D' ,i.!' I *tE I Y9 J

The World 'AML-i1.z L)], X A.';4-W

FM OMCLAL Uiz vna

Ruut No. P-5532-IN

MEMORANDUM AND RECOMMENDATION

OF THE

PRESIDENT OF THE

INTERNATIONAL DEVELOPMENT ASSOCIATION

TO THE

EXECUTIVE DIRECTORS

ON A

PROPOSED CREDIT OF

SDR 160.9 MILLION

TO INDIA

FOR A

CHILD SURVIVAL AND SAFE MOTHERHOOD PROJECT

AUGUST 27, 1991

Ths docu nt has a resicted ditibution ad may be ued by recipins only In the pedonn ceofthir offa duties Its onents may not ofterwie be dikosed witbhot World Bank auoizatio.

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CURRENCY EQUIVALENTS(As of June 15, 1991)

Rupee 24.40 = US$ 1.000Rupee 1.00 - US$ 0.041

METRIC EQUIVALENTS

1 Meter (ma ) 3.28 feet (ft) *

1 kilnmeter (km) - 0.62 miles

FISCAL YEAR

April 1 - March 31

ABBREVIATIONS AND ACRONYMS

ANM - Auxiliary Nurse MidwifeARI - Acute Respiratory InfectionsCHC - Conummity Health CenterDTT - District Training TeamFWP - Family Welfare ProgramOI - Government of IndiaIEC - Information, Education and CommunicationNOHFW - Ministry of Health and Family WelfareMCH - Maternal and Child HealthPHC - Primary Health CenterUNICEF - United Nations Childrens FundUIP - Universal Iumunization Program

FOR OFFIIAL USE ONLY

C8 L SnURVIVAL AND SMM PROJECT

Credit and Pro ect Sum rv

Borrowers India, acting by its President

Reneficiaries: States and Union Territories of India

Awmnt: $DR 160.9 million (US$214.5 million equivalent)

Terms: Standard, with 35 years maturity

On-lenAiad Terms: Government of India (00I) to th. States and UnionTerritories of India: In accordance with standardarrangements for development assistance to Statesand Union Territories.

Financ a Plan: Local Foreign Total--------- US$ million---------

COx 47.3 - 47.3

UNICEF 56.6 11.2 67.8

IDA 179.2 35.3 214.5

Total 283.1 46.5 329.6

Economic Rate of Return Not applicable

Staff apraisal Renorta Report No. 9489-IN

This document has a restricted distribution and may be used by reci.4nts only in the performanceof their official duties. Its contents may not otherwise be disclosed without World Dank authoriation.

UWONNDNIi UAn DZOOIIIUDATION OF IE= PESIDINT OFTUE I3N!UEIIONAL D R10121MIII ASSOCIATION

TO TUS UX¢CUTI DIRECROIS 0 A PAOPOSED CUEDIT TOWDIA FOR A COILD SURYIVAL AND SANE 10T331100D PROJMCT

1. The following memorandum and recommendation on a proposed credit toIndia Is submitted for approval. The credit, for SDR 160.9 million (US$214.5million equivalent), would be on standard IDA terms with 35 years maturity. Thecredit would help finance a national Child Survival and Safe Motherhood Project.The proceeds of the credit to be used by the States and Union Territories wouldbe passed to them as a budgetary allocation in the form of a grant.

2. T^ekaroud The Indian Family Welfare Program was established in 1951to provide family planning (FP) and maternal and child health (MCH) services,and is one of the most extensive program of its type in the world. The programhas contributed to reducing: the infant mortality rate from about 135 per 1,000live births in the early 1970s to about 93 in 1989; the maternal mortality ratefrom about 500 per 100,000 live births in the 19708 to about 400 in 1988; andfertility from a total fertility rate of almost 6.0 in the 19609 to about 3.9 in1988. Despite this progress, infant, young child and maternal mortality remainunacceptably high.

3. There are several factors contributing to high mortality rates amongyoung children. First, there is pre-maturity and low birth weight in at least301 of all births. Second, children are exposed at high rates to unfavorableenvironmental conditions and endemic and communicable diseases such as tetanus,measles, respiratory infections, malaria and diarrhoea. In fact, the 600,000deaths per year from acute respiratory infections in India account for more thana quarter of all such deaths in the world. Over a third of deaths in the worldfrom dehydration due to diarrhoeal diseases (1,500,000 per year) are also inIndia. Third, malnutrition iP the major underlying cause of death in 30-502 ofthe 0-5 years age group and over 40,000 children become blind every year due toVitamin A deficiency.

4. India also accounts for 251 of the total maternal deaths in the world.The major immediate causes of maternal deaths are bleeding, puerperal sepsis,eclampsia, abortions and obstructed labor. The maternal mortality rate in Indiais unacceptably high, about 400 per 100,000 live births a year, with wide inter-State variations, and compares with 280 per 100,000 live births for the world asa whole and 80 per 100,000 live births in Sri Lanka. There are more than 25million births a year in India, and around 30-402 of these are high-riskpregnancies, dangerous to both mother and child. Between 100,000 and 150,000

4 women are estimated to die each year, while over 1.6 million women suffermorbidity of varying degrees. Early marriage, early and frequent child bearingand short-spaced pregnancies contribute to risk. These are aggravated by over-work, malnutrition, low levels of female literacy, and lack of access to healthfacilities. If India's maternal mortality ratio and total fertility rate wereon par with the developed countries, there would be only 2,000 maternal deathseach year.

