OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

2024-08-31-accounts

Charity registration number SC051913 (Scotlandl MATERNAL HEALTH AFRICA SCIO (FORMERLY TRAC TRUST SCIO) ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AUGUST 2024

MATERNAL HEALTH AFRICA SCIO LEGAL AND ADMINISTRATIVE INFORMATION Trustees Charlty number SC051913 Principal address Indopondgnt gxamlngr Azels 37 Albyn Place Aberdeen United Kingdom AB101JB

MATERNAL HEALTH AFRICA SCIO CONTENTS Page Trustees, report Stslemenl of trustees. responsibilities Independent examinerfs report Statement of financial activities Balance sheet 10 Notes lo the financial statements

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT FOR THE YEAR ENDED 31 AUGUST 2024 The trustees present their annual report and financial statements for the year ended 31 August 2024. The SCIO changed legal name lo Maternal Health Africa SCIO from TRAC Trust SCIO effective 2 May 2024. The financial statements have been prepared in accordance with the accounting policies set out In note 1 to the financi81 slalements and comply with the charity's constitution, the Charities and Trustee Investment Iseotlandl Act 2005. the Charities Accounts (Scollandl Regulations 2006 las amended) and "Accounting and Reporting by Charities.. Stslemenl of Recommended Practice applicable lo charities preparing their accounts in accordance with the Financial Reporting Stsndard applicable in the UK and Republic of Ireland IFRS 1021" (effective 1 January 2019}. ObJKtlvg$ and actlvlllgs The Charity was established as a charitable organisation lo support the following charitable purposes and, wilhoul prejudice lo the foregoing generality, provide information, education, facilities and services lo those across the world, Whe￿ there Is a need, in order lo improve the health andlor standards of living of those who live there". 1.1. the advancement of health," 1.2. the saving of lives", 1.3. the relief of those in need by reason of age, ilkhèallh, disability, financial hardship or other disadvantage., 1.4. the advancement of citEenship or community development., 1.5. the prevention or relief of poverty., 1.6. the advan¢ement of environmental prole¢lion or improvement.. 1.7. the advancement of education., 1.8. the provision of recreational facilities. or the organisation of recreational activities with the object of improving the conditions of life for the persons for whom the facilities or activities are primarily intended,. 1.9. the advancement of human rights, conflict resolution or reconciliation,. 1.10. the promotion of religious or racial harmony., and 1.11. the promotion of equality and diversity. Vision and Mission Our ViSiDn of global matemal equality through lrfe saving and life changing interventions aligns wth the United Nations, 2030 Sustainable Development Goals ISDGI, which promotes good health and well-being. SDG3's key tsrgels include reducing maternal mortality and ending preventable deaths of newborns and children. Inspired by thèse goals, we continue lo be dedicated lo improving healthcare access and outcomes for mothers and babies by. Llfe Savlng Interventlons Making immediate and significant improvements lo maternal health outcomes, often where stsndards and resources are such that being pregnant can be a life-threalening situation for both mother and unborn child. Life Changing interventions Raising standards of healthcare and opportunities for women and children, to rnake a sustainable change through education, empowerment and working within local communities. Governance and Operational Management We welcomed three new Board Trustees during the year who bring diverse and invaluable expertise lo our mission.. Claudia Shilumani Ilnlernationall, Claudelle During Isierra Leonel and Alislair Anderson IUKI. Their contributions strengthen our govemance, enhance strategic planning and provide vital insights into global health equity. financial management and philanthropi¢ leadership. Collectively, their skills and experience position us well lo deepen our impact and focus our progress in advancing maternal health outcomes in Sierra Leone and Ethiopia. TRAC Intemational's investment in funding Maternal Health Africa's pilot initiatives has been crucial in establishing the charity's operations and organisational structure. However, lo ensure the sustainability and growth of our mission, we recognise the need to accelerate our funding with external support. 11 requires a blended approach that includes partnerships wth intemalional agencies, philanthropic giving and foundation grants. To achieve this, we engaged a full-time fundraiser lo build strategic partnerships, establish and maintain relationships and raise our profile as we seek to strengthen our ability lo secure the necessary resources to expand and develop our portfolio of work. Realignment of Name and Brand In May 2024. we changed our name from TRAC Trust lo Maternal Heatth Africa SCIO to beller reflect the heart of our work, making il instantly clear who we are and what we sland for. This change helps us sland out and be easily recognised, ensuring our mission resonates more powerfully with supporters and partners. Alongside our new name, we launched a refreshed brand and website Ihlt s.Ilmaternalhealthalrica.or 11 to share our story. amplify our impact and connect more effectively ¥Mth those who share our vision.

