TROPICAL HEALTH AND EI)UCATION TRUST
REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
CHARITY No. 1113101
COMPANY No. 05708871
*ADC1119AP'
2710912024
COMP*NIES HOUSE
#145

TROPICAL HEALTH AND EDUCATION TRUST
IA company limited by guaF3nteÈl
TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
ST
CONTENTS
Page
Reference and Administrative Details
Trustees, Report
Independent Auditor's Report
Statement ol Financial Activit￿5 for the year ended 31 t)ecember 2023 21
Balance Sheet at 31 De￿rnber 2023
17
Staternenl of Cash F￿wS al 31 Deceirthr 2023
23
Notes to the Financial Staterwits
24

TROPICAL HEALTH AND EDUCATION TRUST
IA cornpany limited by 8uaranteel
TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
Trustees..
Ms R(xJa Ali Ahmed
Mr JusbnpnAsh
Or Titilola Banjoko
Professor Ged Byrne M8E
Dr Jemima Denni$-An￿1
Professor Valerie Fleming
Ms Elaine Green laptKJinled 14 March 20231
Mr John Headley {apwinted 8 May 2023)
Mr Mike McKirdy
Professor Rosalind Raine
Mr Jonty Roland
Dr Julia Terry (appointed 30 March 20231
Chief Executive..
Mr Ben Simms
Company Secretary..
Deputy Company Secretary".
Ms Joanna Green
Ms Donna Pryor
Registered Office..
86- 90 Paul Street
3rf Fboor
London
EC2A4NE
Independent ALKlitor
Moore Kingston Smith LLP
6th Floor
9 Appold Street
London
EC2A 2AP
Charity Registration No".
1113101
Registered Company No..
05708871

TROPICAL HEALTH ANO EDUCATION TRUST
IA company limited by 8uaranteel
TRUSTEES, REPORT
FOR THE YEAR ENDED 31 DECEM8ER 2023
The Trustees, who are also the Oirectors of the company for the purposes of the Companies Act,
present IheirAnnual Report. whith is also the Directors. report for the purposes of the Companies Act.
tffjelhei with the audrted Financial Ststements of the Company for the year ended 31 December
2023.
The financial statements compty with current statLrtory requirements. the requirements of the chanty's
goveming document and in accordan￿ wth Accounting and RepJb"ng by Charities.. Statement of
Recommended Plac￿ (Charrties SORP {FRS 1021).
The name of the chanty is Tropical Heath and Education TrusL" is also known as THET.
The following Iruslees have acted during the year..
Ms Roda AiAhmed
Mr Jusbnian Ash
Dr Tililola Banjoko
Professor Ged Byme MBE
Dr Jemima Denn¢s-Anhvi
Professor Valerie Fleming
Ms Elaine Green {appoinled 14 March 20231
Mr John Headley lappoinled 8 May 20231
Mr Mike McKirdy
Professor Rosalind Raine
Mr Jonty Roland
Dr Julia Terry (appointed 30 March 20231
Ms Claire Hammond (stepped down 21 June 2023)
Mr Hugh Risebrow {slepped down 310ecember 2023)
Chief ExecutTrve'. Mr Ben Simff
Company Secretary". Ms Jacqueline Mutibwa

TROPICAL HEALTH AND EDUCATION TRUST
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TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
sr
Introduction from the Chalr of Trustees
2023 was my second year as Chair of Trustees and l am proud to see Ihe pace at whth the Tropiral
Health and Education Trust ITHET} is progressing in the delNery of its vision of a world where everyone
has access lo quality healtheare. The four impact goals and six enabling goals described in this report
ovide the framework for our charitable activty and l am delighted with the prO￿e$S made.
2023 marked a s1gnrf￿ant perKKI of success and growth THET, wtlh our Senior Management Team
reporting in Febiuary 2024 that 68 people were employed by the organisation in December 2023, with
£12 million expenditure forecast for 2024 at that time. At the lime of writing, the THET team has
continued to grow to 84 with forerasl expenditure of £16m in 2024. marking the momenium with which
THET continues to grow on the foundalKJns laid in 2023. This growth has brought several challenges
includin9 onboarding. resourcing. and HR, which have all been admirably addressed by THET staff.
With strong growth in the staff leam. l am delighted lo note the continued very high standard of delivery
of our charilable aclivilies. induding increased commissioning of grant projects. which are outlined in
rrttye detail later in this report.
We have also seen growth in our geograph￿ ￿eSen￿. and l am proud to report we are now registered
as an NGO in Ethiopia. This registration wll assist in securing further partnership and funding
opportunities in the country, whtch holds particular Slgnrf￿ance to the organisalion due lo the close
relationship of our founder. Professor Sir Eldryd Parry, wth the county. l am excited lo see our work
grow in Ethiopia over the ¢c￿1ng years.
This year. THET has continued to champion the ft)le of Health Partnerships in delivering Universal
Health Coverage. and lo advocale for the safety and wellbeing of health workers around the globe.
2023 has not been without its challenges. bul vAth collectsve tenacity THET has overcome significant
hurdles.
There were many highli￿t$ over the course of the past 12 w￿nthS. making it difficult to choose Ihe
highpoinl of this year. However. confim7atic￿ of funding for the £8.9 million Global Health Workforce
Programme IGHWPI by Ihe UK Department Health and knial Care is a s18nd-oul moment which
illustrates the faith of the UK Govemment in the Health Pathership appyoach. By the end of 2023, THET
awarded grants in Ghana, Kenya and N￿eria lo 33 Health Partnerships, collectively amounting to £5.9
million worth of actNity. This has contributed towards THET increasing ils annual income from £4.2m in
2022 to £5.3m in 2023. This is extremeFy pleasing. txjt we are also very conscious of our responsibility
lo deliver value and impact on behalfof UK govemment in retum for the faith placed in us. l am therefore
pleased to see the quality and impact of the projects to be delivered through the programrne.
Digital Iransformalion remains a major prKxityforthe charity. This is seen in tsjr programme work, where
lechnology is allowing us to delivef training in challenging settings. such as Myanmar and North-west
Syria. Technology has also been central lo the adoption of hybrid w0￿1ng practices for our staff and in
the runnlng of many of our events.. our online conferences are. for example, far more accessible and
inclusive as a result of digital transformation. and we were pleased lo have again offered free tickets to
our autumn annual conference for attendees from Low- and M￿dIe-Incorne c￿ntn.eS ILMICs}.
In 2023, we hosted our online annual conference 'Acceleraling Actson on Univetsal Health Coverage:
The Role of Health Partnerships,. The conference welcomed 52 speakers with 465 registered delegates
from acros$ 40 ￿untrieS. We ore very grateful to our sponsors for enabling this to happen.
THET also continued to be al the forefront of athocating lor Ihe restoralion of UK Official
Development Assistance IODA) spending to 0.7% of GNI. pursuant with the longstanding United
Nalions largel. 11 is disappointing that the govemment have not provided any further updates lo the
earfier tirnefr8rne that a retum to 0.7IJk is not expected until after 2027128 at the eadiest. THET wll
continue lo advocate for this important resloration in funding.

TROPICAL HEALTH AND EDUCAnoN TRUST
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TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
Al the start of the year the Board conducted a ￿ard effeclTveness review to inform future conduct.
Generally Trustee5 were very salisfied with Ihe frequency. conlenl and level of discussion and enquiry
al Board meetings and with the input from the management team, with a desire to learn more about
specrfic projects ar*d in particular on how the organisats.on was developing and supports'ng its
employees. These were made subjects of Board discussion during the year.
Despite the ongoing challenges presented by the reduction in UK ODA spending. in 2023 THET has
supported 154 Health Partnerships to improve their capacity and effectiveness. increased access to
healthcare 105.821 people. and Contributed to the training of 7,890 health workers in 2023.
THET is driven by deeply committed staff. guided by 12 brilliant Trustees, and supported by a team of
dedicated Honorary Advisors. l am proud to be Chair of the Board of Truslees al Ihis impactful and
globally respecled organisalion. I would like lo say a spec￿[ thank you lo the departs.ng Trustees Ged
Byrne, Hugh Risebrow. Claire Hammond, Mike McKirdy and Jonty Roland, whilst also welcoming new
Trustees ioiniftg in the coming months. The Board as a whole continues to dedbcate enormous
amounts of lime on a voluntary basis. with each Trustee attending a quarterly comrniltee meeting in
addition lo the Board meeting. Their contribution also extends to other elements of THET'S work.
including supporting wth Ihe conferences held during the year. albwing us to draw on insight from
residents of two Afn"can countries. and diaspora. as well as the UK. Finally. I would like to thank Ihe
Chief Executive. Senror Management Team and all other stsff and consull*ts for their hard work and
achievemen15 al THET during the year.
MrJustinian Ash
Chair of Trustees

