K4a(J3cxi MoL(xp Plor￿1r￿j dental heallh and happy smiles in ihe Maa5ai Mara ANNUAL REPORT ## **MAASAI MOLAR CHARITY NUMBER: 1183569** Trustees' Annual Report & Financial Statement for the Period: 24 May 2021 to 25 May 2022 ## **CONTENTS** ## **Reference & Administration Details** ## **Charity Details:** Names of the Charity Trustees who Manage the Charity Names of Trustees for the Charity Structure, Governance & Management Description of the Charity's Trusts Type of Governing Document: How the Charity is Constituted: Trustee Selection Methods: How New Trustees are Inducted and Trained: ## **Objects** Statutory Declaration on Public Benefit Executive Summary ## **Our project** Activities, Achievements & Performance ## **Our impact** ## **Financial Review** Statement of the Charity's Policy on Reserves Details of Any Funds Materially in Deficit State of the Charity’s Finances Restricted Funds Designated Funds Particulars of Any Outstanding Guarantee Given by the Charity Particulars of Any Outstanding Debt ## **Declaration Maasai Molar Income Statement** ## **REFERENCE & ADMINISTRATION DETAILS** ## **Charity Details:** Maasai Molar Number: 1183569 Address: 4 Park Close, Airmyn, Goole. East Yorkshire. DN14 8LX ## **Names of the Charity Trustees who Manage the Charity** Rachael England - May 2019 Shaun Howe - May 2019 ## **STRUCTURE, GOVERNANCE & MANAGEMENT** ## Description of the Charity's Trusts - The relief of sickness and the preservation and protection of good health by: - Providing general and oral health education to the community of Narok County, Kenya: - Providing safe and effective dental care to the community of Narok County, Kenya, by engaging with volunteer qualified healthcare professionals: - Providing safe, quality dental care for the Maasai and surrounding community: - Developing and sustaining culturally appropriate health education programs for the regions schools: - Working with the community health services to improve health outcomes. ## **STRUCTURE, GOVERNANCE & MANAGEMENT** ## **Type of Governing Document:** Constitution ## **How the Charity is Constituted:** Charitable Incorporated Organisation ## Trustee Selection Methods: Trustees are selected for their expertise in global public health, dental health and general health. They are invited to become trustees by the existing trustees. ## **How New Trustees are Inducted and Trained:** Training is carried out through advance training ahead of visiting Kenya and then in-situ training with equipment, materials and running of the dental clinic in Aitong. ## **Objects** Statutory Declaration on Public Benefit The trustees declare that they have complied with their duty to have due regard to the guidance on public benefit published by the Charity Commission in exercising their powers or duties. ## **EXECUTIVE SUMMARY** There are fewer than 1,000 registered dentists in Kenya and an undefined number of Community Oral Health Officers giving a dentist to patient ratio of 1:42,000 which is far below the WHO recommended ratio of 1:7,000. In Kenya dental services are provided in both public and private institutions, however, 80% of clinicians practice in urban areas such as Nairobi and Mombasa (Oral Health Status of Children in Rural Schools in Kithoka, Kenya, n.d.). The 2015 Kenya Oral Health Survey revealed that 47% of children had experienced toothache in the last year. 46.7% of children in rural areas have never visited a dentist, and the majority (72%) had visited with dental pain, routine attendance at the dentist is uncommon. Approximately 50% of children only brush their teeth once per day and 83% use a toothbrush and fluoridated toothpaste (Kenya National Oral Health Survey Report 2015-i, n.d.). The FDI World Dental Federation definition of oral health is multifaceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex. Oral health has a significant adverse impact on children in Kenya with 99.1% reporting an adverse oral attribute, such as pain on biting, avoiding school due to their appearance and missed school days due to dental problems. 60% of children drink tea with sugar daily, although the consumption of jam, honey and candies is much lower (Kenya National Oral Health Survey Report 2015-i, n.d.). 46.3% of children aged 5 have dental caries and 75.5% experience gingival bleeding. Children in rural areas suffer from extensive dental fluorosis due to the ground water, this condition affects over 40% of children and contributes to psycho-social anxiety (Kenya National Oral Health Survey Report 2015-i, n.d.). A supervised toothbrushing programme in a school can help children integrate daily tooth brushing into their daily routine which will have a significant impact on their oral health. By introducing the programmes to the school’s, the children will have daily reinforcement from teachers and can learn together in a fun and supportive environment. Maasai Molar has established the need for a toothbrushing programme to be set up in schools in the Aitong region of Kenya due to the extent of dental decay and gum disease that has been evident in the local population of children living here. The primary aim of this programme is to improve the dental/ oral health of 5-6 year old children in this region. ## **OUR PROJECT** **Kenya Smiles Healthy Maasai Molar tooth brushing programme has been set up to:** **1) Develop good dental/ oral health habits in school children for lifelong health benefits** **2) Reduce the incidence of tooth decay and therefore unnecessary pain and lost school days in young children** **3) Teach effective tooth brushing techniques to reduce decay and gum disease** **4) Combine tooth brushing with effective hand washing techniques to reduce the risk of infection and illness and thereby improve general health** **5) Understand the importance of healthy eating to reduce tooth decay further and be able to discern between healthy and unhealthy food options** **6) Facilitate the daily use of an age-appropriate toothpaste, thereby ensuring the benefits of fluoride to the tooth surfaces** ## **ACTIVITIES, ACHIEVEMENTS & PERFORMANCE** The COVID-19 pandemic had a severe impact on the running of Maasai Molar activities. The planned outreach programme in July 2020 was postponed until 2022 and due to the ongoing pandemic and insecurity suspended indefinitely May 2022 Maasai Molar partnered with Emayian Medical Clinic, staffed by Dr Lawrence Saaya Nkoyo to build a permanent dental clinic in Aitong. This provides a sustainable solution to ensure uninterrupted dental care should another pandemic or other crisis hit the region. ## **ACTIVITIES** _Our trip to Kenya was great! We were able to help the people and it was an unforgettable experience. The Masaai are very nice and thankful. Simi and his friends entertained us immensely and I definitely want to go back sometime. I am grateful to Rachel and proud of what she has achieved!_ _Dr Jamshed Tairie, 2018_ ## **FINANCIAL REVIEW** ## **Statement of Charity's Policy on Reserves** The trustees aim to maintain free reserves in unrestricted funds at a level which equates to approximately three months of unrestricted charitable expenditure. ## **Details of Any Funds Materially in Deficit** The Trustees declare that the charity had no funds which were materially in deficit at the date of the statement of assets & liabilities. ## **State of the Charity’s Finances** The outreach to Aitong 2022 was suspended indefinitely. ## **Restricted Funds** Maasai Molar holds £ 00.00 in restricted funds **Unrestricted Funds** £500.49 ## **Particulars of Any Outstanding Guarantee Given by the Charity** The Trustees declare that the charity has given no guarantee where potential liability is outstanding at the date of the statement of assets & liabilities. ## **Particulars of Any Outstanding Debt** The Trustees declare that the charity has no outstanding debts which are secured by an express charge on any of the assets of the charity at the date of the statement of assets & liabilities. ## **DECLARATION** **The Trustees declare that they have approved the above report and authorised that it be signed on their behalf.** Rachael England ## **CONNECT WITH US** facebook.com/maasaimolar twitter.com/MaasaiMolar @maasai_molar ## maasaimolar.org