Conformed Copy - C2994 - Health Sector Program Support Project - Supplemental Letter 1

Page 1 REPUBLIC OF GHANA April 3, 1998 International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Dear Sirs: Re: Credit No. 2994 GH (Health Sector Program Support Project) Key Performance Indicators We refer to paragraph 11 (a) of Schedule 4 to the above-mentioned Development Credit Agreement and to the Government of Ghana's undertaking therein to monitor and evaluate the execution of the Project in accordance with indicators satisfactory to the Association. Attached to this letter are the said indicators, which shall be subject to modification from time to time in consultation with the Association to better meet the objectives of the Project. Very truly yours, REPUBLIC OF GHANA By /s/ Eunice Brookman-Amissah Authorized Representative