Charity reglstration number: 1078353 HEALTH HELP INTERNATIONAL Annual Report and Financial Statements for the Year Ended 30 November 2024
HEALTH HELP INTERNATIONAL ANNUAL REPORT AND FINANCIAL STATEMENTS Year Ended 30th November 2024 CONTENTS PAGE Trustees and Professional Advisers Trustees Annual Report Independent Examinerfs Report 15 Statement of Financial Activities 16 Balance Sheet 17 Notes lo the Financial Statements 18
HEALTH HELP INTERNATIONAL TRUSTEES AND PROFESSIONAL ADVISERS Charlty name Health Help International Charlty registration number 1078353 Principal offico Brynhyfryd Road Newport South Wales NP20 4FX Patron Mr R W Prosser Trustees Dr C John J Spurrier-Davies Dr E Plummer Mrs S Chalmers C Byrne I Park G Thomas Bankers Lloyds TSB 42 Commercial Street Newport South Wales Monmouthshire Building Society John Frost Square Newport South Wales Friends of the Banyan Tree {three accounts) Natwest The Square Willerby East Yorkshire HU10 7UA Strathaven Friends of HHI Bank of Scotland 13 Common Green Strathaven ML10 6AQ Independent 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 2024. 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 Chalmers 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 trustees run the affairs of the Charity, 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
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. Objective8 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 the work of the Charity is a resolve to obey God's command 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 medical aid to those unable to afford hospitalisation or treatment, providing money for special needs school infrastructure and running costs, and 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 guidance contained in the Charity Commission's general guidance 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- ZAMBIA Executive Summary From December 2023 to November 2024 our work in Zambia through our sister organisation Health Help Zambia (HHZ) has continued to support the disabled and their carers. INhen medical treatment or assessments have been required, funds have been sent to help disabled people or invalids to receive the necessary medical attention. Where possible, individuals have been helped to sustainable living, and schools which provide education for disabled pupils have also received HHI funding, The severe drought in Zambia during the year had consequences on all the people but especially those dependent on growing their own food and providing for their disabled or sick family members. There were power shortages (load shedding) as the country's hydroelectricity system failed. With the financial support from HHIUK, HHZ have continued to do their best despite the overriding challenges. The honourable members of the HHZ board of trustees give much of their time to support the work on a day-to-day basis. Mr Fancy Gondwe as the board chairperson has continued to work tirelessly and contributes to the monthly reports which are received by HHIUK. HHZ Staff and Trustees The HHZ Board of Trustees, in accordance with their constitution, met regularly and invited HHIUK to table issues for discussion. Minutes of their meetings were reported to the UK. New members are Brother Innocent Phiri (Holy Family), Mrs Peggy Kalima (House mother at Choongo School), Mr Arthur Bweupe (Head teacher of Nanga school) and Prisca Hatembo (Senior teacher at Muumba school). They have attended the board's meetings and are giving insight and support to the needs for the disabled in their schools, and in their communities, Monthly reports and accounts continue to be sent by email to the UK for scrutiny, together with funding requests and project proposals. The HHZ accounts continue to be scrutinised by a volunteer within HHI UK and all the income received and expenditure generated by HHZ has been recorded and reconciled to bank statements. HHZ has strengthened its partnership with local health institutions such as Holy Family and Monze Mission Hospital. In June 2024 HHZ was successful in their bid to the Bank of Zambia for support and received £2000 worth of mobility aids for distribution. Additionally, as a result of the partnership made between HHZ with Water Aid in 2023, a hand wash basin was installed at the entrance to the HHZ compound in January 2024 for all visiting clients to use freely. The sections below describe the work done in more detail.