5. There is broad consensus on four issues that point to why the FamilyWelfare Program's achievements have not been more rapid and extensive. First,maternal mortality and morbidity will remain at high levels unless there isprompt and adequate medical care for women who develop obstetric complications.Second, the quantity and quality of maternal and child health care services are

far below desired levels. Third, the rapid expansion in infrastructure forfamily welfare services has not been accompanied by commensurate strengtheningin the support systems necessary to ensure efficient and effective use of theseresources. Fourth, awareness is low in the coammunity in general, and amongpregnant and lactating women in particular, of the need for effective maternalhealth care, Including ante-natal check ups, improved nutrition, temporaryethods of family planning, and the benefits of child spacing. From infancyuntil death, females have limited access to health services.

6. In 1983, the Government of India (GOI) established a National HealthPolicy in the context of 'Health for All by 2000 A.D.' Program targets are:(a) reduction of maternal mortality to below 200 per 100,000 live births;(b) reduction to 0l or less, in the proportion of babies weighing less than2,500 grams at birth; and (c) reduction in the infant mortality rate from 93 to50 per 1,000 live births. By the end of 1990, the Universal ImmunizationProgram (UIP) which is supported by UNICEF, had achieved average coverage levelsof around 70S, but with significantly lower levels in selected districts in thenorthern States of Bihar, Uttar Pradesh, Madhya Pradesh and Rajasthan. There-fore, while many of these goals are ambitious and may not be fully achievable by2000, substantial progress has already been made in im=nwization and with somereorientation of program design, implementation and financing, most othertargets could be approached by 2000.

7. The end of the Seventh Pive-Year Plan period (1989/90) coincided withthe advent of severe budgetary pressures in India, and this was aggravated bythe Gulf Crisis. The result is that expenditures on MCH services declinedsignificantly In 1990-91. The 001 is now trying to restore expenditures on MCHservices to the levels achieved previously. The National Maternal and ChildHealth Plan for the 1991-95 period calls for the Implementation of an integratedpackage of services to improve both maternal and child survival and to deliverthese services In a more efficient and effective manuer within the constraintsof potentially major cuts in public expenditures. The strategy is to use theexperience of the Universal Immunization Program (UIP) to implement a UIP *Plus'package of services combining immunization with other basic MCI interventions.

8. Egm rience in Previous and O29OnA9 Proiects. IDA has supported themain element of GOX's family welfare strategy: a concentration of servicedelivery in rural areas and backward districts based on the Model Plan or AreaProjects Scheme. Since 1973, IDA has financed three nutrition and seven popula-tion (family welfare) projects for a total of US$700 million. From our involve-ment with these projects, we have learned that most maternal and child healthservices have tended to focus on children and not addressed adequately thecauses of maternal mortality. Even where MCN services are in place, they havenot opersted with adequate effectiveness. We have also learned thats the demandfor family welfare is Inextricably linked to the economic and educational statusof women; assistance should focus on the natinal program, as well as itsexecution at the State level; worker knowledge and productivity remain unaccept-ably low and need to be treated in a systemic manner if service quality is to beimproved; and the program needs to shift increasingly toward disadvantagedareas, low parity couples, and maternal and child health. The further lessonslearned from the completed projects are that: improving the quality and manage-ment of family welfare facilities is a critical factor in influencing the demandfor services; detailed attention must be paid at the design stage to ensuringfield workers' jobs are manageable, their daily and monthly work routines are

clearly defined, sad they are continuously trained and updated on-the-job toperform better the limited tasks they are assigned analysis of localdemographic characteristics is a prerequisite to developing realistic targeteand services; and the participation of local communities, the private sector andother non-governmental organisations must be encouraged if efforts to extend theprogram are to be successful.

9. A number of lessons have also been learned from the execution of theUniversal Immunization Program (UIP) from 1985-89. These include the importanceoft developing and maintaintig the logistics and cold-chain systems, trainingworkers to undertake specific tasks, widespread use of information, educationand comnunications (ISC) and other demand generation activities, and the use of

coverage evaluation surveys to identify gaps in service delivery and determineareas of required concentration. The proposed project incorporates, to theextent possible, all of these lessons in "ays described in Annex 11, Section 2of the Staff Appraisal Report. The design of the project also takes account ofrecent research findings on Vitamin A and on iron supplementation.

