## **Trustees’ Annual Report for the period** ## **From 01/01/2022 To 31/12/2022** ## **Charity name: Midwives at Maternity Azur (MAMA)** ## **Charity registration number: 1173745** ## **Objectives and Activities** ||SORP
reference|| |---|---|---| |Summary of the purposes
of the charity as set out in
its governing document|Para 1.17|•
To promote and protect, for the benefit of the
public, the good health of the people in Hoima
and Kikuube Districts, Uganda particularly in
relation to maternity care, women’s health and
sexual health. In particular this is achieved by
providing support to Azur CHC IV in Hoima
Town, to deliver high quality healthcare for
patients across Hoima District.
•
Provide training, mentoring, knowledge
transfer and support to healthcare workers at
Azur CHC IV and MAMA clinics and at health
centre in the surrounding area.
•
Promoting good healthcare practices and
support high quality care at the clinic and in
the surrounding area.
•
To raise awareness and promote
understanding in the UK, particularly amongst
healthcare professionals, of the unique
challenges faced by healthcare workers, and
women at Azur CHC IV and in the community
in the surrounding area in relation to maternity
care, women’s health and sexual health.| |Summary of the main
activities in relation to
those purposes for the
public benefit, in particular,
the activities, projects or
services identified in the
accounts.|Para 1.17
and 1.19|•
Running two rural midwifery-led health clinics
and supporting the maternity unit at a non-
governmental, not for profit hospital in Hoima
town;
•
Purchase of a replacement Toyota Hilux (the
previous vehicle was a 1992 registration) to
facilitate transport of patients, staff, equipment
and medications to and from our clinics;
•
Healthcare staff training;
•
Expanding the services at Kyarushesha to
include a laboratory and obstetric ultrasound;
•
Maintained good relationships with our partner
Azur CHC IV and district health officers.| |Statement confirming
whether the trustees have
had regard to the guidance
issued by the Charity|Para 1.18|As trustees we work hard to ensure all our
decisions are made for the benefit of our
beneficiaries in the Hoima and Kikuube districts.
We use our existing knowledge and skills to| Commission on public benefit enhance the work we do and to guide who we work with in order to meet our objectives. ## **Additional information (optional)** |**Additional information (optional)**|**Additional information (optional)**|**Additional information (optional)**| |---|---|---| |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
investment
including program
related investment|Para 1.38|N/A| |Contribution made
by volunteers|Para 1.38|The volunteer trustees made 7 trips between them (two
midwives for three trips of two weeks, and three trips of
eight weeks; and one obstetrician for two weeks). A senior
midwifery lecturer from Oxford Brookes University made a
trip of two weeks, as did another obstetrician.
We are so grateful to a host of knitters for providing us
with knitwear to keep newborn babies warm. This is a vital
part of safe newborn care, and these donations allow our
staff to achieve this. These include Steph Ainsley & the
Kidderminster Soroptemists, Anne Savile & the West Side
Knitters, Deirdre Hassett & Heather Mitchell’s mother.| |Other||N/A| ## **Achievements and Performance** ||SORP
reference|| |---|---|---| |Summary of the main
achievements of the charity,
identifying the difference the
charity’s work has made to
the circumstances of its
beneficiaries and any wider
benefits to society as a
whole.|Para 1.20|In 2022, Kyarushesha MAMA Grace Clinic
was busier than ever. There were 5 stillbirths,
no neonatal deaths & no maternal deaths.