Management and Staffing at the Monze Centre Ms Mwanza Mpofu, who has IT skills and social work qualifications, has been appointed as a full-time member of staff and supports Mrs Brenda Chileshe in the day-to-day work as administrator for HHZ. John Mwansa, one of the HHZ security guards, has passed his driving test and is now officially driving the HH2 personnel on outreach. He is an excellent driver and very proficient at navigating the dry, dusty, pothole-ridden roads. Tawanda Vinya and John Mwansa remain as full-time security guards. The remaining 4 members of staff include two seamstresses, one carpenter I handyman and one cleaning lady. As in 2022-23, all eight HHZ members of staff have continued to be employed as full-time workers. Three members of staff are disabled. HHZ has joined NHIMA (National Health Insurance Management Authority). The employee contribution of 1 % is paid by HHIUK. The staff continue to use their sign language skills to communicate with the deaf clients visiting the premises. IGV and repairs to the HHZ premises. The staff and trustees continue to maintain HHZ premises. The HHZ roof has been painted, and the forecourt has been concreted to aid wheelchair mobility. There are, however, challenges which have been brought about by the drought. The borehole has become blocked due to lower water levels, and it needs to be redrilled. It is hoped that, in the year ahead, the £1822 required for this need will be found by HHIUK, The borehole needs to be functioning so that the tenants occupying some of the office space on the premises can function and likewise the disabled tailoring trainees who are residing in the compound can access tap water. Currently water must be brought on to the premises to fill tanks and barrels. HHZ have managed to use some of their own income to restore some of the unused, partially built areas on the compound and make them available for extra rentals. HHZ has continued to raise some of its own income through guest room and premises rentals. Between Dec 2023 and November 2024 K117,445 (about £3,240) was raised by HHZ. This has enabled HHZ to fund, independently of HHIUK, essential food supplies and some emergency training and college fees for vulnerable disabled people who they have encountered in their outreach programs. HHIUK scrutinises HHZ accounts on monthly basis, and an audit report of HHZ accounts 2022-23 was produced in March 2024, An audit report 2023-24 accounts is currently in production. Safeguarding policy The safeguarding policy adopted by HHZ was updated in March 2024, linking in with World Vision, Holy Family and Social Welfare. It stipulates that disabled women and albinos must be incorporated. 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. All the HHZ staff signed the safeguarding policy when their contracts were renewed for 2024-25.
Charity work with individuals and partnering with other organisations Owing to the failure of rainfall in 2023- 2024, HHI has had to provide monthly funds to HHZ to support the very needy sick and vulnerable families who had no income or means to grow their own food. HHZ identified those who were in greatest need and gave out bags of maize, soya flakes and cooking oil. Some people came to the premises to collect these vital needs., others received help when the HHZ team went on outreach. The ongoing monthly support given to disabled individuals who have received HHI support for some years has continued, and, when necessary, medicines and hospital transport has been paid for those seeking help in emergency situations. Three individual families who have been supported for many years do require some additional structural improvements to their homes, e.g. providing a toilet, extension to accommodate several disabled family members and a Workspa for income generating. These will be among our funding aims for 2025. 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. The partnership with Holy family is continuing to ensure that artificial limbs needed by clients who seek funding through HHZ are provided at reduced costs. Materials are paid for but there are no labour costs. In return HHI continues to make a small monthly contribution towards feeding costs at Holy Family school foi 122 students. In April 2024 a HHZ representative was invited to take part in a meeting at the Policy Monitoring Research Programme Centre PMRC in Lusaka. Discussions took place on climate change and the impact on vulnerable and disabled people. Three countries were involved, namely Zambia, Zimbabwe and Malawi In May 2024, HHZ, along with other NGOS, took part in a national event, Motherhood week, which was organised by the Ministry of Health. Wheelchair repair, seryicing, and practical support for the disabled The free wheelchair repair service has been maintained by the competent HHZ carpenterlhandyman, Robbie Mooya. Anyone who needs wheelchair maintenance can visit the HHZ Gompound and receive attention. The material estimates are communicated to HHIUK via the monthly reports and funding is provided in the monthly allocation. 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. Robbie is planning to start a carpentry class in 2025 for persons with disability as a means to empower them. HHZ connected with Churches Health Association of Zambia (CHAZ), Mobility Aid Lusaka and the Bank of Zambia. As a result, HHZ has received wheelchairs, Zimmers, crutches and mobility cycles which were given to those in greatest need.
