The Mugoma Trust
Registered Charity Number 1156677
Annual Report
For year ending 31 March 2024
Lontents
Charity infomkqtion
Report of the Truslees
Independent Examinerfs Report
Receipts and Payments accounts
Statement of assets and liabilrties

The Mugoma Trust
al and administrative infonnation
Charity Registration Number
1156677
Governing Instrument:
Trust Deed
Names of Trustees:
Dr Ciaran Joyce (Chair)
Chri5 Aston (Treasurer)
Emma Bingham
Sleve Bynon
Kate Jenkins
Michael Sernuguruka
Name and address of honorary
Correspondent..
Chris Aston
39 Spencer Avenue, Coventry CV5 6NQ
Bankers:
Cooperative Bank, Skelmersdale, WN8 6wr
Nationwide Building Society (closed Oct 2024)
Wise Bank (opened June 2024)
This report was agFeed by Trustees meeling dated 3 December 2024

Mu
oma Trust - Re
The Trustees present their report and accounts for the financial year 1 April 2023 to 31
March 2024
ort of Trustees
Govemance and mana
ement
The Mugoma Trust is a volunt&r-led organisation, having no paid stsff.
We are a group of people in the UK working with Tanzanian partners to develop a health
centre in a remote border area of Mugoma in the Kagera region of Tanzania.
The work to date has also onty been possible with the gifts and practical support of others in
the UK. We are also grateful for one large bequest in 2023-24
New trustees are recrurted following their recommendation by existing Trustees, and
appointed by special meeting of the Trustees. There have b￿n no changes to Trustees
during the year.
We work in close partnership with the Anglican di0￿se of Kagera. Tanzanian colleagues are
drawn from officers of the Anglican Diocese of Kagera. They work in partnership with the
District Council and health authorities and other local representatives. However, we have no
legal contracted responsibility to stsff in Tanzanian, and VI￿ versa. They have also set up a
dedicated bank account.
Public Benefft
The Trustees have referred to the guidance corrtained in the Charty Commission's general
guidance on public benefit when establishing the charity's aims and objectives, and in
planning future acts-vities.
The beneficiaries of the chanty are those who receive the benefrt of grants made, as
described below. No fees are charged to participators in these adtvities.
The Trustees do not consider that the charty's activrties include any potential detriment or
harm, or that they convey any significant incidental prrvate benefrt.
The Trustees confinn that the Charity did not experience any serious incidents that should have
been brought to the attention ofthe Charity Commission but were not.
The charity has reviewed rts financial controls during the reporting period, and then taken steps
to comply with legislation and good practice.
The actions of the Trust have sought to identify and control risks, as set out below. It is also
mindful of the requirement to have controls for overseas expenditure. It has continued to
learn from experience, and recentty undertook a further risk assessment
Given the income of the TrusL an Independent Examination of the accounts has been obtained.
Ob'ectives and Activities
The objects of the charity are:
1) The relief of sickness and preservation of health among people residing permanently
or temporarily in Kagera, northwest Tanzania and surrounding areas.

2) To relieve sickness and preserde and protect the health of residents in those areas
by providing and assisting in the provision of buildings, facilities, SUPFOrt services and
equipment.
3) To advance the education, training and support of health workers in those areas.
In particular, we are currently working wilh Tanzanian partners to build staff accommodation
for a health ￿ntre in the strategic location of Mugoma. This will enable a new and
developing health ￿ntre to better recrurt and retain key staff.
Our vision is thal the people of Mugoma will have localty based qualty healih care saving
Itves and preventing illness.
Histo
Annabel Joyce-Jenkins, from the UK, worked as a communty care doctor in the area from
1996 to 1999. Following her tragic death from leukaemia in 1999, her Tanzanian colleagues
decided to meet the needs of the area and continue their work with her by building a Health
Centre in Mugoma. This is known locally as the 'Annabel Memorial Health Centre,.
Over several years up to 2013, UK family, friends and other supporters gave funds towards
the Health Centre. Aong with Tanzanian fijnding and activity. this enabled formal plans to be
drawn up. land to be purchased and the first stages of the foundations and walls to be built.
+This led to the Mugoma Trust being formed in March 2014: with the primary object of
working wrth local people to fund the construction and running of a Health Centre.
The Needs
The proposed health facilty will serve up to 20,000 people living within 10 kilometres of the
site. It is about 20 kilometres from the district hospital at Murgwanza.
The local people are desperatety prx)r and cannot afford to travel to hosprtal to receive
urgent care. Sick children, the disabled and pregnant women are particularly at risk. Local
dispensaries are inadequate to treat anything other than minor conditions. A substantial local
facilty has been required wilh facilities to admit critical cases.
Tanzanian
artners
The Tanzanian management committee includes Mugwanza District hospital, Diocese and
local communrty.
The District HospÉtal is run by the Anglican DI0￿Se of Kagera, and the health centre project
has had regard for Tanzania's health policies. There has also been ongoing dialogue with
Ngara Distict Council and local District medical officer over how this will meet needs,
facilities still needed for formal registration, and future staffing.
Heafth ￿ntre buildin
An initial building for the health ￿ntre was constructed in stages up to 2018.
2018, representative trustees visited Tanzania, and met representative from the Di0￿se, the
Mugwanza Hospital, and District government health officer.
This visit crystallised that Tanzanian govemment regulations now stipulated that a Heatth
Centre must have additional facilities as part of a national inttiative to raise standards. This
Includes a separate Complex Matemrty Unit with an operating theatre suitable for caesarean
sections. Laboratory, and laundry and staff housing. Along with slaff housing and other

