Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698845014152.pdf (Sierra Leone)
( Rf 1',- (+ .t + ENT I rt { rt ERRTF GRANT NUMBER, TFOA2598 Ebola Recovery and Reconstruction Trust Fund Grant Agreement @ealth Service Delivery and System Support Project) between REPUBLIC OF SIERRA LEOI\E and INTERNATIONAL DEVELOPMEI{T ASSOCHTION (acting as Administrator ofthe Ebola Recovery and Reconstructio!
Trust Fund) o"tuafu@[,zore ERRTF GRANT M]MBER TFOA2598 EBOLA RECOVERY AIID RECONSTRUCTION TRUST FI'ND GRANTAGREEMENT AGREEMENT datod 2016, entered into between the REPUBLIC OF SIERRA LEONE ("Recipient'') and the INTERNATIONAL DEVELOPMENT ASSOCIATION ("Association"), acting as administrator of the Ebola Recovery and Reconstruction Trust Fmd @RRTF).
WHEREAS: (A) Having satisfied itself as to the feasibility and priority of the Project described in Schedule I to this Agre€ment ("Project'), the Recipient has requested the Association to provide a grant (ERRTF Co-financing Grant) to assist in the finaocing ofthe Projec!
and (B) the Association has agreed to provide an IDA Credit to co-finance the Project pursuant to the terms and conditions of the Financing Agr€ement between the Recipiont and the Association of the same date; NOW TI{EREFORE, the Recipient and the Association hereby agree as follows: Article I Standard Conditionsi Defi nitions I .01 The "Standard Conditions for Grants Made by the World Bank Out of Various Funds", dated February 15, 2012 C'Standard Conditions"), constitute an integral part of this Ageement, 1.02.
Unless the context requires otherwise, the capitalized terms used in this Agreement have the meanings ascribed to them in the Standard Conditions or in this Agreement.

Article II The Project 2.01.

The Recipient declares its commitment to the objective of the project described in Schedule I to this Agreement ('Project'').
To this end, the Recipient shall carry out the Project through the through the Ministy of Health and Sanitation (MoHS) in acaordance with the provisions of Article II ofthe Standard Conditions.

2.02.

Without limitation upon the provisions of Section 2.01 of this Agreemenl and except as the Recipient and the Association shall otherwise agree, the Reciilient shall ensure that the Project is carried out in accordanoe with the plovisions of Schedule 2 to this Agreement.

ArtiCIC III The Grant 3.01.


The Association agrees to extend to the Recipien!

on the terms and conditions set a grant in an amount equal to five million forth or refened to in this Agr€ five hundred thousand United States Dollan ($5,500,000) C'Grant') to assist in financing the Project.

€ment, 3.02.

The Recipient may withdraw tlre proceeds ofthe Grant in accordance with Section IV of Schedule 2 to this Agreement.

3.03.
3.03.

The Grant is funded out of the abovementioned tnst fimd for which the Association receives periodic contributions from the donors to the trust firnd- In accordance with Section 3.02 ofthe Standard Conditions, the Association's payment obligations in connection with this Agr€ement are limited to the amount of funds made available to it by dre donon under the abovementioned trust fund and the Recipient's right to withdraw the Grant proceeds is subject to the availability ofsuch funds.
Article W Effectiveness ; Termination 4.01.

This Agreernent shall not become effective until evidence satisfactory to the Association has been fumished to the Association that the conditions specified below have been satisfied: (a) The Financing Agreement and all conditions precedent to its effectiveness or to the right of the Recipient to make withdrawals under the Finalcing (other than the effectiveness of this Agreement) have been Agr€ement tulfilled.
(b) (c) (d) The Recipient has established the Project Steering Committee in accordance with the provisions of Section I.A(2) of Schedule 2 to this Agreement.

The Reoipient has adopted the Project Implementation Manual in accordance with the provisions of Section I.B of the Schedule 2 to this Agreement.
The Recipient has employed or assigned required penonnel to the IHPAU including accountants, finance assistants and procuement officers, all with qualifications and experience satisfactory to the Association; and has procured and install€d computerized accounting software satisfactory to the Associalion.

4.02.
4.02.

Except as the Recipient and the Association shall otherwise agree, this Agreement shall enter into effect on dre date upon which the Association dispatches to dre -3 - Recipient notice of its acceptancr ofthe evidence required pursuant to Section 5.01 ("Effective Date).
If, before the Effective Datb, any event has occuned which would have entitled the Association to suspend the right ofthe Recipient to make withdrawals from the Crant Account if this Agreement had been effective, the Association may postpone the disparch ofthe notice referred to in this Section until such event (or events) has (or have) ceased to exist.
4.03 This Agreement and all obligations ofthe parties under it shall terminate if it has not entered into effect by the date ninety (90) days after the date of this Agreement, unless the Association, after consideration ofthe reasons for the delay, establishes a later date for the purpose of this Section.

