Chairman’s Report 2023
This year has been busy for UCIF with seven camps since the last report and two more planned for the rest of the calendar year. There has been a great emphasis on training, with senior and junior surgical trainees, urology fellows, obstetric and gynaecology trainees and many nurses all benefitting from attending teaching camps.
November 2022 Kyangwali
42 cases were identified and prepared for surgery with mobilisation throughout the camp – patients with poor obstetric outcomes were enlisted by health workers in various health facilities in anticipation of the camp. One patient under 18 was not treated due to a consent issue and may return to a future camp. Dr Asiimwe led the camp, supported by the local medical officers.
January 2023 Kitovu
UCIF sponsored 30 patients at this camp, which was attended by Dr Ian Asiimwe and Dr Michael Breen from Madagascar. UCIF maintains active links with Dr Breen, with joint discussion of more difficult cases. A visiting American surgeon provided training on prolapse which was much appreciated by Dr Asiimwe.
March 2023 Kuluva
Dr Kate Darlow, Ishbel Campbell and Dr Asiimwe travelled to the far north of Uganda for this camp, which was busy with 112 women screened and 44 undergoing surgery. There were 2 senior Ugandan trainees. UCIF plans to continue to support Kuluva with another camp planned there in December 2023.
May - June 2023 Kagadi, Kamuli
Two back-to-back camps were undertaken with Dr Asiimwe, Dr Collie and Dr Reimers. 29 cases were undertaken at Kagadi, of which 13 were vvf or stress. Nurse Ishbel Campbell attended to oversee nurse training.
Kamuli had a preponderance of complex abdominal cases among 39 people operated, but nevertheless the outcomes were excellent with no major complications. Two fistula patients remain wet with stress and will return in October. There were 2 senior and 2 junior Ugandan trainees attending the camp with good operating experience gained by all.
Oct 23 Kamuli, Kagadi.
Dr Collie, Ishbel Campbell, Dr Asiimwe and Dr Reimers returned to Kamuli for a big camp with 41 patients operated, and again a preponderance of complex abdominal procedures.
One diversion was undertaken on one of the June patients - a lady with terrible stress incontinence post fistula fistula repair, small bladder and failed treatment of bladder augmentation. She did very well, was discharged dry and will be followed up by Joan senior fistula nurse from Kamuli. The second patient with stress from June underwent a further stress procedure which seems to be partly successful at least. She will be reviewed again in the spring of 2024.
There were also four children needing ureteric reimplantation for ectopic ureter who were successfully treated during the camp.
There was a visiting senior surgeon from Somalia, Dr Abdi, plus 2 urology fellows, a Figo fellow, 2 junior fistula surgeons and 7 obstetric and gynaecology observers. Nurses from Kagadi, Entebbe and Jinja came for fistula nurse training, co-ordinated by Ishbel Campbell and the Kamuli team.
Nurses Christine Wood and Lesley Reid partook in pre camp triage with Sister Joanita and helped throughout the week.
Jess Rowe, her daughter Aurora and Isbeal Uttley came as volunteers to help with patient activities – sewing, knitting, nail bar and a new venture – hand lotion manufacture, led by Jess. They also spent time making a film for fundraising purposes.
Dr Collie and Dr Asiimwe then joined up with Dr Darlow plus Isbeal Uttley, a UK trainee Dr Afra Jiwa and Dr Tinka Anna for a second week in Kagadi. Another group of 8 obstetric and gynaecology fellows came to observe the fistula work and to learn perineal tear repair. They were most enthusiastic and very welcome. Improving the awareness of fistula following caesarean section amongst those will be the trainers of the futures is vital. 29 patients were treated this week, including some from Kyangwali refugee camp. One of these ladies came for a diversion after multiple unsuccessful procedures leaving her with a tiny, scarred bladder, urethra and vagina. The operation was successful, and she was discharged back to the camp where she will be followed up by nurse Scovia.
