Charlty registration number.. 1078353
HEALTH HELP INTERNATIONAL
Annual Report and Financial Ststernents
for the Year Ended 30 Ntsvem￿f 2025

HEALTH HELP INTERNATIONAL
ANNUAL REPORT AND FINANCIAL STATEMENTS
YÈar Ended 30th November 2025
CONTENTS
PAGE
Triislees and Professional Advisers
Trustees Annual Report
Independent Examinerfs Report
15
Statement of Financial Activities
16
Balance Sheet
17
Notes to the Financial Statements
18

HEALTH HELP INTERNATIONAL
TRUSTEES AND PROFESSIONAL ADVISERS
Charity name
Heatth Help International
Gharity registration number
Principal offico
1078353
Brynnyfryd Road
Newport
South Wales
NP20 4FX
Patron
Mr R W Prosser
Trustees
Dr C John
Mr J Spurrier-Davies
Di E Plummer
Mrs S Chalmers
Mr C Byrne
Mr I Park
Mr 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 Examiner
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 2025.
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 seNed the charity during the year were as follows..
Dr E Plummer (Chaimian)
Mr J Spurrier- Davies (Secretary)
Mr G Thomas (Treasurer)
Mrs S Chalmers
Mr C Byrne
Dr C John
Mr 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:
Mr J. Spurrier- Davies
Mrs J Williams
Mr M Hopkin
Mr B Medhurst
Mr C Byrne
Mr I Park
Dr E Plummer
Mrs H Winstanley
Mr 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..
Mr 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-.
Mr lain Park
Mrs Helen Baird
Mr Willio Cooper
Mr lan Gow
Mrs Margery Menzies
Mrs Kath Russell
Appointment and training of trustses
The trustees are appointed from individuals who have expressed an interest in the Charity.
New trustees or members of the management committee are atways welcome.
Objectives
The object of the Charity is to relieve persons who are in conditions of need, hardship or
distress by reason of their social or economic circumstances by the provision of medical
treatment, medication. facilities, buildings. equipment or other necessary supplies.
The thinking behind 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 grant funding from charrtable trusts (primarily Blackwood Engineering
Charitable Trust). 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 2024 to November 2025 our work in Zambia through our sister
organisation Health Help Zambia (HHZ) has continued to support the disabled and their
carers. Where medical treatment or assessments have been required, funds have been
sent to help the disabled receive the necessary medical attention. Where possible,
individuals have been helped into sustainable living, and schools which provide education
for disabled pupils have also received HHI funding. The severe drought experienced in
Zambia during 2023-24 has abated as the country did received rain at end 2024 and into
2025. However, the power shortages are still an issue as it will take a few rainy seasons for
the country to reestablish its hydroelectric power system. Meanwhile solar panels are being
considered but the cost is huge The regrowing of crops by individual vulnerable families
has still been challenging due to lack of funds to buy seeds and fertilizer. HHZ identified
these needs and with HHIUK funds many families struggling with disability were helped to
restart their crop growing. The three honourable members of the HHZ board of trustees
give much of their time to support the work on a day-t041ay 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 acGordanrE with their oonstitution, met regularly throughout
2025 and invited HHIUK to table issues for discussion. Minutes of their meetings were
reported to the UK.
The HHZ board of trustees which includes Brother Innocent Phiri (Holy Family), Mrs
Peggy Kalima (House Mother at Choongo School), Mr Arthur Bweupe (Head teacher
Nanga school) and Prisca Hatembo (Senior teacher at Muumba school) continue to
highlight the needs for the disabled in their schools, and in their communrties.
Monthly reports and accounts are emailed to HHI UK for scrutiny, together with funding
requests and project proposals. The HHZ accounts continue to be scrutinised by a
volunteer within HHIUK and all the income received, and expenditure generated by HHZ
has been recorded and reconciled to bank statements.
During 2025 HHZ the honourable trustees continued to apply and write project proposals to
organizations within Zambia as well as international organisations to try to acGess additional
funding. These Included the US Embassy. Bank of Zambia, World Vision, Action Aid
Zambia and Oxfam. They were SUC￿ssful in re￿IvIng seeds and fertilizer from Seed Co
and mobility aids from the Bank of Zambia.
The sections below describe the work done in more detail.
Management and Staffing at the Monze Centre
The eight HHZ members of staff come together each working day to the HHZ compound
where they work as a team with Mrs Brenda Chileshe at the helm as administrator. She is
well supported by Mwansa Mpoftu as assistant administrator. Three of the HHZ team are
physically disabled. They are all focused on helping the daily clients who come seeking
assistance due to their disability, poor health and lack of resour￿$. Sign language is used
to communicate with those with hearing loss.

