SCI Foundation Annual Report and Financial Statements for the Period 2019-2020 1 Contents List of acronyms ............................................................................................................................ 3 Foreword by the Chair of the Board of Trustees ............................................................................ 4 Report of the Trustees ................................................................................................................... 5 Our purposes and activities ....................................................................................................... 5 Public Benefit Statement ........................................................................................................... 8 Grant Making Policy .................................................................................................................. 8 Achievements and Performance ................................................................................................ 9 Financial Review ..................................................................................................................... 15 Reserves Policy ....................................................................................................................... 17 Investment Policy .................................................................................................................... 18 Principal Risks and Uncertainties ............................................................................................ 19 Structure, Governance and Management ................................................................................ 21 Plans for Future Period ............................................................................................................ 23 Trustees’ responsibilities in relation to the financial statements ............................................... 26 Reference and Administration Details ......................................................................................... 27 Independent Auditor’s Report to the members of SCI Foundation ............................................... 28 Statement of Financial Activities .................................................................................................. 31 Balance Sheet............................................................................................................................. 32 Notes to the financial statements ................................................................................................ 34 2 List of acronyms ESPEN Expanded Special Project for Elimination of Neglected Tropical Disease FGS Female Genital Schistosomiasis MDA Mass Drug Administration MoH Ministry/ies of Health MORBID Morbidity Operational Research for Bilharziasis Implementation Decisions (Pilot) NNN NTDs non-governmental organisations network NTDs Neglected Tropical Diseases PZQ Praziquantel SCIF SCI Foundation SCH Schistosomiasis SMT Senior Management Team STH Soil-transmitted helminthiasis WHO World Health Organization 3 Foreword by the Chair of the Board of Trustees It is my great pleasure to present the first annual report of SCI Foundation. This has been an exciting year for the Foundation. Having been founded, incubated and successfully scaled up within Imperial College London as the Schistosomiasis Control Initiative (SCI), SCI Foundation emerged as an independent charity in February 2019 and was fully functional by August 2019. SCI was Founded in 2002 with a $34 million award from The Bill and Melinda Gates Foundation's Global Health Programme. The grant enabled SCI to provide a proof-of- concept for national-scale schistosomiasis control programmes. Since then, it has delivered over 200 million treatments against parasitic worm infections across Sub- Saharan Africa and has plans to deliver many millions more in the next three years within a broadening programme of work. Much has been achieved over the past 12 months. The organisation has supported treatment in nine countries, conducted 18 surveys, and trained health staff in programme delivery and monitoring. Additionally, SCIF continued its leadership in technical and policy matters, helping to develop global guidance on the design, implementation and evaluation of disease control programmes, and supporting the development of best practices on sustainability, health systems strengthening and environmental and behavioural measures for disease control. In the near future, we will continue to build on this success by deepening and expanding our support to ministries of health and global agencies. The next few years will see a growing emphasis on supporting the development of resilient health systems; expanding collaboration across sectors to tackle emerging health and environmental threats; and helping to ensure that the benefits of disease control programmes contribute to the achievement of universal health coverage. I am confident SCI Foundation is well on its way to delivering this ambitious agenda. Lord Trees of The Ross Chair of the Board of Trustees 4 Report of the Trustees The Trustees present their report, incorporating the requirements of a strategic report, together with the financial statements of the SCI Foundation (SCIF) from the period of incorporation, 18 January 2019, to 31 March 2020. The report has been prepared in accordance with Part VIII of the Charities Act 2011 and constitutes a directors’ report for the purposes of company legislation. The financial statements have been prepared in accordance with the accounting policies set out on pages 35 to 43 of the attached notes to the financial statements and comply with the charitable company’s Memorandum and Articles of Association, applicable laws, the Companies Act 2006 and Accounting and Reporting by Charities: Statement of Recommended Practice, applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102). Our purposes and activities SCI Foundation purpose The objects of the Charity are, for the public benefit: 1. To promote the physical and mental health of people and communities in any part of the world who are affected by neglected tropical diseases as defined by the World Health Organization including, but not limited to, parasitic worm infections, schistosomiasis and soil-transmitted helminthiasis (collectively “neglected tropical diseases”); 2. To relieve the needs of people and communities in any part of the world who are suffering as a consequence of neglected tropical diseases; and 3. To advance the education of people and communities in any part of the world who are affected by neglected tropical diseases and the general public with a view to reducing transmission and infection By: a. Supporting the development of effective and sustainable systems that seek to eliminate neglected tropical diseases; b. Supporting and evaluating treatment programmes for neglected tropical diseases and generating evidence for optimising programme impact; and c. Providing and promoting access to services that can reduce the risk of and alleviate the problems associated with neglected tropical diseases. 5 Our Goals Our vision is a world free of preventable disease, in which everyone everywhere can reach their full potential • Goal 1: Those affected by parasitic worm infections receive treatment and care. • Goal 2: Communities change their behaviours to reduce the risk of infection. • Goal 3: Environmental changes are put in place to reduce the transmission of infection. • Goal 4: Everyone has access to all services that can reduce the risk of - and alleviate the problems associated with - infection. Our Approach We are experts at supporting national governments in sub-Saharan Africa to deliver cost effective and impactful health programmes. We help to create a world that is free from preventable disease. 1. Partnerships: We are collaborative, promoting inclusion and synergy. We act as catalysts in the creation of successful cross-sectoral partnerships that generate the greatest impact on disease transmission. We have put in place a model of technical and financial support to Ministries of Health to implement programmes in line with their own strategies and plans, to enhance sustainability, and strengthen health systems. 2. Operational Excellence and Innovation: We are agile, adapting to changing local and global environments. We aim to constantly improve and innovate, to ensure that we optimise our efforts and use resources most cost-effectively. 3. Sustainability: We ensure that our work is sustainable and supports broader development. We support governments to strengthen systems and processes, so that they are dynamic, responsive and deliver results. We implement a holistic approach to tackle parasitic worm infections: reducing infections through increased access to cost-effective treatment; supporting environmental and behavioural interventions through multi-sector collaboration; enhancing knowledge and capacity on treatment of severe morbidities; and investing in research and evidence. 4. Evidence-based: We generate evidence to inform decisions and guide our work. We improve processes and develop preferred practices for global health policy. We share knowledge to ensure that everyone can benefit from improved health. 6 Our Values We are a team of people passionate about creating a world free of preventable disease. Everyone that works at the SCI Foundation,