Chairman’s Report 2024
This has been a good year for UCIF. Our co-founder and mentor Brian Hancock was awarded OBE for services to surgery in sub-Saharan Africa, a reward which could not be more deserved.
Workwise, since the last report in Oct 2023, we have run nine and supported four surgical camps. A further two are planned before the end of the calendar year. Our Ugandan colleagues (Dr Asiimwe, Dr Matovu and Prof Baregeine) are undertaking more and more of the work, with four senior trainees becoming ever more confident – Dr Fiston, Dr Tinka, Dr Tino and Dr Franka. We were very pleased to welcome also Dr Paul Muwanguzi to the team.
We have treated 258 women and girls affected by childbirth injury and incontinence.
Additionally, there have been 6 nurse training programs run by Ishbel Campbell and her Ugandan team in Uganda, and one in Angola.
UCIF has also expanded to Madagascar, with Mhairi Collie spending two weeks covering the Freedom from Fistula unit in Toamasina, and to Angola, where Ishbel Campbell spent a week doing nurse training in Luanda.
November 2023 Tororo
40 cases were identified and prepared for surgery, including 8 VVF cases. Three of the VVF cases had the worst type of fistula, but all were successfully treated. Dr Asiimwe and Prof Baragaine led the camp, supported by Dr Vincent and Dr Fiston.
December 2023 Kuluva
This was the second UCIF camp at Kuluva hospital in northern Uganda, near to Dr Asiimwe’s posting in Arua. The facilities and staff have been found to be excellent. Dr Asiimwe, Dr Darlow, Dr Franka and Dr Tinka treated 35 women, including some particularly complex patients, with an excellent success rate. One lady with a failed repair will be planned for reassessment in 6 months, and potentially further surgery.
January 2023 Kitovu
UCIF sponsored 30 patients at this camp, which was attended by Dr Ian Asiimwe, Dr Fiston and Dr Michael Breen from Madagascar. UCIF maintains active links with Dr Breen, with joint discussion of more difficult cases. A visiting American surgeon Dr Larry
again provided training on prolapse which was much appreciated by Dr Asiimwe and Dr Fiston.
February 2024 Kyangwali
Dr Matovu, Dr Fiston and Prof Baregeine undertook a camp of 22 women including 4 vvf.
April 2024 Kuluva
Dr Asiimwe returned to the far north of Uganda for this camp working with Dr Franka. 20 cases were done, 7 vvf.
May - June 2024 Kagadi, Kamuli
Two camps were undertaken May into June. Dr Asiimwe, Dr Fiston, Dr Paul Muwanguzi and Prof Barageine did a camp of 35 patients in Kagadi including 7 VVF.
Dr Asiimwe, Dr Darlow and Dr Tino did a camp of 19 patients including 8 vvf in Kamuli.
June 2024 Madagscar
Dr Collie travelled to Toamasina in Madagascar to cover the fistula unit there while Dr Breen was away. She undertook 18 operations, of which 16 were complex difficult primary obstetric fistula. It was noted that there are very many primary obstetric fistula in Madagascar, with very few women being delivered in clinics or hospitals. The cost of health care is beyond the majority of the population.
Sept/Oct 2024 Kyangwali, Kagadi, Kamuli.
Dr Darlow, Dr Asiimwe, Dr Paul Muwanguzi and Dr Tino travelled to Kyangwali for a successful camp of 18 patients of which 8 were vvf, with Ishbel Campbell attending to the nurse training.
At the same time, Dr Collie, Dr Fiston and Dr Tinka spent a week in Kagadi. Dr Fiston and Dr Tinka were primary surgeons with a table each and Dr Collie assisting. 18 cases were done, but only 3 vvf. It was thought that mobilisation deep into the villages had not been done and this is being discussed prior to another camp being arranged in Kagadi.
Dr Collie, Ishbel Campbell, Dr Asiimwe then journeyed to Kamuli for a camp alongside our colleague from Somalia, Dr Abdi plus Dr Obore from Mulago and Dr Tino. The camp was successful with 28 cases done, including 11 vvf.
2024 Remainder:
Two further camps are planned in Uganda in the next 2 months, in Tororo and Kuluva. Dr Asiimwe, Dr Justus, Dr Fiston and Dr Tinka will lead these camps.
Christine and Cara Wood (midwives) will work with Dr Asiimwe in Arua in December on a program of perineal tear prevention.
