The World Bank 1818 H Street N.W. (202) 473-1000 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Washington, D.C. 20433 Cable Address: INTBAFRAD INTERNATIONAL DEVELOPMENT ASSOCIATION U.S.A. Cable Address: INDEVAS CONFORMED COPY November 10, 2011 Mr. Michel Sidibé Executive Director Joint United Nations Programme on HIV/AIDS 20, Avenue Appia CH – 1211 Geneva 27 SWITZERLAND Amendment to the Trust Fund Administration Agreement between the Secretariat of the Joint United Nations Programme on HIV/AIDS and the International Bank for Reconstruction and Development and the International Development Association concerning the Trust Fund for UNAIDS Global and Regional Activities for Intensified Response to HIV/AIDS (TF071438) Dear Mr. Sidibé: 1. With reference to the Trust Fund Agreement between the Joint United Nations Programme on HIV/AIDS (“UNAIDS� or the “Donor�) acting through its Secretariat (the “Secretariat�) and the International Bank for Reconstruction and Development ("IBRD") and the International Development Association (“IDA�) (collectively, the “Bank�) regarding the Trust Fund for UNAIDS Global and Regional Activities for Intensified Response to HIV/AIDS (the “Project�) (TF071438) dated January 11, 2010. 2. With reference to the 27th UNAIDS Programme Coordinating Board (PCB) decision of December 8, 2010, to “adopt the UNAIDS Strategy 2011-2015� and to „implement a new Division of Labor for 2011-2015‟. 3. Further referencing the 28th UNAIDS PCB decision to approve a UNAIDS 2012- 2015 Unified Budget, Results, and Accountability Framework (UBRAF) which provides a framework for planning and budgeting for UNAIDS up to the end of 2015 and which replaces the UNAIDS Unified Budget and Work plan (UBW). 4. We are pleased to acknowledge on behalf of the Bank, the intention of the Donor to make an additional contribution to the Trust Fund in the amount of Fourteen Million RCA 248423.  WUI 64145  FAX (202) 477-6391 -2- United States dollars (US$14,000,000) (the “Additional Contribution�) to support the activities under Annex 1 of this Administration Agreement. With this Additional Contribution, the total amount allocated by the Donor to this Trust Fund will now aggregate to Twenty Nine Million Four Hundred and Ten Thousand United States dollars (US$29,410,000). Provision of this Additional Contribution is contingent on the availability of adequate voluntary donor contributions to UNAIDS. 5. The Secretariat shall deposit the Contribution into such bank account designated by the Bank in installments in accordance with the following schedule: (a) promptly following countersignature of this Agreement by the Secretariat, US$ 7,000,000; and (b) on or before March 15, 2013, US$ 7,000,000.001 6. When making each such deposit, the Secretariat shall instruct its bank to include in its payment details information (remittance advice) field of its SWIFT payment message, information indicating: the amount paid, that the payment is made by the Secretariat for the UNAIDS Global and Regional Activities for Intensified Response to HIV/AIDS Trust Fund (TF071438), and the date of the deposit. In addition, the Secretariat shall provide a copy of the Secretariat‟s deposit instruction to the Bank‟s Accounting Trust Funds Division by e-mail sent to tfremitadvice@worldbank.org or by fax sent to (202) 614-1315. 7. In addition, pursuant to recent discussions between the Bank and the Donor and in line with the Board decisions mentioned in paragraphs 2 and 3, the Bank proposes to: (i) amend paragraph 10.1 of the Administration Agreement to extend the Disbursement Deadline to read as follows: 1 The amount and timing of payments will be determined following the implementation and conclusions of the relevant UBW or UBRAF mid-term review, which will take into consideration and deduct any final balance of uncommitted UBW or UBRAF funds held by the World Bank as at December 31 of the previous biennium, and a benchmark of a 40 percent financial implementation rate as at December 31, of the implementation year, as agreed at the meeting of the Global Coordinators and the UNAIDS Secretariat held in Washington, March 2-4, 2009. For the purpose of calculating the final balance of the World Bank UBW or UBRAF allocation (the “Balance�), the UNAIDS Secretariat shall interpret the balance as being the portion of the UBW or UBRAF allocation that is neither committed (where the term “committed� shall mean funds that are contractually obligated through a Purchase Order or other legal agreement, but that have yet to be reflected in financial accounting as an actual expenditure) nor expensed on December 31, of the end of biennium, and remain in the Trust Fund as available resources. -3- a. Section 10.1 of the Agreement is hereby deleted in its entirety and replaced by the following: “10.1. It is expected that the Contribution funds will be fully disbursed by the Bank in accordance with the provisions of this Agreement by April 30, 2016. The Bank shall only disburse Contribution funds for the purpose of this Agreement after such date with the written approval of the Secretariat.