Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698830097288.pdf (Sierra Leone)
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orr E. -.. fi t fren 563 Project Code: FLE-]OI a AGENCYAGREEMENT 0NSTALMENT SALE F|NANCING) BETWEEN hrpusucorstEnnauorue I AND ISLAMIC DEVELOPMENT BANK [urrrnxau NcoNATAL AND cHtLD HEALTH sTRENGTHENING pRrurq I l.'!F/re,it4.ara+q--..e, /t-rEal.,i.ts1{by/tttu*r4lJd'tdaslEtotzrffid,l*4a.frib, f&,rDtol.

sFr4 THIS AGREEMENT 6s1s6 07 r lI rtil4l H coirespond ing to 23 t o6 t2g2g6 AGENCY AGREEMENT Between the REPUBLIC OF SIERRA IEONE ('Agent) And the ISLAMIC DEVELOPMENT BANK (lsDB' or'BanKJ.
The Agent and the Bank are hereinafter referred to as the 'parties'.
WHEREAS A. Pursuant to the Framework Agreement concluded between the Bank and the fiepublic of Siena Leone ]the Bank has agreed to participate in the financing of certain Assets pertaining to the Project described in Schedule.l to this Agreement; The participation of the Bank is through lnstalment Sale Financing for an amount not exceeding i-tso ts,l+o,ooo.o0 (United states Doilars Thirteen Million, Four fun<Jred and Fofty frh;usand) The Bank wishes to appoint theirepublic of sierra Leonehs Agent for implementing the project and procuring the Assets; B. C. D. Under this Agreement, the relationship between the Bank and the Agerrt is that of a muwakeel (principal) and wakeel(agent) in accordance with the principles of Shari,ah.
NOW THEREFORE the Parties agree as follows: Articlel.

DEFINITIoNS All capitalized terms in this Agreement, unless the context othemise requires, shall have the same meaning as stipulated in the Framework Agreement.

Additional terms used in this Agreement have the following meaning.

'Acceptanc'e Certificate': means the certificate to be issued by the Agent to the Contractor upon delivery and acceptance of the Assets pursuant to the relevant Contract and the provisions of this Agreement.
'Agreemenf: means the present agency agreement.

'Available Financing Amounf: means the balance of the Financing Amount which is available for Disbursement after deducting amounts previously tlisbursed by the Bank.

'Boycott Regulations': c sing Date': q 'Contract Price': 'Delivery Notice': means the boycott regulations of (i) the Organization of tslamic Cooperation (including those relating to dealing vrith tsrael); (ii) the Arab League; and (iii) the African Union.
means the date conesponding to the end ofthe period stipulated in Article 3.4 hereunder.

means the price payable to the Contractor under the Contract and in accordance with the financing plan of the Project as approved by the Bank.

means the notice substantially in the form set out in Schedule-l to be issued by the Agent informing the Bank that it has taken delivery of the Assets.
Page2of16 'Event of Defeulf: means any of the default set out in Article 8 hereunder 'Framer,vork Agreement': means the Framework Agreement executed between the Bank and the Recipient on the date of this Agreement in relation to the Project.

'Procurement Policies and Guidelines': means all regulations, rules, policies, procedures or guidelines as the Bank may adopt from time to time for procurement of certain activities under a Project.
'Procurement Arrangements': means any contractual arrangements to be made by the Agent for the procurement of any activities (supply or construction or services) towards the delivery of the Assets.

&ticle2.
&ticle2.

AGENCY 2.1 The Bank hereby appoints theAgentto: 2.1.1 negotiate and agree the Procurement Arangements and all specifications ofthe Assets; 2.1 .2 conclude the Procurement Arrangements and supervise the delivery of the Assets; and 2.1.3 take delivery of the Assets in accordance with the Procurement Anangements.
2.2 The Agent hereby agrees to the appointrnent and undeftakes to perfomr the agency in accordance with the terms ofthis Agreement ftee of any remuneration or other payment by the Bank, ?.3 Without prejudice to Articles 2.1 and 2.2 of this Agreement, the Agent appoints the Executing Agency to be responsible for the implementation of the Project for and on behalf of the Agent.
However, the Agent undertakes and acknowledges that it shall be responsible for any action or omission of the Executing Agency in relation to the Agent's obligations under this Agreement.

Artic|e3.

