2021-12-31-accounts

NETWORK FOR AFRICA

TRUSTEES’ REPORT (INCLUDING DIRECTORS’ REPORT)

FOR THE YEAR ENDED 31 DECEMBER 2021

The trustees present their report and financial statements for the year ended 31 December 2021.

The financial statements have been prepared in accordance with the accounting policies set out in note 1 to the financial statements and comply with the charitable company’s government document, the companies Act 2006 and “Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective January 2019)”.

Objectives and activities

Network for Africa (N4A) works with communities in the aftermath of conflict and genocide. We help the survivors of African conflicts who have been left behind after the fighting stops and the humanitarian aid moves on. We provide training for these survivors in specialised trauma counselling so they can tackle the long-term psychological consequences that often block their communities’ recovery. We equip community leaders with the skills to identify those in need and challenge the stigma attached to trauma, depression and mental illness. We listen to what these communities tell us they need, so we can offer appropriate and sustainable support. We currently have projects in Rwanda, Sierra Leone and northern Uganda.

The trustees of the charity have given due regard and adhere to the Charity Commission’s guidance in public benefit.

SUMMARY AND REVIEW OF 2021

People living in sub-Saharan Africa have been disproportionately affected by conflict in recent decades, with a damaging legacy on their mental health and wellbeing (BMJ Global Health 2021) – such as the genocide against the Tutsi in Rwanda, an 11-year civil war in Sierra Leone (closely followed by an Ebola epidemic) and a brutal 21-year civil war in northern Uganda. The legacy of conflict and genocide, coupled with extreme poverty, has had a profound impact on people’s mental health, leaving millions living with conditions such as depression, anxiety or post-traumatic stress disorder (PTSD). The UN states that 1 in 5 people in conflictaffected areas have a mental health disorder (UN 2019), compared to 1 in 8 globally, while mental health care provision in post-conflict areas of sub-Saharan Africa remains limited.

Meanwhile, there are estimates of the burden of mental disorders across sub-Saharan Africa doubling in the next four decades (Global Mental Health Journal 2021). In all three countries, the Covid-19 pandemic continues to exacerbate people’s mental health due to the social and economic shocks it has triggered, while climate change and Russia’s war in Ukraine are each already impacting some of the world’s poorest and most vulnerable people in Rwanda, Sierra Leone and Uganda. Each of these are driving up food insecurity and poverty – which N4A knows from experience exist in a vicious cycle with mental ill health.

Network for Africa (N4A) works with local organisations in Rwanda, Sierra Leone and Uganda to address the psychological, social and health problems created by conflict that prevent community members from rebuilding their lives. We work with our implementing partners, sharing capacity to deliver and manage these programmes. Once participants are sufficiently recovered, we provide livelihood support to lift them out of poverty and break the cycle of mental illness and poverty – with livelihoods programmes in all three countries currently. In Rwanda we worked with Survivors Fund (SURF) in 2021, running a community-based peer counselling model, supporting young survivors of the genocide – helping them talk about their trauma and address their post-traumatic stress disorder – and will be introducing livelihoods support in 2022. In Sierra Leone , we work with Conforti Community Aid Children Organisation’s Port Loko branch (Conforti PL) and Health Poverty Action (HPA) supporting people with mental illness and their caregivers to conduct livelihood

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activities and save money in their self-help groups, while continuing to support community mental health activities – counselling, community outreach and education, mental health clinics and provision of epilepsy medication. In Uganda , with our partner BNUU, we continued to support people with livelihoods in 2021 alongside community mental health work, and have recently been awarded a new grant to expand BNUU’s mental health work in more areas of northern Uganda.

Covid-19 continues to affect people’s lives and mental health worldwide, not least among sub-Saharan Africa’s poorest and most marginalised communities. The prevalence of mental health issues across Africa has risen during the pandemic, which has compounded existing inequalities and deepened pre-existing social and economic challenges – exacerbating the mental health of those already struggling, while driving new cases of mental illness (Africa Academy of Sciences, 2021). For example, the economic and social hardship driven by the pandemic in Sierra Leone has increased prevalence of drug abuse (BBC, 2021). The pandemic caused ongoing disruption to each of N4A’s mental health programmes during 2021 – for example, restrictions on movement and gatherings in Rwanda meant SURF had to provide counselling by telephone through part of the year, while lockdowns in Uganda meant livelihood input distribution was delayed by three months until March and clients’ ability to restock and access markets were at times impacted. Vaccination rates in sub-Saharan Africa remain lower than the global average, with lack of supply being a bigger driver than mistrust of the vaccine, though supplies began to be boosted during the last quarter of 2021 (Our World in Data, 2022).

Climate change is already causing issues for our clients in Rwanda, Sierra Leone and Uganda, predominantly through disruptions to the timing and intensity of rainy seasons. Many of our clients depend on subsistence farming for their livelihood and food supply, and are therefore some of the most vulnerable people to climate change in their respective countries. This increases stress levels, which in turn increases the risk of people with mental illnesses relapsing, drives up rates of intimate partner violence/sex and gender-based violence, and also causes major issues for those on mental health or epilepsy medication – most of whom need to take their medication with food, and some of whom may find their appetites increased as a side effect of their medication. Our partners in Sierra Leone and Uganda, Conforti PL and BNUU, both power their offices with solar panels, which limits our own project-related emissions (as well as local noise and air pollution) by removing the need to use petrol-fuelled generators.

War in Ukraine – at the time of writing in 2022, Russia’s war in Ukraine is causing huge disruptions to global fuel and food supplies which are further compounding people’s access to and ability to afford food in subSaharan African countries such as Rwanda, Sierra Leone and Uganda. Before the war, half of Africa’s wheat came from Ukraine or Russia, and the World Food Programme’s single biggest supplier of food was Ukraine. The price of some basic foodstuffs has doubled in Sierra Leone since February, while all our programmes are affected by fuel price increases and shortages. By installing solar panels on Conforti PL’s office during 2021, which used to run on a petrol generator for over half the year, we have reduced our demand for fuel in Sierra Leone which has mitigated against some of the burden of price rises.

Plans for the future - N4A continues to develop ideas for potential mental health projects for Cameroonian and South Sudanese refugees in camps in Nigeria and northern Uganda respectively, as well as monitoring funding opportunities for our proposed community mental health project in Plateau State, Nigeria.

Achievements and performance

RWANDA

2021 highlights included:

• 268 new clients were enrolled in peer support groups where they received group counselling. The total number of young genocide survivors helped in this way since the project started is more than 1,500.

• 24 new Peer Support Counsellors were recruited and trained to run the peer counselling groups. They get to know the group members well and look out for anyone who needs extra support, and refer them to the project’s counsellors.

• 22 health workers were trained in mental health case management.

• 181 group counselling sessions were held and 118 clients had individual counselling.

• 1,703 telephone counselling sessions took place during lockdowns.

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• 198 vulnerable clients who needed extra support were visited at home.

• 35 clients started their own small businesses and 12 clients found employment.

• 50 of the clients were selected at the start of 2021 to take part in a baseline survey, and the same cohort took part in the survey at the end of the year. The improvements included:

• The number of clients who felt their thoughts were preventing them from doing something others do reduced from 92% to 12% over the year.

• At the start of the year 64% had thought about taking their own lives in the previous week – this figure had reduced to 6% at the end of the year. Whilst we would obviously prefer there to have been no suicide ideation, the counsellors know who these clients are and are providing them with extra and continuing support.

• Even though some clients are still facing issues of trauma and its symptoms, at least 94% of them agree that they know how to deal with their trauma symptoms.

Our project partner in Rwanda in 2021 was Survivors Fund (SURF). Founded in 1997 by Mary Kayitesi Blewett OBE, SURF supports survivors of the 1994 genocide against the Tutsi in Rwanda through working with survivorled organisations including AVEGA (Association of Widows of the Genocide) and AERG (National Students’ Association of Genocide Survivors). SURF delivers technical support including capacity building and monitoring and evaluation to their partner organisations, delivering projects ranging from healthcare to housebuilding, education to entrepreneurship. SURF is a UK registered charity, managed and run from its head office in Kigali, Rwanda.

Our project in Rwanda is a community-based peer counselling model, supporting young survivors of the genocide through group counselling - helping them talk about their trauma and address their post-traumatic stress disorder. Approximately 250 clients from local communities are enrolled on the programme each year. They are divided into 12 groups and elect 2 peer support counsellors (PSCs) from each group to moderate and lead the group counselling sessions. The PSCs are trained to carry out this role, and are supported by the project’s counsellors, in addition to receiving quarterly supervision, so that they can refer clients for individual counselling and also receive support for more challenging cases.

Training and up-skilling of clients to undertake key roles is a central component of this project, ensuring that skills and professional development remain in the local community, in order to promote sustainability. Thus the 12 PSCs all receive training and supervision, as do the 4 project counsellors, in addition to health workers from health centres in the participating project areas.

In 2021 the project got off to a slightly late start owing to Covid-19 and restrictions on movement. However, 268 clients were recruited and started their group counselling sessions in March. The group members selected 12 Peer Support Counsellors (2 from each group) who received training from the project’s counsellors in trauma and group counselling skills. They were supervised by SURF’s counsellors and received their own supervision sessions quarterly. There they were able to strengthen their counselling skills and discuss difficult cases in a supportive environment.

Covid-19 caused some disruption during the year, making it impossible for the groups to meet at times. However, SURF compensated by making sure that telephone counselling was available, providing 1,703 telephone counselling sessions. In total over the course of 2021, 181 group counselling sessions were held. This was lower than the target figure but not a surprise given the restrictions on movement imposed by Covid19. Home visits were an integral and important part of the programme, and 198 vulnerable clients were visited at home during the year. The annual commemoration of the genocide in April was particularly difficult in 2021 because it coincided with a period of lockdown. However, the clients managed well, all things considered, and they reported that they had been helped with the coping mechanisms they had been taught. The excavation and reburial of genocide victims from a mass grave in Kiziguro, Gatsibo district, was very traumatic for those affected, clients, peer support counsellors and project counsellors alike. We provided extra support and supervision to help them through that very difficult period.

Twenty-two health workers from health centres in the participating areas took part in a three-day training course on the essentials of mental health case management. There were 12 clinical psychologists and 10 general nurses working in mental health services. The training covered topics such as communication, active listening, post-traumatic stress disorder, resilience theory, depression, suicide and substance abuse (drugs and

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alcohol). The training included a questions-and-answers session, group discussions and case study discussions. The pre and post assessments of the health workers’ current knowledge and understanding showed a marked improvement at the end of the course.

The project’s counsellors worked with the District Administrators to carry out awareness-raising in the community on mental illness and how to manage depression. They also delivered a programme of psychoeducation for the clients, where they discussed topics such as the benefits of Covid-19 vaccinations, drug and alcohol abuse, the prevention of unwanted pregnancy and family planning, and taught relaxation exercises to help combat loneliness and isolation exacerbated by Covid-19 lockdowns.

Some of the clients started savings and were able to loan money to other group members, earning them some interest. Others are planning to group together to buy livestock and are saving towards that goal. The counsellors were successful in obtaining grants from the government for 23 clients (13 women and 10 men) to start small income generating projects. Five of the clients resumed their studies at university, and 25 carried out charity work in their communities. The benefits of the project have not gone unnoticed by local government leaders and community members who are appreciative of the positive changes they can see in the clients and wider community.

We are very pleased that together with SURF we have secured the funds to provide entrepreneurship training and start-up costs for livelihoods for the new 2022 cohort. We have received feedback from the clients since the project started that livelihoods would exponentially improve their life outcomes. This is backed up by our own learning that poverty reduction improves mental health outcomes. Next on our list is to raise funds to provide free on-site childcare for the counselling groups, as so many of the clients are single mothers who don’t have the means to access baby-sitting, and find that having their babies and toddlers at the group counselling sessions, detracts from their ability to fully engage.

Covid-19

Rwanda put in place a national nighttime curfew from February to March 2021, as well as strict limits on numbers in indoor public spaces, and restricting travel between Kigali and the rest of the country. SURF reintroduced telephone counselling during this period, as it had done in 2020, though this was also limited by the number of clients without access to phones. 19 clients tested positive for Covid-19 during 2021, which has affected them both mentally and physically. Rwanda requires that people test before attending public gatherings, which continues to limit some clients’ attendance at group counselling sessions. Covid-19 restrictions also limited the ability of many to attend the reburial of their family members who were victims of genocide discovered in a mass grave in Kiziguro.

At the time of writing, 8.15m Rwandans (61% of the total population) are fully vaccinated, the highest of the three countries in which N4A works.

Climate change

The rural areas where SURF runs its peer support counselling programmes are already witnessing heavier than usual rains during the farming season, which destroy people’s crops. 70% of Rwandans’ livelihoods depend on the agriculture sector, and they are especially vulnerable to climate change.

I love my family. Now I would ask for individual counselling rather than isolating. I hope the good things I was able to get through these counselling services could be offered to many young survivors who are suffering like I did for many years. (Project client)

Thanks – We would like to thank the Bryan Guinness Trust, the Eleanor Rathbone Charitable Trust, the Blackfriars Overseas Aid Trust and the James Tudor Foundation. We would also like to thank all those who donated to our Big Give Appeal: the Reed Foundation, Mr. & Mrs. D Bliss, Carol Bryson, Philippa Clegg, Frida Critien, Mike Diggins, Pam East, Mr. & Mrs. K. Feber, Ashley Fleischer, Max Gibbs, David Gye, Melanie Harris, Mark Harris, Annabel Harris, Louis Harris-White, Martin Haworth, Lara Haworth, Serena Heller, Micheál Jacob, Oliver Lubbock, Arun Malhotra, Gerard Markes, Sophie McCann, Ross McClean, James Middleton, Annie Nicholson, Ciaran Nilan, Peter O’Sullivan, Tristan Parsons, Mr. & Mrs. A. Patullo, Lesley Pavincich, Jack Pilkington, David Russell, Joanne Ryan, Paula Smyth, John Spayne, Francine Stock, Mr. & Mrs. H. Tinsley, Olivia Warham, Howard White, Julia Wisdom and Robert Woodfield.

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SIERRA LEONE 2021 highlights included:

• New grant – We secured a new 3-year grant from the Addax and Oryx Foundation for this project. We also secured funding from the Allan and Nesta Ferguson Trust for year 1.

• 180 self-help group members participated in a baseline survey to assess their mental health, and are receiving ongoing training and support to do group savings and plan for their livelihoods through their 9 SHGs.

• 45 self-help group members attended a 5-day training workshop covering skills and knowledge for successful livelihoods and village savings and loans, which they are cascading to their remaining 135 fellow group members.

• 256 clients with mental disorders/epilepsy received individual counselling.

• 783 clients participated in group counselling.

• 362 clients attended our monthly mental health clinics.

• 56 clients with epilepsy received epilepsy medication which previously they had not had access to.

• 695 pregnant women and breastfeeding mothers attended mental health information sessions, including on post-natal depression, of whom 24 subsequently came forward for counselling.

• 669 primary and secondary school students and teachers attended a mental health presentation, covering issues such as corporal punishment, mental health and stigma.

• 417 community members, including community leaders and other duty bearers, were engaged in mental health education and stigma reduction sessions in their communities.

• 12 team members and district mental health staff participated in supervision, training and continuing professional development.

Our project partners in Sierra Leone in 2021 were:

• Conforti Community Aid Children Organisation is a Sierra Leonean NGO based in Freetown and Port Loko. It addresses the educational and welfare needs of young people including their mental health.

• Health Poverty Action (HPA) is an international NGO that has a direct presence in 13 countries, including Sierra Leone, where it has been implementing programmes since 2005. Founded in 1984, it was set up to meet gaps in the provision of medical aid to people affected by prolonged and complex conflicts. Its vision is a world in which the poorest and most marginalised enjoy their right to health.

We were delighted with our successful application to the Addax and Oryx Foundation for funding towards a 3- year livelihoods and mental health programme in Port Loko with Conforti’s Port Loko office (Conforti PL). This programme started in July 2021 and began with the baseline survey that involved reassessing all 180 self-help group (SHG) members’ mental health (formed into 9 SHGs), with depression and stress being the most prevalent conditions, affecting 29% and 27% of members respectively. 37% of members are caregivers of a person with mental disorders/epilepsy (PMDEs), and 79% of these caregivers also have a mental illness of their own. 13% of SHG members have epilepsy. Besides mental health conditions, 13% of SHG members are war survivor amputees (2 of the 9 SHGs are based in Port Loko’s post-war ‘amputee camps’ for survivors and their families), and 16% are survivors of Ebola. In November, a five-day training workshop took place, covering the fundamental skills and knowledge needed by SHG members to start and make a success of their livelihoods and village savings and loans activities (VSLAs). The training was delivered to five members per SHG (45 in total), who with the support of Conforti PL’s livelihoods team are sharing the training with other SHG members.

The SHGs have got off to a really positive start with their VSLAs. They have established their rules and processes, agreed by all group members with members paying in what they can weekly or monthly (which could be as low as SLL 5,000 - approximately £0.40). The savings are kept in a collective pot but with each owning the amount they contribute; they can borrow for income generating purposes, which they pay back with interest; the interest is owned by all group members according to the same % as their individual contributions. Some SHGs have chosen to allocate some of their savings to a collective fund, which is used to fund group costs, such as refreshments for meetings, and some have already begun to develop their own livelihoods practices using loans.

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Alongside the livelihoods programme, we have continued to support Conforti PL with their community mental health activities. The counsellors provided individual counselling to 256 clients (133 female, 123 male) and group counselling to 783 clients (480 female, 303 male) across the whole of 2021, while also supporting the mental health nurse to provide monthly mental health clinics at the 5 health centres in our operational area to 362 clients.

