THE AMECA TRUST
Registered Charity No. 1121240
Rt'%islL'I'Li(I {-
TRUSTEES ANNUAL REPORT
AND FINANCIAL STATEMENTS
FOR THE PEIUOD I SEPTEMBER 2023 TO 30 SEpfEMBER 2024
Bullimores LLP
Old Printers Yard
156 South Str¢¢t
Dorking
Surr¢y
RH4 2HF

THE AMECA TRUST
Registered Charity No. 1121240
CONTENTS OF THE FINANCIAL STATEMENTS
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
Page
Report of the Trust¢¢s
Ito13
Independent Examiner's Report
14
Statement of Financial Activities
15
Balance Sheet
16to17
Notes to the Financial Statements
18to25

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
Th¢ trustees who are also directors of the charity for the purposes of th¢ Companies Act 2006> present their
report with the financial stat¢ments of the charity for the period ended 30 Septemb¢r 2024. The trustc¢s have
adopted the provisions of Accounting and Reporting by Charities: Statement of Recornmended Practice
applicable to charities pr¢paring their accowlts in accordance with the Financial Reporting Standard
applicable in the UK and Republic of Ir¢land (FRS 102) (effective l January 2019).
ABOUT AMECA
Th¢ AMECA Trust {'AMECA') was founded in D¢cember 2006 by Ruth Markus, in munory of her only
child, Lt. Alex Coutselos. Alex was a newly qualified doctor in th¢ British Arn]y, an officer in the Royal
Arnly Medical Coo)s and a recipient of his paratrooper wings. Alex died on 15 October 2006, aged 23.
AMECA is register¢d as a charity in the UK. Reg. Charity No. 1121240 and Registered Company No.
06354971 (England and Wales). AMECA is also incorporated in Malawi as a Not for Profit Limited
Company. AMECA is controlled by its governing documcnt, a deed of trust, and is incoryorat¢d as a company
limited by guarantee, under th¢ Companies Act 1985. Our regist¢r¢d office is at 48 Woodlands Road, Epsom,
Surrey, KT18 7HP.
DIRECTORS
Anthonv
Redshaw (Actlng
Chalrmanl
Ruth Markus
ICEOI
Paul Thomas
Lorraine
Freedberg
Ellzabeth Butler
Director)
We recruit and appoint new trnstees by resolution of the Board" under the ternis of the Articles of Association
there shall be not less than three trustc¢s, but there is no maximum. We Choose our trustees to bring a wide
range of professional, commercial and charity experienc¢; induction of new trustees takes pla¢¢ by a process
of infornial consultation and written background material is provided.
With d¢epest sadness we report that Hugh Freedbcrg, Chainnan of AMECA in the UK, sadly died on th¢
31StAugust. A man of enornious integrity, measur¢d, honest and loving, Hughie ste¢red AMECA in his quiet
way and never missed a detail. Even through his battle with canc¢r, Hughie remain¢d totally engag¢d and
supportive. An immeasurable loss to AMECA, Hughie will be decply missed.
W¢ w¢lcome Elizabeth Butler to th¢ Board of Dir¢ctors' Lizzic was appointed to the Board in July 2024.
With no employees, th¢ day-to-day nllming of the charity is dealt with by Ruth Markus in Consultation, wh¢r¢
needcd with all Dir¢ctors. AMECA works from home, both in the UK and in Malawi, thereby minimising
expenses and maximising donor and grant income.
Our Independent ¢xaminer is Patrick Casey FCA at Bullimor¢8 LLP, Old Printers Yard, 156 South Street,
Dorking, Surrey, RH4 2HF.
Ruth Markus wishes to acknowl¢dge the time, advice and support given freely to AMECA by all Directors,
both in the UK and in Malawi. A heartfelt thank you to Patrick Casey for his support, counsel and time.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEFfEMBER 2024
OUR PATRON
Major Levfison Wood
A close university and Arniy friend of Alex, in whos¢ nam¢ the ch￿lty was founded, Major Levison Wood
is a writer and explorer who is b¢st known for his extended walking expeditions in Africa, Asia and Central
Am¢ri¢a. Levison spent several y¢ars as an Officer in the British Parachut¢ R¢giment, before becoming a
b¢stselling author. He is a F¢llow of the Royal Geographical Society. liti :Jlwww.ILv
sonw od.coml
PUBLIC BENEFIT
This trustees, report outlines the ben¢fit ofour work by explaining ourkey ￿hl¢V¢￿entS against the intentions
s¢t out in last yeals report and states our hopes for the year ahead. The trustees confirni that they hav¢
ref¢￿ed to the guidance contain¢d in the Charity Commission's general guidance on public benefit wh¢n
reviewing the charity's aims and objectives and in planning future actlVAties and setting the grdnt making
policy.
OUR ETHOS
AMECA believes in measur¢d and achievable ventures, which should be sustainable over the long t¢rni,
striving to solv¢ issues at their root cause, rather than b¢ a well-intentioned, but short-t¢nn"fix" We believe
in working in partnership with others and th¢r¢fore we work with establish￿ m¢dical schools, hospitals,
doctors, local h¢alth departments and oth¢r organisations in Malawi. Such partn¢rships are vital to the long-
terni sustainability of any ventur¢.
OUR MISSION
The charitable objects of AMECA include the relief of sickness, the protection of health, establishing medical
and ¢ducational facilities to improv¢ the training of healthcare professionals in Africa.
TO ACHIEVE THIS MtSSlON, OUR AIMS ARE:
To establish medical and ¢ducational training facilities in Malawi.
To support medical training in Malawi through scholarship awards.
OUR CURRENT INITIATIVES INCLUDE:
Ongoing liaison with the Blantyr¢ District Health Office to support th¢ AMECA Health Centre with
equipment and repairs when d¢¢m¢d appropriate.
Supporting Physiotherapy services at th¢ AMECA Health Centre.
Continuing io support scholarships for students at Kamuzu University of Health S¢i¢n¢¢s, KUHeS,
(fornially College of Medicine) and the Coll¢g¢ of Health Sciences to fund educational fees for medical
and clinical offi¢¢r studies.
Continuing to provide scholarship stydents with a laptop and with subsistence, thereby enabling th¢
students to afford th¢ir r¢nt and purchase internet bundl¢s.
Undertaking the total internal renovation of the maternity unit at Chilomoni Health Centre, Blantyre.
Renovating and equipping a room at Chilomoni Health Centre for use as a Physioth¢rapy Clinic.
Supporting and liaising with MalDent to implement an ¢x¢mplar dental clinic at Chilomoni H¢alth
Centre.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PEIUOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
RISK MANAGEfiiENT
AMECA continues to id¢ntify and review the risks to which the charity is exposed on a case-by-cas¢ basis
and has put appropriate controls in place to provide reasonable assuranc¢ against fraud and error. We
reco￿lse that working in African countries is not without risk, both for ourselves and for th¢ student and
h¢althcare professionals who visit Malawi. Visiting professionals and students are given guidanc¢ in respect
of travel and other challenges in Malawi and we strive to ¢nsure that all visitors undertaking charitable
activities in Malawi are provided with &s much support as possible, whilst recognising that individuals travel
at their own risk. AMECA works hard to ensure that all visitors are briefed on the options r¢garding safe and
secure accommodation on tbe ground in Malawi.
OUR WORK IN MALAWI
AMECA'S activities are currently based in Malawi. The paucity of accessible care in rural areas of Malawi,
together with the reqU1￿ment for better training for healthcare professionals and the lack of affordability of
university and college fees, sadly still presents a serious challenge for so many. W¢ believe that an uplift in
services in rural district hospitals and primary healthcare facilities would result in a reduction in mortality
and r¢du¢e the pressure on overstretched tertiary hospitals. AMECA works with local and c¢ntral
Departments of Health. delivering initiatives that are evidence based, a¢hi¢vable and sustainable.
AMECA'S objectives for the year included:
Liaising with Blantyre District Health Office in supporting the AMECA Health Centre and Mat¢rnity
