01 Apr 2017-18 Annual Report to Supporters
It is recommended by the Charity Commission, and certainly encouraged by the media, that each Annual Report begins with a statement of the costs of running the charity in question, including salaries and expenses. This is to show clearly to donors and other stakeholders what proportion of the money received by the charity actually reaches those for whom it is intended.
In the case of Medic Malawi this task is a pleasure:
Salary or expenses to Director and other officers 0p
Administrative costs, Printing, Postage Travel, and Expenses 0p
Advertising and fundraising costs 0p
Payments or expenses to Trustees 0p
Nb the only cost is Charity Liability Insurance of £201 , which is a requirement for a sensible charity
Every penny given continues to go to those who need it, as has been the case throughout the life of Medic Malawi. This is the case despite the increase in our activities, recent changes in administration, and the development of more strenuous accounting procedures.
All UK services and advice are donated, together with all leaflets and literature. The Accounts are approved by the Trustees, examined by a professional accountant ‘pro bono’, lodged with the Charity Commission and placed on the website.
Medic Malawi is fortunate to be served, without cost, by an excellent and diverse group of Trustees, offering a range of talents, skills, experience and contacts. Nearly all have direct experience of Malawi. and several know the country backwards, The Trustees are vital in ensuring the smooth running of the charity, compliance with UK regulations and the supervision of the funds donated.
The Trustees meet at least twice a year, and correspond regularly by email, Within the Trustees, individuals take special interest in certain aspects of the work of the charity, guiding its development for future years. Annually the Trustees actively review the charity Safeguarding Policy, as well as conducting an annual Risk Review for Charity operations. We thank the Trustees very much for their efforts.
The Trustees are:
Chairman Oliver Colvile
Oliver was the MP for Plymouth Sutton & Devonport for seven years, where he was the Chairman of the All Party Parliamentary Group for Zambia and Malawi as well as the vice-chairman of the APPG for Zimbabwe. He is currently the Director of Conservatives Abroad and is the Prime Minister’s envoy for the Mayflower 400 celebrations.
Director Very Rev Peter Howell Jones
Peter has been involved in supporting numerous projects and churches in Malawi for over twenty years. He is passionate about grass roots community development and is committed to working with Trustees and supporters to help Medic Malawi continue its invaluable work within the community. Currently Dean, Blackburn Cathedral
Treasurers Carolyn Bruce, BA Hons, MBA, FCCA
With almost 25 years’ finance experience working in practice and industry, I have spent the last 10 years at Chester Cathedral where I am currently the Executive Director. At Chester Cathedral my role is responsible for the day to day operations of the cathedral along with longer term strategic planning. We have around 55 paid staff and 250 volunteers and manage 300,000 visitors each year and an estate of more than 60 properties
Sian Howell Jones
Sian has enjoyed supporting the charity because it serves those who are voiceless and in need of support. Sian has taken on the monitoring of donation finances to ensure that records of funds are kept up to date.
Rt Rev Nick McKinnel
Our longest serving Trustee, Nick has been involved with Medic Malawi since its inception with Mac and Dot Forsyth in Plymouth. With historic family links to Malawi, Nick has visited twice. He is currently Bishop of Plymouth
Public health physician with six years’ experience in Malawi as District (Salima) and Regional (Central) Health Officer in the 1990s. Honorary fellow at Southampton University and adviser to THET (Tropical Health and Education Trust, London)
By the age of 8 I had lived half my life in Swaziland. Living and travelling across the continent from such a young age has meant that Africa has got under my skin. Being related to the Drews has meant that the wonderful welcoming, cheerful and inspiring community of Mthunthama has become close to my heart. I bring a professional background in event and programme management in fund-raising environments. I also bring a keen interest in cycling, wildlife and cross-stitch – all of which have played a part in my individual fund-raising efforts for Medic Malawi.
Lesley, an English teacher, worked in Mtunthama, Malawi, in the 1990s. Her current pupils, at Shrewsbury School, focus on raising money for the Shrewsbury Eye Clinic. She has been able to keep updated with the work of Medic Malawi by leading regular school visits.