PROCUREMENT 3.1 Except as the Bar* may otherwise agree, the Agent shall procure, or cause to be procured, the Assets in ac@rdance with the Banks Procurement Policies and Guidelines, Schedulell to this Agreement and the undertakings set out in Articles 3.2, 3.3 and 3.4 hereunder.
3.2 Proculernent AnamEments: The Agent undertakes that it shall carry out the Procurement Anangements, and conclude any contract thereunder, in accordance with the following terms: 3.2.1 the terms and conditions under the Procurement Anangements shall, prior to the launch ofthe bidding process, be agreed upon between the Bank and the Agent 3.2.2 the Agent shall involve the Bank in the negotiations ofthe Procurement Arrangements and obtain the approval of the Bank thereon; 3.2.3 the amounts to be committed under the Procurement Anangements shall not exceed the I amounts allocated under the financing plan of the Project as approved or as otherwise amended by the Bank; 3.2.4 the period for the procurement ofthe Project activities shall not exceed the period specified in Article 3.4 of this Agreement or as otheMise extended by the Bank 3.2.5 the specifications ofthe Assets to be procured under the Procurement Arrangements shall be as approved by the Bank and described in Schedulell hereto; and 3.2.6 the Procurement Anangements shall, where required, include the provision of an all risk insuranc€ as customary in the trade, and the proceeds of the insurance shallbe payableto the Bank in the cunenry acceptable to the Bank.
3.3 lmplementation: The Agent undertakes that during the implementation of the Procurement Arranqements and any contract thereunder, it shall: Page 3 of 16 3.3.1 exercise the highest standard of diligence and care in monitoring thepunctualand conect performance of contractual obligations under the procurement Anangements with a view to ensuring that the Assets will be procured in accordance with the specifications or terms of reference, within the specified timeframe, and within the limits of the contracted amounts; 3.3.2 advisethe Bank as soon as reasonably practicablq ofanydelayor anticipated delayinthe delivery ofthe Assets whh full details thereof; 3.3.3 deal with all regulatory and administrative matters relating to the procurement of the Assets in accordance with the relevant applicable laws; l 3.3.4 not make, without the prior written consent of the Ban( any amendments, alterations or 1 modifications to the procurement Arrangements which may , result in an increase in the contracted amounts; or result in an extension ofthe completion date;or (i) (ii) (iiD result in a change of the specifications; or (iv) not be in accordance with usual good practice.
lf in breach of this provision, the Agent gives any instrustions, as a rcsuh of which there is an increase in the contracted amounts or the Bank becomes liable to any party for any claim, loss, damage or expense, then the Agent agrees to bear the increase to indemnifu the Bank for any such claim, loss, damage or expense.

3.4 3.5 The period for completion of the procurement of the Assets shall not excae{ fve (sJ years from the date of effectiveness.
The speciflcations ofthe Assets shall be as generally described in schedule.ll ofthis Agreement and specified in the Contract.

Artic|e4.

DISBURSEMENT 4.1 The Bank shall make Disbursements in accordance with the Disbursement Policies and Guidelines and subject to the mnditions set out in Article 4.2 herzunder.

4.2 The Bank shall acc€pt a Disbursement Request and approve a Disbursement only if 4.2.1 the first Disbursement Request is submitted to the Bank no later than six (6) months after .
the Effective Date; 4.2.2 the Disbursement Request has been received by the Bank by the Closing Date; 4,2.3 the amount under the Disbursement Request does not exceed the Available Financing r Amount; 4.2.4 the Disbursement Request is actompanied by a copy of the relar'ant contracts together with a copy of any applicable supporting documents relevant to the Disbursement Request; 4.2.5 where underthe Procurement Arrangements a consultant isto be contracted to supervise the delivery ofthe Assets, ttE Agent shall not submit any Disbursement Requests without such consultant verifiing the Disbursement Requests and ensuring that all the Bank's policies and procedures are strictly followed; ' 4.2.6 if requested by the Bank a copy ofthe relevant insurance policy is provided; 4.2.7 the requirements of the Disbursement Policies and Guidelines have been satisfied in relation to that Disbursement; Page4ofI6 4.2.8 on the date of the Disbursement Request: (D 0D no Event of Defauft is continuing or would result from the Disbursement; the Agent is in compliance with all hs obligations hereunder in all material respectsl and (iir) no event or series of event has occuned which, in the opinion of the Bank might reasonably be expected to have a Material Adverse Effect.
4.3 4.4 The Agent shall be responsible for any delay in effecting Disbursement if such delay is due to the application being not in conformity with this Agreement or due to insufficiency of or discrepancy in the required documents.l A Special Account in USD will be opened with the Central Bank of Sierra Leone for easy and timely disbursement for the running costs and other relevant experrses of the Project.
The maximum amount to be deposited in the Special Account shall not be more than USD 500,000.00 (United States Dollars Five Hundred Thousand) at a time.

The replenishment ofthe Special Account and other matters shall be in accordance with the Guidelines for opening a SpecialAccount.