Unit at Chilaweni with administration resources and clinical ¢quipment as and when deem¢d appropriate.
Continuing to update grant funders with reports in accordance with grant agreements and applying to
grant fund¢rs for funding towards the future initiatives at Chilomoni Health C¢ntre.
Maintaining support for students receiving charitable sponsorship and ensuring that AMECA receives
notification of ¢xamination results, student progress and any challenges that may aris¢.
Expanding the number of student sponsorship placements, subject to affordability.
Undertaking a further memorandum of Agr¢ement with the Canadian Medical Foundation,
b.'l/in¢diLaifound(Ition.L¢il) for student sponsorships.
Maintaining support for the Physioth¢rapy Clinic at the AMECA Health Centre.
Liaising with Beehive in Chilomoni to support local communities with crops, following the d¢vastating
cyclon¢ in March 2023.
Researching into the feasibility of ¢stablishing a student hostel for AMECA'S scholarship students at
KUHeS, (Coll¢g¢ of Medicille).
R¢s¢8rching into renovations at Chilomoni H¢alth C¢nter, following th¢ charity's decision not to
implanent the student hostel initiative.
AMECA HEALTHCARE AFRICA LIMITED
AMECA H¢althcare Africa Limit¢d ('AMECA H¢althcare') was incorporat¢d in 2013 in Malawi as a Not
for Profit Company, Limited by Guarantee. Ruth Markus and Paul Thomas hold positions as Board Dir¢ctors.
The Board Chaimn is Krishna Savjani OBE, who is a qualified lawyer and th¢ Honorary British Consul in
Malawi. Reena Purshotum, a corporate lawy¢r, and Orpa Barlucchi, an ¢xperienced businesswoman* joined
the Board of Directors last year.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEFfEMBER 2024
DIREcfoRS
Krishna
Savjani
Ichairmanl
Ruth Markus
Paul Thomas
Reena
Purshotam
Orpa
Barlucthi
AMECA Healthcare continuLs to hold a modest amount of funds in a savings account with The N41tionaE
Bank of Malawi. An avLragc of £10,000 is nornially held in Malawi" funds are tranSfe￿d as and when any
payments are required. kny funds raised ill Malawi rem(iin in M￿&WI for AMECA'S initiativcs.
The AMECA TnL8t in the UK extend its gratitude to the Board Directors in Malawi for their time and advicc
and to Savjani & Co. in Blantyre for providing office space. in which Director's meetings are held. AMECA
Healthcare also extends gratitude to its accountants, Bhagya and Shankar in Blantyre, for their sag¢ advice
and for und¢rtaking AMf.CA Health¢ar¢'s annual accounts, without charg¢. for so many years.
THE AMECA HEALTH CEiYfRE IN CHILAWENI
The facility was completed in May 2017 and hand¢d over to The Blantyre District Health OtTice, which staffs
and maintains the clinic. AMECA has no ongoing responsibility for the running of the clinic, but we are
awar¢ of the financial constraints that prevail and support g¢nuine challenges within ihe limits of
affordability. Serving a catchment population of 38,IK>O p¢ople, the facility was upgrad¢d from a Primary
Healthcare Unit to a Health C¢ntre, following the addition of the maternity unit in 2020. Clinics are well-
attended; the Pharn)acy is nonnally well sto¢k¢d but is subject to the national shortages of some drugs.
Following financing maintenance training for healthcare staff, AMECA is pleased to see that routine
maintcnance is now being carried out at the health centre.
MATERNITY SERVICES
Th¢ AMECA Matcrnity Unit was completed in O¢tob¢r 2020, on timc and within the quoted budget. It
ornprises a 3-bed Delivery Room, a 4-bed Antenatal Ward and a 6-bed Postnalal Ward. together with an
admissii)n room, a large oul-patients waiting area, examinalion rooms, nurse station, a sluice and a staff room.
Individual patient cubicles were filted in th¢ delivery room in keeping with AMECA'S vision for safe,
respectful and patient-centred maternity care. Two new duplex houses were constructed and the whole facility
has accommodation for seven staff meinb¢rs and their families.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEvfEMBER 2024
AMECA implemented a 2-year Matcrnity Mentorship Programme for midwifery staff, which ran to th¢ ¢nd
of 2022. Th¢ mentorship programme has led to tangible improvements in the elinical skills of the staff and
delivery of patient-centred respectful maternity car¢. Along with improved leadership, this resulted in an
enthusiastic and positive atmosphere at the facility with good outcomes and improved patient satisfaction.
Monthly reports detail th¢ number of admissions, deliv¢ri¢s and refe￿al8. Excellent reporting procedur¢s
remain in place, together with clinical audits of all referrals. Ultrasound training undertaken by key staff has
resulted in more than 95% of all women being scanned during their pregnancy, most during their first
ant¢natal visit. Staff are often able to detect potential complications and refer patients, if required, to tertiary
facilities, increasing the welfare and safety for mothers and newborn.
i Ll, TIP
The maternity Clinic is one of th¢ best facililies at any government h¢alth centre in Malawi, both structurally,
aesthetically and for the level of clinical care it provides. Following the ¢nd of the official m¢ntorship, clinical
standards hav¢ been well upheld, and the Matron in Charge continues to provide AMECA with maternity
data and updates. The AMECA Maternity Unit is regarded by The Blantyre District Health Office as a c¢ntr¢
of ex¢¢llence for maternity care and effectively undertak¢s the role of a bench marking facility. It is cl¢ar
from the mentors, reports that the program successfully a¢hi¢ved its goals which is evidenced through the
qualitative and quantitative data provid¢d.
PHYSIOTHERAPY SERVICES AT THE HEALTH CENTRE
AMECA is aware of the challenges faced in th¢ community for disabled elderly people and for so many
children with physical disabilities. Disability in ihe villages, whether through trauma, neurological or other
medical conditions, presents insumiountable challenges. Few people can afford the transport to a tertiary
hospital and most rural health centres do not have either th¢ qualified staff or any facilities to off¢r
physiotherapy or treatment.
Following meetings with th¢ Blantyre District Health Offic¢, in January 2023, a DHO physiotherapist was
assign¢d to run a Physiotherapy clinic at the AMECA H¢alth Centre once a w¢ek. The clinics ar¢ well
altend¢d, although there are sometimes challenges accessing the facility due to th¢ poor roads during the
rains. R¢ports indicate that most patients are children with Cerebral Palsy, norn]ally due to birth asphyxia,
whilst elderly patients generally pre￿nt with arthritis or have suffered a strok¢.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
As physiotherapy consultations increased, requir¢ments for orthopaedic equipment grew and AMECA
obtained grants to purchase wheelchairs, standing frames, walking frames, adaptive chairs and orthotics.
Unlike the UK, where patient transport services are available and equipment can be provided at hospitals,
there are more challenges in Malawi for patients requiring &8SiStance. AMECA saves costs by using a local
ca￿enter for some items, such as standing frames and adaptive chairs.
21
Pictured below ar¢ Alipo, (left) and L¢ti¢ia, both of whom suff¢r from Cerebral Palsy, both regular attendees
at the clinic since we opened in January 2023. Their progress. as a result of regular physiotherapy, has been
really ¢n¢ourdging and AMECA was able to purchase both children standing fames and adaptive chairs.
Leticia was referred to th¢ Orthopaedic Centr¢ at Queens and received orthotics to strengthen h¢r legs. She
r¢ceived a walking frame, which we purchased from the Orthopa¢dic Centre. Alipo has progressed to being
able to stand, and his ankles are mor¢ flexible. He can now sit up whilst supporting himself and has been
measured for a standing frame. Great progress for these young patients.
/.. 141
AMECA acknowledge with gratitud¢. funding from Friends of Malawi, the Rolary Club of F.psom, th¢ Rolary