Our provision of epilepsy medication to 56 clients, who would otherwise be unable to afford or access it, has meant that they have been able to reintegrate into their communities, and take up work and schooling again. All 17 children receiving treatment are now in school and doing well. Thanks to our work, the Port Loko district office of the Ministry of Basic and Senior Secondary Education has picked up on this, and started to conduct a district-wide study on the number of school age children with epilepsy who are at risk of dropping out of school (or have already done so) due to their condition. So far, they have established that 35 further children in Conforti PL’s existing operational areas have untreated epilepsy, 14 of whom have dropped out of school, with a further 48 in the adjacent chiefdom. We are looking to provide epilepsy medication to these children through further grants, as we now have an established system in place for providing this service, with oversight and supervision from a specialist epilepsy nurse from another district.

Our in-country mental health consultant has supported the team with ongoing training and supervision. Our social workers and counsellors attend weekly maternity clinics to deliver information on maternal and child mental health to pre and post-natal women. The team talks about postnatal depression, and child and family mental health including parenting methods. Across the whole of 2021, we reached 695 such clients, of whom 24 subsequently came forward for counselling in the second half of the year.

Due to the high demand from schools as they reopened following pandemic closures, and following consultation with 65 students and 35 teachers, the team has developed a short mental health awareness presentation for teachers and students, covering issues such as corporal punishment, youth mental health and stigma reduction, with the aim of improving child wellbeing, and reducing the level of dropouts. A nationwide study recently estimated 89% of Sierra Leonean students are subjected to regular corporal punishment at school. Daily floggings occur more often with people with disabilities than others. Our youth consultation showed the excuses for such punishment are mostly due to circumstances beyond students’ control, such as extreme poverty, or for no reason at all, and that it has a detrimental impact on students’ wellbeing. We reached 358 primary school students and teachers, and 311 secondary school students and teachers between July and December 2021. This built on feedback we received from Grand Challenges Canada to our 2020 application, suggesting the team needed to have already piloted a project in schools. We were therefore able to add this experience into the 2021 application to Grand Challenges. Though this application was unsuccessful, we now have a youth mental health programme for schools ready to go subject to future funding opportunities.

Covid-19

Sierra Leone reintroduced a night-time national curfew in January 2021. Travel between Freetown and the rest of the country was also restricted at the start of the year. Such measures have been lifted and reintroduced at points over the year. Conforti PL were involved in education and combatting misinformation on the vaccine, which they incorporated into some of their outreach talks. As a result, a majority of the clients in the amputee camps have been vaccinated. The pandemic has caused continued economic and social hardship in Sierra Leone, especially among the poorest, which throughout the pandemic has been a greater source of stress and anxiety than fear of the virus itself. It has led to a rapid rise in the use of a drug named ‘kush’ (a strong synthetic marijuana), which now accounts for the majority of male admissions to the country’s one psychiatric hospital, and has now reached Port Loko. Conforti PL is engaging with the district mental health nurse and district health officer on this problem. Many of the amputees travel to Freetown in the week to beg, and they were hit hard by restrictions on travel to and from Freetown.

At the time of writing, 1.1m Sierra Leoneans (14% of the total population) are fully vaccinated (below the Africa-wide average of 16%).

Climate change

In 2021, the annual rainy season in Port Loko arrived the latest it ever has, and is becoming shorter and more intense by year. This is severely affecting local farming, with subsistence farming the most common existing

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livelihood activity of Conforti PL’s clients. This is an extreme source of anxiety for clients. According to the latest census data (Stats SL 2016), in Port Loko district as a whole, 81% of the population depend on agriculture as their main source of income, and 92% of residents in the district face some form of food insecurity. However, there are no government food aid programmes. Additionally, Port Loko town and its surroundings rely on a small, local hydroelectric power plant for electricity, which is sporadic and unreliable during the dry season. Climate disruption is meaning people face unreliable electricity supply for more of the year, as the dry season expands in length of time year on year. In order to mitigate against this, to reduce our own project-related emissions, and to reduce local noise and air pollution, during 2021 we invested in solar panels for the Port Loko office. These now provide 100% of the office’s power needs, whereas it was previously forced to run on a petrol generator during the dry season. This has also meant we have reduced our demand for fuel, which has mitigated against some of the burden of current fuel price rises.

Looking ahead: Our key immediate priority is to fill the funding shortfall for Conforti PL’s livelihoods project and wider mental health programme, which is currently being met with N4A’s unrestricted reserves. We will also support Conforti PL to develop their own strategic plan, incorporating the various strands of mental health work they are engaged in, in order to help plan and apply for funding to expand work in future. Finally, we will support Conforti PL to further develop its relationship with government bodies, such as the district education office, in order to further mental health support in the district.

I had been living with epilepsy for almost 20 years, without any medication. My condition was so miserable that I could not do any work. My life became useless.

One day, I found the counsellors coming to my aid and they started talking to me about my problem. They started having regular visits with me to talk about the impact this condition has had on my life, and eventually were able to provide me with regular epilepsy medication through the clinics. I have had three months without any seizures and now feel able to do some small farming. Now I get income from the farm, and also contribute to my family from the farm. (Project client)

Thanks – We would like to thank the Addax and Oryx Foundation and the Allan and Nesta Ferguson Trust for their support.

UGANDA

2021 highlights included:

• 548 clients attended BNUU’s monthly mental health clinics, of whom 413 reported improvement in their condition.

• 339 clients received individual counselling.

• 625 PMDEs and caregivers from 35 self-help groups received start-up items to begin their income generating activities.

• UGX 10,345 (£2.35) were the average savings by PMDEs over the course of the year – an increase of 84.7% since the start of 2021.

• UGX 10,119 (£2.30) were the average savings by caregivers over the course of the year – an increase of 84.1% since the start of 2021.

• 93% of PMDEs and caregivers are able to afford to eat two meals a day, where previously many could only afford one.

• 218 PMDEs and caregivers took part in an analysis of their livelihoods to establish which livelihoods are doing well and why.

Our project partner in Uganda in 2021 was BNUU, a Ugandan NGO that supports access to mental health services through training, research, advocacy and awareness raising, targeting clients with mental disorders. It addresses stigma, discriminatory policy, access to quality mental health care and poverty affecting clients with mental illness.

The mental health clinics, counselling services and home visits continued throughout 2021. 339 PMDEs and caregivers received counselling; 548 PMDEs attended the monthly mental health clinics; and of home visits, 92% of PMDEs were adhering to their medication, largely attributable to supportive families, the drug bank

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initiative and increased household income because of the livelihoods. There was some fall in adherence to medication from men, due to excessive alcohol consumption, but this was met with extra counselling.

The distribution of livelihood inputs provided by The National Lottery Community Fund took place in March - delayed from 2020 due to Covid-19. This distribution took place over 8 days – 2 days in each participating area, requiring careful planning because of Covid-19 safety measures. The distribution was well attended by local government officials, many of whom by their own admission, had never previously engaged with PMDEs. They pledged future support for PMDEs and their caregivers, and the distribution process was hugely motivating for all involved. In total, 625 self-help group members from 35 of the total 61 self-help groups supported by BNUU received livelihood inputs. This saw an almost immediate increase in household income compared to the previous quarter. However, there was a marked differential between the income of PMDEs and that of caregivers, so much so that BNUU stepped up its support for PMDEs in order to increase their income. The rates of income fluctuated for the remainder of the year, owing to price increases during lockdown that had an impact on expenditure on restocking their livelihood inputs, thus reducing their profit margins. Other factors included unpredictable weather patterns that negatively impacted farming and reduced availability of food, and resulted in some PMDEs spending more of their savings on buying food for personal consumption. However, overall, the level of savings increased, which was further boosted by BNUU offering cash prizes to the SHGs that had saved the most money. The average savings amongst PMDEs and caregivers increased by some 80%.

This increase in savings had a positive impact on the setting up of the drug banks – a key component of the programme that protects PMDEs from medication shortages and resulting relapse. The SHG members had training in setting up drug banks; what the purpose of them is; what factors make them successful and effective; and what challenges they can expect. They elected chairpersons, secretaries and treasurers, and 60 representatives from the SHGs formed management committees. All the SHGs are encouraged to contribute a proportion of their savings to the drug banks and found the training very motivating.

Towards the end of 2021, 218 PMDEs and caregivers took part in an analysis of their chosen livelihoods, to find out which businesses were working well, with stock and cash in hand, and those that are not working so well and also to understand the impact of Covid-19 on their business outcomes. In summary, 96% of those who participated in this exercise have businesses that are doing well, with 4% saying that their businesses are not doing well. Of those doing well, PMDEs had an average working capital (value of stock plus cash in hand) worth UGX 177,715 (£40) as opposed to the initial investment of UGX 100,000 (£22). Caregivers had done slightly better with an average working capital of UGX 193,972 (£43) compared to the initial investment of UGX 100,000 (£22). The analysis showed that the majority of BNUU’s clients with sustainable livelihoods were selling dried fish, cooking oil, soap and green vegetables, and that they had diversified/were selling more than one item. It also showed that 88 of the clients had invested some of their profit into long-term businesses e.g. farming, buying livestock etc., and had little working capital for running their livelihood. However, when probed a bit further they said that they would use their profit from selling their harvests to reactivate their livelihoods. There is a long tradition of agriculture in this area, so it is understandable that clients are drawn to farming to supplement their income, and their actions show initiative.

The SHG members demonstrated that they now understand their rights through their advocacy actions, and were proactive in presenting issues at stakeholders’ meetings that were attended by local government representatives as well as sub-county chiefs. These issues included a lack of involvement of PMDEs in government programming; long distances to reach mental health clinics; inadequate supply of medication; stigma; bad roads preventing access to mental health clinics; rude and unwelcoming behaviour from health workers etc. These interventions produced results e.g. unannounced visits by officials at health centres to monitor health workers’ absences, rudeness and negligent practice; the repair of inaccessible roads.

In July 2021 we received a grant from the Charles Hayward Foundation to provide training and livelihood startup items for 10 more SHGs benefitting 178 PMDEs and caregivers. The training programme for this cohort has begun - they have all participated in:

• Training in enterprise selection, which helps clients understand what to consider when choosing their livelihoods e.g. their health, local market demand, what products will generate an early profit;

• Financial literacy to equip PMDEs and caregivers with basic business and financial management skills, including record keeping, budgeting, savings and loans;

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• Village savings and loans (VSLAs) including the importance of saving as a group rather than individually, how to be an effective member of a VSLA, leadership, internal rules and regulations, introduction to written records;

• Drug bank training to explain the concept of a drug bank and why it is important to have one, how to set one up, how to form a drug bank committee and increasing understanding of factors leading to success and possible challenges.

One of the difficulties that came up during 2021 as a direct result of Covid-19, was a lull in PMDEs and caregivers’ ability to restock livelihood items owing to restrictions on movement which also caused price increases and a temporary loss in income. This resulted in food shortages, or lack of sufficient income to buy food, which is bad enough under normal circumstances, but if you are taking strong anti-psychotic medication, makes the medication difficult to tolerate. We were therefore very grateful to the Kenneth Miller Trust for providing a grant for seeds and training for SHG members to grow vegetable gardens in their compounds to stave off food shortages, ensure a steady supply of staples and enable them to earn a small income from selling any surplus. BNUU enlisted the support of an agricultural extension worker from the local government who has offered training to the clients and will support them through the first season of growing through to harvest, to make sure that the necessary skills are embedded.

The response from local government to BNUU’s community mental health interventions has been consistently good and appreciative. BNUU is assiduous in maintaining regular communication with key stakeholders in local government and in encouraging the SHG members to develop advocacy actions and take them to the relevant duty bearers. This gives them the profile and self-esteem that they so badly need and proves to them that their human rights do count and that the authorities should be held accountable if their rights are eroded.

It has been so rewarding to see the positive impact that a longer funding investment can have, starting with the Comic Relief grant in December 2017 that laid the foundations for the community mental health programme, followed by The National Lottery Community Fund and Charles Hayward Foundation grants that have built on those foundations by giving PMDEs and caregivers a further step up in their recovery journey through livelihoods.

Covid-19

Uganda experienced a big surge in Covid-19 cases with the arrival of the Delta variant in May 2021, leading to the introduction of a new national lockdown from early June until August, including a ban on travel between districts. This has led to ongoing hardship in Agago district, and led to some SHG members avoiding group meetings out of fear - they instead met their SHG chairperson and treasurer individually to conduct their savings.

Uganda’s schools remained closed due to the pandemic for the whole of 2021, not reopening until January 2022 after 21 months of closure – one of the longest Covid-19 related schools closures of any country in the world. Some children have found it really hard to be back at school, and many had taken up work in their family businesses while off school. Some girls have not returned to school due to having been forced into early marriage and/or falling pregnant while schools were shut. There were reports of a couple of children taking their own lives around the time schools reopened. There is also a shortage of school places, as some teachers (especially from private schools which form a large part of Uganda’s school provision) moved into other work for survival during the long school closures.

At the time of writing, 10.13m Ugandans (21% of the total population) are fully vaccinated.

Climate change

BNUU reports that cases of intimate partner sexual and gender-based violence (SGBV) tend to be highest around harvest time, and especially when there are low yields which puts enormous stress on families. The Uganda Bureau of Statistics (2016) estimates that rain-fed subsistence agriculture is the main livelihood source for 60% of households in northern Uganda. Climate change is already disrupting weather patterns in Agago district, making crop failure more likely. N4A fundraised during 2021 for seeds and support for clients to start small kitchen gardens close to their homes, in order to mitigate against food shortages and diversify their food supply. The BNUU office is powered by solar panels, which help to limit our project-related emissions and local pollution in Uganda.

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Looking ahead: In January 2022 we heard that we were successful in being awarded a 3-year grant from Fondation d’Harcourt to replicate, expand and strengthen BNUU’s mental health work in northern Uganda. We hope that this will confirm BNUU as a key provider of community mental health services in northern Uganda.

I received dried fish from BNUU in March 2021. I sold them and got UGX 75,000. But due to the difficulty in restocking at that time, I decided to use that money to pay for a training course in tailoring from a senior tailor in the trading centre. I used part of my savings to acquire a sewing machine and I now buy materials and make 2-3 clothes in a day. My weekly savings have doubled and I am able to save more in my group savings and loans scheme. (Project client)

Thanks – We would like to thank The National Lottery Community Fund, Comic Relief, the Kenneth Miller Trust, the Charles Hayward Foundation, Bob Buhr, Michael Davis, Thomas Doughty, Annabel Harris, Juney, Pier Productions and an anonymous donor.

Safeguarding - N4A believes that everyone we come into contact with, regardless of age, gender, identity, disability, sexual orientation or ethnic origin has the right to be protected from all forms of harm, abuse, neglect and exploitation. N4A will not tolerate abuse and exploitation by staff or associated personnel. We expect all staff contracted by N4A to abide by our safeguarding and associated policies. This includes staff working for our implementing partner organisations who are actively involved in the delivery of programmes and projects designed and funded by N4A. This also applies to associated personnel whilst engaged with work or visits related to N4A, including but not limited to the following: consultants; volunteers; contractors; programme visitors including journalists, celebrities and politicians. We will continue to actively engage with safeguarding developments and make sure that our policies are kept up to date. The following policies are available on our website www.network4africa.org:

• Code of Conduct

• Safeguarding Policy

• Dealing with Safeguarding Reports

• Safeguarding Complaints Policy

• Malpractice Policy

Fundraising

N4A focuses its fundraising on trusts and foundations and high value fundraising. This was decided jointly by the trustees and staff as offering the best return on investment, given N4A’s limited in-house capacity for fundraising, and its small supporter database. Its founder, Rebecca Tinsley is hugely supportive with her relationship fundraising both in the UK and the USA. N4A actively engages in fundraising via the annual Big Give Appeal and bi-annually with the London Marathon as well as other appeals through its social media and newsletters. We are aware that the London Marathon is currently reviewing its Bonded places, so we may lose this place or have to reapply for it. We are aware of the growing movement for large funders to fund incountry (e.g. Comic Relief) – there is currently a great deal of discussion around this. We are adapting our fundraising and supporting our project partners to meet this development, as well as having an active voice in its roll-out, such as through our membership of the Bond mental health steering group (bond.org.uk), and using our position to platform our partners’ voices on this topic (a blog by the programme manager of our Ugandan partner, BNUU, exploring how their partnership with N4A can be a precedent for decolonisation, has been picked up by the UN). N4A is addressing this challenge in practical ways, and our actions have been acknowledged in an academic study which praises us as one of the few NGOs enabling our local partners to play a central role in planning and execution of projects.

Where possible, we try to ensure that donations are unrestricted, in order to support our running costs and to allow some flexibility in project priorities. We try, wherever possible, to submit full-cost recovery budgets to trusts and foundations to reflect the true cost of our programmes and to recover some of our overheads.

Strategic Plan

Network for Africa has a three-year strategic plan covering the period 1 January 2021 – 31 December 2023, against which we base our plans and progress.

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Online presence

We use our website (network4africa.org), Facebook, Twitter and email newsletters to communicate with current supporters, demonstrating the need for the work and its impact. We also use LinkedIn and Instagram to promote our projects and attract new supporters. We regularly publish blog posts about our work on our website and Facebook, as well as using Twitter to raise awareness of developments in global mental health and other relevant issues, and to engage with others who are posting about mental health and development.

Financial review

The merger of the UK Government’s Department for International Development (DFID) with the Foreign and Commonwealth Office (FCO) into the Foreign, Commonwealth and Development Office (FCDO) in September 2020, the impact of the Covid-19 pandemic on funds available for international development, and the UK government’s reduction of Overseas Development Assistance (ODA) from 0.7% to 0.5% of gross national income, have all contributed to a reduction in expenditure on international development in the UK. Whilst we don’t currently have any government grants, the opportunity to apply for them has been drastically reduced. There is a trend from statutory funders to fund organisations in-country directly, rather than through UK NGOs. This will have an impact on our income and will also prevent many small civil society organisations from benefiting from funding. Meanwhile, our fundraising strategy continues to be to raise funds from individuals and trusts and foundations.

Our total income in 2021 was £335k – a decrease of £29k on last year. Despite this drop in grant income we continued to support all of our existing projects utilising unrestricted reserves to support our Port Loko partner in particular.

At the end of 2021 our combined reserves were £94k (2020 £107k), of which £40k is restricted to our ongoing projects for future disbursement and £54k is unrestricted (2020 £80k).