•
575 births, monthly mean 48 (19 more
than in 2021);
•
5195 antenatal visits, monthly mean 433
(529 more than in 2021);
•
3369 general outpatients’ appointments,
monthly mean 281 (almost double that in
2021!);
•
494 family planning appointments, monthly
mean 41;
•
1962 maternity admissions, monthly mean
164 (405 more than 2021);
•
1480 general admissions, monthly mean
123 (493 more than 2021);| • 144 pregnant & 48 non-pregnant referrals to hospital (monthly means 12 and 4 respectively). Runga Health Centre II had a slightly quieter year, although had no maternal deaths nor neonatal deaths, and just a single stillbirth: • 168 births, monthly mean 14; • 1358 antenatal visits, monthly mean 113; • 493 outpatient reviews, monthly mean 41; • 120 family planning appointments, monthly mean 10; • 263 maternity admissions, monthly mean 22; • 358 general admissions, monthly mean 30; • 24 pregnant & 15 non-pregnant referrals to hospital (monthly means 2 and 1 respectively). We managed 7 visits by three of our trustees (obstetrician and two senior midwife), and a volunteer obstetrician, to support our Ugandan colleagues (for a total of 32 weeks of the year). We have supported local midwives in practice to enhance their clinical and managerial skills, and in February 2022 have handed over the running of both clinics to our lead Ugandan midwife (Jerome Barongo). We have employed a fourth full time, permanent midwife at the Kyarushesha clinic. In 2020, Cookham Medical Centre generously donated an ultrasound machine to MAMA. Due to the Covid-19 pandemic we were delayed in being able to ship this to Uganda, but in 2022 we achieved this and this is now installed in the Kyarushesha clinic. This enables women to access obstetric ultrasound services within our clinic, without needing to travel long distances. We had four Baby Lifeline emergency bags donated by Milton Keynes University Hospital, which we use for obstetric referrals from our clinics. **Additional information (optional)** You may choose to include further statements where relevant about: |
Achievements against
objectives set|
Para 1.41|
The UK Aid Direct Small Charities
Challenge Fund grant was completed
successfully in February 2022, and we
submitted the project completion report.
The project was graded A+ by UKAid
Direct, and feeback on the report is pasted
below.
Our objective was always to continue to run
the Kyarushesha clinic beyond the end of| |---|---|---| |||the UK Aid Direct SCCF grant, and so far
we have been successful in achieving this.
We needed to replace our old vehicle, and
have been able to do this, purchasing a
2009 registration Toyota Hilux in February
2022.
We have successfully shipped the donated
ultrasound machine to Uganda and
installed it in the clinic at Kyarushesha.| |---|---|---| |Performance of fundraising
activities against objectives
set|Para 1.41|We have successfully generated enough
income to cover all the necessary costs of
the charity’s activities.
In February 2022 we received an extremely
generous one-off donation of £25,000
which covered the purchase of a
replacement vehicle (Toyota Hilux) which is
an invaluable component of our activites in
Uganda.
We have continued to increase our regular
monthly donations to cover the day-to-day
running costs of our activities in Uganda.
Several individuals completed sponsored
sporting events to raise money for us
(including the Mongol Derby horse race,
and a sponsored walk up the escarpment
above the Runga clinic). As usual in
November 2022 we took over the Rotations
Charity Shop in Hampshire, raising more
than £1000.| |Investment performance
against objectives|Para 1.41|N/A| |Other||N/A| ## **Figure 1: feedback from UKAid Direct SCCF project completion report** ## **Financial Review** |Review of the charity’s
financial position at the end
of the period|Para 1.21|The years 2020 and 2021 were very
ambitious for our charity, almost
quadrupling our turnover and with several
major projects successfully completed
(despite the Covid-19 pandemic). As
planned, in 2022 we aimed for a period of
stability, although we were very fortunate to
secure a substantial one-off donation
enabling the purchase of a replacement
vehicle.
In the aftermath of the Covid-19 pandemic
we were not able to significantly increase
the unrestricted reserves by the end of this
financial year, but some expected income
in early 2023 should help us to do this. By
continuing to run all our projects in new
premises, beyond the end of the UKAid
direct grant, we have begun to cement the
sustainability of our projects to ensure they
continue to benefit the communities we
serve in the long term.
