2022-12-31-accounts

KNOWLEDGE FOR CHANGE

TRUSTEES ANNUAL REPORT & ACCOUNTS FOR THE YEAR ENDING 31[ST] DECEMBER 2022

Knowledge for Change is a registered as a charity in England and Wales (Charity Commission registration number: 1146911)

Registered Address: 11 Newmarket Street, Skipton, North Yorkshire, BD23 2HX Working Address: Allerton Building, University of Salford, Manchester, M6 6PU Website: www.Knowledge4Change.org Email: [e-mail]

Background

for was Knowledge Change launched officially in 2012 and was formally entered on the Charity Commission Register as Charity Number 1146911 on 17th April 2012. The Charity's working names are ‘Knowledge for Change’, ‘Knowledge 4 Change’ and ‘K4C’. The official charity address is 11 Newmarket Street, Skipton, North Yorkshire, BD23 2HX.

The UK based K4C trustees during the 12 months to 31[st] December 2022 were:

Professor Louise Ackers

(Chairperson) – Chair in Global Social Justice, University of Salford (UK)

– Miss Natalie Tate (Secretary) Project Manager, Liverpool School of Tropical Medicine (UK)

Dr James Ackers-Johnson (Treasurer) – Project Manager, University of Salford (UK)

Professor Anya Ahmed – Chair in Social Policy, Manchester Metropolitan University (UK)

Dr John Chatwin – Post-doctoral Researcher, Midlands Partnership NHS Foundation Trust (UK)

Dr Chris Coey – Grant Writer, University of Liverpool (UK)

Miss Eileen Cunningham – Lecturer, Manchester Metropolitan University (UK)

Miss Claire Horder – Midwife, University Hospitals Dorset NHS Foundation Trust

The Uganda based K4C trustees during the 10 months to 31st December 2022 were:

Dr Robert Ssekitoleko – Lecturer in Biomedical Engineering, Makerere University (Uganda)

Structure & Management

The structure, governance and management of K4C has remained unchanged over the course of the last 10 months. The Board of Trustees remains responsible for making decisions on all matters of general concern and importance to K4C including operational and financial decisions. The majority of K4C trustees are based in the northwest of the UK and are lucky to be able to meet on a regular basis; the Uganda based trustees are communicated with virtually and via email, as well as in-person during site visits.

Recruitment, Appointment & Induction of Charity Trustees

The Trust Deed states that there must be a minimum of 4 trustees acting on behalf of K4C. There is no maximum term of appointment and trustees can serve until they resign should they continue to fulfil the terms stated in the Trust Deed. Mechanisms for the removal of trustees do exist and are also detailed in the Trust deed. All existing trustees have long experience of the nature of the charitable activity of K4C and, aside from expenses, were not remunerated for their trusteeship.

Where new trustees are appointed, they are given a formal induction to the work of the trust and provided with the information they need to fulfil their roles, which include information about the role of trustees and charity law. New trustees are nominated by members of the board of trustees, interviewed by the board of trustees and appointed where they have the necessary skills to contribute to the charity’s management and development.

Trustees are responsible for monitoring all of the trust’s activities and are bound by the terms stated within K4C’s Declaration of Trust and amendments.

Amendments to the Board of Trustees

There have been no amendments to Knowledge for Change’s board of trustees during this financial year. However, the board have agreed to seek new trustees during the next financial year to bring fresh knowledge, experience and ideas to support our future activities.

Objectives, Strategy & Public Benefit

The charitable objectives of K4C are as follows:

1) To support the relief of sickness and preservation of the health of patients in the UK and in Sub-Saharan Africa, in particular through charitable

activities in healthcare centres throughout Sub-Saharan Africa, assisting in the provision of facilities, support services, equipment not normally provided by the statutory authorities and other charitable any purposes/activities.

