ANNUAL REPORT 2008
“Chemotherapy in Swaziland let’s Make it
Happen”
April 2008
TABLE OF CONTENTS
Page 2
Table of Contents
Page 3
SBCN, Mission, vision values and ethics
Page 4
The history of the SBCN.
Page 5
Message from Vice Chairperson of the Executive Board
SBCN Executive Board members in pictures
Page 7
Message from the Executive Director
Page 9
Awareness Creation & Public Education
Page 14
Clinic report
Page 16
Monitoring & Evaluation
Page 18
SBCN in pictures & local donors
Page 19
Summary Midterm review
Page 24
‘My life with Breast Cancer - Nomsa’s story
Page 25
Financial statements
SBCN’S VISION AND MISSION STATEMENTS
Vision
To be an efficient and effective provider of breast cancer services in Swaziland in
collaboration with strategic partners.
Mission Statement
The mission of the Swaziland Breast Cancer Network is to assist in improving the
survival rates of people directly affected by breast cancer in Swaziland through
awareness, education, destigmatisation and advocacy, leading to early detection,
diagnosis and treatment of the disease. In carrying out this mission, the Network
works through strategic alliances – including health institutions , professionals, and
associated organisations – and also provides support and counselling services.
Value statements
In carrying out the objectives of the SBCN, a non-profit making organisation, the
organisation and its members subscribe to the following values and ethics:
1.1 Voluntarism – we will offer our time and resources generously
1.2 Confidentiality – we will keep in confidence all personal information disclosed
to us in the course of our work
1.3 Empowerment of clients to make informed choices and decisions
5.4. Transparency and accountability – We will conduct ourselves at all times in
a professional and ethical manner. Openness and honesty are hallmarks in our
transaction of business
1.4 Respect and dignity of clients - We demonstrate fairness, consistency and
compassion in our interactions with others
1.5 Equity and inclusiveness – we will involve our strategic partners and members
in all our programme implementation
Aim & Objectives
The main aims and objectives of the Swaziland Breast Cancer Network are:
a. To raise awareness of all aspects related to breast cancer
including the increasing incidence of this disease, promotion of
self-examination, annual medical examination and the
importance of early diagnosis and treatment.
b. To build capacity of service providers and clients through
information, education and training on breast cancer related
issues.
c. To work closely with stakeholders to assist in establishing
efficient and effective channels of referrals and to be aware of
trends in breast cancer incidence and survival rates on an ongoing basis.
d. To provide breast cancer counselling and a support network for
those affected directly and indirectly by breast cancer.
e. To mobilise resources to support the activities of the Network.
f. To Increase and manage the membership base of the Network.
History of the SBCN
The Swaziland Breast Cancer Network (SBCN) is the brainchild of four women in
Mbabane who were directly and, or indirectly affected by breast cancer. This was
after realising that new cases of breast cancer were on the increase yet there was
little or no information and support for survivors. Yet breast cancer if detected early
can be successfully treated and eliminated. These four women are still actively
involved in the work of the Network and they are:
 Maggie Hall
 Gcinile Buthelezi
 Peggy Bidé
 Diorobo Daffé
Major Milestones for the year under review
1. Launch of the second breast cancer clinic in Manzini in partnership with
the Manzini City Council
2. Placement of three Development Workers two by Skillshare International
and one by Australian Volunteers International
3. In August 2008, the Network moved to its new premises on 24 JSM
Matsebula Street, Queensgate, and Mbabane (next to CANGO offices).
These premises are being rented out from the Co-ordinating Assembly of
Non- Governmental Organisations.
4. Training of nurses on chemotherapy
5. Carrying out a mid term review
6. Strategic review and induction of the new Executive Board
Message from the Vice-Chairperson Maggie Hall.
The year 2008 was a time of consolidation and expansion for the Swaziland Breast
Cancer Network (SBCN). Rising to challenge of increasing rates of breast cancer,
SBCN displayed determination and commitment in raising awareness of the disease
and strategies for early detection within urban and rural areas of Swaziland. To
support this endeavour, a second Breast Care Clinic was opened in May 2008 at the
Manzini City Council. Work to raise awareness and promote early detection and
diagnosis of breast cancer must be accompanied by effective and accessible
treatments. The 2008 SBCN theme “Chemotherapy: Let’s Make It Happen”, saw
much work being done to lay the foundation for the introduction of chemotherapy to
Swaziland.
Throughout 2008, advancements were also made in the area of governance. In
particular, a formal election process saw a restructuring of the Board of
Management; the new Board possessing a strong and diverse range of professional
skills. An independent consultant (Salile Consulting) was appointed to take the new
Board through an induction exercise and formal review of the SBCN 2007 – 2010
Strategic Plan. Review of the Strategic Plan is to be undertaken annually as part of
the Network’s on-going monitoring and evaluation procedures.
In the second half of the year a mid-term review was carried out by an independent
consultant from LCC Capital to assess the depth and breadth of the work of SBCN,
and propose recommendations of the way forward. This process highlighted a need
to review the content of the SBCN constitution, as the Network grows and diversifies.
Fiscal management was also independently reviewed, and continues to be
transformed in a process of continuous quality improvement.
We at SBCN are committed to reduce the morbidity and mortality associated with
breast cancer, and offer support to affected individuals and their families. It is with
sincere gratitude that we acknowledge and thank the numerous individuals – SBCN
staff, health professionals, volunteers and breast cancer survivors, and organizations
– our major funder WK Kellogg Foundation, the Harrison Cooper Foundation, the
Ministry of Health and Social Welfare, Mbabane Government Hospital, Manzini City
Council and numerous others who are mentioned throughout the following pages,
that played a part in assisting us to realize this vision during 2008. As we look
toward 2009, it is with continued enthusiasm that, in collaboration with the Ministry of
Health and Social Welfare and key stakeholders, we can continue make a positive
difference in breast cancer detection and management, and make a positive
contribution to the health of the Swazi population.
SBCN EXECUTIVE BOARD MEMBERS
Dr. Ruth Tshabalala
Nomvula Ntombini- Member
Eudosia Andoh - Treasurer
Betsy Kummer – Secretary
Anne Smyth- Member
Fikile Dlamini – Member
Overview of 2008 by the Executive Director – Thobile Dlamini
It gives me great pleasure to present to our members and stakeholders
yet another annual report detailing the successes and shortfalls of the
Network. The year like the previous one has seen the work of the Network
grow from strength to strength.
In the area of program administration, the Network was able to recruit
and place three officers to implement work plan activities: a Project Officer, a
Clinic Coordinator and a Clinical Research Monitoring & Evaluation Officer.
With this growth the Network was required to source larger office
space. New premises have been secured and we continue to outsource our
financial management support as previous year.
Our efforts in awareness creation were highly successful and
enhanced by partnerships with numerous stakeholders including the Ministry
of Health (MOH). Collaborations resulted in activities including a series of
workshops targeted to educate Rural Health Motivators working at “grass-root”
level. Appreciation goes to our volunteers Lindile Mabuza, Basize Dlamini &
Doreen Magongo. Significant work was also undertaken over the course of the
year on national radio, television and in print media. A nurse training workshop
in chemotherapy management was held. Counseling training was undertaken
by three breast cancer survivors, with the help of Reach for Recovery, a South
African-based organization. A range of awareness creation material was also
developed and printed in both SiSwati and English, and distributed in
numerous ways to the general public.
Our most notable achievement in the area of mobilizing support and
counseling for patients was the successful launch and operation of our
second regional breast care clinic. Partnerships were forged with the Manzini
municipality who provided a fully furnished consulting room and a nurse. The
government hospital (where the first clinic is located) also agreed to allow its
