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Public Disclosure Authorized OFFICIAL DOCUMENTS.I Public Disclosure Authorized PPIN MULTI-DONOR TRUST FUND GRANT NUMBER TF018108 Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund Grant Agreement Public Disclosure Authorized Public Disclosure Authorized (Enhanced Nutrition for Mothers and Children Project) between ISLAMIC REPUBLIC OF PAKISTAN and INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT / INTERNATIONAL DEVELOPMENT ASSOCIATION acting as administrator of the Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund Dated OCTo aer 31, 2014

PAKISTAN PARTNERSHIP FOR IMPROVED NUTIRITION MULTI-DONOR GRANT AGREEMENT AGREEMENT dated O(+obsvk 3), 2014, entered into between the ISLAMIC REPUBLIC OF PAKISTAN ("Recipient") and the INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT/ INTERNATIONAL DEVELOPMENT ASSOCIATION (collectively, "World Bank"), acting as administrator of the Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund. WHEREAS, the Recipient, having satisfied itself as to the feasibility and priority of the Project described in Schedule I to this Agreement ("Project"), has requested the World Bank to extend a grant to assist in the financing of the Project in the territory of the Province of Balochistan; WHEREAS the World Bank has agreed, on the basis of the foregoing to extend a grant to the Recipient upon the terms and conditions set forth in this Agreement; NOW THEREFORE, the Recipient and the World Bank hereby agree as follows: Article I Standard Conditions; Definitions 1.01. The Standard Conditions constitute an integral part of this Agreement. 1.02. Unless the context requires otherwise, the capitalized terms used in this Agreement have the meanings ascribed to them in the Standard Conditions or in this Agreement. Article H The Project 2.01. The Recipient declares its commitment to the objectives of the Project. To this end, the Recipient shall cause the Project to be carried out in the Project Areas by the Province of Balochistan in accordance with the provisions of Article II of the Standard Conditions and the agreement dated the same date as this Agreement between the World Bank and the Province of Balochistan, as such agreement may be amended from time to time ("Project Agreement"). 2.02. Without limitation upon the provisions of Section 2.01 of this Agreement, and except as the Recipient and the World Bank shall otherwise agree, the Recipient shall ensure that the Project is carried out in accordance with the provisions of Schedule 2 to this Agreement.

-2- Article III The Grant 3.01. The World Bank agrees to extend to the Recipient, on the terms and conditions set forth or referred to in this Agreement, a grant in an amount equal to eleven million seven hundred and ten thousand United States Dollars ($11,710,000) ("Grant") to assist in financing the Project. 3.02. The Recipient may withdraw the proceeds of the Grant in accordance with Section IV of Schedule 2 to this Agreement. 3.03. The Grant is funded out of the abovementioned trust fund for which the World Bank receives periodic contributions from the donors to the trust fund. In accordance with Section 3.02 of the Standard Conditions, the World Bank's payment obligations in connection with this Agreement are limited to the amount of funds made available to it by the donors under the abovementioned trust fund, and the Recipient's right to withdraw the Grant proceeds is subject to the availability of such funds. Article IV Additional Remedies 4.01. The Additional Events of Suspension referred to in Section 4.02 (k) of the Standard Conditions consist of the following: (a) (b) (c) The Province of Balochistan has failed to perform any obligation under the Balochistan Project Agreement; As a result of events which have occurred after the date of this Agreement, an extraordinary situation has arisen which makes it improbable that the Province of Balochistan will be able to perform its obligations under the Balochistan Project Agreement; and The World Bank has determined after the Effective Date referred to in Section 5.03 of this Agreement that prior to such date but after the date of this Agreement, an event has occurred which would have entitled the World Bank to suspend the Recipient's right to make withdrawals from the Grant Account if this Agreement had been effective on the date such event occurred.

