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2021-06-30-accounts

Health Improvement Project Zanzibar

Annual Report and Financial Statements For the Year Ending 30 June 2021

Charity number 1171687 Company number 10168369

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Health Improvement Project Zanzibar (A company limited by guarantee)

Financial Statements For the year ending 30[th] June 2021

Table of Contents

1 LEGAL ANDADMINISTRATIVEINFORMATION ......................................................................... 3
2 TRUSTEESREPORT ............................................................................................................. 4
2.1 OURAIMS ANDOBJECTIVES ............................................................................................ 4
2.2 THE CONTEXT .................................................................................................................. 5
2.3 PERFORMANCE ANDACHIEVEMENTS ............................................................................... 7
2.4 STRUCTURE, GOVERNANCE ANDMANAGEMENT ............................................................ 10
2.5 FINANCIALREVIEW ........................................................................................................ 12
3 INDEPENDENTEXAMINER’S REPORT TO THE MEMBERS OFHIPZ (HEALTHIMPROVEMENT
PROJECTZANZIBAR) FOR THE YEAR ENDED30 JUNE2021........................................................ 13
3.1 STATEMENT OFFINANCIALACTIVITIES........................................................................... 14
3.2 BALANCESHEET ........................................................................................................... 15
3.3 NOTESTO THEACCOUNTS ............................................................................................ 16

1 Legal and Administrative Information

HIPZ (Health Improvement Project Zanzibar)

Report of the Board of Directors for the year ending 30th June 2021. The Board of Directors presents its directors’ and trustees’ report and independently examined financial statements for the year ending 30 June 2021.

Within this financial year, we amended our year end to align with Zanzibar’s financial year. We moved the year end from March 31st to June 30th. This set of accounts runs from April 1st 2020 – 30th June 2021, and comprises 15 months of accounts. The comparison year in the income and expenditure statement is for 12 months to March 2020 and the 2020 balance sheet date is 31[st] March 2020.

Reference and Administrative Information

Charity Name: HIPZ (Health Improvement Project Zanzibar) Charity registration number: 1171687 Company registration number: 10168369

Registered address:

Applecombe Cottage, Wild Oak Lane, Trull Taunton TA3 7JS, UK

Board of Directors/Trustees

Chair: Dr Ruaraidh MacDonagh Treasurer: Ian Franklin (appointed 1st January 2021) Secretary: Caitlin Farrow Dr Nicholas Campain Susie Moore Dr Jon Rees Laura Cunningham Michael Sugden (appointed 1st January 2021) Dr Nicola Biggs (appointed 1st January 2021) Retired: Dr Michael Spencer Chapman (Stood down 1st January 2021)

Project team

UK Operations and Development Director (UK): Jess Price Bookkeeper (UK, Freelance): Anna Kawar Programme Director (Zanzibar): Simon Kühnert Clinical Operations Director (Zanzibar): Jabir James Ayindo Finance Manager (Zanzibar): Zainab Ahmed Yussuf Partnerships Advisor (Zanzibar): Pamela Allard Mental Health Coordinator (Zanzibar): Haji Hafidh Fatawi

External Accountants

SPX Oxford Ltd Peace House 19 Paradise Street Oxford OX1 1LD

Bank

Royal Bank of Scotland (UK), Exim Bank (T) Ltd (Zanzibar) & People’s Bank of Zanzibar (Zanzibar)

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2 Trustees Report

2.1 Our Aims and Objectives

HIPZ (Health Improvement Project Zanzibar) is a UK-registered charity established in 2006.

In partnership with the Zanzibar Ministry of Health, HIPZ strengthens the management and development of two rural Government hospitals - Kivunge Hospital (201 beds) in the north of Zanzibar and Makunduchi Hospital (42 beds) in the south.

Mission: To make it possible for all people in Zanzibar to access quality healthcare

Vision: Healthy people in Zanzibar – A model for accessible healthcare

Our work operates under six strategic pillars, which were renewed during our strategic review in 2021:

  1. We capacity build the health workforce to improve quality of care

  2. We strengthen systems and processes to improve patient outcomes

  3. We expand clinical services to meet the local need

  4. We develop the health infrastructure and procure and maintain equipment to enable service delivery

  5. We invest in health research to inform health service delivery and to enable our model to be shared

  6. We work with the community to inform our work and to increase health awareness

Our values are:

Our approach is a simple and effective method of transforming healthcare in a resource-poor setting. Our innovative model is based on shared responsibility and collaboration between the charity, the Zanzibar Government and associated bodies, and the two hospitals that we support - Makunduchi and Kivunge.

