## **Trustees’ Annual Report for the period**
## **From 01/01/2024 To 31/12/2024**
## **Charity name: Midwives at Maternity Azur**
## **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;
•
We have maintained the independent registration
of Runga Clinic as a health centre II with the
Hoima District Health Office, and in 2024 we
registered Kyarushesha MAMA Grace Clinic as
an independent health centre III with Kikuube
District Health Office;
•
Healthcare staff training;
•
Developed our relationship with the local
government hospital by providing clinical support,
teaching and advice in district meetings;
•
Maintained good relationships with our partner
Azur CHC IV and district health officers.|
|Statement
confirming whether|Para 1.18|As trustees we work hard to ensure all our decisions
are made for the benefit of our beneficiaries in the|
|the trustees have
had regard to the
guidance issued by
the Charity
Commission on
public benefit||Hoima and Kikuube districts. We use our existing
knowledge and skills to enhance the work we do and
to guide who we work with in order to meet our
objectives.|
|---|---|---|
|**Additional information (optional)**
You may choose to include further statements|**Additional information (optional)**
You may choose to include further statements|where relevant about:|
|---|---|---|
||SORP reference||
|Policy on grant making|Para 1.38|N/A|
|Policy on social investment
including program related
investment|Para 1.38|N/A|
|Contribution made by
volunteers|Para 1.38|The volunteer trustees made 5 trips
between them (total 20 weeks by midwives,
one obstetrician for 2 weeks).
Two UK midwives came to Hoima for two
weeks offering clinical support and some
teaching.
We continue to receive a supply of knitting
and baby items from friends and relatives
which are essential for the care of our
newborn babies.
A former trustee arranged to take over the
Rotations Charity Shop for 1 week, raising
inexcess of£1000.|
|Other|||
## **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|Kyarushesha:
The clinic continues to grow and develop
services. We now hold our own childhood
immunisation clinic twice a month, currently
collecting vaccines from a nearby health
centre until we receive our own
fridge/freezer for storage.
We are also now able to report our data to
Kikuube District where our work is now
recognised.
There were 5 stillbirths (6 in 2023), no
neonatal deaths & no maternal deaths:
•
593 births, monthly mean 49 (compared
with 611 in 2023);
•
6185 antenatal visits, monthly mean
515 (increased from 5877 in 2023);
•
2699 general outpatients’
appointments, monthly mean 225
(similar to 2022/3);
•
121 family planning appointments,
monthly mean 10 (this has fallen due to|
supply issues and is an area for us to focus on moving forwards as it is a key part of safe maternal and child healthcare); • 2194 maternity admissions, monthly mean 183 (similar to 2023); • 874 general admissions, monthly mean 73 (this has reduced compared to previous years); • 176 pregnant and 34 non-pregnant referrals to hospital (monthly means 15 and 5 respectively). Runga: We have successfully registered our clinic with Hoima District and are receiving regular inspections from the District Health Officer. This facility generally had a similar year in terms of numbers, and once again had no maternal deaths, stillbirths nor neonatal deaths: • 173 births, monthly mean 14; • 1304 antenatal visits, monthly mean 109; • 536 outpatient reviews, monthly mean 45 (increased compared to 2023); • 83 family planning appointments, monthly mean 7 (approximately half that of 2023 – an area that needs addressing as for Kyarushesha); • 318 maternity admissions, monthly mean 27; • 252 general admissions, monthly mean 21; • 24 pregnant & 6 non-pregnant referrals to hospital (monthly means 2 and 1 respectively).
## **Additional information (optional)** You may choose to include further statements where relevant about:
|Achievements against
objectives set|Para 1.41|We continue to serve the needs of the local
population and engage with nearby health
centres who support us when we need a
higher level of care.
Our objective was always to continue to run
the Kyarushesha clinic beyond the end of
the UK Aid Direct SCCF grant (in Feb
2022), and so far we have been successful
in achieving this.
The Kyarushesha now has a fully functional
lab and an ultrasound machine with regular
sonographer clinics.|
|---|---|---|
|Performance of fundraising
activities against objectives
set|Para 1.41|Dimitri very kindly held a social event in
Athens introducing MAMA and explaining
our work and fund raised at the same time.|
|||The two midwives from the UK also very
kindly did some fund raising before joining
us in Hoima.
We have again been successful in
generating enough income to cover all the
necessary costs of the charity’s activities.
We have continued to increase our regular
monthly donations to cover the day-to-day
running costs of our activities in Uganda.
We have received a few large donations
including our usual pop-up charity shop
where we normally raise approximately
£1000.|
|---|---|---|
|Investment performance
against objectives|Para 1.41|N/A|
|Other||N/A|
## **Financial Review**
|**Financial Review**|||
|---|---|---|
|Review of the charity’s
financial position at the end
of the period|Para 1.21|We started 2024 with a higher than usual
amount of unrestricted reserves in the
charity account (£10,370) and as would be
expected finished the year with a smaller,
but still reasonable reserve.|
|Statement explaining the
policy for holding reserves
stating why they are held|Para 1.22|Ideally, we would have 6 months’ of
unrestricted reserves in the bank in order to
underpin our sustainability – this remains a
work in progress.|
|Amount of reserves held|Para 1.22|£2255|
|Reasons for holding zero
reserves|Para 1.22|N/A|
|Details of fund materially in
deficit|Para 1.24|Nil|
|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|**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|All of our funds are from voluntary
donations and fundraising activities.