Risk

We have examined the major risks to which Network for Africa is exposed and we review them at each Board meeting. The CEO and the Chair, under the supervision of the Board, maintain the Risk Register. Below is an overview of the major financial and operational risks we were facing at the time of writing this report (April 2022).

Risk	Explanation	Impact	Probability	Management
Large funders change strategy to fund directly in-country	The growing movement towards ‘shifting the power’ removes funding opportunities both for N4A and for its project partners who likely won’t have a sufficient minimum income level to be eligible to apply for funding.	High	High	Follow developments closely. Research how other small organisations are managing this change. Maintain a presence on this issue on the Bond Mental Health Steering Group.
Statutory funders shift international funding to the UK e.g. National Lottery Community Fund	The strategy changes and so projects that stood a reasonable chance of securing long-term funding have that option withdrawn.	High	High	Maintain the relationship with previous grant managers as their strategy may change again in the future.
Climate change affects food production and causes food	Increasingly unpredictable weather patterns make it harder to guarantee decent harvests thatprovide much	High	High	Provide inputs for kitchen gardens to mitigate against food shortages. Encourage clients to diversifytheir

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Risk	Explanation	Impact	Probability	Management
insecurity and inflation	needed income and a source of food for clients. Food shortages impact on the mental health of clients, especially those on medication, and poverty creates stress and anxiety that can cause mental illness relapses. Additionally, those with existing mental health conditions may be less resilient in the face of climate-related disasters and stressors.			livelihoods and reduce their reliance on agriculture. Engage with others in the mental health and environmental sectors to keep on top of the latest developments, and also of opportunities to obtain funding related to climate change and mental health.
Merging of DFID with FCO reduces funding opportunities	The government has now created the FCDO and reduced its ODA funding target, which has limited funding opportunities not only because of reducing its contribution to international development, but because of increasing the number of organisations that will be applying to other funders to compensate from the loss of DFID funding.	High	High	Follow developments and trends closely to see if the situation changes.
Dependency on income sources	Loss of income and ability to support area/areas of work. Lack of success with securing available funding from funders we apply to.	High	High	Identify major sensitivities; consider diversification plans. Review programmes to ensure they’re relevant to current donor focus; keep abreast of donor and development trends.
Competition for funds from similar organisations	Reduced fundraising potential; reduced public profile.	High	High	Agree fundraising strategy; ensure regular contact with funders; monitor public awareness and profile of charity.
Lack of funding opportunities in light of recession brought about by Covid-19	Loss of income and potential to support area/areas of work.	High	High	There will undoubtedly be an ongoing impact on funding as a result of Covid- 19. Some funders have paused their grant making pending a clearer picture regarding Covid. It is hard to predict how bad it will be, but we will continue to monitor it.
War in Ukraine disrupts global fuel and food supplies	At the time of writing in 2022, Russia’s war in Ukraine has started to cause major spikes in global fuel and food prices, which have driven up fuel costs in countries like Sierra Leone by as much as 50%(with knock on	High	High	Monitor the situation in Rwanda, Sierra Leone and northern Uganda, and keep abreast of any humanitarian food programmes to ensure people with mental

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Risk	Explanation	Impact	Probability	Management
	effects on all food supplies, and an associated rise in civil unrest). Additionally, half of Africa’s wheat comes from Ukraine and Russia, and in 2021 Ukraine was the largest source of food to the World Food Programme. Thus, some of the poorest people in sub-Saharan Africa are already having to cut their food intake, and there is risk of food insecurity and shortages getting worse, compounded by climate change. This puts greater stresses on those with mental illnesses, increases risk of relapse, and also creates a major issue for those who need to take their mental health medication with food.			disorders/epilepsy can access these. Invest further in kitchen gardens, as has been started by BNUU in northern Uganda. Fundraise for food aid for our clients where necessary – especially those on medication.
Covid-19	Impact on delivering project targets because some activities cannot be implemented owing to in-country constraints brought about byCovid-19.	High	Medium	We will monitor developments and the impact of new variants and restrictions on face-to-face counselling,travel etc.
Loss of key staff	N4A has a very small staff team. If key staff leave it could undermine its work and overload the staff that are left in post.	High	Medium	Ensure organisational and operational knowledge is shared and does not lie with one staff member only. Monitor workload and staff welfare at quarterly Trustees’ meetings. Provide support as necessary.
Project partners are dependent on N4A as their sole funder	Project partners do not have any other funders and so if N4A’s funding ceases, they will be unable to operate.	High	Medium	Help them with capacity sharing to fundraise in- country. Try to find partners with other funding sources.
Project partners in low income countries lack the necessary skills to manage grants effectively	The skill sets of our project partners vary across the different countries we work in. We need to be aware of the differing needs.	High	Medium	Provide training and capacity sharing where possible and/or partner with bigger organisations with better infrastructure
Reputational risk	In-country partners are not able to meet reporting requirements of funders.	High	Medium	Carry out thorough due diligence prior to any partnership agreement. Be aware of in-country

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Risk	Explanation	Impact	Probability	Management
				capacity to deliver the work.
Safeguarding risk	Issues with partner organisations and misconduct towards clients.	High	Medium	Integrate safeguarding and whistleblowing into training and reporting.

Reserves policy

The trustees have established a policy whereby the intention is that unrestricted funds should be maintained at a level equivalent to a minimum of three months’ core operating costs. This is currently on track.

Plans for the future

Plans for 2022 include:

Programmes:

• Rwanda - Continue to support the SURF project in Rwanda to provide group counselling services to 250+ young genocide survivors using our peer counselling model; raise the necessary funds to provide much needed on-site childcare; and roll out entrepreneurship training, including livelihood start-up inputs, measuring the impact on the clients.

• Uganda - Complete the final year of The National Lottery Community Fund grant for livelihoods for our mental health clients in northern Uganda whilst trying to secure funding to support more self-help groups in Uganda with livelihoods; complete and share the Learning Study to demonstrate the positive impact of poverty reduction on mental health outcomes; replicate our mental health work in northern Uganda in one or two new sub-counties, funded by a recent grant from Fondation d’Harcourt; employ a psychiatric nurse to work with the team in northern Uganda; develop a programme for mental health in schools.

• Sierra Leone – Continue our mental health and livelihoods programmes in Port Loko District; increase the number of self-help groups; continue to develop a programme for maternal mental health; continue to develop and fundraise for a programme for mental health in schools; continue and expand provision of support for people with epilepsy in the district.

• Cameroon – Explore the feasibility of starting a peer counselling project for Anglophone community members from Cameroon who are currently in refugee camps in Nigeria and develop a project proposal.

• Nigeria – Continue to monitor funding opportunities to implement our project proposal for providing community mental health provision in Plateau State.

• South Sudan – Continue to develop a project proposal to support South Sudanese refugees currently in settlement camps in northern Uganda.

General – Explore other options for providing start-up capital for self-help groups e.g. universal basic income; complete the mental health network and mapping of mental health provision in Rwanda, Sierra Leone and Uganda; support our project partners with training in fundraising and grant writing; work with our project partners to develop their online presence, where necessary; refine Network for Africa’s mental health model for each operational area; continue to develop strategic partnerships with other NGOs e.g. Health Poverty Action, to enable consortium funding bids, shared learning and increased support in-country; keep safeguarding policies up to date and maintain regular dialogue with project partners and share training materials with them; continue to develop Network for Africa’s profile and voice in the mental health NGO community; continue to refine our mental health training model that can be shared with other organisations; continue to monitor developments in the Covid-19 pandemic.

Structure, governance and management

Network for Africa is registered as a company limited by guarantee (without share capital) no. 06317689 and a registered charity no. 1120932. Its governing instrument is its memorandum and articles of association. The directors are the members of the company and each member, during his or her membership or within one year afterwards, undertakes to contribute a sum not exceeding £1 to the assets of the company in the event of it being wound up.

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The trustees, who are also the directors for the purpose of company law, and who served during 2021 were:

F Critien D Gye (Hon Treasurer) D Russell (Chair) R C Tinsley J Hogwood H Walters (appointed on 17 March 2021)

New trustees are appointed as required and receive comprehensive induction on the activities of the charity. The trustees have assessed the major risks to which the charity is exposed, and are satisfied that systems are in place to mitigate exposure to the major risks.

How Network for Africa is run

Network for Africa is a charitable company, registered in England and Wales with both the Charity Commission and Companies House.

This structure, which is used by many charities, allows us to have all the advantages of charitable status, and simultaneously to limit the trustees’ liability through the company’s ‘limited’ status. As a charity and a company limited by guarantee, Network for Africa has no share capital and therefore cannot be owned by anyone.

The charity is governed by its Memorandum and Articles of Association, dated 19 July 2007.

A Board of Trustees heads Network for Africa. For company-law purposes, the trustees are also the directors of Network for Africa Ltd.

The Chief Executive Officer undertakes day-to-day management of the organisation. The Board of Trustees has authority over and responsibility for the organisation and acts as its legal guarantors. The effective involvement of the Board of Trustees is considered crucial to the success of Network for Africa and is dependent on shared goals, the development of sound and creative working practices and significant time commitments.

The Board meets four times a year, to assess the charity’s progress since the previous meeting, and to set milestones to be achieved by the next meeting. The CEO attends each Board meeting and provides an update to the Trustees on the charity’s progress, and assists in the setting of goals. Trustees also provide valuable assistance to the CEO and other members of staff when necessary. Current trustees are:

• David Russell (Chair): David is Founder and Director of The Social Enterprise, which advises an array of charities and social businesses. From 2009 to 2013, David served as Director of Survivors Fund (SURF), which represents and supports survivors of the genocide against the Tutsi in Rwanda.

• Frida Critien: Frida is a strategic communications professional, with experience of managing a wide range of campaigns. Currently a Global Corporate Communications Director at Unilever, she is responsible for managing relations with international media and driving the company's purpose-led, future-fit agenda.

• Rebecca Tinsley: Becky founded Network for Africa. She is a freelance journalist and a novelist and a former BBC politics reporter. Together with her husband Henry, she was asked by President and Mrs Carter to start the Carter Centre UK.

• David Gye: David has recently retired as an adviser on financial aspects of the energy and infrastructure sectors, working with government and private sector worldwide. He became independent in 2009 after a 25-year career with Morgan Stanley and other investment banks.

• Jemma Hogwood: Jemma has a Doctorate in Clinical Psychology from University College London in the UK and is registered to practice as a Clinical Psychologist with the Health and Care Professions Council in the UK. She has been living and working in Rwanda for the past 8 years, mostly working for the Survivors Fund (SURF), supporting survivors of the genocide against the Tutsi in Rwanda. She is currently working for Solid Minds, offering individual, couple and family therapy.

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• Hannah Walters: Hannah currently works for Comic Relief as a Portfolio Manager for Levelling the Field (a co-funded initiative with the Scottish Government focusing on women and girl’s empowerment in Malawi, Rwanda & Zambia), alongside a number of mental health investments. She previously worked at Feed the Minds from 2016-2019, firstly as a Programme Officer before taking on the role of a Senior Programme Officer later in 2016. In 2017 Hannah took on the role of Programme Manager, having strategic oversight for FTM’s programme’s portfolio and directly managing a £1.5m portfolio of grants including DFID, Comic Relief and Big Lottery.

Staff team

Network for Africa has three permanent staff members:

• Annabel Harris (CEO) is responsible for the overall management of Network for Africa, including international projects, fundraising, budgets, strategy and governance. She is responsible for reporting to statutory donors and is a steering group member of Bond’s Mental Health and Psychosocial Disability group.

• Lesley Eaton (Office Manager) works part-time is responsible for office management, donor management, online fundraising, policies including safeguarding, bookkeeping, Network for Africa’s website and social media communications.

• Thomas Doughty (International Programmes and Research Manager) is responsible for the management and development of our international projects and works closely with our international partners, supporting them with their work and capacity sharing. He manages the monitoring and evaluation of our projects, and carries out research for project development and proposal writing. He is also a steering group member of Bond’s Mental Health and Psychosocial Disability group.

• In addition, we are supported by:

• Michael Davis (freelance) who manages our finances. In addition to managing Network for Africa’s annual budget, Michael also manages our international programme budgets, and prepares all our financial reports for our funders and our board.

• Christa Bennett (Director of Network for Africa USA) who manages all aspects of our branch in the USA. Christa helped start Network for Africa in 2006 and oversaw the successful application for non-profit status for Network for Africa USA.

• Robert Woodfield, our Management Accountant who has supported N4A since it was started.

We use consultants to help with grant writing and reporting.

Volunteers

N4A’s success, work and growth would not be possible without the loyal support of our volunteers. We are so grateful to Rebecca Tinsley for her incredible fundraising and formidable writing skills; our Chair David Russell for his advice, support and encouragement of the staff; Dr. Barbara Bauer and Dr. Shelly Evans for their professional oversight of our mental health programming; Carrie Braes for her design skills; David Ferguson for his IT Support; Liam Dempsey for his website development; Robert Woodfield for his financial overview of our operations; and Lily Nicholson for supporting our forthcoming schools programme in Uganda.

Thanks

In addition to the donors recognised above, we would like also to thank our supporters in the UK:

Tim Allen, Steve Atack, Philippa Ball, the Bliss Family Trust, Brendan Carroll, David Chapman, L.S. Collins, Alexander Critien, Dean Davies, Lesley Eaton, Ashley Fleischer, C.P. Gale, Max Gibbs, Alexander Gibson, Annabel Harris, Louis Harris-White, Rachel & Julian Hubbard, Micheál Jacob, Sandra Jones, Oliver Lubbock, Lindsay Madden-Nadeau, Simon McGrath, Hans Olsen, Robert & Joy Pickard, John Pindar, Philip Rudge, David Russell, Gus Shaw-Stuart, Mike Shipley, George Tench, Christine Thomas, the Tinsley Charitable Trust, Mark Tinsley, the van Mesdag Fund, Margaretha Visser, Howard White, Julia Wisdom and an anonymous donor,

We would also like to thank our supporters in the USA:

Michael Abate, Sara Aldape, All Saints-by-the-Sea Episcopal Church, American Online Giving Foundation, Tracy Bollag, Ken Collamore, Annabel Davis-Goff, Denine Diaz, Martha Elliott, Susan Gibson, Diane Giles, Mary

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Harvey, Jody & Mel Heyman, Jewish Communal Fund, Sally Kauser, Carol Kline, Richard Lamb, the Laurie Campbell Foundation, Stephen and Carol Lombardi, Karen Pick, Julie Schneringer, the Schwab Charitable Foundation, Brian Silverman, Sasha Spielvogel, Ann Symington, Pell Tanner, Sydney Walker, Elisabeth Weber, the Writer Family Foundation and Pamela Zurer.

Disclosure of information to independent examiners

Each of the directors has confirmed that there is no information of which they are aware which is relevant to the independent examination of the accounts, but of which the independent examiner is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the independent examiners are aware of such information.

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Charlty RegIstra￿On No. 1120932 Company Registrdtlon No. 06317689 {England and Wales) NETWORK FOR AFRICA ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

NEIWORK FOR AFRICA LEGALAND ADMINISTRATIVE INFORMATION Trustees D Russell F Crrtien R Tinsley DGye J HoW￿d H Warters (AppO￿ted 17 March 20211 Charity number 1120932 Company Trurnber 06317689 Prlncipal address 14 Sl Mary's Street Stamford Lincolnshire PE9 2DF Registsred offlGe 14 Sl Mary's Street Stamford Lincolnshlre PE9 2DF Audltor Stephenson Smart & Co 36 Tyn(1811 Court Comm8rce Road Lynch Kbod Peterb￿oUgh PE2 6LR Bankers HSBC Barjk ple 25 Notting Hill Gate Lon(k)n W113JJ Sollcltors Bates. Wells and Brathwarte 10 Queen Street Pla London EC4R 1BE

NETWORK FORAFRICA CONTENTS Page Trustees, report statement of trustees, responsibilities 19 IndepeThJenl wjditor's report 20-22 statement of finanual adÉwties 23 Balance sheet 24 Notes to the fin￿Cial statement5 25-33

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) FOR THE YEAR EAIDED 31 DECEMBER 2021 The trustees presènt Ihelr repcrt and financial ststements fLY the year ended 31 December 2021. The financial statements have been prepared in accordance wth the 8ccounliThJ poliues sat out in not8 1 to the rinancial statements and comply with th& charitable companys goveming document, Companies Act 2006 and "Accounting anLI Reporting by Charrties.. Statement of Recommended Pra￿1￿ applicable to charibes preparing their accounts in accordan￿ the Financi￿ Reporting Standard applicable in Ihe UK and Republic of Ireland (FRS 102} (effective 1 January 20191" Obje¢tNes and activitiès Ne￿rk forAfrica (N4AI works with communitie5 in the aftemialh of conliet and genocide. We help the survivors of African corfflicts who have been left behind after the fighting stops and the hUmanrtarI￿ aid moves on. We provide training for these survivors in spe(aalised trauma counselling so they can tackle the long-lerm psychological consequ8nces that often block their communities, reeovery. We equip community leaders wth the skills to identh.fy those in need and thallenge the sligma attached to trauma, depression and mental illness. We listen to what these communits.es tell us they need, so we can (rffer appropriale and sustainable SUPPC•rt We urrently have projects in Rwanda, Sierra Leone and northem Uganda. The trustees of the charity have gNen due regard and adhere to the Charity Ccnmlssion's guidan￿ on publi beneffit. SUMMARY AND REVIEW OF 2021 People living in sutrtrsaharan Africa have been disproportionately affecled by confiict in recent decades, with a damaging legacy on Ihew mental health and wellbeing IBMJ Global Heamh 20211- such as the genocide ogair)sl th6 Tutsi in Rwanda, an 11-year ovil war in Sierra Leon& Idosely followed by an EtrKJla epidemic} and a brutal 21- year avil waf in northem Ug8nda. The legacy of conflict and gen￿lde, coupled with extreme poverty. has had a profoutKI impact on people's mentsl heamh. leaving millions Ilving with conditions SLKh as depression. anxiety or post-traumalic stress disorder (PTSDI. The UN states that 1 in 5 peop18 in confiict-affecled areas have a mental health disorder {UN 20191. wnpared to 1 in 8 globally, while mental health care prowsion in post-confflict areas of su￿aharan Afn"ca remains limited. Meathile, there are estimal8s of the kyjrden of mental disorders across sub-saharan Africa doubling in th8 n8xt four decades (Global Mental He￿th Journal 2021). In all three countnes, the Covid-19 pandemic eonltnues to exacerbate people's mental health due to the social and econom￿ shocks it has triggered, while dimate change and Russia's war in Ukraine a￿ e8th already impacting somè of the worfd's poorest and most vulnerable people In Rwanda. Sierra Leone and Uganda. Eath of these ale driving up lood insecurity and povety - which N4A knows from experien￿ exist in a vicious cycle wth mental ill health. Network for Africa {N4AI workg w￿th local organisations in Rwanda. &"erra Leone and Uganda to 8ddr8SS th8 psychological, scKial and health problems created by confiict that prevent community members from rebuilding their lives. We work wrth our implementing partners. shaTing eapacty lo deliver and manage these programmes. Oll￿ patcipants are sufficiently rec£Jvered, we provide livelihocJ support to lift them out of poverty and break the ￿le of mental illness and poverty - with livelihoods programmes in all three countries currently. In Rwanda we worked with Survivors Fund (SURF} in 2021, running a community-based peer counselling modd, supporting young survivors of the g8nocxle - helping them talk about their trauma and address Ihelr p)st-traumatic stress disorder and will be introducing livelih¢))ds support in 2022. In Slem Leone, we worked with Conforti Comrnunity Aid Children Orgonisalion's Port Loko branch (Conforti PLI and Health Poverty Ath"on IHPAI supporting people with mental illne55 and their caregivers to conduct livelihood activities and sav& money in their self-help groups, while continuing to supwrt community mental health actwilies counselling, wmmunity outreach and education, mental health dinics and provision of epilepsy m9j1￿lI0Tr. In Uganda, wth our partner BNUU. we Contir￿ed to suppcsrt people with livelihoods in 2021 alongsd8 communrty mental health work, ar¥J have I￿ntlY been awardecl a new grant to expan¢J BNUU'8 mental health tJrk in more areas of northern Uganda.