� 8. All other terms of the Administration Agreement shall remain the same. 9. The Bank will disclose this Amendment and related information on this Trust Fund in accordance with the World Bank Policy on Access to Information. By entering into this Amendment, the Donor consents to disclosure of this Amendment and related information on this Trust Fund. 10. We propose that this letter shall constitute an amendment to the Administration Agreement between the Bank and the Donor dated January 11, 2010. Please confirm your agreement with the foregoing, on behalf of the Secretariat, by signing, dating, and returning to us the enclosed copy of this Agreement. Upon receipt by the Bank of the copy of this Agreement countersigned by you, this Agreement will become effective as of the date of the countersignature. Sincerely, INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT INTERNATIONAL DEVELOPMENT ASSOCIATION /s/ Cristian C. Baezer Director Health, Nutrition, and Population CONFIRMED AND AGREED: JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS) /s/ Michel Sidibé Date: November 25, 2011 Name: Mr. Michel Sidibé Title: Executive Director -4- -5- ANNEX 1 Description of Activities under the Trust Fund for UNAIDS Global and Regional Activities for Intensified Response to HIV/AIDS This Trust Fund for UNAIDS global and regional activities for an intensified response to the HIV/AIDS epidemic will finance the implementation of activities by the World Bank as outlined in the UNAIDS UBW for 2010-2011 (UBW), and in the 2012-13 and 2014-15 UBRAF and as approved by the UNAIDS PCB. The following activities will be financed by the trust fund: 1. Strategic Planning: Supporting AIDS multi-sector, prioritized, and costed national plans Outputs: Strengthening evidence for strategic, prioritized, costed national AIDS planning 2. Prevention of Sexual Transmission of HIV: Reducing sexual transmission of HIV Outputs: Supporting countries to (i) analyze their HIV epidemics and design HIV prevention strategies appropriate to epidemic contexts; (ii) collect better evidence of what works in HIV prevention and (iii) implement more robust HIV prevention programs 3. Protecting Injecting Drug Users (IDUs) from Becoming Infected with HIV; Empowering Men Who Have Sex with Men (MSM), Sex Workers and Transgender People to Protect Themselves from HIV Infection and to Fully Access Antiretroviral Therapy Outputs: Supporting countries to improve access to services for key populations, namely IDU‟s sex workers, MSM‟s and their sexual partners 4. Enhancing Social Protection for People Affected by HIV  Outputs: Mainstreaming HIV-sensitive policies into social protection systems and enhancing social protection for people affected by HIV The above outputs will be achieved through the following World Bank service lines: HIV allocative efficiency analyses: Analyses aimed at improving the allocation of HIV resources, by conducting HIV epidemic, response and policy synthesis, where not well defined, to understand epidemic character, magnitude, historical and future trends, and determine prevention priorities for implementation prioritization and scale up, including -6- modeling allocative choices to improve allocative decision making. In selected countries where data are not available and a more granular understanding is needed, the analyses include 'follow the money' (Public Expenditure Tracking Surveys - PETS) studies to understand the fraction of funds that reaches the target population, the channels it follows and time it takes for money to reach beneficiaries, as well as their own out-of-pocket expenditure. HIV program efficiency and sustainability analyses: Analyses to understand and improve the efficiency of four tightly-integrated components of HIV program efficiency: (a) HIV service delivery efficiency, including unit costs, quality, linkages and referrals; (b) institutional efficiency; (c) transactional and administrative efficiency; and (d) information efficiency (i.e. information being produced as part of the HIV response). It might also include HIV funding sustainability studies where long-term projections of HIV fiscal space implications are needed. HIV prevention response evaluations: Evaluations to understand the efficacy and effectiveness of HIV prevention responses. It entails undertaking mixed method HIV prevention effectiveness evaluations, including mathematical modeling to support the design, implementation, validate findings of efficacy and effectiveness studies, and estimate population level effectiveness. HIV cost effectiveness analyses: This encompasses the development of tools for conducting cost effectiveness analyses of HIV responses, developing appropriate models for intervention support, undertaking of cost effectiveness studies (using available or newly-generated data about program effectiveness), fiscal space studies, and return on investment studies to make economic arguments for investing in HIV prevention, care, treatment, and impact mitigation.