All eight HHZ members of staff have continued to be employed as full-time workers. HHZ
has joined NHIMA (National Health Insuran￿ Management Authority). The employee
contribution of 1 % is paid by HHIUK.
As in March 2024, the HHZ staff have signed and agreed the updated safeguarding policy
in March 2025. The staff also received a 20010 pay increase which was in line with the
Zambian Government salary guidance.
HHZ celebrated Labour Day in May 2025. Two members of the team were given awards for
their sterling work throughout the year.
Income generating ventures (IGVS) and repairs to the HHZ premises.
The staff and trustees continue to maintain HHZ premises. They have used some of their
own income generated through rentals to develop areas of the compound and encourage
other tenants to occupy the some of the office spa￿. The water situation, which was very
poor because of the 2024 drought and resulted in the bore hole drying up, has now been
resolved. In April 2025 one of the Charity report 2024 objectives was achieved in that
HHIUK funded the redrilling of the bore hole in the HHZ premises. This has restored the
provision of water and filled the storage tank. The taps and toilets are functioning again.
There is no longer the need to fill buckets and containers.
HHZ has continued to raise some of its own income through guest room and premises
rentals. Between Dec 2024 and November 2025. a total of K52,800 (equivalent to
approximately £1,750) was raised by HHZ. This has enabl-d HHZ to fund, independently of
HHIUK, essential running costs, food supplies and some emergency support 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 2025. An audit report in respect of 2024-25 accounts is currently in
production.
Charity work with Individuals. rural communities and partnering with other
organisations
Every day vulnerable individuals come seeking help at the HHZ compound. They are
carefully inte￿IeWed by the administrator in the Offi￿ and notes are made and questions
asked. They receive a sympathetic welcome and are advised as to where to find resources,
how to apply to special schools, etc if their circumstances require it. If funding is needed for
a specialist hospital visit because of their disability or medical condition they are asked to
show their appointment cards. Their situation is noted for the monthly report and
communicated to UK. In some desperate cases HHZ can help with their own funds which
have been generated from their IGVS. Disabled clients and parents of disabled children are
also asked if they have registered with Social Welfare. This will entitle them to re￿1ve a
disability card and some funding from the Govemment because of their disabled condition.
If mobility aids are required, HHZ do try to give the clients suitable items from their supplies,
or their details are noted on the monthly report requesting funding from the UK.
The outreach programme which aims to visit some of the disabled clients living in rural
communities has continued throughout 2025. Disabled individuals who live in the poor rural
areas of the Monze District are visited by some of the HHZ team and mealie-meal, soya
flakes, vegetable oil and washing paste are donated. The recipients are also encouraged
by the HHZ staff to grow their own vegetables. where possible, raise chickens, or income

generate through their tailoring skills if they are graduates from the HHZ tsiloring
programme.
While making a routine visit to the Ntambo community to deliver food supplies to Priscilla,
who is a disabled single mother and a sewing graduate, HHZ were informed that the water
pipe and tap had been disconnected leaving the Ntambo community without a Sour￿ of
water. Attempts were made by the community to dig a new well but, owing to the 20234
drought, the water levels had significantly receded. HHIUK re￿iVed an unexpected
donation in September 2025, which paid for a drilling company to complete the borehole
drilling. Water was successfully reached and a hand pump was installed which has
enabled the members of the Ntambo community, including Priscilla, to aC￿sS water freely
for their daily needs.
Another Suc￿sS story for a disabled individual living in rural area is that of Kazolo, who
also receives a monthly food package from HHZ. He is wheelchair bound and suffering with
cerebral palsy. He is constantly cared for by his brother and sister-in-law. The family are
just about sustaining themselves with some basic farming but are delighted to receive the
extra monthly support from HHZ. In September 2025, a pit latrine toilet with handrails was
built for Kazolo. Kazolo can now be helped to this new facility along a concrete pathway
with ramps. He and his family have some dignity and can maintain a better standard of
hygiene.
Partnership with Holy Family
Unfortunately, the HHZ partnership with Holy Family has come to an end as Holy Family
are no longer able to provide artificial limbs to those in need The Holy Family workshop in
Monze has closed. As a result, HHZ is currently investigating where there is a suitable
provider and how they can help fund visits or acquire the necessary limb repla￿mentS. The
funding which was being given to Holy Family for their school will be redirected to Choongo
All-inclusive School to help the feeding of the additional students
Wheelchair repair, servicing, and practical support for the disabled
The free wheelchair repair service has been maintained by the competent HHZ
carpenterlhandy man, Robbie Mooya Anyone who needs wheelchair maintenance can visit
the HHZ compound and receive attention. The material estimates are communicated to
HHIUK via the monthly reports and funding is provided in the monthly allocation.
Vvheelchair 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.
The objective lo engage with an additional disabled person to learn the skills of wheelchair
maintenance has been achieved. An apprenti￿, Richman Mazuba, also living with
disabilities, has started to work alongside Robbie and learn the art of this repair service.
Standing frames are also required to strengthen the spine and posture of small children
born with spina bifida. The frames have been efficiently made to a high standard by Robbie.
Funds for the necessary materials have been sent from the HHIUK in the monthly
allocation.
Extra funds have also been sent to HHZ to purchase some additional tools to facilitate
Robbie's work. Hereby another objective set out in 2024 has been achieved.
As a result of HHZ'S applications to other organisations including the Bank of Zambia, 10
new wheelchairs were received along with crutches and Zimmer frames.