10. Rationale for IDA DIaolvemt. There are several reasons for IDA to beinvolved with this project. First, the project is a critical part of IDA'sstrategy of supporting human capital development and poverty alleviation inIndia. Second, It provides IDA with the opportunity to extend rapid but andtargeted assistance to poor women and children, who are at risk of fallingthrough the social safety net during a period of severe budgetary constraints onpublicly-financed social programs. Third, the project supports a revampedmaternal and child health program which takes Into account equally the issues ofmaternal and child mortality and morbidity, overcoming a previous program biaswhlch focused on children to the detriment of mothers. Fourth, the project isbased on experience In implementing a national immunization program and onrecent research findiugs. Fifth, the project includes several areas where theprivate secvpr, non-governmental and private voluntary organizations (NGOs/PVOs)and local eovmunities will play a major role In service delivery, such as socialmarketing of oral rehydration salts (ORB) and contracept'!es, the design andimplementation of information, educatLon and communication (IEC) activities andof training programs. Finally, the project represents the first large-scalecooperation between IDA and UNICIF In India and gives IDA the chance to workclosely with an organization whlch already has extensive contacts with themedical coimunity and a wide network of offices and personnel In India. Thiswill enhance policy dialogue and project supervision, as well as overall programevaluation.

11. Prolect Ob ectives. The broad aim of the project is to assist the GO0in financing the incremental costs associated with the expansion and enhancementof the national maternal and child health program. It would help tot (a)sustain the Universal Immunization Program at least at levels attained at theend of the Seventh Five-Year Plan (1989), as well as to expand coverage tounderserved areas and beneficiaries and build on the experience gained InImplementing UIP; (b) expand coverage and improve the quality and efficiency oflmplementing a number of prophylaxis lnterventions; and (c) assist 001 to launcha major Safe Motherhood initiative.

12. Prolect Descrietiom. The project would be national in scope, but someof the interventions, specifically those for UVP t Plus* and Safe Motherhood,will be started In a limited number of districts, which were selected because ofhigh maternal mortality rates. The project would: enhance child survival;

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reduce maternal mortality and morbidity; and increase the effectiveness ofservice delivery. Child Survival Proarams would be called UIP Plus* and wouldIncludes sustaining and developing the Universal Iummuisation Program (UIP), aswell as strengthening diarrhoea control programs, control of acute respiratoryInfections (ARI), prophylaxis against blindness and eye lesions due to Vitamin Adeficiency, p_ophylazis against anemia, enhanced newborn care and the activepromotion of breast feeding. The Safe Motherhood initiative would includeimproved maternity care and preventive care programs for all wamen, enhancedempbhsis on pregnant women with high-risk factors, strengthening essentialobstetric care and capabilities to treat obstetric complications. while concur-rently promoting birth spacing, timing, post-partum counselling, and p-ophylaxisand control of nutritional anaemia. Service delivery would be Improved bystrengthening Institutional Systems. This would Include improving and expandingon-going training programs, expanding commmnications and information dissemina-tion activities with the active participation of women and other communitygroups. and strengthening existing State/district management information,supervision, planning, procurement, logistics and maintenance systems. Theseactivities would constitute enhancements and expansion of the national Maternaland Child Health program beyond what were provided during the Seventh Five-YearPlan. The project would finances the construction and equipping of healthfacilities, essential drugs, vaccines, medicines, medical supplies and vitaminsfor MCH programs; the training of over 2.8 million health workers; vehicles,reporting fees for traditional birth attendants (TBAs), consultant services forthe development and implementation of IEC, management information systems (MIS),procurement, and social marketingg the salaries of incremental staff; andoperation and maintenance costs for vehicles and the cold-chain.

13. The total cost of the national MCH program for the 1991-95 period isestimated at US$922.6 million. The total project cost is estimated at US$329.6million. This cost represents the Incremental costs between the proposedoutlays on the national MCI program 1991-1995 and the actual expenditures onthat program from 1985-1990. In calculating that increment, ongoing liabilitiesfor salaries, the cost of the Medical Termination of Pregnancy program, as wellas the costs of customs duties and taxes have been excluded. IDA and UNICEFwould co-finance the project in parallel. The proposed IDA credit of US$214.5million equivalent and a UNICEF Grant of US$67.8 million would together coverabout 90S of costs, net of taxes, including all foreign costs and about 83Z ofthe local costs. GOI would finance the remaining US$47.3 million of projectcosts and all taxes and duties, equal to US$15.9 million. Together UNICFF andIDA financing represent about 312 of the proposed 1991-95 allocation for the MCHprogram. A breakdown of costs and the financing plan are shown in Schedule A.Retroactive financing of up to US$21.0 million would be provided for eligibleexpenditures made after November 30, 1990. Amoun&s and methods of procurementand of disbursements and the disbursement schedule are shown in Schedule B. Atimetable of key processing events and the Status of Bank Group Operations inIndia are given in Schedules C and D. The Staff Appraisal Report, No. 9489-INdated August 27, 1991 is being distributed separately.

14. Part of the proposed project will be carried out in the State of Jammuand Kashmir, which includes areas over which India and Pakistan have been indispute since 1947. In making the proposed credit to India, IDA does not intendto prejudice the final determination of the claims of the parties involved.

