MEDIC MALAWI CIO
Registered Charity Number 1198394
Receipts and payments accounts for the Year ended
31 December 2024

MEDIC MALAWI
INDEX TO THE ACCOUNTS FOR THE YEAR ENDING 31 DECEMBER 2024
Trustees report for the year ended 31 December 2024
Independent examinerfs report for the year ended 31 December 2024
Receipts and payments attounts
ststement of assets and liabilities at the end of the perii>d

MEDIC MALAWI TRUSTEES REPORT
Year ended 31 December Z024
Reference and administrative
Charity Number: 1198394
10 Cathedral Close
Blackburn
BBI SAA
Struclure. governance and managernent
The Tfustees during 2024 were:
The Very Reverend Peter Howell-jones (Chair of Tru5teesl (Resigned 24 February 20251
Mrs Carolyn Bruce
Mr William Duncan
Mr Sean Keaney Ichair of Trustees) (Appointed 24 February 20251
Charitable incorporated organisation since 28 March 2022. Governing document dated 22 February
2022.
erational Team
During 2024 Medic Malawi employed one part time rnember of staff who oversaw and managed all
the attivities of the charity and lead the work of liaising with our partners in Malawi.
Objertives and artivities
Our vision is to see a Malawi where everyone has the opportunity to thrive. Our aim is to empower
and enable communities to create opportunities and sustainable solutions that promote:
Better health and wellbeing
Access to education
Sustainable community development
We have partnered with communtty-led organi5ations in Malawi since 2001 to deliver multiple
infrastructure project5, 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 transfornied into a busy Hospital and provides
healthcare Services to thousands of people each year.
Along with the hospital. our support forthe neediest individuals has assisted many vulnerable children
within the community through the work of the AMAO vulnerable children support centre- following
the reintegration of all the children ar)d young people back to their families at the end of 2023 our
work supporting them ha5 coritinued through our partnership with Medicom Foundation and their

Roots of Hope program. Roots of Hope wa5 established specifically to support the children and their
families who used to be resident at AMAO.
We have a burning desire to build on our achievements; expand our work,. and see communities thrive
across Malawi. The impact of our work ha5 shown that the support we deliver transfoms lives daily;
however, the needs remain high.
The dedicated work carried out since 2(KJi focussed primarily around two linked communities has
brought results and shows that in partnership with communities and strategic partners. we can help
support meaningful and sustainable change. New and developing partnerships mean we are now also
bringing this approach to projects further afield. working in the Southern, Central and Northern
Regions.
As part of our strategy to further develop our work and build on our historical success at the start of
2024 in partnership with our existing Malawi based advisory board we established Medicom
Foundation as a stand-alone local Non-Governmental Organi5ation INGOI registered with the Malawi
government. Medicom Foundation has a majority Malawi-based board of Directors along with two UK
based Directors. All of Medic Malawi's Malawi-based work is now delivered through Medicorn
Foundation.
Medicom Foundation is being established to strengthen in country oversight, governance and
5UStainability of all our work.
The future of development in Malawi must lie with Malawians and establishing Medicom Foundation
a5 a Malawian lead organisation will help irb our strategic journey towards a future of supporting
Malawian lead development.
The trustees have complied with the duty in section 4 of the 2CX)6 Art to have due regard to guidance
on public benefit published by the Commission
Achievements and erformance
How we invested ourfundin
in 2024.
In 2024 we invested £58,771 on charitable activities and £15.997 wa5 invested in the support and
fundraising costs that ensure we continue to transform lives in Malawi.
Total Expenditure for 2024 was £74.768, our income for was £61,103. and $0 £13,665 was funded
from reserves.
Our expenditure on charitable activities was 79% of our total cost.
As an organisation we work tirelessly to ensure every perbny 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 Malawi.
What we achieved in 2024:
During 2024 wtth our in-country partners we delivered a wide range of activities 5UPPOrting:
Better health and wellbeing
Access to education
Sustainable community development