Feeding support and equipment for Monze Mission Hospital
The children's ward and the malnutrition ward in Monze Mission Hospital continue to
re￿1ve monthly funding to buy fruit from HHIUK via HHZ. The nurses are extremely grateful
for this financial supplement as healthy food aids healing. The funding is also used by a
£onior 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 October 2025 visit to the hospFtal by two HHI UK representatives, the hospital
nutritionist asked if HHI could provide a measuring tool to access children's level of
malnutrition. A triceps calliper was asked for costing £130. Unfortunately, the callipers are
not available in Zambia but through the HHZ administrator it was ordered online and
delivered to the hospital via HHZ.
As a result of the drought and limited crop growth, some mothers are struggling to provide
enough breast milk to feed their babies. Several malnourished babies and mothers were
being cared for in the malnutrition ward. Formula milk is expensive and it was because of
this information that it was decided by the HHIUK representatives to increase the monthly
food support funding to the hospital to include the cost of formula milk as well as the
nutritional meals in the children's ward.
As in previous years the 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.
The Virtual Doctors
In August 2025 HHIUK was contacted by a UK registered Charity and Zambia registered
NGO, The Virtual Doctors. Their aim is to conned rural health clinics in Zambia, where
there are no doctors, with 200 volunteer doctors in the UK via a bespoke telemedicine app
which is based on smart phones and provided to health workers. The app can also connect
rural clinics in Zambia to doctors in Zambian hospitals. This scheme is to prevent
unnecessary referrals and to help rural health patients treat more patients.
In October 2025 HHI shared this proposal with a senior doctor in Monze Mission Hospital
and with the Monze District Health board. HHI is awaiting a response as to which rural
health clinics would be suitable for this scheme.
Support for Schools,
Muumba School continues to receive monthly funding to feed the growing number of
pupils. Of the 505 pupils, 111 are orphans and vulnerable children.
The parents continue to prepare the food each day. The Head Teacher Mr Bbilika
expressed his appreciation to the HHI UK for all the support given by HHI since the school
was built by HHI in 2024. All additional facilities funded by HHI such as the toilets with
disabled access, the perimeter wall, the hand water pump and the outdoor shelter area
have enabled the school to function well for staff and students. The students can sit in the
shade to enjoy their meal. The hand pump continues to provide water for the students to
wash their hands and plates after their midday meal of cabbage, nshima and soya
flakes.The water is also allowing vegetables to be grown in the school grounds which the
students maintain and which contribute towards the students, daily diet.

