Trustees’ Annual Report & Financial Statement 2020/21
LOVE EDUCATE LIBERATE
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Report of the trustees for the year ending 31[st] March 2021
The trustees present their report with the financial statements of Health Amplifier for the year ending 31st March 2020. The trustees have adopted the provisions of the Statement of Recommended Practice (SORP) ‘Accounting and Reporting by Charities’ issued in March 2005.
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Objectives Activities &
The purpose of the charity is...
“The relief of sickness and preservation of health, in particular, but not limited to, persons in extreme poverty.”
“And the relief and/or prevention of poverty in the community in such ways as the Charity Trustees may from time to time decide.”
Before Health Amplifier was established, the community of Kikavu, Tanzania had no access to a local health clinic so had to travel for many miles to receive healthcare, consequently disease and malnutrition were high.
Additionally, with little education about the importance of good hygiene, environmental and personal sanitation was poor with waterborne diseases occurring frequently. We are working to educate and support the community in overcoming the issues of poor healthcare, malnutrition, malaria, disease and dental hygiene.
As part of our programme to fight poverty in Kikavu and its surrounding villages, the charity funds the salary of local health professionals working in the Kikavu dispensary and community projects which help the charity to achieve its objectives and ensures sustainability.
The charity carries out its projects through partnership with other institutions but most specifically with the Catholic Diocese of Moshi – Korongoni Parish. The trustees have had due regard to the Charity Commission guidance on public benefit and recognise that it is their responsibility to ensure that the benefits offered have a positive impact in Kikavu and the surrounding area.
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The remainder of this report illustrates the activities undertaken to support the public benefit. Health Amplifier, although new, has had a great year since its start in June of 2016. The charity is now running in partnership with Catholic Diocese of Moshi with seven different projects in the Kikavu village, benefiting more than 10,000 residents in the area.
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Achievement Performance &
Clinical Care
Between April 2020 to March 2021, 2607 patients have been treated at the Kikavu clinic, where upper respiratory infections, urinary tract infections, gastro-intestinal diseases, skin diseases together with hypertension and diabetes type II are the most common diseases in the region. During the past year the cases of malaria have decreased drastically, having few cases during raining season.
In total we have had 2,607 patients attending our clinic this year, which is an average of 220 patients a month.
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What has been happening so far...
It has been a tough year around the world with the surge of COVID-19. The village of Kikavu has not been an exception. We had put most of our projects on hold for the years 2019 and 2020 due to the pandemic.
Despite all the challenges, we never lost hope. We hoped that things would get better and, at some point, we would enable the local community once again in their journey of development.
The arrival of electricity and the establishment of the dental clinic are the main highlights of 2020. As things start to return to some sort of normality in the community, having the capacity to run the laboratory without any power interruption will help the clinic to be more efficient in the prevention, diagnosis, and treatment of diseases.
The establishment of the dental clinic is great news for the local population that has not been catered for in this area. It will also have a tremendous impact on the lives of the students of the local Chini school, where previously they were treated by our dentist, Dr. Sofia, who had to use a table as a dental chair to treat her patients.
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Community Care
Electricity arrived in Kikavu
At the end of 2020, Tanzania Electric Supply Company (TANESCO) installed in Kikavu the poles and cables necessary for the clinic to have permanent electrical service. Considering that the electricity service in Tanzania is quite unstable, power cuts are constant.
The advantage is that Kikavu clinic also has solar panels; in the event of a power outage by TANESCO, the clinic has solar energy for the operation of its equipment.
The capacity to generate power was limited. Now that the clinic has a stable and stronger connection, more electrical equipment has been purchased, especially for the laboratory.
The laboratory now has a refrigerator and an electric centrifuge. The samples are no longer processed manually, thus improving the conditions in which our laboratory technologists work.
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Dental Treatment Project
Kikavu Dispensary has been registered as a PPP (Private/Public Partnership). The private share is the Diocese of Moshi, and the public share is the Ministry of Health (Hai district). Under the umbrella of the Diocese of Moshi, other dispensaries, health centres, and hospitals work together. As part of that partnership, Kikavu dispensary received a donation of a dental chair from Kibosho hospital.
