ANNUAL REVIEW 2019-20 Piramal Foundation sounded the clarion call ofAao Badlein Bharat in its maiden annual report last year FY2019. In our annual report for FY2020, we express our wish for this slogan to attain a resounding echo. This report talks about how we continue to build on our achievements of the past decade, outlined in our message last year. It adds vigour to our vision of an India that is strong, abundant, and progressive. It also underscores the need to come together to do more and do better. The year under reporting witnessed challenges due to the COVID-19 pandemic. The lockdowns and the subsequent controlled opening up resulted in limiting of resources as movement came to be restricted. Health, , and water are basic needs on which depends the development of any community. Piramal Foundation has focused on these since its inception. During these challenging times, the systems that we have established shone with even greater relevance as these became the primary means of delivery. These systems continue to play a critical role in ensuring that underprivileged communities’ access to basic amenities does not break down. Thus, enabling Piramal Foundation to successfully drive pan-India impact. Today, our entire gamut of solutions has evolved into a platform that acquires strategic importance as a model of delivery that our future generations may bank on. For this to happen, the time to intensify our efforts and mobilise support is now. Let the transformation continue. Recovery will need us all to intensify efforts

The year 2019-20 turned out to be an year of the country. Thus, in the face of severe disruptions The building and nurturing of our partnerships – and unexpected twists and turns. While the first half and challenges that the communities we serve faced, what is collectively possible – has been the biggest of the year was shaping up well, we saw dark clouds Piramal Foundation had to rethink its priorities. takeaway during this trying time. Our engagement gathering from December 2019 onwards. The with many new partners has been an immersive declaration of COVID-19 as a pandemic by the World According to The Bhagavad Gita, the twofold path of experience, as much as being an enervating one. Health Organisation was an event unprecedented for spiritual discipline are – the path of self-knowledge As we look to rebuilding the societies that we are most of us. Since then, it has been nothing like the and the path of unselfish work for others. Vedanta an integral part of, partnerships – and expanding world witnessed for a long time. philosophy has also dwelt on the ‘Advaita’ – the these to coalitions, alliances and collaboratives – is oneness with the Divine and by corollary, the going to be a key principle in the endeavours of the At the Piramal Foundation, what has occupied our oneness of all humankind. If that is indeed the core Piramal Foundation. mindshare is the unforeseen consequences of the of Indian thinking, how can we not be empathetic to pandemic and the impact that it has had on the those who are less advantaged? Our ability need not be restricted by what we have. nature of our work. The impact on health systems It is amplified by what we all, collectively, have and delivery of health services has been further Our teams stepped up to the challenge with access to. An amalgam of our pools of knowledge, exacerbated by the disruption of social norms and empathy, a strong commitment to make a ideas, experiences, networks, and talent is what will an upheaval caused by economic deceleration. difference, and a fresh approach to engage with make this philanthropic journey far more impactful As is now well accepted, the progress of at least our communities. These are described in detail than what we can individually aspire for. The crafting two decades on various development indicators elsewhere in the report. of a common objective, in a spirit of give and take, witnessed setback in a period of six months. is what will help increase the pace at which we can This begs the big question – What really made our get back on the path of development that our As the nation went into a lockdown and government efforts meaningful? communities aspire for. services remained patchy for those who needed it It was not just what we contributed to the relief and most, we were called up to support the massive relief It is in this spirit, that we are revisiting our own rehabilitation efforts in our own, small way. and rehabilitation work that was undertaken across paradigms in this philanthropic journey. We will • The fact that our partners built and expanded on continue to learn and imbibe what all of you may our existing relationships made a big difference. have already discovered. The ability in our teams and the ‘stretch’ The impact on health systems that we were willing to put in, energised our conversations. and delivery of health services Ajay G. Piramal • The fact that new partners have – and continue Founder, Piramal Foundation has been further exacerbated by to – come on board in the journey that we have the disruption of social norms undertaken, gives our aspiration of building partnerships a whole new dimension. and an upheaval caused by • The fact that our partner governments believe economic deceleration that what we will deliver, is towards a common good. Index

Overview Building a Movement Statutory Report

About Us 5 Realising aspirations, together 46 Board’s Report 61

The Piramal Values 6 Education 47 Financial Statements Health 49 Pan-India Impact 7 Balance Sheet 68 Water 51 Statement of Income and Expenditure 69 Key Partnerships and Collaborations 8 Strategic Focus Areas 53 Statement of Cash Flows 70 Our Response to COVID-19 10 District Transformation Programme, Education 54 Statement of Changes in Equity 71 Governance at Piramal Foundation 13 State Transformation Programme, Education 55 Notes to Financial Statements 72 Our People 15 AMRIT 56

Our Three Key Pillars 16 District Transformation Programme, Health 57 Tribal Health Collaborative 58 Piramal School of Leadership 18 Jal Jeevan Mission 59 Message from the CEO 19 Awards 60 Key achievements for the year 20

A closer look at our initiatives 22

Piramal Swasthya 26

Message from the CEO 27

Key achievements for the year 28

A closer look at our initiatives 29

Piramal Sarvajal 34

Message from the CEO 35

Key achievements for the year 36

A closer look at our initiatives 38

About this Report

The reporting scope and boundary for our disclosures, unless otherwise stated, covers the operations of Piramal Foundation and its subsidiaries. Overview About Us About Us

The Piramal Values Pan-India Impact On the path to creating disproportionate change Key Partnerships and Collaborations COVID-19 Response At Piramal Foundation, we are driving Our work is carried out through our four subsidiaries Governance at Piramal Foundation Our People all of the wide-ranging philanthropic Our Three Key Pillars and Corporate Social Responsibility

Piramal School of Leadership (CSR) activities of the Piramal

Piramal Swasthya Enterprises Limited (PEL) since our

Piramal Sarvajal inception in 2011. Building a movement Ours is a Section 8 Company working to empower Realising aspirations, together communities by focusing on four key areas of education, Education Health Water youth empowerment, health care and nutrition, and safe drinking water. Crucial as parameters of development, Piramal School Piramal Piramal Piramal Udgam Strategic Focus Areas our focus areas are aligned to the Sustainable of Leadership (PSL) Swasthya Sarvajal Data Management District Transformation Programme, Education Development Goals (SDGs) PSL works in the niche area Piramal Swasthya aims to Piramal Sarvajal is a mission- Solutions of bringing about systemic democratise health care by driven social enterprise that Also known as Virtual Field State Transformation Programme, Education Work under each of these is carried out through four change in the field of education making quality primary health designs and deploys innovative Support (VFS) Programme, dedicated arms–Piramal School of Leadership for Education, AMRIT leadership. It focuses on the care available, accessible, and solutions for creating it works to empower local Piramal Swasthya for Primary Healthcare and Nutrition, transformation of ‘leaders’ in affordable for all. affordable access to safe community women by District Transformation Programme, Health Piramal Sarvajal Safe Drinking Water and Piramal Udgam education. It collaborates with drinking water in underserved providing them with livelihood Data Management Solutions. Tribal Health Collaborative governments to transform areas. Piramal Sarvajal is at opportunities. They are trained Jal Jeevan Mission the delivery of education the forefront of developing in the use of technology to from districts to state level technologies and sustainable assist headmasters, teachers as Awards 25 100 Million+ through the School Leadership model in the water sector education officials in improving STATES COVERED BY BENEFICIARIES Statutory Report Development Programme by partnering with various student learning outcomes. PIRAMAL FOUNDATION (SLDP), District Transformation government and like minded Board’s Report PROGRAMMES Programme (DTP), and organisations. Financial Statements State Transformation Balance Sheet 4,500 Programme (STP). Statement of Income and Expenditure STRONG TEAM WORKING TOGETHER TO ACHIEVE Statement of Cash Flows DEVELOPMENT GOALS Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 5 Overview The Piramal Values About Us

The Piramal Values Pan-India Impact Impact, driven by Piramal values Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Our Three Key Pillars

Piramal School of Leadership

Piramal Swasthya Knowledge Action Piramal Sarvajal Expertise Entrepreneurship Building a movement We strive for a deeper understanding We are empowered to act decisively Realising aspirations, together of our domain and create value Education Health Water Innovation Integrity Strategic Focus Areas We aspire to do things creatively We are consistent in our thought, District Transformation Programme, Education speech, and action

State Transformation Programme, Education

AMRIT

District Transformation Programme, Health

Tribal Health Collaborative Jal Jeevan Mission Care Impact Awards Trusteeship Performance Statutory Report We protect and enhance the interests We strive to achieve market of our beneficiaries, community, leadership in scale and profitability, Board’s Report employees, partners, and shareholders wherever we compete Financial Statements

Balance Sheet Humility Resilience We aspire to be the best, yet strive to We aspire to build businesses that Statement of Income and Expenditure be humble anticipate, adapt, and endure for Statement of Cash Flows generations

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 6 Overview Pan-India Impact About Us

The Piramal Values Pan-India Impact Country-wide efforts Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Piramal School of Leadership Andhra Pradesh Haryana Odisha Our Three Key Pillars Jammu & Kashmir Piramal School of Leadership Bihar Jharkhand Delhi (UT) Uttarakhand Piramal Swasthya Maharashtra Piramal Sarvajal Building a movement Realising aspirations, together Piramal Swasthya Education Health Water Andra Pradesh Himachal Pradesh Punjab Arunachal Pradesh Jharkhand Rajasthan Strategic Focus Areas Assam Sikkam District Transformation Programme, Education Bihar Madhya Pradesh Tamil Nadu Chhattisgarh Maharastra Telangana State Transformation Programme, Education Delhi Meghalaya Uttar Pradesh AMRIT Gujarat Odisha West Bengal District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Piramal Sarvajal Andhra Pradesh Jharkhand Punjab Awards Bihar Karnataka Rajasthan Statutory Report Chhattisgarh Kerala Tamil Nadu Gujarat Madhya Pradesh Telangana Board’s Report Haryana Maharashtra Uttar Pradesh Financial Statements Himachal Pradesh NCT of Delhi Uttarakhand Education Balance Sheet Jammu & Kashmir Odisha

Statement of Income and Expenditure Health Statement of Cash Flows Water Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 7 Overview Key Partnerships and Collaborations About Us

The Piramal Values Pan-India Impact Evolving a comprehensive platform of support Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Piramal School of Leadership Our Three Key Pillars – New York University – Korean Educational – Harvard University Developmental Piramal School of Leadership – Azim Premji Institute University – Emory University Piramal Swasthya Piramal School Piramal Sarvajal of Leadership – Google – EdelGive Foundation – Micheal and Susan – Genpact – Tata Dell Foundation Building a movement – Maitri Trust Communications Ltd. – Millennium Alliance – HSBC Realising aspirations, together – Credit Suisse

Education Health Water – Boston Consulting – Genpact Group – Mindtree Strategic Focus Areas – Andhra Pradesh – Haryana – Odisha District Transformation Programme, Education – Assam – Jammu & Kashmir – Rajasthan State Transformation Programme, Education – Bihar – Jharkhand – Uttar Pradesh Piramal – Delhi – Madhya Pradesh – Uttarakhand AMRIT Sarvajal – for School – Maharashtra Leadership District Transformation Programme, Health Piramal – National Council Swasthya – Gujarat – NITI Aayog Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity Knowledge Funding Technical Government CSR Notes to Financial Statements Piramal Foundation Annual Review 8 Overview Key Partnerships and Collaborations About Us

The Piramal Values Pan-India Impact Evolving a comprehensive platform of support Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Piramal Swasthya Piramal Sarvajal Our Three Key Pillars – Global Healthcare – UNICEF – University of – Assam Govt. Public – Cantonment Board, – Gujarat Pipavav Port Ltd. – Madhya Pradesh Public Solutions – Infosys Fellowship Hyderabad Health Engineering Wellington, Maharashtra – Himachal Pradesh Health Engineering Piramal School of Leadership – Harvard University – Public Health – University of Leeds Department – Center for Water and Government, Irrigation Department – Indian School of Foundation of India – UNSW Sydney – Bhubaneshwar Municipal – Sanitation (C-WAS) and Public Health – NITI Aayog Piramal Swasthya Business – The Echo Foundation Corporation – Delhi Jal Board (DJB) Department, Shimla Municipal Corporation Piramal Sarvajal – BMGF – Rockefeller Foundation – Naandi Community – Collective Good – Pranab Mukherjee Building a movement Water Services Ltd. Foundation Foundation – – – Realising aspirations, together – CAF America – Plan International – World Diabetes Smart Power India Pratham Education EmpowHER Foundation – Water.org Foundation – Shree Somnath Trust Education Health Water – Fontus Water Private Ltd. Strategic Focus Areas – Andhra Pradesh – Karnataka – National Health – Urdhvam – PriMove – Arunachal Pradesh – Maharashtra Mission District Transformation Programme, Education – Assam – Rajasthan – NITI Aayog – State Transformation Programme, Education – Bihar – Sikkim Ministry of Tribal Affairs – Maharashtra Village – Nagpur Municipal – Chhattisgarh – Ministry of Health & Social Transformation Corporation AMRIT – Himachal Pradesh Family Welfare Foundation – Jharkhand – National AIDS Control District Transformation Programme, Health Organisation – Standard Chartered Bank – Oil and Natural Gas – NFIL MafatLal Group – Shriram Transport – Nestle India Ltd. Limited – SGS India Private Limited Finance Company Tribal Health Collaborative – Fullerton India Credit – National Thermal Power – Asian Paints – Oil India Limited – Ujjivan – Asian Paints – DCM Shriram Ltd. Jal Jeevan Mission – SIDBI Company Ltd. – Apollo Tyres Foundation Corporation Limited – BPSCL – Bokaro Steel Plant – – – Piramal Agastya Private Ashok Leyland – Hindalco APM Terminal Awards – NHPC – STFC – – Ltd. Hinduja Foundation – Aditya Birla Group Indian Oil Tanking – Limited – Ansa Decoglass Private Gulf Oil Lubricants India – Arohan Finance Statutory Report – Ltd. Ltd. Services Ltd. Dana India – – Board’s Report – Bata India Ltd. IndusInd Bank Ltd. – Akhil Bhartiya Gramin Sankei Giken India – Grasim Industries – Jindal Stainless Uthan Samiti (ABGUS) Pvt Ltd Financial Statements Limited Foundation – HDFC Life – RPG Foundation Balance Sheet – Mahanagar Gas Ltd.

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 9 Overview COVID-19 Response About Us

The Piramal Values Pan-India Impact Providing support to corona warriors Key Partnerships and Collaborations COVID-19 Response At Piramal Foundation, we have worked to consistently improve the last Governance at Piramal Foundation Our People mile delivery of education, health and nutrition, and safe drinking water. Our Three Key Pillars The efforts we have put into creating this platform for over a decade Safe drinking water

Piramal School of Leadership fructified in the face of the COVID-19 pandemic. Piramal Sarvajal has been ensuring ongoing essential services across our 1000+ locations Piramal Swasthya while maintaining all precautions. Ensured 94% of Piramal Sarvajal As the pandemic struck, the need of the hour the machines are functional for dispensing water. was to ensure that help reached where it Building a movement Sarvajal also quickly redesigned the existing was already scarce. We began preparing to technology of the older machines, ATMs from Realising aspirations, together re-orient a large number of our efforts and Education Health and nutrition button press dispensing to contactless RFID initiatives towards dispensing support, care, Education Health Water PSL lost no time in allocating its 40,000 Piramal Swasthya is leading our COVID-19 dispensing, ensuring COVID guidelines provided and treatment to the underprivileged living in square feet facility in Bagar, Rajasthan, as response, aiding the efforts of the government by the government are followed. Also, trained Strategic Focus Areas the country’s remotest areas. a quarantine centre for COVID-19 patients. not only in providing infrastructure and care and equipped 450+ franchisee, operators and District Transformation Programme, Education As an organisation, our approach is Our team members used digital technology but also in the tracking and monitoring of drivers for COVID-19 related precautions and State Transformation Programme, Education to complement and supplement the to share information with teaching staff, for quarantined individuals. information sharing. government’s efforts, which we continue to further distribution. Piramal Foundation’s VFS AMRIT By July 31, 2020, our helplines had answered We also made sure our beneficiaries are aware do. In addition to providing resources, we centres too are involved in helping to spread more than 9.26 Lakh COVID-19 calls. They of the measures to be taken for safety and District Transformation Programme, Health also helped spread awareness regarding the awareness. have also made 6 Lakh outbound calls hygiene, including washing of hands before precautions our beneficiary communities Tribal Health Collaborative tracking train passengers, people who and while filling water, and social distancing need to take, as well as information regarding WE ALLOCATED were quarantined at home as well as those protocols to be followed at collection points. Jal Jeevan Mission where to find medical help. discharged from institutional quarantine, and Awards migrant workers. 40,000 sq.ft WE CONTINUED TO SERVE Statutory Report FACILITY IN BAGAR, RAJASTHAN WE ARE OPERATING Board’s Report 657,000+ Financial Statements BENEFICIARIES DAILY AND OPERATED 104 THROUGH Balance Sheet HELPLINES ACROSS Statement of Income and Expenditure 1,800+ Statement of Cash Flows 8 states TOUCHPOINTS IN Statement of Changes in Equity WITH 980 STAFF TRAINED AND EQUIPPED TO RESPOND TO COVID-19 RELATED QUERIES Notes to Financial Statements 20 states Piramal Foundation Annual Review 10 Overview COVID-19 Response About Us

The Piramal Values Pan-India Impact Assisting government delivery systems Key Partnerships and Collaborations COVID-19 Response Aspirational districts Governance at Piramal Foundation Our People At Piramal Foundation, we are providing expansive support to the Our Three Key Pillars aspirational districts in partnership with the NITI Aayog, through initiatives Piramal School of Leadership implemented by the district administration. Our collaborations include: Piramal Swasthya

Piramal Sarvajal Standard Operating Procedure Leveraging our strong connect with Telemedicine using technology We worked to develop a Standard Operating community leaders In Sheikhpura, Bihar, we launched a telemedicine centre to cater to patients Building a movement Procedure, which was shared with all the We sensitised numerous Panchayati Raj quarantined at home. We are also piloting a mobile app-based telemedicine Realising aspirations, together Mission Directors of the National Health Institution (PRI) leaders and faith leaders across solution in five districts of the state, with plans to scale it for use in 25 Education Health Water Mission in seven states. The document was districts to mobilise large-scale community aspirational districts. endorsed by the State Government of Bihar. support for COVID-specific actions. Strategic Focus Areas Piramal Swasthya supplied them with relevant Tracking affected individuals District Transformation Programme, Education information aimed at keeping misconceptions at Our District- and Block-level teams are State Transformation Programme, Education bay. PRI members were trained telephonically with telephonically tracking individuals placed the help of Village Health Sanitation and Nutrition AMRIT under home quarantine. Day (VHSND) services and more than 56,000 Field District Transformation Programme, Health Level Workers (FLW) were sensitised through a BY JULY 31, 2020, WE TRACKED Tribal Health Collaborative detailed orientation programme. Jal Jeevan Mission 1.5 Lakh+ 22,000+ Awards COVID-19 SUSPECTED CASES ACROSS PRI MEMBERS AND Statutory Report Board’s Report 25 ASPIRATIONAL DISTRICTS 950 Financial Statements FAITH LEADERS HAVE UNDERGONE Balance Sheet ORIENTATION SO FAR

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 11 Overview COVID-19 Response About Us

The Piramal Values Pan-India Impact Assisting government delivery systems Key Partnerships and Collaborations COVID-19 Response Keeping the elderly safe Governance at Piramal Foundation Piramal Foundation’s Aspirational Districts Our People Transformation Programme launched a programme • A dialogue card for Frontline Workers (FLW) related to COVID-19 and practising positive • The registration under Pradhan Mantri Matri that is truly unique, given the enormity of the threat Our Three Key Pillars supervisors to address COVID-19 related fears, stigma, behaviours at the workplace (on resuming work Vandana Yojana scheme has been resumed in all posed by COVID-19, especially to the health and lives Piramal School of Leadership discriminatory practices and resuming Village Health post-COVID-19 lockdown). state and districts successfully. 74% beneficiaries of the elderly. Sanitation and Nutrition Day (VHSND) services have • 75 open houses have been conducted (April to have been registered in Jun 2020. We helped We have provided support to more than 4 lakh Piramal Swasthya been developed and shared with block transformation July) in three phases to build resilience and agility create widespread awareness regarding the elderly citizens, through 41,754 volunteers in 28 Piramal Sarvajal officers to further sensitise the FLW supervisors/FLWs. of our field teams by providing requisite support, resumption of these services. districts across the country. And, 13,000 of the • Appeal letters and videos on addressing myths and spread across 25 districts. • Services have been resumed and operationalised Building a movement 16,000+ grievances received about issues with misconceptions were shared with PRI members • 6185 VHSNDs were conducted (86% of Feb 2020) in four Health and Wellness Centre in Barpeta, supplies, utilities, including pensions, have already Realising aspirations, together and faith leaders, which was further followed by with an attendance of 85% pregnant women, Assam; Sahibganj, Jharkhand; Jaisalmer, Rajasthan been resolved. conversations by the field teams. 80% lactating mothers and 66% children and Shravasti, Uttar Pradesh. Education Health Water Our volunteers helped raise more than 16,000 • Emailers on Behaviour Change Communications under two years. • Resumed PRI sensitisation trainings on regular Strategic Focus Areas grievances related to the availability of food, were shared with Block Transformation Officers health and nutrition services. medicines, and electricity supply, as well as District Transformation Programme, Education to sensitise on identifying stigma, discrimination telephone connectivity, safety and pension issues, and more with the respective district State Transformation Programme, Education administrations. Of these, 13,000 have been AMRIT resolved already - a stupendous effort. Our initiatives in Assam District Transformation Programme, Health Looking at the success of the programme, the NITI Aayog rolled out SDDNNA in all the 112 Tribal Health Collaborative We have run focused initiatives in collaboration with We managed the Assam Cares Financial Outreach the state government of Assam to provide reliable Scheme by the Government of Assam. It was a helpline 1500+ Aspirational Districts. Our education team is training Jal Jeevan Mission NGOs to help implement the programme in the linkages and care to the communities living in remote number based service, which provided financial VOLUNTEERS WERE TRAINED TO SUPPORT areas and migrants making their way back home. Our assistance to the people of Assam who were stranded remaining districts Awards IN FILLING THE DETAILS OF THE PEOPLE efforts include collaboration to develop their Standard outside the state during the lockdown. STRANDED OUTSIDE THE STATE Statutory Report Operating Procedure.