structures this represented a major expansion of the original Gon￿p1 and vision, and hence
costs. This was estimated lo cost around a further 400 million shillings (approx. £150,000).
The Trustees indicated to our Tanzanian partners that this was beyond our capacity to fund.
We also were Con￿rned that stsff and other running costs of the facility needed to be met.
In 2019, the Bishop of Kagera, Darlington Bendankeha visited the UK. (This visrt was funded
by other parties). As part of this visit he met Trustees. The Trust and Bishop signed a
'Partnefship agr&ment' to work together for the health centre. He also met wtth friends and
supporters and thanked them for their interest and support.
In March 2020, the Diocese and local council therefore entered in a new agreement. The
Council would fund Ihe complex matemity ward and theatre, laboratory, laundry and one
staff accommodation unit. It would also take on future staff and other running costs. As its
contribution, the Diocese would transfer the inttial building and land lo the Council in rts
entirety. The Annabel Memorial name would remain.
Thanks to a bequest from a supporter, the Trust received £1 Ook in 2018-19, carried forward
pending a further Specif￿ need. Income otherwise has generalty been less than £5000 a
year.
Following discussion between the parties, the Trust was informed of progress with the heatth
centre structures during 2021, and eaty 2022. This included the complex matemity ward
with theatre reaching roofing stage.
At this point, the DI0￿Se on behalf of Ngara council requested the construction of fvrfo staff
housing complexes. to accommodate four families. The total for each complex would be
116m shillings, approximately £42.000 and two complexes £84,000.
These buildings were standard local designs with ground plans, elevations and cross-
sections already drawn up. Their costs were broken down to include substructure. walls,
roofing, doors windows, finishing and decorations. with detailed bills of quantities for each.
As Mugoma area is a remote area, Trustees considered these were worthwhile structures to
fund, in particular helping to recruii or retain suitable staff for the health centre. Its
construction would also be a further benefft to the local community. The agreed £84,000
could be met by the available funds of £106,000. The Truslees would not fund future running
costs, however.
In September 2022 there were further round of Co￿espOndence setting out project manager
and contractor, the proposing phasing of V￿rk and a request for funds to commence. The
agreed work was due to start in late 2022.
There were, however, a number of issues crediting money in a timely and consistent way to
our Ictal partners through our Cooperative bank account. We therefore had to rely on
sending money via our chairfs personal account. This arrived the same day in the Kagera
account. and which was r&imbursed to him.
We have now opened a Wise account for intemational payments which has made this
process much smoother.

How mone
has been raised
As shown in the following accounts, £26,219 was raised during 202&24
This includes a unique single legacy donation of £25,000, for which we are grateful.
We also received donations from supporters, £300. Most other income was from gift aid.
£431, and interest, £438.
How the mone
has been sent and s
Funds for the staff accommodation have been sent in a sequence of a payments initially
from January 2023 up to September 2023.
£11,000 was sent to the dedicated Tanzanian Di￿eSe account in January 2023 and
appeared in the Mugoma Trust 2022-23 accounts to the Charrty Commission.
£26,400 was sent to the dedicated account in a sequence of payments from March to
September 2023, and appears in 202&24 accounts as 'Heatth Centre: Grants for Works,.
These funds realised 107.7 million Tanzanian shillings. Six phases of construction took place
from January to September 2024, with corresponding 6 payments of 105.6 million shillings
with payment vouchers drawn from the Di0￿se.
This built the foundations, walling and roofing to one accommodation block, and the
foundations and walling to the second block.
The Trust has received statements from the dedicated Annabel Memorial ￿OUnt for this
expenditure. Trustees have also reviewed supporting documents, including payments and
receipts and photos.
There was a change of key personnel in Kagera in autumn 2023, wrth the appointment of
Rev. Can. Arrnn Jackson Kabyesiza as Diixesan General Secretary.
In spring 2024, there was an opportunty to review work and documenlation. A further phase
of funding and work commenced in June 2024, to be shown in 2024-25 accounts.
Upon the completion of the staff accomrndation, Trustees plan to review how remaining
reserves can be used to advance the ofy'ectives of the charity.
The Trustees declare that they have approved the Trustees, report above.
Signed on behalf of the chari
's trustees
Signature
Name.
QIW Ic, CF
Posits'on - Chair
Date 3 il.ly
Accounts
Accounts for the financial year 1 April 2023 to 31 March 2024 follow.
Accounts have been prepared on a 'Receipts and payments. basis.