HIPZ has a Memorandum of Understanding (MoU) in place with the Ministry of Health for each hospital, which gives HIPZ the autonomy to change the way that services are delivered within the hospitals, in order to embed good clinical practice. Most significantly, the statutory responsibilities of the government are not being replaced as the local staff, salaries, basic utility and other services are still provided by the government.

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2.2 The context

Zanzibar is a semi-autonomous archipelago of the United Republic of Tanzania. It consists of two large islands, Unguja and Pemba and several small islands. Zanzibar’s population stands at around 1.6 million people. About 43% of the population live below the international poverty line, with the average wage at less than $1.9 per day.

Key health statistics

Life expectancy: 65 years Under-5 Mortality: 56/1,000 live births Neonatal mortality: 8/1,000 live births Stillbirth rate: 21/1,000 live births Institutional Maternal Mortality: 118/100,000 live births

The World Health Organisation (WHO) recommends a ratio of at least one doctor to every 10,000 people low resource countries. For the first time, Zanzibar has now reached that minimum ratio. However, it is worth noting that the UK has one doctor to every 400 people, and that in Zanzibar, 60% of the health workforce work in urban areas in which only 18% of the population resides.

Whilst healthcare in Zanzibar is free, the health system cannot deliver everything people need. The total expenditure for health is approximately 1.7% of the total government expenditure. The per capita health sector expenditure is USD $25 per capita. The WHO recommends a per capita expenditure of at least USD$60. As a result, people are frequently forced to spend their own funds on additional healthcare and out of pocket spending on healthcare in Zanzibar is high.

Sustainability

Our biggest challenge is to ensure that our work is sustainable and that the impact we have in Zanzibar can continue in the future without the need of HIPZ services. The work that HIPZ carries out saves lives each day, but we need to focus on structural improvements to the overall health system to ensure we can achieve the target of sustainable improvements. We achieve this by working in close partnership with the Revolutionary Government of Zanzibar.

We have a signed MoU with the Ministry of Health pertaining to the development and management of Makunduchi and Kivunge Hospitals. This allows us to embed all our projects within the existing governmental structures. The core of our activities is building local capacity which will improve the health care in Zanzibar in the long-term.

Key to the success of our work is our local Zanzibari team which understands the needs of the beneficiaries, the hospital staff and other relevant stakeholders. The team in Zanzibar allows us to continuously receive and react to beneficiary feedback which allows HIPZ to design relevant, culturally appropriate and cost-effective projects that achieve the aim of improving the health care services on the islands.

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Ensuring our work delivers our aims

We have a set of internal policies and procedures that ensure our work is relevant and delivers the intended outcomes whilst ensuring value for money.

Our workplan is derived from the HIPZ Strategic Plan and the process of developing the workplan is underpinned by our Standard Operating Procedure to ensure the work we deliver is relevant, aligned with our strategic pillars and cost-effective.

Monitoring and evaluation of our work, across our programme outcomes and our finances, is a priority for HIPZ. Throughout this financial year, we have made significant efforts to improve all of our processes in this area. We have developed an overall workplan and budget that enables us to track our progress in each activity area, both against our financial expectations and against our planned outcomes and impacts.

We have introduced Xero accounting software to improve our financial reporting, and we are using categories in Xero that match our workplan areas. This enables us to better connect our UK and Zanzibar accounting processes and reporting by having one system to allow greater transparency. We now have an accessible view of what we have delivered, what it has cost us and what the impacts are.

Our next critical step will be to introduce a permanent monitoring and evaluation role in Zanzibar during the next financial year. The focus of this role will be to develop and execute the effective delivery of monitoring and evaluation assessments across all our programme areas, to enable us to continue to improve the value and impact of the programmes that we deliver.

The focus of our work

Approximately 350,000 people in the Northern and Southern Region of Unguja, Zanzibar benefit directly from our work. Our work is primarily focused on improving the entire service delivery at Makunduchi and Kivunge hospitals. As part of our holistic approach to service delivery, this work also extends to the surrounding Primary Healthcare facilities and community based mental health care services, introducing a more recovery-oriented model of mental health.

