Charlty registration number: 1078353
HEALTH HELP INTERNATIONAL
Annual Report and Financial Slalements
Iof the Year Ended 30 November 2023

HEALTH HELP INTERNATIONAL
ANNUAL REPORT AND FINANCIAL STATEMENTS
Year Endèd 301h November 2023
CONTENTS
PAGE
Trustees and Professional Advisers
Trustees Annual Report
Independent Examiner's Report
15
Statemènt of Financial Activities
16
Balance Sheet
17
Notes to the Financial Statements
18

HEALTH HELP INTERNATIONAL
TRUSTEES AND PROFESSIONAL ADVISERS
Charlty name
Health Help International
Charity registration number
1078353
Prlnelpal offic8
Brynhyfryd Road
Newport
South Wales
NP20 4FX
Patron
Mr R W Prosser
Trustees
Dr C John
J Spurner-Davie5
Dr E Plummer
Mrs S Chalmers
C Byrne
I Park
G Thomas
8ankèr8
Lloyds TSB
42 Cornmèrci21 Street
Newport
South Wales
Monmouthshire Building So¢iety
John Frost Square
Newport
South Wales
Friends of the Banyan Tree I￿0 accounlsl
NaiiNesi
The Square
Willerby
East Yoikshire
HU10 7UA
Slralhaven Friends of HHI
Bank of Scotland
13 Common Green
Sirathaven
L10 GAQ
Indepgndent Examlner
Mr W K Paine
44 Pettingale Road
Croesyceiliog
Cwmbran
Torfaen
NP44 2NZ

The trustees have pleasure in presenting their report and the financial statements of
the charity for the year ended 30 November 2023.
ORGANISATION AND STRUCTURE
Health Help International {HHI, the Charity) became a registered charity on 25
November 1999. The Charity was originally set up to provide funds and assist
Mpongwe Mission Hospital in Zambia, and was known as The Mpongwe Mission
Hospital Appeal. The Charity is unincorporated and is governed by its constitution.
The Charity's registration number is 1078353. The Charity's patron is its founder, R
W Prosser.
The trustees
The trustees who served the charity during the year were as follows-
Dr E Plummer (Chairman)
J Spurrier - Davies (Secretary)
G Thomas (Treasurer)
Mrs S Chalmeis
C Byrne
Dr C John
I Park
For the first accounting period the original trustees were those people who adopted
and signed the Constitution. The truslees run the affairs of the Charrty, but delegate
much of this work to the Management Committee which comprises some members
of the trustees and volunteer organisers. There are no paid employees. At the
annual general meeting all members of the trustees shall retire from office but can
offer themselves for reappointment. The Management Committee who served during
the year were..
J. Spurrier- Davies
Mrs J Williams
M Hopkin
B Medhurst
C Byrne
I Park
E Plummer
Mrs H Winstanley
T Hatherall
Mrs E Jones
Ms V Harding (August to October)

In addition to the above, the Friends of the Banyan Tree is a subgroup of HHI, which
raises funds for educational and other projects in India and liaises with the Centre for
Dalit Studies and Action (CDSA) in India. Its members are..
P Baker
Mrs S Seabon
A second subgroup is the Strathaven Friends of HHI (SFHHI) who raise funds for
HHI in Scotland. in particular in Strathaven and the surrounding area. Their
members are..
lain Park
Mrs Helen Baird
Willie Cooper
lan Gow
Mrs Margery Menzies
Mrs Kath Russell

Appointment and training of trustees
The trustees are appointed from individuals who have expressed an interest in the
Charity New trustees or members of the management committee are always
welcome.
Objectives
The object of the Charity is to relieve persons who are in conditions of need,
hardship or distress by reason of their social or economic circumstances by the
provision of medical treatment. medication, facilities, buildings, equipment or other
necessary supplies.
The thinking behind Ihe vwork of the Charity is a re501ve to obey God's Gommand to
love our neighbour as ourselves, to heal the Sick and care for the weak and poor of
this world. We seek to do this by supplying medical equipment and funding medlcal
aid to those unable to afford hospitalisation or treatmenl, providing money for special
needs school infrastructure and running costs, arid funding humanitarian and
educational help to those who need it most, in particular the disabled. We currently
do this in Zambia and India. We consider that self-help is important for the dignity of
the recipients and where possible we ensure this plays a part.
REVIEW OF THE YEAR- OVERALL
We have referred to the guidan￿ contained in the Charity Commission's general
gui(iance on public benefit when reviewing our aims and objectives and in planning
our future activities. We review our aims, objectives and activities each year. This
review looks back at what we achieved and the outcomes of our work in the previous
year. This review helps us ensure our aims, objectives and activities remain focused
on our stated purposes. The work of this charity is only restricted by the funds we
have available, which are received from the kind and generous giving of private
individuals and churches who continue to support our work, and occasional grant
funding from charitable trusts. We strive to help any person or groups of people in
most need without restriction or discrimination in our current areas of operation in
India and Zambia.
REVIEW OF THE YEAR- INDIA
The effects of Covid-19 are over, and it has been a year of "business as usual. for
HHI in India. We have been able to maintain our usual full programme of delivering
help to those who need it most in the extreme south of the country, as well as in
Odisha {Orissa).
Our India lead Edmund Plummer visited in January with a film crew from Big Picture
Charity Films who produced a number ot exTrllent short videos at)out tlie various
aspects of our work in India. These are available to anyone interested on our
website hhi.org.uk or on Vimeo, and have proven very useful in generating interest

