## **Newborn, Infant and Child Health Education International** ## **Registered Charity Number: 1174977** ## **Trustees’ Report and** ## **Accounts** For the Year Ended 3[rd] October 2022 Niche International Oct 22 Page 1 of 9 sjn consultants ltd NICHE International |**Contents**|| |---|---| |**Legal and Administrative Information**|**3**| |**Report of the Trustees**|**4**| |**Independent Examiner's Report**|**7**| |**Statement Of Receipts and Payments**|**8**| |**Statement of Assets and Liabilities**|**9**| Niche International Oct 22 Page 2 of 9 sjn consultants ltd NICHE International ## **LEGAL AND ADMINISTRATIVE INFORMATION** Charity Name: Newborn, Infant and Child Health Education International also known as NICHE International Charity Number: 1174977 Principal Address: Lytchett House Unit 13 Freeland Park, Wareham Road Poole Dorset BH16 6FA Charity Trustees: Trustees who served during the year: Alison Earley Chair Alison Grove John Madar Alistair Morris Sebastian Palmer Julia Thomson Co-opted _ex officio_ members who served during the year: Jarlath O’Donohoe Grace Ndze Bongban Independent Examiner: Sandra J Nairn ACMA CGMA SJN Consultants Ltd Creag A’ Chaorainn Inverasdale Poolewe Wester Ross IV22 2LN Niche International Oct 22 Page 3 of 9 sjn consultants ltd NICHE International ## **REPORT OF THE TRUSTEES** ## **Structure, Governance and Management** Newborn, Infant and Child Health Education International (also known as NICHE International) is a Charity registered with the Charity Commission for England and Wales with effect from 4[th] October 2017, with registration number 1174977. The charity is constituted as a Charitable Incorporated Organisation (CIO). The charity is governed and administered in accordance with its constitution, which was adopted on 4[th] October 2017 and amended with effect from 12[th] February 2018. Trustees are appointed for a term of two years by a resolution passed at a properly convened meeting of the charity trustees. There are 6 trustees, 4 of whom are doctors, and the chair of the trustees rotates. Trustees have experience working for teaching and medical charities in Cameroon, Liberia and other resource poor countries, in project management, post-graduate teaching and business. The charity Trustees give their time voluntarily and receive no remuneration or other benefits in return for their work. _Ex officio_ members may be co-opted to offer voluntary expertise and advice and may attend trustee meetings where appropriate. The charity operates a safeguarding policy and a code of conduct to which all trustees and volunteers must adhere. **Partnerships** : In Cameroon, the charity works in partnership with the Cameroon Baptist Convention Health Services (CBCHS). Course candidates come from both the CBCHS health facilities and the government hospitals in all areas of Cameroon. In Uganda the charity works in partnership with Bwindi Community Hospital, and UK based charity Child Health Matters The charity has a **Memorandum of Understanding** in place with three other health education charities working in developing countries: - MCAI (Maternal & Childhealth Advocacy International). Registered as a SCIO No. SC043467 - Advanced Life Support Group (ALSG). Registered Charity 1045478 - Child Health Matters. Registered Charity 1184421 Risks relate to travelling and working in middle- and low-income countries with poorly resourced health systems and/or political instability. Each trip is risk assessed with reference to in-country advisors, the RSA travel assistance mobile app from healix.com and Foreign & Commonwealth Office guidelines. The charity provides comprehensive travel and medical insurance. A Security and Safety Operating Procedures handbook (SOPS) is provided to all trustees and volunteers. ## **Objectives and Activities** ## **Charitable Objects** To relieve sickness and to promote and protect the good health of babies and children. To work to reduce mortality rates in low- and middle-income countries, by assisting in the provision of training courses and other healthcare projects. ## **Main Activities** In planning our activities for the year, we have kept in mind the Charity Commission’s guidance on public benefit at our trustees’ meetings. Niche International Oct 22 Page 4 of 9 sjn