doctors to manage this second breast care clinic.
The SBCN provides
continued clinic support with the presence of the Clinic Coordinator. During
2008, a total of 1813 patients were screened by doctors at these breast care
clinics. In collaboration with Lancet laboratories, SBCN also facilitated the
collection of 135 fine needle aspirations (FNA), 17% (n=23) of which resulted
in a breast cancer diagnosis.
We also continued efforts to obtain
chemotherapy treatment for our patients. Inroads in this area include the
training of 14 nurses in chemotherapy management, and significant
reductions in the time taken to diagnose and refer patients for cancer
treatment.
Several collaborative meetings were held in 2008 to foster our
partnership with government public health units.
Particular areas of focus
were Non Communicable Diseases (NCD) and Sexual Reproductive Health
(SRH). These meetings highlighted the lack of government infrastructure to
manage cancer-related illness, while enabling the timely sharing of information
and facilitating submission of a proposal paper to establish the first oncology
unit in Swaziland.
Finally, 2008 saw the implementation of improved monthly tracking of
service statistics, as well as data on patient profiles, and referral sources.
The Network also undertook a study to assess the level of awareness on
breast and cervical cancer among rural women in two of the four regions in the
country. The study was sanctioned by the Ethics committee in the Ministry of
Health and will continue in 2009 to cover all four regions. An independent
consultant (LCC Capital) was appointed to conduct a midterm review (MTR) of
work undertaken during this one and half year project period of
institutionalizing the Network.
We were able to achieve most of our planned activities for the year.
This is despite the fact that a suitable Clinic Coordinator was not recruited until
October. Work achieved during 2008 has greatly improved the visibility of the
Network in the eyes of the public, and also in the view of major stakeholders.
In conclusion, I invite you all to continue giving the Network your support and
constructive criticism; we are here to serve the nation hence we aim to
continually improve our services to meet your needs.
Thank you.
Volunteers Lindile Mabuza & Basize Dlamini conducted the RHM trainings
Programmes- Public Health Policy & Education
The main objective of this programme component is to augment the levels of
knowledge about breast health and breast cancer as well as promote and urge
people to do self-breast examinations because early detection of any malignant
tumour assists in early vigorous treatment options. Activities undertaken in this
regard include radio programmes, newspaper articles, IEC material development
training workshops and seminars.
Radio programmes – Three pre-recorded programmes were aired with the
assistance of the Health Education Unit. two of these were slotted on the live prime
time program ( Current Affairs)
Television- Swazi T.V offered the Network six prime slots on the Kusile breakfast
show during the month of October to educate and publicise activities and services
available for cancer sufferers and those indirectly affected.
Furthermore, the Network was featured on Face the Nation, a live- programme,
where viewers had the chance to call and ask questions from the panel.
Times Group Of Newspapers – As has become the norm, the Times of
Swaziland provided the Network with its unwavering support by donating space in
the paper for the Network to submit weekly articles on breast cancer and
notifications on upcoming events.
Training workshops and Awareness Creation
The Network with the assistance of a team comprising of three volunteers
including a breast cancer survivor conducted trainings in the Lubombo and
Shiselweni regions. These sessions were preceded by a mini survey to assess the
depth of knowledge on breast cancer and cervical cancer. This survey had the
blessing of the Ethics.
The table below illustrates the number of workshops and awareness seminars held
by the Organization:
Training Dates
Workshop Title
Participants
Venue
16-18 June 2008
Breast Cancer
Nurses Training on
Mbabane
Awareness
Chemotherapy
Government
Hospital
Training Dates
Workshop Title
Participants
Venue
12 July 2008
Coffee Morning
Invited guests and
The Mountain Inn
the general public
23 July 2008
11 August 2008
Breast cancer (BC)
Rural Health
awareness
Motivators (RHMs)
BC awareness
RHMs
Gege Inkhundla
MaplotiniLavumisa
12 August 2008
BC awareness
RHMs
Hosea Mtsambama
Inkhundla
14 August 2008
BC awareness
RHMs
Sandleni & Sigwe
Tinkhundla
15 August2008
BC awareness
RHMs
Somtongo &
Matsanjeni
18 August 2008
BC awareness
RHMs
Kaphunga &
Nkwene
3 October 2008
BC awareness
New RHMs
Singwe Inkhundla
Shiselweni
8 October 2008
BC awareness
Staff members
CONCO
20 October 2008
BC awareness
RHMs and
Hlane and
Malindza market
Malindza
women
21 & 22 October
2008
BC awareness
RHMs
Lomahasha 1
&2
23 & 24 October
Breast cancer
2008
awareness
24 October2008
BC awareness
24 October 2008
BC awareness
RHMs
Lugongolweni 1 &
2
Siteki Agriculture
Siteki Agriculture
Staff
Premises
Lubombo Clinic
Lubombo Clinic( of
support staff
note and was
encouraging was
the male
attendance
25 & 27 October
BC awareness
RHMs
Tikhuba 1 & 2
Training dates
Workshop Title
Participants
Venue
28 October 2008
BC awareness
RHMs
Mpolonjeni
29 & 30 October
BC awareness
RHMs
Dvokodvweni 1 & 2
BC awareness
RHMs
Siphofaneni 1,2 & 3
20 November 2008
BC awareness
RHMs
Lubulini
24 November 2008
BREAST CANCER
RHMs
Nkilongo
RHMs
Sithobela 1 & 2
2008
17,18,19
November 2008
awareness
25 & 26 November
Breast cancer
2008
awareness
Awareness Creation and Promotional Material
The following items were developed for distribution during the awareness
sessions:
Items
Quantity
Event
Message
T-shirt
120
Manzini clinic
Clinic days and
launch
times
Sibebe Challenge
Breast Cancer
T-shirt & caps
20 each
Crusaders
Bandana
200
October launch
Key rings
50
Promotional
Network contacts
Lanyards
150
Promotional
Network contacts
Stickers
28,500
Launch in October
SBCN contacts and
clinic times
Bandanas
300
Jane King
Promotional
Memorial Run
(JKMR)
Water bottles
500
JKMR
Promotional
Posters
100
JKMR
Promotional
Pamphlets
5,000
Breast health in the
Educational
local language
Pamphlets
1,000
Cervical Cancer
Educational
Documentary
20
About the Network
Promotional
The Network was also requested by the following companies to educate and
examine their staff members; CONCO Ltd, Cadbury Swaziland, Royal Swaziland
Sugar Company, UN Agencies, Swaziland Water Services Corporation and CMAC.
Last year, the Network launched its October breast cancer awareness activities in
collaboration with CANGO at Msunduza. This was a detour from the usual
criterion used and it created an avenue for the Network to reach a marginalized
group (the elderly).
A section of the elderly during the launch at Msunduza hall.
RHM’s at Hosea Inkhundla Shiselweni region
RHM’s at Mantambe, standing is Nomkhosi Dlamini volunteer
Teresa Rehmeyer- Clinic Coordinator (Oncology Nurse).
Clinic Project
It should be stated that the clinic (in room 4) at the Mbabane Government
Hospital (MGH) continues to operate very well. Furthermore, of note was the
opening of a clinic at the Manzini City Council on the 14th of May.
Whilst this achievement is highly commendable, there is still a huge disparity in
treatment accessibility. Even though government provides funds for clients
requiring treatment, these are not sufficient to cover for the expenses incurred.
The Network therefore, finds it a prerogative to advocate and lobby government
to localize treatment, thus reducing the gross inconvenience of ill patients
travelling long distances, and in a majority of cases using public transport.
1814 clients is the combined total number of clients observed in the clinics.
Below is a table showing the number of clients seen in the past year:
Month
Attendance
Referred for FNA
January
70
18
February
67
13
March
43
3
April
77
41
May
81
53
June
152
20
July
131
6
August
91
14
September
88
5
October
679
29
November
195
13
December
140
10
Total
1814
227
FNA’s
Conducted
2
CA Confirmed
2
38
4
37
2
58
11
135
19
 About 57% of the referred clients came back for the FNA test.
 About 19% of those who had the FNA were diagnosed with cancer of the
breast.
 Currently the only available treatment for patients is surgery and this is only
one of three treatment procedures required for these clients. There is need to
continue to lobby the Government for the inclusion of chemotherapy and
radiotherapy in the country.
Monitoring and Evaluation
Monitoring and evaluation is an integral part of program implementation. Systems
are put in place to assess the impact and effectiveness of program delivery and
ensure quality health care and continuous service improvement.
During 2008, monitoring and evaluation activities run by SBCN included:

Collection of data from over 1400 rural women and RHMs on the level of
awareness of breast and cervical cancer risks and treatments; database analysis,
and presentation of this data in abstract format.
Collection of demographic and clinical data on all patients attending the SBCN
breast care clinics; database analysis, and subsequent monthly and annual
statistical and qualitative reports.
Collection of data on the incidence of breast cancer in Swaziland, and constant
review of MOHSW health registry data.
The development of operational manuals for all data collection and database
construction, and educational programs.
Site visits during rural awareness and education sessions.
On-going staff training.
Scheduled review meetings.
Collection of data on the reach and extent of media and educational activities.







Dr. Susan Colles (Dietician)
It is difficult to articulate the impact the awareness through media has created
without undertaking a detailed study, however at face value, we are aware
through the clinic attendance form (revised in September 2008) that media is a
leading awareness raiser.
The table below lists reported patient referral
sources.
#
Activity/Information Source
No. of
people
Percentage
1
Radio programmes
176
40%
2
Newspapers & articles (The Times, Sunday Times,
103
23%
Observer, Kaleidoscope, The Nation)
3
TV programmes (Kusile, Face the Nation)
54
12%
4
SBCN Office/Breast Clinics
35
9%
5
Other organizations (mainly FLAS, CMAC, Mbabane
33
7%
City Council)
6
Msunduza launch
12
3%
7
Hospital
4
1%
8
Family/ Friends
24
5%
TOTAL
441
100%
A training evaluation tool has been designed and is implemented at the end of each
training session, below is some of the comments we have received from participants.
SBCN THROUGH THE LENS
The youngest runner Jane King
Memorial fun run.
Nurses trained on Chemotherapy
At Mbabane Govt. Hospital
at the CANGO open day
Annual Meeting at the council chambers
Practical chemotherapy training
meetings
Dr Jacobus & Dr Alcedes @ one of theDoctors
Donors and Supporters
The Network expresses its gratitude to all individuals and companies who supported
and or participated in their 2008 activities, especially the following in no particular
order:
The Times of Swaziland
Vision Care
Joy Forsyth-Thompson
The Rotary Club Mbabane Mbuluzi
Municipality of Mbabane
Adderley Hotel
MTN Swaziland
Bridget Polly
Cara Breero
Indigo Hair Salon
The Mall Management
Hotel Express
Steve Hall
Mbabane Traffic Police
Health Education Unit
Standard Bank (Swaziland)
SBCN Members
SBIS
The Nation Magazine
Nimue Skin Technology
Mbabane Govt. Hospital staff
The Tums George Hotel
Webster Print (Pty) Ltd
Harvey World Travel Agencies
The Central Bank of Swaziland
CMAC – Conciliation Mediation & Arbitration Commission.
The Mountain Inn
Manzini City Council
Executive Summary
The Swaziland Breast Cancer Network is a non-profit making, donor-funded
organization that is established and guided by a constitution. In 2007, pushed by the
demand and need for structured coordination and management of activities, the
Network established a secretariat by engaging the services of an Executive Director.
To date the network employs four other staff members including; a clinics
coordinator, research and evaluation officer, a project officer and a receptionist (see
Table 1).
The Network has developed and implemented 3 strategic plans, 2001 – 2003, 2005
– 2007, 2008 – 2011. Each strategic plan had action plans that were aimed at
achieving specified key objectives responsive to the needs of the target beneficiaries
and these have evolved over time. Currently the target beneficiaries are women
from adolescence to menopause, but are extended to involve all of the community,
including men.
In 2007, WK Kellogg Foundation provided grant funding covering a period of two
years to the Network for various activities of the Network aligned to the promotion of
breast cancer awareness in Swaziland.
In direct reference thereto, the Network decided to undertake a mid-term review of
the grant and introspection by engaging external parties, for impartiality, to assess
the impact and achievements of the grant. The aim of the mid-term review is to
assess for the Network, donors and stakeholders the effectiveness, efficiency and
the impact that the Network had achieved during the period under review.
When conducting the mid-term review, the consultants obtained and conducted a
detailed review of all relevant documents including: SBCN Constitution, audited
financial statements, memorandum of association and articles of incorporation,
strategic plans, work-plans, reports, statistics, promotional and advertising items,
news paper articles published, and further conducted selected interviews with
Network Board, staff, stakeholders.
In Swaziland, breast cancer is largely perceived as a women’s disease. This is
naturally so given the vast majority of breast cancer cases among women.
In
Swaziland, additional social factors such as the lack of empowerment of women,
poor self-opinions and lack of opportunity or ability to take responsibility for one’s
health all contribute to late presentation for cancer diagnoses.
Laudably, the SBCN is also contributing to a shift in perceptions, highlighting that
breast cancer can affect anyone. The more males that become educated and aware
of the disease, the more men can begin to encourage their partners to take the
disease seriously and undergo routine checkup.
The Network has made significant strides in ensuring the participation and
involvement in its activities of breast cancer survivors.
This helps in building a
supportive environment for breast cancer programs, including the reduction of
possible stigma and fear of the unknown.
The institutionalization of the Network through the establishment of the secretariat in
2007 has resulted in a mix of both challenges and successes.
The premises have
been deemed appropriate and suitable to meet the current physical needs of the
Network. Patients are now able to identify with an organization whose operational
premises are known, and can approach it when interventions are sought.
The
transition of the delegation of administrative functions from the board to the
secretariat has thus far been handled fairly well
The network has employed four professionals namely: Executive Director, Project
Officer, Clinics Coordinator and a Research and Evaluation Officer.
Findings
The Network over the period under review continued to abide by the provisions of
the constitution. The annual general meeting and board meetings were held as
scheduled.
It was discovered that all board minutes are not signed yet pertinent resolutions
including those with a financial impact are adopted.
The
financial
activities
of
the
Network
were
successfully
audited
by
PriceWaterhouseCoopers. A review of audited financial statements revealed that
there is compliance to: accurate recording of transactions, auditors did not find any
material transactions that would lead to a qualified opinion.
The Network continues to employ all forms of information dissemination through
electronic, audio and newsprint which includes the two media houses, the Times of
Swaziland and Observer and the Nation Magazine.
In total 17 articles were
published. In furtherance the Network has successfully launched a website.
The work undertaken by the Network during the months of October each year is
highly commended. A lot of material is produced and articles are published in all
popular media streams and the success of the awareness during this month is also
evidenced by the number of males that wear the pink ribbon.
A total of 54,457 promotional and awareness items were developed and distributed
nationwide, however the real impact of the IEC material could not be ascertained
since a survey was not undertaken.
A total of four fund raising activities were successfully undertaken by the Network
wherein branded materials were sold.
A review of the programs undertaken shows that all media houses were used during
the period under review.
Of 17 articles, 13 were published by the Times of
Swaziland; the lion’s share at 75%.
In 2007 thirteen workshops were conducted for; doctors, nurses, health teams,
media and students. A total of 985 rural health motivators were trained with the aim
of taking the services to the people including dissemination of information, education
and support.
A surface review of services provided reveals that key services are still unavailable
in the regions with the exception of Mbabane and Manzini clinics resulting in the
conclusion that the decentralization process is still faced with challenges.
The Network has played a satisfactory role in engaging Government on areas
surrounding
policy
development,
implementation,
promoting
“on-the-ground”
operations, service delivery on breast cancer interventions and institutional
framework.
Recommendations
It is recommended that the Network should consider, through a staggered process,
to move toward positioning itself as a Cancer Association of Swaziland.
In furtherance to the immediately above recommendation, it is recommended as a
matter of urgency, that the Network should engage consultants to review the
Memorandum and Articles of Association and cause amendments to be effected as
per the findings stated herein, to ensure compliance with the Networks’ constitution.
It is recommended that the minutes of the Board must show the start and end times
for each meeting held, and that once adopted the minutes are signed by the
chairperson and secretary.
It is recommended that the Network intensifies efforts to educate the public on the
fact that breast cancer also affects the male population.
It is recommended that breast cancer awareness implementation work plan should
be spread right through the year, with each month allocated a theme.
It is further recommended that efforts must be intensified to take advantage of
national events and activities on the calendar to further create breast cancer
awareness.
It is further recommended that the Network should develop a program for celebrating
the October Breast Cancer Awareness month circulated among the four regions of
the country.
To compliment the current monitoring and evaluation tools in use, it is recommended
that the Network secure funding for a nationwide IEC impact assessment survey.
It is recommended that the Network intensifies discussions with Government and
potential donors on the need to secure breast cancer mobile clinics to provide basic
diagnosis, counselling and advisory services.
It is recommended that the Network should engage Government to allocate
permanent staff to the breast cancer clinics who can therefore rotate in clinics
countrywide, rendering diagnosis, counselling and advisory services.
Overall Evaluation Rating
The consultants were required after conducting a mid-term review to rate each
programme outcome /objective under the following: highly satisfactory, satisfactory,
less than satisfactory, highly unsatisfactory. The rating was concluded as follows:
Activity Description
Performance Rating
Institutionalization of SBCN
Highly Satisfactory
Achievements of the Grant
Highly Satisfactory
Promotion of breast cancer awareness
Highly Satisfactory
Decentralization of services
Satisfactory
Contribution toward policy dialogue
Satisfactory
Overall Effectiveness
Satisfactory
My life with breast cancer Nomsa’s story
In late 2005 Nomsa Msibi (41) started experiencing back pains but she ignored this
feeling until 2006 when she went to see a doctor to be examined. After a medical
check up at the Mbabane Government Hospital it was discovered that the pain was
in fact caused by a lump in her left breast. She was later admitted at the hospital
where the lump was removed and tested for cancer.
“Luckily I was counselled and taken care of which made me feel better,” said Msibi.
She had to wait for over two months for her results to come back from the Central
laboratory. Its system was not computerized, thus delaying the release of results.
This also meant that treatment could not commence as it depended on the outcome
of the results. But the waiting felt too long and Msibi decided to fetch the results
herself from the Central Laboratory.
Eventually came the shocking news that changed Nomsa’s life forever. Her worst
fears were confirmed when the results verified that she had breast cancer.
“Even though breast cancer runs in my family, I never thought I could have it,” she