The chair has already been installed in our clinic and is waiting for it to be operational in early 2022 since it is necessary to purchase the handpieces and instruments for its entire operation.
The dental unit will be a great help to the community. Since 2016, dental care has been provided exclusively to public school children. This form of care will continue to function since the distance between the school and the Kikavu dispensary makes it difficult for the children to move, but the cases that require special attention can now be treated in the clinic instead of being referred to hospitals that are distant from the community, also considering the cost of the mobilisation and the dental treatment itself. Other children in the community who were not included in the dental health programme in previous years may also be cared for in the dental office.
In addition, as part of the diabetes programme carried out in the dispensary, patients diagnosed with this disease will be seen regularly since oral diseases have a higher prevalence and incidence in this group. The dental office will be a space not only for therapeutic purposes but mainly for prevention and promotion of dental health. The number of patients to be attended cannot be established with exactitude since it will be the first time that the community has a dental office. Only future reports will indicate the number of patients attended.
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School children receiving a dental check
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School Project
Unfortunately, our school project has been put on hold during the 2020/2021 school year due to the COVID-19 pandemic.
As the level of infection in the school decreases, we hope to resume the projects soon. Watch this space!
Chini School teachers and staff members.
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Mother & Child MedicalUnit
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Summary of the main achievements
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2,607 patients treated for various health conditions.
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The establishment of a new dental clinic.
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Electricity arrived in the Kikavu village, enabling the laboratory to run more efficiently.
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Kikavu Dispensary has been registered as a PPP (Private/Public Partnership). The
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private share is the Diocese of Moshi, and the public share is the Ministry of Health (Hai District).
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95.2% in 2020/2021 donations spent in the front-line projects.
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Policy on Grant Making
The charity has established a grant making policy to achieve its objectives to the public benefit. The trustees apply the funds of the charity at their discretion and in accordance with the charitable purposes and objectives of the charity. The trustees will consider any requests or known situations that are eligible for consideration.
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a. Each request or situation will be considered on its own merits. Where situations have been previously considered (whether successful or not) any due diligence undertaken to reach an earlier decision will be made available to the trustees.
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b. The trustees will carry out sufficient due diligence to ensure that the request or situation meets both the charitable purposes, and the priorities for support set out in its policy.
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c. The trustees are happy to work in partnership with other grant making bodies where funding of an entire project is beyond the scope of any single organisation. This includes, but is not limited to, national and international relief operations in the wake of natural disasters.
At the moment, the main beneficiary of our grants is the Kikavu Dispensary in Tanzania. The total amount of funds awarded to the Dispensary between April 2020 and March 2021 was £56,608 which was essential for the running of the Dispensary and all the projects associated to it.
All the grants awarded are closely monitored by the trustees and by our onsite project manager to make sure that they reflect the charity’s objectives and thereby advance public benefits.
Plans for the Future
We are so thankful for all sponsors that made possible the finishing of the specialist diabetes care and a mother & child unit. This centre is specifically designed to be used for the management and regular monitoring of diabetes, educational healthcare seminars and antenatal. Our plan now is to concentrate on the training of local staff so the Centre can provide the best health care possible for the mothers and childrenand postnatal care.
Our aim is to give the best healthcare possible to the community of Kikavu and those from further afield. Now that the centre is built we will be seeking equipment to offer digital retinal photography, an ultrasound machine and also a dental chair to be able to treat the dental complications that arise from having diabetes and also during pregnancy.
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We will also be offering appointments with a podiatrist, nurses and doctors. Dr Julian will of course be coming to Tanzania to educate and train all members of staff on diabetes, as this is his specialist area.
Another area of interest of the charity is ecology. We are in the process of discussion with the local community to understand how the community could be involved in the preservation, conservation and the protection of the environment and the prudent use of resources. More to come on that.
Financial Review
Although the charity welcomes donations made by the public, the charity’s major source of funding is from grants and donations issued by private companies and other institutions that share the same ethos of the charity. This way we make sure that all the public donations will go to the front line.
We are pleased to report that for the fiscal year of 2020/2021, Health Amplifier invested all of the donations received in the project we run in Kikavu -Tanzania. The charity holds no designated, restricted, investment or endowment funds.