Board’s Report Our call centre team tracked up to 20,000 quarantined UNDER THE ASSAM CARES SCHEME individuals to ensure the protocols were being followed. 4.3 Lakh+ Financial Statements We delivered medicines at patients’ doorstep through CALLS WERE RECEIVED FOR FINANCIAL ASSISTANCE (AS ON APRIL 2020) Balance Sheet 104 helpline under the Dhanwantari medicine home 80 Crore FUNDS WERE RELEASED delivery scheme. We piloted a Mobile Telemedicine Statement of Income and Expenditure service in the state for easier last mile delivery and Piramal Swasthya staff also screened migrants at the 2 Lakh+ Statement of Cash Flows FORMS WERE FILLED FOR FINANCIAL railway stations. 4 Lakh+ Statement of Changes in Equity MIGRANTS WERE REACHED ASSISTANCE (AS ON APRIL 2020)

Notes to Financial Statements Piramal Foundation Annual Review 12 Overview Governance at Piramal Foundation About Us

The Piramal Values Pan-India Impact Inspiration, guidance from our Board Key Partnerships and Collaborations COVID-19 Response Our Board of Directors comprises a diverse range of industry experts Governance at Piramal Foundation Our People united by their passion to drive impact in the society. Our Three Key Pillars

Piramal School of Leadership

Piramal Swasthya

Piramal Sarvajal Building a movement

Realising aspirations, together

Education Health Water

Strategic Focus Areas

District Transformation Programme, Education Ajay G. Piramal Adil Zainulbhai Debasish Mitter Jalaj Dani Madhav Chavan State Transformation Programme, Education Among India’s leading industrialists Mr. Adil Zainulbhai is the Chairman Mr. Debasish Mitter is the Ex-Country Mr. Jalaj Dani is currently the Director Mr. Madhav Chavan is a leading and philanthropists, Mr. Ajay Piramal of the Quality Council of India (QCI), Director, India, Michael & Susan Dell & Head – Reliance Foundation. He educationist, who co-founded Pratham. AMRIT is the Chairman of the Piramal Network 18 and TV18. Foundation. is also co‑promoter of Asian Paints. This was followed by the launch of District Transformation Programme, Health Group. He is the Chairman of the He serves as Independent Director ‘Read India’ campaign to teach basic He is currently on the Boards of A Chartered Accountant and Pratham Education Foundation on the Boards of HDFC Ltd., Havells reading, writing, and arithmetic skills to Tribal Health Collaborative Reliance Industries Ltd., Larsen & member of the Institute of Chartered and is on the Harvard Business India, and is on the Board of the underprivileged children across India. Toubro Ltd., and Cipla Ltd. He is a Accountants of India, he has had Jal Jeevan Mission School’s Board of Dean’s Advisors; National Skill Development Agency. Pratham has won the Kravis Prize for its member on the Board of Trustees at extensive experience with American he co‑chairs the UK-India CEO Forum He is also the Chairman of the Board exemplary work. Awards Saifee Burhani Upliftment Trust and Express as well as Dowell Schlumberger. and is the Non‑Executive Director of of Governors for Indian Institute of Statutory Report Piramal Swasthya. He holds a Bachelor’s degree from St. Mr. Chavan won the Skoll Award for Tata Sons Ltd. Management, Tiruchirappalli. Xavier’s College, Kolkata. Social Entrepreneurship in 2011, the Board’s Report He graduated in Mechanical He is also the President and Chairman He pursued Chemical Engineering WISE Prize for Education in 2012, and Engineering from the Indian Financial Statements of Anant National University. He at the University of Wisconsin- the Leading‑Social‑Contributor-Award. Institute of Technology – Bombay; holds an Honours degree in Science Madison, USA, and did his Advanced He has a Ph.D in Chemistry from the Balance Sheet he did his MBA from the Harvard from University and a Management Programme at INSEAD, Ohio State University and a Masters Business School. Statement of Income and Expenditure Master’s degree in Management Fontainebleau, Paris. from Jai Hind College, Mumbai. Statement of Cash Flows Studies from the Jamnalal Bajaj Institute of Management Studies. Statement of Changes in Equity He has completed an Advanced Notes to Financial Statements Management Programme from the Harvard Business School. Piramal Foundation Annual Review 13 Overview Governance at Piramal Foundation About Us

The Piramal Values Pan-India Impact In charge of compliance Key Partnerships and Collaborations COVID-19 Response Ably supporting the Board of Directors at Piramal Foundation Governance at Piramal Foundation Our People in all matters regarding compliance, our Compliance Our Three Key Pillars Committee helps strengthen governance at the organisation.

Piramal School of Leadership

Piramal Swasthya

Piramal Sarvajal Building a movement

Realising aspirations, together

Education Health Water

Strategic Focus Areas

District Transformation Programme, Education Sudha Ravi Debasish Mitter Suhail Nathani State Transformation Programme, Education Mrs. Sudha Ravi has over 30 years of experience Mr. Debasish Mitter is the Ex-Country Director, Mr. Suhail Nathani is co-founding partner across banking and financial services. She has India, Michael & Susan Dell Foundation. at Economic Laws Practice (ELP) and an AMRIT held the posts of General Manager, Enterprise Independent Director on the Board of Piramal A Chartered Accountant and member of the District Transformation Programme, Health Risk Management, Chief Representative, at the Capital and Housing Finance Ltd. Mr. Nathani Institute of Chartered Accountants of India, he has Corporate Office, Washington DC, USA, and is actively involved with International Trade Tribal Health Collaborative had extensive experience with American Express as Deputy General Manager in-charge of & Customs, Competition Law & Policy and well as Dowell Schlumberger. He holds a Bachelor’s Jal Jeevan Mission Chairman’s Sect at the State Bank of India, Corporate Commercial practices of the firm. degree from St. Xavier’s College, Kolkata. Awards where she had joined as a Probationary Officer. He has appeared for the Government of India Mrs. Ravi is also Chairperson, National Council before the WTO Panel and Appellate Body Statutory Report on NBFCs of The Associated Chambers of in Geneva, has represented the Competition Board’s Report Commerce and Industry of India (ASSOCHAM) Commission of India and the Securities and and Head - Compliance in Piramal Capital Exchange Board of India at the Supreme Court Financial Statements and Housing Finance Ltd. A Science and Law as well as various other courts in India. He Balance Sheet graduate and an avid reader, Mrs. Ravi has keen earned his Master’s Degree from Cambridge Statement of Income and Expenditure interest in Education, with focus on Education University, England, and has also received for autistic children. an LL.M. from Duke University, USA. Besides Statement of Cash Flows India, he is also admitted to the New York Bar. Statement of Changes in Equity Mr. Nathani is recognised globally as a leading lawyer in his field of practice. Notes to Financial Statements Piramal Foundation Annual Review 14 Overview Our People About Us

The Piramal Values Pan-India Impact Excelling as individuals while driving systemic change Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our people are the lifeblood of the organisation. At Piramal Our People Foundation, we are a team of individuals who are passionate Our Three Key Pillars about serving the society with seva bhav, which is to fulfil our

Piramal School of Leadership duties without expecting anything in return.

Piramal Swasthya FY2019-20 at Piramal Foundation has been a year of transformation. We focused on three key areas of : Piramal Sarvajal Building a movement People Excellence Culture Transformation Governance Framework Embracing the new normal Realising aspirations, together • We are empowering and enabling our people • At Piramal Foundation, our values motivate Our robust governance framework at Piramal Education Health Water to do more and do better to drive a greater us to constantly review and monitor our Foundation allows us to successfully steward While moving quickly to embrace the new impact. Our programmes IGNITE and ASCEND effectiveness and consistently improvise culture transformation towards improving normal, we saw many of our existing functions Strategic Focus Areas are targeted at high potential employees. our ways of working. our delivery as an organisation. Our focus and operations in a new light. Our efforts to areas for the year included moving from transition smoothly to work-from-home mode District Transformation Programme, Education • A clear competency framework has enabled • During the year, we have curated a variety Zero Tolerance to Zero Occurrence of Sexual included creating platforms for proactively State Transformation Programme, Education our people at Piramal Swasthya and Piramal of workshops for our initiatives: for providing peer‑to‑peer support and roping in Harassment Cases, by revamping our key Sarvajal to become master trainers. instance, the Swasthification of Piramal online counselling experts to help our people fight AMRIT HR policies around Prevention of Sexual Swasthya; Social Emotional and Ethical anxiety and stress. • Our employee engagement survey Bandhan Harassment as well as grievances and learning District Transformation Programme, Health Learning (SEEL) and Cognitive-Based is providing solid ground for understanding and development. We also digitised most of Compassion Training (CBCT) for Piramal Tribal Health Collaborative our people’s needs and approach to work. our internal processes, as a result of which School of Leadership, aimed at personal We undertake this comprehensive exercise we have achieved audit readiness and great Jal Jeevan Mission transformation; Piramal Success Factors, every two years. compliance control. Awards Non Violent Communication (NVC) and Situational Leadership for Piramal Sarvajal. Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 15 Overview Our Three Key Pillars About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations Since inception, Piramal Foundation has focused COVID-19 Response on the three areas of education, health, and safe drinking water to drive efforts to enable Governance at Piramal Foundation communities that are underprivileged, backward. Our People Our Three Key Pillars We see these as pillars to not just the impact we wish to create but essentially to the empowerment Piramal School of Leadership of communities recognised as backward and Piramal Swasthya unprivileged. Located in some of the remotest areas of our country, they have seen decades of neglect, Piramal Sarvajal putting them behind the rest of us. That is not where Building a movement they should be.

Realising aspirations, together For more than a decade, we have continued to grow Education Health Water our efforts, our influence through our network of Strategic Focus Areas partners and donors, and our team of highly talented young leaders, deeply motivated to create impact. District Transformation Programme, Education

State Transformation Programme, Education In more than a decade, each of these have grown in scale through immense learnings and AMRIT newer opportunities. District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 16 Overview

About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response Piramal Foundation for Governance at Piramal Foundation Our People Education Leadership has Our Three Key Pillars evolved into Piramal School

Piramal School of Leadership of Leadership during

Piramal Swasthya FY2019-20. This is our Piramal Sarvajal platform for bringing about Building a movement systemic change in the field Realising aspirations, together of education leadership. It Education Health Water is born of the belief that the Strategic Focus Areas transformation of ‘leaders’ District Transformation Programme, Education in education is critical to State Transformation Programme, Education accelerating change within the AMRIT country’s education system. District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 17 Overview Piramal School of Leadership About Us

The Piramal Values Pan-India Impact Transforming the core Key Partnerships and Collaborations COVID-19 Response PSL is a change management organisation collaborating PSL at a Glance Governance at Piramal Foundation Our People with governments to transform the delivery of education Our Three Key Pillars for the most underprivileged communities, improving life chances for more than 94 million children. 8.7 Crore Piramal School of Leadership CHILDREN IMPACTED Piramal Swasthya Piramal Sarvajal Revolutionising India’s public education system Building a movement PSL empowers the leaders in education, namely the authorities at the state, district, and school 14 States leadership levels to help fill the gaps in India’s current education system, from infrastructure MULTIPLE INITIATIVES Realising aspirations, together to courseware. Direct engagement with these leaders helps us to create a multiplier effect, IMPLEMENTED Education Health Water driving swift benefits for students from the most underprivileged backgrounds. Strategic Focus Areas We consistently develop sustainable solutions through partnerships based on shared values District Transformation Programme, Education and vision. These are delivered through our six programmes. 30 Districts State Transformation Programme, Education DISTRICT DELIVERY IMPROVEMENT AMRIT School Leadership Development State Transformation Programme (STP) Centres of Excellence We work to strengthen the institutions under Our eight centres of excellence provide support District Transformation Programme, Health Programme (SLDP) Enabling teachers and headmasters with the state to build a skilled teacher workforce to on-ground programmes to improve student Tribal Health Collaborative innovative teaching practices to develop equipped to deliver 21st century skills. learning outcomes through relevant tools and new pilots. frameworks. Many of these are in collaboration 12 States Jal Jeevan Mission Gandhi Fellowship STATE TRANSFORMATION with other organisations. Awards District Transformation Programme (DTP) For almost 15 years now, Gandhi Fellowship PROGRAMME Recognising the district as the unit of scalable has shown the way to nurture youth, helping Virtual Field Support (VFS) Programme Statutory Report change, the programme engages with them become social entrepreneurs. The This support programme is active through Board’s Report district-level leaders in education to improve immersive two-year programme has seen 950 13 centres in 12 districts across 10 states of the student learning outcomes. alumni working in the development sector. country. More than 220 women change agents Financial Statements 1,235 Schools support children, educators, and education LEADERSHIP DEVELOPMENT Balance Sheet officials through inbound and outbound calls, IN 12 LOCATIONS Statement of Income and Expenditure virtual learning labs, broadcast service, bulk messaging, and voice messaging. Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 18 Overview Piramal School of Leadership About Us The Piramal Values st Pan-India Impact Making grassroots education 21 century compliant Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation My dream has been to see that each girl in re-engineered ourselves, conceptualised a women with skills to prepare them for livelihood Our People the remotest village gets equal opportunity to new programme design, and are stronger and opportunities. lead a good life. My dream is to rebuild trust more confident despite the pandemic. In the Our Three Key Pillars As India continues to grapple with the pandemic, in public education, to ready educators who coming years, we will become leaner, more with severe adverse effects on the girl child, we Piramal School of Leadership find meaning, learning, joy and pride, and for audience-oriented, and more product-centric will ‘build back equal’, empowering girl children education to bring delight for our children. than ever. Piramal Swasthya through path-breaking pedagogy, helping them Piramal Sarvajal This same passion and conviction motivate Our District Transformation Programme is cope better with much needed psychosocial us to use multi-pronged approaches, moving through large-scale collaboration, support. Building a movement continuously evolving to keep abreast with leveraging the strength of multiple partners Digital learning will not merely mitigate the Realising aspirations, together change. Curating innovative, sustainable and to reach the poorest, most vulnerable and effects of lockdown but will equip children scalable solutions while realising the highest marginalised communities in aspirational Education Health Water with 21st century skills. Blended learning, with potential of all people. No wonder 14 state districts across India. a pragmatic mix of classroom and new-age Strategic Focus Areas governments reposed their faith in us, helping We have reimagined our State Transformation learning, will be the hallmark in the coming year. us partner with districts and schools. District Transformation Programme, Education Programme to emphasise delivery of market- Our belief in the goodness of every individual, State Transformation Programme, Education Our empathy, agility of response, and ability aligned products and establish centres of coupled with innovation, has served us well to cope was in high evidence when the learning for transformational pedagogy, AMRIT in our journey of transformation, walking the pandemic paralysed the world. We worked to build skilled and engaged educators path with governments and communities. District Transformation Programme, Health Aligned to emerging with government and local NGOs in 112 delivering 21st century skills. I am happy that today, PSL is a partner of st districts to bring succour to millions of senior Tribal Health Collaborative 21 century needs, here is the Our Fellowship Model is expanding in choice for governments, corporates, and other citizens most at risk. This same nimbleness unimaginable ways! While Gandhi Fellows stakeholders in education. With deep conviction, Jal Jeevan Mission re-engineered PSL, that will was demonstrated through partnerships with continue to be change agents at state, I know that, with my team and our partners, and technology leaders to ensure uninterrupted Awards bring us closer to our vision district, and panchayat levels, we will collaboration being the bedrock of every action, learning of children during the lockdown. Statutory Report through innovative products, strengthen and scale our grassroots connect we will create compassionate, future-ready Aligned to emerging 21st century needs, through community volunteers who will educators and students, and I will be able to Board’s Report collaborative platforms, and here is the re-engineered PSL, that will bring find career opportunities through this transform my dream into a reality. Financial Statements with leadership development us closer to our vision through innovative engagement and through District Official led Balance Sheet products, collaborative platforms, and with fellowships. Our newly introduced Karuna Aditya Natraj at the core. leadership development at the core. We have Fellowship will continue to empower rural CEO, Piramal School of Leadership Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 19 Overview Piramal School of Leadership About Us

The Piramal Values Pan-India Impact Key achievements for the year Key Partnerships and Collaborations COVID-19 Response At PSL we are working Governance at Piramal Foundation to make India’s public Our key achievements during FY2020 are as follows: Our People education system future- SLDP DTP STP Our Three Key Pillars ready to make our Piramal School of Leadership Active in 1,360 schools across the five states of It witnessed 14.3% overall improvement in We helped drive efficiencies within the state youth future-ready. We Rajasthan, Maharashtra, Gujarat, Uttarakhand, learning outcomes across classes 3 to 8 in administrations by revising job role charts for Piramal Swasthya drive impact through and Haryana, engaging with 3,500 teachers, it language and math through Endline Assessment their Block and Cluster Resource Coordinators. Piramal Sarvajal saw learning outcomes improve by 19.55% on in demonstration schools in March 2020. Nine We assisted in the selection process of more facilitating self-change. an average. The programme itself underwent of our 25 intervention districts have been listed than 9,100 resource personnel in Jharkhand, Building a movement Our methodology parallelly a revamp to SLDP 2.0 and signed an MoU with amongst the top five in the monthly delta Jammu & Kashmir, Odisha, Rajasthan, and Realising aspirations, together Emory University to bring SEEL curriculum ranking on Champions of Change by NITI Aayog, Assam. By digitising several functions, we helped ` Education Health Water works on individual and contextualised to Indian classrooms. It making them eligible for 3-10 Crore. from the Delhi government save up to ₹4.3 Crore of institutional levels. trained 9,000 ‘leaders’ in education. We also NITI Aayog. Also, 1,100 of the 5,023 selected the state quarterly fee due collection. Strategic Focus Areas introduced a voice-based Artificial Intelligence- schools have been converted to demonstration powered Reading Application for children, schools through exemplary outcomes. Our District Transformation Programme, Education During the year, we focused on building Google Read-Along, in 421 Schools in Rajasthan. Constructive Community Action saw 2.12 Lakh 9,100+ State Transformation Programme, Education capacities. We trained Cluster Resource RESOURCE PERSONNEL SELECTED THROUGH new students return to schools and under the Coordinators (CRCs) on pedagogy and ASSISTANCE FROM THE PROGRAMME AMRIT Middle Management Development aspect of classroom practices. We mobilised 1,360 schools the programme, we trained each of the 2,424 District Transformation Programme, Health Constructive Community Action to enhance ENGAGING WITH 3,500 TEACHERS CRCs in assessment, pedagogy, and coaching. enrolment rates, accelerate learning, and ₹ 4.3 Crore Tribal Health Collaborative Also, we trained 19.4% of teachers (75,088) OF STATE QUARTELY FEE DUE COLLECTION minimise the digital gap in learning. We through the government’s NISHTHA teacher SAVED BY DELHI GOVERNMENT Jal Jeevan Mission helped strengthen governance at the district 9,000+ TRAINED LEADERS IN EDUCATION training programmes on language, math, and level through regular planning meetings Awards pedagogy skills. between District Project Management Units Statutory Report (DPMUs) and District Collectors (DCs). Board’s Report 30,089 schools Financial Statements AIDED WITH FUNCTIONAL LIBRARIES, Balance Sheet Statement of Income and Expenditure 9,825 schools BaLA ENABLED Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 20 Overview Piramal School of Leadership About Us

The Piramal Values Pan-India Impact Key achievements for the year Key Partnerships and Collaborations COVID-19 Response Success Story Governance at Piramal Foundation Our People Gandhi Fellowship Centres of excellence VFS A lighter, happier journey to school Our Three Key Pillars We onboarded 300 Gandhi Fellows and Eight centres of Excellence that are established We shared 15,000+ skill-based resources such Six-year-old Dilkhush, like lakhs of his school-going conceptualised a new product strategy – Youth to deliver in core domains of expertise. as lesson plans with teachers; facilitated 9% peers in Rajasthan, was weighed down by his school Piramal School of Leadership Impact Careers – to help them create impact. improvement in Math (early skills) in Amravati bag when he transitioned from an Anganwadi into Class 1. Traditionally, school bags weigh Piramal Swasthya Our NEST App launched with 146 alumni has District of Maharashtra and impacted nearly reached more than 900 registrations; we hosted 4,000 students. We digitalised Baseline ASER 3-5 kg, which is heavy for little children to carry. Piramal Sarvajal 175 This is because they must carry all books related 10 webinars and 24 online workshops featuring PRODUCTS DELIVERED,TARGETED Assessment and launched Bolo App in eight to subjects on their timetable. This is, however, Building a movement 18 subject matter experts. Our programme AT VARIOUS LOCATIONS locations. We also conducted our first-ever not good for children’s development. Thus, we Saarthi provided them with knowledge and virtual assessment for language and math Realising aspirations, together introduced ‘Baste ka Bojh Kam’, which literally support to begin their professional careers for class 2 and 3 for 11,340 students in 400 translates from Hindi into ‘a lighter school bag’. Education Health Water through the use of technology. 40 schools in three districts across the states RESEARCH PAPERS, TOOLS, We achieved this by replacing subject-wise books of Maharashtra, Gujarat, and Rajasthan. Our with term-wise books. Our teams put in extensive Strategic Focus Areas AND COURSES centres in Jharkhand and Rajasthan received efforts to co-ordinate with four different agencies District Transformation Programme, Education 1,360 schools appreciation from the Jharkhand state under the education ministry of the state. Within ENGAGING WITH 3,500 TEACHERS State Transformation Programme, Education 56 government and the Boston Consultancy Group five months, however, children were carrying just WORKSHOPS HOSTED and the State Commissioner of Rajasthan one book to school for the new academic year 2020, AMRIT respectively. Our centres served their burden reduced to nearly a kilogram. The 9,000+ pilot was declared a success and found its place in District Transformation Programme, Health TRAINED LEADERS IN EDUCATION 216,444 stakeholders. a comprehensive report released by the education Tribal Health Collaborative • Building school capacities and processes minister. The initiative was lauded by the Chief Minister of Rajasthan at the new government’s Jal Jeevan Mission From our efforts in March 2020, 30,089 (63.2% of the intervention schools) have first-year celebration. In September 2020, these Awards functional libraries, 9825 (19.2% of the total textbooks were published for distribution across 60,000 schools in Rajasthan. Statutory Report intervention schools) have built as Learning Aid functioning Board’s Report • Leveraging technology Financial Statements Designed and deployed two (journey app Balance Sheet and M&E form) for programme monitoring Statement of Income and Expenditure and evaluation with centralised dashboard

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 21 Overview Piramal School of Leadership About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response We work in close partnership with leaders in the education Governance at Piramal Foundation Our People ecosystem across three key levels of delivery: School – District Our Three Key Pillars – State. They bring about transformational change helping to

Piramal School of Leadership improve learning outcomes.

Piramal Swasthya Piramal Sarvajal SLDP DTP Building a movement Headmasters and teachers are the primary Reaching many remote districts in the country, change agents for making every public school this programme champions cutting-edge Realising aspirations, together future-ready. We work closely with over 3,500 education practices for schools. We empower Education Health Water such change agents across nearly 1,400 schools. future-ready leaders in the community and put Strategic Focus Areas Jhunjhunu district in Rajasthan is the innovation in place robust governance mechanisms. The hub where new products such as SEEL Early programme covers 4,200 middle managers, District Transformation Programme, Education Childhood Development and Entrepreneurial 1.21 Lakh headmasters and teachers, more than State Transformation Programme, Education Development for higher secondary students, and 26.7 Lakh parents and community members, more are piloted. and engaged 23,047 volunteers. AMRIT We focus on three transformational levers that District Transformation Programme, Health impact student learning outcomes at scale. Tribal Health Collaborative These include: Jal Jeevan Mission 1. Development of middle management by streamlining the processes for selection, Awards induction, and development of coaches and Statutory Report facilitators. 2. Constructive community action for creating Board’s Report a positive image about government schools, Financial Statements aimed at motivating parents to enrol their Balance Sheet children in schools. 3. Strengthening governance to ensure proper Statement of Income and Expenditure planning, implementation, and review of the Statement of Cash Flows transformation interventions.

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 22 Overview Piramal School of Leadership About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation STP Gandhi Fellowship This programme works with 34,000 officials across 12 states by empowering them to build Gandhi Fellowship enables youth passionate about tackling social challenges to channelise their Our People a teacher workforce that delivers 21st century skills to their students. We have developed energy and create impact. It is based on the concept of ‘Build Self and Build Nation’. It has a robust Our Three Key Pillars nine products aimed at achieving this transformation. alumni network of past Gandhi Fellows and has built a strong legacy of collaboration with a variety of Piramal School of Leadership government agencies.

Piramal Swasthya Creating future-ready Transforming structures Creating transforming Piramal Sarvajal Centres of Excellence education leaders and talent policies pedagogy Building a movement Building customised products for solving local problems, these centres create a vast pipeline of innovations that have been experimented with across Piramal Foundation for Education Leadership Realising aspirations, together Education Technology will Teacher development department enable strategic will focus on 21st (PFEL) programmes and documented for the purpose of sharing with external stakeholders. Education Health Water managers will decisions across century skills st Strategic Focus Areas have 21 century levels leadership skills VFS District Transformation Programme, Education School clusters will Legal reform reduces Curriculum and Our VFS centres serve a twin purpose – providing instant and empathetic support to last mile State Transformation Programme, Education become true ‘units administrative assessment are education workers and empowering rural women to access livelihood opportunities. Women are AMRIT of change’ burden future-ready trained to provide support to teachers and help improve student learning outcomes.

