
## **Trustees’ Annual Report for the period** 

**From 01 September 2021                    Period start date To 31 August 2022 Period end date** 

**Charity name: MADEX - MADAGASCAR MEDICAL EXPEDITIONS** 

## **Charity registration number: 1190415** 

## **Objectives and Activities** 

||SORP reference||
|---|---|---|
|Summary of the purposes of<br>the charity as set out in its<br>governing document.|Para 1.17|For the public benefit, the relief and<br>assistance of people in need, in<br>Madagascar, who are the victims of<br>Neglected Tropical Diseases, by<br>researching, treating and delivering health<br>education.|
|Summary of the main<br>activities in relation to those<br>purposes for the public<br>benefit, in particular, the<br>activities, projects or services<br>identified in the accounts.|Para 1.17 and<br>1.19|Annual expedition to Madagascar to deliver<br>health education, treatment and to research<br>Neglected Tropical Diseases.<br>In June 2022 an expedition was carried out<br>to Marolambo, Madagascar, with a focus on<br>health education including training local<br>teachers to continue to deliver health<br>education throughout the year. The<br>expedition was primarily led by local<br>Malagasy doctors to facilitate ongoing<br>leadership of future expeditions. Focus<br>groups and qualitative educational research<br>was carried out within the communities to<br>better understand health and education<br>needs.|
|Statement confirming<br>whether the trustees have<br>had regard to the guidance<br>issued by the Charity<br>Commission on public<br>benefit.|Para 1.18|In planning our activities for the year, we<br>kept in mind the Charity Commission’s<br>guidance on public benefit at our trustee<br>meetings.|





## **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|N/A|
|Policy on social investment<br>including program related<br>investment|Para 1.38|N/A|
|Contribution made by<br>volunteers|Para 1.38|N/A|
|Other||We are grateful to our colleagues in<br>Madagascar for their ongoing commitment<br>and support in helping MADEX to deliver its<br>objectives to improve the education and<br>health of people in Madagascar.|
|**Achievements and Performance**|||
||SORP reference||
|Summary of the main<br>achievements of the charity,<br>identifying the difference the<br>charity’s work has made to<br>the circumstances of its<br>beneficiaries and any wider<br>benefits to society as a<br>whole.|Para 1.20|In June 2022 MADEX carried out a<br>successful expedition to Marolambo,<br>Madagascar. The expedition focussed on<br>training local teachers to deliver health<br>education. By this ‘Teach the Teachers’<br>method, health education will continue to be<br>delivered throughout the year. This will<br>ensure that this community, which is known<br>to have a high health burden due to<br>Neglected Tropical Diseases, will continue to<br>benefit from health education throughout the<br>year.<br>The expedition was led by local Malagasy<br>doctors. This represents a successful<br>transition of team leadership from earlier<br>expeditions, which were primarily led by UK<br>team-members. This transition benefits both<br>the Malagasy doctors involved, giving them<br>opportunities for experience and career<br>development, and in addition improves the<br>sustainability of the project, thus further|





benefiting the community as a whole. 

|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|
|---|---|---|
|Achievements against<br>objectives set|Para 1.41|See above (in summary of main<br>achievements).|
|Performance of fundraising<br>activities against objectives<br>set|Para 1.41|We were able to fundraise sufficient funds to<br>pay for the 2022 expedition, thereby<br>achieving our objectives (see section below<br>for further details regarding fundraising).|
|Investment performance<br>against objectives|Para 1.41|N/A|
|Other||N/A|



## **Financial Review** 

|**Financial Review**|||
|---|---|---|
|Review of the charity’s<br>financial position at the end<br>of the period|Para 1.21|At the end of this financial period, MADEX<br>had a total of £2,593 in funds.|
|Statement explaining the<br>policy for holding reserves<br>stating why they are held|Para 1.22|Every year £1000 is held as reserve in the<br>form of a contingency fund for expeditions.|
|Amount of reserves held|Para 1.22|£1000|
|Reasons for holding zero<br>reserves|Para 1.22|N/A|
|Details of fund materially in<br>deficit|Para 1.24|N/A. There are no funds that are materially<br>in deficit.|
|Explanation of any<br>uncertainties about the<br>charity continuing as a going<br>concern|Para 1.23|MADEX receives funds primarily through<br>small research and expedition grants. The<br>number of eligible grants has reduced since<br>the pandemic. The funding landscape gives<br>ongoing concerns about the charity<br>continuing. We are committed to our<br>purpose and as such, we are moving<br>towards local leadership in this area of<br>Madagascar, to ensure that the project can<br>be delivered in our absence.|