I Article-S. ACCEPTANCEDELIVERY 5.1 The Agent shall accept and take delivery of the Project Assets in cornpliance with the following provisions.
5.2 Acc€ptance and delivery of the ftoject Assets: Prior to accepting and taking delivery of the Assets, the Agent shall: 5.2.1 review the Assets to ensure conformity to the specifications set out in the Contract: 5.2.2 inform the Bank of the outclme of the reMew of the Assets immediately after completing the review.
ln particular, the Agent shall immediately inform the Bank (D whether it has found the Assets conforming in all respects to the Contract and has taken delivery thereof; or (iD whether it has found the same not in conformity with the Contract in which case it shall seek the guidance of the Eank as to whether to reject the Assets or accept them 'as- is' and sue the Contractor, as the case may be, for damages; 5.2.3 lmmediately issue an Acceptance Certificate if the review of the Assets conform to the Contract.
The Agent shall be deemed to have inevocably accepted the Assets for all purposes thereof upon the issuance of the Acceptance Certificate.

5.3 Delivery Notice.

Subsequent to issuing the Acceptance Certificate, the Agent shall provide Delivery Notice to the Bank.
lf the Agent fails to issue the Delivery Notice to the Bank within Seven (7) Business Days after issuing the Ameptance Certificate, the Agent shall be deemed to have irrevocably and unconditionally taken delivery of the Assets on the date of issuing the Acceptanc€ Certificate.

The Agent shall indemniry the Bank for any costs, expenses or loss resuhing from its failure, for any reason whatsoever, to take delivery of the Assets after issuing the Acceptance Certificate.
Article6 SPECIAL UNDERTAKINGS 6.1 Executim of the Project.
The Agent undertakes to: 6.1 ,1 ensure that all Disbursements shall be used solely for the purposes of financing the Project and shall not be used tofinance any expenditure with respect to which the Bank determines that any Sanctionable Practices were engaged in by representatives of the Agent or other rmipients of the Financing 4m9un1, v/ithout the Agent having taken timely and appropriate action satisfactory to the Bank to address such practrces when they occuc Page 5 of l6 6.1 ,2 implement the Project and conduct its operations with due diligence and efficiency and in accordance with sound administrative financial, engineering and economic practices, under the supervision of qualified and experienced management and personnel and in accordance with the budgets, plans and sp€cifications mnceming the project approved by $e Bank 6.1.3 ensure that the contractor and any consultant, cany out their activities with due diligence and efficienry and in aclordance with sound, technical, economic, flnancial, managerial, environmental and social standards and practices, and in accordance with any applicable anti-conuption guidelines; 6.1.4 submit tothe Bankforits approval, in such detailas the Bank may reasonably request, any envisaged material modifications to the budget, plans and specifications ofthe project as well as any draft contract to be entered into by the Agent for the execution of the project and substantial changes thereto; 6.
'1.5 afford, during the implementation of the project, all reasonable opportunity for accredited representatives of the Bank to visit and inspect the project and any relevant records and documents in relation thereto; 6.1.6 take all action which shall be necessary on its part to enable the execution of the project and refrain from taking, or permitting to be taken, any action which would prevent or interfere with the implementation or operation of the poect or the performance of any obligations under this Agreement; 6.1.7 ensure that the Project is implemented in accordance with the procurement policres and Guidelines, in conformity with all applicable laws and regulations, appropriate administrative, technical, financial, economic, environmental and social standard and practices; 6.1.8 inform the Bank of any condition which interferes with, or threatens to interfere with, the accomplishment of the purposes ofthe project or the performance of its obligations under this Agreement 6.1.9 ensure that the Executing Agency has the skills and experience required for successful implementation of the Project.
6.1 .l 0 ensure that the Executing Agency is fully aware of the undertakings under this Article and that it shall act amordingly in dealing with the Bank.
6.2 The Agent shall ensure, or cause to be ensured, that antironuption and anti-fraud provisions acceptable to the Bank are included in all bidding documents and contracts, including provisions speoifying the right ofthe Bank to audit and examine the records and accounts of the Agent, the Contractor and other parties invofued in the implementation of the project.

ArticleT.
ArticleT.

FEPRESENTATIONS 7.\ TheAgent represents and warrants that: 7.f .J All govemmental authorizations and actions of any kind necessary to authorize or required i for the validity or enforceability of the obligations contemplated under this Agreement I have been obtained or performed and are valid and subsisting in full force and effect.
7.1 .2 Under the laws offthe Republic of Siena Leone fn force at the date of this Agreernent the claims of the Bank against the Agent under this Agreement will rank at least pari passu with the claims of all other unsecured creditors.

7.1.3 lts execution of this Agreement constitutes, and its exercise of its rights and performance of its obligations thereunder shall constitute, private and commercial acts done and performed for private and commerclal purposes.
Page6ofl6 7.1 .4 lt shall at all times comply with the Boycott Regulations.

$ 5\ER Bf, I. t0 , tGf DAI E I \J.

i I 6 IOH H E ( Artic|eS.