TROPICAL HEALTH AND EDUCATION TRUST
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TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DECEM8ER 2023
OBJECTIVES AND ACTMTIES
For 35 years. THET has been wothing in partnership to strengthen health systems and buikl health
workforce capacity in LMICS. W(xking closely with Ministries of Health and in partnership wilh UK and
LMIC health institulions. and as an NGO in Official RelatN)ns with the Wortd Health Organizalion IWHOI.
we strengthen health syslems by responding lo local and nalK)nal priorities, supporting the training of
health profess￿)nals. facilitating knowledge exchange and the development of policy and regulatory
environments, and offering thought leadership and project management expertise.
In October 2022. we launched our new five-year strategic ￿an for the period Ihrough to the eve ol our
40th anniversary in 2028. As well as dearly a￿'culaIlng our role in brokering Health Partnerships and
giving expression lo our core organisats.onal values. the strategy emphasises the agility that has been
fundamental lo our ability lo flourish in recenl years.
At the centre of our approach is the m¢)del of Health Partnerships; long-lemi relationships between UK
and LMICS health inslitulions. which improve health services through the reciproeal exehange of skills.
knowledge. and experience. They are rooted in an understanding that equitable relab"onships between
health professionals across borders can benefil all involved_
This report is structured around our Key Perfomance Indicators (KPIS) for the reporting period. Staff
and partners reported progress against a sel of quanlttslrve targets and qualilalive measures. on a
quarterly basis for six Enabling Goals. a￿1 every six months on four Impact Goals.
Our dedicated Research. Evidence and Leaming Team gathered regular rep￿t$ from our Programmes
Team and grantees. In aLl¢Jilion. we commissioned studies to invesbgale effectTveness. such as value
for ffloney, and we devebped case studies on proiecl and partnership impacl.
In producing this report. THETS Board of Trustees can confirm that they have complied wlh the duty
outlined in the ChariliesAct 201110 have due regard to Charity Commission guidance on public benefit.
Headline achievements in 2023
The achievements in the follo%wng seclion are a testament lo THEfs innovative apFffoach to work with
impact.
We have improved access to heafth services for 105,821 people.
We have contributed to the training of 7.890 health workers.
We have supported 154 Health Partnerships lo improve their capacity and effectiveness.
We have supported 192 UK health workers lo engage in global health activities.
We have produced 11 pieces of new evidence and leaming and disseminated these inlemally
and amongst our stakeholders. irkyuding our flagship retx)rt 'The vol￿ of the Experts in our
Midst..
We delivered our online annual conference'AcceleralingAction on Universal Health Coverage:
The Rofe of Health Partnerships.. The Conferen￿ hosted 52 speakers with 465 registered
¢Jelegales from across 40 countries.
Several programmes started during 2023. including our Global Heatth Workforce Programme
and Global Capacity Building prografflmes. meaning a partKularty busy lime for grants
management. 79 grants in total were awarded totalling £8.1m.

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FOR THE YEAR ENDED 31 DECEMBER 2023
Our performance againsl our strategy
IMPACT GOAL 1
then the heallh workf
and the health 5
stems in whi
Ihe
Across our programmes. the training and development of heallh workers is contribthing lo improved
access lo health services and improved health outcomes. In 2023. we improved access to health
services for a total of 105.821 people and our programmes have helped to train 7.8WJ health workers.
Examples indude:
Through the Commonwealth Partnerships for Anlimicrobial Stewardship ICWPAMS) 2
programme, 884 LMIC healthcare staff were trained in Infection Prevention and Control {IPC}.
anlimicrobial resistance IAMR). anlimwjbial stewardship IAMS}, Point Prevalence SuTheys
PPS}. One Health. qualty improvement. and substandard and falstfied medicines.
Through the UK-Myanmar Health Fund. we have supported 35.109 patients through
teleconsultations in Myanmar. A new website was launched which allows patients lo book
appointments d1￿Cl1y. and a lolal of 353 health educatiL￿ restsjrces have beeft posted in seven
elhnic languages with approximately 1.6 millton views and shares per month.
In Somaliland, with fvnding from Ihe Fraxinus Trusl, the team has been working closely with
the Ministry of Health and our lo￿1 partners to increase awareness of maternal health and new-
boffl services in hard-to-reach areas. The 100 Female Health Worker5 previously Irained by
THET. covering 10 rural communities. reached 13.467 commLJnity members Ihrough outreach
and awareness aclNits"es (7.027 female5. 6.018 children. 422 male} and referred 1.516 pregnant
women who showed signs of concem lo heath facilities. This module has been deemed
succes51ul by the Ministry of Health Develcyment. who have adopted the approach al national
level, aiming for all NGOS wcffking in malemal he*th and e¢)mmunty engagement to follow the
model and haimonised training content.
The flagship £8.9 million Global Health W(ykforce Pr(*Jramme {GHWPI fvnded by the UK
Departrr*nt for Health and Social Care has opened lor applications. By Ihe end of 2023, THET
awarded grants in Ghana. Kenya and Nigeria to 33 Health Partnerships, amounting to £5.9
million worth of activity.
Under the Specialist Training Programme ISTP), we plawl UK obstetri￿ & Gynaecology
specialists in Zambia to undertake Supervision. menlor5hip and educational opportunities for
Zambian trainees. Dr David Kelly completed his slay al Kasama General Hospital from August
to December 2023. Addilionalty. Dr Thomasin Heggie conducted a shrrft-term placem8nl foi
three weeks, ass￿ne(l lo Unrver5ity Teaching Hospytal in Lusaka.
Additionalty. our advocacy and wlicy work has seen many $￿ceSseS this year. Examples include:
We have received explicit reference lo our woth in the Foreign. ComfrHJnwealth and
Development Office While Paper .1ntemat￿nal development in a contesled worlLI.. ending
extreme poverty and tockling climate change.. We were pleased to see endorsement of our
approach in one of the commitments of the Whrte paper.. Mle will hamess the energy and
expertise of NHS staff.. building upon the exiensNe partnership experiences of organisats'ons
such a5 the Tropical Health and Education Trust {THETI and NHS England. to help drive faster
pr¢yJress towards Universal Health Coverage globally
We have maintained our status as an NGO in Official Relations with the Wortd Health
Organizalion IWHOI. We have been represented at the 5* Global Forum on Hurnan Resources
fc* Health and al Ihe World Health Assembly. tsking forward our advocacy messages in relation
to workforce mIgra￿n and raising THET'S visibility al these important fora.
In February 2023. the APPG for Global Health held a roundtable in Parliament on the
anniversary of the coup in Myanmar. The meeting. CO•sponsored by the Parfiamentary Human
Rights Group and chaired by THET Patr(x) Lord Crisp. induded Profe$50r Zaw Wai Soe. the

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Minister of Health for the Nalional Unity Govemment. and Catherine West MP, the Shadow
Minister for Asia and the Pacific.
Chaired by Baroness Northover. we c(pordinaled delivery of a Clirnate and Health Evenl in
November 2023 for the APPG on Global Health. in advance of the annual Conference of
Parties. COP28. in Deeember 2023.
We ￿mpleted. published, and launched the Voices of the Expgrts in Our Midst report in the
Houses of Partiafflenl on Universal Health Coverage Day, and completed plans for launching
in the Senedd in January 2024. Baroness Walkins presided. alongside supporters from across
the NHS and indeF*ndenl sector.
2. IMPACT GOAL 2
To stren
en the Health Parthershi
eommuni
Our work lo strengthen the Health Partnership communty is continuing al ftjll pace. In 2023, we were
delighted lo award £8.1m in grants. and we continue to provide networking and workshop opportunities
for Health Partnerships.
Examples of (Mjr work against Ihis impact g)al include..
We delrvered our online conference. Accelerating Act￿7 on Unwersal Health Coverage." The
Role of Health Partnerships. Representalives included delegates from WHO. NHS England,
Health Partnerships and the privale sector. The l￿nferenc￿ hosted 52 speakers with 465
registered delegates from across 40 coJntries.
THET held workshops for Health Partnerships on several projeel delivery themes. including..
Gender Equality and Social Indusion IGESI).. Safeguarding.. Behaviour Change; Monitoring &
Evaluation. and,. Ihe Principles of Partnership.
We also proYKJed several ¢￿venIng nvjments for Health Partnerships lo netsvork. including the
GHWP ￿ternatIonal forum in November 2023. where over 200 attendees met online to explore
areas of south-soulh cdlaboralion.
The Global Health Workforce Programme. Global Capaaty Building Programme, and the
Remote Inlemational Mentoring Programme grants projeds comrrenced in early-2024. and will
further our work tr) strengthen the Health Partnership community.
3. IMPACT GOAL 3
To be ambitious in our a
ui
and indusion.
Through the development of the Programffe Qualty Standards. which Contain explicit reference lo
Gender Equality and Social Indusion IGESI). all THET teams are being supported and guided lo
consider GESI in the deS￿n of their prOgram￿s. This is also a requirement in all new grant
programmes.
Examples of (yJr approach to equalty and indusion include:
Through the UK-Myanfflar Heamh Fund. the Royal College of Paediatrics and Child Health grant
focusing on nursing had 93% of its clinical and leadership training attendance by lemales. The
Cambridge Global Health Partnerships project created 353 training and awareness resources
in local Inon-8arnarl languages.
Through the Cc￿m0￿Wea1th Partnerslws for Antimicrobial Slewar(iship {CwPAMSI
Programme. several steps have been taken to further implemenl GESI pnnciples. This includes
providing GESI training to new 'spoke' hospilal facilities. exploring barriers Ihal exist in the

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community and uts'lising female communty leaders to share information about AMR, and
woth'ng to identify dedicated GESI charn￿￿5 within grantee hospiial faculties.
4. IMPACT GOAL 4
To ensure all wr wor* advances climate m
tation and resitience.
The climate crisis is deeply conceming for individuals acn)ss the entire ghjbe. We are dedicated to
ensuring that all ourWC￿k advances dimale mibgation. adaptatK)n. and fesilience. Examples of ourwork
indude..
All new programmes are devdoped incort￿ling the envIr￿Ments1 Mitigation and adaptation
quality standards. We incorporated additional environmental requirements into the Global
Capacity 8L¢ikJing Programme call documentation. wrth applieanls asked to ccK)sider 'a focus
on planetary health, sustainable delivery of healthcare. or climate adaptation"
Applicants lo our programmes must demonslrale a c¢Jnmitmenl lo minimising the impact of the
project. an¢Yor reduong the impact of the health system and the environment. sU￿eSsful
applicants will need to report on the C02 emissKJns of any intemational flights.
In 2023, our total fi￿h1 emissions were 25.97 tonnes of C02. We strive to only book
inlemalional air travel where deemed necessary. and where possible conduct meetings online
or employ consullanls for long-temi representation in partner countries.
5. ENABLING GOAL 1
Ensure all THET'S
rafflmes meet a
riale
uali
standards.
By the end of December 2023. THET Programmes M8n8gers had undertaken wogramme quality self-
assessments {PQSAsl and evaluations on 100% of all Fyopcts above £20.￿0.
The PQSA scoring is based on the THET Programme Quality Standards, whieh are divided into 3 levels
across a variety of themes. Programmes should reach Level 2 in each of these themes lo pass the
programme quality stsndards. whith proiects succeeded in doing. Areas identified for improvement
included.. incorporation of climate adaptationlresilience" assessment of value for money.. enhancin9
safeguarding,. and strengthening M&E capacity.
6. ENABLING GOAL 2
Generate and use robust evidence to infomi our work and the work of others r
benefit of collaborab"on.
nisin
the mutual
We have produced 11 pieces of new evidence and leaming and disseminated these inlemally and
amongst our stakeholders, induding our flagship report 'The Voices of the Experts in our Midst..
Examples include..
We completed. published. and launched the Vol￿S of the Experts in Our Mtdsl rewrt in the
Houses of Parliament M 12 December 2023. UnNersal Health Coverage Day. and completed
plan5 for launching in the Senedd in January 2024. 8aroness Watkins presi(JeiJ the
Padiamentsry launth ofthe rep)rt. alongside supporters from aeross the NHS and independent
sector. The report followed on from our 2021 Experts in Ouf m￿$1 report, high1￿htIng the lived
experience of diaspora health workers within the NHS in England and Wales, and documenting
how they are using their knowledge of other health systems to improve health in the UK and in
countries of heritage. The reFKWt had Iwo versions. f¢xusing on the drffeTenl contexts in England
and Wales.
In the Pfeparali(Jn for and development of the Global Health Workforce Programme. THET has
undertaken the prcrfjuction of sco￿n9 reports in Ghana. Kenya and Ni9eria with the aim of