**Additional information (optional)** You may choose to include further statements where relevant about: The charity’s principal Para 1.47 £1000 grant from British Society of 



|sources of funds (including<br>any fundraising)||Immunology (BSI) in an education-based<br>expedition grant;<br>£5000 grant from the Rivers Foundation for<br>health promotion in Madagascar<br>£1784 from donations<br>£1500 from Liverpool School of Tropical<br>Medicine for supporting and purchasing<br>equipment required for an MSc student<br>project<br>All funds are held directly in the MADEX<br>bank account (Co-op community account).|
|---|---|---|
|Investment policy and<br>objectives including any<br>social investment policy<br>adopted|Para 1.46|N/A. No funds are held in investments.|
|A description of the principal<br>risks facing the charity|Para 1.46|The charity primarily receives income<br>through small research and expedition<br>grants. As a result of the COVID-19<br>pandemic, the number of eligible grants has<br>been significantly impacted.<br>Both COVID-19 and the funding landscape<br>are ongoing concerns to the charity’s<br>activities. We are committed to our purpose<br>and as such, moving forward we will focus<br>on local leadership for health education in<br>the local area of Madagascar, to ensure that<br>health education can be delivered in our<br>absence.<br>Note as MADEX has no financial<br>commitments, there are no financial risks to<br>the charity. There is only a risk to the<br>operational capacity of the charity due to<br>limited income and restricted travel.|
|Other||Please note this is an updated return from<br>the previous return submitted May 2023. An<br>error was noticed in the previous submitted|





accounts. After discussion with the charity commission, we were advised to resubmit the annual report and annual accounts. This is the reason for the apparent delay in the return submission. 



## **Structure, Governance and Management** 

|Description of charity’s<br>trusts:|||
|---|---|---|
|Type of governing document<br>(trust deed, royal charter)|Para 1.25|CIO - ASSOCIATION|
|How is the charity<br>constituted?<br>(e.g unincorporated<br>association, CIO)|Para 1.25|Charitable Incorporated Organisation (CIO)|
|Trustee selection methods<br>including details of any<br>constitutional provisions e.g.<br>election to post or name of<br>any person or body entitled<br>to appoint one or more<br>trustees|Para 1.25|Charity trustees Isla Young, Caitlin Sheehy<br>and Kate Hyde retired by rotation from office<br>as per the governing document section 13.<br>Isla Young, Caitlin Sheehy and Kate Hyde<br>were chosen as trustees and reappointed by<br>discussion and unanimous agreement of the<br>remaining trustees.|



|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|**Additional information (optional)**<br>You may choose to include further statements where relevant about:|
|---|---|---|
|Policies and procedures<br>adopted for the induction and<br>training of trustees|Para 1.51|New trustees are provided with a copy of the<br>charity governing document, a copy of the<br>annual report and a statement of account.|
|The charity’s organisational<br>structure and any wider<br>network with which the<br>charity works|Para 1.51|The charity consists of 7 trustees, with<br>quarterly meetings to discuss the objectives<br>and progress of the charity. Tasks are<br>agreed and delegated fairly to each trustee.<br>In organising disease research and<br>management expeditions, trustees<br>coordinate with other charities and<br>organisations, such as the Ministry of Health<br>Madagascar, Liverpool School of Tropical<br>Medicine and the Institut Pasteur.<br>Trustees lead expeditions of UK and<br>Malagasy doctors who participate in<br>schistosomiasis research and management.|
|Relationship with any related<br>parties|Para 1.51|There are no official relationships with other<br>related parties.|
|Other||N/A|



**Reference and Administrative details** 



|Charity name|MADEX - Madagascar Medical Expeditions|
|---|---|
|Other name the charity uses||
|Registered charity number|1190415|
|Charity’s principal address|Garden Flat, 119 Cromwell Road, St. Andrews, Bristol BS6<br>5EX|
|||