said. “I had lost a cousin who died after a breast cancer operation.”
Nomsa then underwent radiotherapy treatment which was due to be completed in
December 2007 when the doctors discovered another lump in the same breast just a
month before she was to finish treatment. She had a Fine Needle Assessment test
done to determine if the lump was cancerous, and unfortunately the results
confirmed that it was.
“Early this year I had a mastectomy (complete removal of the breast) done, and have
had to wear a breast prosthesis ever since” explained Msibi.
Although Nomsa has to face the reality of having one breast, she has survived the
disease and continues to fight it until her chemotherapy treatment is completed. She
is a living example that breast cancer can be controlled if it is discovered and treated
early.
SWAZILAND BREAST CANCER NETWORK
Financial Statements
for the year ended 31 December 2008
SWAZILAND BREAST CANCER NETWORK
ANNUAL FINANCIAL STATEMENTS
for the year ended 31 December 2008
CONTENTS
Pages
Statement of Executive Board’s responsibility
1
Qualified report of the independent auditors
2-3
Executive Board report 4
Income statement
5
Balance sheet
6
Statement of changes in equity
7
Cash flow statement
8
Summary of accounting policies
Notes to the annual financial statements
Detailed income and expenditure statement
9 - 17
18 - 21
Annexure 1
Page
1
SWAZILAND BREAST CANCER NETWORK
STATEMENT OF EXECUTIVE BOARD’S RESPONSIBILITY
for the year ended 31 December 2008
The Executive Board is responsible for the preparation, integrity and fair presentation of the
financial statements of Swaziland Breast Cancer Network. The financial statements
presented on pages 4 to 21 have been prepared in accordance with Swaziland and
International Financial Reporting Standards, and include amounts based on judgements and
estimates made by management.
The Executive Board is also responsible for the network’s system of internal financial control.
These are designed to provide reasonable, but not absolute assurance as to the reliability of
the financial statements, and to adequately safeguard, verify and maintain accountability of
the assets, and to prevent and detect misstatement and loss. Nothing has come to the
attention of the Executive Board to indicate that any material breakdown in the functioning of
these controls, procedures and system has occurred during the year under review.
The going concern basis has been adopted in preparing the financial statements. The Executive Board
have no reason to believe that the network will not be a going concern in the foreseeable future based
on forecasts and available cash resources. These financial statements support the viability of the
network.
The financial statements have been audited by the independent accounting firm,
PricewaterhouseCoopers, which was given unrestricted access to all financial records and
related data, including minutes of all meetings of the Executive Board. The Executive Board
believe that all representations made to the independent auditors during their audit are valid
and appropriate. PricewaterhouseCoopers’ audit report is presented on pages 2 - 3.
The Executive Board confirm that the annual financial statements set out on pages 4 to 21
were approved by the Executive Board and are signed on its behalf by:-
CHAIRPERSON
DATE
TREASURER
DATE
Page
SWAZILAND BREAST CANCER NETWORK
2
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2
QUALIFIED REPORT OF THE INDEPENDENT AUDITORS TO THE MEMBERS OF
SWAZILAND BREAST CANCER NETWORK
We have audited the annual financial statements of Swaziland Breast Cancer Network, which
comprise the Executive Board report, the balance sheet as at 31 December 2008, the income
statement, the statement of changes in equity, the cash flow statement for the year then ended, and a
summary of significant accounting policies and other explanatory notes, as set out on pages 4 to 21.
Directors’ Responsibility for the Financial Statements
The Executive Board is responsible for the preparation and fair presentation of these financial
statements in accordance with Swaziland and International Financial Reporting Standards and in the
manner required by the Company’s Act of 1912. This responsibility includes: designing,
implementing and maintaining internal control relevant to the preparation and fair presentation of
financial statements that are free from material misstatement, whether due to fraud or error; selecting
and applying appropriate accounting policies; and making accounting estimates that are reasonable in
the circumstances.
Auditor’s Responsibility
Our responsibility is to express an opinion on these financial statements based on our audit. We
conducted our audit in accordance with International Standards on Auditing. Those standards require
that we comply with ethical requirements and plan and perform the audit to obtain reasonable
assurance whether the financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures
in the financial statements. The procedures selected depend on the auditor’s judgement, including the
assessment of the risks of material misstatement of the financial statements, whether due to fraud or
error. In making those risk assessments, the auditor considers internal control relevant to the entity’s
preparation and fair presentation of the financial statements in order to design audit procedures that
are appropriate in the circumstances, but not for the purpose of expressing an opinion on the
effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of
accounting policies used and the reasonableness of accounting estimates made by the Executive
Board, as well as evaluating the overall presentation of the financial statements. We believe that the
audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Basis for qualification
In common with similar organizations, it is not feasible for the Network to institute accounting controls
over cash collections from offerings prior to the initial entry of the collections in the accounting records.
Accordingly it was impracticable for us to extend our examination beyond the receipts actually
recorded.
Qualified Opinion
In our opinion, except for the effects of adjustments, if any, as might have been determined to be
necessary had we been able to satisfy ourselves as to the completeness of income, the financial
statements present fairly, in all material respects, the financial position of the Network as of
31 December 2008 and of their financial performance and their cash flows for the year then ended in
accordance with Swaziland and International Financial Reporting Standards and in the manner
required by the Companies Act of 1912.
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3
Supplementary schedule
The supplementary schedule set out on Annexure 1 does not form part of the financial
statements and is presented as additional information. We have not audited this schedule
and accordingly we do not express an opinion on it.
PricewaterhouseCoopers
Partner: Paul Lewis
Chartered Accountant (Swaziland)
Date
REPORT OF THE EXECUTIVE BOARD
for the year ended 31 December 2008
The Executive Board has pleasure in presenting their report for the period ended 31
December 2008.
Nature of the Network’s business
The Swaziland Breast Cancer Network was established in 2001.
The Swaziland Breast Cancer Network is an organisation responding to the incidence of
breast cancer in Swaziland by raising awareness about breast cancer including the
promotion of self – examination and the importance of early diagnosis and treatment.
State of the Network’s affairs
The network’s affairs are fully disclosed in the attached financial statements.
Executive Board Members
Dr Ruth Tshabalala – Chairperson
Margaret Hall – Vice Chairperson
Annie Symthe - Member
Eudosia Andoh - Treasurer
Fikile Dlamini - Member
Nomvula Ntombini - Member
Elizabeth Kummer - Secretary
Thobile Dlamini – Executive Director
Share capital
There were no changes in the authorised or issued share capital during the period under
review.
The shareholders (with 1 share of E1 each) are as follows:
P Bide
E Andoh
M Hall
Going concern
The Executive Board believes that the Network will be a going concern in the year ahead.
Auditors
PricewaterhouseCoopers
MTN Office Park
Karl Grant Street
Mbabane, Swaziland
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5
INCOME STATEMENT
for the year ended 31 December 2008
Note
Grant income
Amortisation of grant received
1
1 076 514
2007
E
600 790
47 237
16 575
Ticket sales
29 440
6 075
Other operating income
21 167
15 200
73 648
15 202
(413 623)
(238 547)
(30 020)
(101 812)
(55 607)
(19 108)
(668 700)
_________
(290 354)
_________
Finance income
11
2008
E
12
Employee benefit expenses
Skillshare International Swaziland
Management fees
Depreciation
4
Other operating expenses
Surplus before taxation
Taxation
Surplus for the year
5
80 057
2
4 021
_________-
_________-
80 057
_________
4 021
_________
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BALANCE SHEET
As at 31 December 2008
Notes
2008
E
2007
E
ASSETS
Non current assets
Property, plant and equipment
4
268 984
_________
129 923
_________
Current assets
Receivables
Cash and cash equivalents
6
3
226
385 789
_________
226
442 264
_________
386 015
442 490
Total assets
_________
654 999
_________
572 413
_________
_________
3
210 509
15 462
_________
3
130 452
15 462
_________
225 974
_________
145 917
_________
260 620
121 518
EQUITY AND LIABILITIES
Capital and reserves
Share capital
Accumulated surplus
Special funds
7
9
Non-current liabilities
11
Property, plant and equipment fund
6
_________
_________
Page
Current liabilities
Deferred grant income
Accounts and other payables
Total current liabilities
Total equity and liabilities
7
10
5
7
108 210
60 195
_________
304 978
_________-
168 405
304 978
_________
_________
654 999
_________
572 413
_________
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STATEMENT OF CHANGES IN EQUITY
for the year ended 31 December 2008
Share
capital
E
Balance at 1 January 2007
3
Accumulated
surplus
E
130 452
Special
funds
E
15 462
Total
E
145 917
Surplus for the year
_________-
80 057
_________
_________-
Balance at 31 December 2008
3
_________
210 509
15 462 _________
225 974
_________
_________
Balance at 1 January 2007
3
125 053
Transfer from special funds
-
1 378
16 840
(1 378)
80 057
_________
141 896
-
Surplus for the year
_________-
4 021
_________
_________-
Balance at 31 December 2007
3
_________
130 452
15 462 _________
145 917
_________
_________
8
4 021
_________
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CASH FLOW STATEMENT
for the year ended 31 December 2008
Notes
2008
E
2007
E
Cash flow from operating activities
Cash generated from operations
8
Net cash generated by operating activities
117 043 _________
3 354
_________
117 043 _________
3 354
_________
Cash flow from investing activities
Purchase of property, plant and equipment
4
(194 669) _________
(138 093)
_________
(194 669) _________
(138 093)
_________
Net cash outflow from investing activities
Cash flow from financing activities
Grant received net of amount utilised to finance
operations
21 151 _________
376 366
_________
Net cash inflow from financing activities
21 151 _________
376 366
_________
Net movement in cash and cash equivalent
(56 475) _________
241 627
_________
Movement in cash and cash equivalents
At beginning of period
442 264
Movement during the period
At end of period
9
200 637
(56 475) _________
241 627
_________
3
385 789 _________
442 264
_________
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
for the year ended 31 December 2008
The principal accounting policies adopted in the preparation of these financial statements
are set out below:
1.
Basis of preparation
The financial statements of Swaziland Breast Cancer Network have been prepared in
accordance with Swaziland and International Financial Reporting Standards. They have
been prepared under the historical cost convention, as modified by the revaluation of land
and buildings, available-for-sale financial assets, and financial assets and financial liabilities
(including derivative instruments) at fair value through profit or loss.
The preparation of financial statements in conformity with Swaziland and International
Financial Reporting Standards requires the use of certain critical accounting estimates. It
also requires management to exercise its judgement in the process of applying the
organization’s accounting policies.
(a) Interpretations effective in 2008

