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CONFORMED COPY 
 
GRANT NUMBER H400-BF 
 
Financing Agreement 
 
(Additional Financing for the  
Health Sector Support and Multi-Sectoral Aids Project) 
 
between 
 
BURKINA FASO 
 
and 
 
INTERNATIONAL DEVELOPMENT ASSOCIATION 
 
Dated July 8, 2008 
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GRANT NUMBER H400-BF 
FINANCING AGREEMENT 
AGREEMENT dated July 8, 2008, entered into between BURKINA FASO 
(
“Recipient”) and INTERNATIONAL DEVELOPMENT ASSOCIATION 
(“Association”) for the purpose of providing additional financing for activities related to 
the Original Project (as defined in the Appendix to this Agreement).  The Recipient and 
the Association hereby agree as follows: 
ARTICLE I 
—
GENERAL CONDITIONS; DEFINITIONS 
1.01. 
The General Conditions (as defined in the Appendix to this Agreement) 
constitute an integral part of this Agreement. 
1.02. 
Unless the context requires otherwise, the capitalized terms used in this 
Agreement have the meanings ascribed to them in the General Conditions or in 
the Appendix to this Agreement.  
ARTICLE II — FINANCING 
2.01. 
The Association agrees to extend to the Recipient, on the terms and conditions 
set forth or referred to in this Agreement, a grant in an amount equivalent to nine 
million two hundred thousand Special Drawing Rights (SDR 9,200,000) 
(
“Financing”) to assist in financing the project described in Schedule 1 to this 
Agreement (“Project”); 
2.02. 
The Recipient may withdraw the proceeds of the Financing in accordance with 
Section IV of Schedule 2 to this Agreement.   
2.03. 
The Maximum Commitment Charge Rate payable by the Recipient on the 
Unwithdrawn Financing Balance shall be one-half of one percent (1/2 of 1%) per 
annum. 
2.04. 
The Payment Dates are April 1 and October 1 in each year. 
2.05. 
The Payment Currency is the Euro. 
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ARTICLE III 
—
PROJECT
 
3.01. 
The Recipient declares its commitment to the objectives of the Project.  To this 
end, the Recipient shall carry out the Project in accordance with the provisions of 
Article IV of the General Conditions. 
3.02. 
Without limitation upon the provisions of Section 3.01 of this Agreement, and 
except as the Recipient and the Association shall otherwise agree, the Recipient 
shall ensure that the Project is carried out in accordance with the provisions of 
Schedule 2 to this Agreement. 
ARTICLE IV — REMEDIES OF THE ASSOCIATION
 
4.01. 
The Additional Event of Suspension consists of the following: 
(a) 
The Recipient has not used the funds of the Financing as specified in the 
Annual Confirmation. 
ARTICLE V — EFFECTIVENESS; TERMINATION 
5.01. 
The Additional Condition of Effectiveness consists of the following: 
(a) 
The Recipient has adopted an amendment or rider to its Health Project 
Implementation Manual and its Health Manual of Financial and 
Administrative Procedures, for the purpose of implementing Project, in 
form and substance satisfactory to the Association. 
5.02. 
The Effectiveness Deadline is the date ninety (90) days after the date of this 
Agreement. 
5.03. 
For purposes of Section 8.05 (b) of the General Conditions, the date on which the 
obligations of the Recipient under this Agreement (other than those providing for 
payment obligations) shall terminate is twenty years after the date of this 
Agreement. 
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ARTICLE VI 
—
REPRESENTATIVE; ADDRESSES
 
6.01. 
The Recipient’s Representative is the Minister of the Recipient at the time 
responsible for finance. 
6.02. 
The Recipient’s Address is: 
Minister of Economy and Finance 
Ministry of Economy and Finance  
03 BP 7050 
Ouagadougou 03 
Burkina Faso 
Cable: 
  Telex: 
 Facsimile: 
SEGEGOUV 
 5555 
 (226) 
50-31-27-15 
6.03. 
The Association’s Address is: 
International Development Association 
1818 H Street, N.W. 
Washington, D.C. 20433 
 
United States of America 
 Cable: 
  Telex: 
  Facsimile: 
INDEVAS 
 248423 
(MCI) 
 1-202-477-6391 
 Washington, 
D.C. 
 
