175 years
YOUR 2016 ANNUAL REPORT
THE POWER OF FRIENDSHIP
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FROM ONE FRIEND TO ANOTHER Dear Friend, It’s always nice to get a thank you letter from a friend, a hand-penned note from someone who has taken the time to reach out to you. Knowing they have been blessed by you even in some small way, that has led them to put pen to paper. This is our thank you note to you. To express our immense gratitude for all you do to bring health, healing and hope to some of the world’s poorest people. Every time I visit our partners and the communities we serve they are full of thanks for your kindness and generosity; for your faithfulness and prayers. Your friendship really counts. It makes a difference when times are tough; when emotional and physical pain threaten to overwhelm, when health workers are struggling to keep their heads above water. In your Annual Report you’ll find a selection of these words of thanks and examples of why your friendship is so important to Christian health workers and the poor and marginalised people they serve. Thank you.
James M Wells
Chief Executive
EMMS INTERNATIONAL
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CONTENTS A Friend to Mphatso
4
Your Friendship to Malawi
6
A Lasting Memory
8
What Friendship Achieved in 2015
10
Your Friendship in 2015
12
A Friend to Manju
14
Your Friendship to Nepal
16
Finances 18 A Friend to Sharon
20
Your Friendship to India
22
Events 24 Thank You
26
Becoming a 175 Friend
27
Images: Kieran Dods, Sanjit Das & EMMS International ANNUAL REPORT 2016
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A FRIEND TO MPHATSO EMMS INTERNATIONAL
5
Dear Friend, You and us together, we can achieve an HIV-free generation. Your generosity and friendship has begun this work. It is a privilege for me to sit with mothers who have HIV but yet still their faces bear the biggest smiles because their babies do not. Your gifts mean these women have the support of Mother Buddies. We know there are many mothers and many more babies that need our help if we are to see that HIV-free generation. It’s harder still now because floods and droughts have devastated food supplies. Without a stable diet, HIV medications don’t work, the disease spreads and people get sick and die. Your friendship is more important now than ever. We have hope that, with your help, we can eliminate HIV, which has derailed development in our country for more than three decades. Yours in Him,
Mphatso
ANNUAL REPORT 2016
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YOUR FRIENDSHIP TO MALAWI LUTI’S STORY Luti and her husband Norman have four children and live in Chilonga village, Nkhata Bay. During Luti’s fourth pregnancy, she met one of EMMS International’s Mziche project carers, who encouraged the couple to be tested for HIV. Sadly, both Luti and Norman tested HIV positive. The Mziche project enabled the couple to receive HIV treatment, provided antenatal care and addressed the health of the unborn baby. Luti was given treatment to stop HIV being passed on to the baby and the couple worked together to take the medication correctly. Mphatso and her team at the Mziche project made sure they brought the baby for testing to find out if it had HIV when it was six weeks old.
EMMS INTERNATIONAL
Luti said, “AT FIRST FEAR GRIPPED ME BECAUSE OF THINKING THAT MAYBE MY NEWBORN WOULD BE HIV POSITIVE.” It is not easy for couples in Mzenga to have their children tested for HIV due to fear of stigma. Most parents wait and it’s the symptoms of AIDS that confirm the diagnosis. But Luti was supported and encouraged to protect her newborn. Imagine their joy and relief when their baby was tested HIV negative. Your friendship has given another new life filled with health, hope and possibilities. Thank You.
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HOW YOU HAVE HELPED FRIENDS IN MALAWI
9,562
HELPED FOLLOWING FLOODS THAT CAUSED A NATIONAL EMERGENCY
8,178
PEOPLE BENEFITED FROM IMPROVED PALLIATIVE CARE IN MALAWI
21
BABIES BORN WITHOUT HIV WHEN MOTHERS HAD HIV
I got an insight into the way of life of many Malawians and their resourcefulness and vulnerability due to dependence on the land. People passed with bikes loaded with wood, goats, sugarcane, sacks and buckets of maize flour balanced atop their head… Poverty has been visible at every turn. Our empty water bottles were seen as hard currency in a land where possessions are few.” 2015 Malawi Bike Ride participant
I have worked closely with EMMS on their Palliative care work in Malawi. The quality of their work and the carefulness that they exhibit in their plans and relationships is exemplary. They are professional, supportive, committed and go the extra mile at all times. Distance relationships are notoriously difficult but they handle them with ease and mutual respect.” Maggie Baxter OBE, Adviser to True Colours Trust and former CEO of Womankind Worldwide
ANNUAL REPORT 2016
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A LASTING MEMORY
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My eldest brother Bruce, who was a good friend to me, passed away aged 29 in 1973, which hit my parents and his widow hard. During the latter years of my parents’ lives, we talked about leaving a legacy in memory of Bruce. I helped them set up a small charitable fund in his memory and they were able to make gifts during their lifetime, and leave a legacy after they passed away. My parents were able to see the impact of the gifts made during their lifetime but left me with the responsibility of investing their legacy in something that honoured both my brother and my parents.