and promoting our work. The costs were entirely borne by one of the HHI team, and
so did not have any impact on our charitable work.
The visit enabled an inspection of all aspects of the work that we fund (with the
exception of the work in Odisha, which is in an inaccessible part of the country), and
it is all clearly going very well, being conducted very effectively and efficiently We
are completely satisfied that our Indian partners are spending our money wisely and
well.
At other times communications have been maintained via email and WhatsApp.
During the year we encountered signrficant problems with sending out money,
primarily due to the Indian authorities introducing new restrictions on money being
sent from abroad to NGOS, but not telling anyone, and rejecting payments with
crypIiG Gomrnent5. This was eventually resolved. and it is a great Gredit to our Indian
partners that they were able to maintain their activities despite the hiatus in the flow
of money.
The transfer of Agha Kiran Ashram, our special needs centre for disabled children
in Tamil Nadu, to Grace Ministries progressed gradually throughout the year, and the
end is in sight. It is a slow process, as seems to be inevitable when dealing with
Indian burÈ2ucracy. but our partners have persisted and we are nearly there.
Celestial Ministries, the Indian NGO that operates Asha Kiran Ashram, will continue
as a component of Grace Ministries, but its religious aspects have been transferred
to Grace Ministries leaving it as an educational. medical and social enterprise: we
are hoping that this will ease relation5hip5 Wlth the Slate authoiitie5, whi15t allowing it
to maintain its own distinct ethos. New trustees have been appointed who bring a
commendable variety of experience and expertise, and bank accounts have been
adjusted. The current director, Santhosh Kumar, will stay on for the time being as
managing trustee in order to provide continuity, bul will gradually move on to a well-
ÈarnÈd retirement.
The children are making good progress. A stimulating environment, physiotherapy,
special needs teaching, vocational training and fun and games with their peers all
combine to greal effect. The staff are dedicated, hard-working and skilful. Much of
the ground lost during the Covid years has been made up. We are very happy with
what Is happening there
The story at Happy Valley Special Therapy Centre is very similar. If Happy Valley
did not exisl, the children would go to a state school where they would be neglected.
There are state special needs (SNI schools, but these try lo teach the national
curriculum with a couple of SN sessions a week thrown in. so they are not much use.
Happy Valley does mostly or all SN work. If a child has an "accident" Happy Valley
sorts it out, whereas a state SN school does nothing and calls the parents in. So it
gives a much better service. As a result, the children are developing to the fullest
extent that they are capable of, often with surprising results. The centre also
provides respite for their hard-pressed families,
A purpose-built building. owned by the centre, remains the long term hope and aim,
but the costs associated with this are daunting.

We continue to benefit from long term funding for much of the running costs of Asha
Kiran Ashram and Happy Valley from Blackwood Engineering Trusl, a trust
associated with a local engineering company which trades with India and wished to
return some of its profits to those most in need in that country. We are very grateful
for this.
Thanal House is a residenlial home for destitute women who were living on the
slreets., many have severe psychiatric problems. It has continued to function without
needing our intervention. Numbers have been reduced to about 20, allowing a
greater level of care fof those who remain. The work is carried out by Salini assisted
by her husband Sanil and her mother Valsala. The effects of lockdown, particularly
the drop in local support such as support'in kind" remain, which is putting a
considerable strain on their finances. We are doing our best to help.
Shibu, our regular"bystander" (an unofficial nursing assistant) at a government
hospital in Trivandrum, continues to do wonderful work, looking after anything up to
dozen patients who have no-one to care for them during their stay in hospital.
Without such care they would not be admitted,. thus his presence provides a very
cost-effective way of getting trealment for people who would otherwise be denied it.
He also acts as a point of contact for the medical staff, who will often draw his
attention to the needs of destitute or poor patients who need his services, help with
the costs of medical supplies or transporl, and the like. He has an ex￿lIent
reputation and relationships with the doctors and nurses at the hospital. H H I
provides the costs that he incurs on behalf of others, as well as providing him wrth
board and lodging and other necessary supplies. We also support his mother, who
Is in a nursing home, in lieu of salary.
Credit unions continue to provide invaluable financial and social support to a wide
variety of women of very limited means, across caste and religious divides We are
continuing to contribute towards the administration costs (two salaries and transport)
of a group of over 130 such credit unions. These allow women to work together,
pooling their resources so as to enable any member to borrow money for an agreed
purpose - to set up in business, purchase livestock, meet a medical bill, pay for
education or pay off loan sharks are typical. Checks and balan￿S are in place to
prevent fraud and to engender trust. The unions also provide a social forum for
members to discugg problemg and >rèag of concarn. The number of su¢h group8 18
increasing, demonstrating their value.
Tuition groups supplement slate education (which is often of poor quality). The
number of such groups has flu¢tualed over the year- sometimes a group shrinks to
the extent that it is no longer viable. or the teachers prove unsuitable, but there is
always a demand for such groups. and replacements are therefore started at the
beginning of the new academic year. This year we ran six then five such groups,
catering for about 100 children. The children come for an hour or of extra
tuition, either before or after school. with longer on a Saturday, and also a more
extended programme over the long vacation (Aprillmayl, The groups are each led
by a graduate who would otherwise be unemployed. Experien￿ has shown that
such groups provide a huge boost to the children who attend, either by reiteraling
what has been taught in school but has not been fully understood, giving a preview