Due to the generosity of our donors we managed to make grants to the total amount of £56,608 to fight poor health issues and poverty in Kikavu, Tanzania and still close the 2020/2021 account with a surplus, which will be invested in the finance of new projects in the next fiscal year.
Reserves Policy
The trustees aim to keep the free reserves amounting to approximately three months average expenditure. The trustees believe that this level will be sufficient to respond to our grant beneficiary and have enough money to cover any governance costs.
Since we are a new charity this policy will be reviewed annually as the work of the charity develops.
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Structure, Governance and Management
Governing Document
Health Amplifier is a Charitable Incorporated Organisation (CIO) governed by its constitution dated on 20th April 2016. It is registered as a charity with the Charity Commission number 1167973. The charity is governed by a board of trustees.
Risk management
The trustees have a duty to identify and review the risks to which the charity is exposed and to ensure appropriate controls are in place to provide reasonable assurance against fraud and error.
Appointment of Trustees
As set in the constitution, apart from the first Charity Trustees, unless the Charity Trustees decide otherwise every Charity Trustee is appointed by a resolution passed at a properly convened meeting of the Charity Trustees. In selecting individuals for appointment as Charity Trustees, the Charity Trustees have considered the skills, knowledge and experience needed for the effective administrationof the charity. There must be a majority of Charity Trustees who subscribe and adhere to, in belief and lifestyle, the Statement of Faith.
Reference and Administrative details
Charity name: Health Amplifier Charity number: 1167973.
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Charity website: www.healthamplifier.org
Registered Office: Happisburgh Manor, The Street, Happisburgh, Norfolk, NR12 0AB. Banker: Barclays Bank, 34 Market Pl, Dereham NR19 2AS.
The trustees and officers serving during the year and since the year end were as follows:
Chairman Dr. Julian David Brown Executive Director Rev. Jorge Luis De Souza Damasceno Trustee Dr. Marianne Simoes (appointed on 28th March 2018)
Declarations
The trustees declare that they have approved the trustees’ report above. Signed on behalf of the charity’s trustees.
Signature(s)
Full name(s): Jorge Damasceno Position: Trustee
December, 1st 2021
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THANK YOU!
“For all your support in Loving, Educating and Liberating lives. You are making the difference!”
Don’t forget to visit our website for more information:
healthamplifier.org/impactreports/
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REGISTERED COMPANY NUMBER: CE007715 (England and Wales) REGISTERED CHARITY NUMBER: 1167973
Report of the Trustees and Unaudited Financial Statements For The Year Ended 31st March 2021 for Health Amplifier
Aston Shaw Ltd The Union Building 51-59 Rose Lane Norwich Norfolk NR1 1BY
Contents of the Financial Statements For The Year Ended 31st March 2021
| Page | |
|---|---|
| Report of the Trustees | 1 |
| Independent Examiner's Report | 2 |
| Statement of Financial Activities | 3 |
| Balance Sheet | 4 |
| Notes to the Financial Statements | 5 to 9 |
| Detailed Statement of Financial Activities | 10 |
Report of the Trustees For The Year Ended 31st March 2021
The trustees who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the financial statements of the charity for the year ended 31st March 2021. The trustees have adopted the provisions of Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019).
STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document
The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006.
REFERENCE AND ADMINISTRATIVE DETAILS Registered Company number
CE007715 (England and Wales)
Registered Charity number
1167973
Registered office
Happisburgh Manor The Street Happisburgh Norfolk NR12 0AB
Trustees
Rev J L d S Damasceno Dr J D Brown Dr M Hernandez
Independent Examiner
Stephen Sparrow ACCA Aston Shaw Ltd The Union Building 51-59 Rose Lane Norwich Norfolk NR1 1BY Approved by order of the board of trustees on 01/12/2021 and signed on its behalf by:
........................................................................ Rev J L d S Damasceno - Trustee
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Independent Examiner's Report to the Trustees of Health Amplifier
I report to the charity trustees on my examination of the accounts of the Health Amplifier CIO (the Trust) for the year ended 31 March 2021.