The following table provides a summary of our key activities during 2024:
Activity fitle
Roots of Hope Umbrella
Description
The over-arching Roots of Hope project works to ensure
vulnerable children are supported within their communities,
with programmes to ensure they and their families receive
the most appropriate and sustainable 5UPPOrt.
In Partnership with Medicom Foundation we organized a
training 5e55ion at the Lisasadzi Residential Training Centre,
focusing on sustainable agricultural practices as well as child
rights and protection. The training was facilitated by Subject
matter specialists from the Ministry of Agriculture and the
Social Welfare Departrnent.
Roots of Hope:
Food security
As part of the project. certified maize seeds and fertilizer
were provided to 21 caregivers. The training aimed to bridge
the knowledge gap on child protection. particularly regarding
the recent cases of child rights abuses and educational
challenges. Additionally, caregivers were equipped with skills
in productive faming to improve yields and enhance their
livelihoods. A total of 44 ￿rtifIed maize seed packets were
distributed to the caregivers.
Outcome5." Food securrty and incorne. becomin9 self-
sustoining within three yeorsfor all porticipantfomAlies.
Education.. focused on irnproving access to education, with
the goal of enhancing literacy and numeracy, increasing
educational attainment, and encouraging MO￿ gir15 to stay in
school. This objective was achieved through several kev
initiatives, including:
Educational support.- Providing writing materials and school
uniforms, distributed through direct cash transfers
Encoura9ement ond recognition.- Motivating children to work
hard in school and rewarding those excelling academically
Ro¢)ts of Hope:
Education Program
Outcome." Return to school of all children within the
programme, plu5 siblings.
Training caregivers in child protection, in partnership with
Kasungu District Social Welfare and Medicom Foundation
we supported a project to train the care givers of the
families that are supported by the Roots of Hope program,
to receive training in child protertion issues.
Roots of Hope:
Training
Outcome.. better support and curefor the children ond
young people in their care, within their communities rather
thon in institutionolised core.
As part of our on-going work with Chalizya School and
followhng extensive consultation with school staff and village
Chaliiya School

leaders we have in partnership with Medicom Foundation
been able to 5UPPOrt the School with two additional
teaching staff.
Outcomes.. This simple intervention ha5 b005ted stoff to
pupil rotios ond provided much needed extra teaching
capocity.
Medic Malawi has had a long partnership with Mtunthama
Mothers Union, and we are able to support them in 2024 bv
providing additional catering equipment.
Mothers Unlon Mtunthama
Outcomes." Supportfor community events ond providing
food within the community.
Supporting St Andrews Hospital with vital rnedical
equipment has always formed part of our work and is Vital
ensuring as many individuals benefit from our support as
possible. St Andrew's operating theatres are fundamental ir)
delivering healthcare across the district and are often used
for patients referred from the district hospital in Kasungu.
The ventilator used in the operating theatre could not be
repaired effectively ir) Malawi so during one of our
monitoring visits we were able to transport the machine
back to the UK for repair at the manufacturer. Iwe have
subsequently returned the machine in working order.)
St Andrev/s Hospital:
Medical Equipment
Outcome." Functionolfundumentol equipment at reduced
C05t5forsUStainable resource mt7nagement t7nd improved
Service provision.
Our long-term partnership with All Saints Secondary school
continued through 2024 through provision of bursary
support. to enable young people to remain in secondary
education.
All Saints Secondary School
Outcome." Access to educt7tionfor vulneroble students.
How 2024's artivities sit in relation to our on
oin
focus
The account5 Show a significant shift in income. costs and balance of funds during this period. This is
something that we were aware of and should be seen within our plans to re-focus on sustainability
and in-country delivery. as well as in specific resF)onse to project profiles.
Several other factors Should be considered in reviewing the discrepancy in income levels between
2023 to 2024. Fluctuating draw-down5 of Gift-aid give a non-linear income element- in 2023 MM also
received also a large grant for capital works at Chalirya,. and we also received a considerable legacy
donation within that year. These serve to exaggerate the reduction in income to 2024, but considering
a 3 or 4 year period the average income has remained broadly consistent.