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defining. alongside the Govemments of these countries. the priorities lor the programme in the
field of health workforce development. mU￿1-StakehOIder engagement was undertaken in the
three countries in September 2023. with reports finalised and validated in October 2023. This
work was led by THEfs Technical Director- Health System Strenglhenwu.
7. ENABLING GOAL 3
Create a
entred or
anisation b brin
alNe our ￿re val
The Annual Staff Survey and Hybrid working review eovering the pericrfj July 2022 - July 2023 was
carried out in August 2023. with feedback generated from across the organisats.on induding country
teams and all UK. The resulls were overall very positive, and the feedback indicated there is much to
eeiebrate. with sonificant improvements in speufic areas since last year. Most peopk have a posilive
view of working for THET. bul slaff members have also candm1￿ shared where there are areas for
improvement and this is l)oth helpful and valued by SMT. as we implement the actions moving
forward. The second hair of 2023 was characierised by a signfficanl increase in staff numbers which
meant consideraWe energy was fooused on inducting slaff and cohering teams.
As part of our ongoing comrnitment to maintaining standards of data protection and privacy in our
organisalion. our IT support partners. Srnartdese. ran a Data Proleth"on Training Workshop for THET
staff on 15 November 2023. The workshop was designed lo enhance our understanding of dats
protection principles and regulations. ensuring Ihat we continue to handle sensitive information with the
ulmosl care and compliance. This also enabled staff to increase their knowledge and skills to protect
personal data and the sensitive information of our beneficiaries. Health Partnerships. and the
organisalion itself.
We continue lo actively review our policies across overseas offi￿$ ensuring that we meet and satisfy
national requirements and local legslation. This includes lax liab￿lties. Statutory redundancy payff*nts
and contracts.
ENABLING GOAL 4
Effectivel mana
e cHJr finance and
rations across the o
anisation.
Currently. all our offices are operating within appropriate finan￿al and operational standards. THET'S
Global Finance Manual. is a key document which clearty outlines our financial management framework
induding financial policies. standards. and procedures for THET both in Ihe UK and for our overseas
country offices. Currently each jurisdicts.on is working n-line wth the Global Finanee manual with
monthly reviews taking pkGe.
9. ENABLING GOAL 5
Stren
then our use of technol
across all our work.
THET continues lo use ils tAgital Transformalb)n Strategy and Princip￿$ for Digital Development lo
ensure successful digital inlervenlions within our programmatic portfolio. Across our County
Programmes. Veta Bailey. Savin9 Mothers at Delrvery and MAWARID pro9rammes have all utilised
these frameworks when delNering d￿lta1 ena￿ernent.
THET has continued its successful (Jigitsl engagement across our Communulions platfomis. THET'S
website has provided impressive analylKs. performing again beyond our expectations of 50%.
Furthermore. with the development of new programmes and our increased comms portfolio, our
returning user rale has increased to 24.7%, again narrowly missing out on our target of 25%. We predict
this lo conlinue lo grow with the conlinuats.on of new programmes. These statistics are also supported
through our newsletter stalislics whth ec￿bnUeS lo wow wth an open rale of40°h. Imp￿$S1¥elY higher
than the industry average of 21 %.
io

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For the first lime, THET staff recwved mandatory GDPR training from our accredited IT Managed
Service Provider. Since then, no data protection leaks or issues have been raised either internally or
externally. Training material will also be availab￿ for new staff for the first lime. Working with HR, 8
wider range of digital training is now in place including mdular safeguarding (which includes digital
safeguarding}. cyber security and GDPR to ensure our staff. the wider organisalion and beneficiaries
stay safe working online.
10. ENABLING GOAL6
Generate dNerse and sustsinable fundin
We secured £19.5m of funding in 2023. which equates to 349% of our stretch target {£5.6ml. 91 Yo of
(MJr funding has ￿en provided by inslilutional donors. predc*minantly the UK Department for Health and
Social Care and Ihe European Union. Of the remaining funding secured in 2023. Trusts and
Foundalii)ns make up 5% with Corporates accounting for 4%.
Institutional funding has been the bedrock of our success vthh 3 Signifrcant funders Gontribuling a total
of £17.7 million, exceeding our original target by 422°h.
This year has been a positive year for funding re￿1Ve(l from Trusts and Foundations. as we have
exceeded our stretch target by 40% raising £982k. Most pleasing is Ihe six donots Ihal have each
committed over £100k. Over pasl five years. fundir¥J from Trusts and Foundations has averaged
£277k.
Through Corporate Funding of £746k by Sanofi for prc¥Jrammes in Zambia and Uganda. we have
achieved 141Vo of our stretch target. It is worth noting that some ￿rpOrateS operate fovndations Ihal
are recognised in the Trust Foundations donor stream.
Only a small propthon of ourfunding, less than 0.5%. Comes from individuals. We are pleased lo have
achieved our stretch target for the year, £45k.
Events income lotalled £62k in 2023. equating to les5 than 0.5% of total irujme and fell short of target,
due mainly lo only one ccfflference taking place in 2023.
KEY LESSONS LEARNT- CHALLENGES IN 2023
This year has marked another period of intense aetivity and institutional change. underswred by
remarkable impact and significant financial successes in ihe face of continuing political instability
relaling lo UK OOA spending.
It is a testsment lo all THET staff. Trustees. and Honorary Advisots that the charity has perfomied so
admirably lo achieve many of Ihe goals set at the start of the year.
As this rep￿ dernonstrdtes the charity continues lo adapt. remaining ready for the unexpected and
able to move al pace to ensure the cryanisats"on's sustsinability and gr0￿h amKlsl often ￿hr¥jOUndIng
crises.
Structure. Governance and Management
THET ￿ a registered charity Iregtslration number 1113101 } and is constituted as a company registered
in England and Wales and limited by guarantee (registration number 05708871). Its objects and powers
are sel out in its Memorandum and fvrticles of Assoc￿lI0n. which is the charity's goveming document.
li

TROPICAL HEALTH AND EDUCATION TRUST
IA cornpany limited by guarantee)
TRUSTEES. REPORT
FOR THE YEAR ENDEO 31 DECEMBER 2023
Trustees
The Directors of THET are the Trustees. collectNely known as The Board of Trustees (The Board). The
Bo8rd. THET'S goveming body, comprises a minimum of 3 and a fflaximum of 12 Trustees. Trustees
serve an initial term of three years that can be extended for up to a maximum of three year5. The
Iruslees are also members of the company. New TnJslees are appointed by ordinary resolution at the
general meeting. Members of the Board have guaranteed the Irabilities of the company up lo £1 each.
Trustees are apwnted followng open advertising in specialist publieations or on specialist websites
and following a r￿OrouS Interview prLxess. Al new Trustees are provided with a structured induction
programme.
The Board of TnJstees has created f￿Jr specialist sub-ccrnittees lo assist it vthh its work: the Finance.
Risk and Governance Committee (FRGCI, the Programmes Qualtty Committee. the Remuneration
Committee IRemCo} and Ihe Extemal Engagement Committee. Each committee indudes members of
the Board and may include addilion81 members appointed for their specialist knowledge.
The Finance. Risk and GovemarKe Crrnittee (FRGCI. THET'S audit committee. chaired by the
Treasurer, meets as necessary with the extemal auditors. tr)th with and wlhout the presence of
management. The FRGC reviews the extemal auditor's management letter and monitors
implemenl8tion of aeth)ns reqUI￿d as a result. The FRGC also has responsibility to advise the Board
on whether Ihe audit, risk management and control processes within THET are effeelive. The
Remuneration Committee monilors THET'S poiicy on remuneration and beneffts for 115 Staff and reports
annually lo the Board.
The Remuneration Committee meels annually and was chaired by Hugh Risebrow. In 2023. salaries
are set after consideration of the cost of living. the financial rx)sition of Ihe charity. and roles and
responsibilities after taking into account the contracts being handled by THET.
THET'S Trustees are responsible for everylhing that THET does. However, lo ensure that THET is
managed efficiently and effeclively. the Trustees have delegated a range of day-to-day decision-making
powers lo the Senior Management Team. Trustees have abo established appropriate controls and
reporting mechanisms lo ensure that the Senior Management Tearn operates within the scope of the
powers delegated to it. The delegation policy is updated on an ongoing basis and is formally reviewed
and approved by Trustees. The Men￿)ers of the Senicrf Management Team are not directors for the
purposes of company law.
There has been no speafic restriction IM￿Sed by the charity's goveming document on the operation
of the Trust. Trustees are authofised by the charty's goveming document to invest any money of the
Charity not immediatety required for its funciion in appropriate, legal investments provided that any
ne¢essary consents are first obtained.
Annual trustee activity
A typical year for a Iruslee indudes the foNowing".
Attendance at four Board meetings per annum
Attendance at the AGM
Attendance at committee meetiThJs. and at ad hct gr(yJps convened for specific purposes
Attendance al staff or senior management meetyngs on an ￿caSional basis
Allendance al events le.g.. Publ￿ meetings. rrffttings with THET volunteers I supporters I
donors. THET Away Dayl
Allendance al the Annual Conference
Trustees with specialist knO￿edge may work with senior management. both to provide advi
and support. and to enhance board understanding and scrutiny.
12