IFRIC 14, ‘IAS 19 – The limit on a defined benefit asset, minimum funding
requirements and their interaction’, provides guidance on assessing the limit in IAS
19 on the amount of the surplus that can be recognised as an asset. It also explains
how the pension asset or liability may be affected by a statutory or contractual
minimum funding requirement. This interpretation does not have any impact on the
organization’s financial statements, as the organization only has a defined
contribution plan and is not subject to any minimum funding requirements.
IFRIC 11, ‘IFRS 2 – Company and treasury share transactions’, provides guidance
on whether share-based transactions involving treasury shares or involving company
entities (for example, options over a parent’s shares) should be accounted for as
equity-settled or cash-settled share-based payment transactions in the stand-alone
accounts of the parent and organization companies. This interpretation does not
have an impact on the organization’s financial statements.
(b) Standards and amendments early adopted by the organization

There were no standards and amendments to standards that were early adopted by the
organization during the financial under review.
(c) Interpretations effective in 2008 but not relevant
The following interpretation to published standards is mandatory for accounting periods
beginning on or after 1 January 2008 but is not relevant to the organization’s operations:

10
IFRIC 12, ‘Service concession arrangements’
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(d) Standards, amendments and interpretations to existing standards that are not yet
effective and have not been early adopted by the organization
The following standards and amendments to existing standards have been published and
are mandatory for the organization’s accounting periods beginning on or after 1 January
2009 or later periods, but the organization has not early adopted them:
11

IAS 23 (Amendment), ‘Borrowing costs’ (effective from 1 January 2009). The
amendment requires an entity to capitalise borrowing costs directly attributable to the
acquisition, construction or production of a qualifying asset (one that takes a
substantial period of time to get ready for use or sale) as part of the cost of that
asset. The option of immediately expensing those borrowing costs will be removed.
The organization will apply IAS 23 (Amendment) retrospectively from 1 January 2009
but is currently not applicable to the organization as there are no qualifying assets.