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AGREED at Ouagadougou, Burkina Faso, as of the day and year first above 
written. 
 
BURKINA FASO 
 
By /s/ Jean Baptiste M. 
P. Compaoré 
 
Authorized Representative 
 
INTERNATIONAL DEVELOPMENT ASSOCIATION 
 
By /s/ Galina Y. Sotirova 
 
Authorized Representative 
 
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SCHEDULE 1 
Project Description
 
The objective of the Project is to support the implementation of the Reci
pient’s 
Program which aims at improving health on the Recipient’s territory. 
The Project consists of the carrying out of Annual Work Programs for the 
implementation of the Program, including:  
(1) 
improving quality and utilization of maternal and child health 
services, including through: (i) scaling up integrated management of 
child illness; (ii) improving quality and reducing the cost for 
emergency obstetrical care and normal deliveries; (iii) supporting 
basic training and equipment for maternal and child health services; 
(iv) improving medical waste management; (v) strengthening 
planning tools and guidelines; (vi) supporting promotion campaigns; 
and (vii) strengthening infrastructure in the health districts;  
(2) 
scaling up the malaria response and control of communicable 
diseases, including through: (i) supporting malaria prevention and 
treatment, including through the distribution of key commodities for 
malaria control; (ii) supporting the finalization of a prioritized and 
costed strategy for malaria; and (iii) supporting response to 
epidemics, including meningitis, cholera and bird influenza;  
(3) 
scaling up AIDS treatment, including through: (i) supporting non-
governmental and other associations of persons living with AIDS to 
carry out AIDS treatment, and medical care and support; and  
(ii) improving training, supervision and monitoring of treatment and 
prevention of sexually transmitted infections in public and private 
sectors;  
(4) 
Scaling up and harmonization of essential health and nutrition 
actions at community level, including through: (i) the strengthening 
of leadership and capacity to engage in community health and 
nutrition strategy; (ii) the development of a community health and 
nutrition strategy; and (iii) the implementation of essential health and 
nutrition actions, involving, and strengthening the capacities of, the 
decentralized agencies and civil society organizations; and 
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(5) 
Strengthening coordination, monitoring, evaluation, supervision and 
management of the Project. 
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SCHEDULE 2 
Project Execution 
Section I. 
Implementation Arrangements
A. Institutional 
Arrangements
 
The Recipient shall maintain the following structure within the Recipient’s MOH 
with functions as set forth in paragraphs (a) through (e), at all times during the 
implementation of Part A of the Project:
 
(a) 
The National Health Development Plan Committee (
Comité de Suivi du Plan 
National de Développement Sanitaire
)
shall provide overall policy guidance and 
oversight for the Plan
.
It shall be chaired by the Recipient’s Minister of Health 
and include representatives of other key ministries, donors, partners, and civil 
society. A technical secretariat (
Secrétariat Technique
 