Club of Ewell and the chuwh of St Martin's of Tour in Epsom, for th¢ir generous funding for Physiotherapy
equipment and training.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
MEDICAL AYL D CLINICAL OFFICER SCHOLARSHIPS
AMECA b¢li¢ves that education should be a right and not a privil¢g¢. There are currently only 2,064 doctors
for an estimat¢d population of 20,700,000 in Malawi (Source, U.N), which equates to around I doctor for
every 10,000 people.
The in¢r¢ase in academic fees for tertiary students presents insumlountable challenges for so many. what
loans ¢xist, levy repayments unaffordable to most, ￿suIt1Thg in hardship, anxi¢ty> and stress. AMECA
b¢li¢ves that supporting the opportunity to study r¢pr¢sents a very valuabl¢ contribution to Malawi's
h¢althcare system. moreover. it is lifc changing for th¢ studenL Furthernior¢, we realized that it is not enough
to simply pay th¢ir academic fccs, as in most cases, students are unablc to afford their rent, food and internet
bundles. AMECA therefore support students with a laptop and a monthly subsistence packag¢. We are most
grateful to CMF for the donation of their laptop bags.
Scholarnhlp Placanwnts Indkaorf numb•rof 8tudonts p•r
dlscwln
• M8BSI8Sc M•Jlclre&SJrgeryl81
. Ok Intemalfv*dithntl21
. &5E P4lliaweCJelll
. tXpion*CUnlc4lM•*4*11>
. PharttMLyIII
Nursin¢i21
. m￿l¢￿LatX)rHtorysC1*rt8I1l
. Gr•JvatgJ1121
fallll
During the year, AMECA increased th¢ nwnber of scholarships awarded to students to ￿nd th¢ir Medical
and Clinical Officer fees at Kamuzu University of Health Sciences, KUH¢S, (fornially Coll¢g¢ of Medicine)
and to the Coll¢g¢ of Health Sci¢nces. The Canadian Medical Foul￿tiOn sponsored four mcdical students
in 2023 and have Continued their sponsorship for 2024. In addition, a family in the UK who sadly lost their
son are currently sponsoring two medical students. AMECA provid¢s the administrative assistance for th¢s¢
scholarships. The a¢ademic year 202312024 saw fiv¢ students grdduate as Clinical Officers with a Diplon
in Clinical Medicine.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
An unprecedentcd number of applications for h¢althcare related disciplines were r¢c¢iv¢d by the charity during
the year" a d¢cision was taken to prioritis¢ those students applying for MBBS, (Bachelor of Medicine/Ba¢helor
of S¢i¢nce) degrees and Diplomas in Clinical Medicine as opposed to Clinical o£ficers wishing to upgrad¢ to a
Bsc specialty. We furthermor¢ f¢lt that we were unable to support the costs for students training through Mission
Colleges, due to the high fe¢ l¢v¢ls imposed and decided not to tak¢ on any new nursing stud¢nt placements.
UPGII4DING FACILITIES AT CHILOMOIYI HEALTH CENTRE:
Being more than 52 years old, the original buildings r¢quir¢ r¢pairs, which are not always affordable within the
budget of Blantyre District H¢alth Office. The current mat¢rnity facilities are no longer fit for puq)ose, as the
local population h&s substantially increased, and new maternity pfdctices have evolv¢d. The maternity delivery
space is v¢ry cramped, with only thr¢¢ old and unsuitable delivery b¢ds. Th¢re is little privacy for mothws, no
working slui¢¢ and little functioning clini¢al equipment. Postnatal and Ant¢natal rrtothers are crammed togeth¢r
in an ov¢r-crowded ward, and show¢r and toilet facilities r¢quir¢ updated sanitary fittings. Mother8 oft¢n share
a b¢d or use a mattress on th¢ floor. With an average of 7 deliveries a day, the situation is v¢ry Challenging for
both mothers and for staty.
Plans hav¢ be¢n approved by the District Council for the total int¢rnal r¢novation of the mat¢rnity unit and
work comtnenced on this proj¢ct at the beginning of S¢pt¢mb¢r.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
Following on from the success of th¢ Physiotherapy Clinic created last year at the AMECA Health Centr¢.
w¢ w¢r¢ also keen to assist upgrading physiotherapy facilities at Chilotnoni. Located in an inaccessible
portacabin at th¢ far end of Chilomoni Health Centr¢, disabled patients currently strnggle to reach this facility.
There are challenges in delivering effective patient s¢rvices due to lack of equipment, the distanc¢ of the
facility from th¢ main entrance to the health centr¢ and the uneven terrain to be negotiated. Having failed to
find a suitable space for an alternative physio clinic, AMECA approached the John Hopkins Project,
which has a suitable building on site at Chilomoni. AMECA wish¢s to express gratLtud¢ to John Hopkins.
who hav¢ so kindly lent out a spare room in their building for use for physiotherapy, Sited very near the
health o¢ntre entranc¢, this perfect space is ideal for disabled m¢mbers of the community to access the facility.
Th¢ renovated Phy8lOtherapy Clinic op¢ned to patients in September.
AMECA was alerted to a donated dental chair that lacked th¢ r¢quired connections, resulting in very limited
dental service provision at Chilomoni H¢alth Centre and w¢ contacted Emeritus Professor Jeremy Bagg*
(Fonner Head of Th¢ University of Glasgow Dental School and Lead for the Scottish funded Maldent Project)
for advice.
Meetings betwe¢n AMECA, J¢r¢myy Peter Chimimba, (Malawi Lead for the MalDent Project), and Dr
Kawalazira, (Blantyr¢ DHO), led to ideas for developing an exemplar dental clinic at Chilomoni Health
C¢ntre. This initiativ¢ could provid¢ a model for dentsl facilities in health ¢cntr¢s and address dental provision
at I￿aL facilities by the dental students graduating n¢xt year. A spacious room was located which was perfect
for conversion into a dental clinic and moreover, provides space for teaching and training. The d¢velopment
of this exemplar dental facility is an exciting initiativ¢, with AMECA funding the initial renovations required.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PEIUOD I SEPTEMBER 2023 TO 30 SEvfEMBER 2024
Regular Donations
AMECA has be¢n able to increase th¢ charity's regular income to £23,000 per annum via various charitable
giving pl&tfornis and regular standing orders, which rq)resents a very important income stream for the charity?
enabling travel to Malawi and maintaining safe accommodation which also ￿nCtionS as an office, pennitting
us to cary out the charity's charitable obj¢ctiv¢s in Malawi.
On Line Donations
AMECA r¢ceive on line donations through Give as
ou Live, or via direct contributions to our bank account.
Grants and other Don¥dtions in the year:
Erach & Roshan Sadri Foundation:
St Martin's of Tours, Epsom
Rotary Club of Epsom:
Rotary Club of Ewell:
Fri¢nds of Malawi:
Foundation Eagle:
After Dinner Speaker, St G¢orge's Hill
St G¢orge's Hill Golf Club Fundraising:
£20,000
£1,500
£900
£500
£1,000
£18,000
£3,000
£46,747
The above list ¢xcludes a significant amount given by an individual via CharAtie8 Aid Foundation, (CAF),
during the past year and the scor¢s of individual donations.
AMECA extends a heartf¢lt debt of gratitud¢ to the many individuals. who have made donations to the charity
and who often give th¢ir time so generously.
IYEWSLETTER
The charitys newsletter r¢ceives a wealth of positive feedback from our r¢aders' all neWsl¢tt￿S are available
to view at: htt .'l/amcca.or
.ukJLate
IncwslLtlvrs
FINANCIAL REVIEW
Change of accounting date
The accounting periiKI has been extended by one month to 30 September 2024 to align with the reporting
date for Ameca Healthcar¢ Africa Limited with whom the charity works closely to achiev¢ its mission
objectives. As this is a thirteen month period comparativ¢ amounts, including th¢ notes will not be entirely
compardble.
Financial position
The total n¢t surplus for the pcriod was £46,970 (2023 - £4,951) and at that dat¢ AMECA had res¢rv¢s of
£130,000 (2023 - £83,030)
Principal funding sources
The charity continued io rais¢ funds from voluntary donations and its fundraising activities.
Investment policy
The trustees aim to maximise the return on its funds with minimum risk and appropriat¢ access to those fun(Ls.
10

