2020-12-31-accounts

Trustees’ Annual Report for the period

From: 01/01/2020 Period start date To: 31/12/2020 Period end date

Charity name: Midwives at Maternity Azur (MAMA)

Charity registration number: 1173745

Objectives and Activities

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SORP reference
Para 1.17 -
Summary of the To promote and protect, for the
purposes of the charity benefit of the public in Hoima and
as set out in its Kikuube District, Uganda,
governing document particularly in relation to maternity
care, women’s health and sexual
health.
-
Provide training, mentoring,
knowledge transfer and support to
healthcare workers at Azur Health
Centre IV and MAMA clinics.
-
Promoting good healthcare
practices and support high quality
care at the clinics and surrounding
areas
-
To raise awareness and promote
understanding in the UK,
particularly amongst healthcare
professionals, of the unique
challenges faced by healthcare
workers, and women at the Azur
Health Centre IV and in the
community in the surrounding area
in relation to maternity care,
women’s health, and sexual
health.
Summary of the main Para 1.17 and - We have maintained the activities
1.19
activities in relation to of our existing rural health centre
those purposes for the in Runga, offering 24/7 services to
public benefit, in maternity, paediatric and general
particular, the activities, patients.
-
projects or services We have opened and established a
identified in the second clinic in Kyarushesha
accounts. offering similar services to those
provided in Runga.
- Both clinics have 24-hour access
to a vehicle and escort for those
patients needing an emergency
referral to a higher level of care.
-
Regular updates on our website
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and social media pages have kept
our supporters up to date with our
activities.
Statement confirming Para 1.18 The three trustees confirm that we
whether the trustees have had regard to the guidance
have had regard to the issued by the Charity Commission on
guidance issued by the public benefit. Our organisation has
Charity Commission on purposes which are exclusively
public benefit charitable for the public benefit. This
report illustrates how we have carried
out these purposes for the public
benefit.
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Additional information (optional)

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You may choose to include further statements where relevant about:
SORP reference
Policy on grant making Para 1.38 We are not a grant making
organisation
Policy on social Para 1.38 N/A
investment including
program related
investment
Contribution made by Due to the COVID pandemic, in 2020
volunteers Para 1.38 we were largely unable to have in-
country volunteers launching new
projects or assisting us with existing
activities.
In February 2020 we were able to hold
a very successful fundraising dinner,
which was assisted by the voluntary
contributions of a number of people
(the restaurant only charged us cost
for the night; multiple
items/experiences were donated for
our silent auction).
In March 2020 our Chairperson (a
senior UK midwife) was able to travel
to Uganda to help with opening the
new, UKAid-funded clinic, in
Kyarushesha. Due to travel
restrictions being imposed in Uganda,
this trip was extended to 12 weeks,
which ultimately was very beneficial
to the project and other activities of
our charity.
In the latter part of the 2020,
fundraising activities were able to
recommence within the UK, raising
funds for our proposed building
project for the Kyarushesha Clinic.
Other
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Achievements and Performance

SORP reference

	Summary of the main achievements of the charity, identifying the diference the charity’s work has made to the circumstances of its benefciaries and any wider benefts to society as a whole.	Para 1.20	- As a result of our successful application to the UKAid Direct Small Charities Challenge Fund, we have employed a UK manager to live in Uganda for two years to set up our new clinic; this grant commenced on 1 February 2020. - Thanks to this grant we have opened and established a second Health Centre III in rural Uganda, where we have been able to ofer 24/7 skilled maternity, paediatric and general services to Kyarushesha and 11 villages in the surrounding area. This opened in leased premises. - In 2020, each month, the Runga MAMA clinic saw an average of 117 women for antenatal visits (year total 1408); delivered 17 babies (total 208); prescribed family planning for 19 people (total 222); and saw 113 people through the outpatient service (total 1355). - From March-December 2020, each month, the Kyarushesha MAMA Grace clinic saw a mean of 311 women through the antenatal clinics (total in 10 months 3106); delivered 29 babies (total 288); prescribed 56 family planning methods (total 559); and saw 195 people through the general outpatient clinic (total 1949). - In addition, both clinics ran fortnightly childhood immunisation clinics. - We have engaged with the Ugandan Red Cross Organisation and have hosted regular blood donor sessions. - We have used local drivers and their vehicles to provide emergency transport to those patients requiring a higher level of care. - We have employed two local midwives, one nurse and one clinical ofcer to run the clinic Kyarushesha, with support from security and domestic staf. We also employ local administration staf to help with data collection, local accounts and general running of the clinics. - We revamped our clinic in Runga to replace foors, move walls and create a better working

environment.