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2.3 Performance and Achievements

How our activities deliver public benefit, and who benefits from our services

When HIPZ began working in Zanzibar, both hospitals were in a state of dilapidation, with little in the way of clinical staff or management. Outpatient services were disorganised, and in-patient bed occupancy was very low. The local population had little access to healthcare. In the time we have been operating on the Island, HIPZ has been responsible for the renovation of the two hospitals, both of which are now equipped to support the local communities that they serve.

The population around our hospitals have reduced access to basic services compared to the urban population near Stone Town and suffer multiple deprivations as a result. Household out of pocket (OOP) expenditure on health is extremely high at 21% compared to the 10% which the World Bank considers as a threshold that could put households into poverty. “Low public health expenditure coupled with high household expenditure on health make it likely that health events could result in catastrophic spending and impoverishment” (UNICEF 2017). The prevalence of disability around Kivunge hospital accounts for 35% of the entire disabled population of Zanzibar despite only 14% of the population living in the region (HBS, 2015).

We are proud of the impact we have made in Zanzibar since we were founded. The following statistics demonstrate the breadth and depth of that impact, delivered by HIPZ through the hospitals in Makunduchi and Kivunge, and the surrounding primary healthcare and mental health services that we have developed:

  1. More women than ever are experiencing safe births – maternal mortality has reduced from 364 in every 100,000 births to 118 in every 100,000.

  2. Infant mortality has reduced from 54 in 1,000 when HIPZ was founded, to 45 per 1,000 today.

  3. More than 27,500 infants and children are treated every year in the two hospitals we work in.

  4. Every year, our programmes treat more than 1080 patients for malnutrition.

  5. Since 2007 more than 614,000 surgical procedures have been carried out in Kivunge and Makunduchi hospitals

  6. Over 500 new patients are supported through our mental health projects every year.

  7. Our community outreach work has provided health education to over 400,000 people on topics including pre- and post-natal care, mental health and nutrition.

  8. More than 40 doctors and nurses have volunteered in Zanzibar – creating a valuable source of knowledge exchange.

  9. More than 1432 Caesarean-sections have been carried out in the hospitals – a procedure that was only available in Stone Town up until 2011, making it inaccessible for women in the rural communities due to distance and lack of transport infrastructure.

  10. Every year more than 5,000 patients receive eye treatment in our ophthalmic clinics. 11. The number of doctors working in both hospitals has increased from 0 in 2007 to 43 in 2022.

  11. We have provided training for over 1,000 healthcare workers in areas including mental health, surgery, hospital management and emergency medicine.

  12. We have renovated more than 20 wards across the two district hospitals.

  13. In 2007, only 1,200 babies were born in Makunduchi and Kivunge Hospitals. By 2021, that had increased to over 5,700 babies.

Key achievements in the year

We aim to achieve our goals in alignment with the development agenda of the Revolutionary Government of Zanzibar (RGoZ). We support the management and development of Makunduchi and Kivunge District Hospitals in Unguja and deliver a mental health project in North A and South districts delivering community-based mental health services and mental health outreach days in the community. Within this reporting period HIPZ also started a maternal and newborn health project within the same districts which will also benefit Primary Health Care facilities. To date we have trained 100 healthcare workers in intrapartum care.

In the wake of the COVID-19 pandemic, we adjusted our operations to collaborate with the Government to ensure emergency preparedness and the continuation of essential services in the facilities. We provided relevant training, personal protective equipment, infection prevention and control equipment and consumables to the hospitals. To support the health workers, HIPZ provided staff bus services for Makunduchi and Kivunge hospitals. Due to the increased psychosocial burden, HIPZ trained healthcare workers to deliver psychosocial support together with the MoHSWEGC. Alongside this effort, the Dawati Rafiki programme continued to deliver community-based problem solving therapy rendered by trained Community Health Volunteers.

In response to the global supply chain challenges, HIPZ supported the hospitals with drugs and consumables to continue to provide essential services to the people of North A and South districts. This support included the continued use of a fully automated clinical biochemistry analyser and the purchase of necessary reagents at Kivunge Hospital.