NETWORK FORAFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Covkl-19 continues to affect people's Iwes and mentsl health worldwde, not least among sub-saharan Afrira's poorest most marginalised communities. The prevalen￿ of mental health issues across Africa has risen during the pandemic, wknich has cOmpDUnd￿ existing inequalities and deepened p￿Xist1ng social and economic eh8llenges - eXa￿rbatlng the ment81 health of those already struggling. while (Jriving new cases of mentsl illness (Africa Academy of Sciences, 2021). For example, the economic and social hardship driven by the pandemic in Sierra Leone has increase(I prevalence of drug abuse (BBC, 20211. The pandemic caused ongoing disruption to each of N4A's mental heath progrommes during 2021- for example, restrictions on movement and gatherings in Rwanda meant SURF had to provtde counselling by td@phone through part of the year. while lockdowns in Uganda meant livelihood input distribution was delayed by three months until March and dients, ability to restock and aC￿SS maTkets were at limes impacled. VaccinatÈon rates in sU￿Saharan Africa remain lower than thè global average, with lack of supply being a bigger driver than mistrust of the v?￿ine, though SUP￿leS began to be t￿osted during the last quarter of 2021 (Our ￿)r1d in Dats. 20221. Cllmate change is already causing issues for our clients in Rwanda. Slerra Leone and Ugarmla, predominantly through disruptions to the liming and intensity of rainy seasons. Many of our clients depend on subsistence farming for their livelihoLyJ arKI focd supply, and are therefore some of the most vulnerable people lo d￿nat8 hange in their resp8Ctive CDuntries. This increases stress levels, whith in turn increases the rssk of people with mental illnesses relap5iNJ. drives up rates of intimate partner violencelsex and gender-based violence, and also causes major issues for those on mental heatth or epilepsy Tnedicatic most of need to take their medication wth food. and some of whom may find their app8btes increased as a &de effect of their medication. Our partners in Sierra L8one and Uganda, Conforti PL and BNUU, both power thair offices Mlh solar panels. which limits our own project-related emiswons (as ￿11 as local noise and air polluts'onl by removing the need lo Use Ixtrol-fuelled generators. War in Ukraine- at Ihe time of wnting in 2022, Russia's Wdr in Ukraine is causing huge disruptions to global fuel and food supplias which are further compounding people's access to and ability to afford f(M)d in sub-saharan Afn"can countn.es such as Rwanda, Sierra Le¢Jne and Uganda. Before the war, half of Africa's wheat came from Ukraino or Russia, and the World Food Progrdmme's single biggest supplier of food was Ukraine. The price of some basic food5tuNs has doubled in Sierra Leone since February, while all our programmes are affected by fuel pri￿ increases and shortages. By installing solar panels on Confoth PL'S uffice during 2021, which used to run on a petrol generator for over half the yeai, we have reduced our demand for fuel in Sierra Leone Ythich has rnitigated against some of the burden of price ris8S. Plan5 for tho future - N4A continues to develop ideas for r￿ntIal mental health projects for Camero)nian and South Sudanese refugees in camps in Nigeria arHJ northern Uganda respècb"vely, as well as m￿ltOring funding opportunities for our pyoposed community mental health project in Plateau Slate, Nigeria.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Achiev8ments and parforniance RWANDA 2021 hlghllghts Included.. 268 new clients were enrolled in peer support gr¢YJPS where they received group counselling. The total number of yOLTrng ￿er￿￿Ide survivors helped in this way since the proiecl started is more than 1.600. 24 new Peer Support Counsellors wère recruited and trained to run the peer counsellirKJ groups. Th&y gel to know the group members well and look out f¢x anyone %￿0 needs extra support, and refer them to the project's counsellors. 22 health workers were trained in mentsl health cas6 management. 181 group ￿UnSelling sessions were held and 118 dienls had individual counselling. 1,703 teleph￿e cwnselling sessions took place during lod(downs. 198 vulnerable clients who neèded extra supwrt were visited at home. 35 ck'ents started their own small businesses and 12 dienls fourKI employment. 50 of the dients were sdected at the start of 2021 to take part in a baseline survey, and the same cohort took part in Ihe survey at the end of th8 year. The improvements included.. Th8 nunber of dients who felt Iheir th￿ghts were Fwenting them from doing Something others do reduced from 92% to 12% over the year. At the start of the year 64% had thought about takn.ng their own lives in the pr8vious week - this figure had reduced to 6% al the end of the year. ￿lIst we would obviously prefer there to hav8 been no suicide ideation. the counsellors know who these Glients are and are providing them Trmth extra and continuing support. Even though some dients are still facing issues of trauma and rts symptoms, at least 94% of thém agree that they know how to deal with their trauma sy￿p10￿$. Our project partnor In Rwanda In 2021 was Sup4[vo￿ Fund {SURF}. Founded in 1997 by Mary K8yltesl Blewett OBE, SURF supports suNvors of the 1994 genocide against the Tu*1 in Rwanda through working with SUTvivor-led organisalions including AVEGA {A$S￿latiOn of IAfidows d the Genocide) and AERG (National Students, Asswation of Ger#xide Survivors). SURF dolivers technical support including cApacty building and monitoring and evaluats.on to their pather organisations, delivering projects ranging from healthcare lo housebuilding, education lo entrepreneurship. SURF is a UK register8d charity. managed and run from its head office in Kigali, Rwanda. Our prqect in Rwanda is a communty-based peer tounsellSng M￿le1, supporting young SLThvor8 of the genocade through group counselling - helping them talk about their trauma and address their posl-lraumalic stress disorder. Approximatety 250 clients from local coTrmunrties are enrolled on the programme each year. They are divided into 12 groups and elect 2 peer st￿pOrt counsellors IPSCS) from each group to moderate and lead the group counselling sessions. The PSCS are trained trj carry out this role, and are suppc41ed by the project's counsellors, in addition to receiving quarterfy supervision, so that they can réfer dients for individual counselling and also re￿1ve support for morè Challenging ￿se5. Training and upskilling of clients lo urvjertake key roles is a ￿ntral eomponenl of this project, ensuring that skills and profe55iond development rèmain in the Itxal communty, in order to promote sustainability. Thus the 24 PSCS all receive trairking and supervision. as do the 4 project counsellors, in addition lo heaf(h workefs from health centres in tho partKipating prcyect areas. In 2021 the project gol off lo a s11￿￿Y late start owng to Covid-19 and restrictions on rnvement. kh%vever. 268 clients were recxuited and started their group counselling sessions in March. The group members selected 24 Peer Support Counsellors (2 from each group) who received training from the project's counsellors in trauma and group coun5elling skills. They were supervised by SURF'S counsellows and received their own supervision sessions quarterfy. There they were atle to strengthen their coun5elling skn'lls and diwJss difficum ￿Se$ in a $upportiV6 enwronm8nt.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORTI (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Covid-19 caused some disruption during the year. makn.ng it impos>ble for the groups to meet at times. However, SURF compensated by making swe that telephone counselling was available, providing 1,703 telephone counselling sessions. In totsl oveT course of 2021, 181 group counselling sessions were held. This was lower than th8 target figure but not a surprise given the restrictions on movem8nl imposed by Covid-19. Home visits were an integral and important part of the Pfugramme, and 198 vulnerable clients were visited at home duri￿g the year. The annual commemoration of the genucide in April was particularly diffieutt in 2021 because it coinad8d wilh a period of lockdown. H¢)wever. the dients managed wdl, all things considered. and they reported that they had been helped with the coping methanisms they had been taught. The excavation and reburial of genocide victims from a mass gravè in KrLiguro. Gatsibo district. was very traumatic for those affected, dients, pe8r support counsellors and project counsellors 81ike. W8 provided extra support and supervisÉon to help them through that very difficult peril￿. Twenty-ts¥o health workers from health centres in the participating areas took part in a Ihree-day training course on the essentials of mental health case management. There were 12 clinical psychologists and 10 general nurses working in mental health services. The training covered topics suth as communieation, aclrve listening, posl-traumalic stress (Isorder, resilience theDry. depression, suicide and SLthtance abuse IdTugs and alcohol}. The Iroining incbuded a questsons-and-anwers session. group discussions and case sludy discussions. The pre and post assessments of th8 health workers, current kno￿edge and understsnding showed a marked improvement at the end of the course. The project's counsellors worked with Ihe District Administrators lo cary out awaTen8SS-raising in the community on mental illness and how lo manage depression. They also deliVe￿d a programme of psych￿dUCatIon for the clients, where they discussed topics such as the benefits of Covid-19 vacunalions, drug and alwhol ?buse, the prevention of urhwanled pregnancy and family planning. and taught relaxatson exercise5 to help combat loneliness and isolation exacert)ated by Covid-19 I￿kdOWn8. Some of the dients stsrted savings and weie able lo loan money to other group metnbers, earning them some Interest. Others are planning to group together to ￿lY livestock and are saving towards th8t goal. Th8 counsellors were successful in obtsining grants from the govefnmenl for 23 dients 113 women and 10 men) lo start small income gener8ting rxojects. FNe of the dients resumed their skndies al university, and 25 carried out tharty work in t￿r communities. The b8rKrfIts of the project have not gone unnob.ced by local goverrffnenl 18ad8rs community members who are apprery8tive of the positive thanges they can see in the diènts and wider community. We are very pleased that together with SURF we have secured the funds to provide entrepreneurship training and start-up costs for livelihoc￿5 for the new 21)22 cohort. ￿ have received feedback from the clients Sin￿ the project stsrted that livelihoods would exponenb.ally improve their lrfe outcomes. This 15 bad(ed up by our own laamiThJ that povety reduction improve5 mental health outcomes. Next on our list is to raise funds to provide free on-sit8 childcare for the counselling groups, as so many of the clients are single Mott￿r$ who dont have the means to access baty-sitting, and find that hawng I￿1r babi6s and toddlers at the group C￿nS￿lIng sessions, detracts frum their ability lo fijlly engage. Covld-19 Rwanda pul in place a natitThl nighttime ¢Lrfew frcKn February to March 2021, as well as strict limits on numbers in indoor public spaces, and restricting travel between Kigali and the rest of the country. SURF reinlroduc8d telephon8 counselling during this pencd, as it h8d done in 2020, though this wa8 also limited by the number of clients without ac￿SS to phones. 19 Clients tested positive for Covid-19 during 2021, bvhich has affected them both mentally and phy￿CallY. Rwanda requires that people lest before attending public gatherings, whith continue5 to limrt some dients, attendaw at group counselling se55ions. Covid-19 restrctions also limited the ability of many to attend the reburial crf their family members were vicbm$ of genocide dI￿o¥ered in a mass grave in lfjaguro. At the time of writing. 8.15m Rwandans161% of the total population) we fvlly vaccinated. the highest of the three countries in which N4A Y￿rkS.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Climate change The rural areas where SURF runs its peer supw)rt ￿u[￿lI1nY prLyammes are already witne￿ng heavier than USU81 rains during the farming season. which destroy people's crops. 70 % of RwaThJans' livelihwds depend on the agricultur8 sectOT. and they are especialty vulnèrable to climate change. I love my family. Now I would ask for individual c(wnselling ffither than isolaling. I hope fhe good things I was able to get thffjugh th8s8 counselling sèThices could be offgr8d to many young suThivots WIKJ are suffering like I did for many yea￿. IProj8Ct client} Thanks - We would like to thank the Bry8n Guinness Trust, the Eleanor Rathbone Charitsble Trust, the BlaCkfrIa￿ O¥ers8as Aid Trust and the James Tudor Foundation. We Would also like to thank all those who donated to our Big Givè Appe81'. the Reed Foundation. ￿. & Mrs. D Bliss, Carol Bryson, Philippa Clegg, Frida Critien, Mike Diggins. Pam East. Mr. & Mrs. K. Feber. Ashley Fleischer, Max Gibbs, David Gye, Melanie Harris, Mark Harris, Annabel Harfls, Louis Harris-white, Martin Haworth, Lara Haworth, Serena Heller. Micheai Jacob, Oliver Lubbock. Arun Malhotra, G8rard Markes, Sophie McC￿n, Ross Meclean. James Iliddlelon, Annie Nicholson, Ciaran Nilan, Peter O'sullivan, Tristsn Parsons, Mr. & Mrs. A. Patullo. Lesley Pavincich, Jack Pilkington, David Russell, Jo￿ne Ryan, Paula Smyih, John Spayne, Fr￿Cine Stock, Mr. & Mrs. H. fIn￿eY, Olivia Warhgm. Howard White. Julia WsdDm and Robert Woodfidd. SIERRA LEONE 2021 hiyhllghts included-. New grant- We sècured a new &year ￿t from the Addax and Oryx Foundation for this project. We also secured fun(ling from the Allan arKI Nests Ferguson Trust for year 1. 180 sdf-help groLV members participated in a baseline Su￿eY to assess their mental heallh, and are receiving ongoing training and suppcxt to do gruup savings and plan for their Ilvelihwds through their 9 SHGS. 46 seff-hèlp group members attended a 5-day tr•ning workshop coverirvJ skills and knowledge for successful livelihoods 8nd village savings and loans, which they are eascatling to their remaining 135 fellow group members. 256 clients wlh mental disorderslepilepsy received intlividual counselling. 783 clients participated in group counselling. 362 Elienls attended our monthly mental heatth dinic8. $6 Clients with epilepsy re￿iVed epilepsy medication whlch previously they had not had acce88 to. 695 pregnant women and breastfeeding mothers attended mental health info￿latIon sessions, indudng on post-natal depresston, of whom 24 subsequentty came forward for eounselling. 669 primary and secondary school students and teachers attended a mental heaKh presentation, covering issues such as corporal punishment. mental health and stigma. 417 Comm￿)rtY members, including community leaders and other duty be8rers, w8re engaged in mental health education and stigma reduction sessions in their communities. 12 team members and di8tn.ct mental health staff p8rtSclpated in supervision, training and cL￿tinuIng professional development. Our project Partne￿ in Sierra Leone In 2021 were: Confortl C(fftmunlty Ald Chlldrgn Organlsation is a Sierra Leoran NGO based in Freetoym and Port L(0. It addresses the educational and we￿are needs of young peoF4e induding their mental health. Health Poverty Action IHPA) is an intemalional NGO that has a direct presence in 13 countries, including Sierra Leone, wh&re il has been implementing programmes 51fj￿ 2005. Founded in 1984, it was set up lo meet gaps in the provision of medical aid to people affected by prolonged and wnp18x conflicts. Its vision is a wodd in which the poorest and most marginalised enjoy their nghl to heahh.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 We were delighted our successful application to the Addax and Oryx Foundth"on for funding towards a year livelihoods and mental health programme in Port Loko with Conforti's Port Loko Offi￿ (Conforti PL}. This programme started in Jvly 2021 and began with the baseline SUTvey that involved reassessing all 180 self-halp group ISHGI members, mental hea￿h (formed into 9 SHGSI. with depression and stress being the most prevalent conditions, affecting 2W/o and 27% of members respectively. 37% of members are caregivers of a person wth mental disorderslepilepsy IPMDES), and 79% of these caregivers also have a mentsl illrws of their own. 13% of SHG meM￿lS have epilepsy. Besides mental health ￿ndElionS, 13% of SHG member5 are war survivor amputees12 of the 9 SHGS are based in Port Loko's p05t-war 'amputee Carr￿5, for survivors and their familias), and 16% are suNivors of Etyjla. In November. a fve-day training workshop took pla￿, eoveriThJ the ft￿daMenIal skills and knowledge needed by SHG members lo start and make a success of their livelihoods and village savings and loans a¢tivib"es (VSLASI. The training wa5 delivered to fwe members per SHG145 in totall, vtho with thè support of Conforti PL'S livelihwds team are sharing the training with other SHG members. The SHGS have gol off lo a really p0s￿Ve start with the￿ VSLAS. They have estsbli5hed their rules and processes, agreed by all group members wrth members paying in ￿at they Can weekly or monthly Iwhich eould be as low as SLL 5.000 - approximately £0.40). The sawngs are kept in a collectsve pot bul with each owning the amount they contribute,. they can borrow for irKome generating purposes, which they pay back with interest", the interest is owned by all group meml)ers s￿r(lIng to the same % as their iTrJividual contributions. Some SHGS have thosen to allocate some of their savings lo 8 collective fund, which is used to fvnd groLV costs, such as réfreshments for meetings. and some have already begun to develop th&ir own livelihoods practices using loans. Alongsidè the Iiv81ihoods programme, we have continued to support Conforkn" PL 7Mth their community mentsl heahh ath"vitses. The eounsellors provided indNidual counselling lo 256 dients1133 female, 123 male) and group eounselling to 783 clients {480 female. 303 malel across the ￿Ole of 2021, wh￿e also supporting the mental health nurse to provide monthly mental heath clinics at the 5 heatth ￿ntre$ in our operational arèa to 362 clients. Our provision of epilepsy Medicatic￿ to 56 dients, who would otherwise be unable to afford or access it, has meant that they have t)een able to reintegrate into their communities, and take up work and schooling again. All 17 thildren receiving treatment are now in sthool and doing well. Thanks lo our work, the Port Lc*o distrid office of thè Ministry of Basic and Senior Secondary Education has picked up on this, aThY started to co￿Uct a distriGt- wde study on the number of school age children wi(h epilepsy who are at risk of dropping out of school lor have already done so} due lo tr¢eir condib'on. So frdT. they have established that 35 further children in Conforti PL'S existing operational areas have untreated epilepsy, 14 of whom have dropped OLrt of school, with a fjJrther 48 in the adjacent chiefdotn. We ¥e1goking to provide epilepsy medicaion tu these children through further grants, as we nrjw have an estsblished system in p18ce for providiThJ ￿"$ service, with oversight and supervision from a SP8cialist epilepsy nurse from another districL Our in-counlry m8nlal health Gonsuhanl has SUPE￿rted the te8m with ongoing tsaining and supervision. Our social workers arKI counsellors attend weekly maternty diThc8 to deliver information on matemal and child mental heatth to pre and post-natal women. The team talks about postnatal depression. and child and family mental health including parenting methods. Across the whole of 2021, we reached 69S such dients. of lthom 24 sub5equenOy came fO￿ard for counselling in the 8econd half of the yèar.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORD (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Due to the high demand from sd)ods as they reopened follown9 pandemic doSU￿, and following ConsU￿ation Ih 65 students and 35 teathers, the t8am has developed a shcwt mental health awareness presentation for teachers and stL¥Jents, covering issues such as corporal punishment. youth mental health and stigma reduction. with the aim of improving child wellbeing, and Teducing the lev81 of dropouts. A nationwide study re￿ntlY estimated 89% of Sierra Leonean studen15 are subjected to regular corporal punishment at school. Daily floggings LKcur mcwe often wrth people with disabilities th￿ others. Our youth consultation sh¢)wed the excuses for such punishment ¥e m05Uy due to arcumstances beyond students, control, 5uth as extreme poverty, or for no reason at 811, and that il ha5 a detrim8ntal impact ¢￿ students, wellbeing. We reathed 358 primary school students aTh3 teachers. and 311 secDnd8ry sdirx)I students and teachers betr￿en July and De￿mber 2021. This buirt on fe8dback we received from Grand Challenges Canada to our 2020 application, suggesting the team needed to have already piloted a project in schools. We were therefore able lo add this èxperience into the 2021 application lo Grand Challenges. Though this application was unsuccessful, we now have a yCAJth mental health programme for schools ready to go subjèct to ffiJture funding opportunities. Covid-19 Sierra Leone reintroduced a nigm-hme nats.onal curfew in January 2021. Travel betwe￿ Freetown and the rest of the county was 8180 restricted al the start of the year. Such measures have been lifted and reintroducoJ at points over the year. Conforti PL were Involve(l in education ond combatbng misinformation on the vacune, which they incorporated into some of their outrèach talks. As a resutt, a majority of the clients in thè amputee amps have been vaccinated. The pandemic has caused Continu￿ economic and social hardship in Sierra Leone. esp￿lalIY among the pcK)rest, which throughout the pandemic has been a greater source of stress and anxiety Ihan fear of the VINS itsew. It has led to a rapid rise in the use of a drug named 'kush' {a strong synthetic marijuana), which now accounts for the majority of male admissions to thè county's one psychiatric hO$￿"tal. and has now reached Port Loko. Corrforti PL is enyaging with the district mental health nurse and district heatth officer on this problem. Many of the ampuiees travel to Freetown in the week to Lw, and they were hil hard by restridlons on travd to and from Freetown. Al the time of wriling. 1.1m Sierra Leoneans {140A of the total population) are Ajlly vaccinated (bélow the Afrka- avewe of 16%). Cllmate change In 2021, the annual rainy season in Port Loko arrived the lalest it ever has. arml is becoming shorter and more intense by year. Thls is sèverely affecting local famiing, with subsistence famiing the most common exisbng I￿velIhOod activty of Conforti PL'S clients. This is an extreme source of anxiety for dients. According to the latest census data Istats SL 20161, in Port Loko (listrict as a whole. 81% of the ￿pUlatIOn depend on agr￿lI￿re as their main source of income. and 920A of residents in the district face some fomi of fo￿1 insecurty. However, there are no government food aid programmes. Additionally, Port Loko town and fts surroundings rely on a small, local hydroelectric power plant for electriuty, which is sporadic and unreliable (￿rIng the dry season. Climate disruption is meaning people face unreliable electricity supply for more of the yeai, as the dry season expands in length of time year on year. In order to mitigate against this, to reduce our project-relaled emissi￿5, and to reduce local noise and air pollution, during 2021 we invested in solar p￿e1$ for the Port Loko office. These now provide 100°A of the office's power needs, where8S it was previously forced to run on a petrol generator during Ihe dry season. This has also meant we have ieduced our demand for fuel. whlth has mitigated agwnst some of the burden of current fuel price rises. Looking ahead: Our key immediate priority is to fill thè funding shC￿f81l kn Conforti PL'S livelihoo¢Js project and wider mental health programme, which is currently beiThJ met wlh N4A's unrestricted resetves. We will also support Conforti PL to develop the￿ own strategic Fdan, inCOTporaling the various strands of mental health work th&y are engaged in, in ord8r to help plan and apply for funding to expand work in future. Finally, we SUF)POrt Conforti PL to further d8v8lcp ils rdalv)nship wrth govemmenl bcxlies, suth as the distrfct education office, in order to further rnentsl health support in the district. I had been living with eprfepsy for almosl 20 Yea￿ wrfhout any me¢*cation. My condition was so miserable thal I could not do any work. Aly life became useless. One day. I found tho counsellors coming to my aid and they started talking to me about my problem. They started having wular wsils with me ¢0 talk about t1￿ impact this condilDn has had on my lrfe, and evèntU811y We￿ able to pmvmle m8 with regular epilepsy Med￿at￿rt thmugh the clinics. I have h8d thre8 n70nths without s&izurns and now feel able to do ￿me sm811 f8milng Now I get income fffjm the fami, arKI also contnbute to my family I￿)M the famp. (Proioct clAent)