-3- Article V Effectiveness; Termination 5.01. This Agreement shall not become effective until evidence satisfactory to the World Bank has been furnished to the World Bank that the following condition has been satisfied, namely that the execution and delivery of this Agreement on behalf of the Recipient and the Balochistan Project Agreement on behalf of the Province of Balochistan have been duly authorized or ratified by all necessary governmental action. 5.02. As part of the evidence to be furnished pursuant to Section 5.01, there shall be furnished to the World Bank an opinion or opinions satisfactory to the World Bank of counsel acceptable to the World Bank or, if the World Bank so requests, a certificate satisfactory to the World Bank of a competent official of the Recipient, showing the following matters: (a) (b) on behalf of the Recipient, that this Agreement has been duly authorized or ratified by, and executed and delivered on its behalf and is legally binding upon it in accordance with its terms; on behalf of the Province of Balochistan, that the Balochistan Project Agreement has been duly authorized or ratified by, and executed and delivered on their behalf and is legally binding upon them in accordance with its terms. 5.03. Except as the Recipient and the World Bank shall otherwise agree, this Agreement shall enter into effect on the date upon which the World Bank dispatches to the Recipient notice of its acceptance of the evidence required pursuant to Section 5.01 ("Effective Date"). If, before the Effective Date, any event has occurred which would have entitled the World Bank to suspend the right of the Recipient to make withdrawals from the Grant Account if this Agreement had been effective, the World Bank may postpone the dispatch of the notice referred to in this Section until such event (or events) has (or have) ceased to exist. 5.04. This Agreement and all obligations of the parties under it shall terminate if it has not entered into effect by the date ninety (90) days after the date of this Agreement, unless the World Bank, after consideration of the reasons for the delay, establishes a later date for the purpose of this Section. The World Bank shall promptly notify the Recipient of such later date.

-4- Article VI Recipient's Representative; Addresses 6.01. The Recipient's Representative referred to in Section 7.02 of the Standard Conditions is any of the Secretary, Additional Secretary, Joint Secretary, or Deputy Secretary or Section Officer of the Economic Affairs Division of the Federal Government of the Islamic Republic of Pakistan. 6.02. The Recipient's Address referred to in Section 7.01 of the Standard Conditions is: The Secretary to the Government of Pakistan Economic Affairs Division Islamabad, Pakistan Facsimile: 92-51-9204086 6.03. The World Bank's Address referred to in Section 7.01 of the Standard Conditions is: International Bank of Reconstruction and Development/ International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Cable: Telex: Facsimile: INTBAFRAD INDEVAS 248423 (MCI) or 1-202-477-6391 Washington, D.C. 64145 (MCI)

-5- AGREED at T. SlrnA,A first above written., as of the day and year ISLAMIC REPUBLIC OF PAKISTAN By Name: CLXL*1 Authorized Representative S&r-V' Title: INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT/ INTERNATIONAL DEVELOPMENT ASSOCIATION acting as administrator of the Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund By Authorized Representative Name: W6otO Title: C-

-6- SCHEDULE 1 Project Description The objective of the Project is to increase the coverage of interventions, in the Project Areas, that are known to improve the nutritional status of children under two years of age, as well as of pregnant and lactating women. The Project consists of the following parts: Part 1. Addressing General Malnutrition in Women and Children Build the capacity of provincial health systems to deliver services that address general malnutrition through: (a) (b) (c) Identification and delivery of a set of infant and young child feeding behavior change communication interventions, including the provision of micronutrient powders. Introduction of community management of acute malnutrition, including the use of prepared/packaged therapeutic foods. Scaling-up of proven maternal nutrition interventions, including antenatal visits and provision of iron folic acid supplementation during pregnancy. Part 2. Addressing Micronutrient Malnutrition Build the capacity of provincial health systems to deliver micronutrient interventions to women and young children through the provision of micronutrient supplementation for inter alia Vitamin A, iron, iodine, folic acid and zinc; and develop mechanisms for adoption and enforcement of food fortification requirements. Part 3. Communication for Development (a) (b) Build capacity of provincial departments of health to familiarize stakeholders about the magnitude of the malnutrition challenges and policy directions to address them. Develop and implement a strategy for behavior change communications through mass media campaigns for improving knowledge and attitudes relating to nutrition and increase demand for nutrition services.

-7- (c) Build the capacity of health system workers to undertake interpersonal communication to change key behaviors related to nutrition. Part 4. Strengthening Institutional Capacity Strengthen existing institutional capacity for nutrition within the health sector at the provincial and district levels through: (a) (b) (c) (d) (e) (f) (g) Strengthening of the staff complement of provincial nutrition cells and district health offices in key skill and knowledge areas. Strengthening systems of effective accountability between the district and provincial levels. Delivery of training on priority areas of technical knowledge as well as management skills. Provision of technical assistance for service delivery. Strengthening the capacity of provincial and district departments of health to monitor and evaluate health programs. Establishment of mechanisms to enhance social accountability in the provincial departments of health, including stakeholder consultation and complaint redress mechanisms. Strengthening the capacity of provincial health departments to coordinate across sectors.