Despite the global health emergency, HIPZ continued to support the hospitals in terms of human resources, building expertise, improving management structures, communication, leadership and work culture.

Sustainability of our charity

We are pleased to report that this year we generated income of £366,229 thanks to fundraising efforts. We incurred £345,592 of expenditure. The reserves at the year-end were £134,449 in total, of which £89,126 were unrestricted.

Two of our key partners – The CML Foundation and the Lady Fatemah Charitable Trust – that are committed to significant multi-year grants, one focused on salaries and one on project costs. These investments improve our overall stability. We have also been delighted to be working with new funders including Guernsey Overseas Aid, and Pharmanovia, both of whom will begin supporting HIPZ in the next financial year. Our number of regular donors is steadily increasing and the generous long-term support of existing partners such as VCCP, ZIDO, Blackdown Partners and Festival Medical Services is key to our stability.

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Future plans

With the team structure embedded in Zanzibar, we are now in a strong position to reach our goals in the coming years. We will continue to make progress in streamlining our work, focusing on the areas we know make the most impact and evaluating our progress. Value for money and sustainability will remain at the heart of what we do.

Our clinical focus is driven by what we are experiencing on the ground in Zanzibar. Key areas in the upcoming year are improving emergency care in both hospitals and improving maternal and newborn health in the North and South of Unguja. We also continue with our effort to decentralize services and implement a recovery-oriented model of mental health across Zanzibar. We have in place a number of clinical priorities for the 2021-2024 period, with new focus areas including malnutrition, anti-microbial resistance and the prevention of burns, as well as the continuation of our existing work.

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2.4 Structure, Governance and Management

We take our financial and governance responsibilities seriously. This is particularly important to support our work in Zanzibar and ensure the money we spend there is used as effectively as possible.

In line with Charity Commission and Companies House requirements our accounts are independently examined annually and published on the relevant websites. We have a volunteer accountant and part-time bookkeeper in the UK, as well as a Finance Manager and a Programme Director who oversee our finances in Zanzibar. In the UK we have an Operations and Development Director who leads our fundraising activity to ensure incoming funds support the vital activities in Zanzibar.

All activities are overseen by the Trustees, a number of whom also provide hands-on support. Our board of Trustees scrutinise our finances at quarterly meetings and discuss the risks to the charity via our risk register.

In this financial year we introduced a new sub-committee – Finance, Audit and Governance. This committee is made up of two Trustees including our Treasurer, the UK Operations and Development Director, the UK Bookkeeper, the Zanzibar Finance Manager and the Zanzibar Programme Director. The committee meets monthly to review our finances and all linked areas, using a risk management approach. This sub-group reports to the board of Trustees and has greatly improved our financial management processes.

We also introduced the use of the Xero accounting software package in 2021 which will greatly improve our financial reporting capacity.

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. The charity also has a Memorandum of Understanding with the Zanzibar Government allowing it to operate in the two hospitals.

Directors/Trustees

Our board of trustees is made up of experienced professionals from a range of backgrounds, including senior clinicians, communications and marketing, finance, charity and business planning.

Since we were incorporated in 2016, the trustees of the charity are also directors of the company. All directors give their time voluntarily and received no benefits from the charity. There were no trustees' remuneration or other benefits either for the year ended 30 June 2021.

Recruitment to the board of trustees is skills-based, and we regularly review the skills and experience we have represented on the board. In the last financial year we appointed three

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new Trustees, and one Trustee stood down. The new Trustees who were welcomed to the Board were:

Trustees do not receive formal training, but gain knowledge from other trustees and HIPZ staff. Trustees are encouraged to oversee specific areas of interest, for example finance, events, fundraising or planning. Clinical trustees act as mentors to the volunteer clinicians working in Zanzibar.

Risk Management

Within this financial year, HIPZ implemented a new format of our Risk Management Policy and Risk Register to improve our risk management processes. We review all organisational risks at both the monthly Finance, Audit and Governance Subcommittee meetings and at the quarterly Board meetings.

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2.5 Financial Review

Principal Funding Sources

We are pleased to have diversified our income streams in this financial year. Our income sources for this financial year are:

We continue to work hard to build up a portfolio of long-term supporters from a range of funding sources.

Investment Policy

The charity does not have any investments.