We have further increased our regular
monthly income to almost cover the day-to-
day running costs of our projects, but still
rely to some extent on ad hoc fundraising
and grants.| |---|---|---| |Statement explaining the
policy for holding reserves
stating why they are held|Para 1.22|The Covid pandemic has limited some
fundraising activities, so we need to
concentrate on increasing our unrestricted
reserves to ensure our future sustainability.| |Amount of reserves held|Para 1.22|£989.35 (balance as of 31 Dec 2022)| |Reasons for holding zero
reserves|Para 1.22|N/A| |Details of fund materially in
deficit|Para 1.24|Nil in deficit| |Explanation of any
uncertainties about the
charity continuing as a going
concern|Para 1.23|No uncertainties| ## **Additional information (optional)** You may choose to include further statements where relevant about: |
The charity’s principal
sources of funds (including
any fundraising)|
Para 1.47|
_Unrestricted funds:_
Donations from individuals make up the
majority of our funding
Fundraising activities – sponsored sporting
events, charity shop (annually in
November)
Donations from institutions and companies
_Clinic income:_
The two clinics charge small sums (less
than cost) for their services – all of which
goes directly back into the running costs in
Uganda, and is not transferred to the UK
(this appears as clinic income in the
Audited Accounts).| |---|---|---| |Investment policy and
objectives including any
social investment policy
adopted|Para 1.46|N/A| |---|---|---| |A description of the principal
risks facing the charity|Para 1.46|We work in a high-risk country, with
multiple challenges including infectious
diseases, governmental instability, crime
and corruption. The global Covid-19
pandemic has further complicated running
a small international development charity.
The UK Government has reduced its
commitment to spending on international
aid from 7% to 5% of GDP, which
immediately led to the FCDO cancelling all
future grants from the UKAid Direct Small
Charities Challenge Fund. This did not
impact the grant we were in receipt of,
however, does mean we could not apply to
them for a follow-on grant for our projects.
The current economic climate makes
charitable fundraising more uncertain.
We have compiled a comprehensive risk
assessment/register for our work and
volunteers in Hoima. This was approved by
UK Aid Direct as part of holding a grant
with them.| |Other||N/A| ## **Structure, Governance and Management** |Description of charity’s
trusts:||| |---|---|---| |Type of governing document
(trust deed, royal charter)|Para 1.25|Constitution| |How is the charity
constituted?
(e.g unincorporated
association, CIO)|Para 1.25|CIO| |Trustee selection methods
including details of any
constitutional provisions e.g.
election to post or name of
any person or body entitled
to appoint one or more
trustees|Para 1.25|Trustees are appointed by the board of
trustees.| ## **Additional information (optional)** You may choose to include further statements where relevant about: |Policies and procedures
adopted for the induction
and training of trustees|Para 1.51|We have a number of polices (approved by
UKAid Direct) relating to management and
training of Trustees and volunteers,
including safeguarding.
We also have clinical guidelines and
operational guidelines for staff to refer to as
needed, approved by our trustees and our
local medical staff.| |---|---|---| |The charity’s organisational
structure and any wider
network with which the
charity works|Para 1.51|In 2022 we had four trustees managing the
charity and projects from the UK, some of
whom visit Hoima on a regular basis to
support staff and monitor projects. We
have no paid staff in the UK, keeping our
overheads extremely low.
Our one MAMA member of staff working in
Uganda completed her fixed term contract
(2 years) on 31 January 2022 as planned.
She has been reinstated as a Trustee
since her return to the UK.
In Hoima, Uganda, MAMA works closely
with Azur Christian Health Centre IV 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.
Our Runga clinic is now registered with the
Hoima District Health Office. Our own
premises will allow us to now do the same
for the Kyarushesha clinic with the Kikuube
District Health Office. We work closely with
the local district health officers for Hoima
and Kikuube to ensure we offer high
standards of care and follow local and
international guidance.| |||We work with the local communities we
serve, including village and church leaders
(although our organisation is non-religious),
to enable us to offer services needed for
their geographical areas.| |---|---|---| |Relationship with any related
parties|Para 1.51|MAMA has a good working relationship
with a number of local organisations in the
Hoima District, and we also have a partner
organisation, Azur Christian Health Centre,
with who we have a current Memorandum
of Understanding. We base our maternity
services here, and with their staff we offer
satellite maternity services in Hoima and
Kikuube Districts. Regular meetings with
Azur’s management and senior midwives
ensure we have good communication
channels and keep up to date with the staff
and our clinics.
