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2023-12-31-accounts

MEDIC MALAWI CIO Registered Charity Number 1198394 Accounts for the Year ended 31 December 2023

MEDIC MALAWI INDEX TO THE ACCOUNTS FOR THE YEAR ENDING 31 DECEMBER 2023 Trustees report for the year ended 31 December 2023 Independent examinerfs report for the year ended 31 December 2023 Staternent of financial activilies Balance Sheet Notes to the Accounts

MEDIC MALAWI TRUSTEES REPORT Charity Number: 1198394 Financial Year 2023 anisational Overview The 2023 Accounts and Trustees report for Medic Malawi CIO Charity Number 1198394 Incorporate funds from Medic Malawi Trust Charity Number 1088126 as a result of the transition from Medic Malawi Trusts To Medic Malawi CIO on the I" January 2023 along with funds from St Peterf5 Malawi Education Trust Charity Number 1171615 as a result of the merger between Medic Malawi CIO and St Peters Malawi Education Trust. Our vision is to see a Malawi where everyone has the opportunity to thrive. Our aim is to empower and enable communities to create opportlsnities and sustainable solutions that promote- Better health and wellbeing Access to education Sustainable communitydevelopment We have partnered with community-led organisations in Malawi since 2001 to deliver multiple infrastructure projects, healthcare projects and life-changing community development. Born from a passion to change lives, Medic Malawi has a strong history of impact-focused projects and programs. Our legacy has been to support the Anglican Diocese of Lake Malawi through the work of St Andrew's Hospital. This has seen an empty field transformed into a busy Hospital and provides healthcare services to thousands of people each year. Along with the hospital, our support for the neediest individuals has assisted many vulnerable children within the community through the work of the AMAO vulnerable children support centre helping the transition towards in-community support. We have a burning desire to build on our achievements,. expand our work- and see communities thrive across Malawi. The impact of our work has shown that the support we deliver transforms lives daily,. however, the needs remain high. The dedicated work carried out since 2001 focus5ed primarily around two linked communities has brought results and shows that in partnership with communities and strategic partner5. we can help SUPPOrt meaningful and sustainable change. New and developing partnerships mean we are now working in the Southern, Central and Northem Regions. We now have established partnerships wfch the following organisations. l. Anglican Diocese of Lake Malawi a. St Andrev/s Hospital b. AMAO Support Centre for Vulnerable Children and Reintegration Program c. All Saints Secondary School d. St Anne's Hospital 2. Chalizya Primary School, Kasungu District 3. Catholic Diocese of Dedza Nzama Clinic 4. Church of Central Africa Presbyterians {CCAPI Synod of Livingstonia.

Ekwendeni Mission Hospital Christian Health Association of Malawi ICHAMI. umbrella organisation for 184 health During 2022 as part of our strategic development to enable us to expand our work we undertook the legal process to transfer Medic Malawi from a legally incorporated Trust and into a Charitable Incorporated Organisation. This work was undertaken with the support of our paid legal advisors along with a substantial in-house time and resource commitment and has enabled us to begin operating as Medic Malawi CIO Icharity Number 11983941 from 1st January 2023. Throughout 2023 we have continued our strategic development work with key stakeholders and have made significant progress in establishing Medicom Foundation a locally registered NGO that once full registration has been completed during 2024 will become the in-country delivery partner of Medic Malawi. Medicom Foundation is being established to strengthen in country oversight, governance and sustainability of all our work. Medicom Foundation will be overseen in country by a majority Malawian board of Directors with representation from the Medic Malawi Director. The future of development in Malawi must lie with Malawians and establishing Medicom Foundation as a Malawian lead organisation will help in our strategic journey toward5 a future of supporting Malawian lead development. The Trustees during 2023 were.. The Very Reverend Peter Howell-jones (Chair of Trustees) Mrs Carolyn Bruce Mr William Duncan Operational Team: During 2023 Medic Malawi employed one part time member ofstaff who oversaw and managed all the artivities of the charity and lead the work of liaising with our partners in Malawi. How we invested our fundin in 2023 In 2023 we invested £81,907.00. 86 % of our income on charitable artivities. The remaining 14% or £13,080.84 was invested in the support and fundraising costs that ensure we continue to transform lives in Malawi. Our income for 2023 was £121,247.1Xl. As an organisation we work tirelessly to ensure every penny we spend helps us deliver our vision and that we use our resources wisely to ensure we deliver a high level of impact with our partner organisations and our partner communities in M31awi. What we achieved in 2023 During 2023 with our in-country partners we delivered a wide range of activities supporting.. Better health and wellbeing Access to educatio Sustainable community development