The activities described below have primarily benefited the people who live in the catchment areas of the universities and hospitals in which K4C operates. More generally, all professional volunteers, students and British Commonwealth funded fellows that have completed placements through K4C will have gained new skills and experience which will benefit the public in the UK and more Uganda widely depending on where they go on to work. All benefits are related to the objectives of the charity, as stated above. The trustees are not aware of any harm arising from the activities of the charity, nor of any private benefit, directly or indirectly.

2) To advance the education of the health workers of SubSaharan Africa and the UK by promoting education, knowledge exchange and personal experience.

Knowledge for Change works in close partnership with the University of Salford (UK), Mountains of the Moon University (Uganda) and Kabarole Health District (Uganda). Additional support has been received from the UK Department for International Development, the Tropical Health Educational Trust, the Commonwealth Pharmacy Association and the Ugandan Ministry of Health.

K4C Activities (Jan-Dec 2022) some Despite ongoing challenges caused by the Covid19 pandemic, K4C has maintained the majority of its existing projects and also embarked on several new and ambitious projects over the course of the last 12 months, working in close partnership with the University of Salford and other stakeholders.

The trustees are aware of the Charity Commission’s Guidance on Public Benefit. They have reviewed the objectives of the charity, its activities in 2021 and future plans in the light of this guidance and find that all of these comply.

Note: Further information can also be found on our website (www.Knowledge4Change.org), Facebook (@K4CUganda), Twitter (@Know4Change) and Instagram (#knowledgeforchange).

CERVICAL CANCER SCREENING

developed by K4C’s longstanding project manager Allan Ndawula as his Master’s degree research project. This has also dramatically increased uptake of the service.

Background

Since 2017 Knowledge for Change has been developing a Centre of Excellence for cervical screening and treatment in Kagote Health Centre III in Fort Portal. One of the most pressing women’s health issues, cervical cancer remains the leading cause of cancer death for women in Uganda, despite being preventable through regular screening and treatment of precancerous lesions.

We have expanded the community based ‘Kagote model’ into other health centres in Fort Portal, and established a pilot site in Kampala. Since 2019 we have trained over 80 Ugandan nurses and midwives and screened over 3,000 women, treating any abnormal cells on the same day with our handheld rechargeable thermocoagulator devices.

Centre for Excellence

Using innovative mobile phonebased technology (The EVA device - pictured) to ensure high quality screening and access to telemedicine support from UK based cervical screening specialist doctors, the ‘one stop’ Point of Care screen and treat service at Kagote has become fully integrated into the government health centre and is a Centre of Excellence in the region. Women can access the service free of charge, at a local health centre that they know well and where respectful care is assured. This has hugely expanded uptake and access for cervical screening. An extensive awareness raising campaign in the community was enabled by GIS mapping,

What Next?

With the support of fundraising from past UK students and volunteers, and the University of Salford, we will continue the expansion of this successful model in Fort Portal and Kampala in 2023, including the exciting pilot and trial of new Artificial Intelligence (AI) capabilities of the EVA device to improve diagnostic decisions and quality of care for women.

GETTING AND KEEPING GIRLS IN EDUCATION

Why?

to discuss the experiences of girls in Uganda and the barriers they experience when trying to access and remain in Education

Ensuring that girls attend School is not only important for their education; it is also critical to their access to health education and preventive health (including HPV Vaccination).

Uganda suffered one of the longest periods of school closures during COVID with schools closed for 2 years. This was followed by further closures during the Ebola flare-up

Mary, Andrea and Rose at the K4C Host Event

How?

What Next?

In 2022 K4C in partnership with Andrea Walker at the University of Bolton hosted 6 Commonwealth Professional Fellows (Rose Kusemererwa, Phiona Kemiyondo, Richard Alituha, Mourren Akatukunda, Mary Kobugabe and Prossy Kihunde).

One of the Fellows, Rose Kusemererwa has subsequently been awarded a grant of £1000 by the Commonwealth to begin training 30 ‘Senior Women’ (Teachers with a specific responsibility for girls sexual and health education) in both primary and secondary schools in Kabarole district of Uganda from March 2023.