The Association shall promptly notif the Recipient ofsuch later date.

Article V Recipient's Representative; Addresses 5.01.

The Recipient's Representative is its minister responsible for finance.

5.02.
5.02.

The Recipient's Address is: Ministry of Finance and Economic Development Treasury Building George Street Freetown, Sierra Leone Facsimile: 23222229 060;228 472 5.03.

The Association's Address is: Intemational Development Association l8l8 H Sheet, N.W.

Washington, D.C. 20433 United States of America Cable: Telex: Facsimile: TNDEVAS Washington, D.C. 248423 (MCr).

t-202477-639t 4 AGREED at year first above written.
as ofthe day and REPUBLIC OF SIERRA LEONE By \,# Authorized Representative Name: flol-toDu L. k-{^rcrp Title iltilrcr6lt INTERNATIONAL DEVELOPMENT ASSOCIATION (acting as Administrator of the Ebola Recovery and Reconstruction Trust Fund) By Authorized Representative Name: Title: fl sRse CA -5- SCMDI]IJ T Proiect Description The objectives of the Project ar€: (a) to increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event ofan Eligible Crisis or Emergency, to provide immediate and effective.response to said Eligible Crisis or Emergency.
The Project consists ofthe following parts.
Health Service Delivery @: A.1 Commuaity-LevelEngagement l. Carrying out a program of activities to stengthen and improve community engagement and access to basic health care and information, such activities to include: (a) training and routine supervision of community health workers; (b) (c) (d) (e) providing financial and non-financial incentives to Eligible Community Health Workers; developing appropriate tools for community monitoring ofthe delivery of essential, preventive and curative health services; training of community facilitators and carrying out of regular community consultations to receive feedback on availability and quality of service delivery; and supporting DHMTS and MoHS to follow up on community health service delivery concems' z Carrying out a program ofaotivities to improve public health and education, such activities to include: (a) (b) (c) (d) finalizing the national environmental health policy and stratery; reviewing and updating the public health legislation; dissemination ofthe environmental health policy and legislation; training of selected public health aids; -6- (e) (0 providing identity cards, uniforms and personal proteotivo oquipment to public health aids; and carrying out of supervision and financing of operational expenses associated with inspection and enforcement ofpublic health and sanitation regu lations.
A.2 Facility-Level ServiceStrengthening l. 2.

Carrying out a program of activities to strengthen facility level service detivery, such activities to include: (a) providing essential drugs, medical supplies and equipment to selected health facilities; and (b) recruiting and deplolng multi-disciplinary clinical teams to selected health facilities and supporting their outreach work in Peripheral Health Units.
Carrying out ofa program of activities to support the establishment of emergency medical services and improve emergency medical services delivery, such activities to include: (a) (b) (c) carrying out of initial and refresher tsaining of selected drivers and paramedics; carrying out publicity on omergency medical services; and providing support for national coordination of emergency medical services.
Part B Health Svstem Support B.l l. Health Human Resource Developmenl Carrying out a program of activities to strEngth€n health human resource developmeng such activities to include: (a) supporting the development ofthe post graduate medical taining program including hiring ofteaching and administrative staff, acquisition of books and other instructional materials, acquisition of laboratory materials and equipment, and supporting the clinical residency training progmm including administering of entrance examinations, and providing support for continuing education and rotations in the sub-region; -7 (b) (c) (d) providing stipends to Eligible Post-Graduate Students and Eligible Trainee Nurses; supporting the training of auxiliary health workers including developing curricul4 acquisition of books, pedagogical and other instructional materials, acquisition of laboratory materials and equipment, acquisition of dormitory and class room materials, and hiring of teaching and administrative staff; and supporting continuing professional development programs for medical doctors, nurses and mid-wives.
8.2 Sectot Coordination and lutanagement l. Carrying out a program of activities to enhance sector coordination and managoment, such activities to include: (a) providing technisal assistance and support for the operations of the directorates in MoHS, including supporting district planning and superv ision, carrying out of monitoring and evaluation activities including developing and installing a health management information system and publication of associated bulletin, developing of sector strategies and carrying out of sector studies; (b) (c) building the capacity of and supporting Distriot Health Management Teams (DHMTs) including training of DHMTs, providing support for the carrying out of regular review and monitoring of the state of health in the Disricts, and supporting the surveillance of maternal deaths in health facilities and communities; and supporting the implementation of tho Service Level Agreements (SLAs) Initiative including financing of staff in the SLA Management Unit, carrying out of routine supervision and consultations with Implementiog Partners and publication of quarterly updates.
8,3 Pruject Mqnagement Moniloring and Evalualion Financing of Operating Costs associated with Project coordination and implementation.

Carrying out of monitoring and evaluation of the Project including oarrying out of specialized surveys and collection and analysis ofdata.

Capacity building and training of saff involved in Project implementation.