The following table provides a summary of our key activities durinE 2023.. Artivity fitle People's Response to Cyclone Freddy Description Cyclone Freddy devastated large parts of southern Malawi in Mid- March 2023. Working aosely with stakeholders in the affected areas we were able to provide financial and administrative support to the immediate response the days after the cyclone hit, activities included emergency food distribution and shelter building materials. In February 2023. Medic Malawi supported the facility maintain their water supply system that had being affected by water pvmp failure. The health facility was at risk of suspending services due to the water problem. Nzama Water Projert The health centre used the funds from Medic Malawi to.. l. Pre-installation assessments for the water pump. 2. Procurement of relevant plumbing materials. 3. Install a new water pump to replace the old and faulty pump. 4. Construction of slab for water pump. 5. Installation of a new piping system for the water supply System. As part of our ongoing commitment to education throughout 2023 we have continued with our long-term program to provide bursary support for students in the greatest need in the Mtunthama area. Chalizya Primary School has formed a major part of our education program since we first established our partnership with the community in 2011. Following the delivery of an extensive development project in 2022 involving the refurbishment and remodelling of four classrooms to create two refurbished classrooms along wtth 3 staff room, headteachers office. storerooms and a community library we were able in 2023 to undertake in partnership with the local community a further extensive development program to complete the refurbishment and development of a further seven classrooms. This work has transfomied the school into a modern learning environment that will enable the community to improve education standards for the students. Our work is continuing with the school management and community leaders to develop plans to refurbish teachers houses at the school to help recruit and retain experienced and committed teachers. As part of our long-term partneiship with Chalizya school and following consultation with the school management and local community we have undertaken a program to provide locally built desks and chairs. To ensure that the local community were involved in the project local carpenters were recruited to All Saints Secondary School Bursary Chalizya School Refurbishment Phase 2 + 3 Chalizya School Desks

manufacture the desks. A locally led team from the school staff and community were able to manage the project including the qualwty control to ensure that the locally made desks met the standards required. In Partnership with the Anglican Diocese of Lake Malawi we were able to provide the following medical equipment to St Anne's Hospital in Nkhotakota. 4 x Baby weighing scales I x Portable suction machine 6 x Sets of theatre boots I x Fetal Ooppler In Partnership with the Anglican Diocese of Lake Malawi we were able to provide the following medical equipment to St Andrev/s Hospital in Mtunthama. 4 x Bales of hospital linen 2 x Fetal Dopplers Throughout 2023 we have continued our partnership with the Anglican Diocese of Lake Malawi IADLMI supporting their work at the AMAO Vulnerable children support centre in Mtunthama. Our work with the ADLM includes financial support along with helping the ADLM to develop management and governance structures. Working alorbgside the ADLM we have been able to support them in the delivery of a reintegration program for all the children. This enabled all children resident at AMAO to be reintegrated within their extended families or into alternative foster based care during 2023. Ongoing support for all the children who have been reintegrated back to their families during 2023 will be undertaken by the Medicom Foundation under the umbrella of the Roots of Hope program supported by Medic Malawi from the start of 2024 onwards. The Roots of Hope program works with the families of children from AMAO supporting them within their extended families and wider communities. Building on our 22-year history of partnership with St Andrew's Hospital we have been able to support practically and financially with the development of the hospitals first X-Ray department. The project involved the redevelopment of existing buildings within the hospital complex to meet strict Ministry of Health specifications. As Part of the ADLM program to reintegrate all the children at AMAO with their families the Medicom Foundation supported by Medic Malawi ran a training program to support and train families in agricultural resilience techniques to support with food sustainability. This program involved training seminars along with mentoring and the provision of farm input5. A vital part of the work at Ekwendeni CCAP Hospital is the rural outreach clinic undertaken to bring healthcare to areas that are often very hard to reach. Working with the management team and the area health Director we were able to provide support to enable the repair and maintenance of two ambulances that are used for the outreach clinics. Prior to our support the ambulances had been off the road and the clinics had been stopped. St Anne's Hospital Medical Equipment St Andrew's Hospital Medical Equipment AMAO St Andrews Hospital X-RAY Department Medicom Foundation, Nutritional training program 3nd farm inputs supply. Ekwendeni CCAP Hospital. Ambulance Repairs.