15. Acton. Lareed. During negotiations, the Government providedassurances that it shalls (a) by January 31 of each year commuencing In 1992,agree with the Association on the annual Plan budget allocation to the MCIprogram for the next fiscal year; (b) by January 31 of each year comencing in1992, prepare and furnish to the Association for review and coment, an AnnualPlan for the U1P, UMP Plus,' and Safe Motherhood programs; (c) in consultationwith the Association, establish by April 1, 1992, National and Regional Materni-ty Mortality Review Committees; (d) by January 1, 1992, institute on a nationalbasis, distribution of tasks and work routine changes for health workers asagreed with the Association; (e) institute by January 1, 1992, project coordina-tion mechanisms with the Women and Child Department, and utilixe throughout theproject period key Indicators for measuring project progress as agreed with theAssociation; and (f) furnish to the Association a Letter of Undertaking fromeach participating State or Union Territory as a condition of disbursement forexpenditures incurred by that State or Union Territory. The fulfillment of theconditions precedent to the effectiveness of the UNICEF agreement will be acondition of effectiveness of the Credit.

16. Project Benefits. The proposed project would have several immediatebenefits. First, In the absence of sustaining the Immunization program, another250,000 children would die from tetanus, 500,000 would die from measles and170,000 would risk paralysis each year due to poliomyelitis. Second, the pro-ject would assist in sustaining and developing MCH services during a period whenthe scale of publicly financed social services could be severely and negativelyImpacted by C0X budgetary constraints. Third, the project would contribute to a001 review of its current national MCH policie# and to appropriate adjustmentsIn terms of content, targeting and delivery. Fourth, the project period allows001 the time and opportunity to undertake vigorous trials at the district levelof the UIP 'Plus* and Safe Motherhood models which are being developed. Theultimate long-term benefit of the project is that it would help to develop amore efficient and effective national family welfare program which would lead tosignificant reductions of maternal, infant and young child morbidity, mortality,and disability, *hereby elhancing the quality of life and India's human capital.Over the projec, period, it is estimated that about 115 million lower-incomewomen and about 190 mlllion children in rural areas and urban slums wouldbenefit from this project.

17. ProJect Risks. There are some important risks to the project. It willbe difficult to increase the number of activities to be undertaken at the pointof service delivery as well as change the way health workers and supervisorsperform their tasks. However, ongoing IDA support to five Population Projectsis assisting In the development of regular on-the-job training and improvedsupervision of workers. In addition, the proposed project will support theimplementation of improved job descriptions and work routines for health workersand supervisors. The large-scale cooperation between IDA and UNICEF will alsoassist In reducing the constraints to successful project implementation. UNICEFhas extensive contacts with the medical conmmity in India and a wide network ofoffices In the States. This should assist ;n project monitoring, supervisionand evaluation. There are also risks associated with the Safe Motherhood Pro-gram. The project would include activities to increase awareness and actionthrough Panchayats and Women's Groups, Including Mahilla Mmndals and PrivateVoluntary Organizations. Moreover, IEC programs vould be designed to specifi-cally address some local customs which are dangerous to wamen's survival. Also,local communities, through their representatives and/or with the assistance of

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PVCO, would be mobilized as an integral part of the planning for Safe MotherhoodIn that eciunity.

18. Reeomm atia. I am satisfied that the proposed credit will complyWith tie Articles of Agreement of the Association, and recoumend that thexecutive Directors approve the proposed credit.

Barber S. ConablePresident

Attachments

Washington D.C.August 27, 1991

Schedule A

cam SUVIVAL AND sAn sU OOD ?w)_

Zstimted Coato fnd FionAnCI Plea

stimated CostsI Local Foreign TotalUS$ million --------

Child Survirv.1 Program 109.7 18.6 128.3Safe Motherhood Program 83.3 13.9 97.2Institutional Systems Development 101.8 6.9 108.7

TOTAL BASE COST 294.8 39.4 334.2Contingencies -11.7 7.1 -4.6

TOTAL PROJECT COST 283.1 46.5 329.6

Financing Plan,

GoI 47.3 - 47.3NICEF 56.6 11.2 67.8IDA 179.2 35.3 214.5

TOTAL PROJECT COSTS 283.1 46.5 329.6

Schedule BPage 1

,INDiA

CID SUVIVAL AND SAID WUROO)

Procrmuent Kethod and Disburseernts

Procurement Method

Procurement Method TOTALProcurement Elements usoLUT N/A COST

Civil W3rks - - 23.50 - 23.50(21.14) (21.14)

Equipment - 14.90 18.00 - 32.90(11.92) (14.901 (26.32)

(3.00]

Cold Chain Equipment - 8.80 12.00 20.80(7.04) [12.001 (7.04)

Vehicles - 7.40 - - 7.40(5.92) (5.92)

Training - - 5.00 31.10 36.10(4.50) (17.74) (12.24)

(22.50]

Local Consultants - - - 15.20 15.20(11.34) (11.34)

Information Materials and [2.601MCU Supplies 5.85 3.25 7.00 - 16.10

(4.68) (2.60) 17.001 (7.28)

Medicines - 60.95 17.00 - 77.95(48.36) (13.60) (61.96)

Vitamins - 3.90 - - 3.90(3.12) (3.12)