EVENTS OF DEFAULT 8.1 lf one of the events specified in this Article shall have happened and be continuing, then the Bank, by notice to the Agent, may exercise its rights under this Agreemertt, including those provided under Article 1 1 without any further notice: 8.
'l .1 default shall have occurred in the performance of any obiigation of the Agent under this Agreement and any such default shall have continued for a period of 30 (Thirty) days from the date of the notification of such default to the Agent; 8.1 ,2 any representation or warranty confirmed or made by the Agent in connection with the execution and delivery of this Agreement shall be found to have been incorrect in any material respect and shall continue to be incorrect for a period of 30 (Thirty) days after notice thereof shall have been given to the Agent by the Bank; 8.
'1.3 any obligation or purported obligation of the Agent under or arising out of this Agreement being or becoming wholly or in part invalid or unenforceable whether or not always known to the Bank.
8.2 lf any Event of Default or any event r/{hich, with lapse of time or notice and lapse of time, would become an Evefit of Default shall have happened, the Agent shall immediately give the Bank notice thereof by telex or facsimile, specifying the nature of such Event of Default or such event and any steps the Agent is taking to remedy the same.
8,3 No course of dealing and no delay in exercising, oromission to exercise, any right, poweror remedy accruing to the Bank upon any default under this Agreement or any other agreement shall impair any such right, power or remedy or be construed to be a waiver thereof or an acqurescence therein; nor shall the action of the Bank in respect of any such default, or any acquiescence by it therein, affect or impair any righ( power or remedy ofthe Bank in respect of any other default.

Article9.
Article9.

INDEt\.lNmY 9.1 The Agent shall indemnify the Bank, on a net after-tax basis (at the applicable local and foreign tax rates) against, and agrees to protect, save and keep harmless, the Bank from any, and all obligations, fees, liabilities, losses, damages, penalties, demands.
actions, judgments and expenses, including reasonable legal fees and expenses (including such legal fees and expenses incurred in connection with the enforcement ofthe Agency Agreement), ofevery kind and nature whalsoever imposed on, incuned by, or asserted against the Bank arising out of the occurrence of any default or any other failure on the part of the Agent to perform or comply with any term of this Agreement, or any document, agreement or contract entered into by the Agent in relation hereto or otherwise in relation to the Project but excluding any claim based upon any failure on the part of the Bank to comply with its obligattons under this Agreement or any document, agreement or contract entered into by the Bank in relation to the Project.
Without prejudice to the above, the Agent shall ensure that the Contract has sufficient indernnity provisions.

9.2 The Agent shall give the Bank prompt notice of any occurrence or condition known to the Agent as a consequence of which the Bank is or is reasonably likely to be entitled to indemnification.

The indemnification provided in Article 9.


'l shall specifically apply to and include claims or actions brought by or on behalf of employees of the Agent and the Agent expressly waives, as against the Bank any immunity to which the Agent might otherwise be entitled under any applicable laws.
The Agent shall promptly upon request by the Bank (but in any event within fifteen days of such request) reimburse the Bank for amounts expended by it in connection with any 0fthe foregoing or pay such amounts directly.

9.3 The Agent shall be subrogated to the Bank's rights in any matter with respect to which the Agent has actually reimbursed the Bank for amounts expended by it or has actually paid such amounts Page7of16 directly pursuant to Article 9.,l.
ln case any action or proceeding is brought against the Bank in connection with any indemnified claim, the Bank shall, after receipt of notice of the commencement of such action or proceeding, notify the Agent thereoi enclosing a copy of all papers served upon the Bank.

The Agent may, and upon the Bank's request shall, resist and defend such action or proceeding at the Agent's expense, or cause the same to be resisted or defended by counsel selected by the Agent or any other authorized person.
ln the event of any failure by the Agent to do so, the Agent shall pay all costs and expenses (including reasonabll attorneys fees and expenses) incurred by the Bank in connection with such action or prciceeding.

Articlelo.

EFFECTIVENESS '10.1 This Agreement shall become effective from the Effective Date of the Framework Agreement.

Artic|el 1.

SUSPENSION, CANCELLATION, TERMINATIoN 'l .1 Suspension.
The Bank may, in accordance with the applicable policies of the Banh suspend its 1 obligations under this Agreement if: 1 ] Li any event or circumstance occurs that the Bank reasonably believes has or is likely to have 'I a Material Adverse Effect; or .l I 1.2 an Event of Default has occuned; or 1..1 .3 the Framework Agreement has been suspended in accordance with its Article 6.1.
11 .2 Any suspension pursuant to the Article 1 L I shall continue until the event or events that have given rise to such suspension cease to exist and the Bank notifies the Agent that its rights under this Agreement have been restored.