Reserves Policy

The reserves policy is designed to maintain a sufficient level of unrestricted funds to enable the charity to close down should it be required to. It allows for six months of basic operations to continue and would give time for staff in Zanzibar to make alternative employment arrangements. It is based upon the cost of three months’ predictable liabilities.

The policy allows HIPZ to actively manage our finances and ensure we have the capacity to weather unforeseen financial problems.

Auditors

SPX Accounting were appointed to conduct the independent examination of these accounts.

This report has 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 2015)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006.

Approved by the directors on 28[th] March 2022 and signed on its behalf by Dr Ruaraidh MacDonagh:

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3 Independent Examiner’s Report to the members of HIPZ (Health Improvement Project Zanzibar) for the year ended 30 June 2021

FOR THE PERIOD ENDED 30 JUNE 2021

I report to the charity trustees on my examination of the accounts of the Company for the period ended 30 June 2021, which are set out in pages 14-22.

RESPECTIVE RESPONSIBILITIES OF TRUSTEES AND EXAMINER

As the charity’s trustees of the Company (who are also the directors of the company for the purposes of company law), you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (“the 2006 Act”).

BASIS OF INDEPENDENT EXAMINER’S REPORT

Having satisfied myself that the accounts of the Company are not required to be audited for this period under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity’s accounts as carried out under section 145 of the Charities Act 2011 (“the 2011 Act”). In carrying out my examination, I have followed the Directions given by the Charity Commission (under section 145(5)(b) of the 2011 Act.

INDEPENDENT EXAMINER’S STATEMENT

The company’s gross income exceeded £250,000 and I am qualified to undertake the examination by being a qualified member of the Chartered Institute of Certified Accountants.

I have completed my examination. I confirm that no material matters have come to my which gives me cause to believe that:

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Sheila Parry FCCA

SPX Oxford Ltd 19 Paradise Street Oxford OX1 1LD Date …28 March 2022……………………………

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3.1 Statement of Financial Activities FOR THE PERIOD ENDED 30 JUNE 2021

Total Total
Note Unrestricted Restricted Unrestricted Restricted
2021 2020
£ £ £ £ £ £
Income
Donations and legacies 3 265,440 99,976 365,416 173,252 97,626 270,878
Charitable activities 4 - - - 4,400 - 4,400
Other trading activities 5 - - - 1,072 - 1,072
Investments - - - 67 - 67
Other 813 - 813 - - -
Total incoming resources 266,253 99,976 366,229 178,791 97,626 276,417
Expenditure
Fundraising costs 6 45,422 - 45,422 40,666 2,525 43,191
Charitable activities 7 207,053 93,117 300,170 135,696 119,062 254,758
Other - - - -
Total resources expended 252,475 93,117 345,592 176,362 121,587 297,949
Net income/ -expenditure 13,778 6,859 20,637 2,429 - 23,961 - 21,532
Transfers between funds - - - 14,215 - 14,215 -
Net movement in funds 13,778 6,859 20,637 16,644 - 38,176 - 21,532
Reconciliation of funds:
Total funds brought
forward		 75,348 38,464 113,812 58,704 76,640 135,344
Total funds carried
forward		 89,126 45,323 134,449 75,348 38,464 113,812

The Statement of Financial Activities includes all gains and losses in the period and therefore a statement of total recognised gains and losses has not been prepared. All of the above amounts relate to continuing activities. The notes on pages 16 to 22 form part of these financial statements.

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3.2 Balance Sheet

AS AT 30 JUNE 2021

Note
Tangible fixed assets
9
Current assets
Debtors
10
Cash at bank and in hand
Creditors: amounts falling due
within one year
11
Net current assets
Creditors: amounts falling due in
more than one year
Net assets
Funds
Restricted funds
12
Unrestricted funds general
13
Designated
Total charity funds		 2021
£
4,705
134,111
138,816
- 10,955		 2021
£
6,588
127,861
-
134,449
45,323
89,126
-
134,449		 2020
£
4,061
111,049
115,110
- 7,048		 2020
£
5,750
108,062
-
113,812
38,464
75,348
-
113,812

For the period ended 30 June 2021 the charitable company was entitled to exemption from audit under section 477 of the Companies Act 2006. Trustees responsibilities:

These financial statements were approved by the members of the committee and authorised for issue on 28[th] March 2022 and are signed on their behalf by Dr Ruaraidh MacDonagh, Chairman and Trustee.

