THE WORLD BANK *o I OFFICIAL DOCUMENTS February 27, 2019 H.E.Henry Yav Mulang Minister of Finance Ministry of Finance Kinshasa Democratic Republic of Congo Democratic republic of Congo IDA Grant D0210 - ZR IDA Credit -55720_-_ZR_ Health System Strengthening for Better Maternal and Child Health Results Project First Amendment of the Disbursement Letter dated January 20, 2015 Additional Instructions: Disbursement Excellency: I refer to the Financing Agreement between the International Development Association (the "Association") and the Democratic Republic of Congo (the "Recipient"), for the above- referenced project dated herewith in. The Agreement provides that the Association may issue additional instructions regarding the withdrawal of the proceeds of IDA financing ("Grant and Credit") D021-ZR and 5572-ZR (collectively "Financing"). I also refer to the Disbursement Letter dated January 20, 2015. The related section of the Disbursement Letter shall be revised as follows: section II (vi) to amend the ceiling of the Designated Account. * Ceilings (subsection 6.1): DA-AB USD 3,600,000 for Category 2 and 3 as follows o IDA D0210/USD 1,100,000 o DA 5572 / USD 2,500,000 All other instructions and attachments of the Disbursement letter (IDA Grant D021-ZR; IDA Credit 5572-ZR) dated January 20, 2015 which are not expressly modified in accordance with this letter, shall remain in force and effect. If you have any queries in relation to the above, please contact WFACS at askloansAworldbank.org using the above reference. THE WORLD BANK IBRW IDA I woawAmewtouw Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION By Fa y D' lo Finance ffider Client Service Loan Operations and Trust Fund Department Africa Region