The team enjoyed engaging with Youth and Community Work students at Bolton University and a wide range of visits to expose them to the UK context and give them time, as a group,

https://youtu.be/IGqRfQXUlH Q?feature=shared

Linking Amputation Reduction with Wound Care: Preliminary Work on Diabetic Foot Ulcers

Why?

Data Collection

Amputation risk globally, and in Uganda, is increasingly associated with escalating incidence of diabetes.

Very little is known about these patients in terms of their demographics, health status (height, weight, blood pressure, glucose levels, stage of diagnosis, co-morbidities, geography and frequency of visits, diet, mode of transport to hospital, awareness of diabetes and its management and associated foot complications.

Practical Intervention

K4C’s work this year has been supported by 2 Nursing Now Fellowships and a Global Placement Bursary (via the Tropical Health and Education Trust).

This data is complemented with data from 2009 capturing all surgical cases involving the treatment of Diabetic Ulcers and diabetes-related amputations over a 13-year period.

This Phase of Data Collection will establish the foundation for an evidence-based intervention aligned to the Manchester Amputation Reduction Strategy, focused on early identification of Diabetic Foot Ulcers (DFU) and supported by a UK Company (ALGEOS Ltd

Derrick using the new Doplar device to assess an amputee for peripheral neuropathy in the remaining leg

One Nursing Now Fellowship was awarded to K4C nurse Derrick Bahandagira to begin to assess the prevalence of diabetic foot problems in Fort Portal Regional Referral Hospital. Derrick has built relationships with the weekly Outpatient Diabetes Clinic . attended by over 250 patients

Development

A second Nursing Now Fellowship was awarded to Jolly Rose, a nurse based in a Community Health Centre (Kasusu). Working in parallel with Derrick, Jolly has set up the first Diabetic Clinic in a Community Health Centre with an emphasis on early diagnosis of Diabetic Foot Ulcer and wound care.

A key focus of this partnership has been to reduce the level of congestion seen at Referral hospitals and create a model for Nurse-led Communitybased clinics.

The Global Placement Bursary (led by Dr Simbarashe Tanyanyiwa, a Salford-based podiatrist with specialist interest in DFU) is enabling a British Dietician (Rachel Barratt) to join the team in January (2023) to work with Derrick to co-design health Education materials for use with patients attending Diabetic Clinics in the hospital and Health Centres.

Next Steps?

Building New Partnerships in Zanzibar

In September 2022 Professor Ackers visited Dr Amour (Research Lead) and Muslih Kadikah (Prosthetics Lead) at Mnazi Mmoja Hospital in Zanzibar (Unguju).

The University of Salford has awarded funding to support the training of 2 K4C staff (from Uganda and Unguju) in Diabetic Foot Ulcer Management to take place in Salford in 2023.

Derrick using the new Doplar device to assess an amputee for peripheral neuropathy in the remaining leg

They will be joined by Derrick following successful fund-raising by one of Salford’s student nurses (Vicki Sinclair) who did a placement in Fort Portal in 2022.

Want to Know More? Contact Professor Louise Ackers on [e-mail]

Supporting the Delivery of Universal Health Coverage for People with Physical Disabilities in Uganda

Fit-For-Purpose

Development

2022 saw major developments leading to the opening of the Ninsiima Centre for the Rehabilitation of People with Physical Disabilities.

The team received further funding from the UK’s Medical Research Council in 2022 and led by Dr Robert Ssekitoleko at Makerere University. This project is undertaking further intervention research involving user engagement in the evaluation of existing technologies and co-design of prosthetic devices, with the long-term aim of supporting local manufacture and exploiting the potential of social enterprise models to deliver sustainable health systems . change in Uganda

K4C has been working with colleagues at the Universities of Salford and Makerere for some time. This includes work on the Fit-For-Purpose project, funded by the Engineering and Physical Sciences Research Council and led by Professor Laurence Kenney. This work focuses on the co-design of prosthetics for people with Upper Limb Loss.