IAS 1 (Revised), ‘Presentation of financial statements’ (effective from 1 January
2009). The revised standard will prohibit the presentation of items of income and
expenses (that is, ‘non-owner changes in equity’) in the statement of changes in
equity, requiring ‘non-owner changes in equity’ to be presented separately from
owner changes in equity. All non-owner changes in equity will be required to be
shown in a performance statement, but entities can choose whether to present one
performance statement (the statement of comprehensive income) or two statements
(the income statement and statement of comprehensive income). Where entities
restate or reclassify comparative information, they will be required to present a
restated balance sheet as at the beginning comparative period in addition to the
current requirement to present balance sheets at the end of the current period and
comparative period. The organization will apply IAS 1 (Revised) from 1 January
2009. It is likely that both the income statement and statement of comprehensive
income will be presented as performance statements.

IFRS 1 (Amendment) ‘First time adoption of IFRS’, and IAS 27 ‘Consolidated and
separate financial statements’ (effective from 1 January 2009). The amended
standard allows first-time adopters to use a deemed cost of either fair value or the
carrying amount under previous accounting practice to measure the initial cost of
investments in subsidiaries, jointly controlled entities and associates in the separate
financial statements. The amendment also removes the definition of the cost method
from IAS 27 and replaces it with a requirement to present dividends as income in the
separate financial statements of the investor. This amendment and the new standard
will not have any impact on the organization’s financial statements.
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(d) Standards, amendments and interpretations to existing standards that are not yet
effective
and
have not been early adopted by the organization (continued)

IFRS 5 (Amendment), ‘Non-current assets held-for-sale and discontinued operations’
(and consequential amendment to IFRS 1, ‘First-time adoption’) (effective from 1 July
2009). The amendment is part of the IASB’s annual improvements project published
in May 2008. The amendment clarifies that all of a subsidiary’s assets and liabilities
are classified as held for sale if a partial disposal sale plan results in loss of control.
Relevant disclosure should be made for this subsidiary if the definition of a
discontinued operation is met. A consequential amendment to IFRS 1 states that
these amendments are applied prospectively from the date of transition to IFRSs.
This amendment is not expected to have any impact on the organization’s financial
statements.

IAS 23 (Amendment), ‘Borrowing costs’ (effective from 1 January 2009). The
amendment is part of the IASB’s annual improvements project published in May
2008. The definition of borrowing costs has been amended so that interest expense
is calculated using the effective interest method defined in IAS 39 ‘Financial
instruments: Recognition and measurement’. This eliminates the inconsistency of
terms between IAS 39 and IAS 23. The organization will apply the IAS 23
(Amendment) prospectively to the capitalisation of borrowing costs on qualifying
assets from 1 January 2009. This amendment is not expected to have any impact on
the organization’s financial statements.

IAS 36 (Amendment), ‘Impairment of assets’ (effective from 1 January 2009). The
amendment is part of the IASB’s annual improvements project published in May
2008. Where fair value less costs to sell is calculated on the basis of discounted cash
flows, disclosures equivalent to those for value-in-use calculation should be made.
The organization will apply the IAS 28 (Amendment) and provide the required
disclosure where applicable for impairment tests from 1 January 2009.

IAS 19 (Amendment), ‘Employee benefits’ (effective from 1 January 2009). The
amendment is part of the IASB’s annual improvements project published in May
2008.
– The amendment clarifies that a plan amendment that results in a change in the
extent to which benefit promises are affected by future salary increases is a
curtailment, while an amendment that changes benefits attributable to past service
gives rise to a negative past service cost if it results in a reduction in the present
value of the defined benefit obligation
– The definition of return on plan assets has been amended to state that plan
administration costs are deducted in the calculation of return on plan assets only to
the extent that such costs have been excluded from measurement of the defined
benefit obligation.
12
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– The distinction between short term and long term employee benefits will be based
on whether benefits are due to be settled within or after 12 months of employee
service being rendered.
13
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(d) Standards, amendments and interpretations to existing standards that are not yet
effective and
have not been early adopted by the organization (continued)
–
IAS 37, ‘Provisions, contingent liabilities and contingent assets, requires
contingent liabilities to be disclosed, not recognised. IAS 19 has been amended
to be consistent.
This amendment is not expected to have any impact on the organization’s financial
statements.

IAS 39 (Amendment), ‘Financial instruments: Recognition and measurement’
(effective from 1 January 2009). The amendment is part of the IASB’s annual
improvements project published in May 2008.
– This amendment clarifies that it is possible for there to be movements into and out
of the fair value through profit or loss category where a derivative commences or
ceases to qualify as a hedging instrument in cash flow or net investment hedge.
– The definition of financial asset or financial liability at fair value through profit or
loss as it relates to items that are held for trading is also amended. This clarifies that
a financial asset or liability that is part of a portfolio of financial instruments managed
together with evidence of an actual recent pattern of short-term profittaking is
included in such a portfolio on initial recognition.
– The current guidance on designating and documenting hedges states that a
hedging instrument needs to involve a party external to the reporting entity and cites
a segment as an example of a reporting entity. This means that in order for hedge
accounting to be applied at segment level, the requirements for hedge accounting
are currently required to be met by the applicable segment. The amendment
removes the example of a segment so that the guidance is consistent with IFRS 8,
‘Operating segments’, which requires disclosure for segments to be based on
information reported to the chief operating decision-maker. Currently, for segment
reporting purposes, each subsidiary designates contracts with organization treasury
as fair value or cash flow hedges so that the hedges are reported in the segment to
which the hedged items relate. This is consistent with the information viewed by the
chief operating decision-maker. See note 3.1 for further details.
– After the amendment is effective, the hedge will continue to be reflected in the
segment to which the hedged items relate (and information provided to the chief
operating decision-maker), but the organization will not formally document and test
this relationship.
– When remeasuring the carrying amount of a debt instrument on cessation of fair
value hedge accounting, the amendment clarifies that a revised effective interest rate
(calculated at the date fair value hedge accounting ceases) are used.
14
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(d) Standards, amendments and interpretations to existing standards that are not yet
effective and have not been early adopted by the organization (continued)
The organization will apply the IAS 39 (Amendment) from 1 January 2009. It is not
expected to have an impact on the organization’s income statement.
15

IAS 1 (Amendment), ‘Presentation of financial statements’ (effective from 1 January
2009). The amendment is part of the IASB’s annual improvements project published
in May 2008. The amendment clarifies that some rather than all financial assets and
liabilities classified as held for trading in accordance with IAS 39, ‘Financial
instruments: Recognition and measurement’ are examples of current assets and
liabilities respectively. The organization will apply the IAS 39 (Amendment) from 1
January 2009. It is not expected to have an impact on the organization’s financial
statements.

There are a number of minor amendments to IFRS 7, ‘Financial instruments:
Disclosures’, IAS 8, ‘Accounting policies, changes in accounting estimates and
errors’, IAS 10, ‘Events after the reporting period’, IAS 18, ‘Revenue’ and IAS 34,
‘Interim financial reporting’, which are part of the IASB’s annual improvements project
published in May 2008 (not addressed above). These amendments are unlikely to
have an impact on the organization’s accounts and have therefore not been analysed
in detail.

IAS 20 (Amendment), ‘Accounting for government grants and disclosure of
government assistance’ (effective from 1 January 2009). The benefit of a below
market rate government loan is measured as the difference between the carrying
amount in accordance with IAS 39, ‘Financial instruments: Recognition and
measurement’, and the proceeds received with the benefit accounted for in
accordance with IAS 20. The amendment will not have an impact on the
organization’s operations as there are no loans received or other grants from the
government.

