OFFICIAL DOCUMENTS 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 , 2017 H.E. Domitien Ndihokubwayo Minister of Finance, Budget and Privatisation Ministry of Finance, Budget and Privatisation Republic of Burundi Re: Republic of Burundi: Second Additional Financing for the Health Sector Development Support Project (Grant No. H8080-BI and Grant MDTF-HRI TF-013043) Amendments to the Financing Agreement and to the Grant Agreement Excellency: We refer to the Financing Agreement between the Republic of Burundi ("Recipient") and the International Development Association ("Association") for the Health Sector Development Support Project (the "Project"), dated December 10, 2012 (the "Financing Agreement") and the Grant Agreement between the Recipient and the International Bank for Reconstruction and Development and the Association (collectively "World Bank") both acting as administrator of the Multi-Donor Trust Fund for Health Results Innovation ("Trust Fund") for the Project, dated December 10, 2012 ("Grant Agreement), (the Financing Agreement and the Grant Agreement collectively, "Legal Agreements"). Please note that the capitalized terms used in this letter ("Amendment Letter") and not defined herein have meaning ascribed to them in the Legal Agreements, General Conditions or Standard conditions as applicable. We also refer to your letter dated November 18, 2016 requesting for the reallocation of proceeds as categorized under Sections IV.A.2 of the Financing Agreement and the Grant Agreement and to adjust the co-financing percentages applicable to the disbursement categories of said Legal Agreements. We are pleased to inform you that the World Bank proposes, through this Amendment Letter, to amend the Legal Agreements as follows: 1. Section IV.A.2 of Schedule 2 to the Financing Agreement is hereby amended to read as follows: Category Amount of the Percentage of Grant Allocated Expenditures to be (expressed in SDR) Financed (inclusive of Taxes) 701,400 50% 1) (a) Results -Based Payments under Part 1(a) of the Project in Fiscal Year 2014 (b) Results-Based Payments under Part 1(a) of the 3,089,110 50% Project in Fiscal Year 2015 (c) Results-Based Payments under Part 1(a) of the 3,089,110 50% Project in Fiscal Year 2016 (d) Results-Based Payments under Part 1(a) of the 1544,555 44.5% Project in Fiscal Year 2017 2) Results-Based Payments under Part 1(b) of the 870,625 37.5% Project 3) Results-Based Payments under Part 1(c) of the 3,327,000 100% Project 4) Works, goods, non-consulting services and 186,200 100% consultants' services, under Part 2 of the Project 5) Goods, consultants' services, Training and 3,598,900 100% Operating Costs under Part 3 of the Project 6) Goods, consultants' services, Training and 93,100 2.% Operating Costs under Part 4 of the Project TOTAL AMOUNT 16,500,000 2. Section IV.A.2 of Schedule 2 to the Grant Agreement is hereby amended to read as follows: " Category Amount of the Percentage of Grant Allocated Expenditures to be (expressed in USS) Financed (inclusive of Taxes) 1) (a) Results -Based Payments under Part 1(a) of 1,075,000 50% the Project in Fiscal Year 2014 (b) Results-Based Payments under Part 1(a) of 4,511,000 50% the Project in Fiscal Year 2015 (c) Results-Based Payments under Part 1(a) of the Project in Fiscal Year 2016 (d) Results-Based Payments under Part 1(a) of the Project in Fiscal Year 2017 3,255,500 55.5% 2) Results-Based Payments under Part 1(b) of the 2,187,500 62.5% Project 3) Goods, consultants' services, Training and 4,460,000 98% Operating Costs under Part 2 of the Project TOTAL AMOUNT 20,000,000 Please confirm your agreement with the foregoing by signing and dating this Amendment Letter in the spaces provided below. All other provisions of the Legal Agreements, except as amended herein, shall remain in full force and effect. This Amendment Letter shall be executed in two counterparts each of which shall be an original and upon receipt by the World Bank of a countersigned original of this Amendment Letter, this Amendment Letter will become effective as of the date of the countersignature. Sincerely, Internation I Dev lo ment Association Country Director for Tanzania, urundi, Malawi and Somalia Africa Region AGREED: Republic of Burundi By Repes tat oze Rpentative