of what is to corne, or by filling in missing parts of the curriculum. Pass rates have
soared in areas where such groups have been established. Funding of the groups is
primarily from our autonomous sub-committees, the Friends of the Banyan Tree.
The Friends of the Banyan Tree also support the Centre for Dalit Studies and
Action ICDSAI. an established, proven and successful community project operating
at Idinjar on the verges of a tribal area in the foothills of the Western Ghats,
providing luition groups, a vacation programme, a medical centre and community
nursing for an isolated and disadvantaged area.
We 21so provide money for medical treatment, operation3 and the like. We
continue lo send out tnoney regularly for these and immunosuppressant drugs for
kidney transplant patients which is distributed or used as the need arises We also
send out regular support for the medical and living costs of about 40 particularly
needy people who need to purGhase expensive medicines long term. We continue
to send out money for the more major operations and expensive courses of
treatment as and when it is needed. These are declining due to the gradual spread
of government provision of such services, but some such needs remain, and it ig
particularly gratifying that this year we have been able to meet many such requests
from our India partners.
The craft centres continue to be largely self-supporting, although they need lo find
more outlets for theif work. These provide employment for women who are
unemployed, whose husbands have left them or are invalids, or are otherwise in
need, they are empowered to help themselves. They make cards, painted leaves,
plaited wrist-bands, tea towels, pencil cases, tote bags and so on. Our Scottish
friends continue to show a lot of interest in the cards which include painted leaves,
including local scenes, and market these online very successfully.
The persecution of Christians in Orissa is well known We provide for monthly
medical camps amongst people who havè been displaced by such violence and
intimidation., sadly the need for these remains and may well increase.
We continue to provide Income generating opportunities, mainly by means of
training in sewing and the provision of subsidised sewing machines. There is a good
demand for their skills, and about three quarters of Ihe women who complete the
tralning are able to use their skills, either in employment or in a cottage industry, so
as to support themselves and their families.
Rev Dr Santhosh Kumar, of Celestial Ministfies, administers the work of Asha Kiran
Ashram. The rest of the work is administered by our partner at The Banyan Tree in
India, Philip Mathew, Salini Sam Joseph at Thanal Housc, Chandra Babu at CDSA
and Pastor Wilson Kochukunju {Director of BGM Social Service Centre, providing
credit unions, employment opportunities and medical and agricultural support). All
our partners have agreed verbally and in writing to comply with our safeguarding
policy.
Philip Mathew has announced his intention to retire when he turns 60, in January
2027. We have agreed that he will appoint an assistant as soon as he can, who can

learn everything, lighten his heavy workload, and take over in due course. Philip will
retire to the north of the state to his family.
Plans for the future in India (2023124 objectives)".
To maintain our life-saving and transformative work, and to expand it, to the
extent that our funding allows.
To review current funding of all the various activities and projects that we
support. so as to ensure that funding Is used in the most cost-effective manner
possible and is aligned as closely as possible with the aims and objectives of HHI.
To maintain funding for The Banyan Tree, an Indian registered charity, providing
support for health-related activities, the disabled, tuition groups and other assistance
as far as resources allow.
To put in place a succession plan for the current director of the Banyan Tree,
Philip Mathew.
To mainlain funding of medication for and treatment of kidney patients, heart
patients and other patients
To maintain and, if possible, to develop the services available to disabled
children in the Nedumangad area within the Gurrent budget
To maintain funding of Thanal House and Asha Kiran Ashram.
To facilitate the transfer of the work of Asha Kiran Ashram to Grace Ministries.
To provide funding for medical Ireatment and other aid, as requested, to the
greatest extent possible.
To investigate new funding opportunities and projects that we might initiate or
support.
REVIEW OF THE YEAR- ZAMBIA
Exocutivo Summary
From December 2022 to November 2023 our work in Zambia has continued to
support the disabled and their carers into sustainable living following the food
donations they received during the pandemic. In addition, we have reinstated our
termly support lo physically disabled students as they have returned to school post
pandemic and our financial supporl to the schools and hospitals has Increased. With
the financial support from HHIUK, our sister organisation in Zambia IHHZ) continues
to identify those in greatest need and organises their help HHZ continues to flourish
with guidan￿ from the board of trustees under the leadership of its chairperson Mr
Fancy Gondwe. To capture the Inspirational good work which is being achieved
through HHI working in partnership with HHZ, the Big Picture Charity Film IBPCF), a
charitable film organisation visited Monze in Sept 2023. The films which have been
produced will be available for public viewing in 2024. The BPCF visit and expenses
were personally paid for by a HHIUK committee member.

