Page 1 May 15, 1998 International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Credit No. 3054-GM (Participatory Health, Population and Nutrition Project) Performance Indicators for Project Monitoring and Evaluation Dear Sirs: We refer to Paragraph 5 of Schedule 4 to the Development Credit Agreement for the Participatory Health, Population and Nutrition Project, of even date herewith, between Republic of The Gambia (the Borrower) and International Development Association (the Association) and confirm herein that the attached indicators of performance will be used for the purpose of Project monitoring and evaluation. It is our understanding that, in the course of implementation of the above-mentioned Project, the Association may rely on the indicators herein set forth or referred to, in order to evaluate implementation performance. Very truly yours, REPUBLIC OF THE GAMBIA By /s/ Crispin Grey Johnson Authorized Representative