mothers2mothers

Annual Report 2017-2018

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Dear m2m Family, Friends, and Supporters,

Welcome to mothers2mothers’ (m2m) first-ever digital Annual Report! We are thrilled to share highlights of the past year, our new impact data, and programme developments in this new dynamic format to make the beautiful photos and videos of our work come to life.

Last year, our strategy to grow our programme in scale and scope yielded real impact and contributed to the United Nations Global Goals of ending AIDS, ensuring good health and wellbeing for everyone, and achieving gender equality by 2030.

Together with our partners, we broadened our reach in 2017, enrolling nearly 2.3M new clients—mostly women, children, and adolescents—and employing almost 3,000 HIV-positive women as Mentor Mothers. We delivered services at 1,000 geo-locations (health centres and surrounding communities), across eight African countries. Most critically, we continued to deliver stellar results in our core area of ending paediatric AIDS—achieving virtual elimination of mother-to-child transmission of HIV for the fourth year in a row (1.6% transmission rate) among our enrolled clients.

Furthermore, after providing five years of technical support, we transitioned our PMTCT programmes in Kenya and South Africa to government operation. Now, hundreds of government-employed Mentor Mothers work at health centres across each of these countries while we operate demonstration sites and centres of excellence. We call that a strong end-game!

We also continued to deepen our services to meet the changing needs of our clients. We are most proud of the remarkable results delivered by our Early Childhood Development programme—last year nearly 22,000 children benefited from our ECD services in three countries (a 55% rise over 2016 ) and 97% of these children achieved all of their developmental milestones (cognitive, social, emotional, motor and language development, and physical growth) at 12 months. Meanwhile, 34% of our client base were adolescents and young adults this year (up from 29% last year), a direct response to the increasing burden the HIV epidemic is taking on these young people.

To our donors, partners, board members and trustees, staff, and friends who support m2m’s work—we are deeply grateful to you. Your continued commitment to our Mentor Mother Model has created healthy futures for millions of women, children, adolescents, and families in sub-Saharan Africa.

To read the full annual report, simply continue to scroll down. I hope you enjoy our new digital experience!

Asante sana, Dankie, Enkosi, Ke a leboha, Natotela, Ndi a livhuhu, Ndza Khensa, Ngiyabonga, Ngiyathokoza, Nyanja, Obrigado, Siyabonga, Webale nyo, Zikomo...and Gracias...

Frank Beadle de Palomo

President & Chief Executive Officer

Our Impact

m2m is contributing to the Sustainable Development Goals of ending AIDS, improving health for everyone, and achieving gender equality. We do this through our peer-based model that employs and pays HIV-positive women from local communities to deliver health services to women, children, and adolescents across eight African nations.

Broader

In line with our strategy, m2m has grown in scale and scope to provide family-centred services to women, children, and adolescents in hundreds of health centres and communities across eight African countries.

Broadening our reach

Our Health Facility-to-Community Platform is designed to ensure women, children, and adolescents access healthcare, start any treatment they need, and are retained in care. To do this, we employ Community Mentor Mothers (CMM) who go door-to-door in the catchment areas served by the nearest health centre, and educate and engage with women and families who have not received medical care or who have stopped treatment. In addition to providing direct services, they link clients to Mentor Mothers working at nearby health centres who support them in accessing the services they need. Our digital tools allow us to optimise client service delivery, while ensuring accurate tracking, follow up, and reporting.   

Growing in scale

m2m has successfully scaled the Mentor Mother Model. In 2017, after providing five years of technical support, we transitioned our original prevention of mother-to-child transmission (PMTCT) programmes in Kenya and South Africa to government operation. Hundreds of government-employed Mentor Mothers now work at health centres across each country. We have begun a similar process in Mozambique.

Deeper

As we expand our footprint, we are also investing in deepening our services to meet the changing needs of women, children, and adolescents—our three primary client groups. We are doing this by enhancing and improving existing services, while adding new service lines.

2017 Financials

m2m maintained a strong financial position in 2017. Our year-on-year revenue dipped slightly as we closed out some major projects, but the long-term trend remains healthy—a 10% increase over the past five years.

We are also particularly pleased to report that our revenue base continued to diversify as we deepened our services to meet the changing needs of women, children, and adolescents. 