The minor amendments to IAS 20 ‘Accounting for government grants and disclosure
of government assistance’, which are part of the IASB’s annual improvements project
published in May 2008 (not addressed above). These amendments will not have an
impact on the organization’s operations as described above.
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(e) Interpretations and amendments to existing standards that are not yet effective
and not relevant for the organization’s operations
The following interpretations and amendments to existing standards have been
published and are mandatory for the organization’s accounting periods beginning on
or after 1 January 2009 or later periods but are not relevant for the organization’s
operations:
16

IFRIC 13, ‘Customer loyalty programmes’ (effective from1 July 2008). IFRIC 13
clarifies that where goods or services are sold together with a customer loyalty
incentive (for example, loyalty points or free products), the arrangement is a multiple
element arrangement, and the consideration receivable from the customer is
allocated between the components of the arrangement using fair values. IFRIC 13 is
not relevant to the organization’s operations because none of the organization’s
companies operate any loyalty programmes.

IAS 16 (Amendment), ‘Property, plant and equipment’ (and consequential
amendment to IAS 7, ‘Statement of cash flows’) (effective from 1 January 2009). The
amendment is part of the IASB’s annual improvements project published in May
2008. Entities whose ordinary activities comprise renting and subsequently selling
assets present proceeds from the sale of those assets as revenue and should
transfer the carrying amount of the asset to inventories when the asset becomes held
for sale. A consequential amendment to IAS 7 states that cash flows arising from
purchase, rental and sale of those assets are classified as cash flows from operating
activities. The amendment will not have an impact on the organization’s operations
because the organization’s ordinary activities do not comprise renting and
subsequently selling assets.

IAS 27 (Amendment), ‘Consolidated and separate financial statements’ (effective
from 1 January 2009). The amendment is part of the IASB’s annual improvements
project published in May 2008. Where an investment in a subsidiary that is
accounted for under IAS 39, ‘Financial instruments: recognition and measurement’, is
classified as held for sale under IFRS 5, ‘Non-current assets held-for-sale and
discontinued operations’, IAS 39 would continue to be applied. The amendment will
not have an impact on the organization’s financial statements.

IAS 28 (Amendment), ‘Investments in associates’ (and consequential amendments to
IAS 32, ‘Financial Instruments: Presentation’ and IFRS 7, ‘Financial instruments:
Disclosures’) (effective from 1 January 2009). The amendment is part of the IASB’s
annual improvements project published in May 2008. Where an investment in
associate is accounted for in accordance with IAS 39 ‘Financial instruments:
recognition and measurement’, only certain rather than all disclosure requirements in
IAS 28 need to be made in addition to disclosures required by IAS 32, ‘Financial
Instruments: Presentation’ and IFRS 7 ‘Financial Instruments: Disclosures’. The
amendment will not have an impact on the organization’s financial statements.

IAS 29 (Amendment), ‘Financial reporting in hyperinflationary economies’ (effective
from 1 January 2009). The amendment is part of the IASB’s annual improvements
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17
project published in May 2008. The guidance has been amended to reflect the fact
that a number of assets and liabilities are measured at fair value rather than historical
cost. The amendment will not have an impact on the organization’s financial
statement.
17
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
1.
Basis of preparation (continued)
(e) Interpretations and amendments to existing standards that are not yet effective
and not relevant for the organization’s operations (continued)
18

IAS 31 (Amendment), ‘Interests in joint ventures’ (and consequential amendments to
IAS 32 and IFRS 7) (effective from 1 January 2009). The amendment is part of the
IASB’s annual improvements project published in May 2008. Where an investment in
joint venture is accounted for in accordance with IAS 39, only certain rather than all
disclosure requirements in IAS 31 need to be made in addition to disclosures
required by IAS 32, ‘Financial instruments: Presentation’, and IFRS 7 ‘Financial
instruments: Disclosures’. The amendment will not have an impact on the
organization’s operations as there are no interests held in joint ventures.

IAS 38 (Amendment), ‘Intangible assets’ (effective from 1 January 2009). The
amendment is part of the IASB’s annual improvements project published in May
2008. The amendment deletes the wording that states that there is ‘rarely, if ever’
support for use of a method that results in a lower rate of amortisation than the
straight-line method. The amendment will not have an impact on the organization’s
operations, as the organization currently does not have intangible assets.

IAS 40 (Amendment), ‘Investment property’ (and consequential amendments to IAS
16) (effective from 1 January 2009). The amendment is part of the IASB’s annual
improvements project published in May 2008. Property that is under construction or
development for future use as investment property is within the scope of IAS 40.
Where the fair value model is applied, such property is, therefore, measured at fair
value. However, where fair value of investment property under construction is not
reliably measurable, the property is measured at cost until the earlier of the date
construction is completed and the date at which fair value becomes reliably
measurable. The amendment will not have an impact on the organization’s
operations, as there are no investment properties that are held by the organization.

IAS 41 (Amendment), ‘Agriculture’ (effective from 1 January 2009). The amendment
is part of the IASB’s annual improvements project published in May 2008. It requires
the use of a market-based discount rate where fair value calculations are based on
discounted cash flows and the removal of the prohibition on taking into account
biological transformation when calculating fair value. This amendment is not
applicable to the organization’s operations.

The minor amendments to IAS 29, ‘Financial reporting in hyperinflationary
economies’, IAS 40, ‘Investment property’, and IAS 41, ‘Agriculture’, which are part of
the IASB’s annual improvements project published in May 2008 (not addressed
above). These amendments will not have an impact on the organization’s operations
as described above.