au
Plan National de 
Développement Sanitaire
), within the Planning and Research Directorate 
(
Direction des Etudes et de la Planification
)
of
the MOH, shall provide technical 
support to the National Health Development Plan Committee. 
(b) 
(i) 
The Steering Committee (
Comité Directeur
)
established for the 
Recipient’s Health Development Support Program (
Programme d’Appui au 
Développement Sanitaire
)
shall also oversee the Program funding mechanism. It 
is chaired by the Secretary General of the MOH, and includes directors of all 
major directorates in the MOH, representatives of donors involved in the 
financing of the Program, and of the World Health Organization.  
(ii) 
For the purpose of component (4) of the Project, the Director of the 
Directorate in charge of nutrition, or its authorized representative for the purpose 
of such meeting, shall participate to the meeting of the Steering Committee. 
(iii) 
In addition the Steering Committee will inform the CNCN on the 
progress made in the implementation of the nutrition activities included in the 
Project. 
(c) T
he
Project Management Unit (the “PADS MU”) established within the DEP 
shall manage the funds of the Financing, and be responsible for the fiduciary 
aspects of the Project, including the selection of the qualified NGOs referred to in 
(d)(ii) below, in accordance with the provisions of Section III of this Schedule.   
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(d) 
MOH shall consolidate the activities proposed to be carried out under the Project 
in Annual Work Programs and ensure technical supervision of the 
implementation of the activities through the MOH services posted at the regional, 
provincial, district and local levels. 
 (i) 
Eac
h
directorate within the MOH, the Recipient’s thirteen regions, health 
districts, regional and national hospitals, and other autonomous health research 
institutes, training schools, non-governmental organizations and private sector 
health providers, shall be actively involved in the implementation and 
supervision of the Project, through proposals of activities to be included in the 
Annual Work Programs and their implementation.  
(ii) 
For the implementation of subcomponent (4), a team of experts within 
the DGS will be responsible for the definition of criteria satisfactory to the 
Association, which will be applied by the PADS MU for the selection of 
qualified NGOs at the provincial and district levels, to: (i) identify the most 
qualified CBIO to develop proposed activities for their inclusion in an Annual 
Work Program, and implement said activities; (ii) provide guidance and support 
to the CBIO, with the involvement of the local government; and (iii) facilitate the 
communication of information at district, provincial, regional, and central levels. 
B. Project 
Manuals 
 
1. 
(a) 
The Recipient shall carry out the Project in accordance with the 
provisions of the Health Project Implementation Manual and the Health Manual 
of Financial and Administrative Procedures. 
(b) 
Unless the Recipient and the Association shall otherwise agree in 
writing, the Recipient shall not amend or waive any provision of the Health 
Project Implementation Manual or the Health Manual of Financial and 
Administrative Procedures in a manner which, in the opinion of the Association, 
could have a material adverse impact on the implementation of the Project. 
C. Anti-Corruption 
 
The Recipient shall ensure that the Project is carried out in accordance with the 
provisions of the Anti-Corruption Guidelines. 
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D. Safeguards
 
(a) 
The Recipient shall ensure that the Project is implemented in accordance 
with the Medical Waste Management Plan. 
(b) 
Except as the Association shall agree in writing, the Recipient shall not 
abrogate, amend, repeal, suspend, waive or otherwise fail to enforce the Medical 
Waste Management Plan. 
Section II. 
Project Monitoring, Reporting and Evaluation 
A. Project 
Reports 
1. 
(a) 
The Recipient shall monitor and evaluate the progress of the Project and 
prepare Project Reports in accordance with the provisions of 
 
Section 4.08 of the General Conditions and on the basis of the indicators 
set forth below in sub-paragraph (b) of this paragraph.  Each Project 
Report shall cover the period of one calendar semester, and shall be 
furnished to the Association not later than three months after the end of 
the period covered by such report.  
(b) 
The performance indicators referred to above in sub-paragraph (a) 
consist of the following:   
(i) 
At completion of the Project, the proportion of infants under six 
months exclusively breastfed in the past 24 hours has increased from 7% 
to 12%. 
(ii) 
At completion of the Project, the proportion of women making 
two or more pre-natal consultations has increased from 62% to 75%. 
(iii) 
At completion of the Project, at least 10% of the total population 
of rural children under two participates in monthly community based 
health and nutrition activities carried out under the Project. 
(iv) 
At completion of the Project, the proportion of children under 
two with diarrhea receiving oral rehydration therapy conform to the 
IMCI Guidelines has increased from 42% to 55%. 
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2. 
For purposes of Section 4.08 (c) of the General Conditions, the report on the 
execution of the Project and related plan required pursuant to that Section shall 
be furnished to the Association not later than July 31, 2013. 
B. 
Financial Management, Financial Reports and Audits 
1. 
The Recipient shall maintain or cause to be maintained a financial management 
system in accordance with the provisions of Section 4.09 of the General 
Conditions. 
2. 
The Recipient shall prepare and furnish to the Association not later than three 
months after the end of each calendar semester, interim unaudited financial 
reports for the Project covering the semester, in form and substance satisfactory 
to the Association. 
3. 
The Recipient shall have its Financial Statements audited in accordance with the 
provisions of Section 4.09 (b) of the General Conditions.  Each audit of the 
Financial Statements shall cover the period of one fiscal year of the Recipient.  
The audited Financial Statements for each such period shall be furnished to the 
Association not later than six months after the end of such period.
 