2 J -8- Part C: Continsencv Emeruency Resoonse Providing immediate response to an Eligible Crisis or Emergency as needed.
-9- SCIIEDWE 2 Project Execution SectionI.

ImplementationArrangemenls A, InstitutionalAffangements Ministry of Heohh dnd Sanitolion The Minisry of Health and Sanitation (MoHS) shall be responsible for ovorall implementation ofthe Project and shall for this purpose designate and thereafter maintain throughout Project implementation, the chief medical officer as the Project director to undertake these responsibilities.
Proj ec t Steer ing C ommitt ee I 3 The Recipient shall establish, not later than the Effective Date, and thereafter maintain throughout Project implementation, a Project Steering Committee with membership and terms of reference satisfactory to ttre Associstion and with adequate resources to carry out its responsibilities under the Project.

Without limitation on the foregoing, the functions of the Project Steering Committee shall be to provide overall coordination and strategic guidance over the Project.
Integated Health Proiect Administration Unit 4 The Recipient shall: (a) maintain throughout Project implemontation, the lntegrated Health hoject Administration Unit (IHPAU) with terms of rofer€nce, stafftng aod other resources satisfactory to the Association; and (b) assign to the IHPAU at all times during Project implementation, the fund management specialist, a financial management speoialist, a procur€ment specialis!
a monitoring, evaluation accountability and learning specialist, an audit specialist and such other staff as may be agreed with the Association, all with qualifioations, experience, and terms of reference satisfactory to the Association.

5 Without limitation on the foregoing, the I}{PAU shall be responsible for the day- tcday administration, financial management, procurement and monitoring and evaluation of the Project.

- 10- B.
Implementation ArrrngeEents Proj ect Imp lement ation Manual The Re.ipient shall: (D (a) not later than the Effective Date prepare and fumish to the Association a Project implementation manual containing detailed guidelines and procedures for the implementation of the Project, including: administration and coordination: monitoring and evaluation (including indicators required therefor); financial, procuremont and accounting procedures; social and environmental sa&guards; comrption and fraud mitigation measures; roles and responsibilities of various dir€ctorates in the implementation of Project, guidelines on the implemontation of &e community health workers incentive scheme including selection and performance criteria and complaints handling mechanisms, guidelines on the administration ofthe stipends, and such other arrangements and procedures as shall bo required for the effective implementation ofthe Project; and (iD thereafter adopt and carry out the Projeot in accordance with such Project implementation manual as shall have been approved by the Association @roject Implementation Manual); and (b) except as the Association shall otherwise agree in writing, not amend or waive, or permit to be amended or waived any povision of the Project Implementation Manual.
In case of conflict between the provisions of the Project Implementation Manual and this Agreement, those of this Agreement shall prevail.

Annual Work Plans and Budget The Recipient shall, not later than Novomber 30 of each year, prepare and fumish for implementation to the Association, an annual program of activities propos€d under the Project during the following Fisoal Year, together with a proposed budget for the purpose.
The Recipient shall exchange views with the Association on each such proposed annual work pl8n, and shall thereafter adopt and carry out such program of activities for such following Fiscal Year as shall have been agreed with the Association" as such plan may be subsequently revised during suoh following Fiscal Year with the prior writton agreement ofthe Association (Annual Work Plan and Budget).
2 3 4 - 11- C. Immediate Response Mechanism In order to ensure the proper implementation ofPafi C ofthe Project ("Conthgent Emergency Response') ('IRM Part'), dre Recipient shall take the following measures.

1.
The Recipient shall: (a) prrpare and fumish to the Association for its review and approval, an operations manual which shall set forth detailed implementation arrangements for the IRM Part, including: (D (iD designation of, terms ofrcference for and resources to be allocated to, the entity to b€ responsible for coordinating and implementing the tRM Part ("Coordinating Aulhority"); specific activities which may be included in the IRM Part' Eligible Expenditures required therefor ("Emergency Expenditures'), and any procedures for such inclusion; (iii) financial management arrangements for the IRM Parq (iv) procurement methods and procedures for Emergency Expenditures to be financed under the IRM Part; documentation required for withdrawals of Emergency Expenditures; environmental and social safeguard management frameworks for the IRM Part, consistent with the Association's policies on the matter; and (v) (vi) (vii) any other arrangements necessary to ensuE proper coordination and implementation of the tRM Part; (b) (c) (d) afford the Association a reasonable opportunity to review said proposed operations manual; oromptlv adopt such operations manual for the IRM Part as shall have l""n'upprouta by the Association ("IRM Operations Manual"); ensure that the IRM Part is canied out in accordance with the IRM Oo".tion, Manual; provided, however, that in the event of any irionritt"n"y between the provisions ofthe IRM Operations.Manual and tiii.
egu"rn;n , ,he provisions of this Agreement shall provail; and -12- 2 J (e) not amend, suspend, abrogate, rcpeal or waive any provision of the IRM Operations Manual without prior approval by the Association.