Prisca Hatembo is a physically disabled person who has been supported by HHI since
2009. She is a valued member of the Muumba staff. Not only is she fulfilling her role as a
senior teacher in the school but she is also a committed HHZ trustee.
Nanga Special School
During the annual UK visit to Zambia in October 2025, a visit was made to Ngnga Special
School which has re￿iVed support from HHI for many years. It was evident that the number
of residential students had greatly increased. 25 additional students were having to be
accommodated and fed by the school without any additional Government support, putting
pressuie on staff and resources. The latest Zambian Government new policy of'Education
for all, doesn't come with additional reSoUr￿s. As a result, three extra tables and benches
were seen to be necessary to enable all the disabled students to be seated at mealtimes.
Robbie was able to make them with funding from the UK. They will be delivered to the
school at the start of January 2026.
The need for glass pane window repairs and additional ramps for wheelchair access have
all been suc￿SsfUllY carried out with funding provided by HHI at the end of 2024.
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.
Due to the continuing load shedding (power cuts) in Zambia, Mr Bweupe, the Head
Teacher, has asked HHI if it is possible to fund a microjet water pump system which will
irrigate the banana plantation currently being cared for by the students as part of their
Active Daily Living Project. The cost is £660. The request is being considered by HHIUK.
Hopefully, after questions have been answered as to how it operates, it can be funded in
2026 to ensure a successful banana crop.
Choongo School disabled uniL
The new dormitory at Choongo all-inclusive School is functioning well and allows the
residential disabled students to sleep in their own bed and the girls to have a separate
dormitory to the boys.
The house parents were pleased to receive the washable mattress protectors donated by
the UK visitors in October 2025 for the new domiitories. As with Nanga School, the number
of disabled students residing in the school has greatly increased. The new dormitory
provision has enabled the school and staff to cope. However, the cost of feeding the extra
students is challenging and HHZ has recommended that HHI UK redirects the monthly
contribution to Holy Family to go to Choongo School. This will start January 2026.
The house mothers are using both the electric and gas cooking facilities to prepare the mid-
day meals for the students. Both provisions were provided with HHI funding.
The separate boys, toilet with wheelchair access is also proving to be an invaluable asset to
the needs of the disabled students. This was funded by HHIUK in 2023.
Support for Individual students into Education
During 2025 HHI has continued to fund 23 disabled students into full time residential
schooling. All 23 re￿1ve financial help every term for their transport, residential fees, and
stationery.

HHZ continues to monitor the students 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 year in 2025, 4 students completed Grade 12 and have left school.
One of these has been accepted into university and is re￿Iving some funding from HHI
towards her University bursary. Two students have been accepted onto vocational training
schemes. The fourth has been given start-up capital by HHI to start up her own business
after she failed to achieve the necessary grades in her resists. Therefore there were three
places available on the educational funding list. and they have already been filled. The
three new students will be starting in January 2026 and will receive termly funding from
HHIUK.
Menstrual Hygiene Project and tsiloring training.
The menstrual hygiene outreach work continues to deliver a free service to several schools
in the Monze District. The HHZ seamstresses liaise with the charity Zambian Women and
Girls (Zam W & G) so that the outreach visits are coordinated and not duplicated.
During the school holiday time the HHZ seamstresses Alistair and Primeldah make the
packs which include environmentally friendly sanilary prolection and new underwear. In
2025, 1,833 packs were given out during term time. Staff in the schools have given
feedback to HHZ expressing their appreciation and confimiing that female attendance has
remained high following the receipt of the menstrual hygiene packs. Funding has been
sought to help maintain this essential work.
Grace Mushiba the young disabled girl who has been supported by HHI for many years
since she has become a double amputee, continues to support the HHZ seamstresses in
making the menstrual hygiene pads. She re￿iVeS £301month for her contribution to the
project. This income, together with income Grace has received from other sewing orders,
has enabled her to support mother and siblings. She has also managed to purchase land
on which she intends to build a house for rental.
The HHZ seamstresses also provide Iraining for individual disabled people in the art of
dress making. The four disabled trainees who re￿iVed their training while residing in the
Monze compound in 2024 have all returned to their homes with new sewing machines and
start-up capital. They have been monitored throughout 2025 by the HHZ staff and
especially the seamstresses Alistair and Primeldah. They have been advised to connect
with the local schools to income generate by making uniforms for the new term. Regular
visits have shown that they are able to sustain themselves, and buy goats, chickens and
feed their dependants.
Four more people with disabilities were trained during the last three months of 2025 and will
receive their new sewing machine, and start up materials in January 2026.
Objectives for December 2025 to November 2026
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 continue to help individuals with medical needs and to give support to the disabled
with an emphasis on sustainable living.
To continue to raise funds to improve the basic living conditions for families with
disabled members who are struggling to exist in rural communities.