Feeding support and equipment for Monze Mission Hospital The children's ward and the malnutrition ward in Monze Mission Hospital continue to receive monthly funding from HHIUK via HHZ. The nurses are extremely grateful for this financial supplement as it enables them to buy fruit and other healthy food which aid healing. The funding is also used by a senior nutritional nurse to provide weekly demonstrations to mothers on how to prepare nutritional food on a low budget to prevent malnutrition in their children. During the Oct 2024 visit to the hospital by two HHI UK representatives, these demonstrations were witnessed. The demonstrations were very informative and well attended by the mothers. The two UK visitors handed over unwanted and unused stoma and colostomy products, physiotherapy equipment and boxes of sterile surgical gloves. These were gratefully received by hospital staff. HHZ continues to have good relationship with Monze Mission Hospital. One disabled client who has been supported by HHI for many years and who is a proficient seamstress thanks to the HHZ tailoring training programme has unfortunately had to receive further leg amputations. Following her healing she has been asked by the hospital to make slings for the fracture patients. She has received payment for her work which supports her independent living. Support for Schools Muumba School continues to receive monthly funding to feed the growing number of pupils. The number of pupils has risen to 529 following the Zambian Government legislation of free education for all. Of the 529 pupils, 190 are orphans and vulnerable children. The school building is now overpopulated, and classes must use the rooms in rotation. A new classroom block would certainly help ease the congestion. The parents continue to prepare the food each day. The Head Teacher Mr Bbilika has given HHI positive feedback on the beneficial effects of this feeding programme and the new outdoor seating area which was funded by HHI. This shelter allows the students to be seated in the shade once the food has been served. Mango trees were also planted and these in turn will provide more shade for the students during their break times. The improved lunch-time arrangements were witnessed by the two HHIUK representatives who visited the school in October 2024. Prisca Hatembo is a physically disabled person who has been SLJPPOrted by HHI since 2009. She continues to hold the position of senior teacher at the school and is also fulfilling her role as trustee of HHZ. Nanga Special School Nanga Special school has continued to benefit from the Active Daily Living project. Previous contributions made by HHI to the school to pay for the booster pump and the water tank have ensured that the school has continued to grow their own crops despite the severe drought. The sale of the vegetable products has helped the school raise funds to offset the deficit which the school incurs each term as school residential fees are often not paid by the parents. Out of 48 students in the school only 18 manage to contribute to the termly fees.
The monthly contributions made by HHI to support the school feeding has helped considerably and Mr Bweupe, the headteacher, has expressed his appreciation. Two new disabled students started to attend the school in September 2024, and they are being supported by HHI. The solar panels on the Nanga dining room are still being well cared for by the Nanga staff and they continue to supply the students with electricity for lighting and for IT work on the laptops. During their Oct 2024 visit to the school the two HHIUK representatives donated funds to repair panes of glass in the dining room windows and to add additional ramps to facilitate wheelchair mobility. These improvements have been carried out. Choongo School disabled unit 2023-2024 has been a momentous year for Choongo all-inclusive School and for HHI. To celebrate 25 years of the charity's existence, HHI raised £25,000 to build a new dormitory for the residential disabled students. During their 2023 visit to the school the UK representatives were informed that, due to the lack of dormitory space, the students were sharing bed space. In some cases, there were three students to a bed. The new dormitory was funded in stages throughout 2024 and by October 2024 it was completed with an official handover ceremony. HHIUK representatives were in attendance and so were local Zambian dignitaries and chiefs. The event was reported on Zambian national news. 48 male students have moved into the new dormitory which has new metal bunk beds, mattresses and cupboards. The female students can now occupy the entire original dormitory and have their own space too. The new kitchen funded in 2023 is working well but due to the power shortages experienced throughout 2024 a gas cooking facility was supplied by HHI. The house mothers will be able to use both sources of power to prepare meals. Support for individual students into education During 2024, owing to desperate needs highlighted by HHZ, HHI has increased its support for individual disabled students, enabling 