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 AUGUST 2024 Achievements and perforniance Slerra Leone Overview Sierra Leone continues to fa￿ critical matemal health challenges, wth one of the highest maternal mortality rates globally-717 deaths per 100,000 live births as reported by the World Heaf(h Organisation IVNOI in 2023. Matemal Health Africa addresses these challenges through a dual approach". Slrenglhening existing government healthcare systems Reaching the most hard-to-reach, rural communities Strfyngthenlng Hgallh¢arg Systems We recognise that collaboration is essential lo improving access to maternal healthcare and achieving better outcomes for mothers and babies. As an implementation partner, we actively contribute to health system slrenglhening by facilitating practical, on-site medical residency programmes in government faalilies. These programmes provide "hands-on" training for medical and nursing teams, empowering them lo deliver high-quality care In basic, Iow-lech environments. From 1 November to 21 December 2023. we undertook a pilot programme with the Ministry of Health and Sanitslion's District Health Management Team IDHMTI al Walerfoo Hospital in the Western Area Rural dislri¢t. Our aim was lo support and strengthen the government healthcare facility through the provision of maternity services and training the in-house dinical team. By working together, our efforts helped improve care quality, make better use of resources and build the skills of the in-house team. This approach meant improved patient outCDmes including the introduction of caesarean deliveries that were not previously available, ServI￿S became more efficient and importantly saw a significant reduction in referrals to the Princess Christian Maternity Hospital IPCMHI, Freetown". Residency 1.11.23-21.12.23 ervice prior to esldency Referrals to other facilities otal no of deliveries durin aesarean deliveries naecolo ical sur eries perative vaginal delive Elective Obslelrics and ultrasound scanning enior consullalions 560/0 redLJCtion residen Oct 23 43 ot offered ol offered ot offered Forceps naecolo ical case Undertaken Undertaken ot offered ot offered We deeply value the work that was accomplished and we remain committed lo continuing our collaboration with the DHMT and introducing efficiencies, training and best practice to further sites in the future.

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 AUGUST 2024 Reaching the most hard-to-reach, rural communities According lo the Sierra Leone Demographic & Health Survey 2019, many mothers, particularly in rur81 areas, lack access lo ultrasound scans. The World Health Oiganisalion IWHOI recommends a scan by 24 weeks to prttvenl maternal and newbom complications, including mortality. Through epidemiological research, we identified Bombali Dislrict-sierra Leone's second largest, with a population of around 606,000 Isource. 2015 Sierra Leone National Census) and predominantly rural as the on-going focus for our unique predictive and preventslive scanning programme. Bombali fa￿S significant maternal and child health challenges, induding limited aC￿sS to prenatal care and high mortality rates. During the rainy season IMay-Novemberl, flooding and impassable roads also hinder access ID care. Thanks lo significant funding from the Paterson Logan Trust, we weie able lo purchase two al￿terraIn Land Cruisers, which have proven crucial in overcoming these practical, logistical challenges and ensuring we can reach mothers in even the most remote areas. Our current setup is a mobile ultrasound dini¢ run by our Obstetri¢ Clinical Officer IOCOI, offering crucial prenatal imaging services and predictive maternal services to potentially high-risk mothers. Through our interventions, significant improvements have been made in matemal healthcare. Wth our Coverage extending to 13 Peripheral Health Units IPHUS), we reached 2,589 women, including 687 pregnant mothers who were followed up after potential complications were detected during ultrasounds, ensuring timely medical inletvenlions. Additionally, our 14 community education sessions have raised awareness of sexual and ieproduclive health services, while 112 womèn have bttnefiled from our family planning services, empowering them to lake Control of their reproductive health. Furthemore, our focus on training and empowering local healthcare providers has resulted in equipping four midwives in Kalangba, Rokunla, Kamabai, and Kagbaneh, lo perform basic obstetric ultrasound. The growing demand for our services highlights the urgent need for additional support. Our plan is to expand our team by recruiting a Physician's Assistant IPAI and a driver. The PA will work alongside the OCO to enhan￿ clinical capacity, while the driver wll ensure reliable Iransportalion and relieve the physical pressures on the OCOIPA to be absolutely focu5sed on patient care. Slrenglhening our cole team will enable us lo provide more comprehensivè care and ktter manage the increasing patient load. We aim to achieve full district Coverage in Bombali's remaining 53 PHUS with three mobile teams, each consisting of an OCO, PA and driver, as funding permits. In due course we intend to replicate this model in further districts, thereby creating a sustainable and efficient pathway for consistent maternal care across Sierra Leone. Ethiopia Overview Over the past year, we have established a new matemal and child health cenler in Tigray's eapilal, Mekelle and continued lo strengthen local healthcare systems and engaging in capacity-building outreach Initiatives. These efforts have led lo measurable improvements in access lo quality maternal and reproductive heallh¢are, as well as enhanced ¢ommunily awareness and involvement. RecTOR Project IRecovery Through Outreach) This project aimed lo bridge the gap in specialist maternity and surgical care in remote regions of Tigray, notably at Samre and Atsbi Primary Hospitals. Both areas historically suffered from high matemal mortality rates and lacked reliable Iransportalion and referral pathways, exaceibaled by the re￿llt conflict. At Samre Primary Hospital Isouthwestem Tigray), poor road infrastructure and the non-availabilily of ambulances due lo ongoing conflicts severely hindered patient referrals. Deploying specialist doctors to the facility meant we could bring comprehensive obslelric and surgical services directly to the community. This removed referral- asso¢iated costs and travel burdens for families. Earfy dele¢lion and management of complications by our on-site specialists meant no maternal deaths were recorded during the project's lifecycle, marking a significant improvement in maternal health outcomes.