Trustee:

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3.3 Notes To The Accounts FOR THE PERIOD ENDED 30 JUNE 2021

1. ORGANISATION STATUS

HIPZ (Health Improvement Project Zanzibar) is a Charitable Incorporated Organisation.

2. ACCOUNTING POLICIES

Basis of accounting

The charity constitutes a public benefit entity as defined by FRS102. The financial statements have been prepared in accordance with 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 (FRS102) issued on 16 July 2014, as updated by Update Bulletin 1 issued on 2 February 2016, with the Charities Act 2011, the Charities and Trustee Investment (Scotland) Act 2005 and the Charities Accounts (Scotland) Regulations 2006.

The financial statements have been prepared under the historical cost convention 2015 (SORP 2015), ‘Accounting and Reporting by Charities’, issued by the Charities Commission.

Fund accounting

Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objectives of the charity.

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.

Income

All income is included in the statement of financial activities when the charity is legally entitled to the income and the amount can be quantified with reasonable accuracy.

Fixed assets

Fixed assets (excluding investments) are stated at cost less accumulated depreciation. The costs of minor additions or those costing below £1,000 in the UK, or £300 in Zanzibar are not capitalised.

Depreciation

Depreciation is calculated so as to write off the cost of an asset, less its estimated residual value, over the useful economic life of that asset. There are currently no assets held in the UK. Our depreciation rates in Zanzibar are based on the Tanzanian Revenue Authority rates and are therefore as follows:

Depreciation rates - Zanzibar

Computers and accessories and motor cycles– 37.5% (reducing balance) Furniture and fixings, office equipment and motor vehicles – 12.5% (reducing balance)

Expenditure

Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure represents amounts invoiced, including value added tax.

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

Taxation

The Charity is exempt from corporation tax on its charitable activities.

Accounting period

The charity has changed its year end from 31 March to 30 June. These accounts cover a 15 month period from 1 April 2020 to 30 June 2021. The comparative figures are for twelve months.

3. DONATIONS AND LEGACIES

Unrestricted
£
Individual Giving
70,767
Corporate
38,699
Major Donors
73,184
Statutory
-
Community and events
19,142
Trusts and Foundations
63,648
265,440
4. INCOME FROM CHARITABLE ACTIVITIES
Unrestricted
£
Electives
-
-
5. OTHER TRADING ACTIVITIES
Unrestricted
£
Other trading income
-
-
6. FUNDRAISING COSTS
Unrestricted
£
Fundraiser salaries
42,349
Other fundraising costs
3,073
45,422		 Restricted
£
-
12,000
-
27,562
-
55,414
99,976
Restricted
£
-
-
Restricted
£
-
-
Restricted
£
-
-
-		 2021
£
70,767
55,699
73,184
27,562
19,142
119,062
365,416
2021
£
-
-
2021
£
-
-
2021
£
42,349
3,073
45,422		 2020
£
28,001
17,395
22,503
50,913
11,103
140,963
270,878
2020
£
4,400
4,400
2020
£
1,072
1,072
2020
£
30,017
13,174
43,191

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

7. EXPENDITURE ON CHARITABLE ACTIVITIES

Operational costs
Capacity building and quality improvement
Equipment and consumables, Infrastructure
development and Pharmaceuticals
Policy advocacy / government liaison
Preventive Services
Administration
Exchange rate differences		 Unrestricted
£
21,247
87,391
40,643
10,672
15,544
24,634
6,923
207,052		 Restricted
£
-
37,442
36,688
-
21,378
225
- 2,615
93,118		 2021
£
21,247
124,832
77,330
10,672
36,922
24,860
4,308
300,170		 2020
£
-
133,150
62,367
13,919
17,429
28,276
- 383
254,758

8. STAFF COSTS

Wages and salaries
Social security costs
Pension costs
Fundraising
Programme mgt & admin
Total		 2021
£
145,505
21,362
840
166,866
2021
2
10
12		 2020
£
88,832
36,358
-
125,190
2020
2
8
10

