Friends of
Murambinda
H ospital
UK Registered Charity 1073978
| The main hospital entrance renovation completed making for better security. | The main hospital entrance renovation completed making for better security. |
|---|---|
| All images by Mr C Mudzi unless otherwise stated | |
| Contents | |
| The Hospital and District | 2 |
| Message from the Chairman | 3 |
| Funding applications supported | 4-9 |
| FMH expenditure | 10 |
| Fund Raising | 11 |
| Donors | 12 |
| Trustees | 13 |
| Standing Order and Gift Aid Declaration forms | 14 |
| FMH Contact Details | 15 |
1
The Hospital
Murambinda Mission Hospital (MMH) is the Designated District Hospital for Buhera District in Manicaland Province, Zimbabwe. The Hospital was founded in 1968 by the Sisters of the Little Company of Mary (LCM), under the Catholic Church’s Archdiocese of Harare. The Hospital carries out its mission to care for the poor by serving a population of around 300,000 people in an area with a
diameter of 200 kilometres.
The hospital is led by Sr Ellen of LCM, the Hospital Executive Manager and Sr Silindiwe is Assistant Matron and currently acting Matron, and Dr Shelton Kwiri as District Medical Officer and Acting Medical Superintendent. They are supported by a Board of Trustees and Hospital Executive Committee.
The aim of improving the health services for all the people of Buhera and to be a “Pool of Healing” continues to be pursued with energy and dedication.
The District
Buhera District consists mainly of ‘Communal Land’. This means there is no title ownership of land, (except within designated growth points, Murambinda and Birchenough Bridge). Land use is governed through a system of traditional leaders and elected councillors. Buhera covers an area of 5,364 km[2] . The area suffers from very low rainfall, and a miniscule land area is under irrigation. Irregular rainfall leads to poor harvests and food shortages.
Murambinda Growth Point Image Helen Belger
Through hard work and experience gained from previous periods of hardship, the population of Buhera has developed a remarkable capacity for survival. Poverty remains a great hindrance to the development of Buhera and its people. MMH, among others, aims to assist the community to overcome these hurdles.
2
Message from the Chair
Working through Covid
Dear All,
Coronavirus and its associated Public Health measures impacted our ability to meet and fundraise but did not stop us. Likewise, the work of the Hospital at Murambinda was slowed but not stopped, and now activity and needs are accelerating. Serious lockdown measures and widespread use of Sinovac the Chinese vaccine helped contain the severity of the impact of COVID 19 in Zimbabwe. In the last year, the long-cherished dream of refurbishing and extending the Waiting Mother’s Shelter has been completed thanks in part to clinicians in Sussex donating wages for COVID vaccination sessions to FMH. This should help improve maternal and child mortality.
Lyke Wake Walk is 42 miles across very rough ground in the North York Moors. To complete this “walk” in daylight requires much of it to be run! It is not for the faint hearted. A team of supports lead by the Rigby family organised a sponsored walk and successfully completed it in June 2021.This magnificent endurance feat has led to extending solar power to the hospital pharmacy, laboratories, and outpatient departments. This will improve reliability of supply, reduce running costs, pollution, and reliance on diesel generators. Good work in the year of COP26.
Your donation this year has helped to finance the support of staff, medicines for patients and medical equipment. We are especially pleased also to have provided funding for the Child & Adolescent Resource Centre at Murambinda to support their vital work supporting children and young people living with HIV, emotionally, spiritually, and practically.
Please continue to think of fundraising activities; we are happy to advise and support you. All money donated goes to projects at Murambinda, all expenses and administration is paid directly by the Trustees.
Thank you for your generosity, your giving reaps great rewards!
Dr Mike Thompson
Chair of Friends of Murambinda Hospital
3
Funding applications supported
Extract from a proposal from the hospital pharmacy.