- We have supported local midwives in practice to enhance their clinical and managerial skills.

Additional information (optional)

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You may choose to include further statements where relevant about:
Para 1.41 -
Achievements against Anecdotally we have reduced the
objectives set number of deaths in the
communities we work in. This was
reported to us by the Diocese who
before we opened the clinics would
have overseen a higher number of
burials.
-
Twice weekly health education
sessions at our clinics have
improved the mothers’ knowledge
of when they should seek help in
pregnancy, amongst other topics.
Performance of Para 1.41 - We successfully completed the due
fundraising activities diligence and grant set up process
against objectives set for the UK Aid Direct Small
Charities Challenge Fund, for a
grant worth £51,000 over two
years, which started in February
2020.
-
In February 2020 we held a
fundraising dinner, in conjunction
with a local restaurant, which
succeeded in raising just over
£12,000 for our projects. This was
used as matched funding in the
establishment of the new clinic.
-
In the latter part of 2020, we
started fundraising towards
building a permanent clinic for our
services in Kyarushesha, which in
the long run will save us a
considerable amount of money in
rent.
-
Due to the Covid pandemic our
normal avenues for small
fundraising events were
suspended for a substantial part of
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the year, but despite this we
raised all the monies required to
support our activities.
Para 1.41 -
Investment performance N/A
against objectives
Other
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Financial Review

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Para 1.21 -
Review of the charity’s At the end of the period reported
financial position at the our financial position was healthy,
end of the period in part due to being partway
through the fundraising effort for
the new building project, and
midway through the UKAid Direct
grant (with an advance of 10%
having been paid at
commencement).
-
The current monthly income is
sufficient to cover our costs
through 2021, but we need to start
planning for the end of the UKAid
grant.
Para 1.22 -
Statement explaining At the end of the financial year
the policy for holding January-December 2020 (accounts
reserves stating why provided) our reserves were
they are held significant (£27,199.64), however
the majority of this (~£21,000)
were funds raised for the new
building project previously
discussed, and were to be spent in
the first part of 2021 (we can
confirm that this has happened).
Amount of reserves held Para 1.22 - £27,199.64
Reasons for holding zero Para 1.22 N/A
reserves
Details of fund Para 1.24 - Nil in deficit
materially in deficit
Explanation of any Para 1.23 - No uncertainties
uncertainties about the
charity continuing as a
going concern
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Additional information (optional)

You may choose to include further statements where relevant about:

• Para 1.47 -

• The charity’s principal The principal source of funds for sources of funds this financial year has been from (including any the UKAid grant. -

• fundraising) This has been supported by private donations from supporters in the UK, as well as a fundraising dinner and several supporters completing sponsored sporting challenges.

• Investment policy and Para 1.46 N/A objectives including any social investment policy adopted -

• A description of the We work in a high-risk country with principal risks facing the a fragile government, especially in charity Para 1.46 light of the upcoming elections. Coupled with the ongoing global pandemic, which has had significant impacts on the

	economy and international travel,
	we acknowledge that as a small
	charity we are vulnerable to these
	risks.
-	The UK Government has reduced
	its commitment to spending on
	international aid from 7% to 5% of
	GDP, which immediately let to the
	FCDO cancelling all future grants
	from the UKAid Direct Small
	Charities Challenge Fund. This will
	not impact the grant we are in
	receipt of, however, does mean we
	can’t apply for a follow-on grant
	for our projects.

Other

Structure, Governance and Management

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Description of charity’s
trusts:
Type of governing Para 1.25 - Constitution
document
(trust deed, royal
charter)
How is the charity Para 1.25 - CIO
constituted?
(e.g unincorporated
association, CIO)
Trustee selection Para 1.25 - Trustees are voted in, or re-elected
methods including by existing trustees.
details of any
constitutional provisions
e.g. election to post or
name of any person or
body entitled to appoint
one or more trustees
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Additional information (optional)

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You may choose to include further statements where relevant about:
Para 1.51 -
Policies and procedures There are a number of policies to
adopted for the support our Trustees including
induction and training of financial, safeguarding and
trustees appointing volunteers.
Para 1.51 -
The charity’s The charity has three Trustees (all
organisational structure voluntary), and no paid staff in the
and any wider network UK, keeping our overheads
with which the charity extremely low.
works - We have one MAMA member of
staff working in Uganda for a fixed
two-year term (1 February 2020 –
31 January 2022), who is paid a
stipend. She is a senior midwife,
who oversees all our projects, is
involved with recruiting and
training Ugandan staff and working
clinically to support our projects.
-
We work closely with our
downstream partners (Azur Health
Centre IV), based in Hoima town,
and it is through them that we
employ Ugandan staff for our two
clinics, and purchase the
necessary supplies, including
medications. We have a
Memorandum of Understanding in
place with them.
-
Our Runga clinic is now registered
with the Hoima District Health
Office. Our own premises will allow
us to do the same for the
Kyarushesha clinic with the
Kikuube District Health Office.
Para 1.51 -
Relationship with any In Hoima, Uganda, MAMA works
related parties closely with Azur Health Centre IV,
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whose support is invaluable in running our clinics and ensuring wages are paid, we are registered with the correct authority and data collection is collated for the districts. Other