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
Reserves policy
In the opinion of the trustees the charity should aim to maintain a n¢t Cumt asset balance on unrestricted
funds sutYi¢i¢nt to continue to support all ¢xisting wmmitments for the duration of the cornmitm¢nt and to
provide bursary awards at the discretion of th¢ trust¢¢s. The reserves are currently in excess of this amount.
Going Concern
The trust¢¢s have not identified any significant nut¢rial uncertainty which would cast doubt about th¢ ability
of th¢ Charity to continue as a going conc¢rn subject to the continuing receipt of regular donations and grants
nd, adapting its activities for any chang¢s to funding.
FUTURE PLANS
During the forthcoming year, AMECA intends to maintain support for the AMECA Heath Centr¢ and
Maternity Unit, with reasonable requests for equipment and stationery. AMECA will also provid¢ assistance
with som¢ of the repairs that may be requir¢d. Adult and paediatric patients at the Physiothcrapy Clinic will
also b¢ supported with Physiotherapy aids, such as wheelchairs, walking frames Ctc, within the limits of
available funding.
AMECA will also endeavour to expand the number of healthcare scholarships for m¢di¢al students at KUHeS
and students wishing to upgrad¢ to Clintcal Officers at The College of Health Sciences, again. within the
constraints of our funding,
AMECA will complet¢ th¢ internal renovations of the maternity unit at Chilomoni Health Centre, being
undertaken by B M Contractors. The architectural drawings were carried out by Jan Sonke and approved by
the Blantyre District Health Office and Blantyre District Council. Separate Antenatal and Postnatal wards
will be cr¢at¢d, together with total renovation of the delivery suite, a new sluice and office fa¢iliti¢s. Solar
power will b¢ provided by a new inverter and lithium batteries. Subject to ￿ndIng, AMECA will liais¢ with
the Blantyr¢ District Nursing Officer to und¢rtak¢ some uplift training for maternity staty, following the
compl¢tion of the maternity unit renovations.
AMECA will also fund the building renovations on a room to create an ex¢mplar d¢ntal clinic at
Chilomoni. The equipment, X-Ray and fittings will be undertaken by funding from The Maldent Project,
led by the University of Glasgow professor, Jeremy Bagg. Th¢ futu￿ 2-dental consultation room area will
not only be the first of its kind at primary healthcare level but will also b¢ us¢d as a t¢aching and training
facility for the em¢rging graduates from the new Bsc in D¢ntal Surgery at KUHeS.