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 facilitste the practical mobility needs of
the disabled in schools and homes.
To Sour￿ a reliable artificial limb provider to enable HHZ to help and advice amputees
who come seeking assistance.
To continue to train suitable candidates in tsiloring and on completion of their training to
provide them with sewing machines.
To continue to fund and support the Menstrual Hygiene Programme for adolescent
schoolgirls.
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, World
Vision, Oxfam and Seed Co.
To continue to support Mumba School and Nanga Special School with a monthly
contribution to the cost of feeding the students.
To fund the micro jet water pump system at Nanga School to irrigate the banana
plantation during load shedding.
To start to support Choongo All-inclusive school with funding for feeding the extra
students and to provide funds for any needs in the disabled units.
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 was grounded by the medics, so Jute William8 Vlslted
instead. She was able to see most of our work, and was very happy with what she found.
As a result we remain satisfied that our Indian partners are spending our money wisely and
well.
At other times communications have been maintained via email and INhatsApp.
We continued to encounter occasional problems with sending out money, but these were
easily resolved with a bit of persisten￿.
Asha Kiran Ashram, our special needs ￿ntre for disabled children in Tamil Nadu, is
thriving under the new leadership of Grace Ministries. who have a resident worker on site.
They are pouring considerable resources into the ￿￿tre, and are seeking to bring every
aspect into line with government rules and recommendations. Reporting has improved.
-10-

The children continue to make 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. We are very happy with what is happening there.
The story at Happy Valley Special Therapy Centre is very similar. A purpose-built
building, owned by the centre, remains the long term hope and aim, but the costs
associated with this are daunting. Nevertheless, we launched an appeal for £30,000 to
buy a plot of land on which the school would be built,. this proved successful, and the
director, Philip Mathew, is actively looking for a plot of land. An alternative is to buy a
suitable building, which is also being considered, although this will require much more
upfront money. The hope is that, once the land has been bought, local enterprise, which is
required by law to donate a proportion of its profits to charitable activities. will fund the
building or at least make a substantial contribution. Owning their own building and land will
entitle the school to receive a govemment grant covering a large proportion of the running
costs, so it is obviously desirable. In the meantime, the lease on the present building was
unexpectedly renewed for a further year, until the end of March 2026. What happens then
is unclear. A large enough building, and a willing landlord, are hard to find.
We continue to benefit from long temi funding for much of the running costs of Asha Kiran
Ashram and Happy Valley from Blackwood Engineering 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 destrtute women who were living on the streets;
many have severe psychiatric problems. It has continued to function without needing our
intetvention. 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, her
mother VaSsala. and a part time nurse 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 we funded renovations of the day-time toilet and washing area, which had
become very decrepit, and also the provision of an outdoor toilet. This has greatly
improved the amenities available to the residents.
Shibu, our regular'bystanderf (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 311 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 do now 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 150 such groups of 10 to 20 women, meaning that nearly three thousand families
benefit. Our provision for a third "animatorf (administrator) has meant that the groups are
11

now much better managed. These unions allow women to work together, across the
divides of caste and religion, enabling them to pool their resources so as to enable any
member to borrow money for an agreed purpose- to set up in business, purchase
livestock, meet a medical bill, pay for education or pay off loan sharks are typical. Checks
and balan￿8 are in place to prevent fraud and to engender trust. The unions also provide
a social forum for members to disGuss problems and areao of concern.
Tuition groups supplement state education (which is often of poor quality). The number of
such groups is reducing - as people in Kerala become better off, they are able to pay more
for specialised tuition that our "one size fits all" groups are unable to provide - and this year
there were just four such groups. The children come for an hour or two of extra tuition 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. Funding of the groups is from our autonomous sub-committees, the Friends of
the Banyan Tree.
The Friends of the Banyan Tree continue to 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, although the demand does outstrip our ability
to meet it.
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 diSpla￿d 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 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.
-12-

Rev Dr Santhosh Kumar, of Celestial Ministries, and Rev Porselvan Asir of Grace Ministries
administer 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.
Plans for the future in India (2025126 objectives):
To maintain our life-saving and transfonnative 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 assistan￿ as far
as resources allow.
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 provide funding for medical treatrnent and other aid, as requested, to the greatest
extent possible.
To investigate new funding opportunities and projects that we might initiate or support.
To investigate the opportunities for providing a pemianent home for Happy Valley
special needs school.
FINANCIAL REVIEW
Results
During this financial year the Charty raised a total of £194,882 (2024- £193,616), mainly
from the generous support of individuals including a couple of unexpected legacies, and
spent £173,037 (2024-. £203.761), the vast majority on projects in Zambia (37'/0) and India
157 % ). The remaining 6 /0 of expenditure represented the UK costs of running the charity-,
these are mainly printing, postage, Insuran￿ and travelling (covered by a donation by the
traveller) - they are covered by donations from the UK team (trustees, management
committee and patron).
The level of unrestricted funds at the end of the year amounted to £42,770, of which
£37,879 was immediately available {2024.' £32,962 1 £28,451). The level of unspent
restricted funds at the end of the year was £52,786 (2024.. £40,749}, which will be spent on
those projects as shown in note 10 to the statutory financial statements.
-13-