STATEMENT OF THE PROBLEM
Murambinda hospital Pharmacy department is going through a very tough patch in building and maintaining a reliable stock due to limited financial resources. The little the hospital is generating is distributed towards all the user departments like pharmacy, administration and settling utility bills. National pharmaceutical company (Natpharm) provides mainly primary health care commodities for the clinics, thus making a vital foundation for any health facility in the country. However, as a hospital we have little access to these medicines which only constitute 56% if fully accessed and of late we have been witnessing an order fill rate of at most 32% in relationship to our original order to the institution. There is a long list of items that are not supplied through Natpharm or that are not fully supplied by Natpharm. Murambinda hospital has always tried to go an extra mile by sourcing donations from its donor partners to support pharmacy department.
The most affected areas of our therapeutic categories are the chronic medicines. These include antihypertensive, anti-diabetics, anti-asthmatics and anti-psychotics and recently anti-biotic (injectable) Whatever we are collecting from the strategic business unit is consumed by those nonpaying patients.
Murambinda Mission hospital is the designated district hospital in Buhera. Buhera is one of the poorest district in the Country. Most of our patients are the elderly and have chronic conditions and they are not able to pay for their medications.
THE PROJECT BUDGET PER MONTH
| CATEGORY | COST |
|---|---|
| Surgical Sundries | US $ 23,000.00 |
| Medicines(chronic) | US $ 13,000.00 |
| Total cost US dollars | US $ 36, 000.00 |
| USER FEES | US$ 6,000.00 |
| RBF | US$ 4,000.00 |
| Natpharm -Donations | US$ 5,000.00 |
| GAP/Month | US$21,000.00 |
| Request for 3 months | US$63,000.00 |
4
There has been a drop in RBF due to covid 19, a drop in numbers of patients coming to the hospital due to lock down affected our RBF earnings. It has dropped from USD17, 000 down to USD15,535 in second Quarter 2021 .
This budget remains useful and effective if our clinicians stick to the hospital formulary and the standard treatment guidelines. We are targeting to achieve a bulky buying for 2 to 3 month supply so that we can as well generate more money as we have put most items on cash basis, and we will be able to maintain at least a monthly supply.
5
The Child and Adolescent Resource Centre (CARC) promotes the protection and psychosocial wellbeing of HIV positive children, adolescents and their caregivers. The Friends of Murambinda helped to set up of this service in 2008 in response to the devastating impact of HIV infection. With many parents succumbing to the disease children were left as orphans with complex physical, emotional and educational needs.
Under the devoted efforts of Mrs Evelyn Natale, the current Coordinator, the Centre has blossomed and has expanded its services throughout rural district, training and supporting volunteers to support an increasing number of children and adolescents affected by the HIV epidemic. CARC also trains a cadre of adolescents to support their peers with treatment and social and economic issues.
CARC does not receive government funding but works with the Ministry of Health and Social Welfare, schools
and village structures to protect children. It secured funding from UK AID (formerly DfID) to implement a successful microcredit programme that has improved the economic situation of a number of caregivers, but is sadly now discontinued due to cuts in UK AID. CARC has been funded over the years by intermittent and time limited resources from generous donors to Danish Seniors without Borders, SVMH and the Friends of Murambinda Hospital.
Volunteer training
6
Solar Panel Installation.
The abundance of sunshine in Zimbabwe combined with an intermittent grid supply of electricity makes the installation of solar power a sustainable way forward. The Friends have been pleased to support proposals from the hospital to enhance their use of solar power.
Successful trials of solar lights have been expanded to providing power to many hospital departments the financing of which has been achieved through the efforts and generosity of supporters of the Friends of Murambinda Hospital.
Off loading panels.
Installation on the pharmacy…
…and the out-patient department.
7
Waiting Mothers’ shelter.
The hospital has a large geographical catchment not well served by public transport. This makes it difficult for pregnant mothers who are in labour to get to hospital. Murambinda Hospital has always had a building, matumba , where near term mothers could lodge whilst awaiting the onset of labour. A separate building for cooking was also provided. Inevitably these buildings have become dilapidated and a scheme for providing a new facility was proposed by the hospital which FMH, with a help of a donor from the Netherlands and the Order of St Lazarus have been pleased to fund.