THE AMECA TRUST
REPORT OF THE TRUSTEES
FOR THE PERIOD I SEpfEMBER 2023 TO 30 SEFfEMBER 2024
RKFERENCE AND ADMINISTRATIVE DETAILS
Registered Company Number
06354971 (England and Wales)
Registered Charlty Number
1121240 Registered Office
48 Woodlands Road
Epsom
Surr¢y
KT18 7HP
Tru8tees
Betti¢ Ruth Markus CEO
Hugh Ronald Fr¢edberg (deCea￿d 31.8.2024}
Lorraine Frc¢dberg
Paul Roderick Spensley Thomas Clinical Dir¢ctor
Anthony John Gransden R¢dshaw
Elizabeth Margaret Mary Butler (appointed 5.7.2024)
Company Secretary
Bettie Ruth Markus
Independent Examiner
Patrick Casey FCA
Bullimores LLP
Old Printers Yard
156 South Street
Dorking
Surrey
RH4 2HF
Website
wWW.￿lleC(l.0r
12

THE AMECA TRUST
REPORT OF THE TRUSTEFS
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
STATEMENT OF TRUSTEES, RESPONSIBILITIES
The t￿stee8 (who are also the directors of The AMECA Trust for th¢ puo)oses of company law) are
responsible for preparlng the Report of the Trustees and the financial statements in accordance with
applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted
Accounting Practice) including Financial Reporting Standard 102 "The Financial Reporting Standard
applicabl¢ in th¢ UK and Republio of Ireland"
Company law requires the trust¢¢s to prepare financial statements for each financial year which giv¢ a
truc and fair view of the state of affairs of th¢ charitable company and of the incoming resou￿¢$ and
application of r¢sources, including the income and expenditure, of the charitable company for that
period. In pr¢paTing those financial statemcnts, the trustees are required to
select suitable accounting policies and then apply th¢m consistently;
observ¢ the methods and principles in the Charity SORP.
make judgements and ¢stimates that are reasonable and prudent.
prepare th¢ financial stat¢ments on th¢ going concern basis unless it is inappropriate to
presum¢ that the charitable company will continue in business.
The trust¢es are responsible for k¢¢ping proper accounting records which disclose with reasonabl¢
accuracy at any tim¢ the financial position of th¢ charitable company and to enabl¢ them to ensure that
the financial statements comply with the Companies Act 2006. They arc also responsible for
saf¢guarding the assets of th¢ charitable Company and h¢nce for taking reasonable steps for the
prevention and d¢tection of fraud and other irr¢gularities.
This report has been prepared in accordanc¢ with th¢ sp¢¢ial provisions of Part 15 of the Companies
Act 2006 rclating to small companies.
Approved by order of the board of t￿￿te¢S on 25 April 2025 and signed on its behalf by:
Betti¢ Ruth Markus - Trustee
13