Virtual Volunteering Expansion

In 2021 K4C was awarded funding from the Tropical Health and Education Trust (THET) to pilot the contribution that virtual ‘volunteering’ can make to Health Partnership collaborations

(https://www.thet.org). In 2022 a series of Virtual Workshops took place to support our work on prosthetics co-design:

Resources

https://www.fit4purposeprosthetics.org

In 2022 a series of Virtual Workshops took place to support our work on prosthetics co-design:

This photograph shows K4C volunteer Oliver Williams, Akram Semwanga, Henry Gizamba, Tom Baguma, Richard Isingoma and Timothy Isingoma (from left to right) during the workshop.

Refurbishment of Rehab Centre

Co-funding from this program, complemented by K4C funding and support from Legs For Africa supported the Refurbishment of the old Rehabilitation Facility. We appreciated the support from Roy Clarke at the University of Michigan African Studies Centre.

This enabled a local company to install Skylight Solar Power U (LLC) to install solar energy for the rehabilitation centre and orthopaedic workshop.

A key focus of our work in the area of Rehabilitation has been on the development of a unique approach to social enterprise as a way of building sustainable and cost-effective supply chains.

The UK-based NGO, Legs for Africa (L4A) has played a vital role in supplying second hand componentry to Lowand Middle-Income Countries (https://www.legs4africa.org) and is now part of our Public Private Partnership agreement signed by Dr Alex Adaka the Hospital Director in Fort Portal

Understanding the Impact of Climate Change on Tick-Borne Disease

Background

Process

This collaboration between Salford University’s School of Science, Engineering and Environment and Knowledge For Change supported pilot work in Queen Elizabeth Safari Park, Uganda. Ticks play a major role in the transmission of diseases that impact both animals and humans.

Step 1: Tick Collection

In Stage 1 a protocol was developed to guide the collection of ticks from domestic animals (cows and goats) grazing at the perimeters of the Safari Park. Ticks were also collected more opportunistically from wildlife in the safari park.

are also classed as They ‘Indicator Species’ in the assessment of the impact of climate change of human and animal health.

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Human
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for food health
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livelihoods (both
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Working with a veterinary team headed by Ludwig Siefert and the Ugandan Wildlife Authority the study included a number of stages

As well as recording the parts of the animals ticks were collected from, K4C volunteer Andy Moffatt set up a system to record the geographic location of collections using Geographic Information Systems (Epicollect).

This will enable us to chart the impact of climate change on the geography of tick populations.

Process

Step 2: Tick Identification

Different species of ticks carry different diseases.

Stage 2 involved work to identify tick species (under the leadership of Lorenza Beati Ziegler curator of the US tick collection and one of the world’s leading authorities on tick diversity and biology).

Next Stages?

The Team is currently exploring opportunities for future funding with a particular interest in the role that ticks play in spreading CrimeanCongo haemorrhagic fever.

For More Details contact Professor Richard Birtles [e-mail]

Wound Care

Background

In 2021 three Ugandan midwives were awarded Commonwealth Professional Fellowships to study in Salford, including on the Tissue Viability program with Dr Melanie Stephens. On their return to Uganda, the team led by K4C midwife Rachel Namiiro used this experience to build on the ongoing work on antimicrobial resistance in Fort Portal which had identified that nurses and midwives had to be at the heart of any multidisciplinary approach to the prevention and management of sepsis.

Results

Rachel initiated and leads the hospital’s ‘sepsis team’ which provides cross-disciplinary support to the hospital on therapeutic treatment and management of wounds, reducing inappropriate antibiotic use and providing appropriate wound care, including the use of ‘honey gauze’, a frugal and evidencebased innovation that promotes wound healing and prevents infection. Beginning in the postnatal ward, the reduction in sepsis (a major killer of women) was dramatic.

We have since responded to a demand from the Ugandan hospital team to extend the wound care work to surgical and paediatric ward and

extend the wound care work to surgical and paediatric ward and to a wider variety of wounds and burns, as well as set up community-based wound clinics in lower level health centres in Fort Portal.