TROPICAL HEALTH AND EDUCAMON TRUST
IA company limited by guarantee)
TRUSTEES. REPORT
FOR THE YEAR ENDED 31- DECEM8ER 2023
Risk assessment
The Trustee5 keep strategic and operabonal risks under quarterty review at the Finance. Risk and
Governan￿ meetings, and the full Board of Truslees meeting5. This ￿vOlveS an assessment of
probability and potential irnpact. and a discussion of mitTrgakn"ng acI￿nS prepared by THET'S Senior
Management Team. The areas of risk reflect the fact that THET'S staff and volunteers operate across
many different jurisdictions, meaning that controls around finance and the movement of people are
especially important. The risks also examine Ihe extent lo which THET is ab￿ to evidence the impact
of its work and demonstrate Value for Money to its wide range of supporters, both individual and
inslilulional. Finally, the risks k)ok al the eharity's abiltty io generate financial support for its distinctive
model of Health Partnership working. In terms of ils general affairs. THET operates prudent policies in
all ils financial operations. with any signfficanl expenditure requiring approval by Trustees. THET also
makes arrangements for appropriate insurance ￿Ver and other protection where this is appropriate in
its activities al hcxne and overseas.
There are a wde range of mitigations in place. In relalion to de￿$tratIng impacl. for example. THET
makes regular use of external evaluations of its work. In relation to income, THET is able to ck)sely
track ils conversations with donors allowing rt to closety track the success of ils efforts to grow and
diversify ils iicome.
Oura
ach lo lundraisin
activities
The charity raises fvnds from diverse sources including institutional donors. Trusts and Foundations.
private sector partners and indNiduals. in the UK and Intemal￿na1Iy. We have developed an Eihical
Fundraising Policy lo gU￿e decisions on solicilatThi and acceptsnce of fun¢Js.
The charity undertakes ￿._Yearty fundraising campaigns which reach a small number of patrons and
supporters who have consented to receive Ihe campaKJns. Beyond this the trustees are pleased to
receNe unsolicited gifts and legacies from patrons and supporters who generously support our work.
Beyond this. THET does not currenlly aclivety fundraise from the public. run legacy campaigns, or
undertake similar fundraising activitses in its own right. No complaints have been re￿IVed from funders
or benef￿larIeS in respeel of fvndraising activities undertaken by the tharity.
Grant-makin
olicies
THET issues grants lo Health Partnerships delivering projects in keeping wilh ils mission. Grants are
selected following a fair and transparent process whereby applicants are provided with template forms
and guidelines that stale the WfP05e of the fund5. eligits'lity enteria and a timeline for submission and
selection.
Once awarded. and when contracts are signed. grants are managed in line with the Grants
Management System, which sets out checks and controls to ensure that fvnds are being used for the
purpose ststed in the applicab"on. Financial and narratyve reports are submitted al contracted intervals
to show levels of spend and a¢b"vrty against pian and. where necessary. 10 expkain exceptional
variance5. Milestones are set during the inception phase of each grant and progress is measured
against these.
Other risk management processes include checks and controls on adequale financial management and
verification of the legal prolectson and safety of those involved in the project. Infomiaty'on is gathered
through reports and meetings and through spot thecks on receipts and other documentation.
13

TROPICAL HEALTH ANO EDUCATION TRUST
IA company limited by 8uaranteel
TRUSTEES. REPORT
FOR THE YEAR ENDED 31 DÉCEMBER 2023
ST
Financial Review:
Key h￿hlIghtS trom the 2023 Accounts are:
Totsl income increased from £4.18m in 2022 to £5.35m in 2023.
Totsl expenditure increased from £4.17m in 2022 10 £5.25m in 2023.
Nel current assets (debtors + cash- creditC￿) wKreased by £92k lo £2.76m.
Unrestricted reseThes were £691,185.
The PTinapal funding sources in 2023 were government bod￿$, induding the Foreign, C￿mOnweallh
and Development Office and the Department for Health and Soaal Care., public bodies. including NHS
England- corporate entities, such as Johnson & J¢)hnson.' and Trusts and Foundations. such as the 8111
& Melin¢ia Gales FoundalM)n. This funding is used for vaibjus project activities as specified in the donor
agreements. For Speci￿ details of these projecls please refer to Note 16 of the accounts.
Chantable lunds
The funds held by THET are in interest-bearing ace¢)unls managed by the CharIt￿$ Aid Foundation and
HSBC Bank plc from which they can be withdrawn as needed. The Tnjst is able lo meet all its obligation
and commitments within ils present cash fk)w and assets.
THET does not hold assets except as detsiled in the accounts. The salaries of project staff are derived
mainly from grants. THET operates in collatoration with other Charitab￿ bcmjies lo pursue its objectives.
Res•rves Policy
The Board of Trustees has established a General Reserves Policy which contsnues to protect our
programme work from risk of disruption al short notice due lo a lack of funds. The Policy also provide5
parameters for future strategic plans and contribtsles towards decision-making. 11 determines an
appropriate target level for general reserves. tsking into accojnt the follo￿n9 factors..
Vulnerability to unplanned changes in fmancial positi￿. relating mainly lo unpredictability of
fundraising and unrestricted income and securing fulure restricted and unrestricted contracts.
Net financial Tisk relaled lo the atr￿ve. taking into account the lknly speed of onset as well as
the mitigation steps available lo management.
The fact that expenditure is generally predKtable and long term. with the exception of 'variable'
spend on reslricled programmes where risks typicalty involve unplanned events such as hostile
government aclion or major uninsured health and safety or security emergeneies.
This approath provides a target base level ofgeneral reserves for good govemance: to cover 3 months
organisati￿al closure cost and the cosls incurred by cessation of pr(NJramme and grant activity. The
basis of determining the target reserves level is kept under review and is adjusted lo ieflecl lunded
activity. and thus organisalional size, laking into account actual and perceptions of risk. The minimum
target level of reserves in 2023 was set at £450.OCrf). Reserves were £691.185 al 31 December 2023.
Arrangements formonitoring and reVie￿ng the reserves policy
The reseNes policy is, as a minimum. subjeet to annual rel￿W by Trustees. with ts next review
scheduled for December 2024. In addrtion. the Trustees monitor THET'S performance again51 the
bvdgel throughout the year and c(msider the need for a reconsideration of reswves. dependent UF
changes in aclivty and organisational structure.
14

TROPICAL HEALTH ANO EDUCATION TRUST
IA cornpany limited by guarantee)
TRUSTEES, REPORT
FOR THE YEAR ENDED 315T DECEMBER 2023
General ReSer￿S (Unrestrl¢tedJ
General reserves are not restricted lo or designated for a particular purpose. General reserves are
£691.185 {2022- £956.0261 al the end of Oecember 2023. A detaiw review of the level of unreslricled
reserves was conducted in 2023.
Restricted Funds
These funds are tied lo parb"cular purposes. as SP￿lfied by Ihe don￿ or as identified al the lime of a
public appeal. At 31 December 2023. unspent re5tricled funds were £2.069.23212022 - £1.712.1061.
Total funds
At 31 0￿mber 2023. total funds were £2.760.417. with £2.280 of thi5 relating to fixed assets.
Future plans
n 2024 THET wll expand its geographic coverage to ￿.rnbabWe. where we have been awarded a
£664,051 contract from FCDO Zimbabwe lo pilol a UK-Zimbabwe health partnership fund management
programme, designed lo demonstrate the polenlial of the mutual impact an intemalional partnership
approach can have on health WOrkf￿Ce capauty. THET has also secured exlension funding for the
Global Health Workforce Programme, worth £4.450.000. which will enable us lo expand the programme
lo Ethiopia, Malawi and Somaliland. Additional lunding of EUR 8.000.000 will enable us lo continue to
supporl partners to strengthen r￿l¢al education in North-west Syria for a further four years.
Impact of COV11%19
Although reduced compared the recent years, the irnpacls of the COVID-19 pandemic have erealed
additional challenges for the charity and has continued lo shape the way we work. THET has. however.
been able lo continue operations remoldy. with limrted disruption. although some projects have been
delayed and onsite monitoring visits have not been possible in all cases. The impact of COVID-19 on
THET has therefore ￿en restricted.
T￿Slee5. responsibilities
Company law requi￿$ the Trustees to prepare acccmjnts for eath finaneial year whieh give a true and
fair view of the stale of affairs of the charity ant1 of the surplus or deficit of the charity for that period. In
preparing these accounts. the Trustees are required lo:
Select suitable accounting poliues and then apply them La)nsistently"
Make judgements and esfimates that are reasonable and prudent:
Prepare the accounts on ihe going concem basis unless rt is inappropriate lo presume that the
charity will continve in Operat￿￿.
The Trustees are resporFsible for keeping proper aecounting records which disclose with reasonable
accuracy al any lirne the finanaal position of the charity and to enable them to ensure that the account5
comply with the Cornpanie5 Act 2006 and with Accounting and Rewrting by Charities.. Stslemenl of
Recommended Practice Ichariiies SORP {FRS 1021). They are also responsible for safeguarding the
assets of the charity and hence for laking ￿a$￿able steps for the prevention and deleclitin of fraud
and other irregularities.
Is

TROPICAL HEALTH AND EDUCATION TRUST
IA company Ibmited by guarantee)
TRUST£ES' REPORT
FOA THE YEAR ENOE031 DECEMBÉR 2023
Each of the Trustees confThi thal..
So far as they a￿ aware there is ￿ relevant au(h'l infLvmation of which the tharity's auditors
are unaware. and.
They have tsken all the ne￿SSary steps that they ought lo have taken as Trustees in order lo
rnake themselves aware of any relevant audit inf(*mation and lo establish that the charity's
auditors are aware of that Informat￿￿.
This report has been pyepared in acccKdance with the special provisions of Part 15 of the Companies
Act 2006 relaknng to small companies. The trustees have taken the exemptK)n avalable to small
Companies and have not prepared a Strategic Report.
Approved by the Board of TnJstees on 4 September 2024 and s￿ned on its behalf by
Mr Justlnian Ash
Chair of Trustees
16