INDEPENDENT Ek4MINER'S REPORT TO THE TRUSTEES OF
THE AMECA TRUST
Independent examiner's report to the trustees of The Ameea Trust ('the Company,)
I report to the charity trustees on my examination of the accounts of th¢ Company for the period
I September 2023 to 30 September 2024.
Responsibilitie5 and basis of report
As the charity's trustees of the Company (and also its directors for the purposes of company law) you are
sponsibl¢ for the preparation of the accounts in accordan¢¢ with the requirements of the Companies Act
2006 ('the 2006 Act,).
Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of
the 2006 Act and are eligible for independent examination. I report in respect of my ¢xamination of your
charity's accounts as carried out under Section145 of the Charities Act 2011 ('th¢ 2011 Act,). In canying
out my examination I have followed the Directions given by the Charity Commission under Section
145{5) (b) of the 2011 knt.
Independent examiner's stvdtement
I have completed rny examination. l confmn tI￿t no matters have come to my attention in conn¢ction
with the examination giving me cause to b¢li¢v¢:
accounting records w¢r¢ not kept in respect of the Company &s r¢quir¢d by Section 386 of the 2006
th¢ accounts do not accord with those records, or
the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act oth¢r than
any requirement that th¢ accounts give a true and fair view which is not a matter considerd as part of
an independent examination. or
the accounts have not been prepared in accordance with th¢ methods and principles of the Statement of
Recomm¢nd¢d Practice for accounting and reporting by charities (applicable to charities preparing their
accounts in accordance with th¢ Financial Reporting Standard applicable in the UK and R¢public of
Ireland (FRS 102)).
I have no concerns and hav¢ come across no other matters in connection with the examination to which
attention should bc drawn in this report in order to enable a prop¢r understanding of the accounts to be
ach¢d.
Patrick Casey
Bullimores LLP
Chartered Accountants
Old Printers Yard
156 South Street
Dorking
Suttey
RH4 2HF
Date:
14

THE AMECA TRUST
STATEMENf OF FINANCIAL ACTIVITIES
(INCORPORATING AN INCOME AND EXPENDITURE Accouiyr)
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
P¢riod
1.9.23
to
30.9.24
Total
funds
Year Ended
31.8.23
Totsl
funds
Unrestricted R¢stiicted
fund
funds
Not¢s
IIYCOME AND ENDOWMEiYfs FROM
Donations
108,912
7,840
116,752
58,889
Charitable activities
Provision of medical education and facilities
20,000
12,047
32,047
18,190
Other trading activities
Invesknent in¢oJne
370
969
370
969
loo
190
Total
130
19,1187
1.$0 138
EXPENDITURE ON
Raising funds
1,976
1,976
839
Charltable activities
Provision of m¢dical education and facilities
Donations
Other activities
29,966
47,403
3,917
10,961
8,945
40,927
56,348
3,917
31,396
36,848
3,335
Total
103 168
NET INCOMEI(EXPENDITURE)
46,989
(19}
46,970
4,951
RECONCILIATION OF FUNDS
Total funds brought forward
83,011
19
83,030
78,079
TOTAL FUNDS CARRIED FORWARD
130000
130,000
83 031)
The notes forni part of these financial statements
15

THE AMECA TRUST (Registered Number: 06354971)
BALANCE SHEET
30 SEPTEMBER 2024
30.9.24 31.8.23
Total
Total
fi￿dS
fimds
Unrestrict¢d Restrfict¢d
fund
fimds
Notes
FIXED ASSETS
Tangible assets
io
24,069
24,069
CURRENT ASSETS
Debtors
Cash at bank
9,155
100 486
9.155
107,440
10,217
75,687
109,641
6,954
116,595
85.904
CREDITORS
Amounts falling du¢ within one year
12
(3,710)
(6,954)
(10,664)
(2,874)
NET CURRENT ASSETS
105,931
105,931
83,1130
TOTAL ASSETS LESS CURRENT
LIABILITIES
130,000
130,000
83,030
NET ASSETS
130,(M)O
i ii),000
FUNDS
Unrestricted funds
Restricted funds
14
130,000
83,011
19
TOTAL FUNDS
1301)00
The charitable company is entitled to ¢xemption from audit under S¢ction 477 of the Companies Act
2006 for th¢ period ended 30 September 2024.
The members have not required the company to obtain an audit of its financial statements for the period
ended 30 September 2024 in accordanc¢ with S¢ction 476 of the Companies Act 2006.
The trustees acknowledge their responsibilities for
(a)
ensuring that the charitabl¢ company keeps accounting r¢cords that comply with Sections 386 and 387
of the Companies Act 2006 and
(b) preparing financial stat¢ments which give a true and fair view of th¢ state of affairs of the charitabl¢
company as at the end of each financial year and of its surplus or deficit for ¢￿h financial year in
accordance with the r¢quirements of Sections 394 and 395 and which otherwis¢ comply with th¢
requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the
haritable company.
The notes form part of these financial statements
16

THE AMECA TRUST
BALANCE SHEET- COThNUED
These financial statements hav¢ been prepar¢d in accordance with th¢ provisions applicable to charitsble companies
subjcct to the small companies regime.
The financial statcmcnts were approvcd by the Board of Tn￿teeS and authoris¢d for issue on 25 April 2025 and were
signed on its behalf by:
Bettie Ruth Markus - Trustee
The notes fonn part of th¢K finan¢ial statements
17