-8- SCHEDULE 2 Project Execution Section I. Institutional and Other Arran2ements A. On-granting Arrangements 1. To facilitate the carrying out of the Project, the Recipient shall make the proceeds of the Grant available to the Province of Balochistan in accordance with the provision of this Agreement and the Recipient's on-granting policies and budgetary procedures, and under the same terms and conditions as shall have been received from the World Bank. 2. Notwithstanding paragraph I above, in the event that any of the provision of this Agreement, including the instructions that the World Bank shall have specified by notice to the Recipient pursuant to Section IV.A.I of this Schedule, are inconsistent with the budgetary procedures of the Recipient, the provision of this agreement shall govern. 3. The Recipient shall exercise its rights under the on-lending arrangements referred to in the preceding paragraphs in such manner as to protect the interests of the World Bank and to accomplish the purposes of the Grant. B. Anti-Corruption The Recipient shall ensure that the Project is carried out in accordance with the provisions of the Anti-Corruption Guidelines. C. Donor Visibility and Visit 1. The Recipient shall take or cause to be taken all such measures as the World Bank may reasonably request to identify publicly the Donors support for the Project. 2. For the purposes of Section 2.09 of the Standard Conditions, the Recipient shall, upon the World Bank's request, take all measures required on its part to enable the representatives of the Donors to visit any part of the Recipient's territory for purposes related to the Project.

-9- Section II. Project Monitoring, Reporting and Evaluation A. Project Reports; Completion Report The Recipient shall monitor and evaluate the progress of the Project and prepare Project Reports in accordance with the provisions of Section 2.06 of the Standard Conditions and on the basis of indicators acceptable to the World Bank. Each Project Report shall cover the period of six (6) months, and shall be furnished to the World Bank not later than forty-five (45) days after the end of the period covered by such report. 2. Notwithstanding the provisions of paragraph (1) above, the Recipient shall cause the Province of Balochistan to: (a) (b) prepare, by no later than July 15, 2016 and furnish to the Recipient and the World Bank, a mid-term review report, in a manner and substance satisfactory to the World Bank, integrating the results of the monitoring and evaluation activities performed pursuant to paragraph (1) above on the progress achieved in the carrying out of the Project during the period preceding the date of such report, and setting out the measures recommended to ensure the efficient carrying out of the Project and the achievement of the objectives thereof during the period following such date; and review with the World Bank, by September 30, 2016, or such later date as the World Bank shall request, the mid-term review report referred in sub-paragraph (a) above, and, thereafter, cause the Province of Balochistan to take all measures required to ensure the efficient completion of the Project and the achievement of the objectives thereof, based on the conclusions and recommendations of the said report and the World Bank's views on the matter. 3. The Recipient shall prepare the Completion Report in accordance with the provisions of Section 2.06 of the Standard Conditions. The Completion Report shall be furnished to the World Bank not later than six (6) months after the Closing Date. B. Financial Management; Financial Reports; Audits 1. The Recipient shall ensure that a financial management system is maintained in accordance with the provisions of Section 2.07 of the Standard Conditions. 2. The Recipient shall ensure that interim financial reports for the Project are prepared and furnished to the World Bank not later than forty five (45) days after

-10- the end of each calendar quarter, covering the quarter, in form and substance satisfactory to the World Bank. 3. The Recipient shall have its Financial Statements for the Project audited in accordance with the provisions of Section 2.07 (b) of the Standard Conditions. Each such audit of the Financial Statements shall cover the period of one fiscal year of the Recipient and the Province of Balochistan. The audited Financial Statements for each such period shall be furnished to the World Bank not later than six (6) months after the end of such period. Section III. Procurement A. General 1. Procurement and Consultant Guidelines. All goods non-consulting-services and consultants' services required for the Project and to be financed out of the proceeds of the Grant shall be procured in accordance with the requirements set forth or referred to in: (a) (b) Section I of the Procurement Guidelines in the case of goods and nonconsulting services, and Sections I and IV of the Consultant Guidelines in the case of consultants' services; and the provisions of this Section III, as the same shall be elaborated in the Balochistan Procurement Plan. 2. Definitions. The capitalized terms used below in this Section to describe particular procurement methods or methods of review by the World Bank of particular contracts, refer to the corresponding method described in Sections II and III of the Procurement Guidelines, or Sections II, III, IV and V of the Consultant Guidelines, as the case may be. B. Particular Methods of Procurement of Goods and Non-consulting Services 1. International Competitive Bidding. Except as otherwise provided in paragraph 2 below, goods and non-consulting services shall be procured under contracts awarded on the basis of International Competitive Bidding. 2. Other Methods of Procurement of Goods and Non-consulting Services. The following methods, other than International Competitive Bidding, may be used for procurement of goods and non-consulting services for those contracts specified in the Procurement Plan: (a) National Competitive Bidding, subject to the additional procedures set forth in the attachment to this Agreement; (c) Shopping; (d) Direct Contracting; and (e) Procurement from United Nations agencies.