HHZ Staff and Trustees
The HHZ Board of Trustees, in accordance with their constitution, met regularly and
invited HHIUK to table is.%Lies for discussion. Minutes of the meetings weie ieported
to the UK.
During the annual general meeting in October 2023, four new board members were
elected following the retirement of three previous members. The new members are
Brother Innocent Phiri (Holy Family), Mrs Peggy Kalima (House mother, Choongo
School), Mr Arthur Bweupe (Head teacher, Nanga school) and Prisca Hatembo
(Senior teacher, Muumba school).
Monthly reports and accounts continue to be sent by email to the UK for scrutiny.
along with funding requests and project proposals. The HHZ accounts continue to be
scrutinised by a volunteer within HHIUK and all Ihe income received and expenditure
generated by HHZ has been recorded and iecoriciled to bank statements.
HHZ has strengthened its partnership with local health institutions such as Holy
Family and Monze Mission Hospital. In June 2023 HHZ was successful in their bid to
the Bank of Zambia for support and re￿IVed £2,000 worth of mobility aids for
distribulion. Additionally, as a result of the oartnership mad@ between HHZ with
Water Aid in 2022, a hand wash basin was installed al the entrance to the HHZ
compound in January 2023 for all visiting Clients to use freely.
The sections below describe the work done in more detail.
Management and Staffing at the Monze Centre
The I IHZ staffing has been slightly reorganized to include a full-time member of staff
namely Ms Mwanza Mpofu who has IT skills and social work qualifications and can
support Mrs Brenda Chileshe in the day-to-day work as administrator for HHZ.
Frank Sichama was not re-appointed as driver in January 2023 but John Mwansa,
one of the HHZ security guards, has received driving lessons in order to act as driver
for the HHZ outreach programmes. Tawanda Vinya and John Mwansa remain as
full-time security guards. The remaining four member5 of staff include two
seamstresses, one carpenter I handyman and one cleaning lady.
As in 2022-3 all eight HHZ members of staff have continued to be employed as full-
time workers. In April 2023 all the staff re￿IVed an increase in their pay to reflect
Stalutory Zambian Labour requiremenls. Three members of staff are disabled. HHZ
has joined NHIMA (National Health Insuran￿ Management Authority). The
employee contribution of 10/0 is paid by HHIUK.
All the staff have received sign language training which was given at no cost by Mrs
Mwila, a former HHZ trustee. The staff use their signing skills when required each
day as they carry out their tasks and engage with clients.

Income generation and repairs to the HHZ premises.
The staff and trustees continue to maintain HHZ premises. The forecourt to the HHZ
compound ha8 heen concreted aiding whe8lchair and vehicle access. There is a
new, more prominent sign outside the compound gates with the full name and
address of the charity along with its mission statement. It can be clèarly seen on the
approach from the main road in Monze.
HHZ has continued to raise some of its own income through guest room 8nd
premises rentals and approximately £3,900 was raised by HHZ during the financial
year 2022-2023. This has enabled HHZ to fund, independently of HHIUK, essential
food supplies and some emergency training college fees for vulnerable disabled
people whom they have encountered in their outreach programs.
Safeguarding policy
The safeguarding policy adopted by HHZ has continued to be updated, and a
safeguarding committee has been appointed consisting of Ihree HHZ trustees. All
clients and recipients who receive financial help from HHZ are asked to sign a
safeguarding document permitting HHIUK to use their images and details for UK
newsletters and website updates.
Charity work with Individuals
During 2023 HHI has provided start-up capital to 56 individuals who were previously
receiving monthly support throughout Covid. This was one of the key HHI objectives
for 2023. Those who have reGeived startup capital have been monitored and
supported by HHZ. The vast majority of clients have successfully established
busine55e5 and are now sustaining themselves or their disabled dependants.
The ongoing monthly support given to disabled individuals who have received HHI
support for some years ha5 continued. and, when necessary, medicines and hospital
transport has been paid for thos8 seeking help in emergency situations.
Physiotherapy sessions at Holy Family have been paid for by HHIUK for those
individuals who have been discovered by HHZ to have been without physiotherapy
support since their diagnosis.
A new partnership has been established with Holy Family which will redu￿ the ¢ost
for HHI in providing artificial limbs for those in need. HHZ will buy the raw materials
with HHI funding and Holy Family craftsmen will make the limbs for free. Another
need which has arisen in the partnership with Holy Family is that of proving food for
the 122 disabled sludenls in the Holy Family school. HHI has agreed to support
Ihese students with a small monthly contribution in the same way as support is given
to Muumba and Nanga schools.
Wheelchair repair, servicing, and practical support for the disablgd
The free wheelchair repair service has been maintained by the competent HHZ
carpenter I handyman, Robbie Mooya. Anyone who needs wheelchair maintenance
can visit the HHZ compound and receive attention. The material estimates are
ommunicaled to HHIUK via the monthly reports and funding is included in the
10-