We also give thanks for the lives of Miss Denise Earthy, Mr George West, Mr Philip Veitch, and Dr Herbert John Powell, all of whom left a lasting legacy of health and hope by remembering EMMS International in their will.
EMMS INTERNATIONAL
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uThanks ction by to gifts made by you and in EMMS Progres s repolife Bruce's memory, new is coming rt
to Madhipura Hospital. Ground works have begun so that the hospital can care for more people.
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My parents supported a number of charities, particularly within the health arena, and before they passed away we spoke about g heckin thecetype ment c of work they liked to support. These conversations helped to inform my decisions about how to invest their legacy. I first became involved with EMMS International early in 2012, when I was invited to be a trustee of the charity, and I took part in a Malawi bike ride
in 2015 to celebrate my 60th birthday. The Madhipura Hospital rebuilding project ticked all the right boxes. It leaves a lasting legacy that touches the lives of thousands of people living in poverty, as well as improving the lives of Christian health workers in a continent where my father had worked. My brother and parents would have loved to have seen what is being achieved in their memory.
Like my parents, I, too, am committed to leaving a lasting legacy in my own will, whilst also trying to do as much as possible during my lifetime. Ensuring that one’s family or extended family are provided for is important but, equally, we should not underestimate the importance and impact of leaving significant legacies within our wills that will aid those charitable causes that are dear to our heart.
Angus McLeod
ANNUAL REPORT 2016
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THE POWER OF YOUR FRIENDSHIP IN 2015
190,524
POOR AND VULNERABLE PEOPLE HELPED
999
HEALTHCARE STAFF TRAINED
EMMS INTERNATIONAL
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In 2016 EMMS International celebrates 175 years of bringing health and hope. This is only possible because of faithful, generous and prayerful friends. There is still so much work to be done. Become a 175 Friend and join with us to bring health and hope. Sign-up at the end of this report.
175 years
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ANNUAL REPORT 2016
12
pregnant women cared for
23
cyclists went to Malawi
15,401 babies delivered safely
EMMS INTERNATIONAL
patients, families and community members benefited from EMMS International’s palliative care projects
1,363 - MALAWI 2,498 - INDIA 21 - UK
3,882 17 patients received end of life care
HIV-
YOUR FRIENDSHIP IN 2015 31,159
20,038
21 babies born without hiv to hiv+ parents
people helped for every gift received
107 - INDIA 77 - MALAWI 2 - NEPAL
186
healthcare workers trained in end of life care
23,404 children under 5 immunised and cared for
13 21 Trusts and Institutions gave their support
4,596 people benefited from new toilets 12,716 friends helped in times of national emergencies
7 countries benefited from
62,922 - INDIA 58,189 - MALAWI 5,263 - NEPAL
health students being an extra resource -
Uganda Malawi India Zambia Tanzania Peru Zimbabwe
126,374 patients, families, community members and staff benefited from EMMS International’s Maternal and Child Health projects
131 people attended the Duncan Dinner
65 churches got involved
38,896 - MALAWI 2,249 - INDIA 3,154 - NEPAL
44,299
patients, families, community members and staff benefited from EMMS International’s Fighting Diseases Projects
957
people gave regularly through Direct Debit or Standing Order
4,694
friends given mosquito nets
2,617
people made a gift in 2015
11 medical students funded to visit mission hospitals in resource-poor countries
ANNUAL REPORT 2016