The mothers’ shelter under construction.
Cooking shelter under construction.
The new cooking shelter in use. The completed mothers’ shelter.
8
Anaesthetic machine.
A hospital in a remote rural area with a maternity department must have the ability to perform emergency deliveries. Caesarian section requires the patient to be anaesthetized. Whilst the hospital has staff to anaesthetize the patient and carry out the surgery none of this is possible without reliable apparatus with which to work. The hospital identified a more modern, suitable anaesthetic machine the provision of which will avoid the dangers of transferring patients in labour to Mutare.
The Friends’ with the help of a donor in the Netherlands, were happy to fund this purchase.
9
FMH Expenditure 2021 -2022
The Friends of Murambinda Hospital has always recognized that retention of long serving and devoted staff is of paramount importance for the Hospital.
A scheme to provide basic foodstuffs for staff has been implemented.
The charity recognizes that this limits the use of its resources for improving drug supplies, supporting structural improvements and encouraging good governance.
| Income 6.4.21 – 5.4.22 | £ |
|---|---|
| Balance brought forward | 48,736.73 |
| One off donations | 62,745.62 |
| SVMH | 37,125.38 |
| Standing orders | 23,323.00 |
| Gift Aid | 11,982.00 |
| Share dividend | 634.00 |
| Total new income | 135,810.00 |
| Expenditure | |
| Salaries and staff incentives | 26,488.00 |
| Locum costs | 2,890.00 |
| Drs Incentive payments | 13,874.00 |
| Groceries for staff | 13,152.00 |
| Pharmacy | 10,000.00 |
| Nursing demonstration room (SVMH) | 15,404.00 |
| Solar power | 23,802.00 |
| Sister Mudzingwa (paid by the trustees) | 1,200.00 |
| Waiting Mothers’ Shelter | 10,316.00 |
| Anaesthetic machine | 24,627.00 |
| Bank charges | 251.00 |
| Total expenditure | 142,004.00 |
| Balance | 42,542.73 |
Special thanks to the following for their contribution to our work.
Lyke Wake Walk Portslade Health Centre Covid Immunisations Kuenssberg Charitable Foundation In memory of Jim Robertson In memory of Raymond Potter John & Lesley Mackay’s wedding Cheltenham Cleeve Vale Rotary Club Micheline Thompson’s 99th Stewart Falconer in memory of Kate Order of St Lazarus of Jerusalem Grand Bailliewick of Scotland
10
Fund Raising
The Friends continue to be very grateful for the lengths to which fund raisers go to help us support the hospital in difficult times.
The Lyke Wake Walk . A number of intrepid runners tackled this challenging 42 mile run across the moors in July 2021 and raised over £20,000 through sponsorship.
Amateur dramatics .
Long term supporter Bill Brichieri-Colombi produces plays the proceeds of which are donated to the hospital.
London Marathon.
Nicky Portergill ran the London Marathon sponsoring Murambinda Hospital and raised £700.00 (including Gift Aid)
Image courtesy of Brian Smith and Nicky Portergill
11
Donors
As always we are deeply indebted to each and every donor for their efforts and generosity. Every contribution large or small is much appreciated both from those listed below and those not mentioned.