2023 Remainder:
Two further camps are planned in the next 2-3 months, in Tororo and Kuluva. Dr Asiimwe and Dr Darlow will lead these camps.
Summary:
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Calendar year: 218 plus November camps to come.
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Financial year to oct 23: 235 cases undertaken.
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4 advanced trainee surgeons supported to attend camps, trained in fistula surgery (Dr Tino, Dr Tinka, Dr Fiston, Dr Vincent)
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2 senior Ugandan fistula surgeons paid to undertake camps and one Somalian Senior surgeon supported to join the Kamuli camp in October 2023.
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24 obstetric and gynaecology trainees accommodated in October 2023
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20 nurses trained at 5 camps
PLUS: Special congratulations to Ishbel Campbell and the Kamuli Nursing team for winning the Burdett Nursing Trust Award
Having been shortlisted for the ‘Nursing Now’ award for the Burdett Nursing Trust the Kamuli Fistula Nurses won the category and a large grant to continue the nurse training programme.
The team consisted of Ishbel Campbell, senior UK nurse, Joan Nabbagala, Joanita Musubika and Morris Andama, Ugandan Fistula Nurse trainers, with Dr Ian Asiimwe overseeing the nursing team.
We are conducting fistula nurse training sessions at Kamuli Mission hospital. Nurses from fistula care centres in other parts of Uganda are invited for the weeklong training programme. Follow up visits to their own facilities are included to assess how they are doing and give advice.
Discussion is currently underway to develop the training and take it to other countries in Africa with high burden of fistula.
Future plans:
It is hoped that UCIF will fund 8 camps in the next financial year. Ugandan surgeons will be the primary operators running each camp, with the UK and Norway based surgeons planning to attend 50% of camps to lend support and help with teaching. Dr Collie is planning to spend some time with Dr Breen in Madagascar and to cover his leave. She will report back to the trustees as to whether this is a worthy scheme for the future.
| Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
Period end date 04/09/2022 03/09/2023 Charity Name No (if any) CC16a Uganda Childbirth Injury Fund 1099135.00 Receipts and payments accounts For the period from Period start date To ~~SEE~~ |
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| Section A Receipts and payments | |||||||||||
| Unrestricted funds |
Restricted funds | Restricted funds | Endowment funds |
Total funds | Last year | ||||||
| to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | |||||||
| A1 Receipts | |||||||||||
| Donations 24,901 - - 24,901 31,853 Fund Raising - - - - - Fistula Foundation 29,156 - - 29,156 23,441 Tolkein Trust 25,000 - - 25,000 25,000 Paypal giving fund 101 - - 101 1,222 Burdett Trust - 3,960 - 3,960 - for Andrew Browning - - - - - Gift Aid Tax refund 7,368 - - 7,368 4,876 Sub total 86,525 3,960 - 90,485 86,391 A2 Asset and investment sales, etc. - - - - - Total receipts 86,525 3,960 - 90,485 86,391 ~~eee~~ |
- 86,391 |
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| A3 Payments | |||||||||||
| Transport, visas & accommodation | 12,060 | 12,060 | - | - | 12,060 | 7,516 | |||||
| Medical supplies/equipment | 580 | 580 | - | - | 580 | 5,300 | |||||
| Publications | **- ** | - | - | - | 1,761 | ||||||
| Virika Expenses | **- ** | - | - | - | - | ||||||
| Hospital costs | 54,100 | 54,100 | - | - | 54,100 | 46,857 | |||||
| Bank & Just Giving charges | 261 | 261 | - | - | 261 | 274 | |||||
| Ugandan Restricted Staff Payments | **- ** | 2,107 | 2,107 | - | 2,107 | 2,081 | |||||
| URICT | **- ** | - | - | - | - | ||||||
| Ugandan Staff payments | 7,770 | 7,770 | - | - | 7,770 | 10,361 | |||||
| Ugandan Surgeon payments | **- ** | - | - | ||||||||
| Sponsorsip costs | **- ** | - | - | - | 2,000 | ||||||
| Misc. Inc post & stationery | 357 | 357 | **- ** | - | 357 | 1,150 | |||||
| Donations topatients | - | - | - | - | - | - | |||||
| **Sub total ** | 75,128 | 2,107 | 2,107 | - | 77,236 | 77,300 | |||||
| A4 Asset and investment purchases, etc. - - - - - Total payments 75,128 2,107 - 77,236 77,300 Net of receipts/(payments) 11,397 1,853 - 13,250 9,091 A5 Transfers between funds - - - - - A6 Cash funds last year end 62,138 775 - 62,914 53,822 Cash funds this year end 73,535 2,628 - 76,163 62,914 ~~=~~ |