11.3 Cancellation by the Agent.

This Agreement shall be cancelled if the obligations under the Framework Agreement have been cancelled pursuant to its Article 6.3.

'1 .4 Termination.
This Agreement shall be terminated immediately if any of the following 1 circumstances shali occur: 'l 1.4.1 if the Framework Agreement is terminated in accordance with its Article 6.4, 'l .4.2 if the Agent requests to terminate this Agreement, but in any case, before the conclusion 1 of the contract; , 1 I .4.3 upon termination ofthe Contract for up to sixty (60) days due to the Contracto/s failure to fulfil any of hs obligations under the Contract and the Agenfs failure to take, within such period and to the satisfaction ofthe Bank, appropriate action to remedy the situation;and 1 1 .4.4 when all obligations hereunder have been irrevocably and unconditionally discharged in futl.
11 .5 Ne(her cancellation nor termination in accordance with this Article shall affect any commitment made, obligations incuned, or rights acrcrued priorto the date of such cancellation oi termination.

I .6 Artibles 6.

'l .6 and 6.

1 .9 shall survive the termination of this Agreement following delivery of the 'I as$t.

Artic|e]2.
Artic|e]2.

GOVERNING LAW SETTIEMENT OF DISPUTES 12.1 This Agreement shall be governed by and be construed in accordance with the principles of Shari'ah as pronounced by the lslamic Fiqh Academy, Jeddah as enunciated in the Shari'ah Standards published by the Accounting and Auditing Organization for lslamic Financial lnstitutions (AA0lFl), and as interpreted by the Bank's Shari'ah Committee.
Page I of l6 12.2 Any dispute between the Parties and any claim by any Party against the other Party arising under this Agreement shall be submitted to an arbitration panel for final and binding decision in accordance with the rules and procedures of the lnternational lslamic Centre for Reconciliation and Arbitration (llCBA), Dubai, United Arab Emirates.
The arbitration rules and procedures of IICRA shatl be in lieu of any other procedure for the determination of disputes between the Parties or any claim by any Party against the other party arising thereunder.
12.4 lf within 30 (Thirty) days after counterparts ofthe award shall have been delivered to the Parties, the award is not complied with, any Party may enter judgment upon, or institute a proceeding to enf<irce the award, in any coun of competent jurisdiction against the other Party, may enforce such judgment by execution or may pursue any other appropriate remedy against the other Party for the enforcefitent of the award or the provisions of this Agreement.
To the extent that the Agent may in any jurisdiction claim for itself or its assets immunity from suit, execution, attachment (whether in aid or execution, before award orjudgment or otherwise) or other legal process or to the extent that in any such jurisdiction there may be attributed to itself or its assets such immunity (whether or not claimed), the Agent hereby irrevocably agrees not to claim and hereby irrevocably waives such immunity.
Service of any notice or process in connection with any proceedings under Article '12.2 or in connection with any proceedings to enforce any award rendered pursuant to Article'12.3 may be made in the manner provided in Article 13, The Parties waive any and all other requirements for the service of any such notice or process.

ArticlelS.
ArticlelS.

cOMMUNICATIoNS '13.1 The Agent hereby appoints lthe Ministry of Finance of the Republic of Sierra Leond to act as its authorized representative (the 'Agent's Represent8tive') for the purposes of coordinating with the Bank on all matters pertaining to this Agreement and for all intents and purposes without Iimitation.

Any notice in connection with this Agreement shall be sent to the following addresses ofthe Agent and the Eank: For the Bank 8111 King Khalid St. Al Nuzlah Al Yamania Dist.
Unit No.]

Jeddah-22332-2111, Kingdom of Saudi Arabia Tel: +966 I2 6361400 Fax: +966 i2 6366871 Email: IDBARCHIVES@isdb.org For the Agent frhe Ministry of Finance Treasury Building George Street !

Freetown, Sierra Leone Tel: +23222222211 Articlel4.

MISCELLANEoI,JS l4.l The recital and schedules are an integral part of this Agreement.
14.2 The person signing this Agreement on behalf of each Party hereby represents and wanants to the other Party that he or she has the requisite legal power and authority to execute this Agreement on behdlf ofthe Party and bind the Party to the obligations herein.

14.3 ThislAgreemenl including any amendments may be executed in counterparts, all of which shall be deemed an original agreement and each of which shall constitute one and the same agr*ment.
The counterparts of this Agreement may be executed and delivered by facsimile or other electronic signature (including portable document format) by either of the Parties and the receiving Party may rely on the receipt of such document so executed and delivered electronically or by facsimile as if the original had been received.

14.4 This Agreement may only be amended by a mutual written agreement of the Parties.

TH lS AGREEMB.IT has been entered into on the date stated at the beginning of this Agreement.
Page 9 of 16 SCHEDULE I PROJECT DESCRIPTION AND FINANCING PLAN D The goal of the project is to contribute towards the sierra Leone RMNCAH strategy, which aims at accelerating reduction of preventable deaths of women, children and adolescents ind ensuring their health and wellbeing through prioritized heatth interventions.

