## Annual Report # **AMMALIFE LIMITED UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MAY 2023** **Charity Registration Number: 1120236 Company Registration Number: 05815194 (England and Wales)** **LEGAL AND ADMINISTRATIVE INFORMATION** ## **TRUSTEES** MR IMRAN PASHA (CHAIR) PROF HAROLD GEE DR SALIYA CHIPWETE MRS MARIA GEE MR KIONG CHAN DR PETER ROOKES DR CHIPILIRO FLORENCE KALEBE-NYAMONGO MR ANDREW JONES PROF DAVID DAVIES ## **REGISTERED OFFICE** 4TH FLOOR INSTITUTE OF TRANSLATIONAL MEDICINE HERITAGE BUILDING MINDELSON WAY BIRMINGHAM B15 2TH ## **CHARITY NUMBER: 1120236** ## **COMPANY NUMBER:05815194 (REGISTERED IN ENGLAND AND WALES)** ## **INDEPENDENT EXAMINER** ANDREW HOPKINS ## **ACCOUNTANTS** BVSC FIRST FLOOR LIVERY PLACE 35 LIVERY STREET BIRMINGHAM B3 2PB ## **BANKERS** THE CO-OPERATIVE BANK PLC PO BOX 250 SKELMERSDALE WN8 6WT ## A heartfelt thanks **A MESSAGE FROM THE CHAIR** Recent data suggests we are way off track to achieve the UN Sustainable Development Goals target on maternal mortality, and that rather than childbirth being a time of new life, the reality in many low income countries is that it is also a time of death. However, nearly every death is preventable, and that is why Ammalife is committed to continue helping bring new research to the front line, working with clinicians and supporting the next generation of individuals who are passionate about bringing about tangible, sustainable change in maternal health. In order to continue to this, we have to grow and develop the charity, and financially, our 22-23 period has seen the charity begin to re-emerge from the post-COVID challenges, with income beginning to rise again, almost doubling from £29,788 in 21/22 to £53,725. As a small charity we are committed to keeping our costs low, but the need to grow our unrestricted funding and cover core cost’s will be integral to the longevity and growth of the charity. This will be a key area of focus for the organisation in the coming year. I’d like to take the opportunity to thank all our regular donors, and funders for their continued support during this period, and look forward to building on the success in the 2023/24 period. ## Research **SUPPORTING THE EMOTIVE TRIAL WITH HIGH QUALITY TXA** **WHAT THIS MEANS IN REALITY** ## We helped put the T in E-MOTIVE! Ammalife were able to support with the procurement of high quality TXA, which was proving difficult for many of the tiral sites involved in the E-MOTIVE trial which published in May, demonstrated that the treatment bundle led to a 60% reduction in the occurrence of severe bleeds and deaths. That’s the equivalent of one mother’s life saved every 30 minutes - without high quality TXA this would not have been possible. **IMPACT SNAPSHOT** 10000 Nurse Ann; "The difference that the Amma Life supply of TXA made during the EMOTIVE trial was undeniable. We saw lives being saved and our efforts bearing fruit once again " doses of quality TXA funded 60% reduction in occuverence of severe bleeding 1 life saved every 30 minutes! ## **FUNDS AWARDED** ## £25,000 The funds provided by MBT were used to support he procurement of TXA in Tanzania, Nigeria and Kenya, to ensure a supply of high quality medication was availble to throughout the E-MOTIVE trial E-MOTIVE published in the New England Journal of Medicine in May ## **WHAT THE CLINICS SAID** |Nigeria Hub|“One of our midwives described TXA as the miracle drug that has| |---|---| ||drastically reduced PPH, the need for drug transfusions and| ||lprolonged stay in hospital. This has given many mothers the joy of| ||going back home for the naming ceremony of their newly born baby| ||“the trial team supplied TXA from Ammalife funding, it was readily| |Tanzania Hub|available in the facility and was stocked in the emergency trolley| ||within the labour ward. We had TXA all the time, and we could access| ||and administer it timely to all women who required it. Consequently,| ||we experienced reduced cases of severe PPH by more than three| ||quarters...”