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
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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.
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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 COMM￿ssion
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
0￿SSa
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