Responsibilities and basis of report
As the charity trustees of the Trust you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the Act').
I report in respect of my examination of the Trust's accounts carried out under section 145 of the Act and in carrying out my examination I have followed all applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.
Independent examiner's statement
I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
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accounting records were not kept in respect of the Trust as required by section 130 of the Act; or
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the accounts do not accord with those records; or
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the accounts do not comply with the applicable requirements concerning the form and content of accounts set outin the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination.
I confirm that there are no other matters to which your attention should be drawn to enable a proper understanding of the accounts to be reached.
Stephen Sparrow ACCA Aston Shaw Ltd The Union Building 51-59 Rose Lane Norwich Norfolk NR1 1BY
Date: .............................................
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Statement of Financial Activities For The Year Ended 31st March 2021
| Notes INCOME AND ENDOWMENTS FROM Donations and legacies EXPENDITURE ON Support Costs 2 Charitable activities Charitable activities Total NET INCOME/(EXPENDITURE) RECONCILIATION OF FUNDS Total funds brought forward TOTAL FUNDS CARRIED FORWARD |
Unrestricted fund £ 61,645 679 58,215 58,894 2,751 16,859 19,610 |
Restricted fund £ - - - - - 1,613 1,613 |
31/03/2021 Total funds £ 61,645 679 58,215 58,894 2,751 18,472 21,223 |
31/03/2020 Total funds £ 67,716 1,200 78,922 80,122 (12,406) 30,878 18,472 |
|---|---|---|---|---|
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Balance Sheet 31st March 2021
| Notes FIXED ASSETS 7 Tangible assets CURRENT ASSETS Cash at bank CREDITORS 8 Amounts falling due within one year NET CURRENT ASSETS TOTAL ASSETS LESS CURRENT LIABILITIES NET ASSETS FUNDS 9 Unrestricted funds Restricted funds TOTAL FUNDS |
Unrestricted fund £ 343 21,559 (2,292) 19,267 19,609 19,609 |
Restricted fund £ - - 1,613 1,613 1,613 1,613 |
31/03/2021 Total funds £ 343 21,559 (679) 20,880 21,222 21,222 19,609 1,613 21,222 |
31/03/2020 Total funds £ 457 18,675 (660) 18,015 18,472 18,472 16,859 1,613 18,472 |
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The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31st March 2021.
The members have not required the company to obtain an audit of its financial statements for the year ended 31st March 2021 in accordance with Section 476 of the Companies Act 2006.
The trustees acknowledge their responsibilities for
(a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and
(b) preparing financial statements which give a true and fair view of the state of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company.
These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime.
The financial statements were approved by the Board of Trustees and authorised for issue on 01/12/2021 and were signed on its behalf by:
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Rev J L d S Damasceno - Trustee
The notes form part of these financial statements
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Notes to the Financial Statements For The Year Ended 31st March 2021
1 ACCOUNTING POLICIES
Basis of preparing the financial statements
The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting 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.
Income
All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.
Expenditure
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.
Grants offered subject to conditions which have not been met at the year end date are noted as a commitment but not accrued as expenditure.
Tangible fixed assets
Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.
Computer equipment - 25% on cost
Taxation
The charity is exempt from corporation tax on its charitable activities.
Fund accounting
Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.
Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.
The MCCU Restricted fund was created in the year in question when a donation was made specifically for the provision for a mother & child medical facility in Kikavu, this is compatable with the charities stated aim of furthering the provision of healthcare in communities in extreme poverty in Tanzania.
Pension costs and other post-retirement benefits
The charitable company operates a defined contribution pension scheme. Contributions payable to the charitable company's pension scheme are charged to the Statement of Financial Activities in the period to which they relate
continued…
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Notes to the Financial Statements - continued
For The Year Ended 31st March 2021
2 SUPPORT COSTS
| Support costs 3 GRANTS PAYABLE Charitable activities 4 NET INCOME/(EXPENDITURE) Net income/(expenditure) is stated after charging/(crediting): Depreciation - owned assets |
31/03/2021 £ 679 31/03/2021 £ 56,608 31/03/2021 £ 114 |
31/03/2020 £ 900 31/03/2020 £ 76,146 31/03/2020 £ 152 |
|---|---|---|
5 TRUSTEES' REMUNERATION AND BENEFITS
There were no trustees' remuneration or other benefits for the year ended 31st March 2021 nor for the year ended 31st March 2020.