| ||Your timely and gracious supply of high-quality TXA marked a turning| ||point in our fight against PPH. The positive effects were truly| |Kenya Hub|remarkable - we witnessed a significant reduction in PPH cases, and| ||hope was reignited among our healthcare professionals and the| ||mothers under our care| ## Change Makers This year we welcomed Dr Francis Githae Muriithi to the Change Maker programme. Francis is an Obstetrician and Gynaecologist trained in both Kenya and the United Kingdom. He has ongoing interests in Global Women’s Health and Evidence-Based Health Care. He currently works as a Doctoral Research Fellow at the University of Birmingham and the Birmingham Women’s Hospital within the Global Maternal Health Research team. Dr Muriithi’s PhD project investigates strategies for improving maternal health outcomes and tackling preventable maternal deaths in sub-Saharan Africa. **ABOUT THE** Dr Muriithi’s PhD project consists of 4 workstreams as follows **RESEARCH** understanding factors which contribute to preventable maternal deaths, exploration of the role of client and provider behaviours in tackling preventable maternal deaths, learning from maternal death review reports and identification of unique provider behaviours and practices that could be utilised in the design of a positive deviance strategy for tackling preventable maternal deaths. **WE WERE PROUD TO SUPPORT** ## NAOCO’s 7th Annual Scientific Confernece Since the inception of NAOCO Ammalife have been providing grants to Malawi’s National Association of Obstetric Clinical Officers to provide a vital training for clinical officers accross Malaiwi Outputs from the 2023 conference include: - Education of 50 attendees from across all health districts in Malawi - Strengthening of the NAOCO Network, new members and conference attendees - Developing networks and a culture of embedding research findings and best practice in maternal healthcare in Malawi - The distribution of 2,300 doses of lifesaving postpartum haemorrhage medication to rural clinics via delegates that would have otherwise proven difficult to reach rural settings due to lack of reliable delivery services We gathered feedback from over 75% of the attendees at the 2023 NAOCO conference, which rated the educational content as “very good” or “excellent”. Most impressively, over 97% of respondents committed to changing their practice as a result of what they had learnt. Written feedback from the conferences have identified that clinical officers had particularly benefited from learning opportunities with experienced doctors, and from the opportunity to share experiences with other clinicians operating in similar clinical settings to themselves. Sessions which focused on specific skills techniques such as ultrasound were also highly rated. From a practical point of view, there has also been feedback that Clinical Officers would appreciate a full second day of learning, and additional support for travel for those attending from more rural locations to ensure they can attend the full meeting ## **WHAT THE CLINICAL OFFICERS SAY** _”this is very educative and very inspiring having the doctors encouraging us and sharing to make us better practitioners. I am very inspired”_ ## Cyclone Freddy ## **ONE OF THE BENEFITS OF BEING A SMALL CHARITY IS BEING RESPONSIVE TO OUR PARTNERS NEEDS** Early March 2023, Malawi and particularly Blantyre were bearing the brunt of cyclone Freddy. The damage was exceptional, with landslides and house collapses meaning that the hospital and its mortuaries were unfortunately overflowing. Blankets and sheets which had been recently donated by Ammalife had arrived on the container and were used in the paediatric A&E for the very large number of patients coming in cold and wet and injured – the gift was received by the head of department and much appreciated. Due to the unprecedented emergency the trustee’s agreed to make funds available, running an emergency appeal with our supporters, which ensured the QECH - linking with the civil disaster response team, were able to ensure that supplies were rapidly purchased and given to the right communities and individuals. **WHAT THIS MEANS IN REALITY** An initial consignment