The Mugoma Trust
1156677
Recei
ts and
ments accounts
CC16a
For the period
from
0110412023
3110312024
To
Section A Receipts and payments
Unrestricted
funds
to the nearost £ to tha n8arest£
Restricted
funds
Endowment
funds
Total funds
Last yoar
to the nearest £
to Ihè nèaost £
to the noarest £
A1 Recel
Voluntary donations
Bequest
Glft aid refund
Interest
Sundry item
300
25,000
431
438
50
450
431
438
so
92
Sub total (Gross income for AR)
Investment sa
es.
26.219
26,219
$42
se
an
see table .
tota
19
542
A3 Pavments
Health Centre- Grant forwkns
26,400
26.400
11,115
Bank and transaction ojsts
57
57
124
Vvebsitelcommunications
273
273
122
Sub total
26.730
28.730
A4 Asset and investment
Sub total
26,730
26,730
11,361
Net of receipts/(payments)
A5 Transfers between funds
A6 Cash funds last year end
Cash funds this year end
511
511
10,819
95,559
96,070
CCXX R1 accounts {SSI
1210912024

Section B Statement of assets and liabilities at the end of the period
Unrestricted
funds
to nearest £
Restricted
funds
to nearest £
Endowment
funds
to nearest £
ategones
etails
B1 Cash funds
42.608
25.1TT
Mugoma Trust CcK4) &￿.￿JS attount
27.774
Total cash funds
95.559
Unrestricted
funds
to nèarest£
Restricted
funds
to nearest E
Endowment
funds
to neamt £
Details
Fund to whlch
asset belon
Cost {optionall
Current value
O tional
Details
B3 Investment assets
Fund to whF¢h
asset belon
Currènt valu•
tional
Dètails
Cost {optlonall
B4 Assets retained for the
charity's own use
Fund tt> which
Ilablli
Amount due
tional
When due
tional
Details
B5 Liabilities
SKJned by one or tsvo trustees on
beham of all the trustees
SwJnature
Prinl Name
Date ot
roval
CCXX R2 ac￿￿nts (SS)
1210912024

Independent Examiner's Report to the Trustees of the Mugoma Trust
2023-24 accounts
Respective Responsibilities of Trustees and Examiner
The charity's trustees a￿ responsible for the preparation of financial statements. You
consider that the audit requirement of Secth)n 43{2} of the Charities Act 1993 (the Act) does
not apply. It is my responsibilty to state. on the basis of prO￿dureS specified in the General
Directions given by the Charty Commissioners under Section 47 (b) of the Act, whether
particular matters have come to ry attention.
Basis of Independent Examiner's Report
My examination was carrÈed out in accordan￿ with the General Directions given the by the
Charity Commissioners. Thal examination includes a review of the accounting records kept
by the charity and a comparison of the financial slatements presented with those records. It
also includes consideratbon of any unusual items or disclosures in the financial statements,
and the seeking of explanations from you as trustees concerning any such matters. The
procedures undertaken do not provide all the evidence that would be required in an audÉt,
and consequentty I do not express an audit opinion on the view given by the accounts.
Independent Examinerfs Statement
In connection with my examination, no matter has come to my attention:
(1) which gives me reasonable cause to believe that, in any material respect, the
requirements:
to keep accounting records in accordance with Section 41 of the Act and
to prepare financial statements which accord with the accounting records and to
comply with the accounting requirements of the Act have not been met: or
(2) to which. in my opinion, attention should be drawn in order to enable a proper
understanding of the financial statements to be reached.
Amotd Ridout
13 Forest Drive
Manor Park E12 5DF
4 IILl202¥