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2022-06-30-accounts

Health Improvement Project Zanzibar

Report and Financial Statements For the Year Ending 30 June 2022

Charity number 1171687 Company number 10168369

1

Health Improvement Project Zanzibar (A company limited by guarantee)

Financial Statements For the year ending 30[th] June 2022

Table of Contents

1 LEGAL ANDADMINISTRATIVEINFORMATION...........................................................................................3
2 TRUSTEESREPORT.....................................................................................................................................5
2.1 BACKGROUND.........................................................................................................................................5
2.2 THE CONTEXT .......................................................................................................................................5
2.3 OURAIMS ANDOBJECTIVES .............................................................................................................6
2.4 HOW WE WORK.....................................................................................................................................6
2.5 PERFORMANCE ANDACHIEVEMENTS ..............................................................................................8
2.6 STRUCTURE, GOVERNANCE ANDMANAGEMENT................................................................................11
2.7 FINANCIALREVIEW ...........................................................................................................................12
3 INDEPENDENTEXAMINER’S REPORT TO THE MEMBERS OFHIPZ (HEALTHIMPROVEMENTPROJECTZANZIBAR)
FOR THE YEAR ENDED31STMARCH2020 ....................................................................................................13

2

1 Legal and Administrative Information

HIPZ (Health Improvement Project Zanzibar)

Report of the Board of Directors for the year ending 30th June 2022. The Board of Directors presents its directors’ and trustees’ report and independently examined financial statements for the year ending 30 June 2022.

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 Secretary: Caitlin Farrow Dr Nicholas Campain Susie Moore Dr Jon Rees (Resigned 28[th] April 2022) Laura Cunningham Michael Sugden Dr Nicola Biggs

Operational 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 Monitoring & Evaluation Officer (Zanzibar): Dr. Zubeda Suleiman Ngware

External Accountants

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

Bank

3

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

2 Trustees Report

2.1 Background

Health Improvement Project Zanzibar (HIPZ) was founded in 2006. It is a Private Company Limited by Guarantee and a charity registered with the Charity Commission for England and Wales. In Zanzibar, HIPZ has a registered branch which is governed by the same Articles of Association and policies.

In the initial years the partnership between the Zanzibar Ministry of Health and HIPZ focused on the development and management of rural hospitals. With time the scope evolved to strengthen the wider health system in Zanzibar.

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 1.8 million people. Around half of the population is under 18 years old. Basic needs poverty affects 26% of the population (30% of the under 17s).

Zanzibar Performance towards Sustainable Development Goals(SDG) 3 targets Zanzibar Performance towards Sustainable Development Goals(SDG) 3 targets Zanzibar Performance towards Sustainable Development Goals(SDG) 3 targets
SDG Indicator Zanzibar SDG Target 2030
Under-five mortality rate per
1,000 live births		 56 per 1,000 live births 25 per 1,000 live births

4

Neonatal mortality rate per
1,000 live births		 28 per 1,000 live births 12 per 1,000 live births
Maternal Mortality ratio per
100,000 live births		 118 per 100,000 live births (only
includes institutional mortality)		 70 per 100,000 live births

Zanzibar has made significant gains in human resources for health in recent years/over the last 10 years. Currently, one doctor serves a population of 4,445 and one nurse serves a population of 1,258. However, these ratios remain well below the World Health Organisation (WHO) recommendations (of 2.5 skilled healthcare workers per 1,000). Furthermore, 60% of the health workforce work in urban areas where only 18% of the population resides, meaning there is still significant disparity in accessing healthcare for the majority of the population who live in rural areas.

The total health expenditure is approximately 3% of the Gross Domestic Product (GDP), falling below the WHO recommendation of at least 5% to achieve Universal Healthcare Coverage. The global COVID pandemic has hit the Zanzibar economy especially hard as the country relies heavily on tourism. The Ministry of Health only implemented 84% of its budget, and as a result there is a gap in the service provision. Therefore, people are frequently forced to spend their own funds on additional healthcare and out of pocket expenditure on healthcare in Zanzibar is high.