of 100 birth packs was procured and prepared in less than 24 hours for distribution at the QECH maternity unit-led weekend antenatal clinic for cyclone survivors. Each birth pack contained a wash basin, small bucket, 6 cloth wrappers for Mum and baby, laundry bar soap, cord clamps and sterile razor blade, rechargeable torch with extra batteries, baby hats and socks. The Blantyre District Health Office (BT DHO), MLW, Johns Hopkins Project (JHP), Kamuzu University of Health Sciences (KUHES), the community, and the QECH maternity unit collaborated to see 165 expectant mothers over the weekend antenatal clinics on March 18 and 19, 2023. The women received the basic obstetrical and gynaecological care they needed, including a thorough physical examination, blood tests for haemoglobin, syphilis, HIV, and hepatitis B, as well as urine testing, the findings of which were recorded in brandnew health passport books. _“The women we served often came to us hungry and in pain, with little ones in tow. One lady who was 8 months pregnant was faint with hunger and had to be led to a chair. Because of the support from Ammalife and Lady Fatemah Trust, we were able to feed them and their small children and make sure they received the supportive treatment necessary. It was such a rewarding day to help those in need.”_ Louise Irfan (a postdoctoral researcher from MLW who conducted on-site antenatal screening laboratory tests during the weekend clinic) _“It was crucial to provide immediate support to those most in need and at risk such as pregnant women. It was fulfilling to help these women and the joy on their faces proved that help had come at the right time."_ Gertrude Banda (a midwife from MLW who was one of the ANC providers during the weekend clinic) AMMALIFE LIMITED TRUSTEES REPORT {INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2023 The trustees. viho are also diredors ofthe chanty for Ihe purposes ofthe Companies Act 2006. present their report and unaudiled financial statements of the chanty for the year ending 31 May 2023. Trustees The trustees. WI￿ aTe also the direct(Ys for the pur￿￿e5 of company law and wtto seprfed dunng the year and up to the dale of signature of the unaudrted finanual ststements were. Mi Imran Pasha (Chairl Prof Harold Gee Dr Saliya Chipwele Mrs Mana Gee Mr Kiong Chan Dr Peter Rookes Dr Chipiliro Florence Kalebe-NyarnoThJo MT Andrew Jones Pfol David Davies None of the diredors has any beneficial intefest in the company All of the trustees are mernbers of the company and guarantee to contrbute £1 in the everrt of winth.ng ￿. Objeclives and activities Policies and objectives In setting objectives and planning for acljvrties. the Trustees have gNen due C￿sIderab￿ to general guidance published by the Charrt￿$ Commission relatsng lo wblic benefft The prinapal actNty of Ihe Chanty is to womole and wolect Ihe ￿YsIcal and mental heallh of women 1. Prowding evidence. resources and traming io relieve comphcatscffls in pregnancy and chthllxrth to reduce the nsk of morbidity and mortality 2. Provioing educalional, yevenlatNe and Iherapeubc intervent￿n$ womw otstetncal or gynae.co.1o￿lC condrtions. 3. Supporting birth attendants, mi(hyrfes. prirnary care physKians and hosprtal dodofs In order to improve Ihe care of women in pregnancy and childbirth as well as Other female condrtions, 4. Working as inlemet based. freely available evidence res￿rceS and sUPPOrt on networks for heallhcare providers interested in women's healthcare. 5 Advocating for effecljve. sale. affordabbe and simple lo administer pracb'ces in the context of women s healthcare. 