Collaborations

The Tropical Health and Education Trust supported this work with funding in 2021/2022 for virtual ‘wound clinics’. An interprofessional team at FPRRH comprising nurses, midwives, pharmacists, doctors, clinical officers and K4C professional volunteers joined with virtual volunteers.

These included Dr Melanie Stephens and Matthew Wynn, lecturers on the Tissue Viability module of the Masters course at the University of Salford, and their students, in a regular virtual forum to discuss live cases, and share knowledge and best practice.

[QUOTE FROM DR MELANIE STEPHENS]: I learnt a lot, I learnt incredible amounts of things and every fortnight I was humbled – and it made you quite tearful, when those women went home and got better, they didn’t die.

The Ugandan team are so For me it knowledgeable. became a learning alliance. We can learn from each other”.

Recognition

Rachel was invited to present this work at the Commonwealth Alumni Conference and you can watch her fantastic presentation here: Rachel Namiiro: Commonwealth Scholarship Fellowship Video - YouTube

We were also very proud to see this work recognised at 2022’s Wounds UK conference and presented with an Award for Excellence. Congratulations to Rachel and all the team for their hard work and success!

Virtual Volunteering and Doctoral Research

Workshops

Virtual Volunteering The idea of ‘virtual volunteering’ placements has evolved over time.

In 2021/2022 THET funded two pilot ‘Virtual Volunteering’ projects to trial and evaluate the potential of virtual partnerships between the UK and Uganda:

We cannot ignore the harmful climate impact of international air travel, and need to carefully balance this with the positive impacts of our health partnership on the Ugandan health care system and the NHS. The dramatic in pause international travel in 2020/2021 due to the Covid-19 us an pandemic gave opportunity to rethink what volunteering and student elective placements can look like alongside K4C’s commitment to environmental sustainability.

1) Generating an evidencebased approach to the management of sepsis through a virtual, multiprofessional wound management project

2) Demonstrating the potential for virtual volunteering in the co-design of assistive technologies and orthopaedic technologies

High quality internet access was established across rapidly Uganda during the Covid lockdowns: an unforeseen positive side effect. This has greatly expanded opportunities for knowledge sharing and engagement in global health for those who may previously have been unable to commit to travelling abroad for ‘traditional’ placements.

Next Steps

These hugely successful pilots enabled the establishment of a Virtual Learning Hub, embedded within the Fort Portal Regional Referral Hospital, which links us to colleagues all around the world.

PhD researcher Claire Horder, midwife, previous volunteer and K4C Trustee is focusing on assessing the potential contribution of virtual engagement in health partnerships and the mutual benefits to health systems in low resource settings and the UK. Claire is currently based in Fort Portal, Uganda and is delighted to be working so closely alongside the K4C Uganda team again.

Timothy (K4C Staff) and Margaret (Ministry of Health Staff) – learning bubble draping remotely

Claire Horder and Miriam Namtamu, in Salford during the Virtual Workshop

PhD researcher Claire Horder, midwife, previous volunteer and K4C Trustee is focusing on assessing the potential contribution of virtual engagement in health partnerships and the mutual benefits to health systems in low resource settings and the UK. Claire is currently based in Fort Portal, Uganda and is delighted to be working so closely alongside the K4C Uganda team again.

Professional Volunteering Programme

Professional volunteers also play an important role in supervising students whilst on placement.

Overview

Knowledge for Change continued its Professional Volunteering Programme throughout 2022. Over the course of the year, a total of 7 volunteers were placed in Uganda on long-term (6+ month) placements. These included 2 midwives, 3 nurses, a doctor and a bioscientist. All of these placements were fullyfunded by Knowledge for Change to include their flights, accommodation, airport transfers, insurance, clinical registration, work permit and a living allowance of £300 per volunteer per month to cover subsistence costs.

In terms of project work, the professional volunteers supported the expansion of our Antimicrobial Resistance and Wound Management projects from maternity to paediatric units in Fort Portal Regional Referral Hospital. They also support the of our ongoing development cervical screening programme, expanding it to Kasusu and Kataraka Health Centres.