Stephen was Head of Head Kamuzu Academy Malawi in the 1990’s, and then Wrekin College 1998-2011, during which he built up links with Medic Malawi and took several groups of youngsters and adults to visit the projects. Director of Medic Malawi 1999 – 2017.
Having been brought up in East Africa, Colin visited Malawi in 2005 when he was Bursar and Financial Controller of Wrekin College. Colin especially looks at financial matters for the trustees, including Gift Aid records
Andrew is currently Head of Frensham Heights and has had an interest in Malawi for the past 12 years. Frensham Heights currently partners All Saints Secondary School, Mtunthama and plans to develop new links where possible.
Representatives on Local Board of Management
Mr Fyson Kanjira Bursar Kamuzu Academy Malawi
Mr Hawkins Gondwe Deputy Head Kamuzu Academy Malawi
Medic Malawi gives our sincere thanks to Mr Michael Masudi, Chairman of the Hospital Board of Management. This Board supervises the Senior Management of St Andrew’s Hospital day to day, is responsible for senior appointments, and liaises with the Trustees of Medic Malawi on matters which involve both Boards.
We also thank the AMAO (orphanage) Management committee of Mr Josiah Sonjo , Mr Nelson Japan , and Rev Petro Mzokomera
All of the above work without payment or expenses.
Volunteers in the UK
The previous administrator, Stephen Drew, stepped down at the end of 2017. The new Director is Peter Howell Jones, combining the role with his responsibilities as Dean of Blackburn Cathedral
Very many thanks to Roy Williams, who designed and ran the previous website with such skill, patience and generosity throughout Stephen Drew’s tenure. He also designed many of the newsletters, often at times inconvenient for his busy day job, and very short notice, but never with any delay. Thanks also to Peter Llewellyn of Telford Reprographics for endless free printing and design, again all offered without hesitation, and always to an impossible deadline.
Sian Howell Jones
Examination of Annual Accounts
Jim Tranter BSc FCA of Tranter Lowe
Our sincere thanks to Jim for his work, conducted pro bono.
Medic Malawi was established to work in partnership with the local community and its leaders in the Mtunthama region of Kasungu district, central rural Malawi. Together with the local community we aim to
and nurture self help.
Our core project is a community hospital. St Andrews Hospital, Mtunthama.
- St Andrew’s was founded by Mac and Dot Forsyth and Rev Frank Dzantenge as a rural health facility in what was once a maize field. It was paid for by the donors of Medic Malawi , the original 100 Club of Givers. It has grown rapidly and now has 60 beds, a maternity section, an operating theatre, a Nutrition Centre,HIV facilities for education and treatment, and a specialism in eye surgery.
- St Andrew’s has its own local Board of Management, chaired by the Headmaster of All Saints School Mr Michael Masudi.
Next door is our orphanage AMAO (‘The Mother House’) which loves and cares for 100 children.
- Medic Malawi sponsors children from the orphanage and neighbouring villages in their education at the outstanding Government Community School, All Saints, with which we have very close links, and where we specifically help continuity of the education of girls..
We are developing employment and training projects to generate sustainable local income especially through microloans.
Our core income is from regular monthly personal donations and giving. This is crucial and we thank all those who give to Medic Malawi
Thank you to all who arranged sponsored events, and to all churches who have had special collections, breakfasts, coffee mornings and similar efforts
Thanks for special support from three schools
Each month we send:
£4500 for basic hospital costs
£2200 eye surgery – the whole cost of screening, publicity, education and treatment
£2000 for the orphanages, virtually their whole income
Bursary fund – as required, but about £300 per month for those who cannot even pay the small charges in the hospital. This is administered through a local medical committee by an agreed protocol
Three times a year school sponsorship: £2000 each term, administered by a local committee but to include all children in the orphanage
In addition, we provide very considerable funds for all new buildings, capital equipment, medical equipment, vehicles and maintenance, as needs demand and resources allow.
Detailed accounts are independently ‘Examined’ by a qualified Accountant (the income does not reach the full Audit threshold), placed on the website, and submitted annually to the Charity Commission. The 2017 Accounts will soon be available on the website.