Trustees' expenses
There were no trustees' expenses paid for the year ended 31st March 2021 nor for the year ended 31st March 2020
6 COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
| INCOME AND ENDOWMENTS FROM Donations and legacies EXPENDITURE ON Support Costs Charitable activities Charitable activities Total NET INCOME RECONCILIATION OF FUNDS Total funds brought forward TOTAL FUNDS CARRIED FORWARD |
Unrestricted fund £ 67,716 1,200 62,840 64,040 3,676 13,183 16,859 |
Restricted fund £ - - 16,082 16,082 (16,082) 17,695 1,613 |
Total funds £ 67,716 1,200 78,922 80,122 (12,406) 30,878 18,472 |
|---|---|---|---|
continued…
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Notes to the Financial Statements - continued For The Year Ended 31st March 2021
| 7 TANGIBLE FIXED ASSETS COST At 1st April 2019 and 31st March 2021 DEPRECIATION At 1st April 2020 Charge for year At 31st March 2021 NET BOOK VALUE At 31st March 2021 At 31st March 2020 8 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR Accrued expenses 9 MOVEMENT IN FUNDS £ £ Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS Net movement in funds, included in the above are as follows: Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS |
At 01/04/2020 £ 16,859 1,613 18,472 Incoming resources £ 61,645 - 61,645 |
31/03/2021 £ 679 Net movement in funds £ 2,750 - 2,750 Resources expended £ (58,894) - (58,894) |
Computer equipment £ 764 307 114 421 343 457 31/03/2020 £ 660 At 31/03/2021 £ 19,609 1,613 21,222 Movement in funds £ 2,751 - 2,751 |
|---|---|---|---|
continued…
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Notes to the Financial Statements - continued For The Year Ended 31st March 2021
9 MOVEMENT IN FUNDS - continued Comparatives for movement in funds
| £ £ Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS Net movement in funds, included in the above are as follows: Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS A current year 12 months and prior year 12 months combined position is £ £ Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS |
At 01/04/2019 £ 13,183 17,695 30,878 Incoming resources £ 67,716 - 67,716 as follows: At 01/04/2019 £ 13,183 17,695 30,878 |
Net movement in funds £ 3,676 (16,082) (12,406) Resources expended £ (64,040) (16,082) (80,122) Net movement in funds £ 6,426 (16,082) (9,656) |
At 31/03/2020 £ 16,859 1,613 18,472 Movement in funds £ 3,676 (16,082) (12,406) At 31/03/2021 £ 19,609 1,613 21,222 |
|---|---|---|---|
A current year 12 months and prior year 12 months combined net movement in funds, included in the above are as follows:
| Unrestricted funds General fund Restricted funds MCCU Construction fund TOTAL FUNDS |
Incoming resources £ 129,361 - 129,361 |
Resources expended £ (122,934) (16,082) (139,016) |
Movement in funds £ 6,427 (16,082) (9,655) |
|---|---|---|---|
continued…
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Notes to the Financial Statements - continued For The Year Ended 31st March 2021
10 RELATED PARTY DISCLOSURES
There were no related party transactions for the year ended 31st March 2021.
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Detailed Statement of Financial Activities For The Year Ended 31st March 2021
| INCOME AND ENDOWMENTS Donations and legacies Donations Total incoming resources EXPENDITURE Raising donations and legacies Marketing Charitable activities Wages Pensions Grants to institutions Support costs Management Insurance Telephone Travel and entertainment Finance Bank charges Human resources Office expenses Other Computer equipment Governance costs Accountancy and legal fees Total resources expended Net (expenditure)/income |
31/03/2021 £ 61,645 61,645 - - - 56,608 56,608 280 166 - 446 28 1,019 114 679 58,894 2,751 |
31/03/2020 £ 67,716 67,716 300 - - 76,146 76,146 289 300 1,211 1,800 45 1,019 152 660 80,122 (12,406) |
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