Reserves Poli The Trustees have accepted a reserves policy whereby the unrestrirted funds not committed or invested in tangible fixed assets I'the free reserves'l held by the charity should equate to the amount of certain obligations should the charity cease to operate. Trustees have agreed that the current free reserve amount of £66.645 would allow a minimum ten month5 of normal operations. Minimum cash reserve amount has been agreed at three months. Risk Mana ement: The trustee board has conducted its own review of the major risks to which the charity is exposed and systems have been established to mitigate those risks. Internal procedures for avthorisation of all transactions have been implemented by the charity to reduce internal risks and these procedures are reviewed on a periodic basis to ensure they meet the needs of the charity. Statement of Trustees Res nsibilities: The trustees are responsible for preparing the Trustees, Annual Report and the Financial Statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Pratticel. Charity SORP requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of incoming resources and application of resources. including the receipts and payments of the charity for that year. In preparinE those financial statements, the trustees are required to.. Select suitable accounting policies and apply them consistently Observe the methods and principles in the Charities SORP Make judgements and estimates that are reasonable and prudent State whether applicable accounting standards have been followed, subjert to any material departures disclosed and explained ifb the financial statements Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation The trustees are responsible for keeping accounting records that disc105e with reasonable accuracy at any time the financial position of the charity. They are also responsible for Safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Approved by the Trustees on 30 October 2024 and signed on their behalf Peter Howell-jones. Chair of Trustees MEDIC MALAWI CIO

INDEPENDENT EXAMINER'S REPORT FOR THE YEAR ENDED 31 DECEMBER 2023 I report to the trustees on my examination of the accounts of the above charity I'the Trusv) for the year ended 31 December 2023 As the charity's trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 20111~the Acf l. I report in respect of my examination of the Tru5Vs account5 carried out under section 145 of the 2011 Act and in carrying out my examination. I have followed all the applicable Dirertions given by the Charity Commission under section 145ISI{bl of the Act. I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination (other than that disclosed below ') which gives me cause to believe that in, any material respect= the accounting records were not kept in accordance with section 130 of the Charities Act- or the accounts did not accord with the accounting records- or the accounts did not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fai¢ view which is not a matter considered as part of an independent examination. I 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 of the accounts to be reached. Signed.. Date: Mrs D D Lea FCA, FCCA DJH Chester Limited Chester House Lloyd Drive Ellesmere Port CH65 9HQ

MEDIC MALAWI 31 DECEMBER 2023 STATEMENT OF FINANCIAL AcfiviTIES Umestiided Restrirted Endowment Totsl Totsl 14<>tes Incoming ResoUT￿5 tknnation5 and legacies Othertradingarti¥ities Investments Other inwrne 7&476 41763 iJ.239 y>1 Totsl Income and Endowments 42.763 121,247 111761 Out8olng Res(yjr￿S Raising funds Charitsble artivities 34,956 9Q9 57.122 24.785 Total Resources Expended 24, 94.￿7 131916 Net movement in funds 17.978 26.2 -￿,155 Fund balan￿$3t ljanuary 2023 5&363 32.6KJ 91,033 110,188 Fund bal￿￿es3t31Detrrnber2fj23 li 6&645 117,293 9L033 The notesorb page 11 form part of these accounts