District Transformation Programme, Health

Tribal Health Collaborative Institutions and Support change in talent policies attract community attitudes Jal Jeevan Mission the best talent into towards children and education education Awards Statutory Report Governance enables self accountability Board’s Report and systemic delivery Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 23 Overview Piramal School of Leadership About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response The programmes described in this Governance at Piramal Foundation Our People section have primarily played the Our Three Key Pillars role of being our innovation hubs

Piramal School of Leadership and will continue to be critical to our

Piramal Swasthya efforts in the years ahead. Taking the Piramal Sarvajal innovative approaches and solutions Building a movement that these programmes have fostered Realising aspirations, together over the years, scaling up will be Education Health Water through two programmes that we Strategic Focus Areas have identified as our future big District Transformation Programme, Education bets. These two programmes are the State Transformation Programme, Education District Transformation Programme AMRIT and the State Transformation District Transformation Programme, Health Programme, which aim at bringing Tribal Health Collaborative about transformational change Jal Jeevan Mission through system strengthening. While Awards the former identifies the district as the Statutory Report

Board’s Report unit of change, the latter works at the Financial Statements state level. Balance Sheet A separate section(District Transformation Programme, Statement of Income and Expenditure Education; State Transformation Programme, Education) of this report brings out the details of these programmes. Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 24 Overview

About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response believes Governance at Piramal Foundation Piramal Swasthya Our People access to health care is a basic Our Three Key Pillars human right. All our efforts

Piramal School of Leadership are geared towards increasing

Piramal Swasthya availability, accessibility and Piramal Sarvajal affordability, of health care Building a movement services. We create systems that Realising aspirations, together serve the acutely vulnerable and Education Health Water unreached, by using technology Strategic Focus Areas to improve last-mile delivery. District Transformation Programme, Education We are transforming Health State Transformation Programme, Education Ecosystem through High Impact AMRIT Solutions, Thought Leadership District Transformation Programme, Health and Partnerships. Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 25 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact Better health care, safer communities Key Partnerships and Collaborations COVID-19 Response Among the largest not-for-profit organisations in India’s primary public health care Piramal Swasthya Governance at Piramal Foundation space, our programmes are aimed at bridging the gaps in public health care delivery by at a Glance Our People supplementing and complementing the vision of the Government of India. We focus on Our Three Key Pillars maternal health, child and adolescent health, nutrition and non-communicable diseases. Piramal School of Leadership

Piramal Swasthya 124 Million During FY2020, we have focused on BENEFICIARIES TILL Piramal Sarvajal MARCH,2020 • Partnership building has been a and non-communicable diseases (NCD). Building a movement concerted effort in 2019-20 and was The service was provided through Realising aspirations, together part of strategic approach of the mobile medical vans and a boat clinic. Education Health Water organisation. In order to increase These units were equipped with 21 States impact and strive towards achieving telemedicine consultation, which was COVERED UNDER PIRAMAL Strategic Focus Areas Universal Health Coverage, there is provided by the specialists at Jorhat SWASTHYA PROGRAMMES District Transformation Programme, Education need to collaborate with various kinds Medical College. of partners. Our proactive approach State Transformation Programme, Education • This year was key to germination of has led to partnerships with multiple a collaborative for tribal population. AMRIT organisations such as Bill & Melinda Given that 9% of India’s population 35 Gates Foundation (BMGF), Rockefeller PUBLIC HEALTH CARE District Transformation Programme, Health belong to tribal communities who Foundation, World Diabetes DELIVERY PROGRAMMES live in difficult to reach areas such as Tribal Health Collaborative Foundation, UNICEF and many CSR hilly terrain, forest areas, mainland organisations. These partners played Jal Jeevan Mission without motorable road, a focused multi-dimensional roles – while some approach to address their health Awards came on board as knowledge and issues in their settings is needed. The 2,678 Statutory Report technical partners, some supported EMPLOYEES Collaborative’s mandate will be to end the programme by providing grants. Board’s Report preventable deaths for tribal and other • A unique programme was initiated in marginalised communities across India. Financial Statements Majuli district of Assam, the oldest This vision of Collaborative can be Balance Sheet and the largest inhabited riverine realised by creation of a platform that 171 DOCTORS Statement of Income and Expenditure island of the world. About 70% of will bring together experiences and the population in Majuli district are expertise of individuals, organisations, Statement of Cash Flows tribal. The programme included free foundations, donor agencies, Statement of Changes in Equity screening service and free medicines government ecosystem, and most for primary health care, reproductive, importantly the community. Notes to Financial Statements maternal, newborn and child health Piramal Foundation Annual Review 26 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact Collaboration and tech driven impact Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Piramal Swasthya has worked towards a dream aspirational districts and has provided the which is a multi-stakeholder platform with a Our People where no one across the country is denied basic confidence of developing these approaches commitment to end preventable deaths in tribal Our Three Key Pillars health care and when availability, accessibility, as tool kits that can be replicated across many communities across the country. A deepening and affordability become an inalienable other districts. An independent study by The engagement and strategic conversations Piramal School of Leadership right for the most underserved. As Universal Institute of Competitiveness concluded that with central ministries, technical experts, Piramal Swasthya Health Coverage becomes a rallying cry in these improvements were possible due to implementation partners, and philanthropists are the partnership between governments and three critical elements: community awareness, giving a more concrete shape to the Collaborative. Piramal Sarvajal development partners, Piramal Swasthya believes multi-stakeholder collaboration, and data-based Our work on the technology front, especially Building a movement that the role of communities in designing and governance. Our key learning has been involving in building a platform for Electronic Health implementing new approaches will take on a very communities and local institutions in the design Realising aspirations, together Records in primary health care has continued different character. and implementation of effective intervention. Our apace. The deployment of this platform across Education Health Water new partnerships in the last year seek to build on While India has made strides in reducing multiple projects/locations is building a rich pool our experiences, create a learning eco-system, Strategic Focus Areas maternal and infant deaths over the last decade, of longitudinal health records that will deliver and leverage partners’ global expertise to address regional disparities continue to be stark. Our insights for government decision-makers over District Transformation Programme, Education India’s needs. work continues to ensure parity in health care time. The partnerships that we are building State Transformation Programme, Education services by undertaking programmes among Our long engagement with the tribal communities and the linkage that we plan to establish with AMRIT the most vulnerable population in the country. in six mandals of Visakhapatnam’s tribal belt the government’s National Digital Health Building on decade-long solutions such as health marked a period of zero maternal deaths for Mission can assist in bridging a key gap in the District Transformation Programme, Health Our work continues to ensure helplines, community outreach programmes, and the third year in a row across 800+ habitations. interoperability cycle. Tribal Health Collaborative parity in health care services telemedicine has not only enabled us to increase The deepening relationships with government None of this would have been possible without the reach of primary health care services but also agencies have played a key role in marking this Jal Jeevan Mission by undertaking programmes the strong engagement with governments and serve as a critical lifeline for communities in the progress. The team focused on the nutrition of our partnerships with Foundations and thought Awards among the most vulnerable management of COVID-19 spread. Our teams adolescent girls and expecting/lactating mothers leaders. To my mind, while we learn from our Statutory Report across the country have worked incessantly in our attempt to build a holistic approach in population in the country. project implementation, the success of any during this trying time in supporting government the years to come. We believe that tackling any Board’s Report national endeavour will ultimately depend on health initiatives across the country and health issue at its cause and through a preventive our ability to collaborate and cross-pollinate our Financial Statements demonstrated traits of a resilient organisation. approach is crucial as we aspire for Universal experiences in a meaningful national mission. Health Coverage. Balance Sheet Our work with NITI Aayog in the aspirational Statement of Income and Expenditure districts continued apace with improvements This belief has inspired us to continue our efforts in multiple health parameters across 25 in building a Tribal Healthcare Collaborative, Paresh Parasnis Statement of Cash Flows CEO, Piramal Swasthya Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 27 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact Key achievements for the year Key Partnerships and Collaborations COVID-19 Response At Piramal Swasthya, our dream is to provide basic health care facilities across the country Success Story Governance at Piramal Foundation Our People through meaningful collaborations. Over the years we have built strong relationship with several A healthy delivery Our Three Key Pillars government, non-government and international organisations. We have collaborated with various Malti Pandab (name changed) belongs to a tribal community from a hard-to-reach tea plantation Piramal School of Leadership government organisations including NITI Aayog, Ministry of Health and Family Welfare, Ministry of area in the Tinsukia district of Assam. She grew up with limited resources, which had an impact on her Piramal Swasthya Tribal Affairs, and state departments; along with international organisations such as Bill and Melinda health and nutritional status. Like other girls in the community, Malti also got married at an early age Piramal Sarvajal Gates Foundation, Rockefeller Foundation, and UNDP. Piramal Swasthya also collaborated with of 18 years and she conceived within two years of Building a movement corporates namely Asian Paints Ltd., Oil India, Shriram Transport Finance Corporation, to implement her marriage. Malti registered for an ANC checkup with the Realising aspirations, together their CSR initiatives. Sanjeevani Village Outreach Programme’s Mobile Education Health Water Medical Unit (MMU) in January 2020. She weighed Our key achievements during FY2020 are as follows: only 35.5 kgs and her hemoglobin was around 6.2 g/ Strategic Focus Areas dl, which was alarming. Malti was immediately Himachal Pradesh TMC Technical Support Unit for identified as a high-risk pregnancy case and was District Transformation Programme, Education Non-Communicable Diseases, referred to the government hospital for Iron Sucrose The Himachal Pradesh – Telemedicine Centre State Transformation Programme, Education Maharashtra injections. Malti was provided IFA supplements as (TMC) was started in year 2015 with 25 nodes per the recommendation for high‑risk group and also AMRIT and one hub in Solan. In the FY2019-20, this The Technical Support Unit (TSU) for counselled on consuming nutrition rich food that is expanded to 75 nodes across seven districts Non-Communicable Diseases (NCDs) locally available such as banana flower, local fishes, and District Transformation Programme, Health in the state, covering 60 Health Sub Centres started its operations in FY2019-20. The green leafy vegetables. Tribal Health Collaborative (HSCs), two Primary Healthcare Centres (PHCs), TSU works closely with the State NCD Cell, Compliance on food and medicines resulted in the rise of hemoglobin to 9g/dl within a month and Jal Jeevan Mission 10 Community Health Centres (CHCs), and Government of Maharashtra, and provides three Civil Hospitals. In 2019-20, around 37,356 techno-managerial boost to the National she also gained weight. But tracking her progress Awards became a challenge for the Sanjeevani team due telemedicine consultations were conducted Programme for Prevention and Control of to COVID-19 situation. Thus, the team connected Statutory Report successfully, which prevented beneficiaries from Cancer, Diabetes, Cardiovascular Diseases with ASHA worker in the village and tracked Malti’s unnecessary hospitalisation for the conditions and Stroke (NPCDCS) in Maharashtra. progress through her. ASHA worker undertook regular Board’s Report that can be addressed through early specialist It has provided key inputs in areas of counselling on micronutrient supplements, dietary Financial Statements intervention. The TMC makes specialist capacity building, communication for diversity, importance of institutional delivery and monitored Malti’s progress during her pregnancy. The Balance Sheet consultation accessible in the hard‑to-reach NCD, disease management guidelines, collaborative effort had a positive outcome.

areas and prevent beneficiaries from travelling data management, data analytics and th Statement of Income and Expenditure On June 5 , Malti delivered a baby girl at the long distance through tough terrains, thereby research, budgetary planning related government hospital and she weighed 2.5 kgs at birth. Statement of Cash Flows reducing the financial and time outlays of to NCD and coordination of allied At the time of the birth, Malti’s weight was 44 kgs and patients. TMC also helps in reducing the load departments with State NCD Cell. her hemoglobin was at 9g/dl. She continues to take Statement of Changes in Equity of minor ailments and manageable illness from IFA tablets and also ensures having a nutritious diet to Notes to Financial Statements public health system, as large number of cases secure a healthy future for her baby and herself. are addressed at the primary health care level. Piramal Foundation Annual Review 28 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Our purpose is to address health-related queries and provide health Governance at Piramal Foundation Our People advice to the community at large. We provide doctor and specialist Our Three Key Pillars consultation on health issues, thus enhancing beneficiary outcomes by

Piramal School of Leadership bringing health services closer to the beneficiary. Piramal Swasthya Remote Health Advisory & Intervention platform (RHAI) Piramal Sarvajal We provide 24x7 health advice via telephone Health Information Helpline (HIHL- 104) is a Telemedicine Centres (TMC) provides specialist National AIDS Helpline - 1097: Piramal Swasthya Building a movement and telemedicine services, helping to reduce health contact centre that renders medical consultation by doctors. The in-built technology manages the National AIDS Helpline to provide the minor ailment load on the public health information and advice, provides counselling creates longitudinal medical records, helping comprehensive health information related to Realising aspirations, together system. These helplines are run across eight services, offers directory information, or option beneficiaries prevent unnecessary travel, HIV/AIDS and STIs in 15 different languages Education Health Water states namely, Assam, Bihar, Jharkhand, Sikkim, to lodge a service complaint against any public hospitalisation cost, and more. across India. Strategic Focus Areas Maharashtra, Karnataka, Chhattisgarh, and health facility. The helpline is managed by Himachal Pradesh in partnership with the qualified and trained paramedics, counsellors, District Transformation Programme, Education respective state governments. and doctors who use medically validated 1,77,748 31,44,785 TELEMEDICINE SERVICES BENEFICIARIES algorithms and disease summaries to provide State Transformation Programme, Education BENEFICIARIES standardised care. AMRIT 4 District Transformation Programme, Health 81 CENTRES 8,49,34,627 TELEMEDICINE CENTRES Tribal Health Collaborative HIHL BENEFICIARIES TILL Jal Jeevan Mission 5 Awards 364 STATES TOTAL CALL CENTRE SEATS Statutory Report Board’s Report 8 Financial Statements STATES Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 29 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Community Outreach Platform CSR Partnerships Tribal Health Programme-ASARA, GOSTHANI, and Nutri-Hub This platform helps rural beneficiaries to We are a trusted partner of choice for the Specifically catering to tribal populations Our People access primary health care with ease and health-focused CSR activities and initiatives afflicted with the highest maternal and infant 23,504 Our Three Key Pillars convenience. We arrange medical vans of various organisations, including Shriram mortalities, this programme is active in the tribal ANTENATAL CARE (ANC) Piramal School of Leadership equipped with medical devices, medicines, Transport Finance Company, Asian Paints Ltd. belt in Araku valley near Visakhapatnam. The and health care workers that visit areas on United Nations Development Programme, Araku valley is one of the six mandals within the Piramal Swasthya fixed days. Bokaro Power Supply Company Ltd. tribal belt in Visakhapatnam where ASARA is 21,264 POSTNATAL CHECK (PNC) Piramal Sarvajal among others. active. In the last three years, we have ensured that maternal deaths are zero. Building a movement 4,92,37,558 1,17,187 Realising aspirations, together BENEFICIARIES OVERALL UNDER COP 11,60,228 TELEMEDICINE CENTRE (TMC) Education Health Water TOTAL BENEFICIARIES Strategic Focus Areas Sanjeevani in Assam 14 States District Transformation Programme, Education Named Sanjeevani, this Village Health Outreach FOCUSING ON HEALTH INITITAIVES Programme is a once-a-month, fixed date outreach State Transformation Programme, Education initiative of the Government of Assam. The service AMRIT is delivered by Piramal Swasthya through the use of 80 Mobile Medical Units (MMU). District Transformation Programme, Health

Tribal Health Collaborative 86,81,349 A.M.R.I.T. – A Public Good Jal Jeevan Mission PEOPLE BENEFITTED SO FAR Accessible Medical Records via Integrated Awards Technologies (AMRIT) is an Electronic Health Statutory Report Records (EHR) platform. It creates a unique beneficiary ID and allows disparate systems Board’s Report to connect to it, making health care delivery Financial Statements seamless. It is built to capture data for Balance Sheet Anternatal Check (ANC), Postnatal Check (PNC), and NCDs (including cervical, breast, and oral Statement of Income and Expenditure cancer), and common ailments. Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 30 Overview Piramal Swasthya About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation PRERONA AHANA Nutri-Hub Detect Early & Save Her/Him (D.E.S.H) The programme is focused on increasing The programme, active across the states of A community-based approach to nutrition to Our People institutional deliveries to bring down the Assam, Arunachal, Meghalaya, and Sikkim, make communities aware of the importance A first-of-its-kind community-based cancer Our Three Key Pillars maternal mortality rate (MMR) and infant is aimed at helping to eliminate parent-to- and benefit of a healthy and nutritious diet. The screening programme being run in the North- Piramal School of Leadership mortality rate (IMR) in the island district of child transmission of HIV and Syphilis. We dedicated nutrition hub help prepares, process, East region of the country. It is aimed at Majuli in Assam. The MMR and IMR of this screen pregnant woman during the ANC and and preserve nutritional food items for families. detection of oral, breast, and cervical cancers. Piramal Swasthya area (where 70% of the population is tribal) link up the positive cases for further testing D.E.S.H team walks with the patient through the Piramal Sarvajal is 404 per 100,000 live births and 50 per and treatment services under National AIDS entire journey of initial screening to diagnosis 1,000 live births, respectively. We provide Control Programme. 267 to treatment. Building a movement HABITATIONS COVERED the community with health care through four Realising aspirations, together medical mobile units and a boat clinic. 14,53,369 28,833 Education Health Water TOTAL SCREENINGS 1675 TOTAL BENEFICIARIES PREGNANT WOMEN COVERED Strategic Focus Areas 55,040 TOTAL BENEFICIARIES District Transformation Programme, Education 848 TOTAL POSITIVE CASES State Transformation Programme, Education 349 AMRIT TMC CONSULTATION 4 District Transformation Programme, Health STATES Tribal Health Collaborative 1,532 ANC Jal Jeevan Mission 75 DISTRICTS Awards 29,705 Statutory Report SCREENING FOR NCDs *FY2019-20

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 31 Overview Piramal Swasthya About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response The remote health advisory Governance at Piramal Foundation Our People services through health helplines Our Three Key Pillars and telemedicine centres, on one

Piramal School of Leadership hand, and community outreach

Piramal Swasthya programmes through mobile medical Piramal Sarvajal units, on the other, have been Building a movement the operational base with a direct Realising aspirations, together beneficiary connect for Swasthya Education Health Water over the years. These will remain Strategic Focus Areas the mainstay of Swasthya’s last District Transformation Programme, Education mile delivery of primary health care State Transformation Programme, Education services to remote and underserved AMRIT populations of the country. We will, District Transformation Programme, Health however, throw our weight behind Tribal Health Collaborative platforms and collaboratives through Jal Jeevan Mission three other programmes, with an eye Awards on the future. These include Statutory Report Districts

Board’s Report Transformation Programme, the Financial Statements Tribal Health Collaborative and

Balance Sheet AMRIT.

Statement of Income and Expenditure A separate section (Districts Transformation Programme; Statement of Cash Flows Tribal Health Collaborative; AMRIT) of this report brings out the details of these programmes. Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 32 Overview

About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response Seeded by Piramal Foundation Governance at Piramal Foundation Our People in 2008, Piramal Sarvajal Our Three Key Pillars is a mission-driven social

Piramal School of Leadership enterprise, which designs and

Piramal Swasthya deploys innovative solutions Piramal Sarvajal for creating affordable access Building a movement to safe drinking water in Realising aspirations, together underserved areas. Education Health Water

Strategic Focus Areas

District Transformation Programme, Education

State Transformation Programme, Education

AMRIT

District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

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Statement of Cash Flows

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Notes to Financial Statements Piramal Foundation Annual Review 33 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact Expanding reach, sustainably Key Partnerships and Collaborations COVID-19 Response Sarvajal is at the forefront of developing Piramal Sarvajal Governance at Piramal Foundation Our People technologies and business practices in the safe at a Glance Our Three Key Pillars drinking water sector. These are designed to make a

Piramal School of Leadership purely market‑based model sustainable in both rural

Piramal Swasthya and urban areas. 657,000+ BENEFICIARIES Piramal Sarvajal As a result of our innovative and technology-driven approach, we are providing SERVED DAILY reliable access to safe drinking water to over 657,000 people daily through 1,800+ Building a movement touchpoints spread across 20 Indian states. Realising aspirations, together We have partnered with Niti Aayog to help in effective deployment of the Swajal Education Health Water Scheme. We are also providing on-ground community mobilisation support for Jal 20 States COVERED UNDER PIRAMAL Shakti Abhiyan promoted by the central government. Strategic Focus Areas SARVAJAL PROGRAMMES District Transformation Programme, Education https://www.youtube.com/watch?v=Y7OTg5ueIJ8

State Transformation Programme, Education AMRIT 1,800+ TOUCHPOINTS District Transformation Programme, Health

Tribal Health Collaborative Jal Jeevan Mission 1.62 Billion Awards LITRES OF PURIFIED WATER Statutory Report DISPENSED TILL DATE

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

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Notes to Financial Statements Piramal Foundation Annual Review 34 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact Supplying running water, empowering communities Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation One of the profoundest truth of human existence is the local administrative representatives and households. Our experience in managing Our People that what is essential, is missed or ignored almost communities to ensure uninterrupted service. decentralised network uniquely placed us in Our Three Key Pillars always. The centrality of water to human as well It gave us many inspiring stories of people rising the distinctive position for validating design as all life and the apathy it has met for decades, above the call of duty in absence of support principles of ‘single village schemes’ under the Piramal School of Leadership is a fitting example of the same. And India is no system available under normal situations. Swajal scheme of Ministry of Jal Shakti (MOJS). Piramal Swasthya exception to this. However, the launch of Jal And we once again proved the robustness We were not only able to deliver to double the Jeevan mission in FY2020, with audacious goals and calamity resilience of our technology number of mandated villages, but were also Piramal Sarvajal and resources to match, gives hope that things will and operating models. About 89% of Sarvajal successful at formulating and contributing many Building a movement start changing for the better. locations didn’t have a single non-functional of our learnings and recommendations to the Jal day during the lockdown. and many of our Jeevan mission guidelines. Realising aspirations, together At Sarvajal, we started with a focus on providing driver and operators chose to stay away from drinking water solutions to the underserved All in all, the goal of Jal Jeevan mission, Education Health Water their respective families and ensured continued communities. Realities of habitation spread, community-centric design, and resources service to the communities in regular manner Strategic Focus Areas and varying contamination profile of locally committed makes it very promising. The with all due precautions related to hygiene and available water sources led us to pioneering importance of hand hygiene and related District Transformation Programme, Education social distancing. a purification-centric, information-layered, necessity of running water has also been State Transformation Programme, Education remotely-monitored and locally-managed Over the last few years concerns of water highlighted by pandemic like never before, AMRIT decentralised approach. Over time, we have scarcity led us to experiment and expand our obviously there are going to be implementation developed different models for different use ambit of work to cover various conservation challenges related to groundwater governance District Transformation Programme, Health Today with support from our cases basis rural demographics for low-density activities. from recharging groundwater to and grey water management, still it’s a great Tribal Health Collaborative partners we have been able villages to high-density villages to slums and reusing the wastewater. I am happy to share step forward in the right direction. We at Jal Jeevan Mission to replicate our learnings public places etc. Today, with support from our that in a short span of three years of our foray in Sarvajal are committed and look forward to partners we have been able to replicate our this space, even in the pandemic affected year, serving many more communities by replicating Awards to cover 1,800+ locations, learnings to cover 1,800+ locations, serving conservation activities accounted for roughly our learnings in the space of water access, Statutory Report serving 657,000+ people daily. 657,000 people daily. about one-fourth of all its activities. conservation, and drinking water quality. Board’s Report I am also happy to share that during the initial In aspirational districts programme in months of of the pandemic-induced lockdown, partnership with NITI, we participated in Financial Statements Anuj Sharma our team in various places worked together with providing ‘piped water supply’ to rural CEO, Piramal Sarvajal Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 35 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact Key achievements for the year Key Partnerships and Collaborations COVID-19 Response Piramal Sarvajal focuses on last mile delivery of safe drinking water at affordable Governance at Piramal Foundation prices by installing community level purification plants and Water ATMs on rural Our People and urban India. We work with local entrepreneurs, local panchayats, government Our Three Key Pillars agencies, philanthropic organizations and corporates to provide safe drinking water Piramal School of Leadership access to more than 2 million people across 20 states. Piramal Swasthya

Piramal Sarvajal Our focus this year has been on water Our key achievements during FY2020 are as SERVING Building a movement conservation and community capacity building. follows: Towards this end we have worked with Realising aspirations, together Community Water Purification corporate CSR and Government to not only 657,000+ Project CONSUMERS DAILY AND OPERATED THROUGH Education Health Water deploy infrastructure set-up on ground while Strategic Focus Areas ensuring participatory ownership by mobilizing Piramal Sarvajal ensures safe drinking water at the community, but also helped strengthen 1,800 touchpoints spread across the country, 1,800+ District Transformation Programme, Education capacity at the district level through regular serving more than 657,000 consumers daily. The TOUCHPOINTS IN State Transformation Programme, Education meetings and workshops. locations we intervene in have limited access to water both in terms of quantity and quality, i.e AMRIT 20 states 38% of the rural households from the intervened District Transformation Programme, Health location were dependent on the public taps/ Tribal Health Collaborative sources for drinking water and around 12% people travelled more than one km to fetch Jal Jeevan Mission it. With 76% our consumers having an income Awards lesser than ` 15,000, it is even more difficult when 6.10% of their income is spent on medical Statutory Report expenses due to waterborne diseases. Post Board’s Report our intervention we have observed a change in water hygiene behaviour (94% are more aware Financial Statements and follow improved hygiene practices). As per Balance Sheet self-reported benefits shared by our consumers Statement of Income and Expenditure there has been a noticeable decline in the water borne illness in their households and they have Statement of Cash Flows reported an average savings of ` 228 per month Statement of Changes in Equity on household medical expenditure.