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONnNUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Thanks- We wcmjld Ilke to thank the Adtjax and Oryx Foundation and the Allan and Nesta Ferguson Trust for their support. UGANDA 2021 hlghllghts Included: 548 clients attended BNUU'5 monthly mental health Clinics. of whom 413 reported improvement in their condition. 339 clients received Indi￿dual cours811ing. 625 PMDES and caregivers from 35 sdf-help groups received startaup item8 to begin their income generating activf(ies. UGX 10.345 1£2.351 were the average savlngs by PMDES over the course of the y8ar ~ an increase of 84.7% since the start of 2021. UGX 10.119 1£2.301 were the average savings by caregivers over the coups8 of the year- ￿ increase of 84.1% since the start of 2021. 93% of PMDES and caregivers are able to afford to 8at tsvo mea15 8 day, vthere previously many could only afford one. 218 PMDES and caregivers tC)k part in an anatysis of their liveAihocls to estatrAish which livellhoods are dling well and wty. Our prolgct partner In Uganda in 2021 Tbvas 8NUU. a Ugandan NGO that supports a￿sS to mental health services through training, research. advocaty and awareness raising. targeting clients with mental disorders. 11 adclresses sts"gma. dlscriminalory policy. acce88 to qualty mèntal health care and povety aff￿ting clients mental illness. The mental heatth dinics, counselliThJ Services and home vislts conlnu8d throughout 2021. 339 PMDES and caregivers re￿Ived counselling.. 548 PMDES attended the monthly mental heaf(h clinics.. and of home visits, 92% of PMDES were adhering to tt)eir medication, largely attributable to supportThfe families, the drug bank initiive and increas8d household income because of the liveSrfioods. Thera was some fall in adhere￿e to medicab'r from men, due to excessive alcohol consumption. bul this was md with èxtra eounselllng. The thslribution of livelihood inputs rovided by The National Lottery Community Fund took place in Mareh dolayed from 2020 due to CDvid-19. Tr￿$ distn"bution took place over 8 days- 2 days in each participating area, requiring carelul planning because of Covid-19 safety measures. The distribution was well attended by loEal government officaals. many of whom by their own a¢*nisson, ha never previously errfJaged PMDES. They pledged fijture support for PMDEs and their caregivets. and the distribution process was hugely motsvaling for all involved. In tolal, 625 sell-help group members from 35 of the total 61 self-help groups supported by BNUU re¢eNed livelihood inputs. This saw an almost immethate increase in household income compared to th8 previous quarter. However, there was a maTked drfferenlial be￿en the income of PMDES and that of caregivers, so much so that BNUU slepped up its support for PMDES in order to increase their income. The rates of income fluctuated for the remainder of the year, tiwng to pric& increases during I￿kdOWn that had an impact on expenditure on restocking their livelihood inputs, thus reducing their profit margins. Other factors indudèd unpredictable weather pattems that negatively impacteil famiing and reduced availability of food, and resulted in some PMDES spending more of their savings on buying food for personal consumpt"on. However, overall. the level of Savings increased, whith was further boosted by BNUU Dffering cash prizes to the SHGS that had saved the most money. The average savings amongst PMDES and caregivers increased by some 80%. This increase in savings had a pxiti.ve impact on th8 setting up of the drug banks - a key componènt of the programme that prOt￿S PMDES from medication shortages and resulting relapse. The SHG members had training in setbng up drug banks: what tho purpose of them is". %that f8ctrws make them successful ar¥J effective., and what challenges they can expect. They elected chairpersons. secretaries and treasurers. and 60 representatives frorn the SHGS fomed management committees. All the SHGS are enoy)waged to ccffltribute a prOpo￿On of their savings lo the drug banks and found the training very motivating.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED FOR THE YEAR ENDED 31 DECEMBER 2021 Towards the end of 2021. 218 PMDES and caregivw5 look part in an analysis of their thosen livdihoods, to find out which bU￿￿eSseS were viorting well. wrth stock cash in hand, and those that are not working so well and also lo understand th& impact of Covid-19 on their business Outcomes. In summary, 96% of those who participated in this exerase have businesses that are doing well, Kmth 4% saying that their businesses are not doing wdl. Of those d￿ng well, PMDES had an average worknng caprtal (value of stock plus cash in handl worth UGX 177,715 (£40) as opp(Ised to the inits'al investment of UGX 100,000 (£221. Caregivers had done sligmly better wth an averoge working capitsl of UGX 193,972 (£431 compared to the initial investment of UGX 100,000 (£221. The analysis ShO￿d that the majority of BNUU'5 dients with sustsinable h"velihoods were selling fish, cooking oil, soap and green vegetables, and that they had div8rsifiedlwere selling more than one item. 11 also showed that 88 of the clients had invested some of their profft into long-temi businesses e.g. farming, buying livestock elc.. and had little working capital for wming their livelihood. However, wthen probed a bil further they saKI that they would use their profit from selling their harv&sts to reactivate their Iiv81ihoods. There is a long tradition of agricultrjre in this area, so it is understsndable that clients are drawn to farming to supplement their incorne, and their actions show inrtiative. The SHG memtws demonstrated that they now undeTsland their rights through their advocacy actions, and were proactive in presenting issues at stakeholders, m8@tings that were attended by local government representatives as ￿11 as s￿￿OUnty chiets. These issues included a lack of involvement of PMDES in government programming., long di5tanees lo reach mentsl health dini(£" inadequate suppty of medication., stigma," bad roads preventing to mentsl health clinic5', rude and unwelcoming behaviour from health workers 8tc. These interventions PToduc£d results e.g. unannounced visAts by officials al health centres to monitor health workers, absences, rudeness and negligent practice". the repar of In￿essible road5. In July 2021 we re￿ve￿ a grant from the Charfes Hayward Foundation to provide training and livelihood start-up items for 10 more SHGS benefitting 178 PMDES and caregivers. The training programme for this CAJhort has begun - they have all parts"cipated in.. Training in enterprise selection, which helps dierts understsnd what to consider when thoosing their livelihmys e.g. their health, local market demand, what products will generate ￿ early profft", Finanual lrteraey to equip PMDES and caregivers wth basic business and financial management skills. •idtJding record keeping, budgeting. 5aMngs and loans; Village savings and loans (VSLAS) including the imwrtance of saving as a groLW rather than individually. how to be an effefAive member of a VSLA. leadership. intemal rules and regulations, introduction to written record5.' Drug bank training to explain the concept of a dnjg bank and why il is important to have onè, how to set one up, h(w to fomi a drug bank o)mmittee and increasing understsndrLg of factor5 leading to suc￿￿8 and Possible challenges. One of the difficulles that came up during 2021 as a direct result of Covid-19. was a lull in PMDES and caregivers, ability to restock livelih(Jod tiems owing to restn"ctions on movement which also caused price increases arKt a temporary loss in income. This ￿s￿lted in food shortage5, or lack of sufficient irwme to buy food. which is bad enough under normal urcumStan￿. tr￿t if you are taking strong anti-psychotic m¢di¢ation, makes the medication difficult to tolerate. were therefore very grateful to the Kenneth Miller Trust for providing a grant for seeds and training for SHG members to vegetable gardens in their eompounds to stave off food shortages, ensure a steady supply of staples and enable them lo earn a small income from selling any surplus. BNUU enlisted the support of an agricultural extension worker from the local govemment who has offered Irairing 19 the dients and will support them through the first season of grOv￿n9 through to harvest, to make sure that the necessary skills are embedded. The response from local government to BNUU'S communty mental health interventions has b88n consiSten￿Y good and ai)preciative. BNUU is assiduous in maintaining regular communication wth key stakèholders in local govemmenl and in encouraging the SHG members to develop advocAcy actions and lake them to the relevant duty bearers. This gives them the profile aTvJ selfsteem that they so bady need and proves to Ihern that their human nghts do count and that the authorities shoukl be held accountsble if their rights are eroded. It has been so rewarding to see the wsitNe impact that a I0￿er ￿ndIng Investment can hwe, starting with the COMK Relief grant in December 2017 that laid Ihe fOL￿dationS for the communty mental health programme. followed by The National Lottery Community F￿d and Charfes Hayward Foundation granls Ihat have buim on those foundations by giwn9 PMDES and ￿re9ver5 a further step up in their recoveryjourney through Iwelihoods.