23 to attend school. All 23 will receive financial help every term for their transport, residential fees and stationery. HHZ continues to monitor the student& who receive support. Student progress reports are received from the schools and sent to HHIUK. This includes letters of thanks from those students reaching their final terms of education. At the end of the school term in July 2023, 5 students completed their schooling and have managed to continue their education with some individual training. One student who didn't do so well in her final exams is being supported by HHI to resit her exams in 2025 to fulfil her ambition to become a nurse. Menstrual Hygiene Project and tailoring training The menstrual hygiene outreach work continues to deliver a free service to several schools in the Monze District. The HHZ seamstresses liaise with another charity, Zambian Women
and Girls (Zam W & G), doing similar work, so that the outreach visits are coordinated and not duplicated. During the school holiday time the HHZ seamstresses Alistair and Primeldah make the packs which include environmentally friendly sanitary protection and new underwear. During term time, appointments are made to visit schools 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 individual disabled people in the art of dress making. Four disabled trainees started their training course with Alistair and Primeldah in November 2024. Due to the long travelling distances to their homes, they have taken up temporary residency in the HHZ guest rooms. HHZ provided care and food with HHI funding. New sewing machines were also provided for them to use during their training. Obj8Ctives for Dec 2024-5 HHI aims to continue to support HHZ in a full range of activities again this year but in particular will be looking to achieve the following. To re-drill the bore hole in the HHZ compound so that the tenants and disabled trainees have access to safe water for sewerage and for domestic use. To continue to help individuals with medical needs and to give support to the disabled with an emphasis on sustainable living. To raise funds to improve the basic living conditions for three individual families who are currently supported by HHI. To provide funds for the mobility aid repair programme and to support 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 provide funds for the proposed carpentry class thereby equipping disabled people with additional skills. To continue to train suitable candidates in tailoring and on completion of their training to provide them with sewing machines. To continue to fund and support the Menstrual Hygiene Programme for 2dol8seent 3Ghool girls. To continue to encourage HHZ to form partnerships with other organisations within Zambia who support the disabled such as CHAZ, Mobility Aid, the Bank of Zambia, IK International and Water Aid. To continue to support Mumba school and Nanga school and to contribute to feeding the students. To continue to support the 23 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 the feeding programme & the nutritional education programme in Monze Mission Hospital and to consider any new medical requests for funding.
REVIEW OF THE YEAR- INDIA Our wonderfully generous supporters have enabled us to maintain and even slightly expand 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 February with fellow trustee Chris Byrne and his nephew Sam. 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 a few problems with sending out money, but these were easily resolved with a bit of ingenuity. The transfer of Asha Kiran Ashram, our special needs centre for disabled children in Tamil Nadu, to Grace Ministries progressed and was formally completed at the end of March (the end of the Indian financial year). Celestial Ministries, the Indian NGO that operates Asha Kiran Ashram, continues but as a component of Grace Ministries. 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 relationships with the State authorities, whilst allowing it to maintain its own distinct ethos. The new trustees bring a commendable variety of experience and expertise, and Grace Ministries is providing a lot of resources to the centre. The former director, Santhosh Kumar, is staying on for the time being as managing trustee in order to provide continuity, but will gradually move on to a well-earned 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 great effect: physiotherapy is proving particularly effective. The staff are dedicated, hard-working and skilful. 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 exist, the children would go to a state school where they would be neglected. There are state special needs (SN) schools, but these try to 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. The director, Philip Mathew, is actively looking for someone to give a plot of land,. if he is successful we will raise the finance for a basic building somehow. Owning their own building and land will entitle the school to receive a government grant covering a large proportion of the running costs, so it is obviously desirable, In the meantime, the lease on the present building expires at the end of March 10-