Notes to Financial Statements Piramal Foundation Annual Review 36 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact Key achievements for the year Key Partnerships and Collaborations COVID-19 Response Swajal Jal Shakti Abhiyan Five Important Water Success Story Governance at Piramal Foundation Conservation Interventions Piramal Foundation is working with NITI Sarvajal facilitated Jal Shakti Abhiyan in The smart way to water security Our People Aayog for facilitation of the Swajal scheme 12 districts across nine states. Sarvajal and PFEL Our Three Key Pillars implementation in 16 districts across 7 states. collaborated to mobilise 98 Gandhi fellows to Rain Water Meeraben, a homemaker and mother of two We have been a key contributor in building undertake a 10-day intervention to identify and Harvesting kids lives near Haldharvas, a small village in Piramal School of Leadership capacity and facilitating the Swajal programme document best practices in water conservation Mahmedavad Taluka in Kheda district of Gujarat. The village comprises 25 families and has a total Piramal Swasthya with community and government departments and take the Jan Andolan to the masses across at gram panchayat, district, state and national 49 districts in six states. Renovated traditional population of 150 people. The village lacked the Piramal Sarvajal facility for safe drinking water. This was despite level. Some of our key achievements have been and other water the Gujarat Water Supply and Sewage Board Building a movement empowering the community to adopt Swajal bodies/tanks establishing a piped water scheme, which involved via 1,200+ mobilization drives and facilitating Realising aspirations, together 12 installing a borewell and a 5,000-litre water tank over 300 gram-sabha resolutions, that has the DISTRICTS -SWAJAL TEAM with a staging structure. The water supply was Education Health Water potential to impact 1,00,000+ rural people. erratic. Thus, Meeraben and her fellow villagers had Strategic Focus Areas We also developed an IoT (internet of things) to always store large quantities of water. based remote monitoring solution (comprising 49 Reuse and Recharge DISTRICTS WITH GANDHI FELLOWS Piramal Sarvajal engaged with the residents and District Transformation Programme, Education of sensors and an online dashboard) for Swajal structures created realised that automation of water supply could be a State Transformation Programme, Education scheme and are collaborating with Ministry of simple solution to their problem. We deployed our Drinking Water and Sanitation and National NATIONAL RANK (OUT OF 255) AMRIT IoT-enabled remote monitoring solution and the Informatics Centre to pilot it at 10 locations Watershed villagers soon had 24x7 water supply. With sensors District Transformation Programme, Health across the country. Nainital (6) developed measuring daily water extraction and monitoring Tribal Health Collaborative water levels in the water tank, the system automated pump operation. Not only did this eased Jal Jeevan Mission 295 Dhanbad (12) Saplings the community’s access to safe drinking water but HABITATIONS SCHEME-READY WITH DPRS also helped curb water wastage. With real-time Awards Planted PREPARED Balod (14) data coming in, the local government bodies have Statutory Report access to all-important parameters like quantity of water, quality of water, and the status of water Board’s Report 148 Gandhinagar (28) source at any given point in time, enabling effective HABITATIONS MOBILISED Financial Statements governance and timely repairs and upkeep. COMMUNITY FUNDS Balance Sheet Statement of Income and Expenditure 63 Statement of Cash Flows TENDER RELEASED WITH 34 LOCATIONS CONSTRUCTION WORK ONGOING Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 37 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation A. Sarvajal Technology Our People 1. Purification 2. Monitoring 3. Distribution Our Three Key Pillars Water Purification Plants: Sarvajal’s E-Soochak Controller: Sarvajal pioneered the of our partnership with NITI Aayog to facilitate the Sarvajal Water ATM Device: Water ATMs are purification model is agnostic of the method use of Remote Monitoring technology in the implementation of Swajal. solar-powered, cloud‑connected, automated, Piramal School of Leadership of filtration, utilising purification technology as drinking water sector, by deploying IoT-enable The PWMS comprises three components: contactless water vending machines that dispense Piramal Swasthya per the source water. Sarvajal water is purified devices on all purification plants and water Smart water sensors to measure vital water at swipe of a smart card. These ATMs track through a site-designed five-step filtration ATMs. These devices provide real-time impact statistics (quality, quantity, regularity, etc.) every transaction that takes place, which enables Piramal Sarvajal process, including media filtration, micron data, enhancing accountability, and efficiency of the piped water scheme sophisticated market forecasting and proactive Building a movement filtration, Reverse Osmosis (RO) filtration, and of operations. Control unit to relay information provided by the multi-unit management. During the COVID-19 UV purification. As a part of our endeavour sensors to a remote/cloud server pandemic, our technical knowledge helped us Realising aspirations, together Piped Water Monitoring Solution (PWMS): to address the emerging challenges, we have Database to store/ retrieve information update the firmwares of our button-operated ATMs Building on Sarvajal’s core strength of designing Education Health Water focused on studying emerging technologies like Web-based application to visualise key statistics by and convert them to no-touch card operated ones, technology-enabled information layer on TDS reduction, arsenic and fluoride treatment, leveraging data analytics ensuring safety of all the ATM users. Strategic Focus Areas decentralised water systems, our research team has including alternative to RO, by studying 36 Three pilot demonstrations have been District Transformation Programme, Education designed a low-cost Piped Water Monitoring Solution technologies and shortlisting on two suitable implemented in Kamrup (Assam), Kheda (Gujarat), 4. Management (PWMS). PWMS was developed under the purview State Transformation Programme, Education ones for scale up. and Nalanda (Bihar) in 2019. Sarvajal Enterprise Management System (SEMS): Developed by a team of software experts, the SEMS AMRIT is a tool that captures and processes data received District Transformation Programme, Health https://www.youtube.com/watch?v=CmgLTX3kLjA by all the installed water purification and dispensing Tribal Health Collaborative units. Additionally, SEMS is equipped with optimisation algorithms to create relevant alerts, Jal Jeevan Mission 1. Purification 2. Monitoring 3. Distribution 4. Management which enable key process related remote‑controls Awards and boundary triggered auto‑controls. During the COVID-19 outbreak, it helped us track operational Statutory Report performance of all the machines and oversee the Board’s Report maintenance, so that if there was any issue the operator could be trained online. Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

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Notes to Financial Statements Piramal Foundation Annual Review 38 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation B. Community Engagement Our People Community engagement through participatory 2. Participatory Planning Process during 3. Community Mobilisation in 4. Mobilising SHGs Our Three Key Pillars planning process is crucial to foster community Swajal implementation promoting Jal Shakti Abhiyaan. We supported creation of women SHG‑led ownership, which is quintessential for long- At Sarvajal, we believe that participation Sarvajal collaborated with the Ministry business model at the village level in Piramal School of Leadership term sustainability of any project. Involvement in key decisions engenders community of Jal Shakti to facilitate the mission in 12 select districts of Maharashtra to provide Piramal Swasthya of the community from the initial stage of ownership and is the core of the success districts across nine states. Our objective safe drinking water where groundwater scheme planning ensures that they actively and sustainability of rural drinking water was to facilitate water conservation- is contaminated or not fit for direct Piramal Sarvajal participate in taking crucial decisions. supply schemes. Our team conducted related government programme on a consumption. This was in collaboration Building a movement extensive mobilisation activities to mission mode by conducting awareness with Maharashtra Village Social 1. Village Water Committee (VWC) empower the communities to adopt Swajal drives for different stakeholder groups. Transformation Foundation (MVSTF). Realising aspirations, together enabling community ownership by involving them in the planning and The team worked to quickly build rapport Sarvajal’s purification model is agnostic of 5. Leveraging Behaviour Change Education Health Water execution process of the scheme. Activities with government officials in these the method of filtration, utilising purification Communication like social mapping enabled the community districts and documented success stories Strategic Focus Areas technology as per the source water. Sarvajal With a focus on increasing the water to take better decisions regarding scheme of the work done at the district for water water is purified through a site-designed offtake at multiple locations where District Transformation Programme, Education planning. We conducted jal yatras to conservation. The team also: five-step filtration process including media Sarvajal operates, the team undertook State Transformation Programme, Education highlight the gravity of the water crisis • mobilised the community, organised Jal filtration, micron filtration, Reverse Osmosis various experiments to understand in villages. Our team also supported Yatra, and educated schoolchildren and AMRIT (RO) filtration and UV purification. the user behaviour. It created various strengthening of the Paani Samitis, who are community members behavioural tools to increase the water District Transformation Programme, Health A perfect example of community at the core of the long-term sustainability of • visited sites of water conservation offtake by implementing communication participation is seen in Kakkadasam, piped schemes. Tribal Health Collaborative structures and conducted workshops on strategies and activities for select locations Krishnagiri district of Tamil Nadu. The entire water conservation practices of Sarvajal. Jal Jeevan Mission community came forward, putting aside their Awards personal and professional differences, to implement the project. The women's Self-Help Statutory Report Groups (SHGs), along with Panchayat Level Board’s Report Federation, took ownership of the service and mobilised the community for the benefit of Financial Statements all. A village water committee was formed to Balance Sheet take collective decisions regarding finances Statement of Income and Expenditure and management of the plant. Thanks to the goodwill and community feeling, the VWC also Statement of Cash Flows shared the safe drinking with four Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 39 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations

COVID-19 Response C. Solution Models Governance at Piramal Foundation Our People 1. Rural Solutions a. Adopt a village b. Strengthening programmes funded by c. Adopt a school Our Three Key Pillars We partner with philanthropic organisations the government In association with various organisations, Given the Covid scenario, we believe that Piramal School of Leadership willing to fund the unit and gap fund the Currently, more than 20,000 community-based we provide safe drinking water by setting this effort would have helped in generating operational cost in the short-term until water purification plants have been installed up purification and dispensing drinking awareness about health and hygiene Piramal Swasthya recurring expenses can be recovered through at rural locations across multiple states by the water unit in schools we have developed among children. Piramal Sarvajal revenue, thereby resulting in the sale of respective state governments. However, due to School Health Awareness Programme. is to drinking water within the community. Also, various reasons, 50-60% of these installations help children understand the importance Building a movement we conduct intense awareness generating are barely functioning. Sarvajal aims to provide of safe drinking water for their health, so 1,24,664 CHILDREN SERVED DAILY Realising aspirations, together marketing programmes to educate on health solutions for these (remote monitoring) to the that they learn to stay hydrated, avoid Education Health Water linkages to water and encourage people's government and bid winners for improved falling sick from water-borne diseases, and participation in solving problems at local levels. monitoring of their existing decentralised attend school regularly. The sessions aimed 194 Schools Strategic Focus Areas drinking water initiatives. to engage students through participatory District Transformation Programme, Education exercises, which were both informative and 18 States We collaborated with MVSTF and did pilot motivational. Sarvajal helped in showcasing State Transformation Programme, Education 1,97,049 PEOPLE SERVED DAILY projects for Providing Safe and Sustainable messages (created by the students through AMRIT Drinking Water in select districts of painting, slogan writing, and poems Maharashtra. Under this, we installed safe on WASH) to parents and community District Transformation Programme, Health 416 Villages drinking water setups in few villages. members as extended audiences. (https://www.youtube.com/watch?v=Npwjtx4lqbQ) Tribal Health Collaborative

Jal Jeevan Mission 15 States Awards Statutory Report

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Statement of Income and Expenditure

Statement of Cash Flows

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Notes to Financial Statements Piramal Foundation Annual Review 40 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation C. Solution Models Our People 1. Rural Solutions Our Three Key Pillars d. Franchisee model: e. Water use efficiency – recharge, reduce, reuse Piramal Sarvajal through its franchisee Sarvajal’s approach to water conservation is driven by the need to ensure sustainable use of Piramal School of Leadership business model appoints a local entrepreneur our drinking water sources - borewells and groundwater aquifers. Our 3 pronged approach Piramal Swasthya as a Sarvajal franchisee and helps set is as follows: up and support provision of affordable, Piramal Sarvajal i. Recharge: This involves efforts to recharge ii. Reduce: This involves efforts to reduce quality assured drinking water to the local the underground aquifer/borewell using the consumption of groundwater by the Building a movement community. One of several ecosystem-level rainwater harvesting so that the risk of purification units. It consists of two models challenges faced by us is that for every Realising aspirations, together groundwater levels falling/borewells – deploying Ferrocement Tanks that store water entrepreneur brought to the fold, running dry, are reduced considerably. rainwater as a reserve above ground (to Education Health Water we lose two prospective entrepreneurs This in turn is expected to keep Sarvajal be used during the summer period when due to lack of ready-investment capability Strategic Focus Areas purification units operational for water is scarce) and identifying more and access to formal credit markets. The longer periods, including the summer efficient means of purification other than District Transformation Programme, Education challenge is in encouraging the banking months when groundwater availability Reverse Osmosis. For the latter, we are State Transformation Programme, Education sectors to create loan products for the water is a challenge. We have piloted four and currently zeroing in on Capacitive De sector, specifically designed for the water AMRIT finalised three models, which cumulatively Ionisation Technology (CDI), which has entrepreneurs. So, Sarvajal collaborated with recharged over 5 L litres in FY2020 and an 80% efficiency of raw water usage, as District Transformation Programme, Health Water.org and Smart Power India, designed 3.25 Litres in FY2021 so far. compared to RO systems that have 50-55% and implemented a franchisee loan-financing Tribal Health Collaborative efficiency. This is expected to reduce the programme in the states of Madhya Pradesh amount of water our systems use. Jal Jeevan Mission and Uttar Pradesh. Awards iii. Reuse/recycle: Our work under this (https://www.youtube.com/watch?v=8-iYBphIYOQ) Statutory Report component has been to find use cases for highly saline water that is brought out Board’s Report as RO reject from our purification units. Financial Statements 2,80,866 The use cases are in farming, but at a trial Balance Sheet PEOPLE SERVED DAILY stage, and we would need more time to ascertain their feasibility. Statement of Income and Expenditure

Statement of Cash Flows 359 Franchisees Statement of Changes in Equity 9 States Notes to Financial Statements Piramal Foundation Annual Review 41 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation C. Solution Models iii. In Sahibganj, Jharkhand, the machines Our People 2. Urban Solutions Hub-and-spoke model: were operational and services continued 42,547 Our Three Key Pillars beyond the pipe even during complete lockdown. During PEOPLE SERVED DAILY Piramal School of Leadership In urban India, a third of the communities do Covid, people were more conscious of their not have access to tap water. Piramal Sarvajal health and immunity so required quality Piramal Swasthya has pioneered the hub-and-spoke business and hygiene for their drinking water. All 20 Locations Piramal Sarvajal model that comprises a network of water ATM our ATMs are contactless and regularly units (spokes) installed at multiple locations sanitised to ensure safety and hygiene. 6 States Building a movement attached to a localised purification unit (hub). iv. In the quest to serve more people, we Realising aspirations, together The purified water is transferred from the studied Nagpur slums, created Vulnerability purification unit to these ATMs through a Education Health Water Composite Index, surveyed and prepared custom designed water-carrying vehicle. The reports on 23 slums (CEPT).This report was Strategic Focus Areas whole set-up is cloud-connected with real- virtually launched by Dr. Swati Piramal. Our time communication across devices. District Transformation Programme, Education findings about the state of drinking water We have deployed hub-and-spoke model at State Transformation Programme, Education in slums and proposed solutions were various locations: acknowledged and a letter of appreciation AMRIT i. In collaboration with Delhi Jal Board, we was received from Municipal Commissioner. District Transformation Programme, Health demonstrated our hub-and-spoke model at A Memorandum of Understanding for Tribal Health Collaborative Delhi Jukki Jhopies colonies for serving safe Urban Policy was signed with C-WAS, water to its residents, as they did not have CRDF CEPT. Jal Jeevan Mission any other source for water. v. Sarvajal was showcased as one of the 14 Awards (https://youtu.be/CmgLTX3kLjA) models studied across the globe in a draft

Statutory Report report of the World Bank titled: 'City-Wide ii. Working with Bhubaneshwar Municipal Inclusive Water Supply : Refocusing on Off- Board’s Report Corporation, Odisha installed four PU Grid Solutions for Addressing Sustainable Financial Statements (Hubs) and 39 ATMs (Spokes) that are Development Goal 6.1'. The report captures Balance Sheet operational since 2016. Amphan cyclone Sarvajal’s urban solutions and its relevance that coincided with the COVID-19 disrupted to off grid water systems to accomplishing Statement of Income and Expenditure delivery of services in West Bengal and SDG 6.1, highlighting a preliminary study Statement of Cash Flows Odisha, however, Sarvajal continued to 'reimagine' off-grid service delivery operating all its machines and dispensing arrangements that complement piped Statement of Changes in Equity units to ensure daily service to the systems in urban areas. Notes to Financial Statements affected communities. Piramal Foundation Annual Review 42 Overview Piramal Sarvajal About Us

The Piramal Values Pan-India Impact A closer look at our initiatives Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation C. Solution Models Our People 3. Government Partnerships a. Swajal Obtained 322 Gram Panchayat b. Facilitated Jal Shakti Abhiyan Our major role were: Our Three Key Pillars Swajal is a community-managed, demand- resolutions, through participatory A time-bound campaign Jal Shakti Abhiyan driven, mini piped water supply scheme Piramal School of Leadership planning process, and trained 350+ was launched in mission mode to improve the Community Mobilisation launched in 112 aspirational districts. We community members on the use water conditions in 1592 blocks in 257 districts a. Engaging with community Piramal Swasthya partnered with NITI Aayog to facilitate of Field Testing Kits for assessing that are drought affected, water-stressed or b. Organizing Jal Yatra with community Piramal Sarvajal the implementation of the scheme. quality of water. over-exploited. We collaborated with Ministry c. Educating school children Our partnership was designed to deliver Building a movement of Jal Shakti to facilitate the mission in programmatic support in 16 aspirational Faciliated the drafting of 295 12 districts across nine states. Realising aspirations, together districts across seven states in five thematic Capacity Building Detailed Project Reports (DPRs) areas: behaviour change communication, a. Engaging with district officials Education Health Water for piped water supply schemes by IoT-enabled monitoring and evaluation, b. Site visits with water verifying its congruence to Swajal Strategic Focus Areas water quality and solution design, source conservation structures guidelines. District Transformation Programme, Education sustainability and effective Operations c. Workshops on water and Maintenance (O&M). We worked conservation practices State Transformation Programme, Education Mobilised 2,500+ people by organising closely with community members and special sensitisation drives – including AMRIT government authorities across the four painting competition,nukkad nataks tiered administrative framework comprising District Transformation Programme, Health (street play), mehndi competition etc. – gram panchayat, district, state and national – on Republic Day and World Water Day. Tribal Health Collaborative level. The active support and engagement of the team across all levels has facilitated Jal Jeevan Mission Translated the Swajal guidelines into the following. Awards Hindi for better comprehension and https://www.youtube.com/watch?v=Y7OTg5ueIJ8 conducted 38 workshops on Swajal Statutory Report principles for 500+ government Board’s Report officials and elected representatives of PRIs. Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 43 Overview Piramal Sarvajal About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response Sarvajal will continue to offer its Governance at Piramal Foundation Our People solution models on its own as Our Three Key Pillars well as in partnership with other

Piramal School of Leadership organisations. The two common

Piramal Swasthya elements running across these Piramal Sarvajal solution models, which also clearly Building a movement underline the key strengths of Realising aspirations, together Sarvajal are its innovative remote Education Health Water monitoring technology and its Strategic Focus Areas community outreach. It will leverage District Transformation Programme, Education these strengths to contribute to the State Transformation Programme, Education Jal Jeevan Mission, which is aimed AMRIT at providing functional household District Transformation Programme, Health tap connection, over the next four Tribal Health Collaborative years and beyond. Jal Jeevan Mission Awards A separate section (Jal Jeevan Mission) of this report brings out the broad approach that Sarvajal will take to Statutory Report achieve its objectives. Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 44 Overview Building a movement About Us

The Piramal Values

Pan-India Impact

Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Our Three Key Pillars

Piramal School of Leadership

Piramal Swasthya

Piramal Sarvajal Building a movement

Realising aspirations, together

Education Health Water

Strategic Focus Areas

District Transformation Programme, Education

State Transformation Programme, Education

AMRIT

District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 45 Overview Building a movement About Us

The Piramal Values Pan-India Impact Realising aspirations, Key Partnerships and Collaborations COVID-19 Response together Governance at Piramal Foundation Our People Our Three Key Pillars The Aspirational Districts Transformation Piramal School of Leadership Programme was launched by the central Piramal Swasthya government in January, 2018, aimed at Piramal Sarvajal quickly transforming 115 districts from Building a movement across 28 states and triggering equitable Realising aspirations, together growth. The National Institution for Education Health Water Transforming India (NITI) Aayog adopted Strategic Focus Areas 25 of the 115 aspirational districts. District Transformation Programme, Education

State Transformation Programme, Education Piramal Foundation partners the national body in each of these AMRIT districts. It is in the second year of its four-year agreement District Transformation Programme, Health towards assisting and supporting the District Collectors and key Tribal Health Collaborative officers to improve health and nutrition and education indicators.