In the short tem, major capital projects deltvered from the UK have reduced to allow focus on
establishing Medicom Foundation in Malawi. It has taken significant effort to do so: they have now
become our in-country delivery and mon¢toring partner. This shifts project delivery activities to a local
base. It has required initial and ongoing financial commitments but enables greater capacity for
responsiveness. programming and impact analysis.
Through Medicom Foundation we have established our Roots of Hope prograrnme. This has seen
vulnerable children re-integrated into their homes and communities with sUPPOrt lafter the closure
of AMAO orphanage). Roots of Hope was newly formed in 2024 but despite its infancy the increase in
impact is immediately clear, and together with its modest running costs demonstrates more impart
for less investment- that 15 to say. it is more efficient and effertive. mitigating our reduction in available
funds.
ROH also gives wider opportunities to offer sUPPOrt to newly identified candidate5 in 3 variety of ways,
determined by local need. The farming strand has already been identified as ways of increasing ski115
and income. food security. and mental health. and MF are looking at how these wider comrnunity
needs might be addressed.
Our intention is that Medicom shifts slowly towards financial self-sufficiency. Support for finding in-
country grants and other income is part of our programme. and in 2025 a new staff appointment is
focussing on resource development. Our funding is shifting from hard-asset grants towards funding
MF to deliver education, farming support and self-sufficiency. Over time these will reduce and give
capacity for new strands to ROH and other capital projects.
As we re-shape delivery such that MF delivers in-country programme5 including education and social
welfare, alongside modest capital projert5, Mm's hands-on delivery of the day-to-day activities is
reducing. Our efforts Since 2023 have been on establishing MF and its relationship with MM, to
facilitate iys semi-autonomous activitie5, and free up capacity in the UK to re-energise our fund-raising
and grant seeking work going forward.
In 2025 we are currently looking at UK costs in the context of the redurtion in capital works and the
changing face of Erant-funding. We are focussing on establishing a reduced 'running budget, and
income target. to be supplemented by intermittent projett-specific fund-raising for capital works.
Looking towards 2026, as MF start to self-fund the ROH project, this will require less financial support
and will increase capacity in both countries. In the UK we intend to re-invigorate our fundraising and
target capital projects that will be identified by MF through local identification of need.

Financial review
Reserves Polic
The Trustee5 have accepted a reserves policy whereby the unrestricted 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 £72,385 would allow a minimum
twelve 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 authorisation of
all transactions have been implemented by the charity to redu￿ internal risks and these procedures
are reviewed on a periodic basis to ensure they meet the needs of the charity-
On Behalf o* the Trustees of Medic Malawi
Sean Keaney.
Chair of Trustees

INDEPENDENT EXAMINER'5 REPORT FOR THE YEAR ENDED 31 DECEMBER 2024
I report to the trustees on my examination of the accounts of the above charity 1.the
Trusv) for the year ended 31 December 2024
As the charity's trustees. you are reswnsible for the preparation of the accounts in
accordance with the requirements of the Charities Act 20111.the Acfl.
report in respect of my examination of the Trusys accounts carried out under
section 145 of the 2011 Act and in carrying out my examination. I have followed all
the applicable Directions given by the Charity Commission under section 14515llbl
of the Act.
I have completed my examination. I confim that no material matters have come to
my attention in connertion with the examination lother than that disclosed below
.) which Elves me cause to believe that in, any material respect:
the accounting record5 were not kept in accordance with section 130 of the
Charities Act- or
the accounts did not accord with the accounting records- or
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:
Mr M R Lancelev
DJH Chester Limited
Chester House
Lloyd Orive
Ellesmere Port
CH65 9HQ

MEDIC MALAWI
31 DECEMBER 2024
RECEIPTS AND PAYMENTS ACCOUNTS
T¢xal
2024
Totsl
2023
ZOZ4
ZOZ4
1024
Rewpts
Otr￿tions¥ftd legacies
A55et and investment sales
56.296
dA)7
61.103
121,239
Total Reteip
56.2%
4.807
61.ID3
121,247
Payrnents
GraD15 i55ued to Medicom Foundatiory
Wages- Malawi delivery a4mifMStration
3.2
31.358
19.197
5.016
22.397
6,374
37.855
44,052
Wage5- UKadminiStration
Legal and wofe55ional costs
Plarform charge5lfiTharKeard admin sy5tem51
Insu￿￿¢*
Bank char¥es
9,579
3.897
L119
941
461
9,579
3.897
1.119
941
7,498
1.571
2.476
858
461
676
Total Payrnents
50.555
24.213
74.768
94.987
Net of re(Eypts1lpayrnent51
5.741
-k9.4C
-13.665
26.260
Cash furlds last year ettd
Other monetary assets last yearerHJ
51.545
15.1
66.645
102.193
15.100
117,29
91,033
Cash fundsthls yearend
Other mon*ary as5e15 thi5year ervj
31242
81.?50
21.878
103.628
2LA78
72,386
31.242
117,293
io

MEDIC MALAWI
31 DECEMBER 2024
STATEMENT OF ASSETS AND UABIUTIES ATTHE END OF THE PERIOD
Total
Z023
2024
2024
2024
2024
C•5h funds
81.750
81.750
102,193
Other tngnet6ry assets
Gift Aid redaimable
Travel company credit rhDte
19m8
2.7
19.088
2,7YJ
11.412
3,688
Total Other montary assets
I￿78
21￿78
15.1fy)
Total net a￿15 and liaE4lities
103.628
103.628
117.293
Signed on behalf of the Board of Trustees
£ILQM[
Sean Keaney
Chair of Trustees
Date.. 2811012025
li