Additionally, Dr Darlow and Dr Collie are travelling to Sierra Leone to work with Dr Awol at the Aberdeen fistula centre for a week in November.
Summary:
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Financial year to oct 24: 248 cases undertaken.
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5 advanced trainee surgeons supported to attend camps, trained in fistula surgery (Dr Tino, Dr Tinka, Dr Fiston, Dr Vincent, Dr. Paul Muwanguzi, Dr Franka)
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4 senior Ugandan fistula surgeons paid to undertake camps and one Somalian Senior surgeon supported to join the Kamuli camp in October 2024.
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20 nurses trained at 7 camps
PLUS:
Congratulations to Brian Hancock for being awarded OBE for services to fistula surgery in subSaharan Africa.
Congratulations to Mhairi Collie on the publication of the novel “The Bright Fabric of Life”, the story of a fistula patient and a surgeon, all proceeds to fistula prevention and treatment.
Future plans:
It is hoped that UCIF will fund 5 camps in Uganda in the next financial year. Ugandan surgeons will be the primary operators running each camp, with the UK team planning to attend 3 camps to lend support and help with teaching.
Dr Collie is planning to return to Madagascar to cover Dr Breen’s leave and to work with a promising Malagascy trainee Dr Herlala. There are many very bad VVF cases in Madagascar and a great shortage of doctors and surgeons. It seems a worthy project
to help train Dr Herlala and to utilise the facilities and staff of the Fistula centre in Toamasina so that it can continue to run when Dr Breen is absent.
Dr Darlow and Dr Collie have a trip to Sierra Leone planned for November 2024, to work alongside Dr Awol in the Aberdeen centre. This is a scoping expedition to see whether UCIF surgeons can provide support for Dr Awol and/or cover some of his leave. They will report back to the trustees as to whether this is a worthy scheme for the future.
Ishbel Campbell had a very illuminating visit to Luanda, Angola in September 24 and found there were many fistula patients, overwhelming the services available. A possible plan of undertaking fistula camps up country with a team of surgeons and nurses or of assisting Dr Paolo in the capital will be discussed within the UCIF team and with the in-country doctors and nurses.
| Period end date 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 04/09/2023 03/09/2024 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 | Endowment funds |
Total funds | Last year | ||||||
| to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | to the nearest £ | ||||||
| A1 Receipts | ||||||||||
| Donations 23,406 9,540 - 32,945 24,901 Fund Raising - - - - - Fistula Foundation 9,225 - - 9,225 29,156 Tolkein Trust 28,000 - - 28,000 25,000 Paypal giving fund - - - - 101 Burdett Trust - 8,870 - 8,870 3,960 for Andrew Browning - - - - - Gift Aid Tax refund 3,695 - - 3,695 7,368 Sub total 64,325 18,410 - 82,735 90,485 A2 Asset and investment sales, etc. - - - - - Total receipts 64,325 18,410 - 82,735 90,485 ~~eee~~ |
- 90,485 |
- 90,485 |
||||||||
| A3 Payments | ||||||||||
| Transport, visas & accommodation | 20,801 | 20,801 - |
- | 20,801 | 12,060 | |||||
| Medical supplies/equipment | 2,400 | 2,400 - |
- | 2,400 | 580 | |||||
| Publications | **- ** | 5,500 | - | 5,500 | - | |||||
| Website charges | 197 | 197 - |
- | 197 | - | |||||
| Hospital costs | 39,022 | 39,022 - |
- | 39,022 | 54,100 | |||||
| Bank & Just Giving charges | 261 | 261 - |
- | 261 | 261 | |||||
| Ugandan Restricted Staff Payments | **- ** | 13,460 | - | 13,460 | 2,107 | |||||