monthly allocalion. In conjunction with the Holy Family Physiotherapy Centre,
standing frames are made specifically to order for children with cerebral palsy.
Wheelchair servicing has also been regularly carried out as part of the HHZ outreach
work in the disabled unit in Choongo School and at Nanga Special School.
One important development which has started in March 2023 within the wheelchair
repair service is training in wheelchair repair whiGh is given freely to suitable disabled
students. The trainees are learning how lo repair and maintain wheelchairs so that
when Robbie retires, they can continue this valuable work and, in the meantime, they
can set up their own repair service to generate an income. Six students graduated
during 2023 with the necessary skills to repair wheelchairs.
Feedlng support and equipment for Monze M18sion Ho8pitsI
The children's ward and the malnutrition waTd in Monze Mission Hospital continue to
receive monthly funding from HHIUK via HHZ. The nurses are extremely grateful for
this financial supplement as it aids healing. The funding is also used by a senior
nutritional nurse to provide weekly demonstrations to mothers on how to prepare
nutrilional food on a low budget to prevent malnutrition in their children. During the
September 2023 visit to the hospital. HHI handed over unwanted and unused stoma
and colostomy products. These were gratefully received by hospital staff.
The 2022 request by the hospital doctors for a new autoclave has been successfully
answered by HHI. £19,500 was raised in 2023 and this paid for the autoclave in full
and also included a conlribution towards shipment costs. The autoclave left the UK
in August 2023 and is expected to arrive in December 2023 for installation in
January 2024. The provision of this important ple￿ of medical equipment was one of
our main objectives for 2023
Support for Schools
Muumba School continues to re￿1ve monthly funding to feed the growing number
of pupils. 409 are now attending the school which includes 173 orphans and
vulnerable children. In 2023 Ihere was a need to increase the monthly contribution
towards the midday feeding programme from £140 per month to £180 per month
{depending on exchange rate) because of increased costs of mealie meal and
maize. The parenis continue to prepare the food each day. The Head Teacher has
given HHI positive feedback on the beneficial effects of this feeding programme.
The separate male and female flush toilets and disability ramps previously provided
by HHIUK have cenainly made a differenc8 to pupils, attendance during 2022. The
girls, attendance and exam pass rate continues to match that of the boys.
Prisca Hatembo, who is a physically disabled person who has been supported by
HHI since 2009, is now a senior teacher in Mumba school. In the September 2023
HHZ annual general meeting, she was appointed a trustee of HHZ.
Mr Bbilika, the headteacher at Muumba school, requ8St8d help from HHI to fund a
shelter so that the children could eat their lunch in the shade. There was no shade at
all in the school grounds. A corrugated iron roof was erected on a sturdy wooden
frame as an initial plan but mango tree saplings were also plantad by the students as
11

an environmentally friendly provider of shade. Both the funding and mango tree idea
were provided by HHI.
Nanga Special School
Nanga Special school has continued to benefit from the Active Daily Living project.
Crops during 2023 were good and the students have been empowered wrth skills for
growing and producing nutritional food for their daily diet. As well as banana saplings
a booster pump was supplied by HHI to aid Ihe irrigation systèm The sale of the
vegetables has given the school some income and an improved diet. Termly school
fees from the parents are often lacking and it is challenging to feed all 48 students
when only 18 students have paid their fees. As a result, HHI has started to contribute
a monthly amount to help bridge the deficit.
The solar panels on the Nanga dining room are still being well cared for by the
Nanga staff and they continue lo supply the students with electricity for lighting and
the laptops which HHI donated during their Seplember 2022 visit. Students are
becoming proficient in using the Raspberry Pl software and they are using laptops
effectively to assist in reading English, using power point, and signing.
Choongo School disabled unit.
Two of the main needs at Choongo School have been addressed by HHI during
2023. A new kitchen has been provided by HHI following the welcome donation
received from BPCF. The new build brick kitchen will enable the house mothers to
prepare food for the disabled residen￿ with light and electricity.
A new boys, toilet has also been built in 2023. It has a ramp for wheelchair access
and supportive handrails.
Support for individual students Into education
Throughout 2023 HHI continued to support 17 young disabled students into
residential educational places in special schools. In October at the end of the school
year two of the students graduated from their special needs units and have moved
onto higher education. This left spaces for other students to be receive support. Five
more students who desperately needed help were identified by HHZ and added,
bringing the total to 20. AII 20 will receive financial help every term for their transport,
residential fees, and ststionery.
HHZ continues lo monitor the students who receive support. Student progress
reports are received from the schools and sent lo HHIUK. This includes letters of
thanks from those students reaching their final terms of education.
Menstrual Hygiene Project and tailoring training.
The menstrual hygiene outreach work continues to deliver a free Servi￿ to sever81
schools in the Monze District. The HHZ seamstresses liaise with the charity,
Zambian Women and Girls (Zam W & G) so that the outreach visits are coordinated
and not duplicated.
12-