6. Addressing and athising upon capacrty I￿lI01ng. Ixganisatsonal and pobcy levd issues as well as clinical govemance and risk management in me contexl of women.s heallh and care. AMMALIFE LIMITED TRUSTEES REPORT {INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2023 Structure, governance and management Constitution The charity is registered as a charitable company Iimrted by guarantee and was set UP by a Memorandum of ASsouat￿n on 12 May 2006. The wincipal (￿JeCt of the chanty is to promote the physical and menlal health of women. Methods of appointment or election of Trustees Trustees can be appoinied by the Board of Trusiees. subject to confimiation at the next Annual General Meebng or nominated and elected at an Annual Generd Meetsng. Oiganisational structure and decision4naking policies The Board of Trustees meets a nurnber of b'mes throuohwt the year to oversee the charity's strategy. finance and legal obl￿atronS. The Executs've Board meets more frequentty and is responsible fof the day-tfrday runnng of the Chanty including Idea acquisition, projects. fundraising. websrte and s(Kial me(lia, and nelw(xkn"ng and Collaborat￿n. The Execubve Board reports to the Board of Trustees. Risk management A risk register has been eslabl￿hed wth regular reporfjng by the Executsve Board to the Board of Trustees. Capacity The Charty needs to improve capacty at all levels. This Indudes operational management, Execul]ve Board and Trustees. This improvement needs to be both quantilaknve and qualrtative. A fesv InrtiatNes dunng the year such as more Joint Executs¥e and Trustee meetsngs have helped to ensure greater alignment and focu5 for the Chanty. New members were app(M'nted to the Executsye wbich vfill help to strengthen the a￿IrtY of Ammalrfe to achieve its obJedNes. It was recognised that dedicated operational resources are Imklortant for the organisation to be able 10 deliver rts objectsves effectNety. AMMALIFE LIMITED TRUSTEES REPORT (INCLUDING DIRECTORS REPORT) YEAR ENDED 31 MAY 2023 Fundraising As in Pfeviws years. the Big Give was yet again. a source of funding for Arnmalrfe. along wrth our regular donors. Ammalrfe successfulty ra￿e￿ over £6000 as part of an emergency appeal for w¢xk supp¢Nting mothers in Ma184Vi d￿plaCed due to cyclone fredty. One of our major funders this year was MacBevan Trust. who generousty supported our work in ensunng that high quaity TXA was available In hosrrftsl srtes whith wefe part of the E-MOTIVE tnal. Community fundrasing, which helps us increase unresth'ded funds have not re￿rned to their pre-COVID levels, and are an area of Improvement Website This is the main channel lof all stakeholders of Ammalrfe to leam about the organt5akn.on and keep up to date with the lalesl developments. No major Changes were made. A nominal fee was paid for websrte mainienance and administTation so we were able to update rtems This is an area which needs to be c(￿S￿nIlY re¥￿We0 and up(lated to ensure rt Is relevant and engaging. Reflection The charty has ma(le Pfogress, both Operat￿nalty and finanaaly this year. ￿rth aeffts will De agreed by discussion and recoraed Jn tr.e mLnkntes of meeJrGs of the tru>tses and AnnsJal General Mèebryg of Ihe chanty. The policy was rewewèd Ihis year and IS to ho,d an 3ry10dnt equiv31ent to 3pkYoximatèly 3 months expenditure typically13ppro￿mateIY £-, CQO - £1 JO00￿ 3,tnough Il Is noted that spend Is slightty higher than typical years due to ubli&ng restrcted fvnding wbich was delayed due to co￿.1D. The free rL￿erVeS at the year end were £7LKI8. 12021: £13300). Statement of Trustees responsibilitseg The truslees l*tho are also the directcKs for the purFoses of c4mpany law} Jfe responsible ft>r preparin9 the ReFort of the Trustees and the financial statements In xcordance Tmth applicable law and United K)ngdom Generally AC￿pIed A£c4)untsng Practsc* C(ryany law roquiros th• trustees to prepare fin￿￿31 stateft*rts tr each financial year which giv• true and fair view of the srtuabon ol the cttarrtable company and of the Incoming resources and appl tabon of osources. Including the Incorne and expendrture. of the chaniaole ccmpany fof that peri¢￿ In preparing those financial statements. the trus￿e5 are required to select suitsble accounting polioes and then ap￿ them const5tenty,' obsetye the methods and pnnciples In the Chanty S?4P. make ikndgerrénts and esbmates Ihat are re350n3bie and pnKSert. slate W•heiher applicable UK Accounting Stsndaros have tyeen follo**d, subject to any matenal deparrures 015cIosed and explained In tr* final￿￿31 ststements." prepare the f nancial statements on the g¢>ng copcem basis unless