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Dear Friend, I say this all the time, but for me, serving God and serving the poor are one and the same thing. I love my work and if I can relieve the suffering of others I will do this with a glad heart. This year has brought more suffering than usual to our beautiful country. In the aftermath of the earthquake, life has been harder than ever, especially for the poorest. You have been a friend to Nepal in a very difficult year, when I have needed our friendship more than ever. Thank you for remembering us and helping us in our darkest hour. I am training to be the first palliative care nurse specialist in Nepal. Your kindness means I, and the others I train, will have the skills to make sure everyone receives the care they need. With every patient I ask myself, “What is life like for this person?� There is so much suffering, but I am blessed to be of service and to relieve their pain. I’m glad to have your friendship and support in this. Sincerely,
Manju
EMMS INTERNATIONAL
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A FRIEND TO MANJU
ANNUAL REPORT 2016
16
YOUR FRIENDSHIP TO NEPAL YEK’S STORY Practical pain relief forms a significant part of what you can offer to those suffering from incurable conditions in Nepal. Our work includes teaching health workers good communication skills so that those who want to know about their illness are given the opportunity to prepare and say their goodbyes. This is particularly important in Nepal, where it is the custom not to tell patients of their diagnosis or prognosis – even though their families are fully aware. 67-year-old Yek, a father and grandfather, was initially visited by the palliative care team in his home and given relief from pain caused by cancer. Then, the family were adamant that he not be told of his cancer diagnosis. Over time, a trusting relationship was built with the family during visits, support and counselling. When the family were ready, the pastoral worker and doctor were able to ask Yek directly what he thought was happening and gently explain, when he wanted to hear EMMS INTERNATIONAL
more, that he had cancer and wouldn’t get better. When his family came back into the room, he immediately told them, “I have cancer.” This was critical in enabling the family to talk together and plan for the next stages in Yek’s illness. In the last stages, Yek’s symptoms increased. He was one of the fortunate few in Nepal who was able to be cared for in a palliative care bed in a hospital, his pain, comfort and symptoms being managed. Yek died a week after admission. His daughter said, “I HAVE WATCHED MANY CANCER VICTIMS, INCLUDING MY MOTHER, DIE IN PAIN, BUT MY FATHER DIED WITH HIS PAIN CONTROLLED AND WITH SO MUCH DIGNITY. THINKING OF HIS END WITH SO MUCH SUPPORT AND CARE HEALS MY PAIN.”
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HOW YOU HAVE HELPED FRIENDS IN NEPAL
THE 1ST PALLIATIVE CARE NURSE SPECIALIST IN NEPAL HAS STARTED HER TRAINING AND WORK
We always enjoy hearing about the things people are passionate about and it was so nice to hear about all the work EMMS are doing for mums and babies in Nepal. We saw it as a great opportunity to contribute to God’s work.”
3,154
Sam and Rachel, Supporters, London
785
We have been impressed by the strategic ability of EMMS to identify palliative care needs, to plan, and to implement actions to meet those needs.”
PEOPLE RECEIVED FOOD AND NON-FOOD ITEMS AS PART OF YOUR EARTHQUAKE RESPONSE
BABIES WERE BORN SAFELY AND IN THE PRESENCE OF A SKILLED BIRTH ATTENDANT
Joan Marston, CEO International Children’s Palliative Care Network.
ANNUAL REPORT 2016
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FINANCES These financial highlights are for the year 2015. TOTAL INCOME
2015
2014
£1,128,412
£1,033,627
£580,906
£545,372
Trusts & Foundations
£82,049
£214,285
Church & Community
£85,442
£44,438
£3,238
£0
Events
£135,688
£117,369
Institutional Funding
£122,238
£4,179
Legacies
£118,851
£107,984
£48,438
£66,283
£6,375
£4,013
£1,183,225
£1,103,923
TOTAL VOLUNTARY INCOME Individual Giving
Gifts in Kind
INVESTMENTS OTHER TRADING ACTIVITIES TOTAL INCOME FUNDS AS OF 31ST DECEMBER 2015 TOTAL UNRESTRICTED FUNDS
£802,627
TOTAL RESTRICTED FUNDS
£646,305
EMMS International is now reaching the end of a 5 year cycle where we have drawn down from reserves in order to increase our impact and help more people.