THE AMECA TRUST
IYOTES TO THE FINANCIAL STATEMENTS
FOR THE PERIOD I SEpfEMBER 2023 TO 30 SEPTEMBER 2024
ACCOUNTING POLICIES
Basis of preparing the financial $tatements
The financial statements of the charitabl¢ company, which is a public ben¢fit entity under FRS 102,
have been pr¢pared in accordance with the Clthrities SORP (FRS 102) 'Accounting and Reporting by
Charities: Statement of Recommend¢d Practice appli¢abl¢ to charities preparing their a¢¢ounts in
accordance with th¢ Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS
102) (effective l January 2019),, Financial Reporting Standard 102 The Financial R¢porting Standard
applicable in the UK and Republic of Ireland, and the Companies Act 2006. The financial statements
have been prepared under the historical cost convention.
Golng concern
Th¢ charity receiv¢s regular donations and grants as outlined in th¢ Trustees report that help support its
haritable activities. Other than its reliance on th¢ continuance of these sources, th¢ trustees have not
id¢ntified any significant mat¢rial uncertainty which would cast doubt on the charity's ability to continue
as a going Concern..
Finaneial reporting standard 102 - redueed disclosure exemptions
Th¢ Charitable company has tak¢n advantage of th¢ following disclosure exemption in preparing thes¢
financial statem¢nts, as pennitted by FRS 102 The Financial Reporting Standard applicable in the UK
and Republic of Ireland,:
th¢ requirements of Section 7 Statement of Cash Flows.
Income
All income is recognised in the Statement of Financial Activities once the charity has ¢ntitlement to th¢
funds, it is probable that th¢ income will b¢ received and th¢ amount can be measured reliably.
Expenditure
Liabilities are recognis¢d as expenditure as soon as th¢re is a legal or constructive obligation committing
the ch￿ltY to that ¢xpenditure, it is probable that a transfer of ¢oonomic benefits will be required in
s¢ttlement and th¢ amount of the obligation can be measured reliably. Expenditure is accounted for on
an accruals basis and has b¢¢n classified under headings that aggregate all Cost related to th¢ category.
Where costs cannot be directly attribut¢d to particular h¢adings they have been allocated to activities
on a basis Consistent with the use of resources.
Raising funds
Costs of generating funds compris¢ the costs associated with attracting voluntary income.
Charltable 4ctivitAes
Costs relating to charitabl¢ activities comprise those costs incurred by th¢ charity in the delivery of its
activities. It includes both costs that can be allocated directly to such activities and thos¢ costs of an
indirect nature to support them.
Tangible flxed assets
D¢preciation is provided at th¢ following annual rates in order to write off each asset over its estimated
useful life.
Motor vehicles
Computer ¢quipment
250/0 on cost
33V/o on cost
Tangible ass¢ts costing more than £500 are capitalised and included at cost.
18

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENTS- CONTINUED
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
ACCOUNTING POLICIES - continued
Taxatlon
The charity is a registered charity and as such no income or capital t&xes are payable on its
charitable activities.
Fund accounting
Unr¢stricted funds can be used in accordanc¢ with the charitable obj¢¢tives at the discretion of th¢
trustees.
Fund accounting
Restiictions arise wh¢n specified by th¢ donor or when funds ar¢ rdised for particular r¢strict¢d
purpos¢s.
Restricted funds can only be u￿d for particular restricted pU￿oseS within the objects of the
charity.
The restri¢t¢d fimds are as follows..
- Refurbishm¢nt of High Dep¢nd¢ncy Units
Maternity Unit Projecl, Chilaweni
- Physio Clinic at Chilomoni Health Centre
- Stud¢nt sponsorship
Forelgn eurrencies
Assets and liabiliti¢s in foreign curr¢nci¢s are translated into st¢rling at the rates of exchange nding
at the balance sheet date. Transactions in foreign currencies are translated into sterling at th¢ rate
of exchang¢ nding at the dat¢ of transaction. Exchang¢ differences are included in th¢ Statement
of Financial Activities as Charitable activities. Net gains are included in oth¢r income and net
losses are included in other exp¢nditure.
OTHER TRADING ACTIVITIES
Period
1.9.23
to
30.9.24
Year Ended
31.8.23
Fundraising cv¢nts
370
loo
INVESTMENT INCOME
Period
1.9.23
to
30.9.24
Y¢ar Ended
31.8.23
Deposit account interest
Other interest r¢c¢ived
908
61
190
969
190
19

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENfs- CONTINUED
FOR THE PEIUOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
INCOME FROM CHARITABLE ACTIVITIES
Period
1.9.23
to
30.9.24
Year Ended
31.8.23
Activity
Provision of m¢dical education and
factlities
Grants
32,047
18,190
Grants r￿c1Ved, includ¢d in the above, are as follows:
Period
1.9.23
to
30.9.24
Year Ended
31.8.23
Erach and Roshan Sathi Foundation
20,000
20,000
Carried forward
20,000
20,000
Period
1.9.23
to
30.9.24
Year End¢d
31.8.23
Brought forward
Fri¢nds of Malawi Association
Foundation Eagl¢
20,000
1,000
11,047
20,000
32,047
20,000
CHARITABLE ACTIVITIES COSTS
Direct
Costs
Support
costs
Totals
Provision of medical education and
facilities
Donations
Other activities
30,113
56,348
10,814
40,927
56,348
3,917
3,917
86,461
101,192
Donations paid in the year were to AMECA H¢althcare Africa Limited, a Not for Profit company
incorporated in Malawi with two trustees in Common and under common control. The funds
donated to AMECA Healthcar¢ Africa Limit¢d were used by that company towards the cost of the
ncw n￿ternItY clinic, including mentorship, s￿nSorship of medical training and other expenditure
to meet similar aims to th¢ AMECA Trust.
20