Vaccines - 32.60 12.00 - 44.60(26.08) [12.00] (26.08)

Disposable Delivery Kits _ - 4.40 4.40(3.52) (3.52)

Salaries of Incremental Staff - - . 20.80 20.80(15.60) (15.60)

Reporting Fees to TBAs - - - 8.00 8.00(4.50) (4.50)

(20.00]

Consumable Materials - - - 1.70 1.7011.70]

Operation and Maintenance - - - 16.23 16.23

(8 44i (8.44)

TOTAL 5.85 131.80 98.90 93.03 329.58

IDA 4.68 105.07 57.16 47.62 214.53UNICEF - - [34.00] [33.80] (67.80]GOI 1.17 26.73 7.74 11.61 47.25NUIm: r1gures an parentneses represent mancjj.ua 11.1 cl.g.

Figures in brackets represent UNICEP financing.

Schedule BPage 2

Disbursements

I of expendituresCategory Amount to be disbursed

(US$ million)

- Civil works 21.14 90S of expenditures

- Equipme_t, Vehicles, Medicines, 141.24 1002 of foreign CIF andVaccines, Vitamins, IEC local es-factory costs andMaterials and MCB 801 of other local costsMedical Supplies

- Consultants Services andTraining 23.58 902 of expenditures

- Operating Costs (incremental 28.54 901 of local expendituressalaries of additional staff, until March 31, 1993 andTBA reporting fees, operation 601 thereafter.and maintenance costs forvehicles and the cold-chainequipment) -

TOTAL 214.50

Estimated Disbursements

IDA PY FY92 FY93 PY94 FY95 FY96

Annual 46.2 47.4 57.8 56.0 7.1Cumulative 46.2 93.6 151.4 207.4 214.5

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Schedule C

1PDI

CUD SURIVAL AND SA8S EREO PROJC?T

SIsntable of tey Project ProcZesi8aw vents

(a) Timetable to Prepare s Ten months

(b) Prepared by s Ministry of Health and Family Welfarewith assistance from UNICEF

(c) First SanklIDA Mission s October 1990

(d) Appraisal Mission Departure s April 17, 1991

Ce) Negotiations s August 14-20, 1991

(f) Planned Date of Zffectiveness s October 1991

(g) List of Relevant PCRs and PPARs * India: PCR on First Population Project(Credit 312-IN), May 19, 1981Project Performance Audit ReportNo. 3748, December 31, 1981Indist PCR on Second Population Project(Credit 981-IN), June 20, 1989Project Performance Audit ReportNo. 8896, June 29, 1990India: PCR on Tdmil Nadu IntegratedNutrition Project (Credit 1003-IN),November 26, 1989

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SoIEOULE 0

PACE 1 of 4

THE STAUS OF BANK OPOATIS IN NDIA

A. STATEME OF SANK LuO AND IDA CREM

(As of Jo" 80, 196)

(nt of .ancellaTi.as)Lon or Fiscal Tar o --Creit No. of Approval Purpose 3O IDA 1 Undlsbursed 2/

75 Loans/ 5105.2 - _1U8 Crdits, fully disbursod - 10602.2 -

1172-IN 1992 Korb* Theml Powe I - 400.0 19.621ll7-z" 1i02 Madhya Pradb aJor Irrigation - 220.0 4.871178-1N 1062 West 8 al Social Forety - 29.0 1.#62070-IN 1902 Rasagunda Thermal Poser ;U 280.0 - 9.611280-IN 1963 GuJarat Water Supply - 72.0 25.4?1319-IN 1968 Haryne Irteigation tI 150.0 27.821382-IN 1068 U.P. Pubilc Tub1 ell IsIt - 101.0 0.241356-IN 1o68 Upper Indrovati Hydro Powr - 170.0 84.672276-IN 1968 Upper Indravati Hydro Powe 16.4 - 161.011869-IN 1068 Calcutta Urban Developomnt Ill - 147.0 76.J82283-IN 1o8 Central Poser Transmission 2C0.7 - 12.822296-IN 198 Himalayan Watershed men mJ1.2 - 9.811388-IN 1988 Maheasrhter Water UtlizaStle - 82.0 2.042329-IN 1068 Madhys Pradesh Urban 18.1 - .481424-IN 1064 Reinfed Ares Watershed Dew. - 81.0 28.911420-IN 1904 Population Ill - 70.0 2.001482-IN 1is Karnatak Soctel Forestry - 27.0 7.7623J7-IN 1984 hnva Sho Port 260.0 - 20.612898-IN 1lo Dudhichu Ceel 109.0 - 10.682408-IN 16 Cambay Basts Petroleum 218.5 - 7.702416-IN 1094 Mdbys Pradesh Frti IIere 172.6 - 7.701454-IN 190 Tamil NMWa Water Supply - 86.5 19.80SF-12-IN 1is4 Teslt Nadu Water supply - U.5 82.22SF-16-1N 1904 Poetya Vaigat sr Iripttei, - 17.5 12.3#1463-IN 106 Upper Gasp Irrigation - 125.0 91.84140-IN 1064 uJaretMdium rigaetios - 17n.o 61.292410-IN 1904 Inira Serovar Hydroelectc 17.4 - 12.50SF-20-IN 1064 Indir Sarovar Hydroelectric - 18.3 10.471018-IN 1066 Inire Sarevar Hydroelectric - 18.2 10.U42417-IN 1904 Ra lways Elect Ificaton 279.2 - 26.412442-IN 1064 Frrs kk I tTheml Poer 800.3 - 120.682452-IN 1964 Fourth Treobay Thermal Pomer 186.4 - 11.0150W 2-IN 1904 National Cooprative