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.
Internationally governments have reduced
their commitments to spending on
international aid making it difficult to find
financial support for projects.
The economic climate continues to make
charitable fundraising more uncertain.
We have compiled a comprehensive risk
assessment/register for our work and
volunteers in Hoima, and have charity
insurance in place.|
|Other|||
## **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 2024 we had three 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.
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.
Both clinics are now registered with their
local District Health Offices. 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|We have retained our downstream partner
in Hoima, Azur. We meet with the director
on a regular basis and plan any obstetric
activities and training together. Although we|
provide salaries for our staff, Azur employs and holds the contracts. We have supported them in some improvements to clinical areas. We have improved our relationship with the local government Hosptial through providing obstetric clinical support, teaching and advice on many cases. Other
## **Reference and Administrative details**
|Charity name|Midwives at Maternity Azur|
|---|---|
|Other name the charity uses|MAMA|
|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|**Trustee name**|**Office (if any)**|**Dates acted if not for whole**
**year**|**Name of person**
**(or body)**
**entitled to**
**appoint trustee**
**(if any)**|
|---|---|---|---|---|
||Sofia
Giannopoulou|Secretary|2022 to present|Trustees|
||Alexandra
Kennedy|Treasurer|2019 to present|Trustees|
||Rhi Grindle|Chairperson|2017 topresent|Trustees|
– 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
**Trustee name Dates acted if not for whole year**
## **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
## **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 Alexandra Kennedy ~~oo~~ **Position (eg Secretary, Chair, etc)** ~~ee~~[Chair ] **Date** 17/10/2025
## **Midwives at Maternity Azur (MAMA)**
Income & Expenditure Account
## Year Ended 31[st] December 2024
CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745
1
## **Income & Expenditure Account for year ended 31[st] December 2024**
||**2024**|**2023**|
|---|---|---|
||**£’s**|**£’s**|
|**Income**|||
|Unrestricted Funds|36,977|41,202|
|Restricted Funds|-|1,500|
|Gift Aid|5,997|12,107|
|Clinic Income|20,509|22,291|
|**Total Income**|**63,483**|**77,100**|
|**Expenditure**|||
|In Country (Uganda)|70,715|66,775|
|Charity Insurance|140|140|
|Website|254|330|
|Bank Charges|489|474|
|**Total Expenditure**|**71,598**|**67,719**|
|**Surplus/(deficit) for the year**|**(8,155)**|**9,381**|
CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745
2
|**UK Bank Account**|**1st January**|**10,370**|**989**|
|---|---|---|---|
|||||
|**UK Bank Account**|**31st December**|**2,255**|**10,370**|
_Accounts prepared by R C Stanhope (ACMA) October 2025_
CHARITY REGISTERED IN ENGLAND & WALES REGISTERED NO 1173745
3
Independent examiner's report on the accounts
|SectionA||Independent Examiner’s Report|
|---|---|---|
|Report to the trust
F|.|.
Midwives at Maternity Azur (MAMA)|
|On accounts fortheyear
ended|||31 Dec2024
Charity no|1173745
(ifany)|
|||| report to the trustees on my examination ofthe accounts ofthe above|
|||charity (“the Trust”) for the year ended
:|
|Responsibilities and||As the charity's trustees, you are responsible forthe preparation ofthe|
|basis of report||accounts in accordance with the requirements ofthe Charities Act 2011|
|||(“the Act”).|
|||| report in respect ofmy examination of the Trust's accounts carried out|
|||under section 145 ofthe 2011 Act and in carrying outmy examination,
||
|||have followed all the applicable Directions given by the Charity Commission|
|||under section 145(5)(b) ofthe Act.|
|Independent
examiner's statement||[The-charity’s gress income-exceeded £250,000 and tam qualified to
Uundertakethe-examination-by-being-a-qualified
member offinsertname-of|
|||applicableisted-bedy]]. Delete [ ] ifnot applicable.|
|||| have completed my examination.
| confirm that no material matters have|
|||come to my attention in connection with the examination (otherthan that|
|||disclosed-below.*) which gives me cause to believe that in, any material|
|||respect:|
|||e
the accounting records were not kept in accordance with section 130|
|||ofthe Charities Act; or|
|||e
the accounts did not accord with the accounting records; or|
|||e
the accounts did not comply with the applicable requirements|
|||concerning the form and content ofaccounts set out in the Charities|
|||(Accounts and Reports) Regulations 2008 otherthan any requirement
thatthe accounts givea ‘true and fair’ viewwhich is not a matter|
|||considered as part of an independent examination.|
|||| 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 ofthe accounts to be reached.|
|||* Please delete the words in the brackets iftheydo not apply.|
||Name:|| Rachel Stanhope|
|Relevant professional|||ACMA|
|qualification(s) or body|||
|IER||1
Oct2018|
IER
Address: | Walnut House, Tanners Lane, Reading RG4 9AA
Section B Disclosure Only complete if the examiner needs to highlight material matters of concern (see CC32, Independent examination of charity accounts: directions and guidance for examiners).
Give here brief details of any items that the examiner wishes to disclose.
| | |
IER
2
Oct 2018