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMEIYTS- CONTINUED
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
NET INCOMEI(EXPENDITURE)
Net incomel(exp¢nditure) is statd after chargingl(crediting):
Period
1.9.23
Year End¢d
31.8.23
30.9.24
D¢preciation - owned assets
8,925
INDEPENDENT EXAMINER'S REMUNERATION
Period
1.9.23
Y¢ar Ended
31.8.23
30.9.24
Independ¢nt examination fee
Other non-cxamination scrvices
3,882
2,840
460
TRUSTEES, REMUNERATION APID BENEFITS
There wer¢ no trustees, remuneration or oth¢r benefits for thc p¢riod ended 30 September 2024 nor for
the year ¢nded 31 August 2023.
Trustees, expenses
Trustc¢'s expenses of £2,307 (2023 £3,508) for travel, entertaining, telephone, postage and
disbursements were payable to Ruth Markus in the period.
COMPARATIVES FOR THE STATEMENT OF FINAIYCIAL ACTIvrriES
Unr¢stricted Restrict¢d
fund
funds
Total
funds
INCOME AND EIYDOWMENTS FROM
Donations
57,889
58,889
Charitsble activities
Provision of medical education and facilities
20,000
(1,810)
18,190
Other trading activities
Invcstmcnt income
l(M)
190
loo
190
Total
78,179
(810)
77,369
21

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENTS- CONTINUED
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
COMPARATIVES FOR THE STATE￿NT OF FINANCIAL ACTIVITIES - eontlnued
Unrestricted R¢stricted
Total
fund
funds
funds
EXPENDITURE ON
Raising funds
839
839
Charitable activities
Provision of medical education and facilities
Donations
Other activities
29,442
36,848
3,335
1.954
31,396
36,848
3,335
Total
70,464
1,954
72,418
NET INCOMEI(EXPEIYDITURE)
7,715
(2,764)
4,951
RECONCILIATION OF FUNDS
Total funds brought forward
75,296
2,783
78,079
TOTAL FUNDS CARRIED FORWARD
83,011
19
83,030
10. TANGIBLE FIXED ASSETS
Motor
vehicles
Computer
equipm¢nt
Totals
COST
At I September 2023
Additions
2,356
2,356
32,994
32,994
At 30 S¢ptember 2024
32,994
2,356
35,350
DEPRECIATION
At I Septemb¢r 2023
Charge for year
2,356
2,356
8,925
8,925
At 30 S¢pt¢mber 2024
8,925
2,356
11,281
NET BOOK VALUE
At 30 September 2024
24,069
24,069
At 31 August 2023
22

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENTS- CONTINUED
FOR THE PERIOD I SEPTEMBER 2023 TO 30 SEVTEMBER 2024
11. DEBTORS: AMOUNTS FALLING DUE WITHtN ONE YEAR
30.9.24
31.8.23
Accrued income
Pr¢payments
5,274
3,881
4,712
5,505
9,155
12. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
30.9.24
31.8.23
Deferr¢d income
Accrued ¢xp¢nses
6,953
3,711
2,874
10,664
Def¢rr¢d income of £6,953 (2023 - NIL) represents unspent fiulds received for the construction of
th¢ maternity unit.
13. LEASING AGREEMENTS
Minimum lease payments under non-¢ancellable operating leases fall due as follows:
30.9.24
31.8.23
Within one year
770
810
14. MOVEMENT IN FUNDS
N¢t
movem¢nt
in funds
At
30.9.24
At 1.9.23
Unrestrlcted funds
G¢neral fund
83,011
46,989
130,000
RestrActed funds
Physio Clinic
19
(19)
TOTAL FUNDS
83,030
46,970
130,000
23

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENTS- CONTINUED
FOR THE PERIOD I SEvfEMBER 2023 TO 30 SEPTEMBER 2024
14. MOVEMENT IN FUNDS - eontlnlled
Net movement in fvnds, included in th¢ above are as follows:
Incoming
resources
Resources Movement
expend¢d in funds
Unrestricted funds
G¢neral fund
130.251
(83,262)
46,989
Restrieted funds
Chilaweni Maternity Unit
Student sponsorship
Physio Clinic
11,047
6,940
1,900
(11,047)
(6,940)
(1,919)
(19)
19.887
(1 (),906)
19)
TOTAL FUNDS
150,138
(103,168)
46,970
Comparatives for movement in funds
Net
movemcnt
in funds
At
31.8.23
At 1.9.22
Unrestrlcted funds
General fund
75,296
7,715
83,011
Restricted funds
Construction of HDU at Holy Family
Mission, Phalombe District
Physio Clinic
2,783
(2,783)
19
19
19
TOTAL FUNDS
78,079
4,()51
83,030
24

THE AMECA TRUST
NOTES TO THE FINANCIAL STATEMENTS- CONTINUED
FOR THE PEIUOD I SEPTEMBER 2023 TO 30 SEPTEMBER 2024
14. MOVEMENT IN FUNDS - continued
Comparative net movement in fimds, included in the above are as follows:
Incoming
Movement
resources
Resources
expended in funds
Unrestricted fuDds
General fund
78,179
(70,464)
7,715
Restricted funds
Construction of HDU at Holy Family
Mission, Phalomb¢ District
Physio Clinic
(1,810)
1,000
(973)
(981)
(2,783)
19
810)
TOTAL FUNDS
77,369
(72,418)
4,951
IS. OTHER FINANCIAL COMMITMENTS
At the year end the trust had estimated futur¢ fee and subsistence allowance commitments of
£7,402 (2023 - £20277) in respect of stud¢nt sponsorship placements to medical training courses.
16. RELATED PARTY DISCLOSURES
There were no related paty transactions for the period ¢ndcd 30 September 2024.
17. ULTIMATE CONTROLLING PARTY
In th¢ opinion of the trustpxs th¢ charity has no ultimate controlling party.
18. LIABILITY OF MEMBERS
The charity is a company limited by guarant¢¢. The members of the company ar¢ th¢ trustees
named on page l. In the event of the company b¢ing wound up, the liability in respe¢t of th¢
guarantee is limit¢d to a maximum of £10 from ¢a¢h of the trustees.
25