rt s inappropriate to presume trat the ch3nuble company wll contipue In busi￿5. The trustees are reswn5ible for keeping proper 3c£ounDng records disdose wth reasonable accuracy at apy b"Fre the finano31 pogton of the cb3*ble comoany and to en3ble them to ensure trat the finanoal statements comply wth the wrynpan e5 Act xct¢. They are 3.50 respjnsibie for Safeguarding the a55ets of the c*3rrt3ble company and hence for tsking reasonable sleps for the preventy.on and detection of fraud arKI other Irregularo*s. Approval the Truslees Report W35 approved by the Boar(l of Trv5tee5 3fKI 519ned on its behalf by.. Imran P35ha Chair of the Trustee5 J 2022 INDEPENDENT EXAMINERS REPORT TO THE TRUSTEES OF AMMALIFE LIMtTED I report to the trustees on my examifflab'on ofthe financial stalements of Ammalrfe Limrted for the year ending 31 May 2023. Responsibilities and basis of report As the trustees of the charity (and also ils directors fof the purposes of company lawl you are responsible for the preparation of the financial statements in accordance wrth the requirement5 of the Companies Act 2006 (the 2006 Act). Having satisfied rnysell that the finanual stalements of the charty are not required to be audited under Part 16 of the 2006 Acl and are eligible for an Independent examination I reporl In respect of Ihe examinalion of the charity's financial $talernenls camed oul under section 144 of the Chanties Act 2011 jthe 2011 Act) In carrying out my exarninakn.on I have followed all Ihe applicable Directions given by the cha￿ Commission under secti+Jn 145(SMbl of the 2011 Ac4 Independent Examiner's Statement I have completed my exarninkn"t)n l eonfirTn that no matteTS have come to rny attention m ¢Mneclion wrth the examination giving me cause to believe thal In any matenal respecl accounling re¢wds were not kept in rttpect of Ihe ¢harrty as required by secton 386 of the 2006 Act". or 2. the financial slaternents do not accord wth those re¢ord¥,' 3. the financial statements do nol compty wrth Ihe accounting requirernents of section 396 of the 2006 Act other than any requirement that the accounts give a true and faw Y￿W wh￿h is not matter considered as part of an independent examinatson. or 4. the financial statements have nol been prepared in accordance with the methods and principle$ of the Statement of Recommended Practice for accounting and reporf]'ng by charrties applicable lo chanlies prepanng their account¥ In accordance wth the Financial Reporting Standard applicable in the UK and Repubk of Ireland (FRS 1021 .' I have no concerns and have come across no other matters in connecb'on wth Ihe examinabon lo which atlents.on should be drawn In this report In oidef to enable a propel understanding of the financ4al slalements to be reached Andrew Hopkj'ns BVSC First Fl+Jor Livery Place 35 Livery Street Bimiingham B3 2PB 6 December 2023 AMMALIFE LIMITED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT) YEAR ENDED 31 MAY 2023 Unrestricte d fund• Restricted funds Note Total Total 2023 2023 2023 2022 Donations. grants and legacles Investments 19.419 34.306 53.725 29,778 10 Tolal ineome 19.419 34.306 53.725 29 788 enditure on. Charitable acbvit*s (25.582) (46.7611 (72.343> (34,207> Total charitable expendI￿re 25 582 46.761 72 343 34.207 Net {loJs)lincome for the yearlNet movement in fundg (6.163) (12.455) {18.618) (4,419} Tiansfer 676 (6761 Fund balances at 1 June 2022 13.305 65.552 78.857 83,276 Fund balances a131 May 2023 7.818 52.421 60.239 78.857 The statement of financial a¢tivrf)e$ also clxnplies wrth the requirements for an income and expendrture a¢¢ount under the Compan*$ A¢1 2006. BALANCE SHEET AS AT 31 MAY 2023 Note 2023 2022 Current assets Deblors Cash at bank and in hand 1930 79 558 81488 61.841 61.841 Creditors: arnounts falling due with one year {1,602) (2.631) Mel current as*ets 60.239 78 857 Total assets legs current liabilities 78 857 Income fundg Restncted funds Unreslncted funds 10 52.421 7,818 65 552 13.30S 78 857 For the year ending 31 May 2023 the company was entdled lo exernpb'on from audrt under secb'( 477 of the Companies Act 2006 relating lo small