TROPICAL HEALTH AND EDUCATION TRUST
IA company limited by guaianteel
INDEPENDENT AUOITOR'S REPORT TO THE MEMBERS OF TROPICAL HEALTH AND EOUCATION TRUST
Opinion
We have audited the financial stslements of Tropical Heafih and Education Trust I'the eompany'l for
the year ended 31 December 2023 comprise the Statement of Financial Acbvities. the Balanc8
Sheet. the Cash Flow Statement and notes lo the financial statement5. induding significant accounting
policies. The finanual reporting framework that has been applied in their preparation is applicable18W
and United Kingdom Accounting Stsndards. including FRS 102 'The Financial Reporting Standard
Applicable in the UK and Republic of Ireknd. {Uniled Kingdom Generalty Aecepled Aecounting
Practs"cel.
In our opinion the financial statements=
give a true and fair view of Ihe stale of the charitable company's affairs as at 31 December
2023 and of its incoming resources and application of ￿$￿rceS, including its income and
expenditure, for the year then ended.,
have been properly prepared in accordance with United Kingdom Generally Accepted
Accounting Practice," and
have been prepared n accordance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordan￿ wth Inlemalional Stsndards on Audiling (UK) IISASIUKI) and
applicable law. Our responsibilities under those standards are ftjrther described in the Auditor's
ResponsibFlilies for the audit of the financial statements Sect￿ of our report. We are independent of
the charitable company in accordance with the ethul reqU1￿ments thal are relevant to our audit of the
financial slalements in the UK, including the FRC'S Elhical Standard. and we have fuFfilled our other
ethical responsibilities in accordance with these requirements. We believe that the audit evidence we
have obtained is sufficient an(J appropriate lo provide 8 basis for (Mjr opinic￿.
Conclusions r•lating lo going ¢onum
In auditing the financial statements. we have Cr￿ClUd￿j that the Iruslees. use of the 90ing concem basis
of accounting in the preparation of the finanual statements is appropriate.
Based on Ihe work we have perfofmed. we have not identif￿d any materral uncertainties relating to
events or conditions that, individually or collectively. may cast srgnificanl doubt on the charitable
company's ability to continue as a going concern for a period of at least Iwelve months from when the
finaneial statements are authorised for issue.
Our re5F￿￿tsIlit1eS and the responsibilities of the trustees ￿ respect lo wing concem are described
in the relevant seth.ons of this report.
Other inforniatlon
The other information comwises the infcKmatlc￿ i￿luded in Ihe annual report. other than the financial
statements and our auditor's report thereon. The Iruslees are resFonsible for the other information. Our
opinion on the financial statements does not cover the other information and. ex￿p1 lo the extent
otherwise explicitly slated in our report. we do not express any form of assurance condusion thereon.
In connection our audit of the financial statements. our responsitmlity is to read the other information
and, in doing so, consider whether the other infomialion is malerialty inconsistent with the financial
statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If
we identify sueh material inwnsislenaes or apparent tnaterial misstatements. we are required lo
determine whether there is a material misstatement in the financial statements or a material
misslalement ofthe other information. If. based on the work we have perfom)ed, we conckKle that there
is a material misstatement of this other information, we are required lo report that fact.
17

TROPICAL HEAITH AND EDUCATION TRUST
IA company limited by 8uaranteel
INDEPENOENT AUDITOR'S REPORT TO THE MEMBERS OF TROPICAL HEALTH AND EDUCATION TRUST
We have nothing to report in this regard.
Opinions on other matters prescribed by the Companies Act 2006
In our Lwinion. based on Ihe work undertaken in ihe course of the audit".
the information gNen in the trustees, annual report for the financial year for which the financial
slalements are prepared is consistent with the financial stalemenls.. and
the trustees, annual rewirt has been prepared in accordance with applicable legal
requirements.
Matters on whlch we are requlred lo rew1 by exception
In the light of the knowledge and understanding of the ￿MpanY and its environment obtained in the
course of the audit. we have not identffied material misstatewenls in the Irustees. annual report.
We have nothing to report in respect of the folbwing matters where the Companies Act 20￿ requires
U5 to report to you rf. in our opinion..
adequate acc(yJnting records have not been kept. or retums adequate for our audrt have not
been received from branches not visited by us- or
the financial statements are not in agreement with the a￿O￿n￿ng records and relums.. or
certain disclosures of trustees, remunerats.on speCffj￿d by are not made: or
we have not receNed all the information and explanations we require our audit., Of
the trustees were not entitled lo take advantage of the Small companies exemption from
preparing a Strategic Rewrt.
Responslbllllies of trustees
As explained mcKe fully in Ihe trustees. responsiblities stslement set tyJl on page 15, the trustees (who
are also the directors of the charitable company for the purposes of company law} are responsible for
the preparation of the finanryal slatements and for being satisfied that they give a true and fair view.
and for such inlemal control as the Iruslees detemiine is necessary lo enable the preparation of financial
slalemenls that are free from material misstatemen( whether due to fraud ￿ error.
In preparing the financial stslemenls. the trustees are responsible for assessing the charitable
company s ability lo continue as a going concem. disclosing. as applicable. matters related to going
concern and using the going concem basis of accounting unless the trustees either intend lo liquidate
the charitable cornpany or to cease operations. or have no realistic altemalive lyJl to do so.
Audilofs responsibilities for thg audit of th• financial ststements
Our obieclives are to obtain reasonable as5Urdr￿e abwl whether the financial slatements as a whole
are free from material misstatement. whether due to fraud or error. and lo issue an audilorfs report that
includes our opinion. Reasonable assurance is a high level of assurance, bul is not a guarantee that an
audit conducted in accordance wilh ISAS IUKI will always delecl a material misstalernenl when it exists.
Misslalemenls can arise from fraud or error and are considered material rf. individually or in aggregate,
they could reasonably be expected to influence the econom￿ deasions of users taken on the basis of
these financial stalemenls.
As part of an audit in a¢ordan¢e wth ISAS IUKI we exercise professional judgement and maintain
professional sceplic15m throughout the audit. We also:
Identrfy and assess ￿ risks of material misstalernent of the financial statements, whether due
to fraud or error. design and perfomi audit pr￿edureS responsive lo Ih05e risk5. and obtain
audit evMJence that is sufficient and appropriate lo provth a basis fry our opnion. The risk of
18

TROPICAL HEALTH AND EDUCATION TRUST
IA company limited by guaranteel
INDEPENDENT AUOITOR'S REPORT TO THE MEMBEP5 OF TROPICAL HEALTH AND EDUCATION TRUST
not detecting a material misst31eff*nl ￿sUItIng from fraud is higher than for ¢￿￿ resulting from
error. as fraud may involve Co1￿$11)n. forgery. intentional omissions. misrepresentations, or the
override of intemal control.
Obtain an understanding ol inlemal witrol relevant lo the audit in order lo design audit
procedures that are appropriate in the cirojmstances. but not for the purposes of expre55ing
an Opin￿ on the effectiveness of Ihe charilatrAe company's internal control.
Evaluate the approFThleness of accounting policies used and the reasonableness of
aC￿unting estirnates and related disdosures made by the trustees.
Condude on the appropriateness of the Injstees. use of the going concem basis of accounting
and, based on the audit evidence obtained. whether a material uncertainty exists related to
events or conditions that may cast significant doubt cm Ihe tharilable company's ability lo
continue as a going (L￿Cern. If we conclude Ihal a maleiial uncertainty exists, we are required
lo draw attenti￿ in our auditor's report lo the relaled disclosures in the financi81 slalements or.
if such disclosures are inadequate, to modify our opinion. Our ccmclusions are based on Ihe
audit evidence obtained up to the date of our auditorfs report. However, future events or
condition5 may cause the charitable company to Cease to continue a5 3 going concem.
Evaluate the overall presentstion, structure and conlenl of the financial statements, including
the disclosures. and %thether the financial statements rep￿sent the undedying transactions and
events in a manner that ach￿e5 fair presentstion.
We communicate wilh those charged with govemance regardNNJ, among other matters. the planned
scope and b.ming ol the audit and signTficant audit firM1ings. inctuding any sNJnificanl deficiencies in
intemal control that we idents.fy during our audrt
Explanation as lo what extenl Ihe audit was considered capable of deteding irregularilles.
including fraud
Irregularities, induding fraud. are instances of n(￿-com￿lance with laws and regulations. We design
Pro￿dureS in line with our responsibilities. outlined above. lo delecl material misstalemenls in respect
of l￿egularl11es, induding fraud. The extent to whith our procedures are capable of detecting
irregularities, including fraud 15 delailed below.
The objectives of our au¢Jil in respect of fraud. are" lo identify and assess the nsks of material
misslalemenl of the financial slatemenls due lo fraud- to i*Jlain sufficient appropriate audit eviden
regarding the assessed risks of material misstatement due to fraud. through designing and
implementing appropriate responses lo those assessed risks.. and lo resFK)nd appropriately lo instances
of traud or suspected fraud identified during the audr(. However. the primary responsibility for the
prevention and detecti￿ of fraud rests ￿th trxjth management and those charged with governance of
the charitable company.
Our approach was as follows:
We obtained an understanding of the legal and regulatory requirernen15 applicable lo the
charitsble company and considered that the most swJnificant are the Companies Act 2006, the
Charities Act 2011. the Charity SORP. and UK financial repo￿"ng standards as issued by the
Financial ReportJ"ng Council.
We obtained an understanding of how the chaiitable Company complies with these
requirements by discussions ￿th management and Ihose charged with governance.
19