2.3 Our Aims and Objectives

HIPZ aims to strengthen the Zanzibari healthcare system. It is our mission to make it possible for all people in Zanzibar to access high quality healthcare to achieve our vision of a healthy population in Zanzibar.

2.4 How we work

Our HIPZ model has been tried and tested over the past 15 years. This model is our blueprint for how healthcare can be transformed in resource-poor environments. We believe this has the potential to make a difference not just in Zanzibar, but on a global scale.

Our works is derived from our values:

Based on these values and our in-depth understanding we have developed our theory of change to improve health outcomes in Zanzibar.

5

HIPZ Theory of Change

This model focuses around six pillars:

  1. Build workforces. We train healthcare workers in all areas, equipping them with the knowledge and skills to take ownership of their services.

  2. Expand Services. In line with the Zanzibar Essential Healthcare Package, we listen to the medical needs of the community and find cost-effective, evidence-based solutions to introduce impactful change.

  3. Develop Infrastructure. We improve the structural condition of health facilities and fill gaps in equipment and consumables.

  4. Work with the community. We learn from the community and share our experience to reduce barriers to positive health seeking behaviour.

  5. Invest in research. We invest in locally relevant health research and share it with the global health community to improve health services delivery not just in Zanzibar, but around the world.

  6. Strengthen systems. We co-develop processes, policies and strategies in collaboration with the government, health facilities and other development partners to improve care and create longlasting change.

All this work is delivered in close partnership with the Zanzibar Government to ensure local ownership, alignment with national policies and priorities as well as sustainability of our programmes.

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2.5 Performance and Achievements

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 together with the Ministry of Health. Most of our work has been achieved through the hospitals in Makunduchi and Kivunge, and the surrounding primary healthcare facilities.

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

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

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

  4. 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.

  5. More than 1,432 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.

  6. Every year more than 5,000 patients receive eye treatment in the ophthalmic clinics of Kivunge and Makunduchi hospitals.

  7. The number of doctors working in both hospitals has increased from 0 in 2007 to 43 in 2022.

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

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

  10. 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 Zanzibar Government. As in previous years, the core of our work has supported the management and development of Makunduchi and Kivunge District Hospitals in Unguja as well as the service provision in the surrounding health facilities. In total we have supported 27 health facilities across Zanzibar.

A summary of the key achievements in the following areas reflecting the financial categories in note 8 of the financial statements:

  1. Capacity Building

  2. Equipment and Infrastructure

  3. Policy advocacy and system strengthening

  4. Preventive Services and work in the community

Capacity Building

We are building the capacity of the health workforce. We have trained over 500 health workers in various fields from Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH), Emergency Care, Hospital Management, Quality Improvement, Mental Health, Infection Prevention and Control, Surgery, Anesthesia and Theatre Management among others. We have done this through mentorship, on-the-job-training as well as formal short and long-term training. Two nurses successfully graduated from their studies in anesthesia, which is a bottleneck area in delivering 24/7 Comprehensive

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Emergency Obstetric and Newborn Care (CEmONC) and other surgical services at Makunduchi Hospital.

Equipment and Infrastructure

HIPZ invested in the development of the infrastructure and provision of pharmaceuticals and equipment.

We have supported continuous maintenance by engaging a biomedical engineer who is delivering training of end-users, technicians and setting up a pre-planned maintenance plan at the second line facilities. Among others we have repaired vital equipment such as anesthetic machines, and laboratory equipment. To alleviate the shortages in essential consumables we are procuring life-saving commodities for the hospitals.

In addition, we have focused on the refurbishment and extension of the Kivunge Laboratory. These works ensured Infection Prevention and Control (IPC) standards and created space for new departments such as Microbiology.

We have refurbished the old Maternity ward at Kivunge Hospital to become a dedicated Emergency Department and equipped it. It now has a dedicated waiting area, triage, three consultation rooms, two treatment areas with a capacity of six beds as well as an isolation facility. It is the first Emergency Department in Unguja outside of the capital.