The development objective is to improve the quality and utilization of RMNCAH-N services in four districts and support health system building and reforms for future health challenges.
Specifically, the project will improve health infrastructure in four districts to increase access to Reproductive, Maternal, Neonatal, Child and Adolescent Health and Nutrition services; contribute to human capital development through capacity building of health work force; and create demand to increase utilizatibn of RMNCAH-N services.

I.

Project Location: The project will be located in Pujehun, Karene, Bo and Moyamba districts.
Karene districts has been created in 2017 by the GoSL to deepen decentralizatron and improve access to development in remote parts of the country.

Pujehun, Karene, Bo and Moyamba districts are located rural remoted areas.

Bo Districtls in lhe Southern Province.

lt ls the second most populous district in Sierra Leone (after the Westem Area Urban district).

Bo town is the second largest city in the country and the district capital.

its population is of 410,000 inhabitants.


The district population indicites that 6% are children under the age of 5 years, 54% are among the active workforce (1 5-64 years) while 25oi falls between the age of 5 and 14 years.

45% of the district population live in urban areas (5S% are rural population).

The average family size is 5.7.

Moyamba District is in the Southern Province.

lts capital and largest city is Moyamba.

The district is the largest in the Southern Province and comprises of 14 chiefdoms.
The majority (cver 92%) of the district population resides in rural areas.

its population is of 28O,0OO inhabitants.

The average family size is 5.7.

The majority (over g2%) of the district population resides in rural areas.

45% (under 5 age group 1 8% and 2706 below the age of I 5 years) of the residents are under the age of l4 years old and 50% falls among the active workforce between the age of t S and 64 years old.
Puiehun Districtis in the Southern Province and third largest district in the country.

The population is predominantly Muslim mainly belonging to the lvlende ethnic group.

pujehun was destroyed dudng the country's civilwar, and thirteen years afterthe end ofthe war.

tts population is of940,00O inhabitants.

The district population is composed of 19% children under 5 years of age, and 49% are in the age group of 15-64 years, which is the active workforce.
lt appears that the nuntber of females is higher compared to the male population across all age groups.

The district has one of the lowest population densities in the country.

Most of the population (87%) is living in the rural areas.

The average family size is 6.2 persons.

Karenb Districtis located in the North West Province Siena Leone.

The capital and largest city of Karene District is Kamakwie Karine.

The major economic activity in Karine is farming.


The Temne people is the predomlnant majority ethnic Aroup in Karine, lts population is of 290,000 inhabitants.

Z Project Design and scopey'Componentsi A" Component 1: lmprove Access to Quality RMNCAH+{ SeMces lsDB will finance under parallel financing with the wB and GFF access to quality RMNCAH-N services for the tarqeted population through: and Obstetric Care facilities (BEmOC) in pujehun, Karene and Moyamba Districts.
The design of the Primary Health Center(pHC) is in conformity withthe MOHS standard forsuch type of facility to provide primary healthcare services including basic emergency obstetric and neonatal care.

The HC is the first level of health facility that has both a laboratory and a Paqe 10 of 16 pharmacy and provide preventive and curative functions as well as full BEmONC package.
It offers the most complex and skilled services within the prirnary care level of the health system for 10,000 to 30,000 or more within 'l5 km (10 miles) radius of the facility.

2.

Consiruction and equipping of 3 District Hospjtals with Maternity in Pujehun, Karene and Moyamba Districts.
The design of the district hospital will be in conformity with the National standard, which was developed based on the WHO specifications to provide pdmary health care, secondary medical care and comprehensive emergency obstetric and neonatal care r including general surgical and surgical obstetric care to the whole district, with a population 'of about 500,000.
To manage this, it will have an operating theatre, a more extensive laboratory with safe blood transfusion services, an X-Ray machine and ultrasound.

There will be more than 100 beds, and the hospitalwill be staffed with doctors, nridwives, nurses and other categories of health staff in Iine with the HRH staff requirements.
Accordingly, each Hospital will have, among others, reception & waiting area, MCH & CHO consulting rooms, delivery & recovery rooms, treatment room, drug & food stores, EPI ward, dispensary, etc.

and will be built over an area of 2,400 m2.

The cost of the civil works for hospital is estimated at USS 855/m2, as agreed by MOHS and donors for similar facilities completed .in 201712018.

3. iThis sub'component will also finance the construction of 8 Staff Quarters in each district.
Each staff quarter will have 3 rooms, I sitting room, Kitchen and dining with I porch etc...

This will be built over an area of I 6E m2.

The cost of the works is estimated at US$ 350/m2.