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 AUGUST 2024 In Northeastem Tigray, Alsbi Primary Hospital faces similar challenges to Samre. The road infrastructure is poor and surgical and obslelric services were virtually non-exislenl before our inlervenlion. Through the team's expertise, thèse units have now reopened delivering comprehensive care including life saving procedures eg caesarean deliveries that were not p￿vioUSlY possible. As the data below demonslrales, between July 2022 and August 2024 our lean, yel highly motivated team, achieved transformative outcomes in restoring essential healthcare services to these marginalised areas. otal patients seen In-palienl ulpatienl ultrasound aesarean delive perative vaginal delivery ynaecological surgery ompressive abortion care Near missllrfe savin intervention 17,739 ,944 12,795 12,557 199 81 354 173 March 8 Maternal and Chlld Health IMCHI C&nt9r, Mèkelle, Tlgray The Center. named after the UN'S International Women's Day, was established with the primary objective of reducing preventable maternal and perinatal deaths by offering tailored. life-saving care to marginalised women. This includes teenage mothers, single expectant mothers, displaced and destitute women, those suffering from obslelric trauma or fistula, and women with physical or mentsl disabilities. The Cenler has made significant strides since il opened on 1 April 2024, providing comprehensive malernily, sexual and reproductive health services". March 8 MCH Center Case SuM￿r¥ Report 11 April Isl- August 31sl, 2024 Total Registered 560 620 1,232 33 75 Additionally, outreach and training programmes have been Instigated for health extension workers and community womèn leaders, aimed at promoting safe motherhood practices. We have also signed a Memorandum of Understsnding with the Vvomen Association of Tigray, which identifies women based on their economic and social backgrounds and facililales their access lo services al the Cenler. This partnership underscores our commitment lo fostering community involvement and sustainable local engagement.