Section III. 
Procurement
A. General
 
1. 
Goods and Works.
 
All goods and works required for the Project and to be 
financed out of the proceeds of the Financing shall be procured in accordance 
with the requirements set forth or referred to in Section I of the Procurement 
Guidelines, and with the provisions of this Section. 
2. 
Consultants’ Services.
 
A
ll consultants’ services required for the Project and to 
be financed out of the proceeds of the Financing shall be procured in accordance 
with the requirements set forth or referred to in Sections I and IV of the 
Consultant Guidelines, and with the provisions of this Section. 
3. Definitions.
 
The capitalized terms used below in this Section to describe 
particular procurement methods or methods of review by the Association of 
particular contracts, refer to the corresponding method described in the 
Procurement Guidelines, or Consultant Guidelines, as the case may be. 
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B. 
Particular Methods of Procurement of Goods and Works
 
1. 
International Competitive Bidding.  
Except as otherwise provided in 
 
paragraph 2 below, goods and works shall be procured under contracts awarded 
on the basis of International Competitive Bidding. 
2. 
Other Methods of Procurement of Goods and Works.  
The following table 
specifies the methods of procurement, other than International Competitive 
Bidding, which may be used for goods and works.  The Procurement Plan shall 
specify the circumstances under which such methods may be used: 
Procurement Method
 
(a)  National Competitive Bidding 
(b)  Direct Contracting 
(c)  Limited International Bidding 
(d)  Shopping 
(e)  Community Participation  
(f)  Procurement from United Nations Agencies (*) 
(*) provided that the Association and the United Nations Agencies have agreed 
on the implementation of their respective policies to fight fraud and corruption. 
C. 
Particular Methods of Procurement of Consu
ltants’ Services 
1. 
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 Selection.
 
2. 
Other Methods of Procurement of
 Consultants’ Services
.
The following table 
specifies methods of procurement, other than Quality and Cost-based Selection, 
which may be used for consultants’ services.  The Procurement Plan shall specify 
the circumstances under which such methods may be used. 
 
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Procurement Method
 
(a)  Quality Based Selection 
(b)  Least Cost Selection 
(c)  Consultants Qualifications 
(d)  Individual Consultants 
(e)  Selection of UN Agencies as Consultants(*) 
(f)  Single Source Selection 
(*) provided that the Association and the United Nations Agencies have agreed 
on the implementation of their respective policies to fight fraud and corruption. 
3. 
Shortlist including national consultants only.
 