companies No members have required the company to obtain an audit of the financial 51alernenls fow the year ending 31 May 2023 m accordance wrth secb'on 476 of Ihe Companies Act 2006. The truslees acknowle(Ige their responsibilitres complying with the Acl wrth respecl lo accounb.ng recortls and the Preparation of financial statements These financial slaternents have been prepared in aCc￿danCe wilh the provisions applicable lo companies subRcl lo the small companies regime The financial statemenls were approved by the Boafd of Tfustees on [ s￿ne￿ on behalf of the board by ] 2023. and Imran Pasha Chair ofthe Twstees AMMALIFE LIMITED NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 l. Accounting Policieg Accounb'ng convenb'on The accounts have been prepared in accordance wilh the Cwnpanies Acl 2006 and 'Accounting and Reporbng by Chanlies Statement of Recommended Practice (SORPI applicable in the UK and Republic of Ireland (FRS 102>. (as amended for accounting penods commencing from 1 January 2016) The chanty is a -Public Benefrt Entrty as defined by FRS 102. The charrty has taken advantage of the pro￿5K￿$ in Ihe SORP for charrt￿9 applying FRS 102 Update Bulleb"n 1 not lo prepare a Statement of Cash Flows. The financial stalements are prepared in stefling. which is Ihe functjonal currency of the chanty. The financial stalements have been prepafed undec Ihe historical cosl convenb'on The principal accountsng pokncies adopted are sel out beloiy. Going concern Al the lime of appfoving the financial stalernenls. the trustees have a reasonable expectation that the chanty has adequate Tesources to continue in opeiabonal exislence lor the foreseeable future Thus the trustees con&nue to adopl the going concern basis rf accounbn in preparing the financial slaternents. Charitable fund• Unrestricted funds are available for use al the discretion of the trustees in furtherance of their Charrtable obJectNes unless the funds have been desffjnated for othei purposes Restricted funds are subpct lo specific condth'ons by donors as lo h¢y•i they may be used. The puwposes and uses of the weskn'cled funds are set oul in the notes to the financial stalernenls. Incoming re•ource• These are included in the Stalement of Financial Activities (SOFA) when.. The chanty becornes legally ent￿ed to the resources aftei any perforniance condrlions have been met. The tru$lees are virtualty certain that Ihey will receive the resources. and The monetary value can be measured wilh sufficienl ieliab'lrty. Cash donations are recognised on receipl Other donaknons are recognised once the chanty has been nottfied of Ihe donation. unless perfomiance condrtions require deferyal of Ihe amount_ AMMALIFE LIMITED NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 1. Accounting Policie¥ (continued) Resources expended Charitable acthvilies include all cosls relathng to general administrab'on, which support the charitable purpose_ Grants offered subject lo condrtions. which have not been met at the year-end date are noled as commrtment, bul not accrued as expendrtuie. Expendrture is aceounled for on an aCC￿al$ basis and has been classffied under headings that aggregate all cost$ relaled to the category Where costs cannol be directly attributed to particular headings that have been allocated to aCtsvrf￿$ on a basis conststenl wrth the use of the resources. Incoming resources with related expenditure When incornmg resources have felated expendrture (as wrth lundraising or contract income) bolh are reported gross in the SOFA. Cash arKI ¢a¥h equivalents Cash arHI cash equivalents wKlude cash in hand. deposlts held at call wrth bankepJ. other short term IiquKI investments wth or￿inal maturibes of three months or bess. and bank overdrafts Bank overdiafts are shovm wrthin bo￿ow￿9S m cu￿ent liabilth'es. Financial instruments The charty has elecled to apply the provisions of Sectson 11 'Bas•c Fiiancial Instruments. and Section 12 "Other Finan￿al Issues" of FRS 102 lo all of rts financial instruments Financial instruments are recognised in the chanty's balance sheet when the chanty becomes party to the