EMMS INTERNATIONAL
19 BREAKDOWN OF CHARITABLE ACTIVITIES
2015
INDIA
£427,035
Chhatarpur Maternal & Child Health
£69,570
Duncan Maternal & Child Health
£148,388
India Palliative Care
£54,742
Madhipura Building Project
£150,223
Other India Projects
£4,112
MALAWI
£446,915
Malawi Palliative Care Supported by DFID
£159,353
Mziche HIV project
£68,292
Mulanje Primary Health
£78,851
Nkhoma Maternal & Child Health
£46,402
Ekwendeni College of Health Sciences Supported by the Scottish Government
£43,723
Malawi Floods reponse
£50,294
NEPAL
£155,066
Nepal Earthquake response
£43,580
Nepal Palliative Care
£37,162
Nepal Maternal & Child Health
£74,324
COMMUNICATION & ADVOCACY
£87,042
MEDICAL STUDENT ELECTIVE BURSARIES
£16,216
HAWTHORN BRAE PALLIATIVE CARE GRANTS
£16,416
TOTAL CHARITABLE ACTIVITIES EXPENDITURE
£1,148,690
The figures are based on the Trustees’ Report and Financial Statements 2015 which are available online at www.emms.org/finance.
ANNUAL REPORT 2016
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A FRIEND TO SHARON
EMMS INTERNATIONAL
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Dear Friend, Your friendship saves lives every day, literally every day. Your generous support has equipped our hospital with phototherapy machines and ventilators so that no baby has to die from easily treatable conditions like jaundice. You have sent a light into dark places. My team go out into the villages of Bihar to find mothers, some still children themselves, and make sure they and their babies get the care that they need. It is a privilege to work with people who not only give but also pray. As we continue this work, it is a comfort to know that we are in the thoughts of praying friends. With thanks,
Sharon
ANNUAL REPORT 2016
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YOUR FRIENDSHIP TO INDIA JUST IN TIME. ANEETA’S STORY Aneeta Devi was semi-conscious but could hear the shouts of the women forcing her to bear down. She felt hands pressing down on her abdomen, trying in vain to deliver her baby. She wanted to scream at the top of her lungs for these women to stop, but did not have the strength to even take the next breath. Thanks to EMMS International’s health project with the Duncan Hospital, the village nutrition worker had been trained in identifying high risk pregnancies. When she heard that all the women in the village had gathered at Aneeta’s house, she went there to see what was happening. One look at the young woman and the nutrition worker realised that something was wrong. By providence, Duncan Hospital was conducting an antenatal clinic in the nearby village and so the nutrition worker ran there. She found a senior nurse who understood the gravity of the situation and came to see Aneeta.
EMMS INTERNATIONAL
Aneeta says, “IF NURSE KARUNA HAD NOT COME TO RESCUE ME THAT DAY, I WOULD NOT BE ALIVE TO TELL YOU THIS STORY”. After being taken to the Duncan Hospital, Aneeta’s baby was successfully delivered by vacuum extraction. She felt her heart was going to burst with joy. Aneeta and her husband are now much wiser and bolder when it comes to matters relating to pregnancy and health. They care for their baby daughter and have decided to follow the Duncan nurse’s advice on birth spacing. Thanks to friends at EMMS International, the dreams Aneeta has for her baby may now become a reality.
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At Duncan Hospital, I found a committed team of people working hard to bring hope and a greater sense of human dignity to people in the midst of terrible circumstances and a culture where human life (especially female life) is not valued as highly as it should be. In doing this, they are imitating the self-sacrificial love of their Lord, Jesus Christ.”
HOW YOU HAVE HELPED FRIENDS IN INDIA
Ben Shepherd, Elective Student
107
EMMS are already making a difference. They are turning deaths into near misses, and near misses into pregnancies and births that don’t come anywhere near to death at all.” Vicky Allan, Sunday Herald
2,498
TERMINALLY ILL PEOPLE RECEIVED PAIN RELIEF AND CARE
HEALTH CARE PROFESSIONALS WERE TRAINED IN PALLIATIVE CARE
5,251
BABIES WERE BORN HEALTHY THANKS TO THE DUNCAN HOSPITAL’S COMMUNITY PROJECT
ANNUAL REPORT 2016
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Anniversary Weekend
The Big Birthday Ball
Vision & Thanksgiving Service
Saturday 26th November Roxburghe Hotel, Edinburgh
3pm, Sunday 27th November Greyfriars Kirk, Edinburgh
Tickets £70 each, or £700 per table.