## **Names of the charity trustees who manage the charity** 

||1<br>2<br>3<br>4<br>5<br>6<br>7|**Trustee name**|**Office (if any)**|**Dates acted if not**<br>**for whole year**|**Name of**<br>**person (or**<br>**body) entitled**<br>**to appoint**<br>**trustee (if any)**|
|---|---|---|---|---|---|
|||Dr Stephen Spencer||||
|||Dr Isla Young||||
|||Dr James Penney||||
|||Dr Cortland Linder||||
|||Dr Hannah Russell||||
|||Dr Kate Hyde||||
|||Dr Caitlin Sheehy||||



– 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|Name of trustees holding title to property belonging to the charity|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<br>held in this capacity|N/A|
|---|---|
|Name and objects of the<br>charity on whose behalf the<br>assets are held and how this<br>falls within the custodian<br>charity’s objects|N/A|
|Details of arrangements for<br>safe custody and<br>segregation of such assets<br>from the charity’s own assets|N/A|



## **Additional information (optional)** 

## **Names and addresses of advisers (Optional information)** 

**Type of Name Address adviser** 



N/A **Name of chief executive or names of senior staff members (Optional information)** N/A 

## **Exemptions from disclosure** 

Reason for non-disclosure of key personnel details 

N/A 

## **Other optional information** 

Please note this is an updated return from the previous return submitted May 2023. An error was noticed in the previous submission. Once identified, we spoke to the charity commission, and we were advised to resubmit the annual report and annual accounts. This is the reason for the apparent delay in the return submission. 

## **Declarations** 

## **The trustees declare that they have approved the trustees’ report above.** 

**Signed on behalf of the charity’s trustees** 

|**Signature(s)**<br>**Full name(s)**<br>**Position (eg**<br>**Secretary, Chair,**<br>**etc)**<br>**Date**|||
|---|---|---|
||||
||Dr Stephen Spencer||
||||
||Trustee||
||15.05.2023 –<br>updated 29.06.2024||
||15.05.2023 –<br>updated 29.06.2024||






**MADEX - MADAGASCAR MEDICAL EXPEDITIONS** 

**1190415** 

## **Recei ts and a ments accounts p p y** 

**CC16a** 

**For the period** 1-Sep-21 31-Aug-22 **To from** 

## **Section A Receipts and payments** 

**Unrestricted Restricted Endowment Total funds Last year funds funds funds to the nearest      £ to the nearest £ to the nearest £ to the nearest £ to the nearest £** 

## **A1 Receipts** 

|**A1 Receipts**||**to the nearest      £**<br>**Unrestricted**<br>**funds**||||**to the nearest £**<br>**Restricted**<br>**funds**||||**to the nearest £**<br>**Endowment**<br>**funds**||||**Total funds**<br>**to the nearest £**||||**Last year**<br>**to the nearest £**||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Donations||**1,703**||||**-**||||**-**||||**1,703**||||**-**||
|Grant: BS||**1,000**||||**-**||||**-**||||**1,000**||||**-**||
|Grant: Rivers Foundation<br>p<br>p||**5,000**||||**-**||||**-**||||**5,000**||||**-**||
|payment: MScproject support||**1,500**||||**-**||||**-**||||**1,500**||||**-**||
|Reimbursements||**6**||||**-**||||**-**||||**6**||||**-**||
|Justgivingdonations - Aug2022||**171**||||**-**||||**-**||||**171**||||**-**||
|||**-**||||**-**||||**-**||||**-**||||**-**||
|||**-**||||**-**||||**-**||||**-**||||**-**||
|**_Sub total_**_(Gross income for AR)_||**9,380**<br>||||**-**||||**-**||||**9,380**||||**-**||



|**A2 Asset and investment sales,**||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|**(see table).**||||||||||||||||||||
|||**-**||||**-**||||**-**||||**-**||||**-**||
|||**-**||||**-**||||**-**||||**-**||||**-**||
|**_Sub total_**||**-**||||**-**||||**-**||||**-**||||**-**||
|||||||||||||||||||||
|**_Total receipts_ **||**9,380**||||**-**||||**-**||||**9,380**||||**-**||