The Recipient shall, throughout the implementation of the IRM Par!

maintain the Coordinating Authority, with adequate staff and resources satisfactory to the Association.
The Recipient shall undertake no activities under the IRM Part (and no activities shall be included in the IRM Part) unless and until the following conditions have been met in respect of said activities: (a) the Recipient has determined that an Eligible Crisis or Emergency has occurred, has furnished to the Association a request to include said activities in the IRM Part in order to respond to said Eligible Crisis or Emergency, and the Association has agreed with such determination, accepted said request and notified the Recipient thereof; and (b) the Recipient has prepared and disclosed all safeguards instnrments required for said activities, in accordance with the IRM Operations Manual, the Association has approved all suoh instruments, and the Recipient has implemented any actions which are required to be taken under said instruments.
D Anti-Corruption The Recipient shall ensure that the Project is carried out in accordance with the provisions of the Anti-Comrption Guidelines' E. Safeguards The Recipient shall carry out the Projoct in accordance with tho provisions ofthe Safeguards Documents.
2 If any Supplemental Social and Envtonmental Safeguard Instrument is required under ESMF, the Recipient shall: (a) prepare: (D (ii) such Supplemental Social and Environmental Safeguard lnstrument in accordanse with the ESMF; furnish such Supplemental Sosial and Environmental Safeguard Instrument to the Association for review and approval; and t- I i -13- (iii) thereafter adopt such Supplemental Social and Environmental Safeguard Instrument prior to implementation of the activities; and (b) thereafter take such measures as shall be necessary or appropriate to ensure full compliance with the requirements of such Supplemental Social and Environmental Safeguard Instrument.
The Recipient shall ensure that all technical assistance under the Project, application of whose results would have environmental or social implications, shall only be undertaken pursuant to terms of reference reviewed and found satisfactory by the Association, such terms ofreference to ensure that the technical assistance takes into aocount, and calls for application of the Assooiation's environmental and social safeguard policies aad the Recipient's own laws relating to the environment and social aspects.
Without limitation upon its other reporting obligations under this Agreement, the Recipient shall for each of the Safeguards Instruments including the related Supplemental Sooial and Environmental Safeguard Instument, regularly oollect, compile and furnish o the Association reports in form and substance satisfaotory to the Association" on the status of compliance with such Safeguards Instrument including the related Supplemental Social and Environmental Safeguard Irstrumen!
as part of the Pmject Reports, giving details of: (a) measures taken in furtherance ofthe Safeguards Insfuments including the related Supplemental Social and Environmental Safeguard Instruments; (b) (c) conditions, ifany, which interfere or threaten to interfere with the smooth implementation of the Safeguards Instruments including the related Supplemental Socia.l and Environmental Safeguad lnstruments; and remedial measures taken or required to be taken to address such conditions.
Donor Visibi[ty and Visit The Recipient shall take or cause to be taken all such measures as the Association may reasonably request to identiry publicly the Donors' support for the Project' For the purposes of Section 2.09 of the Standard Conditions' the ReciPient shall' upon the Association's request, take all measures required on its part to enable the representatives of the Donors to visit any part of the Recipient's territory for purposes related to the Project.

3 4.
3 4.

F 2 -14- G. Incentives for Eligible Community llealth Workers To facilitate the carrying out of Part A.l(l.b) of the Projec!
the Recipient shall ensure that prior to financing incentives to Eligible Community Health Workers, Eligible Community Health Workers and recipient communities enter into contactual agreements, under terms and conditions satisfactory to the Association, including: (a) defining the roles, responsibilities, and obligations of the Eligible Community Health Workers; and (b) indioating the criteri4 manner, and timing for evaluating tho Eligible Community Health Workers' performance, including potential termination provisions.
2 The Recipient shall ensure that Part A.l(l.b) of the Project is carried out in accordanie with the Community Health Workers Deployment and Incentives Plan, the Project Implementation Manual and the contractual arrangements referred to in paragraph (l) immediately above.
H. Stipends For the purpose of, and prior to, awarding stipends under Part B.l(l'b) of the Project, the Recipient shall: (a) select Eligible Post-Graduate Students and Eligible Trainee Nurses in accordanci with eligibility criterio, selection methods and procedures acceptable to the Association, set forth in the PIM, and shall rpview, appraise and evaluate the award of stipends, all in accordance with transaction, control and clearance processes and the procedural mechanisms and other provisions acceptable to the Association, as ftrrther set forth in the PIM.
Section IL A.

Project Reportsi Completion Report Proiect Monitorins.

Renortine and Evaluation l. 2.
-' The Recipient shall monitor and evaluate the progress ofthe hoj€ct 8nd Prepare irojart n"ports in accordance with the provisions of Section 2'06 of the Standard CorOitionsandonthebasisofindicatonacc€PtabletotheAssociation'Each p*6i i"p.tt shall cover the period of one (li calendar semester' and shall be iu#isrrea io o. arr*i"tion noi luter than forty-five days (45) after the end of the Period covered bY such rePort' The Recipient shall prepare the Completion Report in accordance with the pi*rrt""i of section'z.o'o of the standard conditions.
The completion Report -15- B. I 2 3 4 shall be furnished to the Association not later than six (6) months after the Closing Date.