Development Corporatos IIl - 220.0 *2.n71614-IN 1065 Kerals Social Forestry - 81. 12.9?1528-IN 1066 Nattosal Arlc. Extenston I _ 9.1 27.67144-IN 1905 Sobey Urban Oev.lopmoet - 130.0 108.582497-IN 1065 NPeardm (Dir) and Powr 200.0 - 200.001662-IN 1966 arm (uJ at) Dm and Poer - 100.0 40.7816J-IDN 1065 Hamadb (Gb *rat) Canal - 150.0 06.181569-IN 106 Second Nsti ol Agriculteral I . - 49.0 27.141611-IN 1in Nottional Social Forety - 165.0 71.602490-IN 106 Jhiet Cokn Col 7.7 - 5.22505-IN 1065 Maharashtra Perochemical 800.0 - 0.172584-IN 10ot Second atteonal Hitghway 200.0 - 18.642544-IN to"6 Chandwspor Therml Power 800.0 - 125.62s5-IlN 1865 Rthend Powrr Tansmissiotn 260.0 - 69.152562-IN 18 Kerala Posr 170.0 - 183.601619-IN 1906 West BEogl mineor trigatilon - n0.0 106.84

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SCHEOULE 0

PAGE 2 of 4

USS Mlilli@n(net of cancel lotions)

Loan or Fiscal Year - -__-_______

Crdilt No. of Approvat Purpose 13 IDA 1/ Undlsbursed 2/

1621-IN 196 Maharashtra Composite Irrglatlon 160.0 173.461622-1N 1o6 Koraloa Watr Supply and Sanitation - 41.0 n.581623-rN 96 West Seal Population - 61.0 2U.1i1631-ZN 1966 National Agricultural Reserch It - 7t.1 59.702629-ZN 1o6 Industrial Eport ew. Finance 90.0 - 12.C52630-ZN l96 ICICI-Indus. Eup. Dev. Finane 160.0 - 29.J91643-ZN 1986 Gujarat Urban - 62.0 44.562660-ZN 1966 Cemet Industry 165.0 - 90.16261-ZN 1966 ICICI - Cemt Industry 36.0 - 19.371066-ZN 1966 Andhra Pradeh It Irrigttion - 140.0 147.162662-ZN 1986 Andhra Pradesh II Irrigation 131.0 - 131.002674-IN 19o6 Combined Cylel Power 498.0 - 38.672730-IN 1966 Cooperative FertlIz er 113.8 - 25.691737-ZN 1967 Bihr Tubew lls - 66.0 65.072769-ZN 1987 Bombay Wter Supply &

Sewrage III 40.0 - 40.001750-IN 19807 Bomby Water Supply a

Sewrage IZI - 14t.0 106.181754-IN 1967 Nationot Agric. Extension III -8.0 68.931757-DN 1967 Gujorat Rurtl Roads - 119.6 104.2417nO-ZN 197 Nationl Water management - 114.0 97.4427865-N 1967 Oil India Petroleum 140.0 - 64.142706-ZN 1967 Coal Vining Quality Improvemet 340.0 - 122.87281J-2N 1967 Teleoomunications tX 196.0 - 35.412797-ZN 1967 Utter Pradesh Urban Oevelopmet 20.0 - 20.001T80-ZN 1967 Uttar Pradesh Urban Development - 130.0 96.012627-ZN 1967 Karnataka Powtr 830.0 - 269.862944-1N 1967 National Capital Power 426.0 - 239.812*45-ZN 1967 Talcher Ther l 876.0 - J27.802846-ZN 1987 Madras Water Supply 53.0 - 46.722093-ZN 1966 National Dairy It 200.0 - 20.001659'-N 1986 Natlonal DOiry q2 - 160.0 68.422904-ZN 1966 Western Gas Developmnt 263.2 - 29.822928-DN 10o8 Indus. Fin. & Tech. As t. 860.0 - 124.142965-ZN 1968 Ralwaey Modernization III 890.0 - 268.592936-ZN 1968 Karnateka Power 2 260.0 - 288.292967-ZN 198 Uttar Pr adeh Power 860.0 - *02.961928-ZN 190 Tamil Nadu Urban 0ev. - 800.2 214.261981-IN 19m Bomby A madras Populatlo - 67.0 10.022994-IN 1989 State Road 170.0 - 170.001969-ZN 196 State Road - 0.0 57.068024-ZN 1989 Nathpa Jhskri Power 485.0 - 448.291962-ZN 1989 National SeO* III - 160.0 09.273044-ZN 1969 Potrolou Transport 840.0 - 806.002008-2N 1698 Voctional Training - 260.0 217.6?3046-IN 1969 Vocational Training 30.0 - 80.002010-ZN 1969 Upper Krishna Irrigation 22 - 160.0 224.00W060-IN 1969 Upper Krishna Irrigation II 166.0 166.008068-D1 1969 Export Bovelopuent 120.0 - 91.74amo9-IN 1969 ICICI - Export Development 175.0 - 146.522022-IN 1969 National Sriculture - 147.0 124.768065-IN. 196 National Sericulture 830.0 - 80.008098-1N 1969 Eloctronles Industry 0ev. 0.0 - 7.508094-ZN 1969 ICICI - Electronics Ind. D0v. ' 101.0 - 6.185*09t-ZN 1069 1081 - Electronics Ind. Oev. 101.0 - 79.198096-ZN 1969 Maharashtra Power 400.0 _ 376.662067-ZN 1989 Nat'l. Family Welfare Trng. - 118.8 96.6031l8-ZN 169" Nat'l. Family Welfare Trng. 11.8 - 11.808119-Z1 1990 Industrial Technology Devolopmnt 146.0 - 124.512064-ZN 1990 Industrial Technology Development - 6t.0 62.20