|**A3 Payments**<br>Website cost<br>**19**<br>Madagascar Expedition 2022 costs<br>**7,830**<br>**-**<br>**-**<br>**-**|**A3 Payments**<br>Website cost<br>**19**<br>Madagascar Expedition 2022 costs<br>**7,830**<br>**-**<br>**-**<br>**-**|**-**<br>**-**<br>**-**<br>**-**<br>**-**|**-**<br>**-**<br>**-**<br>**-**<br>**-**|**19**<br>**7,830**<br>**-**<br>**-**<br>**-**||
|---|---|---|---|---|---|
|<br>Website cost|**19**|**-**|**-**|**19**|**-**|
|Madagascar Expedition 2022 costs|**7,830**|**-**|**-**|**7,830**|**-**|
||**-**|**-**|**-**|**-**|**-**|
||**-**|**-**|**-**|**-**|**-**|
||**-**|**-**|**-**|**-**|**-**|



07/03/2024 

1 



||**-**||**-**||**-**||**-**||**-**|
|---|---|---|---|---|---|---|---|---|---|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
||**-**||**-**||**-**||**-**||**-**|
|**_Sub total_**|**7,849**||**-**||**-**||**7,849**||**-**|



|**A4 Asset and investment**|||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|**purchases, (see table)**|||||||||||||||||||||||
|||**-**|||||**-**|||||**-**||||**-**||||**-**|||
|||**-**|||||**-**|||||**-**||||**-**||||**-**|||
|**_Sub total_ **||**-**|||||**-**|||||**-**||||**-**||||**-**|||
||||||||||||||||||||||||
|**_Total payments_ **||**7,849**|||||**-**|||||**-**||||**7,849**|||||**-**||
||||||||||||||||||||||||
|**_Net of receipts/(payments)_ **||**1,531**||||**-**|||||**-**|||||**1,531**||||**-**|||
|**A5 Transfers between funds**||**-**||||**-**|||||**-**|||||**-**||||**-**|||
|**A6 Cash funds last year end**||**1,062**||||**-**|||||**-**|||||**1,062**||||**-**|||
|**_Cash funds this year end_ **||**2,593**||||**-**|||||**-**|||||**2,593**||||**-**|||
||||||||||||||||||||||||



## **Section B Statement of assets and liabilities at the end of the period** 

|**Categories**<br>**unds**|**Details**<br>Coop community direct bank account<br>**_Total cash funds_**<br>(agree balances with receipts and payments<br>account(s))|**to nearest £**<br>**2,593**<br>**-**<br>**2,593**<br>OK<br>**Unrestricted**<br>**funds**<br>**Unrestricted**<br>**funds**|**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>OK<br>**Restricted**<br>**funds**<br>**Restricted**<br>**funds**|**to nearest £**<br>**Endowment**<br>**funds**|
|---|---|---|---|---|
|||||**-**|
|||||**-**|
|||||**-**|
|||||**-**|
|||||OK|
|||||**Endowment**<br>**funds**|



**B1 Cash funds** 

07/03/2024 

2 



## **B2 Other monetary assets** 

## **B3 Investment assets** 

## **B4 Assets retained for the charity’s own use** 

|**Details**<br>**Details**<br>**Details**|**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Fund to which**<br>**asset belongs**<br>**Fund to which**<br>**asset belongs**|**to nearest £**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**Cost (optional)**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>**-**|**to nearest £**|
|---|---|---|---|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**-**|
||||**Current value**<br>**(optional)**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|
|||**-**|**-**|



07/03/2024 

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## **B5 Liabilities** 

Signed by one or two trustees on behalf of all the trustees 

|**Details**<br>Signature|**-**<br>**-**<br>**-**<br>**-**<br>**-**<br>Print Name<br>JAMES PENNEY<br>STEPHEN SPENCER<br>**Fund to which**<br>**liability relates**<br>**Amount due**<br>**(optional)**|**When due**<br>**(optional)**|
|---|---|---|
||||
||||
||||
||||
||||
|||Date of<br>approval|
|||29.6.24|
|||29.6.24|
||||



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