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 AUGUST 2024 The impact of the March 8 MCH Cenler has been profound, with a notable increase in anlenalal care attendance and safe deliveries. Vulnerable women now have better access lo psychosocial support, counselling and follow-up care. Additionally, the Cenler has contributed lo heightened community awa￿ne$S of sexual and reproductive health rights and services. Sustalnable Capaclty-bulldlng In local communltlg$ Beyond the Center itself. other notable activities have supported its mission. The team organised and supported outreach programmes, selecting physicians to provide specialised services in remote sellings. This initiative not only delivered essential care but also emphasised knowledge transfer, mentorship and sustainable capacity-building in local communities. Implementation Partnership Another milestone achievement initiated is the enhancement of Ayder Hospital's radiology department. Collaborating with the Gemian Embassy and the hospital administration, we are managing the implemenlalion of significant upgrades. Acting as the implementing partner. the proje¢t reflects the Embassy's preference not lo fund government institutions diredy. This collaboration not only improves health¢are servi￿$ but also enhances Maternal Health Africa's visibility and credibility, receiving positive recognition on local radio and television. Summary Over the past year, our diverse and emerging programmes have demonstrated the critical role Maternal Health Africa plays in improving maternal and child health outcomes across Sierra Leone and Ethiopia. Through life-saving interventions, slrenglhened healthcare systems and community education on maternal and sexual heaf(h, we are creating lasting change. At Matemal Health Africa, we believe il lakes a village lo uphold humanity, dignity and equity in maternal healthcare. The expertise of our medical team, the dedication of our support staff and the generosity of supporters have all united lo create a brighter ftjlure. On behalf of the Board, I record my heartlelt thanks to everyone who has supported our mission wth cornpassion and commitment over the past year. Financial raview During the period, the Charity received donations and legacies tolalling £484,031 and incurred costs in relation lo ongoing charitable activities lotalling £331,154. The net suiplus for the period ended 31 August 2024 was £149,260. Reserves Pollcy Maternal Health Afri¢a's inaugural year has seen the successful launch of numerous projects and initiatives. all made possible through initial funding from ￿ As we chart our Course ahead. it is crucial that we establish a reserves policy that not only safeguards the financial stability of our current endeavours but also supports our potential lo expand our impact and outreach. Our reserves strategy therefore encompasses two objectives.. fortifying the organisalion against unforeseen challenges and maintaining operations during pèriods of funding uncertainly. Our aim is lo accumulate unrestricted reserves equivalent to 3-6 months of our annual operating expenses wlh the funds being held in cash. As we seek a reliable. mixed funding base and commit a pO￿.on of our annLJal revenue lo accumulating a reserve, remainsfully committed to ensuring the viability of the organisation in the early stages of its development. 11 is the policy of the charity that unreslricled funds which have not been designated for a specifi¢ use should be maintained at a level equivalent lo be￿een three and six month's expenditure. The trustees consider that reserves al this level ￿ll11 ensure that, in the event of a significant drop in funding, they will be able to continue the charity's current activities while consideration is given lo ways in which additional funds may be raised. This level of reserves has been maintained throughout the year.

MATERNAL HEALTH AFRICA SCIO TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 AUGUST 2024 structure. governance and management Maternal Health Africa SCIO is a Charity which is govemed by it's Consliliution which was established in 2022.11 is a recognised Scottish Charitsble Incorporated Organisation ISCIOI registered with the Scottish Charity Register SC051913. Trustees are appointed in accordance with the charity constitution. None of the trustees has any beneficial interest in the charity. If the organisalion Is lo be wound up or dissolved, the winding-up or dissolution process will be carried out in accordance with the procedures sel out under the Charities and Trustee Investment (Scollandl Act 2005. Any surplus assets available lo the organisalion immediately preceding its winding up or dissolution musl be used for one or more of the purposes of the organisalion as set out in this Conslitulion. The trustees, report was approved by the Board of Trustees. Trustee 7 January 2025

MATERNAL HEALTH AFRICA SCIO STATEMENT OF TRUSTEES, RESPONSIBILITIES FOR THE YEAR ENDED 31 AUGUST 2024 The Iruslees are responsible for preparing the Trustees, Report and the financial statements in accordan￿ with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Pradicel. The law applicable lo charities in Scotland requires the Iruslees lo prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resoLJr¢es of the charity for that year. In preparing these financial statements, the trustees are required to.. select suitable accounting policies and then apply them consistently", observe the methods and principles in the Charities SORP", make judgements and eslimales that are reasonable and prudent., slate whether applicable accounting standards have been followed, subject lo any material departures disclosed and explained in the financial statements,. and prepare the financial slalements on the going concern basis unless il is inappropriate lo presume that the charity will continue in operation. The trustees are responsible for keeping sufficient ac¢ounling records that disclose with reasonable accuracy at any time the fi'nancial position of the ¢harity and enable them to ensure that the financial statements Comply Mrith the Charities and Trustee Investment (Scotlandl Act 2005, the Charities Accounts (Scotlandl Regulations 2006 las amended) and the provisions of the trust deed. 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.