TROPICAL HEALTH ANO EDUCATION TRUST
IA company lirnited by guarantee)
INDEPENDENT AUDITOR'S REPORT TO THE MEM8ERS OF TROPICAL HEALTH AND EDUCATION TRUST
We assessed the risk of material misstalemenl of the financial statements. Micluding the risk of
material misslatemenl due to fraud and how rt mKJhl occur. by holding discussions with
management and those charged with govemance.
We inquired of management and those charged with govemance as to any known instances of
non-compliance or suspected non-compliance with laws and regulations.
Based on this understanding, we designed specific appropriate audit proceijures to identify
instances of non-compliance wth laws and regulats"ons. This included making enquiries of
mariagemenl and those charged with govemance and obtaining additional corroborative
evidence as required.
There are inherent limitations in the audit procedures described a￿Ve. We are less likely to become
aware of instances of non-compliance wth laws and regulations that are not closely related to events
and transactions refiecled in the financial statements. Also. the risk of not detecting a material
misstslement due lo fraud is higher than the risk of not delecling one ￿sU￿11ng from error, as fraud may
involve deliberale concea1n￿l by, for example, forgery or intentional misrepresentations. or through
collusion.
Use of our report
This report is maje solely to the charitable companYs members. as a body, in accordance with Chapter
3 of Part 16 of ihe Companies Act 2006. Our audit work has been undertaken so that we mNJht stale lo
the company s members those matters we are required to slate to them in an auditor's report and for
no other purpose. To the fullest extent permitted by law. we do not accept or assume responsibility lo
any party other than the charitable company and tharrtable company's members as a t#)dy, for our
audit work. for this report. or for Ihe opinions we have fomied.
JA LLe
Neil Finlayson Isenior Statutory Auditor)
for and on behalf of Mc*Jre Kingston Smith LLP. Statutory Auditor
9 Appok1 Sireel
London
EC2A 2AP
Date.. 2610912024

TROPICAL HEALTH AND EDUCATION TRUST
IA company limited by guarantee)
STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNTI
FOR THE YEAR ENDED 31 OECEMBER 2023
2023
Total
2022
Total
Unrestric18d
Reslricled
Note
Income from:
Donations and legacies
Charitable aclivits'es
Investment income
Other income
29.670
335.907
783
62.129
29.670
5,254,513
783
62.129
47,583
4.007.729
528
121.638
4.918.6C
Total income
428.489
4.918.606
5,347.09S
4.177.478
Expenditurn on:
Raising Funds
Charitable activities
171.623
564.022
171.623
5.083.187
117.696
4.049,408
4,519,165
Tolal expenditure
735.645
4.519.165
5.254,810
4,167.104
Net incomel{expenditure
(307.1561
399,441
92.285
10,374
Transfers bettveen funds
42.315
{42.3151
Ng1 movement in funds
{264.841)
357.126
92.285
10.374
Reconcilialion of funds-
Total funds brought forward
16a
956.026
1.712.106
2,668.132
2.657,758
Totsl funds carnied forward
691.185
2.069,232
2.760,417
2.668,132
The Statement of financial aclmiies includes all gains and losses recognised in the year.
A full comparative Stalemenl of Financial klr¥ibes is presented in note 23.
The notes on pages 24 to 34 form part of these financial statements.

TROPICAL HEALTH AND EDUCATION TRUST
IA company limited by guarantee}
BALANCE SHEET
FOR THE YEAR ENDED 31 DECEMBER 2023
2023
2022
Note
Fixed assèts
Tangible assets
12
2,280
2,154
2.280
2.154
Current assels
Debtors
Cash al bank and in hand
13 1.163.000
3.729.159
160.757
2.900,090
4.892.159
3.060,847
Liabilities
Creditors.. amounts falling due wthin one year
14 (2.134.022
{394.8691
Net current assets
2.758.137
2,665.978
Total net assets
2.760,417
2.668,132
The funds of the charity
Restrieled income funds
Unrestricted income funds..
General funds
2.069.232
1.712,106
691.185
956,026
Total charity funds
16a
2.760,417
2.668,132
The financial slalernenls have been prepared in accordance *ith the provislQll5 applicable to entities subject
to the small companies regime.
The financial slalemenls were approve(l and authwised for Kssue by Ihe Truslees on 4 September 2024

TROPICAL HEALTH AND EDUCATION TRUST
{A Company limrted by guarantee)
STATEMENT OF CASH FLOWS
ST
FOR THE YEAR ENDED 31 DECEMBER 2023
2023
2022
Cash flows from op•rating activiti
Mèt Cash provided by operating activities
830.4T5
762,308
Cash flows from investing activiti•s:
Interest received
pu￿haSe$ oftsngible fixed assets
783
12.189)
528
17531
Net cash used in inv•sling activities
11.4061
12251
Change in ¢a$h and cash equivalents in th• year
829,069
762,083
Cash aTrJ cash equivalents at the beginning of the y
2.900,09D
2.138,007
Cash and cash •qUi￿1¢nts at tho end of the year
3,729.159
2.900,090
R•conclliatlon of nat mov•mènts In fiMMI to net ￿$h Ilow fvom ¢Jperating activities
2023
2022
Net Incomo for the reportlng perl¢xl
las per th• statem•nt of financial acti¥i¢ws)
Depreciation charges
(Gainslllosses on investmenls
Ilncreasellde¢rease in debtors
Increaselldecrease} in creditors
Interest received
92,285
10,374
2,063
6,294
11.002.243)
1.739.153
17831
1.183,091
1436,9231
(5281
Ngt cash pro¥ld¢d by op•rating activities
830.475
762.308
Cash and cash equNalents comprise solely ca$h * barlt and Thi hand during both the ¢)Jrrenl prior year.
The notes on pages 23 10 33 form part of these finawal statements.

TROPICAL HEALTH AND EDVCATION TRUST
IA cornpany limsted by 9uaran*el
NOTES TO THÉ FINANCWL STATEMENTS
FOR THE YEAR ENDED 31 0ECEM8ER 2023
1 pollcl•s
al Sl•tutory Inlormatlon
rropical Heallh and Educ*cm T￿￿* 15 a k"mMed ty guaranlee aTrJ is ¥wrKaled In EWTrJ aTrJ w￿85 and a chaty registered
Ihe Chaty Cornrni5sion. The regiSlerEd affice a(#lress ￿ ¢thsdD5ed on tt* compary w)fo[mal￿ pag¢.
bl 8•515 of pr•p•ratlon
The finanoal 518teffenls have teen Fwared thjer ￿ histcrfical cost coTh*iton ilems reo>Jnwd at C05t or Iransactmin value unSes5 otherw&
stsied in thè r**vani note(sl io tt*se f￿r￿1 5tatemetits. Tr f*bantiai st•temwts ha¥* been pw¥ed w) attordanc¢ th the A¢COL¥lling a
ReputsrrfJ by ChanlwJ. Stathenl ol Reo)mmeThJed PraC1￿e aWicat4e 10 Charth5 pryryj th•r acwjnts In accoldar￿ Trmlh Ihe Financk
Rep(NtirvJ Star￿ord aWI￿ab￿ in UK arKI Rerth of IFRS1021 (seLu￿ EditiDn. ef￿¥9 1 January 20191, ￿ Finanryal Repo￿
Slandard apF4cab* UK ol lrtland (FRS 102) ar¥J the CornwkE5￿t 2LK6.
cl Publfjc benefft ￿b￿ty
Trowl Heahh and TAL%t constilute5 a enbty a5 defffjed by FRS 102. Assets ￿ IKitrAr•Ès recowised at hisio
C05t orlian5aclKfft value unle55 Qltsrwise Staled re*varn accwniry poky.
ThÈ trvsiee5 have yepaied. dnd frymalty 0pwo¥eo (*laW opBrats"rwJ arx1 Cash wopth"on5 covemg the next 12 months t¢ Juty 202¢
On Ihe basis ol these proJeth￿S Ihey have aswsed that tt* cnanty has adequats rThno￿ resoLW aThJ strUC￿re$ in plo¢e to manage rt
operational lis*$ In JdditK)n. IhÈ budgetrg arKI fwe¢As￿Wj KXO¢WS has taken attthjnt of thÈ tArnI econtynit arK1 fvryliry r*nate and its Poteniir
impact on our varityts sources ol aThJ eXp￿rt￿e T￿tfLIe. ts bustees are ccthl Ihai Ihere is reasonats￿ elpeda￿on that the Charit
has adequate reswrces and tontrd mechanisms lo exislewz for ts foreseeat4e *d. on basis the INstees beI￿vE
lo the ￿51 of ibew be*ef 3Trl kno%•*dge. Ihai the Chanty f•mai￿ as a gcwj Con￿ for a pentrj of ai leasl 12 months from the approval of the&
finantia Slate￿￿$ aTrJ. a¢¢ord*¥Jty. ty%se finwial si*mats h•¥t l>een wepartrj 9tyrYJ b88b.
come B rewmsed the chariTa￿e compary has to ts fLf#Js. r*rformance cor*lhh)ns altachèd lo the income have been mel,
i% pr¢bable Ihal the Income be received and thal •m(wt un be ￿*as￿ed rekatyy. WIEn IrKome is re￿Ne￿ ￿ advan￿ of pro¥k1iny Se￿1￿.
it i% deferred uniil THET bgccrfnes enTri￿ 10 thèi i￿Tr.
Drffiatiws arn recogni8al In Ihe s1alemenl￿tr￿￿]al in are rec*¥ed. th¢ recognhits) uiteria sol out abovp
are mei 818n e8rf*rdat0.
For *garJe5. enlit*meni laken as Ihe orthe date wtsr.. rhwty is aware thai proba* has been gra￿J. the esiaie hgs be8
finalised and nolifiotion h8$ been made by the exeartoitsi to THET that 3 d15b7￿>Th be made, N lul a distribution is received frorn th,
•stste. Receipl ol a le9acy. in %thobE or part. ts corbsKJered wobable anwnl can be measwed fdiabty and c*ahty has been nou.fi
oflhe exec￿10￿$ Irtent￿ to make 8 Wtsre *gat7Ès rthe bten to the thanty tythe i% aware ollhe 9ranling of probate. an.
Ihe cJitEria lor Ir￿orne rec(8r*lh)n have nc4 teen m*. tlEn its *gaLy 15 treated as a COMiryeni asset afyj dtsclosedll materlal.
(>ants •re I)d￿¢￿ $ta*m¢rt of finan0* a Trceivaljle ba515. bal￿ ol T￿Ne￿ for sFeofK purposes but n(
expended durin9 IhE Sh￿ in the r*vont IL¥)Js S￿1. Wh* vs rpceNed in ad¥arKg of pnlilknmgnl of receipt. 11
recognibon deleryj aThJ irKJLM*I in LYeditor5 as defeTh•J entiwement ocoJr5 belofe is receNed. the Income i8 8ccrued.
Donated prof8ssional ¢Jonated are Tr0>JrMS￿ as cthnty has corAml Osw ts item. arry uJThJitions assoc4at6,
Ih Its donated Ilem ha¥e been the wi of ec¢j￿￿ benèfrt trom Ihe by ts tharty of the ftem 15 probab￿ and Ihal ¢conomiE benEfiI ca
be measured rdwbty.
cth re(*ipt. d(￿at¢1 prolessional seM¢es arnj donaw f&?W*$ x rtcoynwl M Ihe bays of ¢he ol Ihe grft of the chanty is amo
¢he thanty would teen lo pay 10 obtain ser¥K8s offx*s of￿11¥al8￿ ecfjncffj￿ beneft *)n fv open market". a ¢•rr¢spon(thng amount I
then re¢oyni$ed in ewditure ￿ IrE per￿￿ of recert
In accordarKe th¢ Charths SORP ffR$ 1W. IF*d￿ated s¢r¥w frr*)) Mgewal Y*rJNfrt¢Ws atE rN)I within Il* finandai stawnw.
Other InCr￿e 15 recogniged FWK¥J s retti¥able to Ihe gocrfJ5 have been Fyovpjed or on complelbjn oflhe seNKe.
n Fund aceountlNJ
Resthrted Iw%is we to be use¢J for speofic kxbTrc6es as by the ¢>yby ha¥e been ra￿￿ ty the Charty for pwbcular puooses. Th,
C051s of ratsing and adM￿lStra￿"w suth fi￿d$ offt tharyed aga•￿1 tr* speti￿ fi￿. The am a￿1 us• of ••¢h Rstricted is $•1 ou¢ in the nolets t
the financial 51atemenls.
In¥estment ir%thme. gairts and losÈes we alic￿0 10 ts ¥w¥piiate fLwbJ.

