff Advance Subtotal Staff Advance 4210 Procurement Advance Subtotal Procurement Advance 4211 Suppliers Advance Subtotal Suppliers' Advance 4251 Contractors Advances Subtotal Contractors' Advance 4274 Other Advances Subtotal Other Advances Grand Total Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Ministry of Health (MoH) _________________ << insert entity name>> As at the Quarter ending __________________ 1-3 3- 6 6 months - over 1 over two A/C Details months months 1 year year years Total Payroll deductions Subtotal Payroll deductions VAT Payable Subtotal VAT Payable Withholding tax payables Subtotal Withholding tax payables Retentions/suppliers Contractors payables (to be detailed) Subtotal Other payables (to be detailed) Subtotal Other payables Grand Total Payables Ministry of Health (MoH) Innovative Systems to Promote Integrated, Resilient, and Enhanced Responses to Women and Girls’ Health (P504281) Payments Made during the Reporting Period Against Contracts Subject to the Association's Prior Review Amount paid to Date of WB's the supplier WB's Share of Contract Contract nonobjection to during the Amounts during Number Supplier Contract Date Amount contract period the Period