consultants ltd ## NICHE International Our focus is to continue to teach the Neonatal Care provider courses to frontline practitioners from all healthcare sectors in Cameroon and other poorly resourced areas of the world. These courses have been designed by ALSG and MCAI especially for resource limited settings and we have made further adaptations for our work in Cameroon, Liberia and Uganda. Two of the charity trustees sit on the ALSG Strengthening Emergency Care committee, which oversees the educational content of the Neonatal Care Course. The course covers resuscitation at birth and problems which occur in the first weeks of life. Simple equipment is used and there is an emphasis on basic care such as breast feeding and skin-to-skin care in line with the World Health Organisation’s ‘Every Newborn Action Plan’. We aim to promote sustainability by training local staff to become instructors and to teach the Neonatal Care course to others. Training local trainers is done through the ALSG / Resus Council Generic Instructor Course (GIC), which covers educational theory and practical teaching, assessment and feedback skills. We believe that training local instructors is vital for embedding new ways of working and for the sustainability of the project. We work to encourage peer to peer skills practice among local health care staff. We continue to develop partnerships with our in-country hosts in order to deliver these courses as widely as possible, and also with organisations in the UK which develop and promote healthcare courses and course materials which are designed for middle- and low-income countries. The volunteers who work for NICHE International are doctors, nurses, midwives and resuscitation officers with appropriate clinical backgrounds who have been accredited by the Advanced Life Support Group (ALSG) and/or the Resuscitation Council (RC(UK)) to teach neonatal and other life support courses in the UK. All have considerable experience of instructing, some of them as course directors, and also have knowledge of teaching in low- and middle-income countries. Instructors are recruited through ALSG, and through teaching contacts of current instructors. These volunteers give their time and expertise to deliver the Neonatal Care course alongside the qualified NICHE trustees. ## **Achievements and Performance** A partnership has been formed with the charity, Child Health Matters (reg charity no.1184421) to deliver Newborn Care Courses in Bwindi Community Hospital, South West Uganda. In February 2022, a group of instructors from NICHE International travelled to the hospital to run the first two Neonatal Care Courses (NCC) and identify suitable healthcare workers to train as instructors on the return visit. Feedback from these first two courses was excellent. A return trip was planned for November 2022 to teach a Generic Instructor Course (GIC) followed by the supervision of the newly trained instructors while they taught two Neonatal Care Courses. Because an outbreak of Ebola in Uganda, this trip was postponed to February 2023. In April 2022, NICHE instructors returned to Cameroon and delivered an Instructor Development Day for the first time. This one-day course was designed to support and update the skills of Cameroonian health care professionals who had already qualified as Instructors. This was followed by a GIC and 2 NCCs, all successful. As well as the courses in April, Cameroonian Instructors travelled to the far North of Cameroon and taught the first 2 NCCs in that remote region. Niche International Oct 22 Page 5 of 9 sjn consultants ltd NICHE International Future Pl4ns Ugand4: GIC aDd 2 NCCS (&8 aknve) in Feb 2023. Further courses later in the year. A programrne of online learning and meDtorsbip h&s been designe¢ so that UK instru￿r￿EdUcat0rS can help the preparation of th¢ newly trained Ugandan Instruc￿ until it is possibl¢ to hold face-to-faee OUTses. Work will continue to develop this prO￿llme. Cameroon: Further InStn￿lor Development Days. Work on identifying and training a Cameroonian educator. in order to complete our 10 steps to sustainability, see hcintc al.or fr()n nin Fuller details of NICHE International's backgroun￿ achievements and futrjre plans. including costings, are detsiled in the charity's current b￿sIneSS