contractual provisions of Ihe instrument. Finanual assets and liabilibes are offset. wrth the net amounts presented in 1he financsal staternents. when there 1$ a kgally enforceable rKJht to set off Ihe recognised arn¢Junt$ and there is an intenb.on to settle on a net basts or to realise the assets and settle the liabilrty simumaneousty. Basic financial assets Basic financial assets. which include debtors and cash and bank balances. are inits-ally measured at transackn'on price. including transaction costs and are subsequentty carried at amortised cosl using Ihe effective inteiest method unless Ihe arrangemelll consbtutes a financing transacb'on. where the transaction is measured at the present value ofthe future ieceipts discounted at a markel value of inleresl Financial assets classtfied as receivable wrthin one year are not amortised. AMMALIFE LIMITED NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 1. Accounting Policies (continued) Basic financial liabilities Basic financial liabilth'es. including credrtors and bank loans ale inrtialty tecognised al transaction price unless the arrangemenl constrtutes a financing transacbon. where the debt instrument is measuren of financial liabilities Financial liabil￿"e$ are defecognised véhen the charrty"s contractual Obl￿allonS ex￿"re or are ischarged or cancelled Pensiong The company operates a defined contwibution pension scheme and the pension charge represents the amounls payable by Ihe company lo the fund for the year 2. Critical accounb'ng estimates and judgement* In the applicalion of the charrty s accounting policies the trustees are required to make judgements estimates and assumplions about the carrying amount of assets and liabilities thal are nol readily apparenl from othef sources The eslimates and associaled assumptions are based on hi31oncal experience and other faclor3 that are conSKleied to be relevanl Actual results may drfler from Ihese e￿iMateS The esb'mates and undetying assumpb'ons are reviewed on an ongoing basis. Revisions to accounting esbmales afe fecognised In the penod in which the estsmate is revised where Ihe revision affecls only that penod. or In the penod of the revision and fulure penods where the tevision affecls both current and future penods. AMMALIFE LIMITED 3, 0¢)nation¥, grant$ and legacies Restricted Funds Unreslricte d fund$ Totsl Total 2023 2023 2023 2022 Donab'ons 19.419 19.41 15.450 Grants 34 306 34.30 14.329 Tolal for the year 34.306 19.419 53.72 29.779 Tolal for 2022 14 329 15.450 29.779 AMMALIFE LIMITED NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 4. Ex￿r￿liture on chafitable activit A¢tivities undertakèn directly 2023 Support costs Totsl Total 2023 2023 2022 Totsl for the year 57.243 15.1 72,34 34,207 Totsl for 2022 20.379 13.828 34.207 Anatysis by ftNMI 2023 25.582 2022 28.785 Unrnslnct•d fund5 Restrict•d funds 46.701 7.422 72.343 34.207 Analysis of direct costs 2023 2022 Malaw Prr4e¢t 23.508 Analysis of 5￿port costs 2022 2022 stsff costs inote 81 Adrni nistr3tion and other expènses Independent examiner 5 fee 12.£54 1.280 11.985 283 5. Trustees N(Th of the tru5tee5 (or any per5W5 connected wth them) received any rernuner3t￿n or bw)efits from the charty dunng the yeaT12022- £nil 14 AMMALIFE LIMITED NOTES TOTHE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 staff costs 2023 2022 W3ges and 5313riEs Pension contribulons to dLkfined contributon scheme 11.754 Jo 11.￿& The 3ver3ge nUM￿r of 3dmin1str3ton employe￿ durin9 the yearwas 1 12022- 1 }, who did not earn rrrtJre than £80,000 in eitrTer year. Pension commitment5 The charitsble company operate5 3 defined contribulon 5cherre. The 355ets of the 5cherre are held 5eF3r3tely from those of the ch3ntsble comp3ny 3nd are indeFendenJy admini>tered. The penson cost charge above represents contnbuions p3y3ble by the ch3rtt3ble company to the fund Contributions totalling £42 12J22- £461 V*Ere p3y3ble to the fund 3t the ba13nce sheet dai are included in cr&Yitors. 