Financial Managementi Fingncial Reports; Audits rheRecipientshau""Y:,*T5ffi:;1ff '.
}tffiT,fl *:t;'"il;**u" accordance with the Provrslons I The Recipient shall ensure that interim unaudited financiat reports for the Project not later than fo(y-five (45) days are prepared and turnished- to th";;;ilil" after the end of eact cur"noa, quiJi, covering the quarter, in fonn and substance satisfactory to the Asociation' rhe Rec ipienr.

sh"il 'roject audited in _l1::.

g j;33;rl ;Hlfi :]?r"t3'#;: i.onditions.

Each fi n'ffiT#*H5:l5t-ry;#J;;Ji;"i'i''''p"'ioa.

"rone(1)FiscarYear of the Recipient.


The audited fi"*ii"i S"i"*""tt for each such period shall be fumished to the Association ;"ffi;iil-;il iej *ontttt after the end of such period.

Notwithstanding the provisions of paragraph 3 above' the Recipient shall carry out a Drocurement auait of trre erojJ''fact plocurement audit shall cover a period of .,ie fiscat vear of the R*ipi"ir;ffi;;il rr"*"nt audit report shall be provided IIi riji.t ir""i tr-iij ,oonot "t"' tt'e end of such period' SectionIII.
Procurcment A.

General r. pmcunment rnd.

consurtant :,:1T,,:f;1il"-#"il,T',lt ilH*'#:i; 'jr}:rT'#J:"Til$"J;;'ffiffi ;"0'in""'o'd-o"''ituthere4uirements set forth or refened to tn: (a) (b) Section I of the Procurement Guidelines in the case' of goods' works and non-consulting servic€s, atrd $;;;; i and IV oi the Consultant Hiliffi t" "ril case of consultants' services; and J*,l}:H$ttr#'q;;rffiHilH$nHt}: fr Guidelines and ParagraPn ('Proourement Plan')' z Delinitions.
The caPitalized terms used below in'this'section-to^describe procurement methods or *on"i' "i particular *'it* by the Association of particular - 16- conmcts, refer to the oorresponding me{o{esc1!9ain Sections II and III of the ir"rr*ri"ii C"iArlines, or Soction-s II, 111 IV and V ofthe Consultant Guidelines' as the case maY be.

Particular Methods of Proc[r€ment of Goods, Works and Non-consulting Services International competitive Bidding.
Except as.otherwise prorrided in paragraph z il.r"*,-J*a.. w'orks and non-c-onsulting services- shall be procured under conracts aiarded on the basis of Intemational Competitive Bidding' other Methods of Procurement of Goods, Works and Non-consulting S"*i"o. fft" following table specifies the methods of procuremen!

other than Bidding, which mav be used-for goods' works and non- ;1;;;J-c";rtitiie t.*i""r. Th" P..u.
"ii"nt Plan shall speciS the circumstanc€s under "on.rf,ing which such methods maY be used: B, 2 Procurement Method idding (Subject to the additional pro't'isiotts set out (a) Nationat ComPetitive B in poragraPh 3 below) (b) Shopping (c) procurement under Framework Agreements in accordance with procedures *' acceptab'ie to the Association and set out in the ;il;;;;;-;;found Project Implementation Manual (d) Procurement from UN AgencY (e) Direct Conracting (f) Community Participation procedures which have been found acceptable to '-' tt u n""o"i"tion tet oui in the Project Implementation Manual "od J Additional National Competitive Birlrting ('NCB') Procedures' The ii*.a*i, to * fo[owed for NCB shall be those set forth in the Recipient's Public i;;;;;a;;t(';ect"1, provided, however, that said prooedures shall be subjeot I and paragraphs.3'3.and 3'4, respectivelv' of the ;; ;;6;i;;;;;'Js;;, il**Jrn".t Guidetines, and subjeci to the following additional procedures (i'e' exceptions to the Aot): (a) Bidding documents acceptable to th; Association shall be usedl -17 ' ffiff;-*[{l l:';ii"lft in a Procurement Process; (c)l;lf, '13.'#[il1,5##.
[:f ;r,fr iiJ"?JJffi}[tsi:il*3"1i;'; *o:"'*l"i for submitting btos; (d)H,ffir,tii,f:i,r*:'Ht'EJl:rT'*'ff (e ,tl**ll****':,ri*****'P'"t""** shall be aP Programs) Bids shall be submtt m*;:*,-mf without the prior wnu.n uurPs'---- ' ' '- -'ivarl\ shall not be rejected' ffi ;i;;G soli;ited without I (h) Qualification (e) il:Thltflii,{::lT:iilt}i-q*1ffi fl{i}ii{':: criteria shall be applied on a pass or fail basis; (i) ::lg:,;:::,Tfff li:iffiL[?y,fi*:!
?#nl""' ) *$;3ft$*ryiffi:Ji*ffi"*'l;:ffiH*r;: comrPtion as x *e rcseip'i or t- I - 18 - (k) in accordance with the Procurement Guidelines, each bidding document and contract shall include provisions stating the Association's policy with respect to inspection and audit of accounts, records and other documents relating to the submission of bids and contract performance.