Roles

The role of K4C’s professional volunteers is to work alongside local staff on a co-present basis to share valuable knowledge, skills and experience. The primary aim of the programme is to build the capacity of local staff and thereby strengthen local health systems. The placements are of mutual benefit as the volunteers also gain valuable knowledge, skills and experience to utilise in their practice once back in the UK.

More information can be found on our website:

www.knowledge4change.org/prof essionalvolunteering

Student Placement Programme

Overview January 2022 marked the recommencement of Knowledge for Change’s Student Placement Programme following its suspension due to the Covid-19 pandemic. Over the course of 2022, K4C hosted 123 students in total. The majority (98) were placed in Fort Portal (Uganda) and the remaining 25 were placed in Tanzania in Moshi (19) and Zanzibar (6). The placements in Tanzania were a pilot to assess whether our programme could be expanded there. Overall, the pilot placements ran extremely well, and we are planning to formalise expansion of our student placement programme into Tanzania throughout 2023.

Placement Specifics

The following pie chart illustrates the programme of study for the students hosted in 2022. ‘General Nursing’ has been included for students from Agder University (Norway) who do not specialise during their studies. UK nursing students have been broken down into their separate branches of ‘Adult Nursing’, ‘Child and Young People (CYP) Nursing’, ‘Mental Health (MH) Nursing’ and ‘Learning Disability (LD) Nursing’.

The following pie chart illustrates the number of students from each partner University. It is clear the vast majority of our students have come from 2 Universities (Salford and Liverpool John Moore’s University). K4C is planning to diversify its partners over the course of 2023 in order to mitigate the risks associated with over-reliance on a small number of specific partners.

It should also be noted that all 54 students travelling from LJMU, and 41 out of 44 from Salford were completely or virtually fully-funded by their University. All students from Norway can access generous funding from the Norwegian government. Only a handful of students (x5) from Manchester, Buckingham and Keele self-funded.

Public-Private Partnership K4C follows a Public-Private Partnership Model in arrangement of its Student Placement The programme. agreement for 2022 involved K4C contributing $200 per student per month into the appropriate hosting health facility and this investment is costed into the amount that students pay for their placements. In total, this has generated over £17,000 in funding which has been sustainably invested into Fort Portal Regional Referral Hospital, Kasangati, Kagote, Kasusu and Bukuuku Health Centres and several Community Based

Organisations including Fort Healthy Minds, Rwenzori Special Needs Foundation, the Association for Community Development and Welfare, and Canon Apollo Special Needs School).

Overall, K4C’s Student Placement Programme has continued to evaluate very well. Excellent feedback has been received from students, partner Universities in the UK and our Partner hospitals and Community Based Organisations in Uganda and Tanzania.

Financial Overview

This Annual Report covers the 12month period from 1st January 2022 to 31st December 2022. Total receipts on Knowledge for Change funds for this period were £254,256. These receipts included all income from public donations, various sources of project funding, refunded bank charges and income provided by the University of Salford to cover the costs incurred in running joint projects in Uganda, such as the Antimicrobial Stewardship, Wound Management, Virtual Volunteering and Rehabilitation Projects.

There has been a notable change in financial reporting within this financial year. In recent years, in order to streamline governance, promote local ownership and ensure full compliance with local laws and financial regulations in Uganda and Tanzania, Knowledge for Change has registered as a Non-Governmental

Organisation (NGO) with both countries’ respective NGO boards and setup separate bank accounts in each country to manage all local expenditure. This process was completed in Uganda in 2020 (official name: “Knowledge for Change (Uganda)”) and is due for completion in Tanzania in early 2023 (official name: “Knowledge for Change (Tanzania)”).

Total payments of Knowledge for Change funds for the 12-month period from 1st January 2022 to 31st December 2022 totalled £294,648. This included payments made for all projects including those in the UK, Uganda and Tanzania; those run in partnership with the University of Salford and those funded by other external sources.