Jal Jeevan Mission These districts are home to nearly 4.1 Crore people, 5.2% (54 Lakh) of whom are tribal, and ~4.5% are children under the Awards age of five. In all, they make up 3.4% of the national population. Statutory Report

Board’s Report

Financial Statements Education Balance Sheet

Statement of Income and Expenditure Health Statement of Cash Flows Water Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 46 Overview Education About Us The Piramal Values st Pan-India Impact 21 Century skills for all Key Partnerships and Collaborations

COVID-19 Response Highlights Governance at Piramal Foundation Our People Delta Ranking Assessment Constructive Community Action Governance Our Three Key Pillars Enrolment campaign Supported District Collectors to submit 9 districts 10,397 volunteers District administrations have taken proposals worth 561 Crore to Public Sector Piramal School of Leadership CONDUCTED ENDLINE ASSESSMENT exceptional lead to own and launch Enterprises in Piramal Swasthya IN DEMONSTRATION SCHOOLS IN enrolment campaign, 2.12 Lakh new Ranked top 5 MARCHṢ2020 students and 45,336 Out of School Children Piramal Sarvajal IN MONTHLY DELTA RANKING IN 22 districts enrolled back in government schools. PAST NINE MONTHS, ELIGIBLE FOR Building a movement 14.3% Accelerated Learning Programme (ALP) Realising aspirations, together OVERALL IMPROVEMENT IN LEARNING 45-50 days Accelerated Learning Programme ` 3-10 Crore OUTCOMES ACROSS CLASSES 3 TO 8 conducted by 5,079 volunteers investing Education Health Water BY NITI AAYOG IN LANGUAGE AND MATHS SHOWN 1.5K+ hours. 19.43 Lakhs students enrolled Middle Management Development Strategic Focus Areas in the volunteer-led ALP Programme. • 15.8% improvement shown from Baseline Provided 80 hrs of input to 2,424 (100%) CRCs District Transformation Programme, Education Demonstration Schools BOLO App to Endline in classes 3 to 5 on assessment, pedagogy, coaching to enable State Transformation Programme, Education Launched the speech-based reading app District administrations have taken continuous school and teacher support. • 16.5% improvement shown from Baseline to improve reading and comprehension AMRIT ownership by investing resources to to Endline in classes 6 to 8 abilities of students by engaging 5.14 Lakh transform the school infrastructure District Transformation Programme, Health community people in 14 districts. There have 75,088 TEACHERS (19.4%) TEACHERS TRAINED THROUGH been more than 49K+ active users till date. Tribal Health Collaborative 1,158/5,023 NISTHA TRAINING ON LANGUAGE, MATH, Jal Jeevan Mission SELECTED DEMO SCHOOLS ESTABLISHED • 6.15 Lakh new students and 1.23 AND PEDAGOGY SKILLS SMART CLASSROOMS IN 651 OF THEM Lakh+ dropped out children enrolled back Awards in government schools Statutory Report • 2424 (100%) Cluster Resource Co- Board’s Report School Processes Technology ordinator (CRCs) upskilled on instructional practices, pedagogy and coaching Financial Statements to enable continuous school and Balance Sheet 30,089 2 applications teacher support (63.2%) SCHOOLS WITH FUNCTIONAL LIBRARIES DESIGNED AND DEPLOYED Statement of Income and Expenditure (JOURNEY APP, AND M&E FORM) Statement of Cash Flows 9,825 for programme monitoring and evaluation Statement of Changes in Equity (19.2%) SCHOOLS BaLA ENABLED with centralised dashboard

Notes to Financial Statements Piramal Foundation Annual Review 47 Overview Education About Us The Piramal Values st Pan-India Impact 21 Century skills for all Key Partnerships and Collaborations

COVID-19 Response Government Interactions Governance at Piramal Foundation Our People Prime Minister visit CM/EM State Bureaucracy Our Three Key Pillars EDUCATED EM, BIHAR, ABOUT Acknowledgement of ADTP, with states Hon’ble Prime OUR WORK IN including Assam, UP, Bihar, Maharashtra Piramal School of Leadership asking to expand in more districts. In Bihar, Piramal Swasthya Minister visited state leadership praised Piramal Foundation 5 districts as benchmark in front of eight NGO partners Piramal Sarvajal aspirational SHOWCASED AND EXHIBITED INNOVATION and 38 district officials. Building a movement IN ASPIRATIONAL DISTRICTS TO HONOURABLE CM OF UP Realising aspirations, together district Education Health Water Chitrakoot, UP Strategic Focus Areas He also spent time understanding the District Transformation Programme, Education concept of demonstration schools.

State Transformation Programme, Education

AMRIT MoU NITI Aayog District Transformation Programme, Health Aligned and educated new education advisor Tribal Health Collaborative 4 states Dr. Prem Singh on the progress of ADTP and Jal Jeevan Mission (ASSAM, BIHAR, RAJASTHAN, UTTAR our intervention. CEO, NITI Aayog conducted PRADESH) sector-wise review meeting along with MHRD Awards secretary. He agreed to prioritise resources SIGNED BETWEEN PIRAMAL Statutory Report in demonstration schools and create two FOUNDATION AND STATE model schools in each cluster by the next Board’s Report GOVERNMENT academic year. Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 48 Overview Health About Us

The Piramal Values Pan-India Impact Focus on seamless delivery Key Partnerships and Collaborations

COVID-19 Response Highlights Governance at Piramal Foundation Our People Village Health Sanitation and Capacity Building Strengthening Health Facilities Addressing Home Delivery Pockets Nutrition Day (VHSND) Our Three Key Pillars 1,546 29 operational 373 Piramal School of Leadership 7,103 sites DELIVERY POINTS HAVE BEEN Piramal Swasthya AS ON MARCH 2020 Supervisors First Referral ACTIVATED CATERING TO OVER TRAINED IN 47 SUPPORTIVE 1000 HOME DELIVERY POCKETS Piramal Sarvajal SUPERVISION TRAININGS Units Building a movement 51 ANMs WITH 11 OPERATIONALISED BETWEEN TRAINED (IN UP) ON APRIL 2019 TO MARCH 2020 Realising aspirations, together STRENGTHENING QUALITY OF VHSND 3,235 PRI Defeat Diarrhea Education Health Water MEMBERS TRAINED Strategic Focus Areas 30 FRUs 26% (ORS) and CURRENTLY PROVIDING EMERGENCY District Transformation Programme, Education OBSTETRIC CARE 33% (Zinc) State Transformation Programme, Education USAGE IN DIARRHEA TREATMENT IMPROVED AMRIT Health and Wellness Centres Community Engagement - Working with Religious Leaders 24 FRUs District Transformation Programme, Health STRENGTHENED IN THE YEAR 2019-2020 55% (Rotavirus), Tribal Health Collaborative 5 centres FOR MODEL HEALTH AND WELLNESS 418 faith leaders Jal Jeevan Mission WERE LAUNCHED WERE TRAINED ACROSS 14 DISTRICTS 8 facilities 47% (MCV) and Awards IN THE STATES OF ASSAM, BIHAR, AND ACCREDITED WITH 1,106 EXTERNAL UTTAR PRADESH FROM MARCH 2019 STAKEHOLDERS SENSITISED FOR LAQSHYA Statutory Report TO MARCH 2020 66% (Vitamin A) SUPPLEMENTATION INCREASED Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 49 Overview Health About Us

The Piramal Values Pan-India Impact Focus on seamless delivery Key Partnerships and Collaborations

COVID-19 Response Government Interactions Impact Outcome Governance at Piramal Foundation Our People Engagement with NITI Aayog Engagement with Line Ministries IDInsight Impact numbers at the National Level Our Three Key Pillars 5 review 25 districts 19 of 25 districts Piramal School of Leadership Health Ministry, HAVE IMPROVED IN ANC IMPROVEMENT IN EXCLUSIVE meetings BREASTFEEDING Piramal Swasthya ON AN AVERAGE AND OFFICIAL WCD, NRLM, Piramal Sarvajal INTERACTIONS EVERY MONTH 17 out of Building a movement MoRD BUILDING STRONG ENGAGEMENT WITH Realising aspirations, together 25 districts 21% pp Building Strong Relationships at both ALL THE RELEVANT LINE MINISTRIES HAVE IMPROVED EXCLUSIVE INCREASE IN REGISTRATION OF PREGNANT Education Health Water State and District Level BREASTFEEDING WOMEN FOR ANTENATAL CARE SERVICES Strategic Focus Areas District Transformation Programme, Education 10-12 State Transformation Programme, Education 16% pp 4% pp interactions INCREASE IN INSTITUTIONAL INCREASE IN EXCLUSIVE BREASTFEEDING AMRIT WITH PRINCIPAL SECRETARY AND DELIVERY RATE OF CHILDREN TILL SIX MONTHS MISSION DIRECTOR (NHM) AMONG District Transformation Programme, Health OTHERS (ENGAGEMENT AT THE Tribal Health Collaborative HIGHEST LEVEL IN THE STATE) 21% pp Jal Jeevan Mission INCREASE IN TIMELY INITIATION OF BREASTFEEDING OF NEWBORNS Awards Statutory Report 20-22 Board’s Report interactions Financial Statements WITH DISTRICT MAGISTRATE Balance Sheet AND OTHER DISTRICT OFFICIALS ON A MONTHLY BASIS Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 50 Overview Water About Us

The Piramal Values Pan-India Impact Health and safety, a priority Key Partnerships and Collaborations

COVID-19 Response Highlights Governance at Piramal Foundation Against the target of pilotingSwajal in SARVAJAL FACILITATED JAL SHAKTI LEARNINGS AND INSIGHTS Signed MoU with Maharashtra Government Our People 160 habitations, Sarvajal has facilitated ABHIYAN IN for a study on the challenges specific to water • Presented learnings from the Swajal Our Three Key Pillars the community mobilisation in 322 (2x), and its impact for slums in Nagpur city. As part partnership Piramal School of Leadership ensured that 295 are scheme-ready of the programme, signed an MoU for Urban with DPRs prepared (1.8x) and mobilised 12 districts • Shared insights on deployment of Policy with C-WAS, CEPT, also designed the Piramal Swasthya community funds in 148 habitations of IoT‑enabled piped water monitoring Composite Water Vulnerability Index (CWVI) Piramal Sarvajal which 63 tenders were released with across 9 states solution at scale tool. The CWVI tool is designed to rank slums SARVAJAL AND PFEL COLLABORATED 34 locations, where construction on various parameters such as Availability, Building a movement TO MOBILISE • Submitted four concept notes to the work is ongoing Accessibility, Reliability, Quality and Burden JJM’s Task Force created by Ministry of Jal Realising aspirations, together of Disease. Shakti Education Health Water 98 Gandhi fellows THIS TOOL WAS USED IN THE NAGPUR Strategic Focus Areas to undertake a 10-day intervention to SLUMS SURVEY COVERING: identify and document best practices in District Transformation Programme, Education water conservation and take the Jan Andolan Sh Rakesh Ranjan

State Transformation Programme, Education to the masses across of NITI Aayog issued an official 398 HHs in acknowledgement praising Piramal AMRIT and a compiled report Foundation’s work and sought a long-term 23 slums was shared with the municipal commissioner District Transformation Programme, Health 49 districts in engagement for Jal Jeevan Mission Tribal Health Collaborative 6 states Jal Jeevan Mission Awards Sh Amitabh Kant EMPOWERING SHGs Statutory Report praised Sarvajal’s work in the effective Under the MoU signed with Maharashtra Board’s Report implementation of the Swajal programme government, we built capacity and provided in aspirational districts and preparing a hand holding support to 120 Village State Financial Statements template for replication in the Jal Jeevan Transformation Foundation (VSTF) fellows Balance Sheet Mission during an all development partner on setting up entrepreneur led safe drinking Statement of Income and Expenditure meet at NITI Aayog. water facilities in rural Maharashtra with the help of SHGs. Four villages were supported Statement of Cash Flows by Piramal Foundation for setting up the safe Statement of Changes in Equity drinking water facility.

Notes to Financial Statements Piramal Foundation Annual Review 51 Overview Water About Us

The Piramal Values Pan-India Impact Health and safety, a priority Key Partnerships and Collaborations

COVID-19 Response Government Interactions Impact Outcomes Governance at Piramal Foundation Sarvajal attended five regional consultative Conducted pilot feasibility study to ascertain SARVAJAL’S RECOMMENDATION FOR DURING PHASE 1 OF JAN ABHIYAN Our People workshops organised by Ministry of Jal Shakti the possibility of merger of Village Water & Our Three Key Pillars to finalise the Jal Jeevan Mission guidelines: Sanitation Committees and Villages Health, IoT-enabled 4 Sarvajal- Piramal School of Leadership Sanitation & Nutrition Committees in

Piramal Swasthya 8 recommendations monitoring intervened HAVE BEEN INCLUDED IN THE FINAL DRAFT Vidisha (MP), OF PIPED WATER SCHEMES Piramal Sarvajal UNDER GUIDANCE OF MR ALOK KUMAR DEMONSTRATED AT THREE LOCATIONS IN districts Building a movement (NITI AAYOG) DHANBAD, BALOD, GANDHINAGAR, AND SARVAJAL HELD MULTIPLE ROUNDS OF Realising aspirations, together Assam, Bihar, NAINITAL WERE RANKED IN THE MEETINGS WITH Education Health Water and Gujarat HELD THE 1ST EDITION OF top 10% of all Strategic Focus Areas DDWS-MoJS officials HAS BEEN INCORPORATED IN JAL District Transformation Programme, Education to seek their inputs in designing Piramal JEEVAN MISSION GUIDELINES 256 districts Foundation’s intervention in the State Transformation Programme, Education Water Dialogues Jal Jeevan Mission. a platform for inviting sectoral experts for AMRIT a knowledge sharing session – by inviting CONSTRUCTION WORK HAS BEGUN IN District Transformation Programme, Health four people who’ve been instrumental in MOJS INVITED SARVAJAL IN Tribal Health Collaborative Gujarat’s rise in the rural piped water space. 34 villages Jal Jeevan Mission An all Development across Assam, Madhya Pradesh and Uttarakhand Awards ORGANISED A 3-DAY ORIENTATION Statutory Report Partner Meet IN PARTNERSHIP WITH WATERAID ON conducted to brainstorm on Development RAINWATER HARVESTING AND Board’s Report Partner role in successful implementation of WATERSHED MANAGEMENT IN Financial Statements Jal Shakti Abhiyan across the 256 districts. BHOPAL (MP) Balance Sheet

Statement of Income and Expenditure WE WERE REQUESTED AND PROVIDED Statement of Cash Flows WORKING NOTES TO JJM TASK FORCE FOR: JAN ANDOLAN, GENDER MAINSTREAMING, Statement of Changes in Equity AND IOT-ENABLED REMOTE MONITORING Notes to Financial Statements Piramal Foundation Annual Review 52 Overview Building a movement About Us

The Piramal Values Pan-India Impact Strategically aligned to deliver Key Partnerships and Collaborations COVID-19 Response The Big Bets of Piramal Foundation carry a potential for discontinuous Governance at Piramal Foundation Our People and transformational change. These Big Bets, over time, can Our Three Key Pillars encompass multiple levers that would be critical in addressing any

Piramal School of Leadership social challenge from multi-dimensional perspective.

Piramal Swasthya Piramal Sarvajal Our ability to craft a specific focus that sector problem. We have decided to adopt this Potential to bring about Tracking the Big Bet programmes needs attention and articulating a significant approach as it has the potential to influence transformational change Building a movement Over the next ten years the Piramal Foundation commitment of resources also means that systemic transformational change. It can also The commitment of resources is predicated will be tracking these programmes as they evolve Realising aspirations, together these programmes carry an element of risk in engender improved results due to shared on the ability of these programmes to be along the dimensions of scope, reach, and impact. being able to deliver the outcome that they are strategic thinking, monitoring and access to a Education Health Water replicated across geographies, communities The number of beneficiaries, the geographical designed to. The common elements that run larger pool of expertise – stitching a common etc. and to bring about change at scale. The spread, and the outcomes achieved will mark the Strategic Focus Areas through these programmes are that all of them mission that is linked to national goals and can ADTP in the areas of health and education is progress of these programmes. leverage technology, engage communities, and then be implemented in mission mode. District Transformation Programme, Education aimed at systems strengthening in multiple work with the government to ensure that they All the programmes are at different stages on the State Transformation Programme, Education The collaborative or alliance of partners could districts and states affecting a large part of the are sustainable. journey towards achieving transformational change. emerge as a platform for 'scalable learning'. population living there. It has the potential to AMRIT These are not just projects, they are about It can help the various players build capacity serve as a model for India’s future, economic District Transformation Programme, Health building a platform. to execute, learn, and adapt. They can also and social development strategy according Tribal Health Collaborative create diverse networks of individuals and to a Prof. Michael Porter led Institute of Commitment of resources organisation working on the same issues and Competitiveness Assessment Study. The Tribal Jal Jeevan Mission serve as central hubs to accelerate learning. It Health Collaborative will improve health Globally, a large commitment of resources in REACH may not necessarily focus on the replication of a outcomes of tribal communities that constitute Awards terms of funding to solve a social problem at single programme. Rather, they identify multiple 10% of India’s population. Statutory Report scale is generally termed as bold philanthropy. programmes, practices, or interventions that However, Piramal Foundation’s approach to All of these programmes will help India Board’s Report yield results – a superset of proven theories of bold philanthropy extends beyond just the achieve the SDGs in health, education, and change working together in tandem that address Financial Statements size of giving. It is about bringing multiple water that the nation is committed to over the a single problem. The collaborative would also partners together in alliances to effect system next decade. Balance Sheet capture learning about how these solutions need strengthening. SCOPE Statement of Income and Expenditure to vary by context and engage key stakeholders IMPACT We believe that a collaborative approach to shift practices and advocate more broadly to Statement of Cash Flows in pursuing bold philanthropy can draw in spread what works. Statement of Changes in Equity additional financial but equally importantly, non-financial resources to tackle a social Notes to Financial Statements Piramal Foundation Annual Review 53 Overview Strategic Focus Areas: District Transformation Programme, Education About Us

The Piramal Values Pan-India Impact Assisting education leaders to scale up Key Partnerships and Collaborations COVID-19 Response The Inception: School The District Governance at Piramal Foundation The results so far Our People Leadership Development Transformation Model Our Three Key Pillars Programme (SLDP) To work at the district level and create the Piramal Foundation has signed MoUs with state governments of seven states (Assam, desired result, Piramal Foundation has Maharashtra, Jharkhand, Bihar, Rajasthan, MP, UP). In the Aspirational Districts Transformation School Leadership Development Programme Piramal School of Leadership collaborated and worked closely with multi- Programme, 12 districts ranked in the top 20. Developed 5,023 selected Demo schools, which (SLDP) was aimed to support teachers and Piramal Swasthya faceted institutions. Piramal Foundation led to 21% improvement in learning outcomes across class 2nd to 8th in language and math. headmasters in their daily activities to enable has forged partnership with NGOs, district 30,000+ schools have been enabled with a functional library and 9,285 schools with ‘Building Piramal Sarvajal them to excel in their work, along with building administration and even NITI Aayog, whose goal as Learning Aid’ (BaLA). strong community connect with their local Building a movement is to bring in an audacious transformation in 115 schools. The intervention being limited to the districts in the country. Realising aspirations, together school level, created a challenge in large-scale Education Health Water impact of the pilot Programmes done. These Operations for District Transformation Programme mostly needed the support and the intervention Strategic Focus Areas of districts administration, where we identified Piramal School of Leadership is working in District Transformation Programme, Education an operational gap resulting in the birth of 15 states and has enrolled Development of Middle Management District Transformation Programme. State Transformation Programme, Education • Streamlined the process of selection, AMRIT 2,00,000+ new induction, and development of The Birth of District coaches and facilitators District Transformation Programme, Health students in over Tribal Health Collaborative Transformation Programme • Lead with interventions on leadership skills, data based decision, technology Realising that through SLDP targeting each 1,360+ schools Jal Jeevan Mission and influence without authority school separately would take lot of time and Awards resources, Piramal Foundation identified the Statutory Report District as the ‘Unit of Change’, where District Resource People can serve as the conduit to Board’s Report Constructive Community Action Strengthening Governance cause disproportionate impact in schools. It Financial Statements identified resource persons at district level • Movement via Jan Andolan activated • Created synergy and support system Balance Sheet (facilitators and coaches) who could influence school engagement process ensuring in all echelons of the government for school systems and replicate and implement community ownership planning, execution, review and robust Statement of Income and Expenditure SLDP processes. The focus here is to improve the governance • Created positive perception about Student Learning Outcome by creating robust Statement of Cash Flows schools in parents to motivate more • Advocated and developed tools for middle management governance mechanisms. Statement of Changes in Equity to enrol data driven reviews

Notes to Financial Statements Piramal Foundation Annual Review 54 Overview Strategic Focus Areas: State Transformation Programme, Education About Us

The Piramal Values Pan-India Impact Holistic development of state-level education Key Partnerships and Collaborations COVID-19 Response The Inception: District The Birth of State Operations for State Transformation Programme Governance at Piramal Foundation Our People Transformation Programme Transformation Programme The interventions of Piramal Foundation can be broadly categorised into three. The operations have been identified in collaboration with the state officials: Our Three Key Pillars District Transformation Programme holds The mission is to enable state, district and district as the unit of scalable change. The block officials in 15 states to build a skilled Piramal School of Leadership programme works to engage with district-level and engaged teacher workforce that delivers Piramal Swasthya officials, coaches, facilitators and community 21st century skills, by creating future-ready Creating future-ready Transforming structures to improve student learning outcomes. Piramal education leaders, transforming structures and Piramal Sarvajal education leaders and talent policies Foundation has partnered with NITI Aayog talent policies, and create transformational Building a movement to improve the education indicators of 25 pedagogy. The State Transformation Programme • LEAD: Education department managers districts as a part of the is an enabler of the interventions at the district will have 21st Century leadership skills • Pragati: Governance enables self- Realising aspirations, together Aspirational District Transformation Programme.This gave us a ray level, which is worked out in close quarters accountability and systemic delivery • CLASS: School clusters will become Education Health Water of hope to take the best practices at the district with various state institutions. The most critical true ‘units of change’ • NYAY: Legal reform reduces level and create large-scale impact for the state. additions done by Piramal Foundation at the Strategic Focus Areas administrative burden state level include specific skill upgrade of all District Transformation Programme, Education stakeholders. These also helped to save time • Nirmaan: Institutions and talent State Transformation Programme, Education and money in processes involving reviews policies attract the best talent into and trainings while creating new channels for education AMRIT community awareness on education. • SEWA: Technology will enable strategic District Transformation Programme, Health decisions across levels Tribal Health Collaborative

Jal Jeevan Mission

Awards Creating transformational pedagogy Statutory Report • Teacher development: Focuses on Board’s Report 21st Century skills

Financial Statements • Communication: Support change in Balance Sheet community attitudes towards children and education Statement of Income and Expenditure • Assessment: Curriculum and Statement of Cash Flows assessment are made future-ready Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 55 Overview Strategic Focus Areas: AMRIT About Us

The Piramal Values Pan-India Impact Tech today for better health tomorrow Key Partnerships and Collaborations COVID-19 Response Without AMRIT How does AMRIT work? Governance at Piramal Foundation The results so far Historically medical records have been kept by Connects the frontline health workers (ANMs & ASHAs) via mobile Our People patients. With our experience of over 10 years app to enable door-to-door consultation. It has built-in Clinical AMRIT has reduced the dependency on Our Three Key Pillars in the area of health, with the most vulnerable Decision Support System to help reduce disparities of treatment old fashioned record keeping. It allows communities, we have come across multiple and assist in decision-making tasks. Piramal School of Leadership to reach hard-to-reach locations with challenges in providing basic health care geographic, economic and system- Piramal Swasthya support. Poor maintenance of the health care It connects to a variety of external medical devices to collect vital related non-access, as it offers a tele- Piramal Sarvajal records by beneficiaries caused in increased health parameters such as temperature, blood pressure, plasma medicine consultation and doctor treatment time. The urgency for an effective Building a movement glucose, weight, and height. It is built to minimise the need of manual consultation even in low bandwidth or health record system grew and was imminent. providing quality data for better evidences and improved and poor connection. It possesses a built-in Realising aspirations, together entry meaningful insights. The devices can even be connected wirelessly and robust data analytics engine that takes Education Health Water What is AMRIT? transmit real-time information into the platform. anonymous medical records, disease Strategic Focus Areas data, lab tests and diagnosis information Accessible Medical Records via Integrated as input for predictive modelling to aid AMRIT has the ability of Health Data Traversal across multiple points District Transformation Programme, Education Technologies (AMRIT) is an Electronic Health disease surveillance efforts, effective of service delivery and connects higher health facilities via remote State Transformation Programme, Education Records (EHR) platform that allows disparate decision making, policy making, outbreak mobile telemedicine, while also establishing a care continuum and systems to be able to connect to it thereby prediction, forecasting, and control. AMRIT closing the referral pathway between health facilities and mobile creating aunified and ubiquitous presence of Our recent collaboration with National outreach programmes and remote health helplines. District Transformation Programme, Health health data of the patients across India with Digital Health Mission (NDHM), which is Tribal Health Collaborative unique beneficiary IDs. AMRIT currently is aimed to support an integrated digital helping in maintaining records of services like health infrastructure across the country, Jal Jeevan Mission Health Information Helplines, Telemedicine allows AMRIT to establish compliance of Awards Consultation, Mother & Child Tracking Service all health data management systems in a or Early Childhood Development, Health & state with the NDHM principles. Statutory Report Wellness centres (Sub-Health and Primary Board’s Report Health Centres) and Mobile Medical Units. Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 56 Overview Strategic Focus Areas: District Transformation Programme, Health About Us