- 11 - C. Particular Methods of Procurement of Consultants' Services 1. Quality- and Cost-based Selection. Except as otherwise provided in paragraph 2 below, consultants' services shall be procured under contracts awarded on the basis of Quality- and Cost-based Selection. 2. Other Methods of Procurement of Consultants' Services. The following methods, other than Quality and Cost-based Selection, may be used for procurement of consultants' services for those contracts which are specified in the Procurement Plan: (a) Selection under a Fixed Budget; (b) Selection based on Consultants' Qualifications; (c) Single-source Selection of consulting firms; (d) Procedures set forth in paragraphs 5.2 and 5.3 of the Consultant Guidelines for the Selection of Individual Consultants; and (e) Single-source procedures for the Selection of Individual Consultants. D. Review by the World Bank of Procurement Decisions The Balochistan Procurement Plan shall set forth those contracts which shall be subject to the World Bank's Prior Review. All other contracts shall be subject to Post Review by the World Bank. Section IV. Withdrawal of Grant Proceeds A. General 1. The Recipient may withdraw the proceeds of the Grant in accordance with the provisions of: (a) Article III of the Standard Conditions; (b) this Section; and (c) such additional instructions as the World Bank may specify by notice to the Recipient (including the "World Bank Disbursement Guidelines for Projects" dated May 2006, as revised from time to time by the World Bank and as made applicable to this Agreement pursuant to such instructions), to finance Eligible Expenditures as set forth in the table in paragraph 2 below. 2. The following table specifies the categories of Eligible Expenditures that may be financed out of the proceeds of the Grant, the allocations of the amounts of the Grant to each Category, and the percentage of expenditures to be financed for Eligible Expenditures in each Category:

- 12 - Category Amount of the Percentage of Expenditures Grant Allocated to be Financed (expressed in USD) (inclusive of Taxes) (1) Goods, non-consulting 11.710,000 100% services, consultants' services, Training and Operating Costs for the Project TOTAL AMOUNT 11.710,000 For the purposes of the above table: (a) (b) "Operating Costs" means the incremental operating costs under the Project incurred by the Recipient and the Province of Balochistan for purposes of Project management and implementation on account of office supplies and consumables, utilities, bank charges, communications, mass media and printing services, vehicle rental, operation, maintenance, and insurance, building and equipment maintenance, domestic travel, lodging, and subsistence allowances, and salaries of contractual and temporary staff, but excluding salaries and any salary supplements of members of the Recipient's or the Province of Balochistan's civil service; and "Training" means the reasonable costs of training attributable to travel and subsistence allowances for training participants seminars, workshops, study tours, rental of training facilities, services of trainers and presenters, preparation and reproduction of training materials, and other costs directly related to preparation and implementation of training programs. B. Withdrawal Conditions; Withdrawal Period 1. Notwithstanding the provisions of Part A of this Section, no withdrawal shall be made for payments made prior to the date of this Agreement, except that withdrawals up to an aggregate amount not to exceed $1,171,000 may be made for payments made prior to this date but on or after March 1, 2014, for Eligible Expenditures. 2. The Closing Date referred to in Section 3.06 (c) of the Standard Conditions is June 30, 2018..

- 13 - ATTACHMENT TO SCHEDULE 2 Improvement of Bidding Procedures under National Competitive Bidding The following improvements in bidding procedures will apply to all procurements of goods and non-consulting services under National Competitive Bidding (NCB), in order to ensure economy, efficiency, transparency and broad consistency with the provisions of Section I of the Guidelines: (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) (xii) (xiii) Invitations to bid will be advertised in at least one (1) national newspaper with a wide circulation, at least thirty (30) days prior to the deadline for the submission of bids. Bid documents will be made available, by mail or in person, to all who are willing to pay the required fee. Foreign bidders will not be precluded from bidding and no preference of any kind will be given to national bidders in the bidding process. Bidding will not be restricted to pre-registered firms. Qualification criteria will be stated in the bidding documents. Bids will be opened in public, immediately after the deadline for submission of bids. Single bids will also be considered for evaluation. Bids will not be rejected merely on the basis of a comparison with an official estimate without the prior concurrence of the World Bank. Before rejecting all bids and soliciting new bids, the World Bank's prior concurrence will be obtained. Contracts will not be awarded on the basis of nationally negotiated rates. Contracts will be awarded to the lowest evaluated and qualified bidder. Post-bidding price negotiations will not be allowed with the lowest evaluated or any other bidders. Bids will be solicited and works contracts will be awarded on the basis of unit prices and not on the basis of a composite schedule of rates.