7. Firhancial instrument5 2023 2022 Carrying amount of finaricial assets Debl instruments measured ar amortlsed cost Carrying Value of financial liabilities Me3sured on 3mortised costs DEbtor5 2023 202? Amount5 falling due within (￿e year CthEr debtor5 T3x receiv3ble 1.930 1.930 AMMALIFE LIMITED NOTES TOTHE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 9. Creditor5: arnount5 falling due wthAn one year 2023 2022 Pen310ns p3y3ble Other tsxe3 3nd soo31 securty Accru315 3 nd deferred Income 42 25 I.SPJJ 2.5 1.602 2.631 AMMALIFE LIMITED 10. Rèstricted funds The inc4)me ￿ndS Gf the charity include ￿stnCted funds compri￿ng the following unexpend& ba13nces of donatic>n5 and grant5 held on trust for specific purpose5'. Current year Movèrnent in fund5 Balance at 1 June 2022 Transfer Incomirbg resource5 Resource Balance at31 May 2023 expended EKIBRACE On a roll E-MOTIVE Funding FAST-PA PRISM 8ig Give COVID 19 Emergency Fund TXA fund Cyclone Freddy 18 8) 10 4,066 1Ctr 20.218 9.280 4.,JOO 18.995 32.808 12.899 4.000 {16.8581 {10.033j 6.414 3.816 182 (182} 20.OCQ 8.414 120.Oy2j 172} 18.414) 85.552 AMMALIFE LIMITED NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2022 10. Restricted l￿d5 {continued) Prior yur in funds Balaf￿* at 1 June 2021 Tr•nsl•r Incoming r•sour¢•s R￿O￿T¢* Balane• at 31 May 2022 EKq8RACE 18 18 C* a roll 458 10 E-MOTIVE 18.4 14.318 32.808 Funding FAST-M PRISM 12.809 4.0 12.899 4.01)) B•g Giv• 22.304 (7.185) 15.179 COVID 19 Emvgency Fund 419 (237) (182) 58.848 14.328 {7.422) 65.552 EMBRACE This ￿ r•5trthd fundiry to b• dcffiat•d onto a wnilar to Arnmalrf• *Drkn'ng in TanzaTr￿. Onarol These fvnds ttave ¢lonai*d to prOvrf￿ tth'b*t p•per and c4rMie soap for 11.CIJO new ft**thers in the Matemty Unrt at Queen Ell2a￿t￿ Central Hosptal. Malaw. This Is the first dèfence in Infecton conm an*J ovws dignity to nYJtrers as w*1 35 secunng tr* good workbng order ol the ￿llets ané w3stting facilrties. **fiictt Amrnalioe h35 Covfunded. Funding FASTthI Amm31rfe has hel0￿ seed ￿nd a c&13boraton betweèn health VJ¢*rkers In Malaw and Bimiingham to de51gn FAST-M. a "totyKrt- to tackle matemal sepss In low resource setting5-. Flu*#s. Antibiotycs. Source Identy"ficatyw. Transport lo better care Jnd Monitonng of Ihe mother and De*V.knom. Right we Te 5UFwtyng staff training and prLviding e55entsal fnedical Supplies lo tr)e fifteen centres Involved In the pilot Study year. We're plann Ing to contsnue our support to thèse centres after the plot study so that the lrfesawng wcrfk can contynue. PRISM This ￿presents a grant that has been awarded for dissemination. AMMALIFE LIMITED BbB Give This annual appe31 took place in December 2022 35 part of the nationwde Big Give Chris1rn35 Challenge. run by the Big Give via tr7&r online d£h93￿0￿5 platforrn. Th15 YearV￿ ￿re r315ing funds to SU PPJrt the Ffocurement of tr3nex3rn1C 3cid, which 15 proven to reduce the rLSk of m plic3tion5 fol ljwing severe bleeding after chi Idbirth. IIOTES TO THE FINANCIAL STATEMENTS YEAR ENDED 31 MAY 2023 10. Restricted funds {continwd) COVIO 19 ErnergeTrcy Fund Thi3 3ppe31 w35 raising money for equipment to protect mothers. b3kn.es and he31thc3re WDrker5 in M313w m3ternity units ftom =OVID-19. It indudeé the purch35e of handwashing stab"ons. soap. paper to**13. hand $3niliser and protecti'ie equipmeni for he311hc3re workers. includin9 gown3 and f3c* m33k3 These suppl ie3 h3ve been distrtrJJteé 3t Queen Eli-3teih Centr31 Hosptt31. Blantyre and 3ix fJrther sites around 1he county. Dowa. ¥3budul3. hiJP3. Ndirande. Thydo and Zomb3. E-MOTIVE Is 3 restr￿ed ￿Ser￿e relating to the translation of the Univergty of Birmingham's research project. 11. Analysis of net a55ets bEtrèveen funds Fund balan(*5 3t 31 May 2023 and 31 May 2022 are rewesentsj by current 355EtsI'lli3bil1￿"eS. 12. Related party trarb5action There no disclosed related party tr3n53ction5 thi5 year. ## We couldn't have done it without your generous support. ## Thank you The trustees, executive team and our partners would like to express our sincere thanks for your continued support and helping us towards our goal to a safe and health pregnancy for all mothers, regardless of where they live info@ammalife.org www.ammalife.org 4th floor, Heritage building, Mindlesohn Way. B15 2TH 07729453120