MATERNAL HEALTH AFRICA SCIO INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF MATERNAL HEALTH AFRICA SCIO I report on the financial slalements of the charity for the year ended 31 August 2024, which are set out on pages 91017. Respective responsibilities of trustees and examiner The ¢harily's Iruslees are responsible for the preparation of the financial stslemenls in accordance with the terms of the Charities and Trustee Investments (Scollandl Act 2005 and the Charities Accounts (Scollandl Regulations 2006. The charity's trustees consider that the audit requirement of Regulation 1011llal to Icl of the 2006 Accounts Regulations does not apply. It is my responsibility to examine the financial statements as required under section 4411 Ilcl of the Act and lo state whether particular matters have come lo my attention. Basis of independent examinerfs statement My examination is carried out in accordance with Regulation 11 of the 2006 Accounts Regulations. An examination in¢ludes a review of the accounting records kept by the charity and a Comparison of the financial statements presented with those records. It also indudes consideration of any unusual items or disclosures in the financial statements, and seeks explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit and consequently I do not express an audit opinion on the view given by the financial slatemenls. Independent examinerfs ststement Your allenlion is drawn lo the fact that the charity has prepared financial slalements in accordance wth Accounting and reporting by Charities preparing their accounts in accordance wlh the Financial Reporting Stsndard applicable in the UK and Republic of Ireland IFRS 1021 in preference to the Accounting and Reporting by Charities.. Statement of Recommended Practice issued on 1 April 2005 which is referred to in the extant regulations but has now been withdrawn. l understand that this has been done in order for the financial statements lo provide a true and fair view in accordance with Generally Accepted Accounting Practice effective for reporting periods beginning on or after 1 January 2015. In connection with my examination, no other matter ex￿pt that referred lo in the previous paragraph has come to my attention". lal which gives me reasonable cause lo believe that in any material respect the requirements.. to keep accounting records in accordance wth section 44111 lal of the 2005 Act and Regulation 4 of the 2006 Accounts Regulations," and {iil to prepare financial ststemenls which accord with the a¢￿UntIng records and comply wlh Regulation 8 of the 2006 A¢¢ounls Regulations.. have not been met or Ibl lo which, in my opinion, attention should be drawn in order lo enable a proper understanding of the financial statements to be reached. On behalf of Azels (Chartered Accountanlsl 37 Albyn Pla Aberdeen A810 1JB United Kingdom Dated.. 7 January 2025

MATERNAL HEALTH AFRICA SCIO STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 AUGUST 2024 Unrestrlcted Restrfcted funds funds 2024 2024 Total Unrestrlcted funds 2023 2024 Notes Income and endowments from: Donations legacies Other income 466,482 17,569 484,031 18 223,619 100 Total Income 466,480 17,569 484.049 223,719 Ex enditure on- Charitable activities 331,154 331.154 192,458 Net income for the yearl Net incoming resources 135,326 17,569 152,895 31,261 Other recognised gains and losses Other gains or losses 13,6351 13.635} Net movement in funds 131,691 17,569 149,260 31,261 Fund balances al 1 September 2023 31,261 31,261 Fund balances at 31 August 2024 162,952 17,569 180,521 31,261 The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

