Conformed Copy - C1934 - First Health Project - Amendment 2

Page 1 March 20, 1992 The Honorable Dr. C.W.C.B. Kiyonga Minister of Finance Ministry of Finance P.O. Box 8147 Kampala Uganda Re: SIDA Grant Related to Credit Number 1934-UG (First Health Project) Second Amendment Dear Minister: We refer to: (a) the SIDA Grant Agreement for the above - referenced Project dated April 25, 1989, between the Republic of Uganda (the Recipient) and the International Development Association as Administrator (the Administrator) of Grant Funds provided by the Swedish International Development Authority (SIDA) whereby the Administrator agreed to extend to the Recipient a grant in the amount of up to three million eight hundred thousand Swedish Kroner (SEK 3,800,000); and (b) to the exchange of letters between the Administrator and the Recipient dated September 12, 1990 and October 4, 1990, respectively, whereby the amount of the Grant was increased from SEK 3,800,000 to SEK 25,800,000. Since through a further exchange of letters between SIDA and the Administrator, SIDA has increased the amount of the Grant by an additional SEK 9 million, we propose to further amend the SIDA Grant Agreement by deleting the words "twenty-five million eight hundred thousand Swedish Kronor (SEK 25,800,000) in paragraph (c) of the Preamble and in Section 2.01 of the SIDA Grant Agreement, and substituting therefor the words "thirty-four million eight hundred thousand Swedish Kronor (SEK 34,800,000)". Please confirm your agreement to the foregoing proposed amendment of the SIDA Grant Agreement by signing, dating and returning the enclosed copy of this letter to us, at which time the proposed amendment shall constitute a binding agreement between the Recipient and the Administrator. Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION as Administrator of Grant Funds Provided by the SWEDISH INTERNATIONAL DEVELOPMENT ASSOCIATION Francis X. Colaco Director Eastern Africa Department Africa Region CONFIRMED: THE REPUBLIC OF UGANDA By: Authorized Representative DATE: August 12, 1992 Page 2