The shortlist for the selection of 
consultants for each contract for consu
ltants’ services estimated to cost less than 
the equivalent of $100,000 may include national consultants only, pursuant to 
paragraph 2.7 of the Consultants Guidelines. 
D. 
Review by the Association of Procurement Decisions 
(1) 
Except as the Association shall otherwise determine by written notice to the 
Recipient, the following contracts shall be subject to Prior Review by the 
Association:   
(a) 
each contract for goods estimated to cost the equivalent of $500,000 or 
more procured on the basis of International Competitive Bidding;  
(b) 
each contract procured on the basis of Limited International Bidding; 
(c) 
each contract for goods procured on the basis of Direct Contracting; 
(d) 
each contract for consultants’ services provided by a firm estimated to 
cost the equivalent of $100,000 or more;  
(e) 
each contract for consultants’ services provided by an individual with 
respect to which the Procurement Plan approved by the Association 
provides for the Prior Review by the Association; 
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(f) 
each contract for consultants
’
services provided by as determined in the 
Procurement Plan approved in writing by the Association; and 
(g) 
each contract for consultants’ services procured on the basis of Single 
Source Selection.   
(2) 
All other contracts shall be subject to Post Review by the Association. 
Section IV. 
Withdrawal of the Proceeds of the Financing
A. General 
1. 
The Recipient may withdraw the proceeds of the Financing in accordance with 
the provisions of Article II of the General Conditions, this Section, and such 
additional instructions as the Association shall specify by notice to the Recipient 
(including the “World Bank Disbursement Guidelines for Projects” dated  
May 2006, as revised from time to time by the Association and as made 
applicable to this Agreement pursuant to such instructions), to finance such 
percentage of the Annual Work Program Expenditures as the Association may 
determine for each calendar year in its Annual Confirmation. 
B. 
Withdrawal Conditions; Withdrawal Period 
1.
 
Notwithstanding the provisions of Part A of this Section, no withdrawal shall be 
made for payments made prior to the date of this Agreement. 
2.
 