MATERNAL HEALTH AFRICA SCIO BALANCE SHEET ASAT31 AUGUST2024 2024 2023 Notes Flxed assets Tangible assets 10 173,287 42,764 Curr&nt assets Debtors Cash at bank and in hand 11 4,403 21,299 6,172 7,299 25,702 13,471 Credltors: amounts falllng due wlthln one year 12 118,4681 124,9741 Net current asselsllliabililiesl 7,234 {11,5031 Total assets less current liabilities 180,521 31,261 Income funds Restricted funds Unrestricted funds 13 17,589 162,952 31,261 180,521 31,261 Thts fir2P.C1218la+tsmap.ts wera a proved by the Trustees on 7 January 2025 Trustee 10-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AUGUST 2024 Accounting policies 1.1 Accounting convention The financial statements have been prepared in accordance wth the charity's constitution, the Charities and Trustee Investment (Scollandl Act 2005, the Charities Accounts Iscotlandl Regulations 2006 las amended), FRS 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland. I'FRS 102.1 and the Charities SORP 'Accounting and Reporting by Charities.. Statement of Recommended practi￿ applicable to charities preparing their accounts in accordance with Ihe Financial Reporting Standard applicable in the UK and Republic Df Ireland IFRS 1021" leffective 1 January 20191. The charity has tsken advantage of the provisions in the SORP for charities not to prepare a Statement of Cash Flows. The financial statements are prepared in slerting, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded lo the nearest £. 1.2 Going concern Al the lime of approving the financial stslemenls, the trustees have a reasonable expectation that the charity has adequate resour￿$ lo continue in operational existen￿ for the foreseeable future. Thus the trustees conty'nue to adopt the going concern basis of accounting in preparing the financial ststemenls. 1.3 Charitable funds Unrestricted funds are available for use al the discretion of the trustees in furtherance of their charitable objectives. Restricted fijnds are subject to speafic conditions by donors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the finanaal statements. 1.4 Income Income is recognised when the charity is legally entitled to it after any performance conditions have been met, the amounts can be measured reliably, and it is probable that income will be received. Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified of the donation, unless performance condrftions require deferral of the amount. Income lax recoverable in relation lo donations recèivèd under GiftAid or deeds of covenant is recognised at the lime of the donation. Legacies are recognised on receipt or othenNise if the charity has been notified of an impending distribution, the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset. Assets for distribution are recognised only when distributed. Assets given for use by the charity are recognised when receivable. Stocks of undistributed donated goods are not valued for balance sheet purposes. 1.5 Expenditure Expenditure is recognised once there is a legal or constructive obligation lo transfer economic benefit lo a third paty, Il is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each artivily are made up of the lolal of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not allribulable lo a single activity are apportioned between those activities on a basis consistent with the use of resour￿5. Central staff costs are allocated on the basis of time spent, and depreciation charges are allocated on the portion of the asset's use.