TROPICAL HEALTH AND EQIKATION TRUST
IA Company limited by guarartsel
NOTES TO THE FIM4NCIAL STATEMENTS
FOR ThE YEAR ENDED 31 OECEMBER tr23
1 Accoufitlng pofictes Icontirn
q) Expondllurn and 1rrnCo￿rnb1• VAT
ExpeThJiiwe ts retogniwj ¢w t￿e is a kgal or CO￿1nj(thYe (￿al￿￿ EO make a Pa￿ to a third party. il is wtsbab￿ Ihai 5ettlema)l b
required and the amowl offv i*aknon can be Measu￿ rdwbty.
05ts of charilable admiies art costs appked by It* Ch¥￿Y ￿ wKIErtaknry a(kniry rts tharilab￿ objec1N￿. as opp05Ed lo ts cog
of rnlsir*J funds to finance those objeiiw.
Non4Jirecty allriouiabie ¢osts are alkncatea based w an estimats oitrne spent.
Expenditure on ravJiry fund5 relate lo costs Irwed by ihe charitable CfffiPWV to fvjr Is thori￿e wwses aTrJ irtk#Jes cos15 of 8
fundrai$ir¥J athityes events r￿￿arli•￿e t￿y￿.
&¥pendrture on chariiablÈ aclwities It* tosts ol dke(* uThJertakn"NJ a(￿￿ 7Athcn wrr¥xas aThl obj*iv¥es or the thadlab
ccrfnpany, arKI Iheir assocKqted sw)port costs
Gw15 are included in tts 51aterrvrt of fina￿1* ac*ths as b* bec￿ pay8tle. THEfs abiW to make grarf payments is enlirefy depeThJenl o
ndirrfJ IFCDO. DHSC. FEE. JohrLg(ffi & jo￿￿0￿) Ihe cJxrtrntts that are the to annual In the opinion of th8 truslees, .
51rucb¥e oblgaiH)n rJeal811 ￿en Q ¢yMJoty4 gwt are W fiJlfil￿ aTr1. 117 o)ntrats renewal has been succes$frJlty negolial
wSth drf1erentg￿nt£rfs.
I￿e¢O¥er8ts* VAT i* t*arged as a a9•n4ttw ¢xpwwo vas iThJmd.
hl Ajlocatlon olsupport costs
Expendilvre is allcraled lo Ihe parliojbr *tsre tt* c05t rel*s direcityto Ihat acimty H¢yA*¥v. the cos1 of o¥eW direclion and adminislralio
oleach ath￿ty. ￿MPrIsIng saLiry aThJ ¢wert*ad costs ofts ¢Èntsai apponbw on bag$ are an e$timai¢, ba$e(I
stsff lime. of the arno￿1 attributalHe to each actswty
There abo￿ ts ￿s. obiecttves aThJ proJed5 01 b)e cunparty is pThthJ 10 F￿)￿al benefiL¥aries. IhÈ o)sts associated Yril
thLs publw are alocaled 10 charitable exp*vJrfu
Support and govemance LY)Sts we le-all￿ated to eath tr* basi& an •Slimate. based on slaff tirn¢. oflhe amour
anfit¥Jtable 10 eaekn a¢Xivty.
Govemanc* Costs are the costs assctiated YA•th w%*mante tharilablE cryhpany. These costs are a$5Daaled %*it
ctsistilulv)nai arKI 51atthory m9￿[¢￿￿11$ a(ry t4515 a550rJaled ￿th sW*gic fflanagemeN of the chariV5
11 FO￿9￿ Curr•n¢lg
Monetary8ssets and liatrj'lrtes dencminated in Lxfftnties are trayokted ¥btO Slth'ivj ¥ r•te5 of ex¢)lange nAirrfJ att￿ repryt￿9 da*.
Tiansaclons ￿ forevjn (W￿7￿?S ¥)to st￿￿￿j ai thè r* ftthvj dats Oftmns￿￿￿.
Tanglble fix•d •ss•ts
TorvJible ass815 £XQ N mrye are car¥t*ed recoyni5ed 4then be￿fits we probatle and the costs can be mea$w•
re￿"atsty.
Oewetyatim ¢osts are allotrated 10 aciNth5 on Ihe basL% of li* we of t￿ reL4ed assets in ac11￿lES Assets are rewe**d impament
cwDJmslances Indicate th¢ir carryry Yahje may exce￿ ￿ne1 ￿altsable and use.
C*pNe¢i*"w at Bte5 r*JJated to ¥rf*e ¢J[￿￿ tre oJs¢ of eath asset lo ests"￿￿ted res•Yuai ¥aUJe over its expected useful Ilfe. Th
depwalpjn rates in use are as lokn
Ctynputer Equwment
33% straghl
kl LLgbilltl•s amd provFsion¥
Creditor5 aThl provis￿n5 are recoyni5ed *tsre th8 ch*itat￿e compary has a p￿ent Ottyalty￿ re5th￿ frryn a past event that %*ill probabty re5uII i
the transfer of funds 10 a Ihird paty ano the amothi due to sett* the owation can te measLWÈd or estirTraied rekna￿. Credrtor5 and provision$ ar,
nixmalty recognised al thar seltlement amw* aftw aMrAwwJ trade th"Sc￿lIS d￿.
l) Finan¢i•l Instr¥rn0fits
The Chanty onty has finarKJal a55et5 aTrJ fina￿la1 Iiab"lii*s ol a ￿r￿j Ihai wa6fy as basic frnnc4al knsiNmerts. 8a5* knstrumerts are irtiall
recogntsed at Iransathm Yalue aitrty'r se¢tyEmer4 vai*.

TPOPICAL HEALTH AND E0VCATI￿ TRUST
IA eompww lirnrteo by gua￿n￿e)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 tECEk48ER 2023
Accouniing poli¢i••1¢0rt6nwdl
ml P•ntsitins
THET operates a defmed cc*iIi*H￿n pen*w the bengfit o151aff Th thaiitable crynys conlriLxJlion ￿ charyed lo the Slatefflent I
Fknanclal Athvitses In ts knnoal year. The L*aritab￿ CLryarry has no hat4ty urthr ts Sc￿me other than lorihe payment ollhose wNribulion$.
nl ¢r6tlcal acco￿1n4 0Stlm4t•¥ arnas ofolfvdgwrwt
EsDmales and j4vJgements are cwlinuak* evabJaied arnj are based aThJ otrw fatknrs. induding eypectatKJts of lulure evenl
t￿t are Wie¥ed to be ieasonaw¢ Wder ￿ CXCLU￿•￿¢oS.
Critrtal accourtry e4imai¢$ 4Th1 •ssurWwo.'
Chaity rnaK￿ 8$1in¥te$ *y ¥5Sumpt￿ ojncwyg ts thjtwe. ￿t￿rth"r￿J 8siimates aTrJ asswnpf￿ns *ill, by defin￿"On, sebJc
equal Ine re￿Ie0 aeiual ￿Su1￿. In oi¥nth of trustees art rv*tver rrf) estNnates arhl ¥ssull4JiK)ns that have a ￿9￿￿¢artt fisk of causlng.
malerial adjustrneni to Ihe cwTrin9 amowts olassets and liabilii*S ¥•thin the ￿anr*Ol year.