We have renovated and equipped the surgical theatre in the Maternity wing at Kivunge Hospital ensuring the functionality of a dedicated theatre for pregnant women.

Policy advocacy and system strengthening

HIPZ has exceptional stakeholder relationships across the health sector, local, regional and national government as well as in the community.

We have supported the development of various key documents such as the Zanzibar Health Sector Strategic Plan, the Zanzibar Essential Healthcare Package and the National Referral Guideline.

We have participated in the Zanzibar Development Partners Group for Health and Nutrition, as well as in Technical Working Groups of the Ministry of Health. Further we have continued to contribute to the Zanzibar Health Basket Fund. We also have been appointed as a member of Zanzibar Multisectoral Coordinating Committee on Antimicrobial Resistance and have been elected as an alternate representative of International NGOs to the Zanzibar Global Fund Country Coordinating Mechanism.

Preventive Services and work in the community

As a result, we have dramatically improved the accessibility of mental health services in North A, North B, Central and South Districts of Unguja by decentralizing mental health services. We are in the process of training over 160 Community Health Volunteers (CHVs) and over 60 CVH Supervisors in ‘Dawati Rafiki’ in each Shehia (smallest administrative area in Zanzibar) in North A and South District. Dawati Rafiki is a problem-solving evidence-based therapy devised in Zimbabwe to support beneficiaries with anxiety and depression, delivered by CHVs.

We have delivered the first integrated mental health outreach in Zanzibar together with the Ministry of Health. In total we delivered 22 outreaches reaching over 3,600 people.

8

We have also partnered with the Rotary Club of Stone Town and Urban Care to deliver Breast Cancer Outreach Camps.

Future plans

We aim to strengthen Emergency Care in the Northern and Southern Regions of Unguja. Therefore, we want to build the capacity of the human resources for health in emergency care, improve referral system including the establishment of an ambulance boat for hard-to-reach islands as well as constructing a dedicated Emergency Department at Makunduchi Hospital.

Another focus is strengthening the diagnostic capacity of Makunduchi Hospital by constructing a laboratory, procuring equipment for new departments such as clinical microbiology and training laboratory staff.

In order to address the increasing burden of non-communicable diseases (NCDs) we aim to deliver a project tackling hypertension. We plan to continue working on RMNCAH.

We aim to scale up our RMNCAH programme to new districts including Pemba as well as adding a community component to increase positive health seeking behaviour.

Lastly, we want to conduct more locally driven medical research in Zanzibar to generate evidence and build the research capacity in isles.

2.6 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 part-time bookkeeper, and plan to recruit a Finance Director in the UK in 2022 – 23; and a Finance Manager and a Programme Director who oversee our finances in Zanzibar. We have a small fundraising and partnership team who lead 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 operational support to the management team. Our board of Trustees scrutinise our finances at quarterly meetings and discuss the risks to the charity via our risk register.

We have two sub-committees supporting the work of the Board – the Finance, Audit and Governance Committee and the Medical Advisory Group. These groups report to the Board of Trustees and have been a great support to the trustees over the year.

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.

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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 paid for the year ended 30 June 2022.

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 one trustee stood down and we are in the process of recruiting new trustees to the board.

Trustees gain knowledge from other trustees and HIPZ staff and keep up to date with the role of the trustee using Charity Commission guidance. Trustees are encouraged to oversee specific areas of interest, for example finance, events, fundraising or planning.

Risk Management

Risk is discussed at all levels of the organisation, and at the strategic level is overseen by an organisational risk register. The risk register is discussed regularly at the Finance, Audit and Governance Committee and with the Board of Trustees.

2.7 Financial Review

Financial Performance 2021-22[*]

Income for the year at £500k was +8% higher than budgeted and represented a +37% increase from 2020-21. The majority of the additional income, compared to the previous year, came from Trusts and Foundations.

Expenditure for the year at £518k was aligned with the budget in total and represented a +50% increase compared to 2020-21. The higher spend was mostly in the areas of capacity building and quality improvement as well as preventative services.