| AllSaints ChurchGosford | Clare and Neil Hunter | BrianSmithand NickyPortergill |
|---|---|---|
| David Jones | Marie Smith | |
| Helen Belger | ElizabethJones | David andPenny Stableforth |
| BERT Community | MaryKelly | David Stanley |
| MaryKerr | LizandAlanStark | |
| Alison and Bill Brichieri- Colombi |
Michael Kirby | F Steele |
| R Burridge | Nicholas and SallyKuenssberg | |
| NigelandElaine Carden | Robert and JLast | |
| Maryand Jim Connelly | Teresa Lawlor | Cynthia Takundwa |
| Cheltenham Cleeve Vale Rotary Club |
John and Lesley Mackay D Maclean |
Michael and Brenda Thomson |
| Professor Douglas Chamberlain | Debbie and John Matthews | GordonandFionaThomson |
| CHoICE Ltd (affiliated to City Hospitals Sunderland NHSFT) |
The Hospitaller Order of St Lazarus ofJerusalem |
Micheline Thompson |
| Louise Coidan | Alexander McCall Smith | Mike Thompson and Kay Shepherd |
| Neil MacGregor | Naomi Todd | |
| Jonathan Clark | Dr John Millard Dr RichardMillard |
Nienke van Trommel |
| A&M Miller Charitable Trust | Alison Totty | |
| Clare Connolly &Bob Cannell | JohnandMaryMiller | Suzanne Wanazala-Ryan |
| John and Ann Connolly | Gerry and S Milne | Revs. Iain and Isobel Whyte (formerlyTibden Trust) |
| L&ECrawford | Marion Mitchell | |
| JimandMary Connolly | Boris deMan | Wolsingham ParishChurch |
| Carol & John Cooper | William and E O’Neill | |
| AnnCudworth | W J Nutt | |
| AidanCullinan | OrchardHill ParishChurch | |
| Alison Davies | MaryParis | |
| Richard de Souza & M Dunkley | Dr Stephen Pope | |
| Martinand SueDennis | PortsladeHealthCharity | |
| Catriona and Sean Doran | Julie andMalcolm Potter | |
| StewartFalconer | RubyPotter | |
| Richard and Jane Fortin | ||
| PeterandMargery Grant | Clare Quigley | |
| MargaretHahn | AliceRigby | |
| MargaretHart &PeterJennow | Jonathan Rigby | |
| Judith Harvey | Richard and Carolyn Rigby | |
| KarstenandBrenda Saunders | ||
| JoannaHaward | Second WindBand | |
| HilaryHide | ||
| Keith Howard | R & J Scott | |
| Marion Howard & Richard Germain |
Dr Peter Sheppard | |
| Nicholas Glover | Ineke Sipkema | |
| David andMargaretHoward | ||
| Margaret and Lorna Hudson | John and J Slater |
12
Trustees
There are six trustees. Dr John Connolly, Mrs. Mary Miller, Dr Carolyn Rigby, Dr Michael Thompson, and Dr Michael Thomson and Nienke van Trommel of SVMH as a trustee based in the Netherlands. All of them have worked at or been involved in other ways at Murambinda Hospital in the past.
N.B. All money donated went to Murambinda Mission Hospital. The trustees bear all administrative costs themselves and give their time freely. No money is spent on fundraising, advertising or management.
FMH meeting 14th May 2022
13
----- Start of picture text -----
act Details Gift Aid Declaration
Friends of Murambinda Hospital (Reg. Charity 1073978)
I title
of (address)
Postcode
would like
Friends of Murambinda Mission Hospital to treat all donations I have
made since 6 April 2000, and all
donations I make from the date of this declaration until I
notify you otherwise, as Gift Aid donations. I will notify Friends of Murambinda Hospital
if I no longer pay an amount of income tax equal to the tax reclaimed on my donations.
Signature Date
Please return this half of completed form to Dr. C Rigby, Treasurer,
Friends of Murambinda Hospital
East Park Cottage
Hutton Lane
Guisborough
Cleveland TS14 8AA
Please cut----------------------------------------------------------------------------------------------------
-------------------------------------------------------
BANKERS ORDER FORM
To the manager of my bank Date / /
Name of my bank Bank plc.
Address of my bank
Postcode
Please pay Friends of Murambinda account no. 40-52-40 00006100
at Cafcash Ltd, Kings Hill, West Malling, Kent ME19 4TA
the sum
of £ every month/quarter/year delete as requi
starting /
on / until further notice.
Please debit my account no.
Name (capitals)
Address
Postcode
Si d
----- End of picture text -----
14
Contact details:
Dr Mike Thompson, Chair 55 Wilbury Avenue, Treasurer,
Dr Carolyn Rigby, Hutton Lane, Guisborough TS14 8AA
f.m.h@live.co.uk
Donate whatever you can:
-
Online at www.fmh.org.uk
-
By sending cheques payable to “Friends of Murambinda Hospital” to the treasurer at the address above
-
By filling in a standing order form above.