-13- SCNEDULE D..-- _a.-. -

PAGE 3 of 4

US$ million(not of cancellations)

Loon or fiscal YearCredit No. of Approval Purpos BiD IDA 1/ Undiabursed 2/

__________ - e - a -.. -- - ----- --- __

144-IN 1990 Punjab Irrigati.n/Drainsg 15.0 - 15.002076-DN loow Punjab Irrigation/Drainage - 150.0 148.272116-IN 1990 Hyderabad Water Supply - 79.9 7$658131-IN 1990 Hyderabad Water Supply 10.0 - 10.008l91-1N 1990 Cement Industry Restructuring $00.0 - 268.9$3176-ZN 1990 Wtetrsh-d Development (Hills) 13.0 - 18.002100-N 1900 Watershed Devolopment (Hill) - 75.0 74.648195-ZN 1990 Technician Education I 26.0 - 26.002180-ZN 1901 Techntialn Education I - 285.0 221.063190-ZN 100 Watershed Development (PliIns) 7.0 - 7.002181-ZN 1990 Watershed Development (Plains) - 56.0 68.108190-ZN 1000 Population Trnining VII 10.0 - 10.002183-VN 1990 Population Training VIU - s6.7 76.622168-ZN 1990 Tamil Nadu Integrated Nutrition II - 90.8 91.003237-IN 1000 Northern Region Trnuaission 486.0 - 462.7582890-N 1990 Privato Power Utilitts I (TEC). 90.0 - 9.008263-IN 1001 ICDS I (Ortes A Andhra Pradesh) 10.0 - 10.002178-ZI lo00 ICoS I (Orns. A Andhra Predesh) - 06.0 91.793256-IN 1991 Potrochemicals It 12.0 - 11.0082650-Z 1001 Petrochemicals It 288.0 - 212.683260-ZN 1991 A.P. Cyclone Emergency Reconstruction 40.0 - 40.002179-IN 1001 A.P. Cyclono Eergency Reconstruction - 170.0 134.268300-IN 1001 Tamil Nadu Agricultural Development. 20.0 - 20.002216-ZN 1001 Tamil Ndu Agricultural Development. - 92.6 04.402223-ZN 1991 Technician Education II* 307.1 261.812234-ZN 1991 Uabhrashtre Rural Water Supply. - 109.9 100.6s8326-ZN 1001 Dam Saofty. 23.0 - 28.00

2241-ZN 1001 Cam Safety - 130.0 126.768334-ZN 1991 Industrlal Pollution Control. 124.0 - 124.002262-IN 1991 Industrial Pollution Control. - 81.6 $0.688344-ZN 1001 Private Power Utilities ZI (BSIS)* 200.0 - 200.003364-N 191 Gas Flaring Reductions 450.0 - 450.00

Totel 16168.0 17812.6 12767.68of which han been repaid 2U89.4 96#.9

Total now outstanding 16328.6 17135.?Amount Sold 1U3.8of which has been repaid 188.6

Total now held by Bank and IDA 8/ 15828.6 1718T.7

Total uWndisbursd (excluding .) 7064.6 4164.1

1/ IDA Credit amounts for SOR-denominated Credits are expressed In ters of their US dollarequivalnts, as established at.tho time of Credit negotiations and as subsequentlypresented to the Board.

2/ Undpsbursed amnts for SON-denominated IDA Credits are derived as the undlebursed balancexpressed in SR equivalents (in turn derived as the difference betwen the originel principalexpresed In SON (based on the exchange rate In effect at negotiateons) and the cumulativedisbursemetn converted to SON equl vlent at the xepr ln the respectivedates of disbursements loes cancel lotions expressed In SO equivalents at the exchengeratoe prevailng at the date(s) of cancellations) converted to US dollar equivelnts atthe So/US dollar exchange rate In effect on June 80, 1901.