Both NGOs are ‘sister’ organisations to Knowledge for Change (UK), however are independent and now have their own governance and management systems in place. As such, they now serve as independent suppliers and downstream partners to Knowledge for Change (UK) and are granted direct funding to support their operations.

The total balance brought forward at the beginning of the financial year was £194,768. Over the course of the 12-month period, there was an excess of payments over receipts £40,392. This gave a combined total fund available on 1st January 2023 of £154,376.

Memorandums of Understanding (MOUs) are in place to govern the tripartite relationship between the organisations, and both K4C (Uganda) and K4C (Tanzania) are subject to regular stringent financial audit and due diligence checks by K4C (UK). Several trustees for K4C (UK) are also board members for K4C (Uganda) and K4C (Tanzania) to support effective and streamlined

management. The accounts below differentiate between payments made directly by Knowledge for Change (UK) and any funding granted to Knowledge for Change (Uganda) and Knowledge for Change (Tanzania). Note 6 specifically provides more detail by providing a breakdown of all expenditure by all 3 organisations.

STATEMENT OF ASSETS & LIABILITIES Cash Funds Bank Account I Icurrentl (GBP- UK Bank Account 2 Isavingsl (GBP - UK) GBP Currency Cards Cash in Hand IUKI 31,862 120,343 2,171 62,904 120,000 1,527 154,376 194,768 Llabilities (note 61 Expenses due Invoi¢es/Payments due Total Assets - Liabilities 154,376 194,768 Notes to the Financial Statement for the Year Ended 31st December 2022 l. The financial statements of Knowledge for Change have been prepared in accordance with the Charitie5 Act, 2011, and the Charities IAccounts & Reports) Regulations, 2008, using the Receipts & Payments basis. Receipts Analysis Total Funds Total Funds {3111212211£1 131/12121) {£1 8. Publlc Donatlons Direct Donations Amazon Smile KindLink Wonderful HMRCGiftAid 101,102 112 13 157 261 8,913 9,456 9,621 18,264 128,987 b. Fundlng from Organlsatlons University of Salford Liverpool John Moore's University Commonwealth Scholarship Commission Tropical Health Education Trust ITHETI Legs for Africa IL4AI Natwest (Business banking switch incentive) 32,600 66,215 22,800 1,000 44,273 3,800 19,000 4,000 71,073 124,615

1. A summary of the public donations and income f rom organisations intended for specific projects is provided below.. Specified Project Student Placement Project Cervical Screening Project Antimicrobial Stewardship Project Wound Management Project Virtual Volunteering Project (Prosthetics) Virtual Volunteering Project Iwound Management) Biomedical Engineering l UBTS Projects Biomedical Science Research lincl. Covid-191 Respectful Care Project Children's Education Project Commonwealth Scholarship Commission Fellowships Professional Volunteering Project Nursing Now Fellowship Programme Rehabilitation Income (£1 to 31112122.. 191,955 1,259 500 Income (£1 to 31112121: 10,379 2,500 16,500 17,694 900 18,700 22,800 3,800 1,000 32,582 417 Miscellaneous/Non-Project Specific. 14,631 81,704 Total 253,913 M iscellaneous/Non-Project Specific income refers to income that is unrestricted and not tied to specific project. A further breakdown is provided below.. Source of Income: Amount Amount 1311121221: {31112121}: £4,000 £157 Natwest (business banking switch incentive) Kindlink (general public donations) Wonderful Igeneral public donations) Direct donations (general public donations) Amazon SMILE (Charitable contribution from Amazon) HMRC IGift Aid claimed on public donation51 Refunds Imiscellaneousl Total £261 409 £112 £13 £8,913 £1,175 £14,631 417