The cost of the staff quarter is also based on cost of similar facilities financed by MoHS and 'Donors and completed in 2017/2018.

4.

Rehabilitation and equiooing of Obstetric Fistula Centre at Bo District Hospital.
The fistula center in Bo District Hospital will be rehabilitated and equipped by the project to enhance access and quality of the service delivery related to repair of obstetric fistula with surgery and reintegration program.

5.

Provision of Essential Medicines and Supplies: the project will support the acquisition and distribution of essential medicines and supplies to ensure a good start of the PHC including RMNCH-N activities.
6. the project wilt procure solar direct drive refrigeration for vaccine for 5 districts including Pojehun, Karene and Moyamba.

etc 7.

Demand Creation to increase utilization of RMNCAH-N services by women and Children: lsDB will finance, under parallel financing with the WB and GFF, the demand creation for the Itargeted population to ensure the effective and efficient use of RMNCAH-N services.
This will be through the development of integrated communication strategy and roll out of RMNCAH-N Services including partnership with civil society, religious and youth groups to improve utilization of reproductive health services; development of radio/Tv rprograms/jingles for information of communities on RMNCAH-f!

services; Mass campaign lactivities to promote RMNCAH-N services uptake during MCH week and use of special iapplication on smart phones to disseminate RMNCAH-N messages.

B.
B.

Component 2 Support Health Systems Srengthening and Reforms: lsDB will finance, under parallel financing with the WB and GFF the support health systems strengthening and reforms for the targeted population through: 1. lnstitutionalDevelopment: - The projecl will support the strengthening of electronic HMIS System.
The project will finance in service training for 50 M&E and HMIS officers; and l4bS health facility staff in harmonization of reporting forms at national level, electronic reporting at all service .l Page 1 of 16 delivery points in the three districts and develop and promote data use strategy for decision making at all levels, - Performance-based financing of health service delivery provided to the target population and provision of health information system tools for the 3 Health Districts (Pojehun, Karene and Moyamba).
performance Based Financing of health service delivery provided by the pojehun, Karene Karene, and Moyamba Health Districts and Bo Fistula center at Bo district hospital to the targeted population.

A consultancy firm will be recruited under wB financing to review, audit and certify the eligibility of payments to be made under IDB financing.
The performance Based Financing (pBF) is to iupport the deliveryof RMNCH-N primary heaith care services at pojehun, Karene and Moyamba Districts and provide technical assistance and capacity building to improve the efficiency of the RMNCH-N health services.

As wB will cover 7 Health Dlstricts and tDB will cover 3 Health Districts, lsDB will finance 30% of the cost of pBF financing and WB will finance the remaining 70%.

2.
2.

Human Capacity Development: This subcomponent will finance: - Training in Competency-based Emergency Obstetric and Neonatal Care (EmONC) for 533 health workers (Doctors, midwives, MCHA and CHOS), - Training in RMNCAH-N Services for 267 health care workers (Doctors and midwives) - Support postgraduate training institution to train 10 Doctors as pediatricians & obstetrician/gynecologists and l0 Nurses as specialist nurses in pediatrics/neonatology; and 300 Midwives in Midwifery.
- Training for 300 health workers in Integrated Management of New bom and Childhood lllnesses strategy and nutrition (MNCI) using an integrated approach for greater efficiency and impact.

- Training l0 health workers (2 doctors and 8 nurses) in comprehensive obstetric fistula care.

- Training 320 MCH Aides as frontline Health workers.

- Training of 290 staff and provide logistical support in mentorirrg and coaching for RMNCAH-N seNices.

3.
3.

Part of the Human capacity Development component will be implemented through the lsDB .Reverse Linkage (RL) mechanism (i.e.

mainstreamed RL component).

Once the projea is approved, the lsDB's RL Section will coordinate the selection of a suitable providing institution, mounting diagnostic mission, preparing diagnostic report, and mounting Validation Mission.

These will result in a detailed report that is agreed by the GOSL, the providing institution and lsDB.
This report will be the base for the budget and scope of the capacity development activities to be undertaken under the project.

priority will be given to the countries that signed a cooperation agreement about supporting the RL projects, namely Egypt, lndonesia, Morocco and Turkey, while selecting the provider institution from 'a Member Country.

4.
4.

Knowledge Management the project will support the monitoring and evaluation activities of the project including strengthening operational research and conduct mid-end project evaluation.

C. Component 3: Support to tuject Msnagement: This includes: i.

Project Manaqement unit (PMU): A PMU will be established within the Executing Agency (E/A) to facilitate and coordinate the close follow up of the implementation of the project.
Page 12 of 16 The PMU will be responsible for the management of the project and will be the focal point to maintain communication with the lsDB and the MoHs.

The project will finance PMU budget, which consist of remuneration component.

