Trustees Report 2011

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MADA CLINICS INTERNATIONAL

Health Opportunity People Environment

TRUSTEES REPORT 2011 This is the third Trustees Report of Mada Clinics International, which was founded in 2008. This report covers the charity’s work for 2011. Objectives and Achievements The charity was established to assist the people of Madagascar through the relief of poverty and sickness; the promotion of good health; the advancement of education and the conservation of the environment. In particular, the charity focuses on these objectives through its continued assistance with the funding of two health care clinics in the rural villages of Maventibao and Amboangamamy in Northern Madagascar. In addition, Mada Clinics International also funds a small school based in Maventibao, by paying for a full-time teacher, upkeep of the building and school materials. Each day the average class size is 30 pupils. The two clinics, each of which has a full time nurse, cover a region of approximately 20 villages offering health care to about 15,000 people. The clinics treated over 4,000 sick patients during 2011, in addition to monthly well-child checks and pre-natal visits. The main illnesses encountered include malaria, bilharzia (the water-borne parasitic disease), diarrhoea, childhood malnutrition and sexually transmitted infections. The staff and volunteers at the clinics also assist with deliveries, giving out contraceptives and in carrying out the government’s vaccination programme for remote villages.

98 Sturgess Way London NW4 3TT United Kingdom

Registered in England & Wales Company Number 6691867 Charity Number 1129593


Financial Review The funding for both of the clinics and the school is provided entirely by Mada Clinics International. In turn, the charity is funded from donations made by volunteers who stay and work in Maventibao and Amboangamamy; as well as donations received from individuals who want to assist our work in Madagascar. Whilst volunteer numbers were down on previous years, we were fortunately able to continue our work in Madagascar due to receiving two sizeable, anonymous donations. Without doubt, if it was not for these donations we would not have been able to keep the clinics and schools going. During 2011 we received £2,877 ($4,603) from volunteers and £28,844 ($46,152) from other donors, giving us a total income from donations of £31,721 ($50,755). Of this income, the sum of £14,454 ($23,126) was sent out to Madagascar. This was predominantly spent on wages to the Malagasy staff; medicines, which are provided free to all patients; supplies for the school; and significant repairs to the school and other buildings, which were necessary after our two villages were severely hit by Cyclone Bingiza in February 2011. In addition, a decision was made by the Trustees to buy a vehicle for the clinics – to enable better and safer transport links between the clinics and the local town. The trustees did not want to put the long-term viability of the clinics in jeopardy by spending too much of its donated funds on a vehicle; so after much deliberation, we decided to purchase the old jeep which the clinic had used from time to time. The charity also received a donation during 2011, which the donors wanted to be put towards providing solar power at Maventibao clinic. We are pleased to report that this project, which was started at the end of 2011, has now been completed and has brought much needed lighting to the clinic and surrounding huts. The expenses of the charity during 2011 were £670 ($992), consisting predominantly of UK accountancy fees £420 ($672) and bank collection/transfer charges £202 ($323). The charity’s expenses were approximately 2% of monies donated to it. The balance of funds in the charity at the end of the year was £18,644 ($29,830). The Trustees are pleased that this significant amount is in place to ensure the continued operation of the clinics and school for, at least, the next 2 years throughout 2012 and 2013.

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Corporate Governance The trustees at the end of year were Dr Philip Trangmar, Ms Elizabeth Pond and Mrs Rachel Barrett Trangmar. Mrs Barrett Trangmar was appointed on 1st November 2011 when David Gallagher resigned; however, he still remains closely connected with Mada Clinics as a special adviser on education. The trustees convene regularly to discuss budgets and expenditure. Dr Trangmar, on behalf of the trustees, ensures that the funds sent out each month are used appropriately, by travelling out to Madagascar to assist at the clinics and to oversee local expenditure. The trustees, having taken into account the UK Charity Commission’s guidance on public benefit, believe that they achieved the charity’s objectives during 2011. During the period, the trustees received no remuneration or any reimbursement for their time or expenses. The trustees believe that the best way forward for the clinics and the school is to have the management devolved locally. Strenuous efforts were made by Dr Trangmar during 2011 to establish a local organization to run the clinics – albeit the local management needs to learn the lessons of budgeting and forwardplanning. We will continue to provide assistance in this regard during 2012. Conclusion The trustees wish to express their gratitude to all the volunteers who worked with us during 2011 plus our other donors, without whom we would not have been able to finance the clinics and the school; and provide this valuable service to the Malagasy people. During 2012, we plan to continue the work of the two clinics and the school. We will also continue to encourage the local Malagasy team to take responsibility for day-to-day management.

Dr Philip Trangmar Elizabeth Pond Rachel Barrett Trangmar Web site: www.madaclinics.org Email: info@madaclinics.org Sums stated in the report are given in dollars for information only – the dollar is the foreign currency used most frequently by people in Madagascar. A rate of £1 to $1.60 has been used as an approximate average rate during 2011.

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