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 (phonefinternet. 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 awaie that the charity's income fluctuates wildly,
and is impossible to predict with any accuracy. Consequently the tIU5tees 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 balan￿ 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 retsining significantly more than
this. Whilst the unrestricted balan￿ at the end of the financial year was significantly above
this, management accounts show that this target was achieved by the end of May 2026.
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 Endod 30 November 2025
I report on the accounts of the Trust for th& year eThJed 30 November 2025, which are set OLrt on pages
16to21
R￿P•¢I1V• rnsponslbllttla8 of trusteos and gxamlner
The trustees are responsible for the preparation of the aco)unts. The trustees consider that an audit
not required for this year under section 144{2) of the Chafities Act 2011(the 2011 A¢t} and th8t an
independent examination Is needed.
It is my responsibility to..
examine the acxounts UfKler section 145 of the 2011 Art
follow the prctedures lald duwn in the General Directions gtven by the Charity Commi5slon undE
145151 {b) of the 2011 Act and
state whether partiujlar matters have como to my attention.
Ba818 of Inde￿ndont examlnef$ wort
My examination was cArried out in accordance with the General Direcuons gfven by the Charity
Commission. An examinab.on includes a review of the ￿Counting records kept by the charity and a
comparison of the accounts presented with those records. It also includes consideration of any unusual
items OT disclosures in the accounls, and seeking explan8tion$ from you as truste8s conceming any
sych matters. The procedures undertaken do not provide all the evidence Ihat would be required in an
audit and cOnsequen￿Y no opinion ts given as to whether the accounts present a ￿ and fair view and
the report is limited to those matters set out in the slateM￿t below.
Indgpgndènt Examlnevs Statemenl
In connection with ry examinatitin. no matter has eome to ry attention..
{1) which gNes me reasonable cause to believe that in any material resFect the requirements..
to keep ac￿unting records in accordance wilh section 130 ofthe Art. and
to prepare accounts which acur(I with the arminting r8cords and compty with
the acccounting requirements of the 2011 Act have not been met or
121 lo which. in my opinion. attention shoukl be drawn in order to enable a proper understanding
of the accotjn
eached.
W K Paln•
Independent Examlner
44 Pettingale Road
Croesyceiliog
Cwmbran
Torfaen
NP44 2NZ
ol
-16-

HEALTH HELP INTERNATIONAL
6TATE&IEHf OF HWXIALACTIV171&8
[￿lat￿n$
Fundr8isthg
Inv¢stw¢M Inc¢xre
97.372
1e3.370
188.893
6.192
571
193 618
Ch•TItsLl• •¢tl¥ltl••:
rknnattons rr8dE to b¢naflGWB
C£kqts of 8hlpplDg ¢[￿￿eT
tJr8Ct èt1￿￿nLstr8ttsTh tr#¥
t)sSt of irnnsf¢nlng lur
54,819
117.104
171.7rJ
1,429
1.148
12
12
117.2
173.037
203,781
Nrt bofry• tr•T*t•r*
Grt)ss tr8nsl&B fLW
Akn¢mert In fur
11.037
21.845
110,14SI
9.808
21.845
Tot81 furtds brouam foNerd
Gzrrled frrward
40.749
52,786
42.770
95,556
73.711
-16-

HEALTH HELP INTERNATKINAL
BPUNCE SHEET
At •t 30 Nov•mb•r 2026
Fund
Funds
Funds
2025
2024
FIXED ASSETS
TAnglbl8 Assets
CU RFENf ASSETS
stocks
Dobtors an¢J Prep#yrnnts
Cash at bank
725
5.919
36,128
A2.770
72S
5.919
88.912
95,555
725
4,318
68.898
73,941
52.786
52.786
urt•: uut irnA
230
ONE YEAR
NET CuR￿lIf ASSET8
NET ASSETSIILIABILmE8)
42,770
42,770
52,788
52.786
95.556
95,556
73.711
73.711
FUNDS
Unrestfkct8d
Rèstrfcted
D85lgn8ted
42.770
42.770
52.78e
32,962
40.749
52,788
42.770
52,786
95.556
73.77 1
Approved by Ih
rL%8tses on
and slgnod on thelrbeh¥W by..
E Plumm•r (Cl￿rMian)
Thom•• FCA ￿T0￿$￿T•r)
Th• not•$ ¢)n pY4g•s 18 Ixtr 21 fwm part of Ilxè8• fl￿￿¢111 stsl&ment•.
-17-