MEDIC MALAWI 31 DECEMBER 2023 BALANCE SHEET Unrestricted ￿$￿t[ted Endownent Totsi Ttst¥l Note5 Current Assets Other debtors- tax rec13irnable Otherdebto Bank IL412 11.412 4,792 73,172 5L545 101193 66.YJ7 117,245 gL033 Current knabilities Other creditors Net Assets 6,645 117.293 91,033 Unrestricted funds Restricted funds li li 4645 6,￿5 58,363 32,670 Fund balantÈ at 310ec@m￿l2o25 66,645 117.293 91,033 Signed on behalf of the Board of Trustees Peter Howell-jones Chair ol Trustees Date.. 30110124 The notes on page 11 form part of these accounts io

MEDIC MALAWI 31 DECEMBER 2023 NOTES TO THE ACCOUNTS l. Basis of accoullting The accounts have been prepared in accordance with accounting and reporting by charities.. statement of recommended practice applicable to charities preparing their accounts in accordance with the financial reporting standard applicable in the UK and Republic of Irland IFRS1021 (effective l January 20151- charities SORP IFRS1021, the financial reporting standard applicable in the UK and Republit of Irland IFRS1021 and the charities art 2011. The charity is a public benefit entity as defined by FRS 102. The accounts have been prepared on an accrual's basi5. 2. Recognwtion of income Income is recognised when the charity has entitlement to the resources, any performance conditions attached to the item of income has been met, it is more likely than not that the resources will be received. and the monetary value can be measured with sufficient reliability. 3. Expenditure and Liabilities Liabilities are recognised when it is more likely than not that there is a legal or constructive obligation committing the charity to pay out resoijrces and the amount of the obligation can be measured with reasonable certainty. 4. Assets The charity has no fixed assets, herttage assets, investments, other than cash at bank, or stocks and work in progress. li

Analysis of income Unrestricted Restricted Endovnnent Total Total tk>nations and legaoes Dor¢ations and gifts Gift aid Legatie5 Other donations 69.371 9.105 41763 Ill￿4 9.IC6 99,192 13,C68 78,476 41763 121,239 1112 Income frorn investments Interest ￿￿1Ved Other income 501 501 6. Charitable activities Un￿StriCted Restricted Endowment Total Total 2022 Raisingfunds Employmènt costs Other costs incurred 7.498 7.498 5.582 6,9)5 28,051 Charitable activitie5 Project work Employment costs Othercharitable costs .070 22.495 21,557 24.78S 37.855 21495 2L557 49.172 20.714 27,074 70,202 24,785 94,987 131,916 7. Debtors and prepayments Debtors and prepayments consist of claims to HMRC for repayment of gift aid. 8. Trustees. expenses No remuneration or other benefits have been paid to the trustees in the year or in the previous year in respect of their services to the charity. 9. Related parties No related parties have been identified during the year. 10. Paid employees The average number of full-time equivalent employees in the period was 0.6 compared to 0.6 in 2022. No employees received employment benefits for the period exteeding £60,000. 12

2022 Salarie5 and wages Pension costs 28,416 L577 26,137 L481 11. Restritted and unrestricted funds The following funds were in operation during the year.. Currentyear Opening balance Income Grants Closlng balance General funds Health Education 58,363 22,936 9,734 91,033 78.484 10,984 31.779 121,247 70.202 6.140 18.fA5 94,987 E6,645 27,780 117,293 The following funds were in operation during the previous year- Opening baan Income Grants Closing balance General funds Health Education 84,861 15,123 10,204 iio. 93,429 9.025 10,307 112,761 119,927 1,212 10.777 131,916 58,363 15,243 9,734 91,033 13