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 Accountlng pollcles Icontlnuedl 1.6 Tanglble flxed assets Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impaimient losses. Depreciation is re¢ognised so as to write off the Cost or valuation of assets less their residual values over their useful lives on the following bases". Leasehold land and buildings Fixtures and fittings Computers Motor vehides 150 150/0 20Q The gain or loss arising on the dispos81 of an asset is deteminèd as the difference between the sale proceeds and the Carrying value of the asset, and is recognised in the slalement of finanaal a¢tivib"es. 1.7 Impairment of fixed assets Al each reporting end date, the charity reviews the carrying amounts of ils tangible assets to determine whether there Is any indication that those assets have suffered an Impairment loss. If any such Indication exists, the recoverable amount of the asset is eslimaled in order lo detem)ine the exlenl of the impaimenl loss lif any). 1.8 Cash and cash equlvalants Cash and cash equivalents indude cash in hand, det)osits held al call wth banks, other short-lerm liquid investments with original malurilies of three months or less, and bank overdrafts. Bank overdiafts are shown wthin borrowings in current Iiabililies. 1.9 Financial instruments The charty has elected to apply the provisions of Section 11 '8asic Financial Instruments, and Section 12 'Other Financial Instruments Issues, of FRS 102 to all of its finanaal instrLJments. Financial instruments are recognised in the charity's balance sheet when the charity becomes party lo the contractual provisions of the inslrumenl. Financial assets and liabilities are offset, wrth the net amounts presented In the financial slatemenls, when there is a legally enforceable right to sel off the recognised amounts and there is an intention to settle on a nel basis or lo realise the asset and setue the liability simultaneously. Basic financial assets Basic financial assets, which include debtors and cash and bank balan¢es, are inity'ally measured al transaction price including transaction costs and are subsequently carried at am0￿Sed cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted al a market rate of interest. Financial assets classified as receivable within one year are not amortised. 12-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 Accountlng pollcles Icontlnuedl Basic financial liabilities Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constilules a financing transaction, where the debt instrument is measured al the present value of the future payments discounted at a market rate of Interest. Financial Iiabililies classified as payable thin one year are not amortised. Debt instruments are subsequently carried al amortised cost, using the effective interest rale method. Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as CLJrrent liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequenuy measured al amortised cost using the effective interest method. Derecognition of financial liabilities Financial liabilities are derècognised when the charity's eonlractual oblig8tions expire or are discharged or cancelled. 1.10 Taxation The charity is exempl from lax on income and gains falling within section 505 of the Taxes Act 1988 or section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied lo ils charitable objects. Crltlcal accountlng estlmates and Judgements In the application of the charity's accounting policies, the Iruslees a￿ required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other Sour￿$. The eslimales and associated assumptions are based on historical experience and other factors that are ¢onsidered to be relevant. Actual results may differ from these eslimales. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting eslimales are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods. Donations and legacies Unrestricted Restricted funds funds Total Unrestricted funds 2024 2024 2024 2023 Donations and gifts Donated gc)ods and services 451,678 14,784 17,569 469,247 14,784 210,641 12,978 466.462 17.569 484.031 223,619 13-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 Other income Unrestricted Unrestricted funds funds 2024 2023 Other inwme 100 Charltsble adlvltlgs Charltsble Charltabl& Expendlture Expendltur 2024 2023 Medical consullanls Travel and subsistsnce Maternal wellbeing Medical supplies Rentsl of property Repairs and mainlenan¢e 191,757 30,508 661 5,155 16,384 2,110 646 10,334 27,893 3,876 3,450 12,154 19,482 1,018 386 134,262 14.899 623 2,804 11,591 625 105 8,564 4,854 Motor expenses Professional services Advertising and website costs Bank charges Carriage costs Depreciation Telephone and computer costs Sundry expense 2,249 3,133 2,727 922 325,814 187,358 Share of governance costs (see note 61 5,340 5,100 331,154 192,458 14-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 Support costs Support Govemance costs costs 2024 2023 Independent Examination 5,340 5,340 5,100 5,340 5,340 5,100 Analysed be￿een Charrtable activits.es 5,340 5,340 5,100 Trustees None of the trustees {or any persons connected wlh them) received any remuneration or benefits from the charity during the year. Employees The average monthly number of ernployees during the year was.. 2024 Number 2023 Number Total There were no employees whose annual remuneration was more than £60,000. Other gains or losses Unrestricted funds Total 2024 2023 Foreign exchange gains 3,635 15-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 10 Tangible fixed assets Leasehold Fixtur8s and land and fitting5 building$ Computers Motor vehicles Total Cost At 1 September 2023 Additions 16,780 4,151 15,733 31,867 12,978 108,955 45,491 150,006 5,033 Al 31 August 2024 20,931 47,600 5,033 121,933 195,497 Depreciation and impairnient Al 1 September 2023 Depreryalion charged in the year 303 851 694 4,327 1,730 13,965 2,727 19,483 340 Al 31 August 2024 1,154 5,021 340 15,695 22,210 Carrying amount Al 31 August 2024 19,777 42,579 4,693 1 [￿,238 173,287 Al 31 August 2023 16,477 15,039 11,248 42,764 11 Debtors 2024 2023 Amounts falling due within one year- Other debtors Prepayments and accrued income 2,577 1,826 4,620 1,552 4,403 6,172 12 Credltors: amounts falllng due wlthln one year 2024 2023 Other creditors Accruals and deferred income 6,167 12.301 19,549 5,425 18,468 24,974 16-

MATERNAL HEALTH AFRICA SCIO NOTES TO THE FINANCIAL STATEMENTS {CONTINUED} FOR THE YEAR ENDED 31 AUGUST 2024 13 Restricted funds The income funds of the charity include restricted fvnds comprising the followng unexpended balances of donations and grants held on trust for specAfic purposes". Movement in funds Incoming resources Balance at I September 2023 Balance at 31 August 2024 The Federal Republic of Gemiany in Ethiopia 17,569 17,569 14 Analysis of net assets between funds Unrestrlcted Restrlcted funds funds 2024 2024 Total Unrestrlcted funds 2023 2024 Fund balances a131 August 2024 are represented by.. Tangible assets Current assetsllliabililiesl 173,287 110.3351 173,287 7.234 42,764 {11.5031 17.569 162,952 17,569 180,521 31,261 15 Related party transactions During the period, TRAC International Group, was a significant donor lo the Charity. Directors of TRAC Intemalional Limited are also Trustees of Maternal Health Africa SCIO during the period. During the period TRAC International Group donated funds of £351,52312023- £210,469) and assets of £O12023- £12,978). As al 31 August 2024 12023- £4,550). During the perioi the owner of TRAC International Limited, was due the Charity £2,175 donated funds of £012023 - £1721. 17-