Reference and Administrative details

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Charity name Midwives at Maternity Azur
Other name the charity MAMA
uses
Registered charity 1173745
number
Charity’s principal 1 Church View,
address Hook,
Hampshire,
RG27 9HN.
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Names of the charity trustees who manage the charity

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Name of person (or
Dates acted if not
Trustee name Office (if any) body) entitled to
for whole year
appoint trustee (if any)
Rhiannon Chair 2017-2021
1
Grindle
Alexandra Secretary / 2019-2021
2
Kennedy Treasurer
3 Harriet Jacobs Safeguarding 2017-2021
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
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Corporate trustees – names of the directors at the date the report was approved Director name

Name of trustees holding title to property belonging to the charity

Dates acted if not for

Trustee name

whole ear

Funds held as custodian trustees on behalf of others

Description of the assets N/A held in this capacity Name and objects of the N/A charity on whose behalf the assets are held and how this falls within the custodian charity’s objects Details of arrangements N/A for safe custody and segregation of such assets from the charity’s own assets

Additional information (optional)

Names and addresses of advisers (Optional information)

Type Name Address of advise r

Name of chief executive or names of senior staff members (Optional information)

Exemptions from disclosure

Reason for non-disclosure of key personnel details N/A

Other optional information

N/A

Declarations

The trustees declare that they have approved the trustees’ report above.

Signed on behalf of the charity’s trustees

Signature(s) Rhiannon Grindle Full name(s) Position (eg Chairperson Secretary, Chair, etc) Date 30/10/2021

Midwives at Maternity Azur (MAMA)

Income & Expenditure Account

Year Ended 31[st] December 2020

CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745

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Income & Expenditure Account for year ended 31[st] December 2020

	2020	2019
	£’s	£’s
Income
Unrestricted Funds	47,798	23,879
Restricted Funds	35,738	-
Gift Aid	4,761	3,620
Clinic Income	21,424	-
Total Income	109,721	27,499
Expenditure
In Country (Uganda)	80,122	28,629
UK	5,000	-
Charity Insurance	140	-
Website	300	-
Bank Charges	289	204
Total Expenditure	85,851	28,833
Surplus/(deficit) for the year	23,870	(1,334)

CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745

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UK Bank Account	1st January	3,329	4,663
UK Bank Account	31st December	27,199	3,329

Accounts prepared by R C Stanhope (ACMA) October 2021

CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745

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CHARITY COMMISSION FOR ENGLAND AND WALES Independent examinerfs report on the accounts Section A Independent Examinerfs Report Report to the truste members of Midwives at Matemty Azur (MAMA) On accounts for the year ended 31 December 2020 Charity no lit any) 1173745 Set out on pages I report to the trustees on my examination of the accounts of the above charity (Ihe TwsY} for the year ended Responsibililles and As the charty trustees of the Trust. you are responsible for the preparalion basis of report of the accounts in accordance wrth the requirements of the Charities Act 2011 rthe Acr). I report in respect of my examination of the Trust's accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed the applicable Directions gr¥en by the Charty Commission under section 145{5)Ib) of the Act. I have completed my examination. I confim that no material matters have come to my attention (other than that disclosed below ') in connection with the examination which gtves me cause to believe that in, any material respect: accounting records were not kept in accordance wtth section 130 of the Act or the accounts do not accord with the accounting records I have no concems and have Gome auoss no other matters in connection with Ihe examination to which attention should be drawn in order to enable a proper understanding of the accounts to ￿ reached. Please delete lh8 words in the brackets if they do not apply. Independent examinerfs statement Signed: Date: 3011012021 Name: Rachel Stanhope Relevant professional qualrfication{s) or body (if any): ACMA Address: Walnut House, Tanners Lane, Chalkhouse Green. South Oxfordshire IER October 2018

Section B Disclosure Only complete if the examiner needs to highlight matters of concern {see CC32. Independent examination of charity accounts.. direthons and guidance for examiners). Give here briof details of any items that the examiner wishes to disclose. IER October 2018