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Co¥ld-19 Uganda experienced a blg surge in Covid-19 cases with the arrival of the Ddts variant in May 2021, leading lo thè introduction of a new national locJ(dovffl from early June unbl August, Induding a ban on travel be￿een districts. This has IBd to ongoing hardship in Agago distrKt, and led to some SHG members avoiding group meetings out of fear- they instead met their SHG chairperson aThY treasurer indivithally lo conduct Ihelr savings. Uganda's sch1￿1$ remained closed duè to tf pandemic for the vthole of 2021. not r￿penIng until January 2022 after 21 months of dosure - one of the longest Covid-19 related sthools dosures of any county in the world. Some children have found il really h8rd to be back at school. and many h&J taken up work in their family businesses while off ￿h0O1. Some girls have not TettAmed to schoL4 due to having been forced into earfy marriage andlor falling wegnant while sch¢xJls were shut. There were reports of a couple of children taking their Dwn lives around the time schools reopened. There is also a shortage of school places, as some teachers lespeaalty from w.vate Se￿OIS which fomi a large part of Uganda'$ sch)ol provision) moved into other work for survival during the long school closures. At the lime of wrrting. 10.13m Ugandans121% ofthe total PCfulationl are fvlly vaconated. Cllmate Change BNUU reports that ￿SeS of intimate partner sexual and gender-based violence (SGBV) t&nd to be highest around harv8St lime. and especially when there are low which puls enOm￿￿$ strèss on families. The Uganda Bureau of Statistic512016) estimates that rain-fed subsistence agricutture is the main livelihood source for 600k of households in northern Uganda. Climate change is already disrupting weather pattems Sn Agago district, making crop failure more likely. N4A fundraised during 2021 for seeds and support for clients lo start $m811 kitchen gardens close to their homes, in order to mitigate against focd short4es and diversify their food supply. The BNUU office is power8d by solar panels, which ￿1p to limit our proj-èct-related emissions and local pollution in Uganda. Looklng ah￿d. In January 2022 we heard that we were suc￿$$fUl in being aw8rded a 3-year grant from Fondation d'Harcourt to rèplieate, expand and strengthen BNUU'S mentsl heatth work in northem uga￿a. We hope Ih8t this wll confirrn BNUU as a k&y provider of eommunity mental health services in northem Ug8nd8. I received tied fish from BNUU in March 2021. 1 sold them and got UGX T5,000. But Iyue to the difficulty In stocking at that time. I daC￿d lo use that money to P8y for a training couw in tailonng fmm a seniortsilor Ihe tr8ding cen￿. l us8dpart ofmy savings to 8CqUIfft 8 S8wino machine and I now buy materials and make 24 clothes in a day. My weety savings h8ve <kJubled and l am able to savo more in my g￿up savings and loans scheme. (Project dientl Thanks- We would like io Ihank The National Lottery Community Fund, Comic R8lief, the Kenneth Miller TTU5t, the Charles Hayward Fcrtjndation, Bob Buhr, Michael Davis. Th(ffias Doughty. Annabel Harris. Juney, Pier Producbons and an anonyrnous donor. Safeguardlng - N4A believes that everyone we CDme into contact with, regardless of age, gwder, identity. disability, sexual otTentats"on or ethnic origin has the right to be protected from all fomis of harm, abuse, neglect and exploitstion. N4Awill not tolerate abuse and exploitation by staff OT assoaated personnel. expect all staff ¢ontr8¢ted by N4A to abide by our safeguariling aThJ associated polics. This includes staff working for our implementing partner organisations who are ath'vely involved in t1￿ delivery of programmes and projects designed and fLmded by N4A. This also applies to associated pensonnel w￿ls1 engaged wilh work or visits related to N4A. induthng but not limited to the foll¢￿ing.. eonsultsnls., volunteers., contractors,. programme wsilors InGluding journalists. eelebrities and Politicians. We wll continue to actively engage wrth saf4uarding developments and make sure that our poliues are kept up lo date. The followng policies are available on our website wNw.network4africa or," Cixle of Conduct Safeguarding Poli Dealing with Safeguaiding Reports Safeguarding Complaints Policy Malprathe Policy 10-

NETWORK FOR AFRICA TRUSTEES. REPORT {INCLUDING DIRECTORS. REPORT) {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Fundraising N4A focuses its fundraising on trusts and foundations and high value fljnthais￿g. This was decided joinlly by the trustee8 and staff as offering the best retum on investment, given N4A's limited in-house capacity for fiJndraising, and its small supporter databas8. Its founder, Rebecca finsley is hugely supportive with her relationship fundraising both in the UK and the US4. N4A actively engag8s in fvndraising vi8 the annual Big Give Appeal and bi-annually with th8 London Mardthon as well as other appeals through its soaal media and newsletters. We are aware that th6 LoNlon Marathon 15 CLwrenly reviewing its Bonde(J pla￿8. so we may lose thi5 pla￿ or have to reapply for it. We are aware of the growng movement for large funders to in-county {e.g. Comic Relief)- there is Currently a great deal of discussion around this. We 8re adapting our fvndraising aTKJ supporting our project partners to meet thi5 development, as well as hawng an actwe voice in its rolknut, such as through our membership of the Bond mentsl hèalth steering group I￿nd.Org.￿kI, and using our position to platfomi our partners, voices on thi5 topic la blog by the programme manager of our Ugandan partner, BNUU. exploring how their partnership wlh N4A can be a precedent for decolor¢isation, has been picked up by the UNI. N4A 1$ addressing this challenge irk practical ways, ané actions have been ad(nowledged in an academic study which praises us as one of the few NGOS enal)ling OLW local partners to play a central rde in planning 2nd eXec￿lOn of projects. ere p055ible, we try to ensure that donations ￿e unrestricted. in order to support our runnin9 costs and lo allow some flexibilty in project priorities_ We ty. wherever possible, to submrt full-CQSt recovery budgets lo trusts and f(NJndations to reflect the twe cost of ow programmes aNI to r8cov8r some of our Dverheads. Strateglc Plan Network forAfrica has a three-y8ar strategic plan covering the ￿rIOd 1 January 2021- 31 December 2023, against which we base our plans and prcgress. Onllne presence IN8 use OUT website {nelwork4africa.orgl. Facebook. TY￿tter and email newsletters to Communicate wtih current supporters, demonstrating the need for the work and its impact. We also use Linkedln and Instagram lo promot8 our projects and attract new supporters. We regularly publish blog posts about our work on our website and Facebook, as well as using Twtter to raise awareness of developments in global mental hea￿h and other rdavant issues, and to errfJage wth others who are posting about mental heatth and developmenL Financlal review The rnerger of the UK Government's Department for Intemational Developmenl {DFIDI with the Foreign and Commonwealih Office {FCO} into the Foreign, Commonwealth and Development Office IFCDO) in September 2020, the impact of the Coviik19 pandemic on funds available for intematK¥nal development. aThJ the UK 90vemment's redu¢lion of Overseas Development Assistance IODAI from 0.7% to 0.51hJ of gros5 national incorn8, have all contribLrted to a reduction in expendf(ure on intemakn.onal devetrjpment in the UK. ￿lIst we don't ￿rrenllY h8ve any government ￿a￿ls. the opportunity to apply for them has been drastically reduced. There is a trend from statutory knnders to fund organisalions in-counlry directjy, rather than through UK NGOS. Thi5 will have an impaet ¢)n our in￿rne and wll also prevent many small uvil society organisations from beneffting from fijnding. Meanwhik, our fundraising strategy continues to be lo raise funds from individuals and trusts and foundations. Our total income in 2021 was £335k - a dwease of £29k on last year. Despite this drcp in grant ineome we contiThJed to support all of our exisb.ng projects utilising unrestricted reserves to support our Port Loko partner in particular. At thè ènd of 2021 our combined reserves weré £94k12020 £107k), of whKh £40k is restricted to our ongoir prcy"6cts for future disbursement and £54k is unrestricled12020 £80k). As described in this Report and ¢Jisdosed in the restricted funds note on page 31. the inccKning resources have been ap￿led to the charity's projects. 11

NETWORK FORAFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS, REPORT) {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Rlsk We hove examined the major risks to NehvDrk forAfrica is exposed and review them at each Board meeting. The CEO and the Chair. ￿der the supervision of the Board, maintain the Risk Register. Below is an ovèNiew of th& maiot financial and opèrational risks we were facing at the lime of writsng this rep￿t (April 21)221. xplanation mpact robabilty anagoment rge flmders ange stralegy nd directly in- hè growlng movement towards shrfting the power, removes nding opportunities both for 4A and for its proiect partner3 o likely won't have a 5uffKient inimum income level lo be ig1￿8 to apply forfvnding. igh ig ollow developments closely. esearch how ot￿r small anisalions are managing is change. Maintain a resence on this issue on the nd Mentsl Health Steerng ro￿. atutory fundets ift intemational nding to the UK .g. National ottery mmunrty Fund he strategy changes and so rojects that stood a reasonable hance of secuTing long-lem) unding have Ihat optb)n Sgh igh ainlain the relath"onship revious grarrt managers as eir str8tsw may change ain in Ihe future. limat@ charvJe ects food oduction and uses fo￿￿ nsecurity and nflatson ncreasingly unpredictsble eather pattems make it harder o guarantee decent harvests tha rovide much needed income nd a source of for)d for dients. rJ)d shortages impact on the enlal health of clients, swally those on me(ficskn"on. d poverty creates stress and nxlety that can cause mental Ilness relapses. Additionally, ose wth existing mental hea dillons may be resilient in e fa¢* of dimale-related isaslers and stressors. igh igh rovide inputs for kitchen ardens to mitigate against d shortages. Encourage ients to diversfy their ivdihoods and reduce their lianc8 on agriculture. ngage with others in the entsl he￿th and nvironmental sectors to eep on lop of the latest evelopmenls. and also of portunitie5 to obtain unding related to dimatè hange and mental hearth. erging of DFID 'Ih FCO reducEs nding pportunities he government has now created he FCDO and reduced rts ODA nding target, which has limited unding OPPOTttJnities not only ecause of reduang its ntribution lo intemalion evelopmenl, but because of nwsing the number of rganisations thal wll be pplying lo other fijnders to mpensate from the lo&s of FID fvnding. igh ollow developments and rends closely to see if the ituation changes. 12-

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 isk xplanation mpact robabilty nag8ment pendency on neome s￿rCeS oss of income and ability to upport arealareas of work. Lack SU￿53 wth securing vailable fvnding from funders apply lo. High igh denlify major sensitivities: nsider diversification pls. eview Ffogrammes to nsure they're ￿levant to Lwrent donor f¢xus", keep breast of donor and evelo ent tr8nds. gree fundraising strategy- SU￿ regular contsct nders-, monitor public reness arKI profile of ompetltion for nds from similar ganisatsons educed fuNlrai&ng potential.. uced public profle. igh igh k of funlling portunilies in ighl of [￿sSion ought about by o¥id-19 oss of income and potential to upport arealareas of work. Jh igh ere will undoubtedty be an ngoing impacl on funding a result of Covid-19. Som8 ders have paused their rrt making pendin9 a rer pictrjre regarding vid. ft is hard to predict ow bad it will be, but we wll tinue to monitor it. onilor the situation in wanda, Sierra Leone and orthem Uganda, and keep breast of any ttum8nitarian ood prtyrammes to ensuTe ple wth mental di￿*r$I pilepsy can acce55 these. nvest further in kitchen rdens, as has been started y BNUU in northem ganda. Fundraise for food 'd for our clients where ece55ary- especially those medicaiion. r in Ukraine isrupts global el arid food pplies I the lime of wrrting in 2022, ussia's war in ukrai￿ ha tarted to Gause major spikes in lobal fuel and food pri￿5, which ave driven up fuel costs in unlries like Sierra Leone by as uch as 50Y. (wlh knock on Is on all food supplies. n assoGialed rise in avil unrest). ddib"onally, haff ofAfrica's 4theat mes from Ukraine and Russia, nd in 2021 Ukraine was the argest source of food to the d Food Programme. Thus. me of the poorest people in I￿Saharan Africa are already aving to cut their food intake. d there is risk of food insecuri nd shortages getting worse, mpounded by dimate change. is PLrts greater stresses on hose with mental illnesses, ncreases risk of relapse, and Iso creates a major issue for ose who need lo take Ih8ir ental health medication ¥￿th ood. igh 13-

NETWORK FOR AFRICA TRUSTEES. REPORT {INCLUDING DIRECTORS. REPORT) {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 sk xpl•nation mpact robablllty nagement id-19 Impact on delivering project rgets because some activities nnot be implemented owing to nacountry constraints broughl bout b Covid-19. 4A has a very small staff team. f key staff leave it could ndermine its work and overfoad he staff that are18ft in PD5t. igh edium will monttor velorAnenls and the imp new variants and estrictions on face-tQ-faGe nsdlin travel elc. nsure organisatj.onal ar erational knowledge is hared and does not lie with e staff member only. onttor workload and staff Ifare at quartedy Twstees, eetings. Provide support 5s of key staff igh um roject partners e dependent on 4A as their sole nder roject partners do not have any thef funders and so if N4A's nding ceases, they will be nable lo operate. igh ethum @lp them wth capacAty haring to fundraise in- ntry. Try to find partners 'Ih 0￿r tsnding sources. roject partners in income nlries lack the ry skills to anage grants ffectNely he skill sets of our project artners vary across the dffierent untries we work in. We need o be aware ofthe dfvring eeds. igh edium rovide training and ca￿lty aring where possible andl r partner with bigger rganisations With better nfrastructure eputalional risk In-county partners ￿e not able meet reporting requirements of nders. edium ary out thorough iligence prior to any athership agreement. Be re ol in-country caF@￿ty deliver the work. afeguarding risk ssue5 With partner organisations nd misconduct t¢)wards clients. ed#Jm ntegrate safeguardirw and isllebiowng into training ndre 14-

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Resep40s poIIGy The trustees have established a policy whereby the intention is that unrestricted fvnds Should be maintained at a level equivalent to 8 minimum of three months, core operating costs. This Is currently on tracK. Plans for the future Plans for 2022 includ8-. Programmes: Rwanda - Continue to SUPPDrt tho SURF proiect in Rwanda to provid8 group coun5elling se￿Ie88 to 250+ young genocide survivors using rAJr peer counsellirvJ model", raise the ne￿Sary lunds lo provide much needed or￿site child¢are,' and roll out el￿epreneurshIp training, including llveh.ho￿j start-up inpuls, measuring the impact on the ¢lienl$. Uganda - Complete the final year of The National Lottery Communrty Fund grant for livelihoods for our mental health clients in northèm Uganda whilst trying to secure fun(thng to support more self-help groups in Uganda wth liveliho(xls,' complete and share the Leaming Study to demonstrate the positive impact of poverty reduction on mental health outcornes", replicate our mental health work in north8m Uganda in one or J new sub-Gounties. funded by a recent gr8nl from Fondation d,Harc￿urt,. employ a psythiatric nur$6 to work with the team in northem Uganda," develop a programme for mentsl health in schools. 51erra LeoDe- Continuè our mental heatth and livdihoods programmes in Port Loko District,. in(Tea5e the number of self-help groups", wntinue to d8velop a programme for malemal mental health; continue to develop and fundraise for a programme for mental health in schools.. continue and expand provision of support for pèople ￿th epilepsy in the district. Camgroon- Explore the feasibility of starting a peer counselling project forAnglophon8 community member5 from camero￿ v4ho are currently in refug88 camps in Nigeria and develop a project proposal. Nlgeria- Continue to monf(or fvnding opportunities to implement our project proposal for providing communty mental health provision in Plateau State. South Sudan - Continue to develop a [￿oleCt proposal to support South Sudanese rthgees cuffentty in setuement camps in northern Uganda. General- Explor8 other options for prO￿dIng start-up capitsl for seLf-help groups e.g. universal basic income,. complete the mentsl health neknork and mapping of mental heatth provision in Rwanda, Sierra Leone aThJ Uganda., support our project partners training in fvndraisirvJ and grant writing., work with our woièct partners to develop their online presence, where necessary: refine Netsvork forAfrica's merrtal health model for each operational arèa.. continue to dwelop strategic partI￿rshipS wf(h other NGOS e.g. Health Poverty Aclion, lo enable consortium funding bids, shared learning and increased support iTrcounlry,' keep safag*Jarding policAes up to dale and mair)tsin regular dialogue wth project partners and share training materials with them,. ￿ntinUe to develop NetsI￿rk forAfrica's profile and voice in the mental health NGO community," continue lo refine our mental hea￿h training model that ean be shared ￿th other organisalions.. continl￿ lo m￿rtOr d8velopments in the Covid-19 pandemi¢. Structure. governance and management Ne￿Ork forAfrica is registered as a company limited by guarantee {wth)ut sharè ca￿tall no. 06317689 and as a registered charity no. 1120932. Its govèrning instrument is its memoranduffl and articles of association. The directors are the members of the company and each memb8r, during his or her membership or Mlhin one year afterwards, undertakes to contribute a sum not exceeding £1 to the assets of the company in the event of il beir wound up. The trustees. who are also lh8 directors for the purpose of company law, and who served during th8 y8ar w8re.' D Russell F Critien R TIr￿leY DGye J Hogwood H Walters (Appointed 17 March 20211 15-

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 New trustees are appointed as rewired and receive comprehensive inducknon ¢Jn the actNf(ies of the eharity. The trust￿ have assessed the major risks to which thè charity is exposed, and are satisfied that Systems are in Pla￿ to mrtigate exposwe to the major risks. How Network forAfrlca Is run Nthork for Afn"ca is a charitable company. registered in England aThJ Vkles wrth both the Charty Commission and Companies House. This slnjeture, which is used by many GhaiTtses, allows us lo have all the advantages of charitab18 Status, and simultsneously to limit the trustees, liability through the company's 'limrted' ststus. As a charity and 8 company limited by guarantee, Netsvork forAfn"ca has no share capital and therefce cannot be owned by anyone. The charity is ￿verned by rt8 Memorandum and Articles ofAssouation, dated 19 July 2007. A Boord of Trustees heads Nelwork for Afri￿. For ￿mpany-laW purpos8s, the trustees are also the dir&tors of Nthork forAfriGa Ltd. The Chief Executive und8rtakes day~Io-day management of the organlsation. The Board of Trustees has authority over and responsiixlity for the organlsation and acts as its legal guarantors. The effective involvement of the Board of Trustees is considered crucial to success of Netsvork for Afn"ca and is dependent on share goals. the development of sound and creative worlung prath.ces 8nd significant time commitments. The Board meets four times a year. to assess the charity's progress 5￿ce the previous meettng, and to sel milestones to be achieved by the next meeting. The Chief Executive attends each Board m881ing and provide5 an updata to the Twstees on the ch8rity's progress. arKI assists in the setbng of goals. Trustees also provide valuable assistance to the Chief Executive and other members of staff necessary. CU￿ent trustees are". David Russell Ichalrl.. D8vld is Founder and Director of The S￿181 Enterprise, which adwses an array of charities and social businesses. From 2009 to 2013. David served as Director of Survivors Fund ISURFI, whth represents and supports survivors of the Rwandan genocide. Frida Crib"en'. Frid8 is an axperienced strategic communications professional, vAth exp8rierKe of managing a wide range of campaigns. Currenlly 8 Global Corporate Communications Director at Unilever she is respon&ble for managing Telalions wlh inlemalional meth'a and thivirwj the c(wnpanls pU￿se-led, future-fit agenda. Rebecca Tinsley.. Becky founded Ne￿rk for ASrica. is a freelance purnalist and a novelist and a former BBC politics reporter. Together with her husband Henry. she was asked by President aml MTS Carter to $18rt the Carter Centre UK. David Gye.. David has recendy retir￿ as an adviser on finarrial aspècts of thè eneryJy and Infrastructure sectors, working with govemment and private sector wodthde. He became independent in 2009 aft8r a 2 year career wth Morgan Stanley and other investment banks. Jernma Ht>JWtXMJ'. Jemma has a Doctorate in Clinical Psychology from University College London in th& UK and is registered tr) PTacbee as a Clinical Psychologist with the Health and Care Professions Council in th8 UK. She has been living and working in Rwanda for the past 8 years, mosuy wo￿n9 for the Survivors Fund ISURFI, supporting survivors of the genocide against the Tutsi in Rwarkla. Sh8 is currentty working for Solid Minds. offering individu81. couple and famity therapy. Hannah Vdller8.' Hannah currently works for Comic Rel￿ as a Portfolio ManwJer for Levelling the Field la c<Ffunded initiative with the &otttsh Govemmenl focusing on women and girl's empowerment in Malawi, Rwanda & Zambia), along￿de a number of wllental health investment5. She previously wc*ked al Feed the Illinds trtsm 201&2019. firstly as a Programme Officer b&fore taking on the role of a Senior Programme Officer later in 2016. In 2017 Hannah took on the role of Programme Manager. having strategic Oversi￿t for FTM'S prr4ramme's portlolio and directly M￿agir￿j a £1.5m portfolio of gwts induding DFID, Ccmic Relief arvj Big Lottery. 16-