IFRIC 15, ‘Agreements for construction of real estates’ (effective from 1 January
2009). The interpretation clarifies whether IAS 18, ‘Revenue’, or IAS 11,
‘Construction contracts’, should be applied to particular transactions. It is likely to
result in IAS 18 being applied to a wider range of transactions. IFRIC 15 is not
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19
relevant to the organization’s operations as all revenue transactions are accounted
for under IAS 18 and not IAS 11.
19
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
2.
Financial instruments
Financial instruments carried on the balance sheet include cash and bank balances and
trade creditors. The particular recognition methods adopted are disclosed in the individual
policy statements associated with each item.
3.
Grants income, donations and interest
Grant and donations are recognised in the income and expenditure account so as to match
them with the expenditure towards which they are intended to contribute. To the extent that
grants and donations are made as a contribution towards specific expenditure on fixed
assets, they are recognised over the expected useful economic lives of the related assets.
Interest income is recognised on a time proportionate basis using effective yield to maturity.
4.
Cash and cash equivalents
Cash and cash equivalents are carried in the balance sheet at cost. For the purpose of the
cash flow statement, cash and cash equivalents comprise cash on hand, deposits held at
call with banks, other short term highly liquid investments with original maturities of three
months or less, and bank overdrafts. In the balance sheet bank overdrafts are included in
borrowings in current liabilities.
5.
Provisions
Provisions are recognised when the network has a present legal or constructive obligation as a result
of past events, it is probable that an outflow of resources will be required to settle the obligation, and a
reliable estimate of the amount can be made. Where the network expects a provision to be reimbursed,
for example under an insurance contract, the reimbursement is recognised as a separate asset but only
when the reimbursement is virtually certain.
6.
Trade payables
Trade payables are carried at fair value of the consideration to be paid in future for goods or
services that have been received or supplied and invoiced or formally agreed with the
supplier.
7.
Trade receivables
Trade receivables are recognised initially at fair value and subsequently measured at
amortised cost using the effective interest method, less provision for impairment. A provision
for impairment of trade receivables is established when there is objective evidence that the
organization will not be able to collect all amounts due according to the original terms of
receivables. The amount of the provision is the difference between the asset’s carrying
amount and the present value of estimated future cash flows, discounted at the effective
interest rate. The amount of the provision is recognised in the income statement.
20
Page
21
ACCOUNTING POLICIES (continued)
for the year ended 31 December 2008
8.
Property, plant and equipment
Property, plant and equipment is initially recorded at cost and depreciation is calculated on the reducing
balance basis by reference to the expected useful lives of the assets concerned. The principle annual
rates used for this purpose are:
Motor vehicle
Plant and machinery
Office machine and equipment
Furniture and fittings
Computer equipment
9.
25%
10%
10%
5%
33.3%
Comparatives
Where necessary, comparative figures have been adjusted to conform with changes in presentation in the
current year.
21
Page
22
NOTES TO THE FINANCIAL STATEMENTS
for the year ended 31 December 2008
2008
E
1
Grant income
Analysis of grant income:
Kellogg Foundation Fund (note 10.2)
Harrison Cooper Foundation Fund (note 10.1)
2
2007
E
1 044 955
31 579
_________
565 395
35 395
_________
1 076 514
_________
600 790
_________
323 557
42 791
19 133
308
_________
203 100
229 067
9 783
314
_________
385 789
_________
442 264
_________
Taxation
The Network is exempt from normal tax in terms of section
12(1)(a)(viii) of the Income Tax Order, 1975, as amended.
3
Cash and cash equivalents
African Alliance
Nedbank call account
Nedbank current account
Cash on hand
4
Property, plant and equipment
Motor
Vehicle
E
Year ended 31 December
2008
Opening net book value
Additions
Depreciation charge
105 000
122 526
(42
737)
_________
Computer
Equipme
nt
E
Office
Equipme
nt
E
16 698
29 025
(11
074)
________
7 146
36 338
(1 568)
________
_
Closing net book value
At 31 December 2008
Cost
Accumulated depreciation
Closing net book value
22
Furniture
& fittings
Other
fixed
assets
E
1 078
5 014
(179)
_________
_
Total
E
1 766
(49)
________
_
129 922
194 669
(55
607)
________
_
184 789
_________
34 649
________
_
41 916
________
_
5 913
_________
1 717
________
_
268 984
________
_
242 526
(57 737)
_________
53 555
(18 906)
________
_
44 213
(2 297)
________
_
6 183
(270)
_________
1 766
(49)
________
_
348 244
(79 260)
________
_
184 789
_________
34 649
________
_
41 916
________
_
5 913
_________
1 717
________
_
268 984
________
_
Page
23
NOTES TO THE FINANCIAL STATEMENTS (continued)
for the year ended 31 December 2008
4
Property, plant and equipment (continued)
Computer
Equipment
E
Year ended 31 December
2007
Opening net book amount
Additions
Depreciation charge
6 505
13 734
(3 540)
________
At 31 December 2007
Cost
Accumulated depreciation
Net carrying amount
Motor
Vehicle
E
Furniture
& fittings
E
0ther
Fixed
assets
E
10 938
138 093
(19 108)
________
16 699
________
_
7 146 _________
105 000 _________
1 078 _________________
_
129 923
________
_
24 531
(7
832)
________
_
7 875
120 000
1 169
(729)
(15
000)
(91)
_________ _________ _________ _________
153 575
(23
652)
________
_
16 699
________
_
7 146 _________
105 000 _________
1 078 _________________
_
129 923
________
_
2008
E
5
_
2007
E
Accounts and other payable
Skillshare Swaziland management fee
Accruals
6
Total
E
3 298
1 135
4 359
120 000
(511)
(15
000)
(57)
_________ _________ _________ ________
_
_
Closing net book amount
Office
furniture
E
30 020
30 175
_________
_________-
60 195
_________
_________-
3
223
_________
3
223
_________
226
_________
226
_________
1 000
_________
1 000
_________
Receivables
Shareholders’ loan
Staff loan
The receivables are unsecured, interest free and there are no
fixed terms of repayment.
7
Share capital
Authorised:
1 000 ordinary shares of E1 each
Issued:
23
Page
3 ordinary shares of E1 each:
24
24
3
_________
3
_________
Page
25
NOTES TO THE FINANCIAL STATEMENTS (continued)
for the year ended 31 December 2008
2008
E
8
2007
E
Reconciliation of cash flows generated
from operations
80 057
(47 237)
(31 579)
55 607
_________
4 021
(16 575)
19
108
_________
56 848
6 554
Decrease in receivables
Increase/(decrease) in accounts payable
60
195
_________
90
(3
290)
_________
Cash generated from operating activities
117 043
_________
3 354
_________
12 690
2 772
_________
12 690
2 772
_________
15 462
_________
15 462
_________
6 556
101
654
_________
160 035
144 943
_________
108 210
_________
304 978
_________
Balance at beginning of year
Received during the year
Purchase of motor vehicle
Recognised in the income statement
160 035
(121 900)
(31 579)
_________
66 705
128 725
(35
395)
_________
Balance at end of year
6 556
_________
160 035
_________
Surplus for the year
Amortisation of grant received
Grant income recognised
Depreciation
Changes in working capital
9
Special Funds
Gay Thom Memorial Fund
Duncan Little Memorial Fund
10
Deferred grant income
Harrison Cooper
Kellogg
(note 10.1)
(note 10.2)
10.1 Grant received from Harrison Cooper Foundation Fund:
The Network entered into a grant agreement with Harrison
Cooper Foundation Fund. The grant is for the network to
continue work of improving the survival rates of people
directly affected by breast cancer through awareness,
education, and advocacy campaign. The amount of this
grant is US$ Nil (2007 US$ 19 977) and the period of
performance under this agreement is 31 August 2008.
25
Page
26
NOTES TO THE FINANCIAL STATEMENTS (continued)
for the year ended 31 December 2008
2008
E
2007
E
10.2 Grants received from W K Kellogg Foundation
Balance at beginning of year
Purchase of assets
Received during the year
Recognised in the income statement
144 943
(64 439)
1 066 085
(1
044 935)
_________
(138 093)
848 431
(565
395)
_________
Balance at end of year
101 654
_________
144 943
_________
Balance at beginning of year
Purchase of assets
Grants amortised
121 518
186 339
(47
237)
_________
138 093
(16 575)
_________
Balance at end of year
260 620
_________
121 518
_________
73 648
_________
15 200
_________
73 648
_________
15 200
_________
The Network has entered into programme grant agreement
with W K Kellogg Foundation to continue to be an efficient
provider of information, education, communication,
guidance, support and counselling on breast cancer in all
regions of the country by building and strengthening
Institutional Systems and capacities. The amount of this
agreement is US$ 395 000 to be disbursed over a period
from 1 November 2006 to 31 December 2009.
11
Property, plant and equipment fund
The above represents fixed assets purchased through the
Kellogg Foundation Funds. The grant is recognised over
the expected useful economic lives of the related assets.
12
Interest received
African Alliance
NCOME AND EXPENDITURE STATEMENT
for the year ended 31 December 2008
26
Page
27
2008
E
INCOME
Amortisation of grant received
Coffee morning raffle
Harrison Cooper foundation fund
Interest received
Jane King Run tickets, aprons, t-shirts
Kellogg Funds
October donors
Other donors
Ribbon sales
Subscriptions
Sundry income
2007
E
47 237
16 575
19 586
31 579
35 395
73 648
3 938
29 440
5 120
1 044 935
565 395
882
15 200
400
8 384
615
300
340
2 880
_________
_________
1 248 007 _________
653 842
_________
EXPENDITURE
Advertising and promotions
Bank Charges
Computer expenses
Client support
Depreciation
Duncan Little Memorial Fund Expenses
General expenses
IEC Materials
Insurance
Kellogg expenses
October awareness
Office expenses
Printing and stationery
Rent
Ribbon purchases
Salaries – SBCN
Salaries – Kellogg
Security
Skillshare International Swaziland management fees
Subscription fees
Tea and cleaning
Telephone and fax
Training expenses
75
10 752
22 384
55 607
1 455
9 195
601 293
7 960
13 791
36 500
413 623
1 445
30 020
250
21 132
_________-
813
5 370
220
13 064
19 108
1 378
1 295
15 750
238 785
8 659
2 389
442
13 750
224 797
101 812
700
649
840
_________-
1 167 950 _________
649 821
_________
SURPLUS OF INCOME OVER EXPENDITURE
80 057
_________
This statement does not form part of the financial statements and is presented as
supplementary information.
27
4 021
_________