C. Psrticular Methods of Procurement of Consultants' Services l. 2 Quality- and Cost-based Selection.
Except as otherwise provided in paragraph 2 below, consultants' services shall be procured under contracts awarded on the basis of Quality- and Cost-based Seloction.

Other Methods of Procurement of Consultants' Serwices, The following table specifies the methods of procuremen!

other than Quality- and Cost-based Selection, which may be used for consultant services.
The Procurement Plan shall specif the circumstances under which such methods may be used: Procurement Method (a) Quality-based Selection (b) Least Cost Selection (c) Fixed Budget Selection (d) Selection based on Consultants' Qualifications (e) Single-source Seleotion ofconsulting firms (f) Procedures set forth in paragraphs 5.2 and 5.3 ofthe Consultant Guidelines for the Selection oflndividual Consulants (g) Single-source procedures for the Selection of Individual Consultants D, Review by the Association ofProcurement Decisions The Procurement Plan shall set forth those contracts which shall be subje€t to the Association's Prior Review.
All other contracts shall be subject to Post Review by the Association.

- 19- E. Procurement ofEmergency Expenditures under the IRM Part ofthe Proiect Notwittrstanding any provision to the gontary in this Section, Emergenoy Expenditures required for the IRM Part of the Project shall be procured in accordance with the procurement methods and procedures set forth in the IRM Operations Manual.

Section [v. Withdrawal of Grant Proceeds A.
General l. The Reoipient may wit}draw the proceeds of th'e Grant in accordance with the provisions of: (a) Article III ofthe Standard Conditions; O) (c) this Section; and such additional iflstructions as tho Assmiation may specifr by notice to the Recipient (including the "Association Disbursemert Guidelines for Proj ects'; dated May 2006, &s revised from time to time by the Association and as made applioable to this Agreement pursuant to such instructions), to finance Eligille Expenditues as set forth in the table in paragraph 2 below.
2 The following table specifies the categories of Eligible Expenditures that may be financed out-of the irmeeds of the Grant ("Category), the allocations of the amounts ofthe Grani to each Category, and the percentage of expenditures to be financed for Eligible Expenditures in each Category: Category (1) Coods, works, consultant services, non-consulting services, Training and Operaring Costs under Part A.1(l) of the Project (excePt Part A.1( t.b) of the Project) (2) lncentive Payments for bEli Comm un Health Amount of the Grant Allocated (e:rpressed in usD) Percentage of Expenditures to be X'incnced (inclusive of Tares) 0% 0o/o -20 - 0o/o 3,800,000 1000h 0o/o 0% 100% '70% 1,700,000 Workers under Part A.l(1.b) of the Project (3) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part A.1(2) of the hoject (4) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part A.2(l.a) and (l.b) of the Project (5) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part A.2(2.a), (2.b) and (2.c) ofthe Project (6) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part B.l (l.a) and ( l .d) ofthe Project (7) Stipends for Eligible Post- Graduate Medical Students and Eligible Trainee Nunies under Part B.l(l.b) of the Project (8) Goods, works, consultant servioes, non-consulting servioes, Training and Operating Costs under Part B.I (l.c) ofthe Project -21 -
 (9) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part B.2(1. a) ofthe Project (10) Goods, works, consultant services, non-consulting services, Training and Operating Coss under Part B.2(l.b) and (1.c) ofrhe Project (l l) Goods, works, consultant services, non-consulting services, Training and Operating Costs under Part B.3 ofthe Project ( 12) Goods, works, consultant services, non-consu lting services, Training and Operating Costs under Part C ofthe Project 0% 0% 0% 0% TOTAL AMOI]NT 5,500,000 B, Withdrawal Conditions; Withdrawal Period l. Notwithstanding the provisions ofPart A ofthis Section: (a) No withdrawal shall be made for payments made prior to the date of this Agreement except that withdrawals up to an aggregate amount not to exceed $ I ,000,000 may be made for payments made prior to this date but on or after April 5, 2016, for Eligible Expendituros under Category (4).
(b) (c) No withdrawals shall be made under Category (4) unless and until the financing allocated for the same expenditures under the EERP Financing Agreements has been exhausted.