No employee received benefits exceeding £60,000

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

9. TANGIBLE FIXED ASSETS

9. TANGIBLE FIXED ASSETS
Motor
vehicles		 Equipment Total cost
£ £ £
Cost
Cost at 1 April 2020 14,406 - 14,406
Additions - 405 405
Disposals - 4,957 - - 4,957
Exchange adjustment and other adjustments
to align to Zanzibar accounts		 186 4,770 4,956
At 30 June 2021 9,634 5,176 14,810
Depreciation
At 1 April 2020 8,656 - 8,656
Charge for the period - 1,527 1,674 147
Exchange adjustment - 581 - - 581
At 30 June 2021 6,548 1,674 8,222
Net book value
At 30 June 2021 3,086 3,501 6,588
At 31 March 2020 5,750 - 5,750
10. DEBTORS
2021 2020
£ £
Staff loans 2,307 2,605
Prepayments 2,398 1,456
4,705 4,061
11. CREDITORS
2021 2020
£ £
Accruals 4,510 7,048
Other creditors 6,445 -
10,955 7,048

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

12. RESTRICTED INCOME FUNDS

Restricted funds
ZIDO - Biochemistry machine
ZIDO - Other Smaller Projects
Rotary Global Grant (Makunduchi)
Comic Relief
Dorneburg Stiftung
Evan Cornish Foundation
Ethicall
Lady Fatemah Charitable Trust
Costas M Lemos Foundation		 Balance at
31 March
2020
£
1,090
8,750
- 1,766
30,390
-
-
-
-
-
38,464		 Income
£
14,953
-
5,635
27,562
702
3,000
17,000
31,124
-
99,976		 Expenditure
£
- 12,388
-
- 4,654
- 30,129
-
-
- 14,113
- 22,418
- 9,415
- 93,117		 Balance at
30 June
2021
£
3,655
8,750
- 785
27,823
702
3,000
2,887
8,706
- 9,415
45,323

Purpose of restricted funds:

ZIDO is registered non-profit charitable organisation based in Canada. The registered name is Reaching out to Zanzibar International Development Organization and its mission is to improve the lives of the people of Zanzibar

Rotary Zanzibar is the short form of Rotary Club of Zanzibar - Stone Town based in Zanzibar Town, Tanzania. It is an organisation to bring together business and professional leaders in order to provide humanitarian services and to advance goodwill and peace. It is a non-political and non-religious organisation open to all.

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

HIPZ is downstream partner delivering parts of Global Grant and providing technical expertise to the Rotary Club of Zanzibar.

Comic Relief. Comic Relief is supporting us to implement a mental health project in North A and South Districts benefiting 180,000 people with the aim of improving access to mental health services in the community, improving quality of mental health services, improving awareness of mental health in the community.

Dorenburg Stiftung is a private family foundation funding medication and consumables for our paediatric work.

Evan Cornish Foundation is a UK based grant-giving organisation. They awarded HIPZ funding to deliver mental health community outreach days.

Ethicall i s a historic partner of HIPZ and they reached back out to us in 2020, and generously offered to support our work. They donated £17,000 towards our surgical work which included renovating and equipping the operating theatre in Kivunge Hospital and purchasing a new theatre bed for Makunduchi Hospital.

The Lady Fatemah Charitable Trust is funding HIPZ to deliver a new maternal and new-born health programme in the hospitals and Primary Health Care Units we work in.

The Costas M Lemos Foundation is a private foundation supporting HIPZ’s fundraising and operations functions.

13. UNRESTRICTED INCOME FUNDS

Balance at Balance at
31 March Income Expenditure 30 June
2020 2021
Unrestricted funds £ £
General unrestricted funds 75,348 278,253 - 252,475 101,126
75,348 278,253 - 252,475 101,126

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NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 30 JUNE 2021 (continued)

14. ANALYSIS OF FUNDS BY ASSET TYPE

Fixed assets
Net current assets		 Restricted
£
-
45,323
45,323		 Unrestricted
£
6,588
82,538
89,126		 Total cost
£
6,588
127,861
134,449

15. TRUSTEE REMUNERATION, KEY MANAGEMENT PERSONNEL & RELATED PARTY TRANSACTIONS

No member of the board of trustees received any remuneration or were reimbursed for any expenses during the reporting period.

The key management personnel are the voluntary trustees and so there is no expenditure on key management personnel during the reporting period.

There were no related party transactions during the reporting period.

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