2025 and will not be renewed, the director is actively looking for a new building, but a large enough building, and a willing landlord, are hard to find. We continue to benefit from long term funding for much of the running costs of Asha Kiran Ashram and Happy Valley from Blackwood En9ineerin9 Trust, 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 residential home for destitute women who were living on the streets. 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 for 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. During the year the government required the centre to employ a part-time nurse - but declined to pay for one. However, the nurse is proving very useful, and we have increased our contribution to cover the cost of this. Shibu, our regular bystander" (an unofficial nursing assistant) at a government hospital in Trivandrum, continues to do wonderful work, looking after anything up to a 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 treatment 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 transport, and the like. He has an excellent reputation and relationships with the doctors and nurses at the hospital. HHI provides the costs that he incurs on behalf of others, as well as providing him with board and lodging and other necessary supplies. We also support his mother, who is in a nursing home, in lieu of salary, although we now do pay him a regular, small allowance. 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. There are now well over 200 such groups of 10 to 20 women, meaning that three to four thousand families benefit. It became apparent that the two "animators" {administrators) were struggling with so many groups, so we agreed to provide the salary of a third person, which should relieve the workload and enable the groups to be better managed. These unions 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 balances are in place to prevent fraud and to engender trust. The unions also provide a social forum for members to discuss problems and areas of concern. The increase in the number of such groups demonstrates their value. Tuition groups supplement state education (which is often of poor quality). The number of such groups has fluctuated 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 such groups, catering for about 100 children. The children come for 11
an hour or two of extra tuition, either before or after school, with longer on a Saturday, and also a more extended programme over the long vacation (Aprillmay). The groups are each led by a graduate who would otherwise be unemployed. Experience has shown that such groups provide a huge boost to the children who attend, either by reiterating what has been taught in school but has not been fully understood, giving a preview of what is to come, 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 (CDSA), 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 tuition groups, a vacation programme, a medical centre and community nursing for an isolated and disadvantaged area, We also provide money for medical treatment, operations and the like. We continue to send out money 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 purchase 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 is 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 to find more outlets for their 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 have 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 the women who complete the training 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 Ministries, 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 House, 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. 12-
Philip Mathew has announced his intention to retire in due course. 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 when Philip retires to the north of the state where his family live. Plans for thé future in India (2024125 objectiv8s): 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 maintain 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 current 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 treatment and other aid, as requested, to the greatest extent possible. To investigate new funding opportunities and projects that we might initiate or support. FINANCIAL REVIEW Results During this financial year the Charity raised a total of £193,616 (2023: £217,126), mainly from the generous support of individuals, and spent £203.761 (2023.. 216,605), the vast majority on projects in Zambia (38.3 % ) and India (54.80/0). The remaining 6.9 % of expenditure represented the UK costs of running the charity,. these are mainly printing, postage, insurance and travelling (covered by a donation by the traveller). The level of unrestricted funds at the end of the year amounted to £32,962, of which £28,451 was immediately available (2023.. £37,223 1 £33,230). The level of unspent restricted funds at the end of the year was £40,749 (2023: £46,633), which will be spent on those projects as shown in note 10 to the statutory financial statements. Reserves Policy The charity has few, if any, contracts that impose liabilities, so a reserve of £1,000 is more than adequate to cover these (phonelinternet, franking machine, etc) in the unlikely event of the work of the charity coming to a sudden end. In addition to this, the trustees are very aware that the charity's income fluctuates wildly, 13