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Staff team forAfrica has three perman8nt staff member& Annabel Harris ICEOI is responsible for the overall management of Netsvork forAfrica. induding inlemational Projects, fundraising. budgets, strategy and govemance. She is reS￿rn51b1e for reporting lo statutory donors and is a steering group member of Bond's Mentsl Health 8rMY Psychoswal Disabilrty group. Lesley Eaton (offi￿ Manager) works part time ar￿ is responsible for office management, donor management, onfine fvndraising, policies including safewarding, bookkeeping. Ne￿rk for Africa's website and social media communications. Thomas Doughty Ilntefflational Programmes and Research Manager) is responsible for the management and tjevelopment of intemalional projects and works cjosely wlh our intemational partners, supwrtiTrJ them with their Work and capacty sharing. He manages the monitoring and evaluation of our projects, aThJ carries out research for project development and proposal ￿ting. He is also a steering group member of Bond's Mental Héath and Psychosocial Disability group. In addition, we are supported by". Michael Davis (freela￿e) who manages our finan￿5. In addition lo managing Ne￿ forAfrica's annual budget, Michael also manages our intetnabonal programme budgets, and prepares all our financial reports for our funders and our board. Chiista Bennett (Director af Network forAthea USA) who manages all aspects of our branch In the US Christa h8lped start Netr￿rk forAfric8 in 2006 and oversaw th8 successful application for non-PTofft status for Network forAfrica USA. Robert vkt)odfield, our ManagementAccountant who has supported N4A since it Was Started. We use consuftants to help grant writing and ￿pOrtIng. Voluntsers N4A's success, wort and growth would not be possilJe without the loyal 8UPPOrt of ¢)ur V0￿rrteers. ￿ are so gfalefvjl to Rebecca TIn￿eY for her incredi￿e fvndraising and formidable writing skills-, our Chair David Russell for his advice, svpp(t and encouragement of the 5taff', Dr. Barbar8 Bauer and Dr. Shelly Evans for their professional ovarsight of our mental health proJrammin9-, Carri8 Braes for her design skills., David F8rgu50n for hi8 IT Support., Liam Oernpsey for his website development.. Robert Ihthdfield for his financial overview of I￿r operations- and knly Nicholson for supporting ow forthcoming schools PTogramme in Ugonda. Thanks In addition to the donors recognised abov8, we would like also to thank our supporteTS in UK.. Tim Allen. SleveAta¢k, Philippa Ball, the Bliss Family Trust. Brendan Carroll, David Chapman, L.S. Collins, Njexander Crilien, Dawes. Lèsley Eon, Ashley Fleischer. C.P. Gale, Max Gibbs. Aexander Gibson, Annabel Harris, Louis Harris-lmiite, Rachel & Julian Hubbard. Mitheai Jacob, Sandra Jones, Oliver Lubbock, Lindsay Madden- Nadeau, Simon Mccrath, Hans Olsen, Robert & Joy Pickard, Jom Pindar. Philip Rudge, David Russell, Gus Shaw-stuart, Mike Shipley. George Tench, Christine Thomas, the Tinsley Charitable Trust Mark Tinsley. the van Mesdag Fund. Margaretha Visser, Howard Wh(Ée, Julia Wsdom an anorrymous donor. We would also like to thank our supporters in the USA.. Michael Abate, Sara Aldape, AJI Saints-by-the-sea Episcopal Church. American Online Giving Foundation, Tracy Bollag, Ken Collamore, Annabel DavisvGoff, Denine Diaz, Martha Elliott, Susan Gibson. Di8ne Giles, Mary Harv8y, Jody & Mel Heyman, Jewsh Communal Fund, Salty Kauser, Car(A Kline, Richard Lamb, the Laurie Campbell Foundation, Stephen and Carol Lombardi. Karen Pick, Julie Schneringer, the Schwab Charitable Foundation, Brian Silveman, Sasha Spielvogel, Ann Symiwon, P811 Tanller, Sydney Walker. Elisabeth Weber. the Mliler Famlty Foundation and Pamela Zurer. Auditor In accordance wth the company's articles, a resolution proposing that Stephenson Smart & Co be reappointed as aLKlitor of the company TrMII be put at a General Meeting. 17-

NETWORK FOR AFRICA TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Dlsclosure of informatlon to auditor Ea(* of th8 trustees has confimied that there is no infomiation of which they are aW￿e %thich is relevant to Ihe audil. bul of which the auditor is unaware. They have further confimed th81 they have taken approprsate steps lo identity such relevant information and to establish that the ?LwJitor 18 aware of such infomiation. This report has b8en [￿￿ared having taken advantage of the small companies exemption in the Companies Act 2006. The trustees. report was approved by the Board of Trustees. D Russell Trustee 2.5/rfIIL 18

NETWORK FORAFRICA STATEMENT OF TRUSTEES. RESPONSIBILITIES FOR THE YEAR ENDED 31 DECEMBER 2021 The trustees. who are also the director8 of Nely￿rk for Afvca Ihe rAJrpose of company law. are responsible for Preparing the Trustees, Report and the finanual ststements in accordance with applicable law and United ￿ngdoM Accounting Standards Ivnited KiThJdom GenerallyAcceptedAccounting PractKel. Company Law require5 the trustees to pr8pare finanaal sL*ment8 for each financial year which give a tnje and fair view of the state of affairs of the eharitable company and of the incoming resour￿ an¢J ap￿1¢￿10n of resowces, including the Income and expenditure, of the charitable company for that year. In preparing these ffinancial statements, the trustees are required to.. - select surtable accounting pcAiaès and then apply them consistently.. - observ8 the method5 and prinGiples in the Charities SORP., - make judgements and estimates that are reasonable and prudent.. and prepare the finanaal statements on the going Conce￿ basis unless it is inappropriate to presume that the charitsbl8 company will continue in operation. The trustees are reSp￿sible for keeplng adequate accountsng T￿OrdS that disclose reasonab￿ accuracy al any tiffle the ￿ancIal Pos￿0n of the Charitable company and enable them to ensure that the finanaal statemenls comply wth the Companies Aci 2006. They are also responsible for safeguarding the assets of the charitab company and herKe for tsking reasonable steps for the prevention and de￿tion of fraud and other irregularibès. 19

NETWORK FOR AFRICA INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF NEfwoRK FOR AFRICA Oplnlon We have 8udited the finanoyal statements of Ne￿￿rk for Africa {the 'charitabl8 company'l for the year ended 31 DeGember 2021 which comprise tha statement of financial ath"wties, the balants sheet and the notes to the financial slalements, including signtficanl accounting policAes. The finanaal reporting framework that has been applied in their preparation is applicable law and Uymled King(lom Accounting Standard5. including FRS 102 The Financ￿1 Reporting standa￿ applic8ble in the UK and Republic of Ireland (United Kingdom Generally kcepled Accounting Prad1￿1. In our opinion, the finanaal statements: give a true and fair view of the state of the charital￿e ¢ompany8 affairs as at 31 December 2021 and ol its incoming resou￿$ and application of resources, for the yearthen ended., have been properfy prepared in ac¢ordancé with U￿ted Kingth)m Generalty A¢￿pIed Accounting Pr&tice,' and have be￿ prepared in ￿)rdance wth the requirements of the CornpaniesAct 20￿. Basls for opinlon We conducted our audit in ￿CordanCe wtth Inlernational Standards on Auditing IUKI {ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Audilofs responsibilitios for the audrf of the financ￿1 statements seth.on of our report. We are independent of the charitsble company in accordanGa wth the elhieal requlrements that are relevant to our a￿lt of the financial statements in the UK, ineluding the FRC'S Ethical Standard. and we have fijtfilled our other ethieal responsibilities in accordance wth these re¢¥Jirements. believe that the audit evidence we have obtained is sufficient and appropriate to provide a basls for our opinion. Conclusions relating to golng Goncorn In auditing the finanu81 statements. we have o)ncluded Ihal the trustee5' use of the going concem basis of acc￿nting in the preparation of the finanual statements is appropriate. Based on the work we have pertomed, we have not identffied any material uncertainties relating lo events or conditions that, indiwdually or collectively, may cast signffieant doubt on the charitable company's abilty to continue as a going concem for a period of 8t least knlve nx)nths from when the fv8neial statements are authorised for issue. Our respDnsibilities and the responsibilih'es of the trustees with respect to going eoncem are descrbed in the relevant sections of this report. Oiher Infommtlon The other infomiation compri$6$ the Informal￿n induded in the annual report other than the financial statements and our auditorfs report thereon. The trustees are respon￿ble for the other infomialion contained thin the annual report. Our opinion on the financial statements does not cover the other information arKI, ex￿pt to the extent otherwise explicitly slated in our report, we do not exwe&s any fomi of assurance condusion Ihereon. Our responsibility is to read the oiner information and. in doing so. consider whether the other infomiaiion is materially inconsistent with the financial statemenls or our knovAedge obtsined in the course of the aLKlit, or oiherwise apKtar8 lo be materially misstated. If we identify such material if)consistenryes or apparent material misstatements, we are required to detemiine whether this gives rise to a material mis￿atement in the ffinancial ststem8nts themselves. If, based on the w(Yk we have performed, we conclude that Ih8re is a material misstatemenl of this other infomalion, we are required lo r8POrt that trdct. Wè have rthing to report in this regard. Opinions on othgr matters prnscrfbed by the Companlos Act 2006 In our opinion. based on the V￿rk undertaken in the course of our audrt.. the infomiation given in the trustees, report, whith includes the directors. report prepared for th8 purpose5 of cofflpany law, for the financial year for which the financial staternents are prepared is eon*'slenl with the finarrial statements., and th8 directDrs' report ￿dUded within the trustees, report has been prepare(J in accordance wth applicable legal requirements.

NETWORK FOR AFRICA INDEPENDENT AUDITOR'S REPORT (CONTINUED) TO THE TRUSTEES OF NETWORK FOR AFRICA Matters on 4vhlch we arè roqulred lo report by exception In the light of the knovAedge and understanding of the charitable company and its en￿ronment obtsined in the COL￿ of the audit, we have not identified material mlsststemenls in the dirertors. report included within the trustees, report. We have nothing to report in respe(l of the followng matters in relatic￿ to which the Companies Act 2(￿6 requires us to repDrt lo you if. in out opinion.. adeque actounting records have not b￿n kept, or retums adequate for our audM have not been received from branches mt visited by us,. or the finanGial slalements arè not in 8greement wbth the ￿COUn￿.ng records and returns.. or certain disdosures of trustees, remuneration 5pecif4ed by law ere not made,. or we have not received all the infomiation al￿ explanations we require f¢x our audrt.. or the trustees were not enlilled to prep8rÈ th& ffinanry?I statement8 in accordance with the small companies regime and take advantage of the small companies. exemptiDns in preparing the trusteès. report and from the requirement to prepare a strategic report. Responsibilitles of trust8es As explained more fully in the statement of trustees. responsibilities, the trustees, who are also the directors of the charrtable company for the purpose of company law, are responsible for the preparation of the financial statements and for being satisfied that they g￿8 a true and fail view, for such intemal contrd as the trustees detemiine 15 necessary to enable the preparah.on of financial statements that are free from material misslatemenl. whether due lo fraud or error. In preparing the financial statements, the trustees are responsible foT assessing the charrtable company's ability to C(￿￿.nue as a going concern, disdosing, as applicable. matters related to going cOn￿M and sing the going concem basis of aC￿Unting unle&8 the trustees ertheF intend lo liquidate the ch8rit8ble company or to ￿se operatior￿, or have no realisb"c ahernative bul to do so. Audltorfs responslbllltles for the audlt of the financial stateTnents Our objectives are to obtain reasonable assurance thout whether the fin¥￿la1 slalements as 8 whole are free from material misstatement, whether due lo fraud or error, and to issue an auditorf5 report that indudes (wr opinion. Re850nable assurance is a high level of aSSurw￿ but is not a guarantee that an audit conducted in accordance wrth ISAS IUKI will always delect a matefial misstem8nt when it exists. Misstatements can arise from fraud or error and are cOnside￿d material rf, individua￿y or in the aggr8gale. they could reasonably be expected to inffluence the economic deciyons of users taken on the basis of these financial st8tements, Irregularities, inclLding fraud, are innce8 of non-complianc8 with laws and regulations. We design procedure5 in line wth our responsibilities, ouuined above, to detect material misststements in raspect of irregularities. including fraud. The extent to ￿1¢h our procedures are capable of delecliny irregularitses, induding fraud, is detailed below. Enquiry of management and those charged wth govemance around aclual and potential litigation and Disujssion with management whether there have been any known Instances, allegations or suspicions of fraud", Obtaining an UTKlerstsThJing of th818gal and regulatory frameworks that aTe applicable lo the charty: Revi8wing minutes of meeliros of those charged with governance where available., Reviewing finan081 ststement thsdosures and testing to supporting d￿uMentatION to assess complianc with applicable laws and regulation5; Perlorming audit work over the risk of man8g8ment Override ol controls, including testing of journal entries and other adjustments for appropriateness, evaluating the business rattonale of signth¢anl transactions OU￿"de normal course of l￿SIrES$ and reviewing accounting e8timat8s for bias. B￿aUse of the itherenl limitations of an audit. there is a risk that we will not delect all irragularities, including those leading to a material misstatement in the ffinancial statements or non-compliance with regulation. This fisk incre3ses the more that Complian￿ with a law or regulation is removed from the events and transaclK)ns reflected in the financial statemerrts, as we will be less likety to become aware of instances of non•compIian￿. The wisk is also greatsr regarding irregularities occurring due to fraud rather tt￿n error, as fraud Involves Intentional concealment, forgery, collusion, omission or mlsrewesentation. -21

NETWORK FORAFRICA INDEPENDENT AUDITOR'S REPORT (CONTINUED) TO THE TRUSTEES OF NETWORK FORAFRICA The primary responsibilty for the prevenb'on arKI deteL*ÈDn of irregularities including fraud remains with those harged with governan￿ and wth management. A further description of our resp)nsibililies is available on the Financial Reporting Council's website at.. https'.11 wsw.frc.c￿g_UkIauditOrSreSp0ftslblliIle$. This des¢ripkn"on fonns part of Ixjr audilorfs report. Use of our report This report is made solely to the ctkqrilable ￿Mpan￿S members as a body, in accordan￿ wth Chapter 3 of Part 16 of the Companies Act 2006. Our audit wuk has been undertaken so that we might stale to the charitable company's members those matters we are required to stsle to them in an auditors. report and k)r no other purpose. To the fvllest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable eompany and Ihe eharrtable company's memLErs as a LK)dy, for our audit work, forthis report, or for the ryinions we have fomied. Kerry Hllllard ACA FCCA CTA (Senlor Statutory Audltor) for and on behalf of Stephenson Smart & Co 122tkgth 2012 charter￿ Accountsnts statutory Auditor 36 Tyndall Court Gommerce Road Lynch Wood Pete￿oroUgh PE2 SLR

NETWORK FOR AFRICA STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITUREACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2021 Unrestrlcted Restslcted lunds funds 2021 2021 Totsl Unrestricted fUr￿S 2020 Restrict&J fun¢Js 2020 Total 2021 2020 Notss Income from.. Grants and donations Interest receivable 117,782 217,236 335,018 124,074 25 240,519 364,593 25 Total income 117.788 217,236 335.024 124,099 240,519 364,618 nditure on: Raising funds 530 228 758 563 264 827 Charrtable activities 148,719 199.011 347.730 120.233 222,185 342,418 Total resources èxpended 149,249 199,239 348.488 120,796 222.449 343,245 Net loutgoingllincoming resources before trnnsfers Gr05S transfers betsveen fijnds {31,461} 17,997 (13,4641 3.303 18.070 21.373 5,229 15,229) 12.814 {12.814} Net {expendlturg}IlnGome for the yearl Not movemont In funds 126.2321 12,768 113.464) 16.117 5.256 21,373 Fund balan￿S at 1 January 2021 81.145 26.770 107.918 65,031 21,514 86,545 Fund balancos at 31 Decembor 2021 54,918 39.538 94,454 81.148 26,770 107.918 The statement of financial activities includes all gain5 and losses recognise(l in the year. All inwme and expenditure ￿e￿e from continuing a￿l¥lties. The statement of financAal actNities also complies wrth the requirements for an income and expenditure account under the CompaniesAd 2006.