The small surplus of expenditure vs income at -£17k was slightly lower than budgeted and resulted in a net asset position of £117k at the end of 2021-22

* Prior year figures for 2020-21 were for a 15-month period due to realignment of the financial year period

Principal Funding Sources

Our income sources for this financial year were:

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.

10

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 / Independent examiner

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.

In Zanzibar, Hybrid Assurance was appointed to conduct the audit of HIPZ in Zanzibar. The audit was conducted in accordance with International Standards on Auditing issued by the International Auditing and Assurance Standards Board of the International Federation of Accountants.

In the opinion of the auditor the financial statements presented for Zanzibar presented a true and fair view of the state of affairs of HIPZ, as at 30 June 2022 and for the period then ended, accordance with International Public Sector Accounting Standards issued by the Public Sector Committee of the International Accounting Standards issued by the International Accounting Standards Board.

Approved by the directors on 15[th] March 2023

and signed on its behalf by:

Ru MacDona h g

Ru Macdonagh (Mar 15, 2023, 5:32pm)

Dr Ruaraidh MacDonagh Chairof the board of Trustees

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3 Independent Examiner’s Report to the members of HIPZ (Health Improvement Project Zanzibar) for the year ended 30 June 2022

FOR THE PERIOD ENDED 30 JUNE 2022

I report to the charity trustees on my examination of the accounts of the Company for the period ended 30 June 2022, 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.

Surinder Singh FCCA

SPX Oxford Ltd 19 Paradise Street Oxford OX1 1LD 16/03/2023 Date ………………………………

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Statement of Financial Activities FOR THE PERIOD ENDED 30 JUNE 2022

Note
Income
Donations and
legacies
3
Other
Total income
Expenditure
Fundraising costs
4
Charitable activities
5
Total expenditure
Net income/ -expenditure
Transfers between funds
Net movement in funds
Reconciliation of funds:
Total funds brought forward
Total funds carried forward		 Unrestricted
£
100,604
1,636
102,240
26,823
122,176
148,999
- 46,759
22,806
- 23,953
89,126
65,173		 Restricted
£
398,414
1
398,415
47,462
323,812
371,274
27,141
- 22,806
4,335
45,323
49,658		 Total
2022
£
499,018
1,637
500,655
74,285
445,988
520,273
- 19,618
-
- 19,618
134,449
114,831		 Unrestricted
£
265,440
813
266,253
45,422
207,053
252,475
13,778
-
13,778
75,348
89,126		 Restricted
£
99,976
-
99,976
-
93,117
93,117
6,859
-
6,859
38,464
45,323		 Total
2021
£
365,416
813
366,229
45,422
300,170
345,592
20,637
-
20,637
113,812
134,449

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.

13

Balance Sheet AS AT 30 JUNE 2022

Note
Tangible fixed assets
7
Current assets
Debtors
8
Cash at bank and in hand
Creditors: amounts falling due
within one year
9
Net current assets
Creditors: amounts falling due in
more than one year
Net assets
Funds
Restricted funds
10
Unrestricted funds general
11
Total charity funds		 2022
£
5,527
108,722
114,249
- 12,696		 2022
£
13,278
101,553
-
114,831
49,658
65,173
114,831		 2021
£
4,705
134,111
138,816
- 10,955		 2021
£
6,588
127,861
-
134,449
45,323
89,126
134,449

For the period ended 30 June 2022 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 ……………………….. and are signed on their behalf by Dr Ruaraidh MacDonagh, Chairman and Trustee.

Trustee:

14

2.8 Statement of Cash Flows FOR THE PERIOD ENDED 30 JUNE 2022

Note
Cash used in operating activities
14
Cash flows from investing activities
Purchase of fixed assets
Cash provided by (used in) investing activities
Increase (decrease) in cash and cash equivalents in the
year
Cash and cash equivalents at the beginning of the year
Total cash and cash equivalents at the end of the year		 2022
£
- 17,734
- 7,655
- 7,655
- 25,389
134,111
108,722		 2021
£
23,467
- 405
- 405
23,062
111,049
134,111

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2.9 Notes to the Accounts FOR THE PERIOD ENDED 30 JUNE 2022

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.