The Piramal Values Pan-India Impact Strengthening public health care Key Partnerships and Collaborations COVID-19 Response Context of District Key Focus Areas of District Governance at Piramal Foundation The results so far Our People Transformation Programme Transformation Programme Our Three Key Pillars Piramal Foundation collaborated with NITI Aayog The entire intervention has been designed The intensive efforts showcased significant results, in the last two years of facilitating to support the District Administration of 25 around four broad themes. implementation in the 25 aspirational districts, leading to significant improvements in the Piramal School of Leadership aspirational districts across seven states. These KPIs of the programme, assessed through bi-annual independent third party assessments*. • Capacity building of supervisors, frontline 25 districts are home to about 4.1 Crore people Piramal Swasthya workers middle management at the i.e. 3.4% of India’s population. Approximately • Percentage of pregnant and recently • The proportion of women opting to deliver Piramal Sarvajal district and sub-district level 4.5% (73 Lakh) of the nation’s under-five children pregnant women registered for ANC at health facilities has also improved Building a movement and 5.2% (54 Lakh) of the tribal population • Community engagement (Jan Andolan) within the first trimester against total ANC significantly and institutional deliveries reside in these districts. Understanding the vast to enhance the demand of services registration has increased from 64% to 73% in these districts have gone up from 66% Realising aspirations, together population to be covered, Piramal Foundation and make health and nutrition a public to 82% • Proportion of pregnant women registering Education Health Water adopted a comprehensive approach addressing movement by utilizing platforms such as for antenatal care has increased from 73% • Percentage of mothers of children 0-2 years the constraints on both the demand and supply Village Health Sanitation and Nutrition Strategic Focus Areas to 94% who initiated breastfeeding within one hour side of the public health ecosystem. Day, POSHAN Abhiyaan, and other of birth has increased from 33% to 54% District Transformation Programme, Education community‑based events • Proportion of registered pregnant women State Transformation Programme, Education receiving at least four antenatal check-ups • Percentage of children 0-5 yrs with diarrhea • Facility strengthening to provide has increased from 27% to 34% treated with ORS and Zinc has also shown AMRIT emergency obstetric and newborn care 25 aspirational an increment from 51% to 63% and 34% to through First Referral Units, District District Transformation Programme, Health 50% respectively. districts across Hospitals. Additionally, operationalising Tribal Health Collaborative health and wellness centres and improving Jal Jeevan Mission 7 States the quality of services and training of *Conducted by ‘IDInsight’, the official staff nurses among others to strengthen monitoring and evaluation partner of Awards comprehensive primary health care NITI Aayog, Government of India Statutory Report • Effective scheme implementation Board’s Report including assessment of existing schemes such as PMMVY and GKY, identify the Financial Statements operational gaps, facilitate action to Balance Sheet address these gaps, improving the Statement of Income and Expenditure implementation of these schemes

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 57 Overview Strategic Focus Areas: Tribal Health Collaborative About Us

The Piramal Values Pan-India Impact Reaching out to the most disadvantaged Key Partnerships and Collaborations COVID-19 Response Need for Tribal Health Tribal Health Collaborative Structure of the Collaborative Framework for Operations Governance at Piramal Foundation Given the complexity, size, and urgency of the The first level strategy for the collaborative The Collaborative will have three approaches: Our People Collaborative (THC) Programme issue, Piramal Foundation is working towards has been developed in close association with There is a vast disparity between the health Our Three Key Pillars developing a multi-stakeholder formal entity – a the Bridgespan Group. Piramal Foundation and outcomes of the Scheduled Tribe (ST) population National Tribal Health Collaborative. It aims to Bill and Melinda Gates Foundations will be the Facilitate Implementation Piramal School of Leadership of India vis-à-vis the non-tribal population. Data end preventable deaths among the tribal and core partners of the collaborative along with suggests that a tribal woman is twice likely to It will closely work with the government Piramal Swasthya marginalised communities through building a the Ministry of Tribal Affairs. die during pregnancy and childbirth compared to facilitate implementation of existing Piramal Sarvajal sustainable, high-performing health ecosystem to a non-tribal woman. The access to health The Rockefeller Foundation has committed to government interventions and additional that would boost the nation’s efforts to reach Building a movement care is limited due to geographical isolation, support and develop the technology backbone best practices and innovations curated by the SDGs. It would work towards improving the socio‑political marginalisation, and poverty. that will underpin the collaborative. the Collaborative. Realising aspirations, together access to quality primary health care services in Our experience of working in Araku for over a the areas of maternal and child health, nutrition, The Collaborative would have four key types Education Health Water decade suggests that the state of tribal health communicable diseases, non-communicable of partners: and nutrition is often worse than it is visible Strategic Focus Areas diseases, addiction and mental illness, sickle- through the scarcely available data. Improving • Core Partners: They will bring in finance and/ Develop and Disseminate Knowledge cell anaemia, and other ailments relevant to the District Transformation Programme, Education the health and nutrition of the tribal population or knowledge and technical expertise. They tribal and marginalised population. The Collaborative will curate and develop State Transformation Programme, Education that is ˷9% of India’s total population is crucial would play a key role in the governance and knowledge to mitigate the well-recognised to fulfil India’s aim to reach the sustainable strategic decisions of the Collaborative. AMRIT issue of lack of data and knowledge. Besides, development goals (SDG). They will provide funding it will develop SoPs, guidelines to improve District Transformation Programme, Health • Funding Partners: for implementation of a specific intervention implementation. Tribal Health Collaborative or at one or more specific locations (districts).

Jal Jeevan Mission • Implementing Partners: They will implement contextualised interventions within the broad Awards Leverage Technology strategy framework of the Collaborative, Statutory Report make recommendations for changes in Using AMRIT platform as a backbone the Board’s Report intervention strategy, and be accountable for Collaborative will bring in accountability, achieving the agreed upon health outcomes. better monitoring, improved longitudinal Financial Statements health data information that will fuel • Technical Partners: They will bring in Balance Sheet both the implementation and knowledge knowledge and technical expertise. Statement of Income and Expenditure creation.

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 58 Overview Strategic Focus Areas: Jal Jeevan Mission About Us

The Piramal Values Pan-India Impact Facilitating India’s March Towards 100% Tap Connectivity Key Partnerships and Collaborations COVID-19 Response The Inception: Bringing The Need: Making JJM The Operations: Aggregator – Multiplier Approach Governance at Piramal Foundation Our theory of change is centred around the belief that long-term sustainability of Our People Water in Focus a Reality government‑funded water supply assets can only be achieved by strengthening of water systems at The Hon’ble Prime Minister, on 15th August If successful, Jal Jeevan Mission is bound to not Our Three Key Pillars community, district, state, and national levels. This shall be achieved by adopting an approach that 2019, brought water to the centre of the nation’s only disrupt but also redefine the rural water we call the Aggregator-Multiplier approach, where Aggregator: Bringing together best practices Piramal School of Leadership development agenda by announcing the Jal scenario in India. However, there are gaps that and organisations across the water value chain and replicating them in the appropriate context Piramal Swasthya Jeevan Mission programme - a time bound exist in government programme that could and Multiplier: Multiply the impact of ongoing JJM efforts by building institutional and civil society effort to ensure Har Ghar Jal by 2024. This result in inferior outcomes. The “Har Ghar Jal by Piramal Sarvajal capacity, demonstrating model villages, and enhancing post-construction service delivery. national flagship scheme of the government 2030” report by Ministry of Drinking Water and Building a movement seeks to not only provide functional household Sanitation sums up the challenge succinctly – tap connections for all, but also seeks to “Rural piped water supply sector remains supply Realising aspirations, together promote the holistic management of local water driven: characterised by large investments in Education Health Water resources. It was a clarion call to create a “Jan schemes and works, followed by deterioration in Community Engagement Scheme Planning and Delivery Andolan” to provide adequate potable water to infrastructure and long periods with low levels of Strategic Focus Areas • Village Water Committees or • Participatory Scheme Planning all rural households. service, while communities wait in the hope that Paani Samitis • Conservatn & Grey-water District Transformation Programme, Education government department will send engineers to • Behavioural change for management State Transformation Programme, Education rebuild the scheme”. water sensitisation • Construction Monitoring & AMRIT • Water Quality Audit through Field Social Audit Test Kits • Create Aadarsh Jal Grams District Transformation Programme, Health The Birth of Piramal

Tribal Health Collaborative Foundation’s JJM Focus Jal Jeevan Mission Our partnership with NITI Aayog to facilitate Swajal implementation in 16 aspirational Operational Management Institutional Strengthening Awards districts across 7 states ensure that 300+ rural • Inputs for Water Tariff Design • Programme Support @ State/ District Statutory Report habitations receive reliable access to piped • IoT for real-time FHTC status • Action plan for strategic drinking water. Through our intervention, Board’s Report • Trained last-mile technician cadre capacity building we validated the crucial elements of the • Support for Grievance Redressal • Compilation of Best Practices Financial Statements demand-responsive approach and scheme • Dissemination in Colloquia/ Forums Balance Sheet sustainability in rural areas. Key learnings from our intervention have also influenced the Statement of Income and Expenditure operational guidelines for Jal Jeevan Mission – 15 interventions under 4 key themes: Simultaneously Statement of Cash Flows especially on aspects pertaining to community involvement, online monitoring, and operations strengthening government’s efforts at: Village, District, Statement of Changes in Equity and maintenance. State and National Level Notes to Financial Statements Piramal Foundation Annual Review 59 Overview Awards About Us

The Piramal Values Pan-India Impact Inspired to do more and better Key Partnerships and Collaborations COVID-19 Response Governance at Piramal Foundation Our People Our Three Key Pillars Piramal Swasthya was awarded Piramal Swasthya was awarded Piramal School of Leadership the ‘Inclusive Health Access ‘CEO with HR Orientation Piramal Swasthya Prize’ by USAID in 2019 for its Award’ at the 18th Asian Pacific Piramal Sarvajal high‑impact health care platform HRM Congress Building a movement

Realising aspirations, together

Education Health Water Strategic Focus Areas Piramal Swasthya was recognised Piramal Sarvajal, a mission

District Transformation Programme, Education at the Outlook Poshan Awards for driven social enterprise has been State Transformation Programme, Education its nutrition intervention initiatives honored with ‘Best Corporate AMRIT in Andhra Pradesh Social Responsibility Project’ District Transformation Programme, Health by International Desalination Tribal Health Collaborative Association. The award is Jal Jeevan Mission Piramal Swasthya Won the best an acknowledgement of the Awards Poster Presentation Awards at 'FICCI efforts towards leveraging Statutory Report technology to improve the lives Board’s Report HEAL2019 - Transforming health care Federation of Indian Chambers of the communities through more Financial Statements sustainable business models. Balance Sheet of Commerce & Industry (FICCI)' for

Statement of Income and Expenditure operating large-scale mobile health

Statement of Cash Flows care programme in rural India.

Statement of Changes in Equity Awards received in 2019-20 Notes to Financial Statements Piramal Foundation Annual Review 60 Overview About Us Board’s Report The Piramal Values

Pan-India Impact Dear Members, – End-line assessments conducted for the first time in 5023 Key Features of our interventions: Key Partnerships and Collaborations schools by mobilising 23,847 volunteers in March 2020. – Constructive Community Action Your directors have pleasure in presenting their 9th Annual COVID-19 Response – Enrolled 2.12 Lakh new students and re-enrolled Report together with the Audited Financial Statements for the – Increase of 20% in overall learning outcomes of Class 2 to 45,336 out-of-school Children back in Government Governance at Piramal Foundation financial year ended March 31, 2020. 8 students in Math and Language subjects as a result of all schools through Enrolment Campaigns. our interventions. Our People PERFORMANCE HIGHLIGHTS: – Invested 18 Lakh+ man-hours to drive impact in (` in Lakhs) – An unprecedented success in enrolment campaign over Our Three Key Pillars Accelerated Learning Programmes (ALP) for students. Particulars FY 2019-20 FY 2018-19 last year with 6.13 Lakh new students enrolled and 1.25 Piramal School of Leadership Total Income 7270.47 4,651.17 Lakh out-of-school children re-enrolled. – Engaged 23,847 Youth volunteers in Jan Andolan, Less: Total Expense 4,471.79 ALP, BaLA, Library, etc. Piramal Swasthya 6,953.78 – Participation of over 1.5 Lakh+ community people in 658 Surplus/(Deficit) before Tax 316.69 179.38 Piramal Sarvajal community Bal Sabha performances which were organised – Launched BOLO, a speech-based reading app, in Less: Other Comprehensive Income - 5.51 on a fortnightly basis. partnership with Google to improve reading and Building a movement Less: Provision for Tax - - comprehension abilities of students in 14 districts Less: Deferred Tax Provision - – Achieved an improvement in language and numeracy skills Realising aspirations, together - through engagement of 4.7 Lakh people. Surplus/(Deficit) after Tax 311.18 179.38 for 19.14 Lakh+ students in 47,874 schools through the Education Health Water Accelerated Learning Programme (ALP) – Middle Management Development – Supported 2424 CRCs in their professional Strategic Focus Areas OPERATIONS REVIEW: – Activation of 30,089 libraries and renewal of infrastructure Education Leadership development with 225 hours input each through BaLA (Building as Learning Aid) enabled with class wise and District Transformation Programme, Education With an aim to show demonstrable improvement in student an omni-channel approach focused on improving grade specific learning aids in 9285 schools. State Transformation Programme, Education learning outcomes, the Piramal Foundation – Education learning outcomes of Demonstration Schools team has been primarily focused on the following areas – Deployment of 5 tech platforms to implement Monitoring AMRIT – Supported CRCs in training 121,000 teachers (80%, of intervention: and Evaluation with centralised dashboards. up by 60% over the last three years) on pedagogy and District Transformation Programme, Health – Capacity building of cluster resource coordinators Spotlight on key interventions classroom practices. Tribal Health Collaborative (CRCs) on pedagogy and classroom practices to improve In the year 2019-20, your company has implemented the – Strengthen Governance learning outcomes in targeted intervention schools. following interventions to improve Student Learning Outcomes Jal Jeevan Mission – Initiated and implemented District Project (SLO) and ensure sustainability of this change in the districts. – Constructive Community Action to enhance Management Unit with District Collectors conducting Awards Across 25 Aspirational districts, we were present in 200 blocks enrolment rates, accelerate learning, and minimise the monthly reviews, updating and planning at district with 400 Gandhi Fellows and 250 employees deployed to Statutory Report digital gap in learning by creating momentum through level in all 25 Aspirational Districts. achieve the targeted improvement from June 2018. Board’s Report mass people’s movement. – As of March 2020, received ` 63.9 Crore from Public The District model brings together the middle management Financial Statements – Governance Strengthening at the district level through Service Enterprises (PSEs) in support of District Education and the community through a robust governance structure. regular planning meetings between District Project development, having written ` 507 Crore worth Balance Sheet Based on this theory of change, the programme aims to Management Units (DPMUs) and District Collectors (DCs). proposals for interventions in Aspirational Districts. Statement of Income and Expenditure implement a wide variety of interventions to demonstrate Notable Developments 2019-20 consistent improvement in Student Learning Outcomes. Statement of Cash Flows Your Company is pleased to inform that in the last two years of Statement of Changes in Equity implementation in the 25 Aspirational Districts, the Education indicators have shown considerable improvement. Notes to Financial Statements Piramal Foundation Annual Review 61 Overview About Us Board’s Report The Piramal Values

Pan-India Impact – Demonstration Schools in poor and remote parts of the country. Against this backdrop, To scale these efforts further, the campaign has been sharing Key Partnerships and Collaborations – Facilitated the commitment of District administration we launched Surakshit Dada-Dadi, Nana-Nani Abhiyaan posters and collaterals through Whatsapp and social media. COVID-19 Response to invest in complete transformation of infrastructure (SDDNNA) in partnership with NITI Aayog. Reaching the most remote areas is slightly more difficult due of 2263 of 5023 select schools and establish smart to the digital divide. The campaign’s peppy jingle filled with Governance at Piramal Foundation Mr. Amitabh Kant (CEO, NITI Aayog) lauded the collaborative classrooms in 1186 schools. critical messages is played on radio stations like All India Radio effort between NITI Aayog, Piramal Foundation and District Our People to address this gap and reach the last-mile. Social workers, – Education Survey Report Administrations, and appreciated its thrust on ensuring NGOs and other organisations in districts have come together Our Three Key Pillars – Collected data of over 7000 stakeholders (3938 the well-being of senior citizens during the e-launch as one, from across different domains such as livelihood, Teachers and HMs (Headmasters) 1580 Students, conference on May 5, 2020 Piramal School of Leadership education, health etc., to support the 13 million senior citizens 302 Government officials, 1425 Parents). Piramal Swasthya Providing relief to 10 Lakh senior citizens in just 100 days in 112 districts. Objective of this report: The campaign, initially launched in 28 Aspirational Districts, Piramal Sarvajal Plans for 2020-21 – To understand the impact of COVID-19 on the was later expanded to 112 Aspirational Districts, to impact Plan for the current year will focus on providing holistic learning Building a movement well-being of stakeholders and status of education 13.3 million senior citizens. On August 15, 2020, the campaign’s to children, enable their learning from home, and provide a across 28 Aspirational Districts in India. 100th day saw over 1.26 million citizens supported. Realising aspirations, together strong base of foundational skills to improve their competencies Education Health Water – To identify potential risk areas upon reopening Over 50,000 Volunteers came forward to support the elderly and learning outcomes substantially. of schools post COVID-19 across the Aspirational The unique aspect of this campaign is the active involvement Key areas to achieve the above: Strategic Focus Areas Districts that can be used by district governments of the community, and the no-contact outreach. Built on the 1. Enable continuous home-based and community-based and stakeholders in enabling maximum return of belief that people are willing to serve their community in times District Transformation Programme, Education learning through campaigns focused on improving children to schools. of crisis, volunteers in this campaign showcase values of grit, State Transformation Programme, Education community involvement in education and girl collaboration and resilience. 54,497 such Volunteers came – To identify needs of Stakeholders in order to child inclusivity. AMRIT forward to support the campaign from different sections of design and implement interventions for school the community: teachers, youth, and government officials. 2. Develop 5000+ model Anganwadis to improve foundational District Transformation Programme, Health level Stakeholders, government Stakeholders and These volunteers, rightly dubbed “Apna Saathi”, contact elders skills of children which would lead to enhanced grade level community Stakeholders. Tribal Health Collaborative on phone, to empathetically enquire about their well-being, competencies and improved learning outcomes. Surakshit Dada-Dadi, Nana-Nani Abhiyaan | educate them on safety measures, collect their grievances, and Jal Jeevan Mission 3. Establish 5000 high-performing demonstration Addressing COVID-19 follow-up regularly with District Administrations, to solve these schools as Centers of Excellence (CoEs) that serve as a Awards An All Virtual, Nation-Wide Campaign Brings Senior Citizens grievances. As of 100 days of the campaign, 17,430 grievances benchmark for physical and curricular infrastructure that into the forefront have been resolved around lack of rations, medicines, or access Statutory Report schools can adopt. As COVID-19 began to spread across the nation, we observed to welfare schemes. Board’s Report that infected senior citizens were at the highest risk of death. 4. Continue to strengthen governance through robust district Richa, a volunteer, reached out to 62-year old Govind Financial Statements As many as 2.9 million senior citizens reside in 28 Aspirational level structures and data-based decision-making structures. Dubey and learned that he uses soil to wash hands. She Districts. Data from across the world confirmed that senior Balance Sheet convinced him to use soap for washing hands to ensure 5. Develop adequate and competent middle managers (CRCs) citizens are disproportionately vulnerable and susceptible to the safety. Mukesh, a volunteer, found out that Chunni Lal who can become academic coaches for school leaders by Statement of Income and Expenditure virus due to underlying medical conditions and compromised was unable to secure rations. He connected Chunni developing their soft leadership competencies. immune systems. In India, 50 per cent of Covid related deaths Statement of Cash Flows Lal to the administration and ensured the ration, hand are among senior citizens. At such a time, the inability of the 6. Switch the operating model by converting the volunteer Statement of Changes in Equity sanitiser, and masks were delivered to his household. elderly to access even basic essentials increases risk, especially programme to a new fellowship in the district to Notes to Financial Statements Piramal Foundation Annual Review 62 Overview About Us Board’s Report The Piramal Values

Pan-India Impact create learning opportunities within their contribution – In the area of maternal health, there has been an increase Listed below is an encapsulation of notable developments Key Partnerships and Collaborations to the schools. in the proportion of pregnant women registering for made between April 2019 – March 2020 COVID-19 Response antenatal care from 73% to 94%. Health and Nutrition – As per IDInsight’s third survey round, over 80% Governance at Piramal Foundation The Piramal Foundation – Health team has been primarily – The proportion of registered women receiving at least 4 of all VHSNDs had blood pressure measurement, focused on the following areas of intervention: antenatal check-ups have increased from 27% to 34%. haemoglobin measurement and weight measurement Our People services available; 56% of VHSNDs have all 5 ANC – Capacity building of supervisors, frontline workers, – The proportion of women opting to deliver at health Our Three Key Pillars services available. middle management at the district and sub-district levels. facilities has also improved significantly and institutional Piramal School of Leadership deliveries in these districts have gone up from 66% to 82%. – 80% of VHSNDs had Iron and Folic Acid (IFA) – Community engagement (Jan Andolan) to enhance supplements available for pregnant women and Piramal Swasthya the demand of services and make health and nutrition – Percentage of mothers of children 0-2 years who initiated adolescent girls. Piramal Sarvajal a public movement by utilising platforms such as Village breastfeeding within one hour of birth has increased Health Sanitation and Nutrition Day (VHSND), POSHAN from 33% to 54%. – 950 ANMs had been trained in UP on quality service Building a movement Abhiyaan, and other community-based events. provision at VHSND. Realising aspirations, together Spotlight on developments on key interventions (April 2019 – Facility Strengthening to provide emergency obstetric to March 2020) – Under the facility strengthening theme, as of March 2020: Education Health Water and newborn care through First Referral Units, and The aforementioned indicator movement is attributed to the – 372 birth delivery points were operationalised. Strategic Focus Areas District Hospitals. Additionally, comprehensive primary key interventions designed, keeping in mind both the demand health care is strengthened by operationalising health and and supply side of the requirements. Various innovative and – 100% District Hospitals were conducting District Transformation Programme, Education wellness centers and improving the quality of services and customised interventions were designed and implemented C-sections. (26 out of 26 district hospitals in 25 State Transformation Programme, Education training of staff nurses among others. in the 25 Aspirational Districts. Model VHSND sites have ADT districts). increased, nutrition awareness has been enhanced through AMRIT – Effective scheme implementation including – 92% District Hospitals were operational and POSHAN Melas, and numerous faith-based leaders and assessment of existing schemes such as Pradhan Mantri adhering the First Referral Unit (FRU) compliance District Transformation Programme, Health Panchayati Raj Institution (PRI) members came on board as Matri Vandana Yojana (PMMVY) and Grameen Kaushalya (24 out of 26 DHs). champions and much more. Tribal Health Collaborative Yojana (GKY), identify the operational gaps, facilitate action – 38% of the FRUs got operationalised for emergency to address these gaps, and improve the implementation – The model VHSND sites increased from 1,213 in Jal Jeevan Mission obstetric and newborn care (29 out of 77 FRUs). of these schemes. March 2019 to 7,103 VHSND sites in February 2020. Awards – 6 District Hospitals were LaQshya accredited Notable Developments 2019-20 – Over 600 Inter-Faith Leaders were sensitised on (3 District Hospitals had undergone national-level Statutory Report Steady improvements in health outcomes over positive messages around health and nutrition. 15 districts assessment and 6 state-level assessments). Board’s Report three survey rounds: across Assam, Bihar, Jharkhand and Uttar Pradesh have an active network of faith leaders operating to enhance the – More than 700 service providers across state, district Financial Statements – 21 percentage point (pp) increase in Antenatal Care demand of services. and facility levels were sensitised for LaQshya. (ANC) registration Balance Sheet The orientations included technical trainings, – 165 Religious influencers were engaged to promote – 16 pp increase in institutional deliveries brainstorming sessions and onsite handholding after Statement of Income and Expenditure institutional delivery. need assessment of all cadre of staff. – 21 pp increase in early initiation of breastfeeding Statement of Cash Flows – Approximately 1500 mid-level supervisors had – In the recent POSHAN Maah observed in September 2019, – Percentage of pregnant and recently pregnant women undergone supportive supervision trainings across Statement of Changes in Equity the team facilitated key activities including POSHAN registered for ANC within the first trimester against total all seven states. Notes to Financial Statements ANC registration has increased from 64% to 73%. Piramal Foundation Annual Review 63 Overview About Us Board’s Report The Piramal Values