During the school holiday time the HHZ seamstresses Alistair and Primeldah make
the packs which inclL5de environmentally friendly sanitary protection and new
underwear. During term time aripointments are made to visit L
ohoola and often up to
500 -700 packs are given to the students in each school following a lesson on
menstrual hygiene awareness Staff in the schools have given feedback to HHZ
expressing their appreciation and confirming that female attendance has remained
high following the receipt of the menstrual hygiene packs. Funding has been sought
to help maintain this essential work.
The HHZ seamstresses also provide training for indtvidual disabled people in the art
of dress making Several disabled ladies have successfully completed their tailoring
course during 2023 and have gradualed with a new sewing machine paid for by HHI.
Sewing supplies such as cotton, scissors and needles were taken to Monze by the
UK visitors in September 2023, and they were gratefully received.
Objectives for December 2023 to November 2024
HHI aims to continue to support HHZ in a full range of activities again this year but in
particular will be lookin9 to achieve the following.
To continue to help individuals with medical needs and to give support to the
disabled with an emphasis on sustainable living.
To provide funds for the mobility aid repair programme and to encourage the
HHZ carpenter to continue to help in any way he can to facilitate the practical
mobility needs of the disabled in schools and homes.
To encourage and support the wheelchair-repair teaching prograrnme.
To continue lo train suitable candidates in tailoring and on completion of their
training to provide them with sewing machines.
To continue with the new partnership with Holy Family thus benefiting those
requiring artificial limbs and to continue feeding the disabled student in the Holy
Family school.
To continue to support Mumba school and Nanga school and to contribute to
feeding the students.
To provide a new dormitory for the disabled students at Choongo school
To continue to support the 20 disabled students into education despite the rise in
school fees.
To continue to support HHZ in their own income generation ventures.
To continue to fund Ihe feeding programme & the nutritional education
programme in Monze Mission Hospital and to consider any new medical requests for
funding.
-13-

FINANCIAL REVIEW
Results
During this financial year the Charity raised a total of £217,126 (2022. £168,694),
mainly from the generous support of individu21s, and spent £216,605 (2022..
£192,797), the vast majority on pro}ects in Zambia (370/0) and India (58 % l The
remaining 50/0 of expenditure represented the UK costs of running the charity., these
are mainly printing, postage, insurance and travelling (covered by a donation by the
travelleri. The increase in both income and expenditure, and the excellent balance
between income and expenditure, are particularly gratifying.
Reserves Policy
The level of available unrestricted fund5 at the end of the year amounted to £37,223
of which £33,230 was immediately available12022.. £32,366 1 £22,984). The level of
unspent restrieted funds at the end of the yeaf was £46,633 {2022'. £50,969), which
will be spent on those projects as shown in note 10 to the statutory financial
statements. The trustees monitor the level of available money regularly throughout
the year and decide on how much to retain dependent on need,. currently they regard
a target of about £25,000 (about three months, core expendilure) for the unrestricted
balan￿ as reasonable and are satisfied that this target has been achieved.
Investment Powers and Restrictions
The Charity has no investment powers 8XGept to place any surplus funds into deposit
accounts.
INDEPENDENT EXAMINER
A resolution to appoint an Independent Examiner for the ensuing year will be
proposed at the Annual General Meeting.
Signed by order of the trustees
J Spurrier-Davies
Secretary
Date
-14-