091 - 62,914 |
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| CCXX R1 accounts (SS) | 1 | 01/02/2024 | 01/02/2024 |
01/02/2024
Section B Statement of assets and liabilities at the end of the period
| Categories Signed by one or two trustees on behalf of all the trustees B5 Liabilities B4 Assets retained for the charity’s own use B3 Investment assets B2 Other monetary assets B1 Cash funds |
Signature Details Details Details Details Bank Balance Less chqs/tfrs not cashed plus donations not cleared Total cash funds (agree balances with receipts and payments account(s)) Details |
Unrestricted funds Restricted funds to nearest £ to nearest £ 73,535 2,628 - - - - 73,535 2,628 OK OK Unrestricted funds Restricted funds to nearest £ to nearest £ - - - - - - - - - - - - Fund to which asset belongs Cost (optional) - - - - - Fund to which asset belongs Cost (optional) - - - - - - - - - Fund to which liability relates Amount due (optional) - - - - - Print Name SARAH FRASER |
Endowment funds to nearest £ |
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| - | |||
| - | |||
| - | |||
| - | |||
| OK | |||
| Restricted funds to nearest £ |
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| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| Cost (optional) | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| Cost (optional) | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| When due (optional) |
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| Date of approval | |||
| SARAH FRASER | 19/11/2023 | ||
01/02/2024
CCXX R2 accounts (SS)
2
Independent examiner's report on the accounts Section A Independent Examiner’s Report Report to the trustees/ Charity Name members of Uganda Childbirth Injury Fund ~~a PO~~ On accounts for the year 3 September 2023 Charity no (if 1099135 ended any) ~~eeee~~ Set out on pages 1 (remember to include the page numbers of additional sheets) ~~PO~~ Respective responsibilities of The charity's trustees are responsible for the preparation of the accounts. The charity’s trustees and examiner trustees consider that an audit is not required for this year under section 144 of the Charities Act 2011 (the Charities Act) and that an independent examination is needed. It is my responsibility to:
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examine the accounts under section 145 of the Charities Act,
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to follow the procedures laid down in the general Directions given by the Charity Commission (under section 145(5)(b) of the Charities Act, and
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to state whether particular matters have come to my attention.
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Basis of independent My examination was carried out in accordance with general Directions given by the Charity examiner’s statement Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a ‘true and fair’ view and the report is limited to those matters set out in the statement below.
Independent examiner's In connection with my examination, no matter has come to my attention (other than that statement disclosed below *)
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which gives me reasonable cause to believe that in, any material respect, the requirements:
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to keep accounting records in accordance with section 130 of the Charities Act; and
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to prepare accounts which accord with the accounting records and comply with the accounting requirements of the Charities Act
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have not been met; or
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to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.
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Please delete the words in the brackets if they do not apply.
Date: 11/10/23 Signed: ~~ee~~ ee ~~ee~~ Name: Gay Talbot Relevant professional B.Sc qualification(s) or body (if any): ~~Oe~~ Address: Fold Howe Kentmere LA8 9JW ~~So~~
IER
March 2012
1
Section B Disclosure
Only complete if the examiner needs to highlight material problems.
Give here brief details of any items that the examiner wishes to disclose .
IER
March 2012
2