| URICT | **- ** | - | - | - | - | |||||
| Ugandan Staff payments | 9,855 | 9,855 - |
- | 9,855 | 7,770 | |||||
| Ugandan Surgeon payments | **- ** | - | - | |||||||
| Sponsorsip costs | **- ** | - | - | - | - | |||||
| Misc. Inc post & stationery | 263 | 263 **- ** |
- | 263 | 357 | |||||
| Donations topatients | - | - | - | - | - | |||||
| **Sub total ** | 72,799 | 18,960 | - | 91,759 | 77,236 | |||||
| A4 Asset and investment purchases, etc. - - - - - Total payments 72,799 18,960 - 91,759 77,236 Net of receipts/(payments) (8,474) (550) - (9,024) 13,250 A5 Transfers between funds - - - - - A6 Cash funds last year end 73,535 2,628 - 76,163 62,914 Cash funds this year end 65,062 2,077 - 67,139 76,163 ~~=——~~ |
- 76,163 |
- 76,163 |
24/10/2024
CCXX R1 accounts (SS)
1
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 £ 65,062 2,077 - - - - 65,062 2,077 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 |
Endowment funds to nearest £ |
|---|---|---|---|
| - | |||
| - | |||
| - | |||
| - | |||
| OK | |||
| Restricted funds to nearest £ |
|||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| Cost (optional) | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| Cost (optional) | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| When due (optional) |
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| Date of approval | |||
24/10/2024
CCXX R2 accounts (SS)
2
Ind•p•nd•nt •Xomlnorf• rèport on th• •ccounts Section A lrtdependent Examiner's Report R•port to the tru•teMI m•rnber4 01 Ug8nd8 Childbirth Injury Fund On •c¢t)unt• for th• y•ar •nd•d 3 September 2024 Chty no111 any) 1099135 S•t out on p•g•• R••p•¢Yv• r••pon•lbSlltl•• of Th• chanV8 iwsl¢68 8fe r•oponsible for the prep8r8lion of thé ocoJun18. Th8 charity's tru•t••• •nd •Mmln•r trustee$ conslder that an gudit 1$ not rwuired lor thiJ year under section 144 of Ihe Charities Act 2011 Ilhe Ch8nlles Act) and that an independenl examinBllon is needed. It 18 my reipongibilrty to.. mlne the 8c£ounts und8f 145 011 Ch8rt11• AGI. lo follow th• pro¢4dures18id dtrm in the gener81 Directions given by the Charlty Commisslon lunder secuon 14515llbl of the Charrti•s Acl. and 10 8t8te elher p0CtIor mBtter8 have corne to my attents"on. 8••h ol Ind•p•nd•nt ey8mln8tlon w81 ¢athed out In wc¢ordartc• th gener81 Olréclion8 gfv8n by the Chadty •x•mln•rf• •tst•m•nt Comml881on. An examinatlon indudos 8 reM8w of th• AcunI1ng rerdS kept by the tharty and • comparf8on of the &cceunt8 pr¥8enled vAlh those rncords. 11 also indud•s C¥Y181der¥tlon of any unusual it•m8 or disdosures in Ihe accounls. end 508kin9 axplanallon8 frum th• tru$l••s (J)nmIng any Ju¢h m8tter8. The pro¢eduf•s undèrtaken t10 not p(ovld• all the •vld•nc• that would bo requir•d In an audK, and COnquen1lY no oplnion Is glven as lo vkn•ther th• ac¢wnts present a'tru• and lal¢ vlow and the report 58 lknll•d lo th080 m•ttarn 8•1 out In t sthtam•nl below. Ind•nd•n1 •X4mln•¢• In tt)nnKtion th my mIneon, no matt•r hAs ¢XO to rny att•ntlon {oth•r than that •tsl•m•nt dJos•d bdow'l 1. ¥thlch giv•$ m• rnJ60nobh Cau to belle¥• Ih•t In, any m4t•rlal rw•c¢. tho rnqUifem•nl$'. lo koep anrt9 I4rds In acrdIn¢4 vthh 130 ofth• Charitie8 A<.. and to pr•p8re 8cuunts ¥thlch 8o%rd wth the aLxounting arnl CA)Mp ¥Alh the Ar£ounllng requlrements Of Chanues Ad • not be•n mel., or 2. 10 In my wlnlon, attenuon Should be dr8M) In orderto enablo a proper und•r*•ndlrfj ofthg A¢xounts lo be reath•d. . Phas• det8 Iho Wrnts In Ihe brtckots rfthay not 8ppty. 8lgn•d: O•t•: 29110r24 G8y Ta q1¢¥110(•) or body111 Fold IER March 2012
Section 8 Diselosiiro Only compl•i• il lh• •xamin•r n••dB lo highllght m8lert•l prc)l•m• Gh h•r• brl•f d•tslt• of *ry It•m• tmt th• •xamln•r wS•h•• IER March 2012