and is impossible to predict with any accuracy. Consequently 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 expenditure) for the unrestricted balance as reasonable when the income is good., this serves as a "rainy day fund" for the times when income is less than our regular support of our projects in India and Zambia, and enables them to continue at such times. Given the needs in both countries, there seems to be little virtue in retaining significantly more than this. The tiustees are satisfied that this target has been achieved. Investment Powers and Restrictions The Charity has no investment powers except 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 EXAMINER'S REPORT TO THE MEMBERS OF HEALTH HELP INTERNATIONAL Year ended 30 November 2024 I report orT th8 accounts of the Trust forthe year ended 30 November 2024, which are set out on pages 10t0 15 Respective responslbllltles of trustees and examiner The trustees ar@ responsible forthe preparation of the accounts. The trustees considerthat an audit is not required for this year under section 144(2) of the Charities Act 20111 the 2011 Act) and that an independent examination is needed. It is my responsibility to: examine the accounts under section 1445 of the 2011 Act: follow the procedures laid down in the General Directiions given by the Charity COMMssion under section 14515)Ib) of the 2011 Act., and state whether particular matters have come to my attention. Basls of Indepandent examlnefs report My examination was catTied out in accordance with the General Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with Ihese records. It also includes considerdtion of any unusual items or disclosures in the accounts, and seeking exp18n2tions from you as tnjstees con¢6ming any such matters. The procedures undertaken do not provid& all th8 evidenc8 that would ba rgquirad in an audit and consequently no opinion is giv8n as to whether the accounts present a 'true and fair view, and the report is limited lo thos8 matters s8t out in the statement below. Independent exarnlnerfs ststsment In connection with ry examination, no matter has come to my attention.. (1) which gives me reasonable cause to beliève that in any material respect the requirements: to keep accounting records in accordance with section 130 of the Act., and to prepare accounts which accord with the accounting records and comply with the accounting requirements of the 2011 Act have not been met. or (21 to which, in my opinion, attention should be drawn in order to enable 8 proper understanding of the accounts to b6 reached. W K Palne IndeDendent Examiner 44 Pettinaale Road Croe5vceilioa Cwmbran Torfaen NP44 2NZ Date 15
HEALTH HELP INTERNATIONAL STATEMENT OF FINANCIAL ACTIVITIES Year Ended 30th Novembgr 2024 Unrestrlctfjd Funds RestrlGted Funds Totsl Funds 2024 Total Funds 2023 Note Income from: Donations Fundraising Investment income 90,267 96,586 8,192 186,853 6,192 571 188.180 28,787 159 571 Total Incomlng r•sour¢es 90 838 102 778 193 616 217.126 Expondlturo on., Ralslng funds Charltable actlvltles: Donations made lo bengficiarle$ Costs of shipping Container Direct administration and Ir8vèI Cost of Iransfeffing funds 3,282 48,797 152,632 201,429 209,894 1,951 381 2,332 3,172 257 Total resources expended 50,748 153,013 203,761 216,605 Not Income fOr8 transf•rs Gross Iransf8rs between funds Net Movement In fund# 40,090 44, 351 150,2351 44,351 5,884 {10,1451 521 521 Rèconclllatlon of fund$'. Total funds brouqhl forward Total funds carrl•d forward 83,335 83,856 32,962 40,749 73,711
HEALTH HELP INTERNATIONAL BALANCE SHEET As at 30 Novgmber 2021 Unrestricted Restrlctad Designated Funds Funds Funds Total 2024 Totsl 2023 Nots FIXED ASSETS Tangible Assets CURRENT ASSETS Stocks Debtors and Prepayments Cash at bank 725 4,318 28,149 33,192 725 4,318 68,898 73,941 200 4,065 79,729 83,994 40,749 40,749 KtuiiuKJ: uut V¥lJMIN ONE YEAR 230 230 138 NET CURRENT ASSETS NET ASSETSI{LIABILITIES) 32,962 32,962 40,749 73,711 73,711 83,856 83,856 40,749 FUNDS Unrestrict8d Restricted Designated 32,962 32,962 40,749 40,749 37,223 46,633 32,962 40,749 73,711 83,856 Approved by the board of INst88s on 25 TG4J 2s and slgnad on thelr b8 alf by.. E Plumrner {Chairman) Thomas FCA (Treasurer) The notes on pages 18 to 21 form part of these flnanclal ststements. 17