HEALTH HELP INTERNATIONAL
NOTES TO THE FINANCIAL STATE*P
Y8#r ended 30 Ntsvernb•r 2025
Accountlffj poll¢le8
Bas18 of FThParntlon
The fln8ndal ststènwnts b•8n prepared undèrtha ￿81 cvnventi)n 8n¢J kn a￿￿lan
wth the Staletrnnl of ReLy)rM*nded PrdCkn.A¢￿u￿t1Trg and Reportkng by Ch?tib85 FRSSE,,
aff8dNe foi 8¢CQtJnttng perlods eornn*nong after 1 January 2015. and the Charftlès Act 2011.
Fund •ccounllng pollcy
Unrestntted uJo)mo fund¥ a￿ gen$r81 fvnds that fr)r us& at the Trustees. dlscrefjon in
furtheTrnce of the obÈedTh88 of lh8 th411ty.
Restrided funds a￿ th089 donal&d lor uae tn ¥ p¥rtiwL8r arna orf0rpartl￿&r PUFPO868. the usè of
4thlch Is reSt￿ted to th8t a￿8 or purpo*.
Furthar dglalls of eath fvnd ar8 dbdosed kn not• 9.
I￿omIng r•source¥
Vciluntary In¢on*IndUd￿g (Jonatlons and lega￿S ￿ ￿r￿gnISed vkneFE IheTr t5 enllugmenl. probabuty
of recelpt and the s￿￿)Unt ¢>n bo ffl8asurnd vlth suflkiont 10￿bl￿ty. Donated goods are valued by tho
tNstees.
Inv08ttrnnt Trt¥)gnr￿d *Athen rte0￿¢t1.
R•source8 •xpnd•d
LIabl￿o$ 8re r&¢ognlsod 88 8s thera ￿ a legal or constnJctNe obfigalon cornrT*ttlng the ch8Ity to
the expendrturg. Aa Éxpènditure Ls accounyed for on a¢(xuals ba$is and has been cksstfied under
hoodlngs that agregato all cosis r¥L8tng to the ￿tsgQry.
Costs of 98neT#lng funds a￿ the co*5 atxooated wth attrBCting ¥r)bntary In￿11*.
Charttable expendYÉur8 0)nT)Ise6 thoso wsts by th8 chartty in the ￿e￿ery of ts aCtMt￿S and
servres for ts benafid3ri8s. 11 Indudes both (x)8ts thal c4n be akscatod dlr¢Gtiy to suc* 8CtlvKl8s and
Ihosv e£)sts of an ndirn¢t n8lurB nece888ry try support them.
Sbxks
Slod($ Are stated at th? b￿rOf cost and not real&able v8lu&.
Voluntsry Inc¢JyÈ•
Unroslrfctsd
Funds
R•strlct•d
Fu¥hts
Total Funds
2025
2024
C&Jn8ttJns
Dctnatbns In
84.998
1.000
97.372
162.370
I,ooo
185.853
1,000
163370
186 853
.18-

HEALTH HELP INTERNATIONAL
NOTES TO ThE FINAfrIGIAL 8TATE%IENT8
Yo•r ended 30 No¥•mbor 2025
Inv•8tr•nt Inwno
Unr•strldwd
Fund5
R•strl¢l•d
Fund8
Totsl Fvndj
2025
2Q24
Intsr*¥l on c¥$h
587
587
571
587
587
571
TTu8l•o• T•munerg150tt and •xp•ns•s
The Trustees recofved no ￿￿￿ne13th)n orexp8n#•$ dttrfng thè lknandal
T8xallon
All this ChaW8 prfnwry pLtW and theTrfow exew fmm taxatbjn.
Skncks
2025
2024
Unsold cTrft good$
725
725
725
725
Dabtor8 and prnpaym•rt
2Q2S
2024
GfftAkY
Dèbtors
Pr8pald expendfture
4.608
491
820
5.gig
2,457
1,044
817
,318
Cr•dlt•rs:
2,025
2,024
DeteThed In¢ome
230
230
-19-

