98 Sturgess Way Registered in England & Wales

London NW4 3TT Company Number 6691867

United Kingdom Charity Number 1129593

MADA CLINICS INTERNATIONAL

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.

Health Opportunity People Environment

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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 forward-

planning. 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.