## **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
1
## **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
2
|**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
3
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