All welcome
More details and RSVP at EMMS INTERNATIONAL
www.emms.org/175 or 0131 313 3828.
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Pedal & Pray Malawi Challenge 21-30 July 2017
RIDE Explore Malawi on this 400km challenge
REFLECT
Get a vision for God’s global mission
RESPOND Provide compassionate healthcare
More details and sign-up at
21st - 30th July 2017 Malawi Join us for the latest Malawi event. A challenge in every sense. Mind, body and spirit. Sign up by 31st January 2017 to save £50.
www.emms.org/pedal ANNUAL REPORT 2016
I’m going to be a 175 Friend.
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THANK YOU We are grateful to the many friends who have saved and changed lives across the globe this year: Volunteers who commit their time and energies to others. People who uphold us in prayer. Every person who has given a gift. Churches and community groups who partner with us. The publications that promoted our work. Those who participated in events and those who organised their own on our behalf. The committed cyclists who enjoyed the lakeside and hills of Malawi. Those that remembered EMMS International in their will; Miss Denise Earthy, Mr George West, Mr Philip Veitch, Dr Herbert John Powell. Gifts given in memory of Rev Dr David Walker and Dr Alexander Gillies. Trusts and grant-giving organisations who partnered with us in 2015:
Allan & Nesta Ferguson Charitable Settlement, Andrew Anderson Trust, British Medical Association, Bruce McLeod Memorial Fund, Department for International Development, Duncan Hospital Charitable Trust, Forest Hill Charitable Trust, The Hope Trust, Leslie & Helen Duff Charitable Trust, Malawi Liverpool Wellcome Trust, Misses Robinson Charitable Trust,
EMMS INTERNATIONAL
Pollock Memorial Missionary Trust, Rapha Foundation, Saga Charitable Trust, Scotland Malawi Partnership, Seedfield Trust, The MacKay Clinic, The Scottish Government, The St Lazarus Charitable Trust, The True Colours Trust, Tillyloss Trust, Veta Bailey Charitable Trust, Wootton Grange Charitable Trust.
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Will you be a 175 Friend? Your friendship can save and change lives. EMMS International is celebrating 175 years of showing Christ-like care and compassion to those who are sick. This is only possible because of friends like you who have committed themselves to giving and praying. The work isn’t finished. There are still people without hope, unable to get the healthcare they need and deserve, suffering in pain. Everyone deserves access to quality healthcare. By pledging to be a 175 Friend you are helping Christian healthcare workers to care for those who need them most. Your friendship upholds them in the face of desperate need. Your kindness encourages them as they work tirelessly and give their all.
What you receive as a 175 Friend • The knowledge that your friendship saves and changes lives. • Invitations to special 175 events. • A welcome pack including a certificate. • Anniversary lapel badge. • A special mention in the 175th Anniversary Annual Report and web page. • Updates from healthworkers about their work. • Opportunities and encouragement to pray. • The opportunity to dedicate your friendship in memory of a loved one, a group or as a gift.
www.emms.org/friends ANNUAL REPORT 2016
YOUR FRIENDSHIP About you My name is My address is
My email address is To allow EMMS International to contact you and show you how your support is making an impact, you need to tick below. We will never give your details to anyone else. I would like to receive updates by About your 175 friendship
post and / or
For 175 Friends only
I’d like to receive future updates from healthworkers like Manju, helping to rebuild lives in Nepal Sharon, saving mums and babies in rural India Mphatso, stopping the spread of HIV Dedicate your 175 friendship
For 175 Friends only
I’d like to dedicate my friendship to (eg. The memory of my father Stephen, a good doctor and a kind man. On behalf of St.Stephens Comely Bank Church).
(This will be displayed in the annual report and 175 Friends web page)
A friendship gift For full details of our 175 Friends Scheme please see reverse I'd like to become a 175 Friend and give A single gift of £1750
A monthly gift of £17.50 or £_____
I'd like to give A single gift of £_______
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Making your gift Regular Gift My details to set up a direct debit Account Number
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Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
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175 years
7 Washington Lane Edinburgh EH11 0NU Tel: 0131 313 3828 Email: info@emms.org Twitter: @emmsintnl Facebook: EMMS-International
www.emms.org EMMS International is a charity registered in Scotland No SC032327. A company limited by guarantee. Registered in Scotland No SC224402.