The Trustees retain six months expenditure in reserve
Activity and development in 2017
During the year we received this excellent summary from our outstanding hospital administrator, Mr Chris Zambira, outlining the achievements and problems. If ever there is a case that ‘I could not put it better myself’ it is this:
St Andrews is one of the fastest growing health facilities under the Christian Health Association of Malawi (CHAM) with total support from MEDIC Malawi in infrastructure and general operations. The hospital started its operations on 15th August 2001. It has a catchment population of 150000. It started as a Health Centre and has now grown into a community hospital within the decade providing services ranging from; out-patient and in-patient with bed capacity of 80, maternal and child health services, reproductive health services, theatre, dental, ART services, Palliative care services and eye care and lately ear care services. St. Andrews as an institution under the ministry of health works hand in hand with the government institutions surrounding it.
The eye care and the ear care services are the most outstanding projects that have helped to restore eye sight and ear health of people from near and distant districts of Kasungu, Mzimba, Dowa, Ntchisi and Mchinji. More than 20000 clients have been attended to with eye treatment from St. Andrews including cataract surgeries. The ear program which is just but a few months old has already registered strides in helping more than 3000 people with various hearing problems.
- The hospital has a full time medical officer and a part time chief surgeon(partly supported by the Diocese)
- The hospital has a good ambulance system
- The hospital is able to see not only patients from the catchement area but neighbouring districts of Mzimba, Ntchisi, Dowa and Mchinji as well
- It is running a robust free monthly eye care program
- It is the only hospital assisting ear problems through its newly introduced free monthly ear program
- It provides employment to more than 120 local people with about 20 staff members fully paid by the hospital itself
Hospital Pressures and Challenges
The growth of the hospital continues to pose various operational and financial challenges to the institution which ranges from:
- Inadequate operational cashflow despite a £4500 monthly injection by MEDIC Malawi
- Lack of adequate medical supplies and equipment to help effectively deliver services
- Persistent and prolonged electricity blackouts which have resulted into over use of our backup generator and thus increased its down time despite adequate servicing. E.g . Electricity is cut for 40 continuous hours and about 100 hours per week of no electricity. This also increases pressure on cashflow as generator fuel has to be procured in bulk to let the generator run continuously.
- Lack of adequate ward space to carter for some new departments that are necessary. E.g general ward, maternity ward, HDU ward
- Inadequate space in the laboratory although we have better equipment than other big hospital laboratories but the lab house is small. Government has provided us with a TB microscopy equipment but we do not have a good microbiology lab for Tb screening and other related microbes tests
- Shortage of staff housing which has increased staff turnover as well as prospective staff rejecting the offers. This has also created tension among staff members with regard to allocation of staff housing which takes into account hospitals priority and strategic need.
- Lack of administrative and projects vehicles which cause a lot of strain to the existing ambulance vehicles.
- Procurement of an X-ray machine and extension of laboratory
- Procurement of a Van for transportation of patients and other administrative issues including procurement of drugs.
- Construction of 60 beds general ward that will help to ease space for the current 12 beds general ward to be annexed to the maternity as postnatal ward.
- Construction of two more semidetached staff houses to reduce staff house accommodation pressure
- Procurement of additional various medical equipment. E.g, anaesthesia machine.
Chris Zambira May 2017
The orphanage continues to be a place of love and care, smiles and joy. It is home to 100 children, including many babies, with devoted carers under the leadership of Elizabeth. The poultry project continues to be excellent, providing food and income.
AMAO is funded by Medic Malawi, but every aspect of the running and organisation of the orphanage is handled by the devoted local staff, who work ceaselessly for the children. We thank them all – the carers, and also the management committee of Mr Nelson Japan and Mr Josiah Sonjo for their regular accounting and reporting.
The monthly eye surgery, led by Dr Amos Nyaka, continues to be a special feature of St Andrew’s hospital. 75% of blindness in Malawi is curable and caused by untreated cataracts. If these are dealt with in good time, sight can be restored, and with it, self-esteem, independence and the capacity to work. Part of the reason for the success of the programme is that St Andrew’s provides all treatments free of charge, and also provides transport to collect the blind and their carer, and food during the visit. Without these extras, the impoverished blind would not be able to attend. Each operation costs about £30.