In 2017, m2m saw continued support from long-time partners, including the United States Agency for International Development (USAID), which remains our largest funder.  2017 also saw ongoing commitment from long-term donors such as Johnson & Johnson and LGT Venture Philanthropy. This long-term support has been instrumental in the expansion of our programme’s scale, scope, and impact to address HIV across the life cycle to help control the epidemic and create a truly HIV-free generation. Meanwhile, we welcomed on board new supporters such as the Centers for Disease Control and Prevention (m2m became a prime recipient of CDC funding for the first time in 2017). We will continue to diversify our funding streams to ensure sustainability. 

Achieving these results has come as a result of increased investment in Fundraising, which grew to represent 12% of our expenses (note: 2016 was lower at 8%; however, we made a strategic decision in 2017 to invest in Global Resource Mobilisation, growing capacity in Europe in 2017-18, and in North America 2018-19). Serving the needs of our beneficiaries is our highest priority, and we are proud to report that 86% of our revenue is spent on our programmes.

The figures presented in this section are combined financial statements which are unaudited. Separate audited financial statements for m2m’s three global entities (South Africa, UK, and US) prepared in accordance with International Financial Reporting Standards (IFRS), UK Generally Accepted Accounting Principles, and US Generally Accepted Accounting Principles, are available on our website, m2m.org

Donors

mothers2mothers is grateful to our many partners and donors who support our work. Their generosity in 2017 helped transform the health and lives of millions of women, children, adolescents, and men across sub-Saharan Africa. 
Thank you!

To see all of our 2017 donors, click here

Contact Us

Global HQ: mothers2mothers South Africa
33 Martin Hammerschlag Way 5th Floor, Foreshore
Cape Town, South Africa 8001
office: +27 (0)21 466 9160
contact: [email protected]

Europe: mothers2mothers UK
office: +44 (0) 203 867 7120 
contact: [email protected]

North America: mothers2mothers US
office: +1 (646) 808 3431 
contact: [email protected]

To engage with us or support us, please contact: 
Emma France

Global Development and Strategic Engagement Director
[email protected]

La Chenna Cromer
Business Development Director
[email protected]

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* m2m 2017 Annual Evaluation
Disclaimer: mothers2mothers strives to provide accurate performance data. Our data quality and routine monitoring and evaluation systems are regularly reviewed and updated. We benchmark and validate internal data though external evaluations and data quality assurance processes. National and site comparisons often rely on public domain data; mothers2mothers has no control over the quality of such data. As m2m tracks mother-baby pairs, each pregnancy is catalogued as a new client in our PMTCT program, potentially cumulatively leading to a higher count for adult women clients.

** mothers2mothers South Africa, mothers2mothers (UK) Limited and mothers2mothers US are separate, nonprofit organisations, governed independently.

mothers2mothers is registered as mothers2mothers South Africa NPC under Section 10 of the South African Companies Act 2008 (Reg Number: 2002/013453/08) and as a South African nonprofit and public benefit organisation (Number: 930000109).

mothers2mothers is registered in the United Kingdom as mothers2mothers (UK) Limited, a charity registered with the UK Charity Commission (Number: 1119721).

mothers2mothers is registered in the United States as mothers2mothers International Inc., a nonprofit organisation under section 501 (c) (3) of the Internal Revenue Code in the United States of America (EID: 30-0545760).

References

1 Global strategy on human resources for health: Workforce 2030, World Health Organisation (2016):  http://www.who.int/hrh/resources/pub_ globstrathrh-2030/en/ 

2 https://data.unicef.org/topic/maternal-health/maternal-mortality/ 

3 United Nations (2015): http://hdr.undp.org/en/composite/GDI

4 UNAIDS, Global AIDS Update 2018

5 Ezekiel Kalipeni, Juliet Iwelunmor & Diana Grigsby-Toussaint (2017). “Maternal and child health in Africa for sustainable development goals beyond 2015,” Global Public Health, 12:6, 643-647, accessed via: https://www.tandfonline.com/doi/full/10.1080/17441692.2017.1304622

6 UNAIDS, Global AIDS Update 2018

7 Drake et al, ‘Incident HIV during Pregnancy and Postpartum and Risk of Mother-to-Child HIV Transmission: A Systematic Review and Meta-Analysis’ (2014) Published at: https://doi.org/10.1371/journal.pmed.1001608

8 UNAIDS 2017 data, accessed via http://aidsinfo.unaids.org/ on 17 October 2018