-
Or if you have a nonUK bank account please contact the treasurer for SWIFT and IBAN details.
~~Murambinda Mission Hospital is a beacon of good care. It is more~~ reliant than ever on external funding due to conditions within Zimbabwe.
FMH relies entirely on donations to pay for the projects we are asked to fund.
All donations go to help projects at Murambinda; none is spent on administration.
All administrative costs are met by the trustees; we have no paid employees, no advertising or fundraising costs.
15
CHARITY COMMISSION FOR ENGLAND AND WALES FRIENDS OF IIURAIIBIIIDA HosprfAL Receipts and payments accounts CC16a For th• p•rlod To Section A Receipts and payments nd• nd• Totsl lundB A1 R•¢•l C*•E OFF tQNA TAX RECmED ON alFf Alo DC>PIATIONS STANDING ORDERS 11.817 J23 OJ7 Sub tot•l(Gros8 AR) 1)6Jl0 IX•19 IM• tsbl•l. ub totsl 1¥810 138,qO7 13,152 10.fYAI
JA2 15,404 1&404 x)¥ •nkC Sub t•l 142.1#)4 14llX)¢ A4 A•••t and In¥••lm•nQ r¢h••M. •w t•bl• Sub tot•1 1411)04 14004 123.082 N•t of rnc•lptsl(p•ym•nts) . AO Trnn•fw• I(w••n fund• A8 Cuh lund• l•t y••r •nd sh funds thls y••r •nd 15,68 48,737 41543 48.737 41543 33.152 48.737 CCXX R1 •¢>>Junts ISSI 121111%J22
Section B Statement of assets and liabilities at the end of the period Unmtri¢t•d nd• to rwrwt£ Restricted nd• n••r•rt Endowm•nt lund• to M•rntÉ Categorl Tof•l ¢uh lund 41543 nd• Details Oetails Fund to ¥•thkh Amourt d D•t•ll• 88 Ll•b115tl•• Sh3ned by orn or ¢)n t•h•K ol all IM trLtyt D8te of o¥•1 aoLyN RIGBY 9.4.22 CCXX R2 ISSI 12111r21J22
CHARITY COMMISSION FOR ENGLAND AND WALES Independent examinerfs report on the accounts Section A Independent Examiner s Report Report to the trust•MI Friends of MurambirKla Hospital On account• for the year ended 5th Apn'l 2022 Charlty no (If any) 1973978 I report to the trustees on my examination of the acc¢wnts of the above charity {Ihe Trusf) for the year efKled 05n)4r2022 R••pon#lbllftlM and As the thanty tr1088 of the Trust, you are reSS1b1e for the weparation •1$ of report of the accounts in acwdance with the requirements of the Charit8 Aca 2011 (Ihe Arf). I reF#Yt in re¥d of rny examination (rf thé Tntst's &c¢xJnts camed CAA urMJer section 145 of the 2011 Act ar#J in carryiry out my examination. I have followed the applicable reetts grven by the Charrty Commiss under section 145(5llb} of the A(. I have crynpleted my examination. l ¢onfim that no material matters have come to my attention (other than that disdosed below ") in connection with the eXam1r giv88 m• cause to beliove that in, ary material Independent examlne¢8 8tatsm•nt Act or the a¢¢ount$ do not accord wrth the acccwJnbry recuds wrth the examination to vthich attention should te drJ4m In ¢ydef to enat4e proper understanding of the accounts to be read)ed Slgn•d: Dat•: | 10110r22 Nam•: Claire QuleY quallficaorfs) Or botty Ilf any): Bngmon BN15DG IER October 2018
Section B Disclosure Only complete rf the examiner needs to hwhlight matters of cOnM (see CC32, Independent 8MInation of charity accounts: directions and guidan for examiners). Give hern brl•f d•lakn of any items that th• examiner wish•s to dl•cloM. IER Octob•r 2018