-14- (xiv) (xv) (xvi) (xvii) Draft NCB contracts would be reviewed by the World Bank in accordance with prior review procedures. A firm declared ineligible by the World Bank, based on a determination by the World Bank that the firm has engaged in corrupt, fraudulent, collusive, coercive or obstructive practices in competing for or in executing a World Bank-financed contract, will be ineligible to be awarded a World Bank-financed contract during the period of time determined by the World Bank. Each contract financed from the proceeds of the Grant will provide that the suppliers, contractors and subcontractors will permit the World Bank, at its request to inspect their account and records audited by auditors appointed by the World Bank. The deliberate and material violation by the supplier, contractor or subcontractor of such provision may amount to obstructive practice. The World Bank will declare a firm ineligible, either indefinitely or for a stated period, to be awarded a contract financed by the World Bank, if it at any time determines that the firm has, directly or through an agent, engaged in corrupt, fraudulent, collusive, coercive, or obstructive practices in competing for or executing a contract financed by the World Bank.

- 15 - APPENDIX Definitions 1. "Annual Work Plans and Budgets" means the work plan of activities, associated resources, procurement packages and budgetary allocations required for a given fiscal year of the Province of Balochistan for Project implementation, to be prepared pursuant to Section I.C of the Schedule to the Project Agreement. 2. "Anti-Corruption Guidelines" means the "Guidelines on Preventing and Combating Fraud and Corruption in Projects Financed by IBRD Loans and IDA Credits and Grants", dated October 15, 2006 and revised in January 2011. 3. "Category" means a category set forth in the table in Section IV of Schedule 2 to this Agreement. 4. "Consultant Guidelines" means the "Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers" dated January 2011. 5. "District Coordination Committee" means the committee to be established pursuant to Section I.A.1(d) of the Schedule to the Project Agreement. 6. "District Health Officer" means the officer responsible for health-related activities at the district level. 7. "District Nutrition Officer" means the officer responsible for nutrition-related activities at the district level. 8. "Donors" means, collectively, the donors to the Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund. 9. "Procurement Guidelines" means the "Guidelines: Procurement of Goods, Works and Non-consulting Services under IBRD Loans and IDA Credits and Grants by World Bank Borrowers" dated January 2011. 10. "Procurement Operations Manual" means the Province of Balochistan's procurement manual and guidelines, dated May 2, 2014, setting out the institutional arrangements, responsibilities and procedures, as such manual may be amended from time to time with the prior mutual approval of the World Bank and the Province of Balochistan. 11. "Procurement Plan" means the Province of Balochistan's procurement plan for the Project, dated January 2014 and referred to in paragraph 1.18 of the

-16- Procurement Guidelines and paragraph 1.25 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs. 12. "Program Manager for Nutrition" means the head of the Provincial Nutrition Cell. 13. "Project Agreement" means the agreement between the World Bank, acting as administrator of the Pakistan Partnership for Improved Nutrition Multi-Donor Trust Fund, and the Province of Balochistan relating to the implementation of the Project in the territory of the Province of Balochistan; as such agreement may be amended from time to time. 14. "Project Areas" means, for purposes of this Grant, the Province of Balochistan. 15. "Project Districts" means the districts in which the Project is carried out, selected by the Province of Balochistan, in accordance with criteria acceptable to the World Bank. 16. "Project Steering Committee" means the committee to be established pursuant to Section I.A.1(b) of the Schedule to the Project Agreement. 17. "Province of Balochistan" means the Recipient's Province of Balochistan. 18. "Province of Sindh" means the Recipient's Province of Sindh. 19. "Provincial Coordination Committee" means the committee to be established pursuant to Section I.A.1(c) of the Schedule to the Project Agreement. 20. "Provincial Nutrition Cell" means the cell established pursuant to Notification of June 1995, and referred to in Section I.A.1(a) of the Schedule to the Project Agreement. 21. "Standard Conditions" means the "Standard Conditions for Grants Made by the World Bank Out of Various Funds", dated February 15, 2012.