8/ Prior to exchen" adjustmnt.

* Nt yet effective.

14- PAGE 4 OF

B. 3TATII OP IC VISTUWe

(As of Jun 3o, 1t0)

Amount (MalSI Selia)-- ~ ~ ~ ~ ~ * - -

Fiscal Y"ea Cotnpa Loe* g"t Total

IN61 Rep"bilo Forge Coany Ltd. 1.0 1.60Igo Kirloosk 071 Egine Ltd. a." - O."1960 Assa Sillsit.e Ltd. 1.31 - 1."19061 KS.I. Pumps Ltd. 0.21 - 0.211903-66 Precilion 8Belns rndio Ltd. 0.68 0.;$ 1.031904 Fort Olter Indusries Ltd. 0.01 0.40 1.21964-76-79/90 Mahlndra Ugin. Steel Co. Ltd. 11.91 2.4 14."1i0 L4lshi Mach.l.o Works Ltd. 0.06 0.36 1.3*1s6$ Jayshee Chomticls Ltd. 1.06 0.10 1.15

1067 Indian lxplosives Ltd. 0.60 2.66 11.461960-70 Zusri Agre-Chemcals Ltd. 16.16 8.76 16.911907-87 Escorts Limited 16.S6 - 16.61978-37/91 Housing DOvelope_t Finaace Corp. 104.00 2.10 106.10100/82/37/830 DOepk Fertilear ard

Petrochemicals Corporation Ltd. 7.60 4.23 11.731981 Coromandol Fertillers Limited 16.18 - 16.081181-$-809 Tate Ien and Stoel Company Ltd. 71.o0 21.44 93.34

1031 NapeJf7una Coated tuboe Ltd. 1.60 0.24 1.741901-8"7/91 Nagar-Juna Slgnode Lllted 2.99 0.41 3.4019061-2 hNgarjuna Steels Limited 2.18 0.24 3.12i182 Ashok Leyland Limited 28.00 - 2s.Oo1982 The loebay Dyeing and 0.00

MeanufacUring Ce. Ltd. 18.80 - 16.30982 Oharst Forge Co pany Ltd. 16.90 - 16.00

1392-67 The Indian Rayon Corp. Ltd. 14.67 - 14.671084-36 Tho Gwbler Rayon Silk Menu-

facturing (Weavlng) Co. Ltd. 16.9S - 16.0

1966 Bihar Spong 15.24 0.68 16.021906 IaJaJ Auto Ltd. 23.9 - 23.9010S6 Modi Cemet 13.06 - 13.061901-30/90-91 Indti Lease Developent Ltd. 8.50 0.7 9.201066 Larse and Toubro Ltd. 18.37 - 13.671o0 India Equipmet Leasng Ltd. 2.50 0.30 2.301t" 8aJaJ Tempo Limited J0.t4 - O."10647T The Gret Eastern Shlpping

Company Ltd. 3.00 10.60 10.661067 ujarsat Nbarmd Va lley FertilizeI 38.07 - $0.07In7 Mere Hona Moetrs Ltd. 7.74 - 7.741017 WImco Limited 4.70 - 4.701067-s0/90 Titan Watches Limited 22.02 0.t6 22.661907 Import-Import Bank of India 14.07 - 14.97

1907 Cujarat Fusion class Ltd. 7.52 1.70 0.221907 The Qujarat Rural llowing 0.00

Finance Corp. - 0.19 0.101"7 Hindustan Moters Ltd. 37.73 - 37.7319SS lnvel Transmisslens Ltd. - 1.07 1.0719089 M1 Advanced Tchnoology - 0.20 0.201980 Keltron Telephone Instrument, Ltd. - 0.40 0.401980 Gujarat State Fertilizer 2.14 - 29.141900 Ahmedbad Eloctricity Compay, Ltd. 20.30 - 20.301990-91 Tat Electric 106.34 - 1.641900 JS8 Indto S.esrltel Firms o.n7 0.3719061-90 Mhindc & Mahindra Ltd. 2U.19 6 .36 4.t71900 UCAL Fuel System Ltd. C 0."6 0.631000 Indust. Credit A 2n estent Corp. of tndla - 20.00 25.001991 VECAUS It - 0.001001 CESC Ltd. 20.36 - 20.3t1091 NHrdils OxIdes and Electrenics Ltd. - 0.29 0.20

1901 InSrastructure Leasing a Financil S"low 16.00 1.81 16.611001 Trivena Pool Intelrdel Ltd. (TPIL) - O.38 O.U1too Bo-bay Electric 6s.0o - 18.0010o1 Varun Transport, Storage & Ceatmnicatieon 2.04 1.71 3.73

1001 TDOCl Deelo_me t Flance Compmnies - 2.49 2.40

TOTAL CROSS COMMIThINTS 001.01 06.13 006.76

Les: Cancellation, Terminations,Repavmento and Sales 442.03 20.82 460.85

NM Held 468.78 64.33 627.11

Undishursed 200.08 27.22 227.30mammanow