This will include honorarium for PMU staff members and acquisition of office equipment.
The project will also finance the acquisition ofvehicles (utility and ambulances) forthe supervision PMU team and targeted districts hospitals (Pojehun, Karene and Moyamba) as well as project running cost for monitoring, evaluation, and supervision, 2.
Consultancy servicesr A consultancy firm will be hired by the project to prepare the detailed engineering designs and supervision of works, preparation of tender documents, supervision ofconstruction works, review the equipment lists, and classify equipment items.

The consultant will also verify proposal for payments of the contractor and assist the E/A in the provisional and final acceptance of the civil works.

3.
3.

A start-up workshop and familiarization visit to lsDB Regional Hub of Dakarwill be organized at the beginning of the prolect for the acquaintance of the executing agency with the BanlC rules and procedures to ensure a smooth implementation of the project.

4.

Financial Audit: An independent auditing office will be procured to conduct the necessary auditing review and will provide the beneficiary and lsDB with annual repcrts on regular basis.
SECTION II FINANCING PLAN COMPONENTS lmprove Access to Quality RNTNCAH-N Services Support Health Systems Strengthening and Reforms Support to Pro.iect i/anagement t. Sale Total Loan Total IsDBG HLTA Grant Total lsDB Total WB GFF GOSL Total Total oa Total % Total % Total 10.
'18 2.24 12.42 30 22 53 2.04 1.8',r 0.46 4.3r 22 12 62 r.9'l 1.9.1 21 6 63 6 3 1 % 3 14 1.24 15.5 o.o2 0.5 4t.66 '19.33 11 0.54 9.45 Total base cost 12.22 5.96 0.46 18.64 26.5 40.o s6.5 10 'I4 1.80 2.5 70_44 Contingency (10o,6) 1.22 0.60 0.04 1.86 0.18 2.04 Total 13.44 6.56 0.50 20.50 28 40.0 55 '10 14 1 .98 e 72.8 Page l3 of I 6 SCHEDULE II PROCUREMENT OF THE PROJECT ASSETS The procurement of the Assets for the project shall be as follows: (D (iD (iil) (iv) (v) The CivilWorks contract(s) shallbe procured through lnternational Competitive Bidding restricted to member countries (lCB/MC); The procurement of essential medicine, supplies and cold chain equipment shall be performed through Direct Contracting with UNICEF as the procurement agency; Medical Equipment, Furniture and Ambulances for the Hospitals and Healthcare Centers shall be procured through tnternational Competitive Bidding (tCB/Open); Consultancy Services for knowledge managemenl activities shall be procured through hternational Shortlist within member countries based on euality Cost Based Selection (QcBs/Mc); The procurement for the Human Capacity Development training shall be conducted through Direct Contracting of training institLrtions that have a bilateral agreement with the Bank and the Executing Agency in the specified areas of training Page 14 of 16 SCHEDULE III FORM OF DELIVERY NOTICE lslamic Development Bank 8111 King Khalid St. Al Nuzlah Al Yamania Dist.
Unit No.l, Jeddah 22332-2M4 Kingdom of Saudi Arabia Dear Sirs, DELTVEBY NO'NCE we refer to the Framework Agreement and the Agency Agreement both dated LL_L_* concluded between us (the 'Finarcing AgfeemenB).

Terms defined in the Financing Agreements shall have the same meanings when used irr this Delivery Notice.

1.

2.
1.

2.

This Delivery Notice is issued pursuant to the Financing Agreements and the undersigned is duly authorized to execute and deliver this Delivery Notice on behalf of the fiepublic of Siena Leon{ The Bank is hereby notified that the Assetg as listed in Annex to this Delivery Notice, have been delivered to us by the Contractor, 3.

We have reviewed the Assets and found them in conformity with the specification set out in the Contract and the Agency Agreement, and accordingly accepted the Assets.
ln issuing this Delivery Notice we confirm that the implementation of the relevant cornponents of the Project has been completed.

4. ln witness whereol this Delivery Notice is executed and delivered as of the date hereof.
For and on behalf of fthe Republic of Siena Leonel Name lThle of the Signatory Page I5 of 16 qI ( &*rE.-........ t FB EEl * DGCLTAON PAGE ln Witness wfiereol the Parties through their duly authorized representatives F,ave signed this Agreernent for Maternal, Neonatal and Child Health Strengthening Project (SLE-1012) in favour of the ReBJblic of Siena Leone on the date first above wdtten.
FOR AND ON BEHALF OF REPUBLIC OF SIERRA TTONE Jacab Jusu Saffa Minister of Date: FOR AND ON BEHALF OF ISIAMTC DEVErcPMENT MNK V//at4a4,'7rlz{a* Mansur Muhtar Vict' Presidenl, Country Programs Date: June 28, 2020 Page l6 of 16