Pan-India Impact Mela, cycle rally, awareness camps for adolescent girl and pandemic induced reverse migration has led to a spike in the and Gareeb Kalyan Yojna, PRI members have contributed to Key Partnerships and Collaborations school-based activities amongst others. It createdover 28 number of cases. In the wake of the spreading pandemic, various activities including participating in VHSNC meetings, COVID-19 Response crore impressions in the 25 Aspirational Districts. the health systems in the Aspirational Districts are under supporting VHSNDs and other community-based events etc. immense pressure to institute control measures and strengthen A module for PRI members focusing on resuming the health and Governance at Piramal Foundation – The team has been working on strengthening PMMVY COVID-19 response. nutrition services during COVID-19, and addressing associated since September 2019. By identifying bottlenecks and Our People stigma and discrimination has also been developed and the strengthening the implementation of the scheme, the In the initial stages of the epidemic, concerted efforts were trainings are still ongoing. Various Information, Education and Our Three Key Pillars team aimed at increasing the number of registered made for prevention and control of COVID-19 infections hence Communication (IEC) materials have been shared with PRI beneficiaries under PMMVY and improving the disbursal the team began by supporting the district administration in Piramal School of Leadership members including videos and posters and over 22,000 PRI rate of the instalments. preparing and operationalising quarantine centers across the 25 members have been oriented so far. Piramal Swasthya Aspirational Districts along with ensuring adequate COVID-19 – As of March 2020, 79% beneficiaries were Piramal Sarvajal supplies (PPE Kits, Sanitisers, masks). However, the efforts were The team has also capitalised on the existing network of faith registered across 25 Aspirational Districts. not limited to preparing quarantine centers. The quality team leaders in the Aspirational Districts to become the champions of Building a movement – Eliminating Diarrhoeal Deaths which works on strengthening first referral units and district COVID-19 and enhance awareness in the community. The team Realising aspirations, together – The team, in collaboration with NITI Aayog, hospitals, parallelly started strengthening Intensive Care oriented the faith leaders telephonically about COVID-19 Education Health Water introduced a strategy to defeat diarrhoea in children Units and Isolation Wards. transmission, prevention, associated myths/misconceptions, under five years of age. This strategy was centred and stigma and discrimination practices. 950 Faith leaders While the quarantine centres were being set up, migration Strategic Focus Areas around convergent action between various line have been oriented and engaged so far. Additionally, from metropolitan cities to these Aspirational Districts had also ministries including Women and Child Development, 56,000 Frontline Workers (FLWs) have been oriented around District Transformation Programme, Education begun. It was crucial to identify, track and test the returning Drinking Water and Sanitation & Panchayati Raj; and COVID transmission and prevention and role of the frontline State Transformation Programme, Education migrant workers to ensure their safety along with preventing has already been inaugurated in consultation with worker in active surveillance and contact tracing. community transmission. The second support provided by AMRIT the districts (under the aegis of NITI Aayog). Piramal Foundation to the district administration was door Innovations amidst a Pandemic District Transformation Programme, Health – A household-level survey, to monitor the coverage to door screening of the returning migrant workers and Adapting to post COVID-19 needs, a telemedicine solution Tribal Health Collaborative of key interventions around the prevention and their families. Piramal Foundation staff also telephonically that can be operated using the mobile-based application has treatment of diarrhoea among children was followed up with people in home quarantine to gauge if they been deployed. This application is used by the frontline health Jal Jeevan Mission conducted in 19 Aspirational Districts. The findings were having any symptoms and prepare for its management. workers, providing telemedicine services at the doorstep Awards are as follows: If there were any symptoms detected, the cases were escalated of the rural communities. Currently, this innovation is being to the medical officers so that adequate care could be provided. piloted across five districts of Bihar in collaboration with state Statutory Report – Overall, in the 24 districts, between May and As of July 2020, 1.15 Lakh suspected cases have been health department and is planned to be scaled up across 25 September 2019, household saturation of ORS Board’s Report tracked and followed up with Piramal Foundation. Aspirational Districts. increased from 10% to 35%; use of ORS in Financial Statements diarrhoea increased from 35% to 60% and use Leveraging the existing relationship with Panchayat Furthermore, a telemedicine centre has been launched in Balance Sheet of Zinc in diarrhoea increased from 19% to 50%. Raj (PRI) leaders in Aspirational Districts, they were Sheikhpura, Bihar to cater to COVID-19 home isolated patients telephonically oriented about COVID-19, associated myths and provide consultation for symptoms, medicines, and referrals. Beyond March 2019: Building Resilient Aspirational Statement of Income and Expenditure and misconceptions, its prevention mechanisms, stigma and Districts | Addressing COVID-19 discrimination and advised on COVID Appropriate Behaviour Statement of Cash Flows The COVID-19 pandemic has strained the capacity of health (CAB). Along with raising awareness on COVID-19, addressing systems globally and the cases are rapidly increasing. With the Statement of Changes in Equity stigma and discrimination faced by migrants returning home lockdown getting lifted in a graded manner across the country, Notes to Financial Statements Piramal Foundation Annual Review 64 Overview About Us Board’s Report The Piramal Values

Pan-India Impact Plan for 2020 -21 – Partnership building with organisations to create synergy PARTICULARS OF LOANS, GUARANTEES OR Key Partnerships and Collaborations The aforementioned interventions would be continued in the and amplify impact. INVESTMENTS UNDER SECTION 186: COVID-19 Response existing 25 Aspirational Districts and the team would be aiming The Company has not provided any Loans or Guarantees or to scale up the efforts to 112 Aspirational Districts. EXTRACT OF THE ANNUAL RETURN: made any investments falling under the purview of Section 186 Governance at Piramal Foundation The extract of the Annual return in Form MGT-9 is annexed of the Companies Act, 2013 during the year under review. – The scale-up strategy has been shared with the leadership herewith as Annexure A. Our People for their perusal. RELATED PARTY TRANSACTION Our Three Key Pillars NUMBER OF MEETINGS OF THE BOARD OF During the year ended March 31, 2020, the Company had not – Among the existing interventions, there would be a DIRECTORS: entered into any material contract / arrangement / transaction Piramal School of Leadership focus on increasing the model VHSND sites to 10,000 by During the year two (2) Board Meetings were held, thereby with related parties. Piramal Swasthya end of 2020. In addition, onboarding more community complying with applicable statutory requirements of holding leaders and strengthening the network of the existing atleast one meeting within every six calendar months. Accordingly, the disclosure of Related Party Transactions as Piramal Sarvajal leaders will be aimed. required under Section 134(3)(h) of the Companies Act, 2013 in DIRECTORS’ RESPONSIBILITY STATEMENT: Building a movement Form AOC 2 is not applicable. – Intending to provide quality Comprehensive Primary Your Directors state that: Realising aspirations, together Health Care (CPHC) closer to the community, the team (a) in the preparation of the annual financial statements for MATERIAL CHANGES AND COMMITMENTS would be strengthening Health and Wellness Centers Education Health Water the year ended March 31, 2020, the applicable accounting BETWEEN 31ST MARCH, 2020 AND THE DATE (HWCs). The team would be adopting five facilities and There are no material changes and commitments between standards have been followed with no material departures; Strategic Focus Areas demonstrating these as model HWCs; and providing March 31, 2020 and the date of the report. District Transformation Programme, Education handholding with capacity-building support in 180 HWCs. (b) the Directors have selected such accounting policies The focus would be on comprehensive primary health and applied them consistently and made judgments and CONSERVATION OF ENERGY, TECHNOLOGY State Transformation Programme, Education care (CPHC) and will be supported by technology and estimates that are reasonable and prudent so as to give a ABSORPTION AND FOREIGN EXCHANGE EARNINGS AND OUTGO AMRIT establishment of nutrition-hubs. true and fair view of the state of affairs of the Company as Considering the nature of the operations of the Company, at March 31, 2020 and of the surplus of the Company for District Transformation Programme, Health – The mobile telemedicine application being piloted there are no disclosures regarding conservation of energy and the year ended on that date; Tribal Health Collaborative in Bihar and Assam will also be scaled up to all 25 technology absorption. Aspirational Districts. (c) the Directors have taken proper and sufficient care for There are no foreign exchange earnings and outgo during Jal Jeevan Mission the maintenance of adequate accounting records in – Intensive efforts on demand generation is being the FY 2019-20. accordance with the provisions of the Companies Act, Awards undertaken. These include expanding the base of faith 2013 for safeguarding the assets of the Company and for leaders, exploring alternate media (one in MP has RISK MANAGEMENT: Statutory Report preventing and detecting fraud and other irregularities; The Company has a robust Risk Management framework to already been identified), sensitisation of Supervisors Board’s Report identify, measure and mitigate business risks and opportunities. of grassroots workers with the purpose of engaging (d) the Directors have prepared the annual financial This framework seeks to create transparency, minimise adverse Financial Statements them to nudge grassroots workers to undertake statements on a going concern basis; impact on the business objective and enhance the Company’s inter-personal communication. Balance Sheet (e) the Directors have devised proper systems to ensure ability to perform. Statement of Income and Expenditure – Special focus is given on Community-based management compliance with the provisions of all applicable laws and of severe acute malnutrition (C-SAM) with the objective of that such systems are adequate and operating effectively. Statement of Cash Flows identifying and addressing the acute malnutrition in the Statement of Changes in Equity project areas. State specific plans are on-going and will be implemented in all the states in a phased manner. Notes to Financial Statements Piramal Foundation Annual Review 65 Overview About Us Board’s Report The Piramal Values

Pan-India Impact CORPORATE SOCIAL RESPONSIBILITY (CSR) CHANGES IN SUBSIDIARIES/JOINT VENTURES/ Harassment of Women at Workplace (Prevention, Prohibition Key Partnerships and Collaborations INITIATIVES: ASSOCIATE COMPANIES: and Redressal) Act, 2013. An Internal Complaints Committee COVID-19 Response The CSR provisions are not applicable to your Company. During the year under review there is no change in the (‘ICC’) has been set up to redress complaints received regarding existing subsidiaries. sexual harassment. All employees (permanent, contractual, Governance at Piramal Foundation CHANGES IN THE NATURE OF ACTIVITIES: temporary, trainees) are covered under this Policy. The Policy There are no changes in the nature of activities. Our People PARTICULARS OF EMPLOYEES: is gender neutral. Statement containing details of Employee Remuneration Our Three Key Pillars ADEQUACY OF INTERNAL FINANCIAL CONTROLS: prescribed under Section 197 of Companies Act, 2013 and Rule During the year under review, eight complaints were filed with The Company has adequate internal financial controls in 5(2) & Rule 5(3) of Companies (Appointment and Remuneration the ICC. Six complaints were resolved during Piramal School of Leadership place with reference to financial statements. These are of Managerial Personnel) Rules, 2014 forms part of this Report. continually reviewed by the Company to strengthen the same the year and as of March 31, 2020, there were two open Piramal Swasthya The said statement shall be made available to any member on wherever required. complaints. Both were closed as of July 31, 2020. Piramal Sarvajal specific request. The Company during the year has also initiated a study to STATUTORY AUDITORS AND AUDITORS REPORT: Building a movement implement the Internal Control Framework which will be POLICY OF PREVENTION, PROHIBITION AND In Compliance with the provisions of Section 139 and other Realising aspirations, together applicable from FY 2020-21. REDRESSAL OF SEXUAL HARASSMENT AT applicable provisions of the Companies Act, 2013 and the WORKPLACE: Companies (Audit and Auditors) Rules, 2014 (including any Education Health Water The Company has always believed in providing a safe and DIRECTOR: statutory modification(s)/re-enactment(s)/amendment(s) In accordance with the provisions of the Companies Act, 2013, harassment free workplace for every individual working Strategic Focus Areas thereof, for the time being in force), M/s. Lodha & Co., Chartered Mr. Jalaj Dani (DIN: 00019080) and Mr. Adil Zainulbhai (DIN: in Company’s premises through various interventions and Accountants, (having Firm Registration Number 301051E) were District Transformation Programme, Education 06646490), Directors retire by rotation at the ensuing Annual practices. The Company always endeavour’s to create and appointed as Statutory Auditors at the 7th Annual General State Transformation Programme, Education General Meeting and are eligible for re-appointment which provide an environment that is free from discrimination and Meeting of the Company held on September 25, 2018 , to hold your Board recommends. harassment, including sexual harassment. The Company has AMRIT office for a term of five (5) consecutive years from the conclusion in place a robust policy on prevention of sexual harassment at of the 7th Annual General Meeting until the conclusion of the District Transformation Programme, Health REMUNERATION TO DIRECTORS: workplace which is in line with the requirements of the Sexual No remuneration is paid to any directors of the Company. 12th Annual General Meeting. Tribal Health Collaborative

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Pan-India Impact The Auditors Report for the financial year ended March 31, ACKNOWLEDGEMENTS Key Partnerships and Collaborations 2020 does not contain any qualification, reservation or adverse We take this opportunity to thank the Niti Aayog, all COVID-19 Response remark and no frauds have been reported by the Auditors. Government authorities, Stakeholders and Company’s Bankers for their support to the Company. The employees of the Governance at Piramal Foundation The Notes on financial statement referred to in the Company are the backbone for working with communities and Auditors’ Report are self-explanatory and do not call for any Our People government authorities in remote locations and the Company further comments. Our Three Key Pillars is grateful for their support and commitment to the objectives OTHERS: of the Foundation. Piramal School of Leadership A. Your Directors state that no disclosure or reporting is For and on behalf of the Board Piramal Swasthya required in respect of the following items as there were no For Piramal Foundation transactions on these items during the year under review: Piramal Sarvajal 1. The details relating to deposits, covered under Registered Office: Adil Zainulbhai Jalaj Dani Building a movement nd Chapter V of the Act, since neither has the Company 2 Floor, Piramal Ananta, Director Director Realising aspirations, together accepted deposits during the year under review nor Agastya Corporate Park, (DIN: 06646490) (DIN: 00019080) LBS Marg, Kurla- West, were there any deposits outstanding during the year. Education Health Water Mumbai – 400 070. Strategic Focus Areas 2. No significant or material orders were passed by the Regulators or Courts or Tribunals which Place: Mumbai District Transformation Programme, Education impact the going concern status and Company’s Date: September 7, 2020 State Transformation Programme, Education operations in future.

AMRIT B. Your directors state that no disclosures have been made in respect of the items where the Company does not have District Transformation Programme, Health any information to disclose. Tribal Health Collaborative

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Notes to Financial Statements Piramal Foundation Annual Review 67 Overview About Us Balance Sheet The Piramal Values as at March 31, 2020 (` in Lakhs) Pan-India Impact As at As at Particulars Note No. March 31, 2020 March 31, 2019 Key Partnerships and Collaborations ASSETS COVID-19 Response Non-Current Assets Property, Plant and Equipment 2 576.34 488.08 Governance at Piramal Foundation Intangible asset 2 264.45 201.14 Intangible assets under development 2A - 30.06 Our People Financial Assets: Our Three Key Pillars (i) Other Financial Assets 3 224.50 - Total Non-Current Assets 1,065.29 719.28 Piramal School of Leadership Current Assets Financial Assets: Piramal Swasthya (i) Cash & Cash equivalents 4 183.36 125.94 (ii) Bank balances other than cash and cash equivalents 5 87.50 94.42 Piramal Sarvajal (ii) Other Financial Assets 6 49.29 20.29 Building a movement Current Tax Assets (Net)-TDS Receivable 1.93 0.31 Other Current Assets 7 78.41 65.07 Realising aspirations, together Total Current Assets 400.49 306.03 Total Assets 1,465.78 1,025.31 Education Health Water EQUITY AND LIABILITIES Strategic Focus Areas Equity Corpus Fund 8A 150.00 150.00 District Transformation Programme, Education Other Equity 8B 481.43 170.25 Total Equity 631.43 320.25 State Transformation Programme, Education LIABILITIES Non-Current Liabilities AMRIT Provisions 9 106.20 69.14 District Transformation Programme, Health Total Non-Current Liabilities 106.20 69.14 Current Liabilities Tribal Health Collaborative Financial Liabilities: (i) Trade Payables Jal Jeevan Mission Total outstanding dues of Micro enterprises and small enterprises 1.21 - Awards Total outstanding dues other than Micro enterprises and small enterprises 10 496.24 434.29 Other Current Liabilities 11 86.73 90.63 Statutory Report Provisions 12 143.97 111.00 Total Current Liabilities 728.15 635.92 Board’s Report Total Equity & Liabilities 1,465.78 1,025.31 The accompanying notes are an integral part of the Financial Statements 1-26 Financial Statements As per our attached report of even date Balance Sheet For Lodha & Co. For and on behalf of the Board of Directors Chartered Accountants Statement of Income and Expenditure FRN:301051E Statement of Cash Flows A. M. Hariharan Jalaj Dani Adil Zainulbhai Partner Director Director Statement of Changes in Equity DIN: 00019080 DIN: 06646490 Notes to Financial Statements Date: Place : Mumbai Piramal Foundation Annual Review 68 Overview About Us Statement of Income and Expenditure The Piramal Values for the year ended March 31, 2020

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations Year Ended Year Ended Particulars Note No. March 31, 2020 March 31, 2019 COVID-19 Response Income Governance at Piramal Foundation Donations 7,254.50 4,648.01 Other Income (Net) 13 15.97 3.16 Our People Total Income 7,270.47 4,651.17 Our Three Key Pillars Expenses Piramal School of Leadership Employee benefit expenses 14 3,793.44 2,547.53 Depreciation and amortisation expense 2 247.00 126.48 Piramal Swasthya Other expenses 15 2,913.34 1,797.78 Piramal Sarvajal Total Expenditure 6,953.78 4,471.79 Surplus/(Deficit) before Tax 316.69 179.38 Building a movement Tax Expense - - Realising aspirations, together Surplus/(Deficit) for the year 316.69 179.38 Other comprehensive income Education Health Water Items that will not be reclassified to profit or loss Strategic Focus Areas Remeasurements of post- benefit obligations 5.51 - District Transformation Programme, Education Total comprehensive surplus/(deficit) for the year 311.18 179.38 The accompanying notes are an integral part of the Financial Statements 1-26 State Transformation Programme, Education

AMRIT As per our attached report of even date For Lodha & Co. For and on behalf of the Board of Directors District Transformation Programme, Health Chartered Accountants Tribal Health Collaborative FRN:301051E

Jal Jeevan Mission A. M. Hariharan Jalaj Dani Adil Zainulbhai Partner Director Director Awards DIN: 00019080 DIN: 06646490 Statutory Report Date: Board’s Report Place : Mumbai Financial Statements

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Notes to Financial Statements Piramal Foundation Annual Review 69 Overview About Us Statement of Cash Flows The Piramal Values for the year ended March 31, 2020

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations Year Ended Year Ended Particulars March 31, 2020 March 31, 2019 COVID-19 Response Cash flows from operating activities Governance at Piramal Foundation (Deficit)/Surplus for the year 316.69 179.38 Adjustments for: Our People Depreciation and amortisation expense 247.00 126.48 Our Three Key Pillars Loss on disposal of assets 2.38 0.17 Piramal School of Leadership Interest received (15.97) (3.16) 550.10 302.87 Piramal Swasthya (Increase)/ decrease in Financial Assets (246.58) (114.71) Piramal Sarvajal (Increase)/ decrease in Other Current Assets (13.34) (61.21) (Increase)/ decrease in Provisions 64.52 275.60 Building a movement Increase/(decrease) in Financial Liabilities 63.16 337.57 Realising aspirations, together Increase/ (decrease) in Other Current Liabilities (3.90) 90.63 413.96 830.75 Education Health Water Income taxes paid 1.62 0.31 Strategic Focus Areas Net cash from operating activities 412.34 830.44 District Transformation Programme, Education Cash flows from investing activities Purchase of property, plant and equipment (371.87) (781.94) State Transformation Programme, Education Insurance claim/ proceeds from sale of assets 0.98 0.10 AMRIT Interest received 15.97 3.16 Net cash from investing activities (354.92) (778.68) District Transformation Programme, Health Cash flows from financing activities Tribal Health Collaborative Corpus Donation - - Jal Jeevan Mission Net cash from financing activities - - Net increase/(decrease) in cash and cash equivalents 57.42 51.76 Awards Cash and cash equivalents at beginning of reporting period 125.94 74.18 Statutory Report Cash and cash equivalents at end of reporting period 183.36 125.94

Board’s Report As per our attached report of even date For Lodha & Co. For and on behalf of the Board of Directors Financial Statements Chartered Accountants Balance Sheet FRN:301051E

Statement of Income and Expenditure A. M. Hariharan Jalaj Dani Adil Zainulbhai Partner Director Director Statement of Cash Flows DIN: 00019080 DIN: 06646490 Statement of Changes in Equity Date: Notes to Financial Statements Place : Mumbai Piramal Foundation Annual Review 70 Overview About Us Statement of Changes in Equity The Piramal Values for the year ended March 31, 2020

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations For the year ended For the year ended Particulars March 31, 2020 March 31, 2019 COVID-19 Response Equity Governance at Piramal Foundation Balance at the beginning of the reporting period - - Changes in equity share capital during the year - - Our People Balance at the end of the reporting period - - Our Three Key Pillars Other Equity A. Surplus Piramal School of Leadership Balance at the beginning of the reporting period 170.25 (9.13) Piramal Swasthya Excess of income over expenditure 316.69 179.38 Piramal Sarvajal Balance at the end of the reporting period 486.94 170.25 B. OCI Building a movement Remeasurements of post-employment benefit obligations (Actuarial gains/ (losses) Realising aspirations, together Balance at the beginning of the reporting period - - Other comprehensive income / (losses) (5.51) - Education Health Water Balance at the end of the reporting period (5.51) - Strategic Focus Areas Total (A+B) 481.43 170.25 District Transformation Programme, Education The accompanying notes are an integral part of the Financial Statements 1-26

State Transformation Programme, Education As per our attached report of even date For Lodha & Co. For and on behalf of the Board of Directors AMRIT Chartered Accountants District Transformation Programme, Health FRN:301051E

Tribal Health Collaborative A. M. Hariharan Jalaj Dani Adil Zainulbhai Partner Director Director Jal Jeevan Mission DIN: 00019080 DIN: 06646490 Awards Date: Statutory Report Place : Mumbai Board’s Report Financial Statements

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Pan-India Impact NOTE 2 : PROPERTY, PLANT AND EQUIPMENT AND INTANGIBLE ASSET Key Partnerships and Collaborations (` in Lakhs) COVID-19 Response Tangible Intangible Total Particulars Computer & Furniture & Office Total Tangible Governance at Piramal Foundation Vehicles Software Intangible Peripherals Fixtures Equipment Assets Asset Our People Gross Carrying Value as at April 1, 2019 372.39 38.88 138.84 41.63 591.74 223.91 223.91 Our Three Key Pillars Additions 53.04 24.00 139.33 66.47 282.84 119.09 119.09 Piramal School of Leadership Deletions 4.84 - 0.59 0.29 5.72 - - Gross Carrying Value as at March 31, 2020 420.59 62.88 277.58 107.81 868.86 343.00 343.00 Piramal Swasthya Accumulated Depreciation as at April 1, 2019 78.55 3.41 17.85 3.85 103.66 22.77 22.77 Piramal Sarvajal Depreciation 124.75 10.42 40.98 15.07 191.22 55.78 55.78 Accumulated depreciation on deletions 2.17 - 0.13 0.06 2.36 - - Building a movement Accumulated Depreciation as at March 31, 2020 201.13 13.83 58.70 18.86 292.52 78.55 78.55 Realising aspirations, together Carrying value as at March 31, 2020 219.46 49.05 218.88 88.95 576.34 264.45 264.45 Education Health Water Carrying value as at March 31, 2019 293.84 35.47 120.99 37.78 488.08 201.14 201.14 Strategic Focus Areas NOTE 2A : INTANGIBLE ASSETS UNDER DEVELOPMENT District Transformation Programme, Education (` in Lakhs) As at As at Particulars State Transformation Programme, Education March 31, 2020 March 31, 2019 AMRIT Software - 30.06 Total - 30.06 District Transformation Programme, Health

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Pan-India Impact NOTE 3 : OTHER FINANCIAL ASSETS Key Partnerships and Collaborations (` in Lakhs) As at As at COVID-19 Response Particulars March 31, 2020 March 31, 2019 Governance at Piramal Foundation Bank Deposit with original maturity more than 12 months 224.50 - Our People Total 224.50 - Our Three Key Pillars NOTE 4 : CASH AND CASH EQUIVALENTS Piramal School of Leadership (` in Lakhs) As at As at Piramal Swasthya Particulars March 31, 2020 March 31, 2019 Piramal Sarvajal Cash in hand - - Building a movement Balance with banks -In current accounts 173.45 121.14 Realising aspirations, together -In bank deposits with original maturity less than 3 months 9.91 4.80 Education Health Water Total 183.36 125.94 Strategic Focus Areas NOTE 5 : BANK BALANCE OTHER THAN CASH & CASH EQUIVALENTS District Transformation Programme, Education (` in Lakhs) As at As at State Transformation Programme, Education Particulars March 31, 2020 March 31, 2019 AMRIT Bank deposits with original maturity more than 3 months and less than 12 months 87.50 94.42 District Transformation Programme, Health Total 87.50 94.42

Tribal Health Collaborative NOTE 6 : OTHER FINANCIAL ASSETS Jal Jeevan Mission (` in Lakhs) As at As at Awards Particulars March 31, 2020 March 31, 2019 Statutory Report Rent & insurance deposit 34.91 17.95 Interest receivable Board’s Report 14.38 2.34 Total 49.29 20.29 Financial Statements

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Pan-India Impact NOTE 7 : OTHER CURRENT ASSETS Key Partnerships and Collaborations (` in Lakhs) As at As at COVID-19 Response Particulars March 31, 2020 March 31, 2019 Governance at Piramal Foundation Prepayments 49.01 35.14 Our People Statutory dues recoverable 3.83 5.53 Advance to employees 23.82 8.02 Our Three Key Pillars Advances to vendors 1.75 16.38 Piramal School of Leadership Total 78.41 65.07

Piramal Swasthya NOTE 8A: CORPUS FUND Piramal Sarvajal (` in Lakhs) Building a movement As at As at Particulars March 31, 2020 March 31, 2019 Realising aspirations, together Corpus fund* 150.00 150.00 Education Health Water Total 150.00 150.00 Strategic Focus Areas *Amount received for Corpus Donation as directed by the donor.