HEALTII H&P INTOINATIOPIAL
NOTES TO THE FIlI￿lAL STATEI
YeAT JO Nov•mb•r Z025
BI1•￿¥ •t30
Nov•mb•r
2026
D•¢•mb•r Incornlry OuWrvJ
2024
UrbM%trf¢l•d
G8n•rnlfundi
32.962
88.585
(55.7771
1,000
42,770
88ny80 Troe
B&sta
B&ukh
B￿ll￿ Qub
Bu* Fund
08af School
Heart P8lbntB
IndLA Gon•rnl
cThoongo
Nanga
35.193
154
495
20,529
P5.0321
30.690
154
220
225
(r151
PZ51
1285
(a251
11.0871
L087
11,413
S.280
(5.2801
893
3.248
(8931
t3.e441
Spèdal Indb
PhI￿p,$ Srt Centr
Hoppy v?￿Y
Kl6n$inJal Hyokn#•
Spocbl N88ds
Physb Hall
KlJn8y P8ll•nts
Asha Kv8n Ashrn
Antmaiw c¥i8kgue6
AulDcbve
Vhe Pres$ 8ook¥
T*anal h)u80
Thanal tr4)u80
17.375
1.223
21.987
17.)75
14.2231
pt.9871
4.405
1,616
30,9ZS
{4.4651
11.0841
f29,3271
1.598
2.291
935
40,749
73.711
4.289
(7,5801
1.000
935
52,786
95.556
128.297
191.882
1117.2801
1173.0371
1.000
Total fvndl
Tmftslorn ora to fund daf¥X or**th th8 pe4rrtssk)n of th• donot.
-20-

HEALTH HELP INTERNATK)NAL
NOTES TO THE FINANCIAL STATEAENTS
Yéar gndod 30 Novomb•r 2025
Unrt*riL*ed afo genero1 funds that Arè awa￿ble for uge at tho trJ8teDd dt8uBth>n
further8n¢e ol the obj¢ctlYe3 of Ihe thaNty.
Banyan T￿e. To funé proJ8cts sn Ind￿.
Bèsta.. To fvnd the traSnSng of Beslg lrt Zambla
Beulah.. To make for 8eulah kn Ind1¥
Bllnd Club= To 9681st tht qualty ol Iffe forthe bknd kn lknnze.
Deal School.. To fund dèaf pmJe¢t8 fof deaf c*tYkl￿￿ in ￿nze and the Vattey.
lfidla General.. To assbt projects in IndLg.
Choongo: To bulk8 a dorrrthiry bkJd( fr*rd1s6b￿￿ #t Choongo &*ool kn Zan**
ortsrya.. Supporting Chtsti8n$ sJffodn9 persecutDn kn Indla.
Spèd81 India Fund.. To 8S8Lst projects in In¢YLs.
Asha KlrBll Ashr8m: To 8811s1 vAth th8 fundkng of the PA￿ of Fk*pè C•ntre fordL8abl8d thMdr¢n.
Atternat￿8 Catalogue.. Funds prO￿&d spedknuy loraglollu￿. $d¢ts(*tSonaL c¥Jrrnwnlty or ￿￿ka1 prvJB¢ts
and negds.
Vinè Pre68'. To prDvhl• 0￿￿en¢Y re￿f vkn8rÈ no other rrnnl8$ arn avaUBbb.
Th8llal House.. To p￿￿￿$8 a￿$￿Tr¢8 to rrtet the wnnkno o)8ts of trto fordesthuta In Indla.
Phlllp's SN Centro". To prDvhJe as$1gtance fordI68b￿d Kakntharn.
Happy Vafvy Spe¢lBI Therapy Cèntre: To p￿￿d• a pern4nont Ltumkng frJT¥ 8p•dal nee(18 Centra.
Menstrual Hyglana.. To p￿N￿de sanltory p*ekn and educatbn forglts kn Zani)Ib
Sped81 Needs.. To provkle spedal need¥ gduL*tlon. trBknlng And trtornpy for thlklren kn IndLq.
Kldney paJents.' To fund tswwnosyppr8ssant drug$ and for patlènts *lth fal￿ ￿n*￿.
Th8n81 House Project: To mBk¥ hwrovernnts #1 Th8nal Fk)u8e In Indiq.
-21