In addition to working at St Andrew’s, Amos Nyaka has been sponsored by Medic Malawi to make trips into even more remote areas in the north of Malawi, who may not have seen a surgeon for years. One such visit was to Rumphi and here is his report starting with a photo of the location:
Rumphi is one of the northern region districts of Malawi. It borders Zambia on the west and shares borders with all the northern region districts.
There are two health facilities which offers ophthalmic services in the district; the Rumphi District Hospital and a CHAM facility – Livingstonia Hospital! Each with an ophthalmic clinical officer.
The Eye clinic consists of a room with a non-functional Slit Lamp. Rumphi district hospital has a theatre with two operating rooms.
The eye camp was conducted between 17th and 22nd December, 2017 at Rumphi District Hospital. Over 200 patients were seen and treated for various eye conditions in all the health centres and 82 cataract patients were operated on, and three non-cataract cases were also done; symblepharon release and anterior segment reconstruction from a fire crackers ocular injury a year ago, and two minor eyelid reconstructions.
Two weeks preceding the eye camp, we had community awareness through health facilities and religious gatherings!
Patient screening and picking were done starting on 15th December, 2017 and continued concurrently with the camp. This was conducted with support from other clinical officers from Chitipa, Karonga, and Mzimba North.
A wonderful innovation in 2017 has been work with the deaf. Although it may not make the instant impact of a cataract surgery on the blind, assisting the deaf is a major contribution, especially for the young, as this example shows:
‘MY ACADEMIC PERFORMANCE WILL IMPROVE FOR SURE’. These are words from Elizabeth Gausi, Form 3 student at All Saints Secondary school. She is 21 years old and comes from Njovu village in Kasungu district. Thanks to the Bone Conductor Hearing Aids donors.
It is hoped to continue to work with the deaf, with visiting specialists from Lilongwe .
Medic Malawi ha been able to provide funds to establish a microloan scheme in Mtunthama . These are small (very small!) loans to a community of beneficiaries, to enable them to set up a business, often buying and selling fruit or vegetables – that sort of thing. The recipients receive training and have to offer a business plan in return for loans at a very low rate of interest. They then meet regularly to discuss and review their business, both individually and as a community of borrowers. Again, our thanks are due to Mr Chris Zambira for establishing the scheme and setting up the training. It has also been excellent that a former member of AMAO, Gilbert Phiri, who has trained in Accountancy, has joined in the administration of the scheme.
Here is Chris’ report and a photo of participants:
Mtunthama Community Microloan Project
Business Incubation Training Report
The Microloan project was set up to meet the social-economic rural livelihood needs of Mtunthama community by supporting people sustainably through support of small scale businesses. The project offers small scale interest free loans to women and also offer business management training skills in order to run their businesses sustainably.
In pursuance of these goals on 5-6th February, business incubation training was conducted to women around Mtunthama that included old and new members. 80 women attended the trained whose objectives were as under:
Training goal: to equip 80 women around Mtunthama with business and entrepreneurial skills in order to run businesses profitably
Training Objectives: By the end of the training, participant women should be able to:
- Understand business group formation
- Formulate an effective and efficient small business groups
- Acquire skills for product exploration
- Know how to undertake marketing research and formulate strategy for their selected product
- Develop business plan for their business
- Calculate profit and Loss
Chris Zambira Dec 2017
Education education education
With no free secondary schooling in Malawi, one of our main commitments is to ensure that all children in AMAO , and as many local children as possible, are able to attend school. There is a Bursary scheme which is administered by a committee of All Saints School, and this investment in education is vital for the future. It helps that Michael Masudi runs the best secondary school in the whole District, despite having 400 children in the morning and a different 400 in the afternoon, with the same teachers! For many years, girls’ attendance rates at All Saints School have been far lower than boys. A number of factors contributed to this – travel, fees domestic duties etc) and Michael showed me statistics of the attendance rates, which he said was among his biggest concerns. The answer – to build the Genesis Hostel to offer 100 places for girls to sleep at the school and continue their studies each weeknight This has been open for three years gradually filling to capacity, and in 2017 we added a kitchen and Warden’s house. It was great to hear from Michael that this was immediately producing an impact, enabling girls to gain top results and proceed to government-sponsored tertiary education.
Sincere thanks to all who have made this possible.
Peter Howell Jones