The Closing Date is January 31, 2013. 
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APPENDIX 
Definitions 
1. 
“Annual Confirmation” means the Association’s annual written confirmation of: 
(i) as the case may be, its approval of the Annual Work Program for such year, 
(ii) the percentage and amount of the Annual Work Program Expenditures which 
may be financed out of the proceeds of the Financing for the relevant Calendar 
Year; and (iii), as the case may be, the specific expenditures within such Annual 
Work Program, which may be financed out of the proceeds of the Financing or 
which are excluded from eligibility for financing out of the proceeds of the 
Financing. 
2. 
“Annual Work Program” means the program of activities adopted each year by 
the Recipient for the implementation of the Program during the following 
calendar year. 
3. 
“Annual Work Program Expenditures” means for a Calendar Year, eligible 
expenditures for works, goods and services, including Operating Costs and 
audits, included in an Annual Work Program for such Calendar Year, as 
determined in the Annual Confirmation for such Calendar Year. 
4. 
“Anti-Corruption Guidelines” means the “Guidelines on Preventing and 
Combating Fraud and Corruption in Projects Financed by IBRD Loans and IDA 
Credits and Grants”, dated October 15, 2006. 
5. 
“CBIO” means a Recipient’s community-based implementing organization, 
referred to in Paragraph A(d)(ii) of Section I of Schedule 2 to this Agreement.  
6. 
“CNCN” means the Recipient’s council entitled 
Conseil National de 
Concertation en Nutrition
,
established by the Recipient by decree no. 2008-
003/PRES/PM/MS/MAHRH/MASSN/MEF of January 10, 2008. 
7. 
“Consultant Guidelines” means the “Guidelines: Selection and Employment of 
Consultants by World Bank Borrowers” published by the Bank in May 2004 and 
revised in October 2006. 
8. 
“DEP” means the Recipient’s Directorate for planning and research (
Direction 
des Etudes et de la Programmation
)
established within the MOH. 
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9. 
“DGS” means the Recipient’s General Directorate for Health established within 
the MOH. 
10. 
“General Conditions” means the “International Development Association 
General Conditions for Credits and Grants”, dated July 1, 2005 (as amended 
through October 15, 2006). 
11. 
“Health Manual of Financial and Administrative Procedures” means the 
Recipient’s manual containing financial, administrative and accounting 
procedures applicable to the implementation of the Program, as amended in 
accordance with Section 5.01(a), as such manual may be amended from time to 
time in agreement with the Association, and such term includes any schedule to 
the Health Manual of Financial and Administrative Procedures. 
12. 
“Health Project Implementation Manual” means the guidelines and procedures 
satisfactory to the Association to be used for the purpose of implementing the 
Program, in the administrative, financial management, procurement, monitoring 
and evaluation areas, and other provisions related to the institutional 
organization, and the terms and conditions of the participation of donors in the 
financing of the Program, including for the approval of the Annual Work 
Programs, the Annual Confirmation, and their monitoring and evaluation 
activities, as amended in accordance with Section 5.01(a), as such guidelines and 
procedures may be amended from time to time in agreement with the 
Association, and such term includes any schedule to the Health Project 
Implementation Manual. 
13. 
“IMCI Guidelines” means the guidelines launched in 1995 and adapted from 
time to time by the World Health Organization and the United Nation Children’s 
Fund. 
14. 
“Medical Waste Management Plan” means the document entitled “
Plan National 
de Gestion des Déchets Biomédicaux – Programme d’Appui au Développement 
Sanitaire
”
prepared by Mbaye Mbengué Faye at the request of the Recipient and 
dated July 2005. 
15. 
“MOH” means the Recipient’s ministry responsible for health. 
16. 
“National Health Development Plan Committee” means the Recipient’s 
committee entitled 
Comité de Suivi du Plan National de Développement 
Sanitaire
 established by the Recipient by decision (
arrêté
)
no. 2004/066/MS/SG/DGS of March 23, 2004. 
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17. 
“Operating Costs” means the incremental operating expenses, based on annual 
budgets approved by the Association, incurred by the Recipient on account of the 
Project implementation, management and monitoring, including operation and 
maintenance costs of office, vehicles and office equipment; water and electricity 
utilities, telephone, office supplies, bank charges, additional staff costs, travel 
and supervision costs, per diem, but excluding the salaries of officials and public 
servants of the Recipient’s civil service.  
18. 
“Original Financing Agreement” means the financing agreement for a Health 
Sector Support and Multi-Sectoral Aids Project between the Recipient and the 
Association, dated May 16, 2006 as amended to the date of this Agreement 
(Credit No. 4165-BUR). 
19. 
“Original Project” means the project described in the Original Financing 
Agreement. 
20. 
“PADS MU” means the management unit established by the Recipient within the 
DEP for the implementation of the Original Project. 
21. 
“Plan” means the Recipient’s 10-year health strategy (
Plan National de 
Développement Sanitaire-PNDS-2001-2010
), adopted by the Counsel of 
Ministers on July 30, 2001, which identifies key priorities and program 
objectives for the health sector including: (i) increase geographic coverage of the 
health services; (ii) improve the quality of utilization of health services;  
(iii) strengthen the fight against communicable and non communicable diseases; 
(iv) reduce HIV transmission; (v) improve the quality and distribution of human 
resources in the health sector; (vi) increase financial accessibility for the 
population; (vii) increase health sector financing; and (viii) strengthen capacity
 
in 
the health sector; as completed by the Medium Term Expenditure Framework 
(2005-2010). 
22. 
“Procurement Guidelines” means the “Guidelines: Procurement under IBRD 
Loans and IDA Credits” published by the Bank in May 2004 and revised in 
October, 2006. 
23. 
“Procurement Plan” means the Recipient’s procurement plan for the Project, 
dated April 29, 2008 and referred to in paragraph 1.16 of the Procurement 
Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be 
updated from time to time in accordance with the provisions of said paragraphs. 
24. 
“Program” means the Recipient’s program to support the implementation of the 
Plan. 
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25. 
“Steering Committee” means the Recipient’s committee entitled 
Comité 
Directeur du Programme d’Appui au Développement Sanitaire
 established 
within its MOH for the implementation of its health development support 
program by decision (
arrêté
)
no.
2004-271 of September 23, 2004.