OFFICIAL THE WORLD BDOCUMENTS IBRD *IDA I WORLD BANKGROUP 2019 H.E. Mr Henri Yav Mulang Minister of Finance Ministry of Finance Boulevard du 30 Juin Kinshasa 1, BP 12997 Democratic Republic of Congo Re: Democratic Republic of Congo IDA Grant D0210-ZR IDA Credit 55720-ZR Health System Strengthening for Better Maternal and Child Health Results Project 2nd Amendment of the Disbursement Letter dated January 20, 2015 Additional Instructions: Disbursement Excellency: I refer to the Third Amendment to the Financing Agreement between the International Development Association (the "Association") and the Democratic Republic of Congo (the "Recipient") for the above-referenced Project, of even date herewith. The General Conditions, as defined in the Financing Agreement, provide that the Recipient may from time to time request withdrawals of Credit and Grant amounts from the Credit and Grant Accounts in accordance with the Disbursement Letter, and such additional instructions as the Association may specify from time to time by notice to the Recipient. I also refer to the Disbursement Letter dated January 20, 2015 and to its First Restatement dated February 27, 2019. These Disbursement Letters shall be amended as set forth in this letter (the "2nd Amendment") to (i) increase the ceiling of the Designated Account (DA.AB) and (ii) to include instructions for the management of the CERC category as follows: Ceiling (subsection 6.1): DA.AB : Variable - Categories 2 and 3: USD 3,600,000 - Category 5: Up to 100% of the amount allocated as approved by the Bank Other Instructions: Disbursements under Category 5 of Section IV.A of Schedule 2 of the Financing Agreement (Part 4 of the Project - Contingent Emergency Response Component (CERC)) will be subject to the conditions precedent to accessing the CERC funds, pursuant to Section IV.B.1 (e) of Schedule 2 to the Financing Agreement. Disbursements under this component will follow procedures described in the CERC Manual including supporting documentation. In order to provide necessary liquidity for fast response, the ceiling of the Advance under the CERC could be up to 100% of the amount allocated to the CERC category. THE WORLD BANK IBRD *IDA I WORSDANKGROUP All other instructions and attachments of the Disbursement Letter (IDA 5572-ZR and D0210-ZR) dated January 20, 2015 and its First Restatement dated February 27, 2019 which are not expressly modified in accordance with this letter, shall remain in force and effect. Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION Yisgedullish Amde Acting Country Director for the Democratic Republic of Congo Africa Region With copies: