Proshanti Proshanli UK | proshanti.org Proshanti PROSHANTI UK Company limited by guarantee Trustees, report and financial statements for the year ended 31 December 2023 Company registration number 07108914 Regisler&J charity number 1137179
Proshanti Charity information Trustees, who served during the year Lilu Ahmed (Chair of Trustees) Dr Rebecca Scott Dr Jaha Afroze Momena Stephen David Storr President Vice President Secretary Sir Stephen O Brien Rev Helen Matthew Graham Rowbotham Charity Number 1137179 Registered Office The Bromley by Bow Centre st Leonard's street, Bromley by Bow London E3 3BT UK Independent Examiner Syldon abd co Accountants 333 Statford Workshop Burford Rd, Stratford. London E15 2SP Bankers HSBC Bank PIC 38 Canada Place, Canary Vvharf E14 SAH
F>roshanti Contents Page Trustees, annual report 14 Independent examiners, report Statement of financial activities Statement of total recognised gains and losses Balance sheet Notes lo the financial statements
Proshanti Report of the Trustees, for the year ended 31 December 2023 The Trustees present their annual report and the financial statements for the year ended 31 December 2023 and confirm they comply with the CharitiesAct 2011, the trust deed and the Charities SORP 2005. Structure, governance and management Governing document Proshanti UK is incorporated as a company limited by guarantee and registered with the Charity Commission in December 2009 under charity number 1137179. 11 is governed by Memorandum and Articles of Associations dated 19th December 2009. Organisational structure The Trustees of the Charity are also the Directors of the Company We have formal Board meetings al least four times a year and meet informally between Board meetings. Our volunteer medical advisers in London meet about twice a year and report directly to the Board. What is Proshanti? Proshanti UK is a UK based charity and was fomied in 2009 after a number of UK professionals and volunteers visited Juri, a remote sub-dislrict (Upazila) of Moulvibazaar District in the Sylhel region of Bangladesh. 11 was s8t up in 2009 with the aim of transforming health care in rural Bangladesh by creating a healthy living partnership between the communities in Bangladesh and Bromley by Bow. Tower Hamlets in East London. The aim is to build a Healthy Living Centre in the Juri sub-district of Moulvibazaar District that will provide free affordable primary health care, together with preventive and health education, as well as an effective palienl referral service lo a trusted hospital. Recruitment and appolntment of trustees Trustees are recruited from those who show a particular interest in the woth of Proshanti and who can contribute lo the work of the Board. Trustees have referred to the Charity Commission's general guidance on publi¢ benefit when reviewing Proshanti's aims and objectives. In particular, the Tnjstees have considered how the activities of the organisation will contribute to the objectives that have been established for the chaflty. Induction and training of trustees A number of pUblCatIOns, detailed guides and how to guides. from the Charity Commission are also provided including "What makes a charity" Charitable purposes and public benefrt" and "Public benefit. the rules for charities" This ensures that new trustees are aware of the scope of their responsibilities under the Charities Act. Risk management The Iruslees asses5 the risks the charity faces using a risk matrix which identifies the major risks by area of activity, the nature ofthose risks. the likelihood of the risks happening and the measures taken to manage them. The trustees review the risk at their meetings. The trustees are satisfied that systems are in place, or arrangements are in hand, to manage the risks. In particular, insurance cover is in place and the finances of the Charity are kept under review. Objectives and activities Our objectives The objects of the charity are set out in Memorandum and Articles of Association and are summarised as follows.. "The Company's objects are the relief of sickness and the promotion and preservation of good health, in particular but not exclusively, of people living in the Juri region of Bangladesh, by the 5UPPOrt and establishment of a healthy living centre or centres. Page- 1
roshantl Actlvities and achievements Proshanti UK provides the following clinical services from the Juri clinic= Activities in 2023 Proshanti has established f(self as a reliable service provider for pregnant women in the Juri Upazila, with most of its clients being referred by satisfied seNice users In addition, Family Welfare Visitors also refer pregnant women lo Proshanti. Proshanti staff regularty conduct community meetings throughout Juri to raise awareness about the seNices they offer. The enrolment process for Proshanli's services is determined by their criteria, which require applicants to have no other viable means of receiving antenatal care and also consider Iheir level of means. During the enrolmenl assessment, Proshanti Outreach Workers carry out home visits for prospective clients to assist in their assessment. Enrolment of new cllents Ipatients) We have enrolled 162 clients in 2023, compared to 193 in 2021. Among them 19 were high risk cases. Delivery support provided In 2023, we served a total of 175 clients, with our delivery services breaking down as follows.. 32 (18 % ) were normal deliveries al hospitalslclinics, 106 (61 were normal deliveries at the clients, homes Iwilh 37 (210/0) of these support- ed by our Skilled Birth Altendanl and the remaining 69 (39% ) supported by their family members). Additionally, we managed 37 (21 /0) deliveries through caesarean section {C-section). This C-section rate notably surpasses the World Health Organization's (WHO) r8commended maximum of 150/0 and the global average of 21 %, as indicated in a study by the Bangladesh Institute of Development Studies. However, it remains below the overall rate of caesarean deliveries among Bangladeshi mothers, which was 33.220/0 in 2018. It's important lo highlight that over 730/0 of Proshanli clients who undefwent a C-section were identified as hph-risk patients at the time of their registration with Proshanti. indicating a limited possibility for facilitating normal deliveries in these cases. Mlscarriage, abortion and child mortality, still blrthj premature birth and neonatal death In 2023, there were no instances of miscarriages or premature births, wrth On one case of stillbirth. reported. Antenatal care and post-natal visits In 2023, Proshanti provided 608 antenatal care sessions and 492 postnatal visits lo our clients. Each enrolled clienl received 4 10 5 ANC sessions and 3 10 4 PNC visits during their time wrth us. We are proud to report that we never received any complaints regarding the care provided by our staff, and no client missed any visits due to staff negli- gence. Medical investigations and medicine support All our enrolled clients received necessary medical investigation support including ultrasonography as required when advised by doctors, and free medicine supply from enrolment to six weeks after their delivery. Health Education In 2023, 105 health education sessions took place, where 1,639 participants were pregnant women and their family members during their anti-natal care and post-natal visits. Page- 2
4roshanti Health Awareness in Community levels We have carried out 15 health awareness sessions across all six unions of Juri Upazila at the community level, allracling a lolal attendance of 225 women and 75 men. Our Skilled Birth Attendants are now leading 3 to 4 sessions monthly at the community level, expanding upon the groundwork laid by the Community Mobilisers. Monthly services of cllents Every month, we offer services to 120 underprivileged pregnant women from the Juri sub-district. Of these, over 15D/o are identified as high-risk, and we ensure personalized one0nne support is provided lo each of Ihese high-risk patients. Partnership work To manage Proshanti's work cost effectively in Bangladesh, because ofthe difficulty of registering as an independent NGO. in July 2016 Proshanti entered into an agreement with Prottoy, an existing Bangladesh-registered NGO, for the delivery of Proshanti's services in the region. Proshanti has a Memorandum of Understanding with Juri Adhunic General (Pvt) Hospital who offer free clinic and office space to run Proshanti's clinical services. In addition, they provide free of charge day-to-day doctors consultation for Proshanti patients. Proshanli also worked closely with Upazila Health staff, who offered advice and training support -for our midwiveslskilled Birth Attendanls. Proshantl Jurl clinlc staff Two full time midwiveslskilled Birth Attendants. One full time Centre Manager (started in December 23) One full time outreach workerlProjecl Officer One part time accountant (1 day a week) One full lime driver Furthemiore, the Execulive Director of Prottoy allocates one day each week lo oversee the quality of services delivered by Proshanli. This role also involves ct)ordination with the Iccal govemment adminislralion and the NGO Affairs Bureau. In addition. the Proshanli UK Programme Development ConsLbltanl stays in regular contact with the Juri staff and the Prottoy Executive Director. guaranteeing seamless operations and the successful execution of Proshanli's initiatives in Juri. Impact of Proshanti Work The population of Juri is diverse, comprising individuals from various cultures and religions, including Tea Garden workers from India, tribal communities such as the Manipuri people, Muslim. Hindu. and Christian women. In rural, impoverished communrties in Bangladesh, women often have limited control over their health and personal situations. Those living in extreme poverty may have received little education. possess Itttle knowledge about health, and lack confidence in asserting their needs. Social and family circumstances can be challenging, with severe overcrowding, poor-quality housing, poor diets, and men and parents-in-law often controlling family decisions. Poor maternal and child health outcomes can have a devastating effect on women and Iheir families. Proshanti's project has a positive impact on women's health care experiences during pregnancy and childbirth. It aims to empower and build the confidence of poor and excluded women, regardless of their culture or religion. Page- 3
roslianti Financial review Reserves policy The trustees have reviewed the reserves of the charity. Their policy is to hold enough funds to meet four months, operating costs of the premises The free reseTves as at 31 December 2023 were £74275 35. Due to a delay in obtaining the NGO Bureau approval letter from Bangladesh, we regret to inform you that there was a delay in transferring funds. However, £22,019.87 was transferred in January 2024 for current year operation. Principal funding sources Proshanti is indebted to numerous individual donors as well as East London NHS Lift Company for their regular and generous contribution towards Proshanti. Proshanli organised a Ramadan Appeal in March to June 2023 £ 3821.89 was raised through this appeal. Investment policy and objectives The charity has no long-lerm investments. Our cash reserves are held in bank accounts. Statement of Trustees. responslbillties The charity trustees are responsible for preparing an annual report and financial statemenls in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). The law applicable to charities in England and Wales requires the charity trustees to prepare financial statements for each year which gwe a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources of the charity for that P8riod. In preparing the financial statements, the trustees are required lo,. select suitable accounting policies and then apply them consistently., observe the methods and principles in the Charities SORP.. make judgements and estimates that are reasonable and prudent., slate whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements.. prepare the financial statements on the going concern basis unless tt is inappropriate to presume that the charity will continue in business. The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Charities Act 2011 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irregularities. The trustees for the purposes of charity law who seNed during the year and up lo the date of this report are set out on charity information page. Approved by the Direclorrrrustees and signed on its behalf by-. Director (Lilu Ahmed) Page- 4
Proshanti Independent examiners, report to the trustees of PROSHANTI UK I report on the accounts of the trust for Ihe year ended 31 December 2023. Respective responsibilities of Trustees and examiner The charity trustees are responsible for the preparation of the accounts. The charity's trustees consider that an audit is not required for this year under section 144(2) of the Charities Act 2011 (the 2011 Act) and that an independent examination is needed. 11 is my responsibility to.. examine the accounts under section 145 of the 2011 Act; follow the procedures laid down in the general Directions given by the Commission under section 145{51{b> of the 2011 Act, and slate whether particular matters have come to my attention. Basis of opinion My examination was carried out in accordance with General Directions given by the Charity Commissioners. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the account, and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a "true and fair view ' and the report is limited to those matters set out in the next statement. Independent examlner's statement In connection with my examination, no matter has come to my attention.. (i} which give me reasonable cause lo believe that in any material respect the requirements.. (1) to keep accounting records in accordance with section 130 of the 2011 Act; and (2) to prepare accounts which accord with the accounting records and comply with the accounting requirements of the 2011 Act have not been met,. or {iil to which, in my opinion, the attention should be drawn in order to enable a proper understanding of the accounts lo be reached. For and on behalf of Syldon and Co Accountants Mohammed Chowdhury Date.. Page- 5
r'roshant Statement of financial activities for the year ended 31 December 2023 Unrestricted Restricted Funds Funds Total Funds 2023 Total Funds 2022 Incoming recources Incoming resources from generated funds.. Donations Notes 30433 3822 34254 27934 Other income 1668 1668 1509 Total incoming resources Resources expended Cost of generating funds Charitable activities 32101 3822 35922 29443 (21,511) (1103) (21,511) {1,103) (24507) 11269) Administrative costs Total resources expended (22.614) (22,614) (25776> Nel movement in funds 9,487 51,574 61,601 3,822 10,032 13,854 13,309 61,606 79,915 3,667 57,939 61,606 Retained funds brought forward Retained funds carried forward Year ended 2022 Statenent of total recognized galns and looses Year ended 2023 Nel incoming resources before other recognized gainsllosses 13,309 3667 Total recognized gains since last annual report 3667 Page- 6
Proshanti Balance sheet fas at 31 December 2023 Unrestricted Restricted Funds Funds Total Funds 2023 Total Funds 2022 Notes Current assets Debators 638 638 5593 Cash at bank and in hand 70454 3821 74275 56012 Nel current assets 71092 3821 74913 61605 Total assets less current liabilities 71092 3821 74913 61605 71092 3821 74913 61605 Nel assets FLinds 71092 3821 74913 61605 income funds 71092 3821 74913 61605 Total funds 71092 3821 74913 61605 9,487 13,309 61,606 79,915 57,939 61,606 51.574 61,601 3,822 10,032 These financial statement5 have been prepared in accordance with the special provisions of Part 15 of the CompaniesAct 2006 relating to small companies. The company is exempt from the requirements relating to preparing audited accounts in accordance with section 477 of the Companies Act 2006. The members have not required the company to obtain an audil of the accounts for the year in question in accordance with section 476 of the Companies Act 2006. The trustees acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect lo accounting records and the preparation of accounts. These accounts have been prepared in accordance with the provisions applicable lo companies subject lo the small companies, regime. The financial statements were approved by the Board on 8th June 2024 and signed on its behalf by Director (Lilu Ahmed) Registration number 1137179 Page- 7
roshant. Notes to the financial statements for the year ended 31 December 2023 1. Accounting policies Accounting convention The financial slalements have been prepared in accordance with 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 1 January 2015) - (Charities SORP (FRS 1 02)>, the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS 1021 and the Companies Acl 2006. Incoming resourc8S All incoming resources are recognized once the charity has entitlement to the resources, il is certain that the resoLirces will be received, and the monetary value of incoming resources can be measured with sufficient reliability. Income Th8 total income of the charity for the year has been derived from its principal activrties undertaken in the UK and Bangladesh Unrestricted Restricted Funds Funds Year Ended 31112123 Year Ended 31112122 Unlted Klngdom East London Lift 23,184 7,249 1,668 32.101 23,184 11,071 1,668 35,923 16,001 11,827 1,616 29,443 Other donations 3822 Other income 3822 Page- 8
Proshanti Notes to the financial statements for the year ended 31 December 2022 Year Ended 2023 Year Ended 2022 3. Administration Expenses Service delivery fees Travelling Insurance 10573 13907 1138 523 593 557 Program management service fees both in Bangladesh and UK Sundry expenses Bank Charges 9600 10600 420 100 90 90 22614 25776 2023 2022 4, Debtors Prepayments and accured income 638 5593 Unrestricted Restricted Funds Funds Year Ended 31112123 5.Funds At 1 January 2023 Net movement for the year At 31 December 2023 56,012 22,%8 74.275 56,012 22,968 74,25 2023 2022 6. Reconciliation of movements in total trust funds Income resources for the year Net addition to funds 18,263 7,537 18,263 56,012 74,275 7,537 48,475 56,012 Openting trust funds Closing trust funds Page- 9