Through Azur we pay staff wages and
running costs of our clinics, ie. fuel, vehicle
and pharmacy. We offer regular support to
Azur, both through volunteers, training and
financing some of their midwives.
Our clinics need good quality facilities
upstream to refer patients in need of a
higher level of care to, so moving forwards,
we plan to bolster our relationships with
Hoima Regional Referral Hospital. One of
our trustees has had her registration with
the Ugandan Medical and Dental
Practitioners Council approved, enabling
her to volunteer there in the future. There
are also plans to explore developing a
partnership between the newly-established
Bunyoro Local Maternity and Neonatal
System (LMNS) and the West Berkshire,
Oxfordshire and Buckinghamshire (BOB)
LMNS in the UK.
During this process we have developed
connections with Obstetricians working at
the Ministry of Health in Uganda, which we
hope will be of benefit in the future.| |Other||N/A| ## **Reference and Administrative details** |Charity name|Midwives at Maternity Azur (MAMA)| |---|---| |Other name the charity uses|| |Registered charity number|1173745| |Charity’s principal address|1 Church View, Hook, Hampshire, RG27 9HN.| ## **Names of the charity trustees who manage the charity** |1
2
3
4|**Trustee name**|**Office (if any)**|**Dates acted if not for**
**whole year**|**Name of person (or**
**body) entitled to**
**appoint trustee (if**
**any)**| |---|---|---|---|---| ||Rhiannon Grindle|Chairperson|2107 topresent|Trustees| ||Alexandra
Kennedy|Secretary|2019 to present|Trustees| ||Harriet Ivey|SafeguardingLead|2017 topresent|Trustees| ||Sofia
Giannopoulou|Treasurer|2022 to present|Trustees| – Corporate trustees names of the directors at the date the report was approved **Director name N/A** Name of trustees holding title to property belonging to the charity |**Trustee name**|**Dates acted if not for whole year **|| |---|---|---| |**N/A**||| ## **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 for N/A safe custody and segregation of such assets from the charity’s own assets ## **Additional information (optional)** ## **Names and addresses of advisers (Optional information)** **Type of Name Address adviser 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** ## **Declarations** **The trustees declare that they have approved the trustees’ report above.** **Signed on behalf of the charity’s trustees** **Signature(s) Full name(s)** Rhiannon Grindle **Position (eg Secretary, Chair, etc) Date** 29/10/2023 CHARITY COMMISSION FOR ENGLAND AND WALES Independent examiner's report on the accounts Report to the trusteesl members of Midwives at Matemity Azur {MADA4) On accounts for tho year ended 31 Dec 2022 Charity no (if any) 1173745 Set out on pages Iz3 I report to the trLth on my examinalton of th accou chartty (kne Trusf) forthe year ended 71112 7 102 Responsibifities and As the charity trustees of the Tnjst. you are responsbi le for the p￿ paration basls of report of the accounts in accordan￿ with the requirements of the Charities Act 2011 {"the Acr). ts ofthe above I report in respect of my examination of the Trust's ac¢ounts carriad out under *ction 145 of the 2011 Act atKJ in carrying out my exarnination, I have followed the applicable Directions glven by the Charity Commission under section 145(5Xb) of the ACL I have completed my examination. I confirm that no material matters have come to my attention (other than that disclosed below.) in connection wtth the examlnation which gives me cause to believe that In. any material respect: accounling re(xrds were not kept In accordance with section 130 of the Act or the accounts do not accord wilh the accounting records Independent examinerfs statement I have no COn￿mS and have come acros5 no other matters in connection with the examination to which attention should be drawn in order to enab18 a proper understanding of the accounts to be reached. ° Please delete the words in the b￿CketS rflhey do not apply. Slgned: Date: Name: Rachel Stanhope Relevant professional qualification(s) or body (If any): ACMQ Address: IER October 2018 Only complete rfthe examiner needs to highlight matters of concem (see CC32, Independent exarnination of charity accounts: directions and guidance for examiners). Glve here briaf detatls of any items that the examiner wishes to dlsclose. IER October 2018