2. An alternative breakdown of payments in terms of categories. as opposed to project expendituie, is provided below.. Llne Item.. Expendlture 1£) to 31112122.. Expendlture (£1 to 31112121.. Profession¢71 Volunteering Stipeiid PaymÈnts Accommodation Costs 14,402 1,245 1,477 6,200 4,800 375 International Travel Costs Local Travel Costs 430 Sub-fotol.. 17.124 11.805 Student P1¢7cements Internaiional TravÈl Costs 99,109 36 Loc81 Travel Costs 576 Accommodation Costs 10.659 4,000 SubsisiÈnce Costs Student Placement Burs8ries Plaiement Cancellation Costs Sub-Totul.' 109,804 4,576 Uyundun Cllnlcolstuff Salaries 28,780 28,780 Sub-Totul.' rrolnlni Workshops/ConAerences Trainin8 Pro8ranin)es in U8anda Training Programmes in ihe UK Sub.fotol.. 3,640 3,800 7,440 9,855 9.855 Internutlonol fruvel Projeci Managemeni Project Stakeholders 7,424 1,780 Sub.fotol.. 7.424 1.780 UKAdmln/stofflno UK Travel 432 5ub-Totol.' 432 UoonduAdmln/Stofflnq 5,400 5,40Q 5ub-Totol.' Dlrect Investments/it>lru$tructuml Developments siudeiit Hosiiiig Contributions Provision of Medical Equipment Sub-Tot171.. 7,405 4,214 11,619 17,183 17,183 Other Office Supplie5 & Stationery IU8andal Bankin8 C05t5 Website C05t5 286 40 513 216 1,450 K4C (Ugandal Coniributions K4C ITanianial Contribution5 Sub-Tot171.. 128,492 9,640 138,388 2.249 Tot81 Expendlture.. 294,648 79,213

Chairperson Statement:

As Chairperson for Knowledge for Change, I confirm that, to the best of my knowledge, this Trustees Annual Report and its associated Financial Accounts are accurate and reflect a true picture of its charitable activities over the course of the financial year (01/01/2022-31/12/2022).

Name: Professor Louise Ackers

Signature:

Date: 31/10/2023

Independent Examiner's Report to the Trustees of Knowledge for Change I report on the accouffls for Knowledge for Ctha￿e for the year ended 31 December 2022, which are set out on pages 20-25 of the Charitvs 2022 Trustee's Annual Repixt and cover a 12-month period. Re5pecti¥t responslbllltles of tru5tee5 and examin The Charivs Trustee5 are responslble for the preprtion of the accounts. The Charitys Trustees con51der that an audtt 15 nor required for this year under section 14412) of the Charities Act 2011 Ithe 2011 Act) and that an independert examination is needed. It is my responsibility to: examine the accounts under seaicffi 145 of the 2011 AC(: follow the procedures laid down in the yneral Directions oven by the Charlty Commission under section 14515llb} of the 2011; and state whether particular matters have come to my attention. Ba5ls of indewKlent examiners statement My examination was carried out in accordance with the Eenernl directions Eiven by HMRC and Ihe Charity CommissioTh. An examination includes a revielv of the accounting record5 kept b¥ the C*arity and a compari50n of the accounts presented with those records. It also includes conslderntion of any unusual Items or disdosures in the accounts, and seeking explanations from you as trustees concerning any such matters. The procedure5 underrJken do not provlde all the evidence that would be required in an audit, and consequentty ￿ opinion is given as to whether the 8ccouThts present 'true and hir view,. The report is limlted to those matters set out in the 5tatefftent below. Independent exarninef 5 State￿￿1 In connecrlon wlth my examlfiation, no mallers have come to my attentlon: (l} which gives me reaSO￿ble cause to believe that in any rnaierial respett rhe requirement5.' to keep accJJntini records in KcordarKe with section 130 of the 2011 Act: to prepare accounts which accord with the accountin8 records and to comply wlth the accounting requirernents of the 2011 Acr have not been met- or 12} to which. in my opinion, attention thould be thwn ITr order to enable a proper understanding of the accounts to be reached. 11 Newmarket Street Skn-pton, North Yorkshire BD23 2HX Dote: Fran(tsca Waller Indep￿ent Examiner Neste￿ Finan(ial Servlces