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operated in accordance witb "satisfactory performance" criteria which were defined and agreed upon between the Bank and the Govemment during negotiations and are annexed to the Letter of Sector Policy (Annex 2.4).

3.25    The project would fmance the constuction of 400 storage sheds within the premises of existing and newly constructed CSPS. The project would also fmance rebabilitation of a warehouse for CAMEG at Fada-N'Gourma. It would provide CAMEG's three warehouses (Ouagadougou, Bobo-Dioulaso, Fada-N'Gourma) with storage and handling eąuipment, Office furniture, photocopiers, calculators, and facsimile machines. In addition the project would fmance one all-purpose vehicle for DSPH central headąuarters in Ouagadougou. The project would fmance about US$400,000 of the operating costs of the CAMEG on a declining basis over the period 1994-1996, by which time it is expected to be entirely self-financing,

3.26    The project would also contribute to the Expanded Program of Immunization (EPI). EPI would be largely implemented through the CSPS. The project would fmance yellow fever vaccines, the cold chain network, and recurrent costs for providing vaccinations through the CSPS. To obtain the widest possible coverage, mobile teams would visit isolated villages at least four times a year to vaccinate local populations. The project would finance recurrent costs (fuel and per diem) on a declining basis for transportation for these mobile teams.

3.27    Implementation. DSPH would have responsibility for implementing project support for the CAMEG. UNICEF will oversee training and supervision of DMOs with regard to essential, generic drug distribution. The Directorate of Family Health (DSF) will be tasked with executing all aspects of the EPI Program.

2. Reduce Micronutrient Deflciencies (US$4.7 million)

(a) Supplementation (US$4.1 million)

3.28    Obiectives and Description. The project would improve the nutritional status of the Burkinabe population by integrating delivery of micronutrient supplements into ongoing programs, consistent with a national program for micronutrient deficiency control prepared by an MSASF working group. Submission to IDA of a finał draft of this program, with an implementation plan over the period, 1994-1999, was a condition for negotiations. Target groups will be reached through prenatal and curative care, under five clinics, and the EPI delivery system. The project would also support the DSF, where the MSASF's nutrition responsibilities are housed, in improving the coverage of micronutrient delivery, and in the planning and execution of base-line surveys aimed at evaluating the micronutrient component. In addition, rapid surveys would be undertaken to identify districts not yet surveyed but suspected of being severely affected by micronutrient deficiencies. Some of these surveys might be contracted out to morę specialized institutions. Micronutrient delivery into the minimum package of health services to be provided at the CMA and CSPS Ievels. The objectives, content and implementation plan for this sub-component are described in a separate background paper referred to in Annex 3.7. They are summarized below.

3.29    Preventive supplementation with orał vitamin A would be undertaken in those provinces determined to have prevalence of xerophthalmia (nightblindness) greater than 1%. In those provinces, vitamin A will be de!ivered to target groups through the health system, via Village Health Workers, as well as through Yillage Agriculture Workers and School Teachers. In