HEALTH HELP INTERNATIONAL
INDEPENDENT EXAMINEifs REPORT TO THE MEMBERS OF HEALTH HELP INTERNATIONAL
Yoar ondod 30 Novomb•r 2023
I roport on the accounts of the Twst forthe year ended 30 Noverrkner 2023, vthh* are 8et out on p•ges
10t¢15
R••p•ctlv• r••pon•lbllltl•• of tru•kn•¥ •nd •x•mlnor
Tha tNstee8 respon8lbl8 for the prnparalktrn of the accounts. The tnjstees o)nsld8r that an oudtt IJ
not rèquKed for thls year under 3ecllon 14412) of the Ch8ritle8 Ad 2011 { the 2011 Act) and that an
dependent Oxarrlnet￿n kn needed.
It b ry r8spon8lbllty to:
examkn8 the acrAunts under 5eGtbn 1445 01 the 2011 A¢t:
folbw tho proe•dures la￿ do￿ In the Gonornl DlrgCtlk)n$ glven by th8 Charfty Co￿￿745￿n
under8edk)n I45{5)￿) of the 2011 Act: and
ststa ￿￿@thOr partth&r matter8 have ￿me to my att8ntlon.
B••l• of Independent ox•mln¢f• r•port
exornlnaknn ¥**e8 £*nled oul In accordance *lth Iho Genernl (knctlon8 gwgn by tho Ch•Ylty
CornyssKJn. An 0Xa￿lnat￿n includes a revi8w of the a￿ountIng reo)rJs k8pl by tho thartty and a
comparison of the accounts prosenled vllh these rneords. 11 also inthdes o)nswJeration of any unusual
or dlyck>sures In th8 accounts, and seekkng explanatbns I￿rn you as tW8tg8s concomlng any
such matters. The procedures undertaken do not provKle aH the ovKlen¢4 that Y+tiuld be ￿quired wi an
audit and con88quentty no opinkjn is given as to vknethortho a¢counts prn86nt 8 and fairvl8W and
the report k8 lirrdted to thosa matters 8et out in the statemnt beh>w.
Ind•pond•nl •xamlnof• ststom•nt
In ￿nnect￿n wlth nry oxarrlnat￿jn. no nwtter has c£srr* to my att8ntK>n:
(1 } glvos reesonoble cause to beligve that wi any rn8t8rfal the rnqutreTrwnt
to koop ac￿Untr9 li att0ffjan￿ SeCth)n 130 of the Act,. 8n¢J
to prepaiB 8(Younty 8G¢xtrrd vAth th8 Bernunting r8cx)rds and coryty
the a(￿OUntIng rBqukBmBnts of the 2011 AGt have nol been ￿1. or
P) to wh*h, oplnh?n. attentk>n should ba drawn In 0￿er1D enabl8 8 proporund8r818ndhg
of tho secounts to bo rnachèd.
WK Poln•
Ind806ndent Exanlnèr
44 Pettinaale Road
Croesvcalba
Torf88n
NP44 2NZ
Date
-15.

HEALTH HELP INTERNATIONAL
STATEMENT OF FINANCIAL ACTIVITIES
Year Ended 30th Novgmber 2023
Unresirleted
Funds
R•$trlclod
Fur#
Tclal Funds
2D13
Total Fu
2022
Ineome from:
Donations
Fundrai5inq
Investmènt rncomg
91,741
96.439
28,787
188,180
28,787
159
159,681
8,924
109
159
Total incoming resauTC•S
91,900
125,226
217,126
168,694
Exponditurg on..
Ra151ng lunds
Charltsble a¢￿VIll*S..
Donaltons made to b8nefici3ri8$
C0918 of shipping Container
Direct admlnistratlon 8nd trav&1
Cost of trallsferring funds
3,282
3.282
1.631
78.817
131,077
209,894
187.727
3.016
257
156
3,172
257
308
Total r8sourco$ *xpended
85.372
131.233
216.605
192,797
Net In¢om8 bèlorg transtsrs
Gross Ir2n8foTr belyveen funds
Net Movem¢rrt In fun(t$
6,52e
11,6711
4.857
16,007)
1.671
521
124,1031
14,3361
521
124.1031
Rè¢onclllatlon of funds:
Total funds brought forwa
Total funds carrlèd fonvard
32,366
37,223
50,969
46,633
83.335
107,438
83,335
63,856
16

HEALTH HELP INTERNATIONAL
BALANCE SHEET
As at 30 Novemb•r 2023
FIXED ASSETS
Tangible Assets
CURRENT ASSETS
Stocks
200
200
Debtors and Prepayments
Cash at bank
4,065
33,096
37,361
4,065
79,729
83,994
4,680
78,65S
83,335
46,633
46,633
CREDITORS.. DUE WITHIN
ONE YEAR
138
138
NET CURRENT ASSETS
37.223
46,633
83,856
83,335
NET ASSETSIILIABILITIESI
37,223
46.633
83,856
83,335
FUNDS
Unrestricted
Reslricled
Oeswnated
37.223
37,223
46,633
32,366
50,969
46,633
37,223
46,633
83,856
83,335
Approved by Ihe board of Iruslees on
l J I lo 2 Lfr and signed on Ihelr behalf by..
IIFI4y
E Plummer Ichalrmanl
homas FCA ITr?a5urerl
The notes on pages 18 to 21 form part of th0$0 Iln4nclal statem•nts.
17