NETWORK FOR AFRICA BALANCE SHEET ASAT31 DECEMBER 2021 2021 2020 Currgnt assets Debtors Cash at bank and in hand 10 14,295 92,585 28.206 108,550 li￿.860 136,756 Credltors: amounts falllng dufr withln oneyear 11 (12.406) 128,8381 Net current assets 94,454 1 C)7,918 Income funds Restricted funds Unrestricted fvnds 13 39,538 54,916 26,770 81,148 94,454 107,918 These finan￿al statements have tr￿en prepared in accordan￿ with the provisions applicable to companies subject to the small companies regime. The gwiuntswere approved tytheTrustees on......................... D Russell Trust•0 Company Reg5stratlon No. 06317689 -24-

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021 Accountlng pollci•s Charlty Inforniatlon Nthork for Africa is a private company limited by guaranlee incorporated in England and Vles. The registered offtce is 14 Sl Mary's Street. Stsmford, Lincolnshire, PE9 2DF. 1.1 Accounting conventlon The financial statements have been prepared in accordance vthh the charitsble company'8 governing ¢Jocumenl, the Companies Act 2006 aThJ -Accounting and Reporting by Charitses.. Ststement of Recommended Practice applicable to charities preparing their a¢¢ounts in accordance wth the Financial Reporting Standard applicable in the UK and Republic of IrelarKI IFRS 1021 {effeEtive 1 January 20191. The chartsble company is a Public 8enefft Entity as defined by FRS 102. The charitable Gompany has taken thantage of the provisions in the SORP for Charrties apptying FRS 102 Update Bulletin 1 not to prepare a Stslemenl of Cash Flows. The fin8nryal atements are prepared in sterling. which is the functional currerw of the charitable company. Monetary amounts in these financial statements are rounded lo the nearest £. Thè fin8nct81 st8t&ments have been p￿pared under the historfcal cost convention. The principal awunting poIiLies adopted are set out below. 1.2 Golng concèm At the time of approving the finanual statemerrts. the trustees have a reasonable expectation that the chaTilable company has adequate resources to continue m operational existenee for the foreseeable future, Thus the trustee8' e￿InUe to adopt the going con￿￿ bass ol accounting in weparing tha accounts. COVID-19 and going concern The trustees ¢(￿SIder that there 8r8 no malarial uncertainties ab(￿ the Charitys ability to continue a5 a going concem. Alhough COVID-19 has had an impact on the organisalion. sufficient fiJnding cont1nues to be secured. 11 is for this reason that the accounts have been prepared on a going cL)ncem basis. 1.3 Charltablè funds Unrestricted fvnds are available for use at the dis¢retion of the trustees in futherance of their charitable objectives. Restricted funds are subject to specific conditions imposed by donors as to how they may be used. The purposes and uses of the restricted fvnds are set oul in the notès to the financial statements. 1.4 Incomlng rtsourc Incoming resources afe recognised and ineluded In the Ststèment of FinancialAGbvities when lJ)e charitable company is legally entitled to il after any perfomance conditions hav8 b8en met. the am(Junts can be measured reliatly, and it is probable that income wll be received. Cash donations are recognised on recelpl. Other donations are rewgnised 0￿e the charitable company has beèn notified of the donation. unless perfomiance conditions require defetral ofthe amount. Income tax recov8rab18 in relation to donations r￿1Ve￿ under GiftAid or deeds of covenant is recognised at the time of the donation. No amounts a￿ Induded in the financial stalernents for se￿iceS donated by volunteers. Government grants are recognised when the charitable company is legally entltled to it after any perfomiarKe corwjitions h3vè been fttlffilled. 1.6 Rosources expended -25-

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 A¢¢ounting pollcles (Continued) Expenditure Is 8ccounted for on an accrual8 b8s. Expenditure is alloeated to expense headings either on a direct cost basis or ap￿rtiOned on the basis of management ests"mates. 1.6 Cash and cash oqulvalents Cash and cash equivalents include eash In hand, deposits held at ￿11 bank8. other short-lerm liquid investments wth original maturities of three months or Lgss, a￿1 bank overdrafts. Bank overdrafts are shown within borrowngs in current liabilities. 1.7 Flnanclal instrnments The charitatAe company has elerAed to appty the provisons of Seeth)n 11 'Basic Finanaal Instruments. and Section 12 '0ther Financial Instnjments IsS￿S, of FRS 102 to all of its financial inslnjmenls. Finanryal instruments are re(yJgnised li the tharitable companYs balance she8t when the charitable company becomes party lo the contractU81 provisions of the instrument. Financial assets and liabiliti&s are offset. with the nel amounts presented ) the finanual statements, when there is a legally enforceable rigm to sel off the recognised amounts and there is an intention lo settl8 on a nel basis orto realse the asset and settle the liability simultan8ousIy. 8asic financlal assets Basic financial assets, whith indude debtors and cash and bank balances. are inib.amy measured al transaction pr￿ I￿u￿ng transaction costs and are subsequently carried al amortised cost using the effective interest method unless the arrangemanl ￿nstituteS a financirKJ transaction, where the transacliDn IS measured at present value of the ftjlurè receipts discounted al a market rate of interest. Financi81 assets classified as receivable within one year are not amortised. Basic fvnanclal liabilities Basic finan(?al liabilities, including eredit¢)rs and bank loans are initially recogni8ed at tranSa￿lDn price unless the arrangement constitutes a financiThJ transacbon, ￿ere the debt instfumenl is measured al the present value of the future payments discounted at a market rate of interest. Financial liabi1it18s classified as payable within one year are Tr)t amortised. Debt instTrJments are subsequendy carried at amortised cost, using th8 effectivè interest rale method. Trad8 creditor5 are obligakn'ons to pay for gocds or swvices that have been acquiretl in the ordiiary course of operations from suppliers_ Amounts payable are classified as current liabilities if payment is due wthin or year or les5. If r￿. they are presented as non-￿rrent liabilities. Trade creditors are Tecognised initially al transaetion price and subSequer￿Y measured al amortised c05t Using the effective interest method. Derecognltion of financlal liabilities Financial liabilities are derecognised when th8 charitable company's contractual obligations expire or discharged or cancelled. 1.8 Employee ￿nefits The cost of any unused holiday entillement is Tecognised in the period in whth the employee's services are received. Termination beneffts are ￿gnised immediately as an expense when the chari￿le company is demonstrably committed to tem)inate the employment of an employee or to yovid& temiination benefts. 1.9 Rètirement b8n&llts Paymerts to defined contsibutK)n retirement benefft schemes are tharged as an expense as they fall due.

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Aecounung policios {Contlnuedl 1.10 Forelgn •xchang Transactions denominated in foretgn tsjrrencies are ￿e0rd￿rt at the average rate ruling during the month of eath transaction. Monetary assets and liabilities denominated in foreign currenctes are traTr￿ated into steTling at the rates of exchange ruling at the balance sheet date. All differen￿5 are induded m net outgoing resources. crftlcal accounllng e8tlmat89 and judgements In the application uf the charitable companls &counting policies, the trustee5 as the directors are required lo make judgements, estimates and assumption5 aboui the carrying amount of assets and liabilrties that we not readity appar6nt from other sourees. The estimatss and associated assumptions are based on historical experience aNI other facto￿ that ar8 considered to be relevant. Actual results may dfftr from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Rewisions to accounting estimates are reeognised in the ￿riod in which the estimate is revised where the revision affects only that per¢od, or in the period of the ravi￿On and future ￿lIodS where the revi%on affecls b)Ih eurrenl and future riods. Grants and donations Unrestrtcled Restrlcted funds funds Total Total 2021 2021 2021 2020 Donations grfts Grants 18.782 99.000 23,578 193,658 42,360 292,658 53,628 310,Sf 5 117,782 217.236 335,018 364,593 For thè yèar ended 31 Docgmber 2020 124,074 240,519 364,593 Grants f袕fvable Comic Relief Other 9.936 183,722 9,936 282,722 121,959 189.006 99,000 99,000 193,658 292,658 310,965 -27-

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEIIIENTS (CONTINUED} FOR THE YEAR ENDED 31 DECEMBER 2021 Intsr6st recelvable Unrestrict•d Unrèstricted lund$ funds 2021 2020 Interest receivable 25 Raklng funds Unrestricted Reslrtcted funds funds Totsl 2021 Total 2020 Fundraising costs Online frdcilty costs 530 228 758 827 530 228 758 827 -28.

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Chafrtable actlvltles Charftable Charltable actSvitie$ a¢llviti08 2021 2020 staff costs Project payments Consultancy Prints"ng. postage and stationery Office rent and insurance Sundries Staff trainlng and recruitment Website costs Foreign currency exchange (gains) I losses Foreign travel costs Project monitoring & evaluation 81.S66 197,503 35,360 81,877 199,630 10,320 119 8,791 1,055 250 1,256 43 2,274 6,653 715 1,257 270 1,699 454 319.224 312,268 Share of SLPPQrt C05ts {see note 7) Share of goveman¢e costs (see note 71 23.106 5.400 25.050 5,100 347.730 342,418 Analysls by fund Unrestricted funds Restricted funds 148,719 199,011 120,233 222,185 347,730 342,418 SupFWrt costs Support Governance costs costs 2021 2020 Basls of allocatlon Accountancy Payroll costs Bank chargps 22,473 378 255 22.473 378 255 24.386 Ch8ritsble activities 378 Charitable activities 286 Charitable activities Audit fees 5,400 5.400 5,100 Govemance 23,106 5,400 28,506 30,150 Anatysed be￿en Charitable activits.es 23.106 5,400 28.506 30,150 -29.

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 Trustees None of tJustees lor any persons connected with them) rec*Ned any remunèration. trknerrts or reimbursement for expenses in(wrr8d, from the charitabl8 eomp8ny durfng the year. Employees Number of employees The average monthly number of employees during the year w8S'. 2021 Number 2020 Number Chief ex8cutive offi￿r staff Employmenl costs 2021 2020 Wages and salaries Social securrty costs Other pension cosls 70,353 3,274 8,339 68.144 2,992 10.741 81.966 81.877 Employ￿ costs are allocated to restricted furK%s on the basi5 of the percentage of their time spent on each project. Ther8 were Th) employee5 whose annual remUne￿ti0n was £60,000 or more. 10 Debtors 2021 2020 Amounts falling duo wtthln one yoar: other debt(￿S Prepayments and accrued inr￿e 9,000 5295 20.114 8,092 14,295 28,206 -30.

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 11 Croditorn: amounts falllng due wlthln one year 2021 2020 OlheT taxation and social sècurity Deferred in¢omo Accruals 1,872 1.876 19,034 7,928 10.534 12,406 28.838 12 Rgurement bènefft schomos Defined contributlon schemes The charitable company operates a defined o)ntribution pension stheme for all qualfying employees. Th8 assets of the scheme are held separately from thos8 of the charitable company in an independenlly administered fvnd. The charge to the statement of finanoal activities in respeGt of defined contribub'on sthames was £8,339 2020.'£10.544). Costs have been allocated befvthn restricted 8nd unr8stricled funds on a per￿￿tage of employee t.me spent. -31

NETWORK FOR AFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 13 R8strlcted funds The income funL18 of the charity include restricted funds comprising Ihe fdlowing unexpended balances ol donations and grants held or¢ trust for speethe PUTpose& Movement In funds Balance at 1 Incomlng Resources January resources 8xp8ndod 2021 Transfern Balance at 31 December 2021 SURF Rwanda Mental He811h Uganda Livelihoods Uganda Mental Health Port Loko VegetsbF8 Gardens Uganda 42,578 9,936 112.057 47.450 5.215 134,8621 19,9361 1122,3421 126,988) 15,111) (2.716) 5,000 28,770 (3,Ck18) 659 {1041 13.417 21,121 26,TTO 217,236 1199.239) {5,2291 39,538 SURF Rwanda Is 8 project that addresses ￿81-traUmatiC stress disorder. depression and an￿ety in young survivors of Rwand8's genocide, thrO￿h counselling. Mental Health Uganda is a project that will improve mental health serwces for vulnerable and disadvantaged people in Freetown and Port Loko in Sierra Leone by deVelo￿.ng and suptM)rting @xisting community stNctUTeS. Livelihoods Uganda is 8 grant received from the National Lottery Community FurKI to provlde traSning and livelihaod5 to the people wth mental heatth conditlons who we have been supporting through the Comic Relief grant. Mentsl Health Port Loko is a projec* that will improve mentsl health seNces for vulrerable and disadvantsged people in Port Loko in Sierro Leone by developlng and supporting exsting communty structures. Vegetable Garden5 Uganda is a project to help 250 families in ncthem Uganda to plant vegetable gardens and avoid food short8ges inflicted by Cow&19. Tts"s will prevent families from going hungry In any future lockdowns. Our participants wll have enough to feed their families. and any exira can be sold localty lo genèrate some addrtional income. We also want to provid8 extra soap and hanthwashing facIti￿ so that our clients can meet in saf8ty. Al projects are de￿￿bed in more detsil in the Trustees, Repcrft. 14 Analysls of ngt assets bet¥Yeon funds Unrestrlcted Restrfcted fund$ fund8 2021 2021 T¢)tal Unrestricted Restri¢Aed fijnds 2020 Total 2021 2020 2020 Fund bala￿ at 31 December 2021 are reprgsented by.. Cu￿ent a￿ts1(118bllI118sI 54.916 39.538 94,454 81,148 26.TlO 107,918 54,916 39.538 94,454 81,148 26.770 107,918 32-

NETWORK FORAFRICA NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2021 15 Status company is limited by guarantee and does not have a ¥thare ￿pItal. The direclors are members of the company and 8￿h member, during his or her membership or within on8 year afterwards, undertak6s lo contn.bute a sum not exceeding £1 to the assets of the company in the event of il being wound up. 16 Relatsd party tran$actlons Remuneratlon of k8y management ￿KsOnnel 2021 2020 Aggregate compensation 57,892 58,085 Transactlons with fèlaled partl•s During the ye8r the tharrtable company entered into the folltswing transactlons wth reLgled parties.. Trustees (and their spouses) donated a total of £10.100 to the charitsble company in the year 12020.. £20.9991. Key personnel management, Ytho are not trustees, donated a totsl of £80 to th& charitatle company in the year12020thill. During the yearthe charitable ¢￿TrPanY entered into the following transactions other related paties.. The chaTitsble company received don81ions of £65,000 12020:£35.000} from the Tinsley Charitable Trust, eharity in which R C T1[￿eY is a trustee. R c finsley is a trustee of Waging Pea￿ Charitable TrusL Netsvork ￿ Africa and Waging Peace Charitable Trust previously shared premises_ Rent of £262 12020-.£8,543) and telephor)e costs of £nil 12020..£28} were recharged to M&ging Peace Charitable Trust by the charitable company. D Russell is 8 consumant at SURF. Dl￿ng the year payments totalling £34,634 {2020". £30,874) were made to SURF to help fund the SURF Rwanda counselling project.

The Chair Network for Africa 14 St Mary's Street Stamford PE9 2DF

S T E P H E N S O N

S M A R T

C H A R T E R E D A C C O U N T A N T S

Our ref: KH/JS/NET01/120535 Date: 12 August 2022

Dear Sirs

36 Tyndall Court Commerce Road Lynchwood Peterborough, PE2 6LR [phone]

Matters arising from the Audit of the Charity’s Accounts for the year ending 31 December 2021

We have completed our audit of the Charity’s financial statements for the year ending 31 December 2021.

Our primary role as external auditors is to report on the financial statements and to carry out such examination of the statements, the underlying records and control systems as is necessary to enable us to express an opinion on the financial statements. Our audit work was planned to detect any misstatements that might be material in the context of the financial statements.

Our audit approach is based primarily upon substantive procedures involving the direct verification of balances and transactions, including the application of substantive analytical procedures where appropriate. We do not carry out a detailed evaluation of the system of internal control since we do not consider that this would be a sufficient source of audit evidence. We do however carry out an overview of the systems and controls, including an assessment of the overall and fraud risk, and the risk of material misstatement in the financial statements.

In addition to expressing an opinion on the financial statements we are also required to report on:

• material weaknesses in accounting and internal control systems identified during the course of the audit;

• inappropriate accounting policies and practices;

• non-compliance with legislation, accounting standards and other regulations; and

• • any other relevant and material matters relating to the audit.

Our audit procedures are designed to support our audit opinion and cannot be expected to identify all weaknesses or inefficiencies in your systems or working practices. This report is not intended to cover every matter which came to our attention. We do not accept responsibility for any reliance that third parties may place on it.

Independence and objectivity

We have considered the factors which may have an effect on this firm’s independence and the objectivity of the assignment partner, quality control partner and the audit staff and ensured that appropriate safeguards are in place.

In our professional judgement this firm is independent within the meaning of the regulatory and professional requirements, including the FRC Ethical Standards, and the objectivity of the partners and audit team is not

Partners: GM Wiles FCA CTA | RJ Burborough ACA FCCA | KM Hilliard ACA FCCA CTA | AR Abbott FCCA Senior Associates: MJC Johnson FCCA | JM Head FCCA Portfolio Manager: SJ Reynolds ATT REGISTERED TO CARRY ON AUDIT WORK IN THE UK AND REGULATED FOR A RANGE OF INVESTMENT BUSINESS ACTIVITIES BY THE INSTITUTE OF CHARTERED ACCOUNTANTS IN ENGLAND AND WALES.

impaired.

Internal controls assurance

We are pleased to report that, in our opinion, adequate controls exist and were operating throughout the year and there were no significant weaknesses or deficiencies in the structure or operation of the accounting systems or internal controls.

However we would bring to your attention the following that you may wish to review:

Accounting policies, accounting standards and relevant legislation

The board of trustees are responsible for selecting accounting policies which are the most appropriate to the Charity’s circumstances in order for the financial statements to give a true and fair view and for ensuring that the Charity complies with relevant legislation, accounting standards and other regulations. Our responsibility is to report to you whether the financial statements give a true and fair view and are properly prepared in accordance with relevant legislation. This includes an assessment of whether the accounting policies are appropriate, consistently applied and adequately disclosed.

During the course of our audit the accounting policies for material items were reviewed and discussed with senior management. We consider that these policies are appropriate, consistently applied and adequately disclosed.

We also confirm that the financial statements have been prepared in accordance with applicable legislation, the Statement of Recommended Practice, accounting standards and generally accepted accounting practice.

Adjusted and unadjusted audit differences

There were no material adjustments required to be made to the financial statements as a result of our audit work.

Unadjusted misstatements:

There were no unadjusted misstatements, other than those that are trivial. These have been disclosed to the trustees and are include in the appendix to the letter of representation from the trustees.

Auditor’s report

There are no expected modifications to our audit report for the year ended 31 December 2021.

We would like to take this opportunity to thank Annabel and staff for their assistance during the course of our audit.

Yours faithfully

Kerry Hilliard

Partner [e-mail]

Partners: GM Wiles FCA CTA | RJ Burborough ACA FCCA | KM Hilliard ACA FCCA CTA | AR Abbott FCCA Senior Associates: MJC Johnson FCCA | JM Head FCCA Portfolio Manager: SJ Reynolds ATT REGISTERED TO CARRY ON AUDIT WORK IN THE UK AND REGULATED FOR A RANGE OF INVESTMENT BUSINESS ACTIVITIES BY THE INSTITUTE OF CHARTERED ACCOUNTANTS IN ENGLAND AND WALES.