plan which may be found here: MMw.nieheinlLrn(ttiunal.orL).uk Policy on r¢serYes The charity cUrren￿Y holds no substsntial reserves. The fund8 available have been used for cl)aritable activiti¢s. Funds currently held will be used to deliver our training coutses-Neonatal Care Course (NCC) and Generic Instnlctor Coutse (GIC). Should the charity be in the position to build up reserYe5 in unrestricted fund& these would be in the tirsl instance to provide an emergency fund in case extwtion of the charity's volunteers working overseas were to become necessary. Review of accounts The Gharity's income increased over the year from a Mixtu￿ of grants and fundraising by the trustees. Once travel restrictions IAfie(L the trus*es were able to seek fvllds to te5um¢ face to face cours¢s, At the year cnd, funds were fully committed to the NCC and GIC ￿IllIng planned for November 2022 in Ugand& The trustees dwlare that they have approved the trustees. report aknve. Signed on behajf of the charity, s trustees: Full name(s): Alison Earl¢y S¢bastian Palmer Position: Trustee Date: 24 Feb 23 24 F¢b 23 sin mnsuhar,Is ilo N."Lts4e Jnier.-*.jOn31 Od-£ PBgefjof¥ NICHE International ## **INDEPENDENT EXAMINER'S REPORT** ## **Independent examiner's report to the Trustees/members of NICHE International** I report to the trustees on my examination of the accounts of the above charity for the year ended 3[rd] October 2022 which are set out on pages 8 to 9. ## **Trustees’ responsibilities** As the charity trustees of NICHE International, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (the Act). ## **Basis of independent examiner's report** 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 given by the Charity Commission under section 145(5)(b) of the Act. ## **Independent examiner's statement** I have completed my examination. I confirm that no material matters have come to my attention ( ~~other than that disclosed below *)~~ in connection with the examination which gives me cause to believe that in, any material respect: - accounting records were not kept in accordance with section 130 of the Act; or - the accounts do not accord with the accounting records. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached. Signed: Dated: 24 Feb 23 Sandra J Nairn ACMA CGMA SJN Consultants Ltd Creag A’ Chaorainn Inverasdale Poolewe Wester Ross IV22 2LN Niche International Oct 22 Page 7 of 9 sjn consultants ltd NICHE International ## **STATEMENT OF RECEIPTS AND PAYMENTS** ## **For the year ended 03 October 2022** |**Receipts**
Public Donations
Donor Funds
Fees
Repayments
Gift Aid Claimed
**Total receipts**
**Payments**
Postage
Customs
Equipment
Travel Expenses Cameroon
Travel Expenses Liberia
Travel Expenses Uganda
Course Expenses Cameroon
Course Expenses Liberia
Course Expenses Uganda
Communications
Stationery
Bank Charges
Fundraising Expenses
Independent Examination Fees
Sundry Expenses
**Total payments**
**Surplus/(Deficit) for year**
Transfers between funds
Cash funds at 04 Oct 21
**Cash Funds at 03 Oct 22**|2022
2022
Unrestricted
Funds
Restricted
Funds
£
£
6,578
0
0
7,000
0
0
0
1,749
0
0
**6,578**
**8,749**
120
7
0
0
417
0
0
6,425
0
0
0
10,440
0
3,729
0
0
0
5
144
0
0
218
0
4
6
0
144
0
38
0
**869**
**20,828**
**5,709**
**(12,079)**
(11,434)
11,434
12,515
1,687
**6,790**
**1,042**|2022
Total
£
6,578
7,000
0
1,749
0
**15,327**
127
0
417
6,425
0
10,440
3,729
0
5
144
218
4
6
144
38
**21,697**
**(6,370)**
0
14,202
**7,832**|2021
Total
£
1,528
3,000
0
0
0
**4,528**
0
0
126
0
0
0
280
0
0
115
0
0
0
0
0
**521**
**4,007**
0
10,195
**14,202**| |---|---|---|---| Niche International Oct 22 Page 8 of 9 sjn consultants ltd NICHE International STATEMENT OF Assyrs AND LJABILMES As at 03 (ktober 2022 Restricted Funds Totsl Cash Funds Bank account Cash Paypal 6,589 50 1.042 7.631 50 151 Total Cash Funds 6,790 1.042 7832 Other Monetary Assels: tkbtors- Child Health Matt￿S 3,600 3.600 Assets Retsined for the Charity's Own Use: F.quipment- Manekins (2021), Projector 718 718 Liabilities: Profe&8ional fees- I.E. 144 144 The financial statements were approved by the TTh￿ and signed on their behalf by: SigDature(s): Full name(s): Alison Earley Sebastian Palm¢r Position: Date: 24 Feb 23 24 Feb 23 Ckwity R¢8iStration Num￿r. 1174977 sin G(A)sullaDls Ild ￿n￿m8￿￿al Od22 P*Je9of9