No withdrawal shall be made under Category (12), for Emergency Expenditures under Part C ofthe Projec!
unless and until the Association -22 - is satisfied, and notified the Recipient of its satisfaction, th* all of the following conditions have been met in respect of said activities: (D (ii) the Recipient has determined that an Eligible Crisis or Emergency has occurred, has fumished to the Association a request to include said activities in the IRM Part in order to respond to said Eligible Crisis or Emergency, and the Association has agre€d with such determination, accepted said request and notified the Recipient thereof; the Recipient has prepared and disclosed all safeguards iNtruments required for said activities, and the Recipient has implemented any aotions which ar,e required to be taken under said instrumen*, all in accordance with the provisions of Section I.C.3 of Schedule 2 to this Agre€ment.
(iiD the Recipient's Coordinating Authority has adequate staff and resources, in accordance with the provisions of Section LC.2 of this Schedule 2 to this Agreement, for the purposes of said activities; and (iv) tho Recipient has adopted an IRM Operations Manual in form, substanc€ and manner acceptable to the Asociation and the provisions of the IRM Operations Manual remain, or have been updated in accordance with the provisions of Section I.C.l of this Schedule 2 so as to be appropriate for the inclusion and implementation of said activities under the IRM Part.
2 The Closing Date is September 30, 2019.

1 I t I I -)7 - APPENDD( Definitions l. 2 J "Annual Work Plan and Budget" means the progam of activities agreod each Fiscal Year between the Recipient and the Association for implemontation under the Project in accordance with Section I.B.3 of Schedule 2 to this Agreement during the following Fiscal Year, as the same may be revised from time to time in accordance with said Section.
"Anti-Comrption Guidelines" means the "Guidelines on Preventing and Combating Fraud and Comrption in Projects Financed by IBRD Loans and IDA Credits and Grants", dated October 15, 2006 and revised in January 201 l. "Category" means a category set forth in the table in Section IV of Schedule 2 to this Agreement.
"Community Health Workers Deployment and Incentives Plan" means the plan adopted by the Recipient and acceptable to the Association for the deployment of communif health workers in the hard-to-reach areas including the incentives to be provided to those community health worken that fulfil the performance requirements set for the payment of said incentives.
"Consultant Guidelines" means the "Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers" dated January 201 I (Revised July 2014).

"Coordinating Authority" means the entity or entities designated by the Recipient in the IRM Operations Manual and approved by the Association pursuant to Section I.C.2 of Schedule 2 to this Agreement, to be responsible for coordinating the IRM Part ofthe Project.
"District'' meaos an administrative subdivision of the Reoipient established pursuant to the Provinces Ac!

Chapter 60 ofthe Laws ofthe Recipient.

'District Health Management Teams" or "DHMTS" means the Rocipiont's Districtlevel health toams responsible for management of health matters at the Disrict.

"EERP Financing Agreements" means tJle agreements between the Recipient and the Association for the Ebola Emergency Response Project dated September 17, 2014 and November 20,2014 (Grant No.
H992-SL and Grant No.

D007-SL respectively), (as amended).

-24 - i0.

ll 12. t3.

14.

15.

16.

17.

18.

"Eligiblo Community Health Workers" moans the Recipieut's.

community level healih workers who have met the eligibility and performance oriteria set out in the Project Implementation Manual.
"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.
"Eligible Post-Graduate Students" means the Post graduate medical students in surgery, pediatrics, obstetrics and grnecolory, intemal medicine and family medicine participating in the post graduate medical raining program supported under the Project and selected in accordance with eligibility criteria and selection processes satisfactory to the Association as further set forth in the PIM.
"Eligible Trainee Nurses" means the nurses to undertake training in midwifery selected in accordance with the eligibility criteria and selection Processes satisfactory to the Association and set forth in the PIM.

"Emergency Expenditure" means any ofthe Eligible Expenditures set forth in the IRM Operations Manual in accordance with the provisions of Section I.C.l of Schedule 2 to this Agreement and required for the activities included in the IRM Part of the Project.
"Environmental and Social Management Plan" and 'ESMP" means a plan prepared and adopted by tlre Recipient, as provided in the Environmental and Sooial Management Framework providing appropriate mitigation, monitoring and institutional measures designed to mitigate potential advorse environmental and social impacts under the Project, offset them, reduce them to acceptablo levels or enhance positive impacts, as the same may be amended from time to time witlr the agreement of the Association.
"Environmental and Social Management Framework" or "ESMF' means the framework dated January 2016 in form and substance satisfactory to the Association, prepared by the Recipient, se$ing out modalities to be followed in assessing the potential adverse environmental and social impact associated with activities to be implemented under the Project, and tie measures to be taken to offset, reduce, or mitigate such adverse impact.
"Financing Agreement'' means the agreement between the Recipient and the Association, dated on or around the same date as this Agreement, providing for the Financing to the Project, as such grant agreement may be amended from time to time- "Fiscal Year" means each fiscal year ofthe Recipient commencing on January I and ending on December 3l ofthe same year.

a< 19.

20.