District Transformation Programme, Education NOTE 8B : OTHER EQUITY State Transformation Programme, Education (` in Lakhs) As at As at Particulars AMRIT March 31, 2020 March 31, 2019 District Transformation Programme, Health Balance as at the beginning of the year 170.25 (9.13) Surplus for the year 311.18 179.38 Tribal Health Collaborative Total 481.43 170.25 Jal Jeevan Mission Awards NOTE 9 : PROVISIONS (` in Lakhs) Statutory Report As at As at Particulars Board’s Report March 31, 2020 March 31, 2019 Provision for employee benefits Financial Statements -Gratuity 106.20 69.14 Balance Sheet Total 106.20 69.14

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Pan-India Impact NOTE 10 : TRADE PAYABLES Key Partnerships and Collaborations (` in Lakhs) As at As at COVID-19 Response Particulars March 31, 2020 March 31, 2019 Governance at Piramal Foundation Total outstanding dues of creditors other than Micro enterprises and small enterprises Our People -Sundry creditors 72.30 266.09 -Provision for expenses 97.51 53.93 Our Three Key Pillars -Employee payable 29.37 18.81 Piramal School of Leadership Deferred fellow scholarship 297.06 95.46 Total 496.24 434.29 Piramal Swasthya

Piramal Sarvajal NOTE 11 : OTHER CURRENT LIABILITIES Building a movement (` in Lakhs) As at As at Realising aspirations, together Particulars March 31, 2020 March 31, 2019 Education Health Water Statutory liabilities 86.73 90.63 Total 86.73 90.63 Strategic Focus Areas NOTE 12 : PROVISIONS District Transformation Programme, Education (` in Lakhs) As at As at State Transformation Programme, Education Particulars March 31, 2020 March 31, 2019 AMRIT Provision for employee benefits District Transformation Programme, Health -Gratuity 26.99 20.97 -Compensated absences 116.98 90.03 Tribal Health Collaborative Total 143.97 111.00 Jal Jeevan Mission Awards NOTE 13 : OTHER INCOME (` in Lakhs) Statutory Report Year Ended Year Ended Particulars Board’s Report March 31, 2020 March 31, 2019 Interest on Fixed Deposit with bank 15.97 3.16 Financial Statements Total 15.97 3.16 Balance Sheet

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Pan-India Impact NOTE 14 : EMPLOYEE BENEFIT EXPENSE Key Partnerships and Collaborations (` in Lakhs) Year Ended Year Ended COVID-19 Response Particulars March 31, 2020 March 31, 2019 Governance at Piramal Foundation Salaries and wages 3,464.58 2,164.09 Our People Contribution to provident and other funds 193.82 126.78 Gratuity 37.57 94.24 Our Three Key Pillars Compensated absences 32.55 93.65 Piramal School of Leadership Other staff welfare expenses 64.92 68.77 Total 3,793.44 2,547.53 Piramal Swasthya

Piramal Sarvajal NOTE 15 : OTHER EXPENSES Building a movement (` in Lakhs) Year Ended Year Ended Realising aspirations, together Particulars March 31, 2020 March 31, 2019 Education Health Water Travelling expenses 673.50 587.59 Legal and professional charges 543.66 321.10 Strategic Focus Areas Fellowship 649.43 275.99 District Transformation Programme, Education Rent, rates & taxes 273.10 172.25 Training expenses 113.88 State Transformation Programme, Education 120.38 Workshop charges 248.45 102.98 AMRIT Office expenses 116.31 70.90 District Transformation Programme, Health Communication expenses 46.99 36.02 Printing and stationery expenses 48.04 27.68 Tribal Health Collaborative IT support services 76.01 26.60 Jal Jeevan Mission Repairs & maintenance expenses 43.07 19.59 Utility expenses 20.86 12.03 Awards Stores & consumables 25.43 11.62 Statutory Report Auditors' remuneration Board’s Report -For Audit fee 3.60 2.25 -For Other related expenses (including for PY ` 1.41 lakhs) 1.41 - Financial Statements Insurance expenses 11.10 4.18 Balance Sheet Brokerage & commission - 4.11 Loss on sale of PPE (Net) 2.38 0.17 Statement of Income and Expenditure Miscellaneous expenses 9.62 8.84 Statement of Cash Flows Total 2,913.34 1,797.78 Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 76 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact NOTE 16 : CONTINGENT LIABILITIES AND COMMITMENTS Key Partnerships and Collaborations Contingent Liabilities: COVID-19 Response The Company has made adequate provision of liability as per the supreme court judgment dated February 28th, 2019 on provident fund payable by the entity w.e.f April 01st, 2019. As regards the past liability, if any, no provision has been made in absence of clarity on interpretation of the said order. The amount is not ascertainable. Governance at Piramal Foundation Our People Commitments: (` in Lakhs) Our Three Key Pillars As at As at Particulars March 31, 2020 March 31, 2019 Piramal School of Leadership Estimated amount of contracts remaining to be executed on capital account and not provided for* 2.68 42.00 Piramal Swasthya *Capital Commitment towards PO raised for purchase of tablets, delivery pending due to COVID situation Piramal Sarvajal Refer Note-1 of Financial Statements, "General Information" in relation to Commitment with Niti Aayog. Building a movement NOTE 17 : EMPLOYEE BENEFITS Realising aspirations, together Defined Benefit Plan: Education Health Water The Company also provides for gratuity to it's employees. Annual actuarial valuations at the end of each year are carried out by independent actuary in compliance with Ind AS 19 on "Employee Benefits". Strategic Focus Areas Gratuity (` in Lakhs) District Transformation Programme, Education As at As at Table Showing Change in the Present Value of Projected Benefit Obligation State Transformation Programme, Education March 31, 2020 March 31, 2019 Present Value of Benefit Obligation at the Beginning of the Period 90.11 - AMRIT Interest Cost 6.27 - District Transformation Programme, Health Current Service Cost 30.49 90.11 Past Service Cost - - Tribal Health Collaborative Liability Transferred In/ Acquisitions - - Jal Jeevan Mission (Liability Transferred Out/ Divestments) - - (Gains)/ Losses on Curtailment - - Awards (Liabilities Extinguished on Settlement) - - Statutory Report (Benefit Paid Directly by the Employer) - - Board’s Report (Benefit Paid From the Fund) - - The Effect Of Changes in Foreign Exchange Rates - - Financial Statements Actuarial (Gains)/Losses on Obligations - Due to Change in - - Demographic Assumptions Balance Sheet Actuarial (Gains)/Losses on Obligations - Due to Change in (12.87) - Statement of Income and Expenditure Financial Assumptions Actuarial (Gains)/Losses on Obligations - Due to Experience 18.39 - Statement of Cash Flows Present Value of Benefit Obligation at the End of the Period 132.39 90.11 Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 77 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations As at As at Amount Recognised in the Balance Sheet March 31, 2020 March 31, 2019 COVID-19 Response (Present Value of Benefit Obligation at the end of the Period) (132.38) (90.11) Governance at Piramal Foundation Fair Value of Plan Assets at the end of the Period - - Funded Status (Surplus/ (Deficit)) (132.38) (90.11) Our People Net (Liability)/Asset Recognised in the Balance Sheet (132.38) (90.11) Our Three Key Pillars

Piramal School of Leadership (` in Lakhs) As at As at Piramal Swasthya Net Interest Cost for Current Period March 31, 2020 March 31, 2019 Piramal Sarvajal Present Value of Benefit Obligation at the Beginning of the Period (90.11) - (Fair Value of Plan Assets at the Beginning of the Period) - - Building a movement Net Liability/(Asset) at the Beginning (90.11) - Realising aspirations, together Interest Cost 6.27 - (Interest Income) - - Education Health Water Net Interest Cost for Current Period 6.27 - Strategic Focus Areas ` District Transformation Programme, Education ( in Lakhs) As at As at Expenses Recognised in the Statement of Profit or Loss for Current Period State Transformation Programme, Education March 31, 2020 March 31, 2019 Current Service Cost 30.49 90.11 AMRIT Net Interest Cost 6.27 - District Transformation Programme, Health Past Service Cost - - (Expected Contributions by the Employees) - Tribal Health Collaborative - (Gains)/Losses on Curtailments And Settlements - - Jal Jeevan Mission Net Effect of Changes in Foreign Exchange Rates - - Awards Expenses Recognised 36.76 90.11

Statutory Report (` in Lakhs) As at As at Board’s Report Expenses Recognised in the Other Comprehensive Income (OCI) for Current Period March 31, 2020 March 31, 2019 Financial Statements Actuarial (Gains)/Losses on Obligation For the Period 5.51 - Return on Plan Assets, Excluding Interest Income - Balance Sheet - Change in Asset Ceiling - - Statement of Income and Expenditure Net (Income)/Expense For the Period Recognised in OCI 5.51 - Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 78 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations As at As at Balance Sheet Reconciliation March 31, 2020 March 31, 2019 COVID-19 Response Opening Net Liability 90.11 - Governance at Piramal Foundation Expenses Recognised in Statement of Profit or Loss 36.76 90.11 Expenses Recognised in OCI 5.51 - Our People Net Liability/(Asset) Transfer In - - Our Three Key Pillars Net (Liability)/Asset Transfer Out - - Piramal School of Leadership (Benefit Paid Directly by the Employer) - - (Employer's Contribution) - - Piramal Swasthya Net Liability/(Asset) Recognised in the Balance Sheet 132.38 90.11 Piramal Sarvajal Building a movement (` in Lakhs) As at As at Assumptions Realising aspirations, together March 31, 2020 March 31, 2019 Expected Return on Plan Assets N.A. N.A. Education Health Water Rate of Discounting 5.45% 6.96% Strategic Focus Areas 0% for FY2020-21 Rate of Salary Increase 5% for FY2021-22 10% District Transformation Programme, Education 8% thereafter State Transformation Programme, Education Rate of Employee Turnover 10% 10% Indian Assured Indian Assured AMRIT Mortality Rate During Employment Lives Mortality Lives Mortality District Transformation Programme, Health (2006-08) Ult (2006-08) Ult Mortality Rate After Employment N.A. N.A. Tribal Health Collaborative

Jal Jeevan Mission (` in Lakhs) As at As at Awards Other Details March 31, 2020 March 31, 2019 Statutory Report No of Active Members 817 597 Board’s Report Per Month Salary For Active Members ` 1,72,27,799 ` 1,34,42,858 Weighted Average Duration of the Projected Benefit Obligation 10 9 Financial Statements Average Expected Future Service 3 4 Balance Sheet Projected Benefit Obligation (PBO) ` 1,32,37,810 ` 90,10,606 Prescribed Contribution For Next Year (12 Months) - Statement of Income and Expenditure -

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 79 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact (` in Lakhs) Key Partnerships and Collaborations As at As at Maturity Analysis of the Benefit Payments: From the Employer March 31, 2020 March 31, 2019 COVID-19 Response Projected Benefits Payable in Future Years From the Date of Reporting Governance at Piramal Foundation 1st Following Year 26,99,189 20,96,804 2nd Following Year 6,69,415 4,08,743 Our People 3rd Following Year 6,45,089 4,67,593 Our Three Key Pillars 4th Following Year 8,97,292 5,44,894 Piramal School of Leadership 5th Following Year 9,57,295 6,73,398 Sum of Years 6 To 10 52,16,056 33,69,378 Piramal Swasthya Sum of Years 11 and above 1,02,22,822 95,17,205 Piramal Sarvajal (` in Lakhs) Building a movement As at As at Sensitivity Analysis March 31, 2020 March 31, 2019 Realising aspirations, together Projected Benefit Obligation on Current Assumptions 1,32,37,810 90,10,606 Education Health Water Delta Effect of +1% Change in Rate of Discounting (8,81,610) (5,89,589) Strategic Focus Areas Delta Effect of -1% Change in Rate of Discounting 10,16,316 6,80,868 Delta Effect of +1% Change in Rate of Salary Increase 8,92,886 5,47,277 District Transformation Programme, Education Delta Effect of -1% Change in Rate of Salary Increase (7,08,933) (4,93,163) State Transformation Programme, Education Delta Effect of +1% Change in Rate of Employee Turnover (2,54,661) (1,70,348) Delta Effect of -1% Change in Rate of Employee Turnover 2,75,440 1,84,298 AMRIT The sensitivity analysis have been determined based on reasonably possible changes of the respective assumptions occurring at the end of the reporting period, while holding all other assumptions constant. District Transformation Programme, Health

Tribal Health Collaborative The sensitivity analysis presented above may not be representative of the actual change in the projected benefit obligation as it is unlikely that the change in assumptions would occur in isolation of one another as some of the assumptions may be correlated. Jal Jeevan Mission Furthermore, in presenting the above sensitivity analysis, the present value of the projected benefit obligation has been calculated using the projected unit credit method at the end of the reporting Awards period, which is the same method as applied in calculating the projected benefit obligation as recognised in the balance sheet. Statutory Report Details of Plan Assets: Board’s Report The Scheme currently is not funded. Financial Statements Defined Contribution Plan: Balance Sheet Contribution to Provident Fund The Company’s Defined Contribution plans pertain to the Provident Fund and it has no further obligation beyond making such contributions to the plans. An amount of` 184.67 lakhs (PY - ` 121.29 Statement of Income and Expenditure lakhs) has been charged off to Statement of Income & Expenditure A/c Statement of Cash Flows Included in Contribution to Provident and Other Funds (Refer Note No. 14) Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 80 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact Compensated Absences Key Partnerships and Collaborations The liability for Compensated Absences as at year end is ` 116.98 lakhs (PY- ` 90.03 lakhs) COVID-19 Response Included in Compensated Absences. (Refer Note No. 14) Governance at Piramal Foundation NOTE 18 : RELATED PARTY DISCLOSURES Our People In the ordinary course of business, the Company does not enter into any business transactions with it's Related Parties. The names of Related parties of the Company and their relationship, as required Our Three Key Pillars to be disclosed under Ind AS 24 are as follows:

Piramal School of Leadership Names of the Related Parties Relationship Mr. Ajay G. Piramal Director Piramal Swasthya Mr. Jalaj Dani Director Piramal Sarvajal Mr. Madhav Chavan Director Mr. Adil Zainulbhai Director Building a movement Mr. Debasish Mitter Director Realising aspirations, together Piramal Foundation for Education Leadership Subsidiary by virtue of an Agreement Education Health Water Piramal Udgam Data Management Solutions Subsidiary by virtue of an Agreement Kaivalya Education Foundation Subsidiary by virtue of an Agreement Strategic Focus Areas Piramal Swasthya and Management Research Institute Subsidiary by virtue of an Agreement District Transformation Programme, Education In the context of Ind AS 24, Two entities are not considered as related parties just because of having common director or other member of key management personnel or because a member of key State Transformation Programme, Education management personnel of one entity has significant influence over the other entity. In considering each possible related party relationship, attention is directed to the substance of the relationship and not merely the legal form. AMRIT By virtue of above provisions, all entities, having common director(s) or director(s) being a member of KMP, are not considered as Related Parties. District Transformation Programme, Health

Tribal Health Collaborative There are no transactions with any of the above mentioned related parties during the year.

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 81 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact Note 19 : Disclosures as required by the Micro, Small and Medium Enterprises Development Act, 2006 ("MSMED Act") are as under Key Partnerships and Collaborations (` in Lakhs) As at As at COVID-19 Response Particulars March 31, 2020 March 31, 2019 Governance at Piramal Foundation Principal amount due to suppliers registered under the MSMED 1.21 - Our People Act and remaining unpaid as at year end Interest due to suppliers registered under the MSMED Act - - Our Three Key Pillars and remaining unpaid as at year end Piramal School of Leadership Principal amounts paid to suppliers registered under the - - MSMED Act, beyond the appointed day during the year Piramal Swasthya Interest paid, other than under Section 16 of MSMED Act, to Piramal Sarvajal suppliers registered under the MSMED Act, beyond the - - Building a movement appointed day during the year Interest paid, under Section 16 of MSMED Act, to suppliers Realising aspirations, together registered under the MSMED Act, beyond the appointed - - Education Health Water day during the year Interest due and payable towards suppliers registered - - Strategic Focus Areas under MSMED Act, for payments already made District Transformation Programme, Education Further interest remaining due and payable for earlier years

State Transformation Programme, Education The above information regarding Micro, Small and Medium Enterprises has been determined to the extent such parties have been identified on the basis of information available with the Company. AMRIT NOTE 20 : TAXES ON INCOME District Transformation Programme, Health Income Tax The Foundation is registered under Section 12AA of the Income Tax Act, 1961. As per the provisions of Section 11 of the Income Tax Act, 1961 it has applied 85 percent of it's Income towards activities Tribal Health Collaborative mentioned in Section 2(15) of the said Act. Accordingly no current tax liability is required to be recognised. Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 82 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact NOTE 21 : FINANCIAL INSTRUMENTS & FAIR VALUE DISCLOSURE Key Partnerships and Collaborations Categories of Financial Instruments: COVID-19 Response (` in Lakhs) As at As at Particulars Governance at Piramal Foundation March 31, 2020 March 31, 2019 Our People Financial Assets: Measured at amortised cost Our Three Key Pillars (i) Cash & Cash equivalents 183.36 125.94 Piramal School of Leadership (ii) Bank balances other than cash and cash equivalents 87.50 94.42 (iii) Other Financial Assets 273.79 20.29 Piramal Swasthya Financial Liabilities: Piramal Sarvajal Measured at amortised cost Building a movement (i) Trade Payables 497.45 434.29

Realising aspirations, together NOTE 22 : IMPACT OF COVID-19 ON ACTIVITIES Education Health Water The Foundation did not suspend work in any locations post the outbreak of Pandemic 'Novel Coronavirus' ("COVID - 2019") and consequent lockdown announced by the Central and State Governments Strategic Focus Areas on 23rd March, 2020. Our teams worked from their respective locations. No travel was allowed though. Safety and Service were there two key goal for the team during the COVID-19 Crisis.

District Transformation Programme, Education NITI Health District teams have been realigned to support the district administration in managing the COVID-19 situation by way of training of health workers on COVID protocols, set up of COVID hospitals, ICUs, Isolation ward as well as spread awareness in the community. The state teams worked from home and supported the district teams in field operations. State Transformation Programme, Education NITI Education District teams were also repurposed to focus on wellbeing of Senior Citizens in the aspirational districts. A programme called as "Surakshit Dada Dadi Nana Nani Abhiyan (SDDNNA)" was AMRIT designed & launched to focus on Prevention, Access & Early Detection for the target population of senior citizen. District Transformation Programme, Health The foundation non field employees were encouraged to work from home and thereby protect them from the COVID outbreak. The foundation has carried out its initial assessment of the likely adverse Tribal Health Collaborative impact of COVID-19, on the Company's activities and financials and no material adverse impact has been observed till the date of finalisation of accounts. Since the situation is continuously evolving, Jal Jeevan Mission management will continue to monitor any material changes arising due to the impact of this pandemic on its activities and financials and take necessary measures to address the situation. Awards NOTE 23 : OFFSETTING FINANCIAL ASSETS & FINANCIAL LIABILITIES All Financial assets and Financial liabilities are disclosed individually and no offsetting has been done between Financial assets and liabilities. Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 83 Overview About Us Notes to Financial Statements

The Piramal Values

Pan-India Impact NOTE 24 : FOREIGN CURRENCY TRANSACTIONS Key Partnerships and Collaborations There are no Foreign Currency Transactions being Receipts or Payments during the current year. COVID-19 Response NOTE 25 : IND AS 116 - LEASES Governance at Piramal Foundation The Company has adopted Ind AS 116 "Leases" effective 1st April, 2019 notified by the Ministry of Corporate Affairs. The impact of adoption of Ind AS 116 on the surplus of the year in not material. Our People Our Three Key Pillars NOTE 26 : REGROUPING / RECLASSIFICATION Previous year's figures have been re-grouped / re-classified wherever necessary to conform to the current year's classification. Piramal School of Leadership

Piramal Swasthya For and on behalf of the Board of Directors Piramal Sarvajal Building a movement

Realising aspirations, together Jalaj Dani Adil Zainulbhai Director Director Education Health Water DIN: 00019080 DIN: 06646490 Strategic Focus Areas

District Transformation Programme, Education

State Transformation Programme, Education

AMRIT

District Transformation Programme, Health

Tribal Health Collaborative

Jal Jeevan Mission Awards Statutory Report

Board’s Report Financial Statements

Balance Sheet

Statement of Income and Expenditure

Statement of Cash Flows

Statement of Changes in Equity

Notes to Financial Statements Piramal Foundation Annual Review 84 Piramal Foundation 2nd Floor, Piramal Ananta, Piramal Agastya Corporate Park, LBS Marg, Kurla West, Mumbai 400 070

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