HEALTH HELP INTERNATIONAL
NOTES TO THE FINANCIAL STATEMENTS
Y•ar •nd•d 30 Novgmb•r 2023
A¢¢ounlng policles
Ba$ls of preparA￿on
The flnanclal 5talement5 hav8 been pr8pargd under the historical cost convention and in aceardaneè
with the Slalem8ni of Recolnmended Practice 'Accounting and Reporting by Charities FRSSE,.
affective lor accountin9 penods egmm¢n¢in9 aft01 1 January 20 15. and Ihe Ghantyes Aa 2011.
Fund accountino policy
UnTeslricted in¢omg funds ar8 gener#1 funds that are avaikble for us8 at th8 Truste85' discrgtbn h
furtherancè of the objectwg$ of th¢ charity.
Restricted fkjnds are thos8 donated for use in a particular area oi for partkular purDoses. the usè of
hiGh is re&lriGle¢J 10 Ihai areg or purpose.
Furthèr details of each fund 8re di￿105ed in note 9.
Incomlng r8sourc9S
Voluntary income including donalKJns and legacies is recognised where there is enlillemenl, probability
of wceipt and the amount can be measured with sufficient rèliabilty. Donatod good$ ore valuéd by the
trustees.
Investment income IB r&cognised when recelve¢J.
Resources expended
Liabilities are recognised as soon as theré is a le9al or conslrucliv¢ obligation committing the thartly lo
the expp.nditure. All expendilure is occounled for on an ècciuals ba5LS ano ha5 been ctassified under
headlngs that agregale all costs relalbng to the category.
Costs of gBneratlng fun(Ss tne costs accociated wlh atlrdcting voluntsry income.
Charilabte expenditure cornprises those costs incuTre¢Y by the eharily in the delivery of its activiiles and
services fgr ils beneficiaries. li includes both costs that can be allocated directly lo such adivllie$ and
those costs of an Indlrecl nature necessary ID gUPPOrt them.
Stocks
Stocks are Staled at the lower of cost and nel realisable value.
Voluntsry Income
Unr?strict¢d
Funds
Restrlcted
Fund5
Totsl Funds
2023
2022
OonatKJns
Donations Sn kind
90,741
1.000
96.439
187.180
1,000
158,661
1,000
91.741
96.439
188 180
159 661
18

HEALTH HELP INTERNATIONAL
NOTES TO THE FINANCIAL STATEMENTS
Ygar ended 30 Nov•mb•r 2023
Inv•stment Income
Unrgstrlcted
Funds
Restrl¢tod
Fund8
Total Funds
2023
2022
Inlergst on cash
159
159
109
159
159
109
Trustees remunèratlon and expons•$
The Truslees recewgd no remuner811on dunng the fin8nclo1 year. Legitimate expenses
incurred pe￿OnallY 8re r8imbur5ed accordingly.
Taxa￿0￿
All this Charity'5 aGtivities are pr*mary pupose an(5 th8refor8 exempt from taX8tDn.
Stoek#
2023
2022
Unsold craft goods
200
200
Debtors and pr•paym?nts
2023
2022
Gilt Aid
Prepaid ¢xpenditure
3,165
900
4,065
3.800
880
4,680
Credliors..
2,023
2,022
D¢f¢rred inGorn
138
138
19

HEALTH HELP INTERNATIONAL
NOTES TO THE FINANCIAL STATEMENTS
Ygar èndèd 30 Novemb•r 2023
Balance at 1
Dg¢ember
2022
Balance at 30
Novembor
2023
Incomlng
Resource
Outgolng
Resouic95
Tran5fors
UnTe51rlcted lunds
Ggnoral fun0$
32,366
91.900
185.3721
11,6711
37,223
Restrlcted funds
BanyBn Tree
Besle
Beulah
81ind Club
Bus Fund
Deaf School
Heart Patients
India General
LSD
Nanga
Orissa
Special India Fund
Phillip's SN Centre
Special Needs
Physio Hall
Kidney patvdnts
41.271
31,816
1,394
655
130,7371
11,2811
13271
12261
42,290
113
662
60
334
281
1.103
1,266
10,OS5
14211
11,2661
110,0551
682
1,407
3,831
14,909
1,703
11,4071
13,1511
114,9091
1602)
680
1,101
ITNIAK4
6,185
7,693
28.786
10.065
16,1851
17,6931
129.4551
119.1651
Allernative catalogues
Aulodave
Vine Press Books
Thana l House
Than31 House p￿Ie¢t
779
9,100
43
110
1431
4.353
14,3531
935
935
6.63
83.855
0,969
e3,335
125,
26
217,126
1131,23
1216.6051
Total funds
Transfers are made to fund deflclts, or wlth the permlsslon of the donor.

HEALTH HELP INTERNATIONAL
NOTES TO THE FINANCIAL STATEMENTS
Year •ndgd 30 Novgmbfrr 2023
Unresln¢ted income funds are gener81 funds that are avallable for use ai Ihe trusiees. discretion in
furtherance of thè objectives of thè ehanty.
Banyan Tree.. To fund projects in India.
Blind Club.. To assist the quality of life for Ihe blind in Mon2e, Asha Ktran and Happy Valley.
Deaf School. To fund deaf projects for deal children in Monze and the Gwembe val￿Y, and Asha Kiran
and Happy Valley.
India Gongral.. To assist proi9¢13 in India.
Oris5a.' Supporting Chnsllans suflering persecution in India.
Special India Fund: To a88i81 PTojects in India.
Asha Kiran Ashrydm.. To assist vith the funding ol the Rays of Hop& Cgnlre for diSab￿d children.
Attemalive Catalogue. Funds provided specificalty for agricultljfe, educatlonal. community or n￿dical projècts
and needs.
Vine Press.. To provide emergency rEIEf where no other mon￿$ arè available.
Th8nal House.. To provide 0$6istancè to rneel th¢ running ¢o3ts of th¢ home for destilute wjmen in India.
Phillip's SN Centre.. To provKle assistance for disabled thildren in Arruvikkao and the Nodumangad ¢Ji8lrict.
21