16

3.4 Notes to the Accounts

FOR THE PERIOD ENDED 30 JUNE 2022 (continued)

Taxation

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

Accounting period

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

3. DONATIONS AND LEGACIES

Individual Giving
Corporate
Major Donors
Statutory
Community and events
Trusts and Foundations		 Unrestricted
£
41,215
22,587
21,000
-
11,352
4,450
100,604		 Restricted
£
3,993
43,422
-
44,177
-
306,822
398,414		 2022
£
45,208
66,009
21,000
44,177
11,352
311,272
499,018		 2021
£
70,767
55,699
73,184
27,562
19,142
119,062
365,416

4. FUNDRAISING COSTS

Unrestricted
£
Fundraiser salaries
23,173
Other fundraising costs
3,650
26,823
.
EXPENDITURE ON CHARITABLE ACTIVITIES
Unrestricted
£
Operational costs
8,846
Capacity building and quality improvement
48,713
Equipment and consumables, Infrastructure
development and Pharmaceuticals
20,194
Policy advocacy / government liaison
4,940
Preventive Services
9,031
Administration
26,352
Exchange rate differences
4,100
122,176		 Restricted
£
30,015
17,447
47,462
Restricted
£
23,211
177,445
52,705
4,374
58,083
7,994
-
323,812		 2022
£
53,188
21,097
74,285
2022
£
32,057
226,158
72,899
9,314
67,114
34,346
4,100
445,988		 2021
£
42,349
3,073
45,422
2021
£
21,247
124,832
77,330
10,672
36,922
24,860
4,308
300,171

5. EXPENDITURE ON CHARITABLE ACTIVITIES

17

FOR THE PERIOD ENDED 30 JUNE 2022 (continued)

3.4 Notes to the Accounts

6. STAFF COSTS

Wages and salaries
Social security costs
Pension costs
Fundraising
Programme mgt & admin
Total		 2022
£
144,642
18,876
1,104
164,622
2022
2
10
12		 2021
£
145,505
21,362
840
167,707
2021
2
10
12

No employee received benefits exceeding £60,000

7. TANGIBLE FIXED ASSETS

Cost
Cost at 1 July 2021
Additions
Disposals
Exchange adjustment and other adjustments
to align to Zanzibar accounts
At 30 June 2022
Depreciation
At 1 July 2021
Charge for the period
Exchange adjustment
At 30 June 2022
Net book value
At 30 June 2022
At 30 June 2021		 Motor
vehicles
£
9,634
-
-
1,250
10,884
6,548
1,082
849
8,479
2,405
3,086		 Equipment
£
5,176
7,655
-
671
13,502
1,674
737
218
2,629
10,873
3,502		 Total cost
£
14,810
7,655
-
1,921
24,386
8,222
1,819
1,067
11,108
13,278
6,588

18

3.4 Notes to the Accounts

FOR THE PERIOD ENDED 30 JUNE 2022 (continued)

8. DEBTORS

.
DEBTORS
Staff loans
Prepayments		 2022
£
2,127
3,400
5,527		 2021
£
2,307
2,398
4,705

9. CREDITORS

.
CREDITORS
Accruals
Other creditors		 2022
£
4,465
8,231
12,696		 2021
£
4,510
6,445
10,955