21.
a< 19.

20.

21.

22 23 to "Health Care Waste Management Plan" means the Recipient's plan acceptable to the Association prepared as part of the ESMF, defrning the set of mitigation, enhancemen!
monitoring, and institutional measures to be taken during implementatitn of the Prdject to oliminate any adverse environmental impacts of medical waste, offset them, reduce them to acceptable levels, or to enhance positive impacts ofthe Project activities' "Incentive Payments" means payments to be made to Eligible Community Health Workers under Part A.l(1.b) ofthe Project and to be financed out ofthe proceeds ofthe Financing said payments to b€ made to Eligible Community Health Workers who have met the performance criteria and in accordance with the procedures and other requirementi set out in Section I.G of Schedule 2 to the Agreement and the PIM, "lmmediate Response Mechanism Operations Manual" and "IRM Operations Manual" each means the operations manual referred to in Section I.C.l of Schedule 2 to this Agreemen!
to be adopted by the Recipient for the IRM Part ofthe Project in accordance with the provisions of said Section."

"lmplementing Partners" means non-governmental organizations carrying out heatth care services in the Recipient's territory and which are required to sign Service Level Agreements with MoHS.
"Intograted Health Project Administration Unit'' or "IHPALI' means the Recipient's departnent designated to take on the day-to-day financial management, procur€ment, safeguards and monitoring and evaluation responsibilities under the Project and referred to in Section I.A.4 of Schedule 2 to this Agreement.

"IRM Part ofthe Project" and "IRM Part" each means Part C ofthe Project.

"Ministry of Health and Sanitation" and "MoHS" means the Recipient's ministry responsible for health.
"Operating Costs" means the expenses incurred on account of Project implementation, based on Annual Work Plan and Budget approved by the World Bank pursuant to Section I.B.3 of Schedule 2 to this Agreemeng including office equipment and supplies, vehicle operation and maintenance, maintenance of equipmen!
communication and insurance costs, omc€ administation costs, utilities, office rental, oonsumables, accommodation, salaries and local and intemational travel oosts ofProject staff(excluding the salaries ofthe Recipient's civil service).

2'7.

"Peripheral Health Units" or "PHtl" means the community level health facilities providing primary health care services.

-26 - 28.

29.

30.

31.

32.

33.

34.

35.

36.


"Procurement Guidelines" means the "Guidelines: Proouroment of Goods, Works and Non-consulting Services under IBRD Loans and IDA Credits and Grants by World Bank Borrowers" dated January 2011(Revised July 2014).
"Procurement Plan" means the Recipient's procuremeot plan for the Project, dated April 6, 2016 and referred to in paragraph I .18 ofthe Procurement Guidelines and paragraph 1.25 ofthe Consultant Guidelines, as the same shall be updated from time to time in accondance with the provisions of said paragraphs.

"Project Implementation M&nual" or "PIM" means the implementation manual for the Project, referred to in Section LB, ofSchedule 2 to this Agreement.
"Project Steering Committee" means the committee established for purposes ofthe Projec!

referred to in Section I.A.2 of Schedule 2 to this Agreement chaired by chief medical officer and comprising directors from the r€levant directorates in MoHS.

"Safeguards lnstrumenf' means each of the ESMF, the Health Care Waste Management Plan or a Supplemental Sooial and Environmental Safeguard Instrument.
"Service kvel Agreement" means an agreement to be signed between the Recipient through MoHS and health Implementing Partrrers setting out mutual responsibilities in the implementation of health interventions.

"Service Level Agreements ("SLA") Initiative" means the Recipient's initiative in which MoHS signs Service Level Agreements with health Implementing Partners to ensure coordination and accountability in the delivery ofhealth services by the latter.
"SLA Management Unit" means the Recipient's unit established within MoHS comprising the program manager, budget analyst, monitoring and evaluation analys!

database manager and administrative staff, and responsible for overseeing the implementation of the SLA Initiative.
"Stipends" moans the periodic monetary payments to be made to Eligible Post Graduate Students and Eligible Trainee Nurses under Part B.l(l.b) ofthe Project and to be financed out ofthe proceeds ofthe Financing to enable them pursue the agreed training program such payment to be made in accordance with the procedures and other requirements set out in Section I.H of Schedule 2 to the Ageement and the PIM.

37.
37.

"Supplemental Social and Environmental Safeguard Instruments" means an ESMP or other supplemental social and environmental safeguard hstrument prepared pursuant to the ESMF.

,t -27 - 38.
"Training" means the costs oftraining under the Project based on the annual work plans and budgets referred to in Section I.B.3 of Schedule 2 to this Agreement as approved by the Association, and auributable to seminars, worfishops, and study tours, along with local and intemational travel and subsistence allowances for training participants, services of trainers, rental of training facilities, prepaftfion and reproduction of training materials, and other activities directly related to oourse preparation and implementation, \H u3 /4 o + b Isl lNa )