Disclosable Restructuring Paper - Essential Health Services Access Project - P149960

The development objective of Essential Health Services Access Project for Myanmar is to increase coverage of essential health services of adequate quality, with a focus on maternal, newborn and child health (MNCH), and, in the event of an eligible crisis or emergency, to provide immediate and effective response to said eligible crisis or emergency. This restructuring requires the following changes: (a) extension of the project period by twenty one months, from June 30, 2019 to March 31, 2021, to adjust to the change in the government’s fiscal year, as well as to allow sufficient time for component 2 implementation, requiring a change in implementation schedule; (b) recalibration of the Disbursement Linked Indicator (DLI) targets for year 3 and year 4, which involves lowering the target number of townships meeting the DLIs; (c) modification of the results framework for two reasons: (i) DLI targets, which are a part of the RF, are to be changed; and (ii) as a result of reallocation from IRM, the indicator on procurement of goods under IRM will be deleted; (d) extension of the Interim Unaudited Financial Report (IFR) reporting period from 45 days to 60 days, the primary reason being that the collecting of financial data from township continues to be done manually and this lengthens the time required for the union level to compile and submit the IFR; (e) reallocations between disbursement categories to reflect from category (3) to category (2), which was initially reallocated from category (2) to category (3) for purposes of the immediate response mechanism to respond to the 2015 floods and landslides, based on the government’s ultimate decision not to utilize project funds for this purpose.