TROPICAL HEALTH EDUCATION TRVST
IAtLMnpany limited by guarante81
NOTES TO THE FINANCWL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
Total Fund&
2023
rotal Funds
2022
Oonab'ons
Le9aoes
29.670
47.58
29,670
47.58
IneomÈfr•m C￿liE*b￿ actsvth8
unre$trtd￿ Rèstri¢1Od 79ts1 Fun¢$
Funds
Funds
2023
202J
TO1￿ Funds
2023
2022
Programmes & Ptoiacis
Management fee
7.367
328.540
4.918.fJJ6
4.925,973
328.540
3.647,74f
359.98:
Totsl 2￿￿3
335.gJ7
4.918.
5.254.513
4.007.72
Total 2022
4.007.729
4 In¥•sbnent fnem
Total Fund$
2023
Toi¥ Funds
2022
In¥estrwrt irK(The.
783
S Olh¢rintom
Totsl Funds
2023
Total Funds
2022
Confewce fees
62,129
121,83
l other ￿cOme was ￿re$Incted omnl 8rvJ wevKWs￿ar.
$ Ex￿nd￿r• an T*lYffj funds
Costs of rn18lng voluntsry Inttym•
Tolal Fund5
2023
Total Funds
2022
otherdirect costs
Direcl salares
Alk)caied cenwany iwmd finyjrals￿4 go¥*m*Ke (#)sts
6.352
71.266
42.898
17.5
54.47
23.78
120.516
95.8Z
Fundral8ln9 ¢radlng ￿pOnS•S
1Th1irÈct s*aiies
51.107
21.87
171.623
117,69
Al costs of rw%ng vckn*¢ **re al¢￿ted wwestrxled Ws both tr* ard >•¥.

TROPICAL HEAITH AJ4D EDiICATHY4 TRUST
IAoJnp8ny Iwnil¢d bygL4w&ilee}
NOTES TO THE FINN}4C￿ STATEMENT5
FOR THE YEAR ENDED 31 DECEM8ER 2023
Ir*¢iUrth?n$
20Z3
Totsl Ftsndg
T¢yal Funds
2023
zozz
1.524,908
564.729
yo1￿ 2022
$61,729
564,729
2023
P#Jder*rooke's ChantatleTvJ5t
F8(wlty of pu￿1¢ He8nh
Royal Cc4* of Paedth5 ar¥J Cl*bJ HKlh
141.828
I￿,$42
109,3
io3.oiJ
98.680
64,370
$9,175
57,770
$3,J65
50,531
col￿Ne Rese*¢* & T￿Thr￿J cffj t*•*W￿l ICRTOAJ
r*Jh8m Treni VrM¥¢rgty
Health Board
871.694
653.214
1.524,9D
8 of•Apen¢lit¥n tyy •¢llvth
GArtfunding supp
activities
direct
Total Funds
Total FLnts
2023
2023
2023
2Z
Programmes & PropL*5
2.994.257
3.558.279
3.404.679
564.729
1.524.￿8
2.994.257
I.$24.￿&
5.083.187
4.049.408
T¢4al 20
3.210.766
$64.729
273.911
4.049.408
ol dli•acos15
Tirtal Fund•
2023
Toial Fund$
2022
1.214.962
1.779.295
1,Z43.740
1.967.028
2.994,257
3.210.768
Tolal
2023
Total Funds
2D22
Stsff eogls
305.639
16,905
240.478
131.T28
17.003
113.993
11.667
Rent and rates
584.022
273,911

TftW¢ALHEAtTh Apme(wJrth
NO7ESTOTTrÉ FIP4A*ICIAL STATEKEt4TS
FOR ThE &FIDEDJI DECEIA8ER 2023
2J
1,$21.lUS
1.31D.T31
I15.￿.
47,¢6S
1A*4a1Y
20
£fy).rKo. t69.￿y
£70.DJI-£79.999
>.WO. E9g.9BY
tIQD.OW-£IC*.*g
392J
Nu.
47
12 T•nWt4•flx•04•1•
¢offlp￿r
f.DJ4
2.189
AtthEerdrfh•J*4t
2&,
2•M•I
Z.(¥3
Jl,
P4*if￿0k
2.2
A•ltJ1 D¢¢mb•riL
2.154

MOTESTOTHE FINAPK￿L STATEIEtn5
FOR The YEAR EII(EO 31 OECEMEER IQYJ
13 Dekn¥
•U750
n.613
1$7
l>J.110
38.1et
180.7S',
22
0.7T.'
11G.JGU
1.71J.1JO
1134M22
IS Dvlpryd IrK•m
I,h4lJa
At J1 DpFrymbvi
1*•16
SlJl¥
11.9JY.6921
.$7%
241.782
1*.9
1281.780
{9,1ts1
NHS
Y7.4*
(67.fffjl
1146.0191
113.
118,679)
157.9*
1143.É*11
21339..
13J.28F
I￿.￿8$)
IJJ.
1372.SJJI
132J,439)
¢£9,
10.750
J12.fj03
43.38..
FCOO.UK FtrfIiK￿Fj
EU Swièpr¢R
NQIP
4DJ.IIP
79,7
SknJDLAG.
18,3%
75,8
.2371
1.7111tlS
4.91&
14.$19.16$1
142.$1$1
•t.31S
42.31$
2.Wl
*J17.QP5
1*2Y.8101
176141.,

TALW￿l ETrJCITify4TRUST
P40TESTOIHE FINA￿￿L STATEIIENrs
FOR THE YEAR ￿E0]I Uf¢EMFER lOtJ
Atjl D•￿ts
210.7J
.2331
100,01.
G*b41 WethPBrlWiP. ￿p￿TAlk￿Er￿￿*wfj
Th•
1fy.JZ
ILb).B33
115.$3JJ
691.527
I156￿1•1
5Z315
651.447
.4921
(6i.6SZJ
I￿.791}
152W)
1253,5SJI
1irfi,19Jl
(7.292)
275
209.061
157.9
FAthJS Charts￿T￿$t. sun￿1￿7
719070
49.NS
S•nty)tAts.tr*varfSrd*
1¥234
9B.ts57
.0741
(o.wi
403.17
155,SXI
UNICEF
155.655
1.341
JofAMonFAvth￿5¢C￿￿y1S¥eD)
(234,1231
15.1*1
202.13(
Fcfy). UKI￿nm￿NE￿IhFlrf{l￿￿
1141,
2.LWS.tr)J
.1
rJ.7PS,4451
251.*n
1,712.1
534.311
251.&7
T471il
1.7J5
SY.311
1*1.W71
251.*7
2.657.7¥S
rfthoCOVID.19 20Z2 thAty2022 4 £461 Ph15• 2 L* OHSC
H￿*h I￿££) 5*4 3016 MEE
Fo
- FW4P

TROP￿ HEALTh AF4J E￿￿71£￿4 ThJST
wwlopl
IESTODE FINANCI￿ STAIEMEWTS
FOR THE YEAR ENDED J1 DE¢EFA8ER2023
RIMP
Fw
AG.Nty+¥hs .
NItÉF
2023
rur
Totsl
2280
81)4
2.24T
.7M.1J-.
2C69.232
2,15
953,fjT2
2.15
2.W.•71
1.712.1
TaLIl

TROPICAL HEALTH AND EDUCATK)M TRUST
(AerJmp*w rimit￿ bY￿rantee)
NOTES TO THE FIIIANCW STATEMENTS
FOR THE YEAR ENDEO 31 OECEMBER 2023
17 Leyal status of th* ¢h•rit•tyl• ¢orwDy
to £1.
11 Capllal Comfflilm•nts
11 Penslon commthenls
lThYer*￿tr11IY 8dNMni*i*trJ Ttr* ¢ost ¢hyge P8yablE th2 Chth to fund and arThxrfed to É66.20B
{kl)22' £60.9111. E8.861 12022. £7.0761 was pay*eiotr fynd at the b3￿r￿ sW¢Jate and 1$ w4wJ8d In (y&lrtors tri ltr* s
20 Funds Mld x lnt4ffl*￿ry ag4nt
8•l•rrte It
i Jaou¥ry 2023
rn¢oipwwyments
Z023
BJkin¢? held at 31
December 2023
Yrew QL4y*
Lrths Lusakb
Vei? 881￿y- TA
Veta &b•y.
{1.5251
1.267
18.2091
872
4.502
18721
9.047
16.0701
2.977
8al•r•¢• h•hl •t31
OKemb?r 2022
1 j•￿￿ry 2022
2Q2Z
ArKJrewQuay
nks Lusaka
Veta 8ai*. TA
Veta Baikny- ET
1.69)
3.235
4.OLY)
{872}
{8721
3,502
S.$45
9,047
And￿ Quoyle
Llnks Lusa*a
Thesefibid5 arn b￿re hdd by THET C￿ t￿*[claInk bemwi LLtsaka'$ Ijthwsty Te**uNJ Uni¥et8* Hcwa
V•la Bailry TA
V•ta Ball•y ET
unwersrty of Styjknarpton.
21 Post Ba￿nce Shtet E¥*nts
22 Rd*d party V•￿￿¢1￿¢￿S
Jus1hik￿ASh, a ofTriwA H•thaThJ Ed￿￿￿Tr￿ aTrJ Trvsi*s Frnxw Trwt t)LffiW ye* ctsiity tec*i¥ed
gpnts tot*kr4 É337.2791fc¢n Lryar05&rffj. D*atsO1￿ ¥9 in 16.
Thern ¥wre no ￿her fvWyif8ns** 2023 {2022. Pkn*i.

TROPICAL HEALTH ANO EDUCATION TRUST
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
23 Comparn￿ve Stst¢nwrt of Flnancial Activhles (year ended 31 December 2022}
Unrestricted
fvnda
2022
Restricted funds Total lunds
2022
2022
No
Income from..
DonalM)ns and ￿ga¢
charitab￿ acb¥itie5
Investments
Olher Income
47,583
364.562
528
121,638
47.583
4,007.729
528
121,638
3,643,167
534,311
3.643,167
4.177.478
expendlture on:
Ra¢sing Funds
Charitaue actwibes
t17.696
273.911
117.696
4.049,408
3.775.497
Totsl expenditure
391.607
3.775,497
4,167,104
Nel {•xpendltureVlncome
142.704
1132,3301
10.374
Transfefs beh4een fvnds
16
251,567
1251,5671
Net movement in funds
394,271
1383,8971
10.374
Reconcillatlon ol fund5:
Tolal fund5 broughl forward
561.755
2,096,C*J3
2.657.758
Tolal fvnils Carried lo￿ard
956,026
1.712.1Cfj
2.688.132