10. RESTRICTED INCOME FUNDS

Restricted funds
ZIDO - Biochemistry machine
ZIDO - Other Smaller Projects
Rotary Global Grant (Makunduchi)
Comic Relief
Dornenburg Stiftung
Evan Cornish
Ethicall
The Lady Fatemah Charitable
Trust
Costas M. Lemos Foundation
Friendship Bench
Festival Medical Services
Todos Juntos
Souter Charitable Trust
Guernsey Overseas Aid
Commission
HIPZ Christmas Fundraiser
PN Pharmanovia
Other		 Balance
at 30 June
2021
£
3,655
8,750
- 785
27,823
702
3,000
2,887
8,706
- 9,415
-
-
-
-
-
-
-
-
45,323		 Income
£
4,983
26,641
-
-
-
-
15,000
127,595
118,682
521
20,400
5,000
3,000
44,178
8,993
23,422
-
398,415		 Expenditure
£
- 10,372
- 17,126
- 1,487
-
-
- 3,925
- 1,158
- 121,706
- 152,432
- 565
-
-
- 3,355
- 34,009
- 3,024
- 17,497
- 4,618
- 371,274		 Transfer
(to) / from
unrestricted
funds
£
-
-
-
- 27,823
-
-
-
-
-
44
-
-
355
-
-
-
4,618
- 22,806		 Balance
at 30 June
2022
£
- 1,734
18,265
- 2,272
-
702
- 925
16,729
14,595
- 43,165
-
20,400
5,000
-
10,169
5,969
5,925
-
49,658

19

FOR THE PERIOD ENDED 30 JUNE 2022 (continued)

3.4 Notes to the Accounts

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.

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.

20

3.4 Notes to the Accounts

FOR THE PERIOD ENDED 30 JUNE 2022 (continued)

11. UNRESTRICTED INCOME FUNDS

Unrestricted funds
General unrestricted funds		 Balance
at 30
June
2021
£
89,126
89,126		 Income
102,240
102,240		 Expenditure
- 148,999
- 148,999		 Transfer
(to) / from
unrestricted
funds
22,806
22,806		 Balance
at 30 June
2022
£
65,173
65,173

12. ANALYSIS OF FUNDS BY ASSET TYPE

Restricted Unrestricted Total cost
£ £ £
Fixed assets - 13,278 13,278
Net current assets 49,658 51,895 101,553
49,658 65,173 114,831

13. 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.

14. RECONCILIATION OF NET MOVEMENT IN FUNDS TO CASH FLOW FROM OPERATING ACTIVITIES

Net income/expenditure for the year (as per
the Statement of Financial Activities)
Add back depreciation charge
Investment income
Loss on disposal of fixed assets
Decrease (increase) in stock
Decrease (increase) in debtors
Increase (decrease) in creditors
Net cash used in operating activities		 2022
£
- 19,618
1,819
-
- 854
-
- 822
1,741
- 17,734		 2021
£
20,637
150
-
- 583
-
- 644
3,907
23,467

21

Issuer Omnianda Document generated Wed, 15th Mar 2023 17:22:53 UTC Document fingerprint 0e3c2c70aaea14a1c060638963096ed7

Parties involved with this document

Document processed

Party + Fingerprint

Wed, 15th Mar 2023 17:32:58 UTC Ru Macdonagh - Signer (5fccc4ac3fdfe4ccc970776364a0b99e)

Audit history log

Date

Action

Wed, 15th Mar 2023 17:33:00 UTC Wed, 15th Mar 2023 17:32:58 UTC Wed, 15th Mar 2023 17:32:58 UTC Wed, 15th Mar 2023 17:32:27 UTC Wed, 15th Mar 2023 17:32:12 UTC Wed, 15th Mar 2023 17:24:52 UTC Wed, 15th Mar 2023 17:24:52 UTC

Wed, 15th Mar 2023 17:23:32 UTC Wed, 15th Mar 2023 17:23:04 UTC

Wed, 15th Mar 2023 17:22:53 UTC

Ru Macdonagh viewed the envelope. (5.65.150.5) The envelope has been signed by all parties. (5.65.150.5) Ru Macdonagh signed the envelope. (5.65.150.5) Ru Macdonagh viewed the envelope. (5.65.150.5) Ru Macdonagh opened the document email. (5.65.150.5) Document emailed to rumac@doctors.org.uk (35.178.211.114) Sent the envelope to Ru Macdonagh (rumac@doctors.org.uk) for signing. (51.155.192.91) Ru Macdonagh has been assigned to this envelope (51.155.192.91) Document generated with fingerprint 0e3c2c70aaea14a1c060638963096ed7 (51.155.192.91) Envelope generated by Jane Cockerell (51.155.192.91)