HEALTH HELP INTERNATIONAL NOTES TO THE FINANCIAL STATEMENTS Year 8ndod 30 Nov8mb•r 2024 Accounting pollcles Basls of preparallon The financial statements have b88n prepared under the historical cost convention and in accordance with the Statement of Recommended Practice 'Accounting and Reporting by Charities FRSSE,, affective for accounting periods commencing after 1 January 2015, and th8 Charities Act 2011. Fund accounUng pollcy Unrestricted income fu nds are general fu nds that are available for use at th8 Trustees, discretlon In furtherance of the objectives of the charity. Restricted funds are those donat8d for use In a particular area orfor particular purposes, the use of which is restricted to that area or purpose. Further details of each fund are d isclosed in note 9. Incomlng rasources Voluntary incomeincluding donations and legacies is recogn ised where there is entitlement, probability of re¢elpi and Ihe amount can be measured with sufficlent rellabillty. Donated goods are valued by the trustees. Investment Income is r8cognls8d when recelved. Resources expended Llabilities ar8 r8cognised as soon as there Is a legal or construcllve obligation committing the charfty to the expenditure. All expenditure is accounyed for on an accruals basis and has been classified under headings that agregate all Gosts relatlng to the category. Costs of generating funds are the costs accociated with attracting voluntary income. Charitab18 expanditu re comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries, It includes both costs that ¢an be allocated directly to su ch activities and those cost5 of an indirect nature necessary lo support them. Stocks Stocks are stated at the lower of cost and n8t realisable value. Voluntary Income Unrestricted Funds Restrlcted Fund8 Totsl Fund8 2024 2023 Donatlons Donations in kind 89,267 1,000 96,586 185.853 1,000 187,180 1,000 90,267 186,853 188,180 18
HEALTH HELP INTERNATIONAL NOTES TO THE FINANCIAL STATEMENTS Year ended 30 Novembèr 2024 Investment Income Unrastrlctod Funds Rèstricted Funds Total Funds 2024 2023 Interest on cash 571 571 109 571 571 109 Trustees remuneratlon and expenses The Trustees receSved no remuneration during ihe flnancial year Any expenses clalmed by the trustees were necessarily incurred on behalf of the charity. Taxatlon All this Charity's activities are primary purpose and therefore exempt from taxation. Sto¢k8 2024 2023 Unsold craft goods 725 725 200 200 Debtors and prepayments 2024 2023 Gift Aid PrepaSd expendlture 2,457 817 3,275 3,165 900 4,065 Credltors.. 2024 2023 Deferred income 230 138 230 138 19
HEALTH HELP INTERNATIONAL NOTES TO THE FINANCIAL STATEMENTS Year ended 30 November 2024 BalanGe at 1 Decomber 2023 Balance at 30 November 2024 Incoming Resources Outgolng Resources Transfers Unrestricted funds General funds 37,223 90,838 (50,748) 44,351) 32,962 Restrlctsd funds Banyan Tree Beste Beulah Blind Clu b Bus Fund Deaf School Heart Patients India General Choongo Nanga 0SSa Special Indla Fund Phillip's SN Centre Special Needs Physio Hall Kidney patients Asha Kiran Ashram Allemative catalogues Autoclave Vine Press Books Thanal House Thanal House Project 42,290 113 682 60 25,773 138 155 (32,870) (97} (323) (235) 35,193 154 495 175 682 953 13491 (1,0401 112,170) 130,877) 1,285 1,040 6,208 1,108 5,962 29,769 11,1681 15,597) 11,0761 115,973} 680 1,168 5,313 1,076 10,932 396 1,101 3,940 (5,8401 17,0821 130,482) 5,840 691 24,181 6,391 6,191 110 10,125 (7,8341 935 6,633 83,856 2,291 935 40,74 73,711 102.778 193,616 153,013 203,761) Total funds Transfers are made to fund deficits, or with the permisslon of th8 donor. -20-
HEALTH HELP INTERNATIONAL NOTES TO THE FINANCIAL STATEMENTS Year ended 30 November 2024 Un restricted income funds are general funds that are available lor use at the trustees, discr8lion in furtherance of the objeclives of the charity. Banyan Tree: To fund projects in India. Beste.. To fund education, training and professional fees for B8Ste Hamul&twa, a vulnerab18 youth in Zambia. Beulah.. To meet the medical needs, including prostheses, of Beulah, a disabled girt in Tamil Nada, India. Blind Club.. To assist the q uallty of life for the blind in Monze, Asha Klran and Happy Va118y. Bus Fund.. To finance a bus for Happy Valley Heart Patients - funding treatment for heart patlents. Deaf School.. To fund deaf projects for deaf children in Monze and the Gwembe Valley, and Asha Kiran and Happy Valley. India General.. To assist projects in India, Choongo.. To fund a dorniitory block for dlsabled children at Choongo school in Zambia. Nanga.. Fundlng projects at Nanga disabled school In Zambla. Orissa: Supporting Christians suffering persecution in Indla. Speclal India Fund,. To assist prolects in India. Phillip's SN Centre.. Providing funding for Happy Valley SN School. Speclal N8eds'. Providlng fundlng for Happy Va118y and Asha Kiran SN schools. Physlo Hall.. Funding for a physlotherapy hall at Asha Kiran Ashram, Indla. Kidney patients.. Medical help for kidney transplant patlgnts and dialysis. Asha Kiran Ashram.. To assist with the fundlng of the Rays of Hope Centre for dlsabl8d children. Altemative Catalogue: Funds provided specifically for agriculture, educational, commu nity or medlcal projects and needs. Auloclave.. Funding for autoclave at Monze Mlssion Hospltal, Zambi8. Vine Press.. To provide emergency relief where no other monies are available. Than81 House.. To provide assistance to meet the running costs of the home for destitute women In Indla, Thanal House Proj8cI: Funding for a building project at Thanal House. -21