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FOR VULNERABLE PATIENTS IN PUBLIC HOSPITALS

2022 ANNUAL REPORT

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ABOUT US

MESSAGE FROM Our President & Founder

Dear Friends and Supporters of Solid'Africa.

Thank you for your continued support of our work! We are excited to share with you our annual report for 2022. We would like to thank our donors, volunteers, and partners for their contributions to our work. We could not have achieved our successes without you. For more than a decade, we have worked tirelessly to end nutrition insecurity for vulnerable in-patients during their hospital stay. We have made significant progress in our efforts and are grateful for your support.

While we have achieved many milestones, there is still much to be done. 38% of Rwandans are still at risk of nutrition insecurity while trying to recover from their illness. No one should have to choose between their health or their livelihood, and we, as a community, remain steadfast in our commitment to improving the health and well-being of all Rwandans.

Solid'Africa continued to tackle many of these issues headon in 2022. This report highlights some of our work in these areas.

As we move forward, we must continue to prioritize actions that will lead us toward nutrition equity for not only all Rwandans but all Africans as a whole.

We look forward to continuing our work with you in the years to come.

In Community,

Isabelle Kamariza President & Founder Solid'Africa

MISSION & VISION

MISSION

To preserve dignity, accelerate the recovery process, and promote health equity for vulnerable patients in public hospitals.

VISION

Equity and Dignity for all patients in African Health Systems.

2022 AT GLANCE

2022 has been formative for Solid'Africa. During this period, we have:

Served 68,345 patients , 26,714 men, and 41,631 women.

Served 48,999 medically tailored meals to patients with special needs

Served 922,659 general diet meals (In 2022, we served close to one million meals).

Welcomed new partners: Partners for equity, Dovetail Impact Foundation, Khadja Nin & Jacky Lckx, Community Servings, and I Matter Initiative.

Harvested 205.7 tons of fresh produce, which is a 40% increase from 2021. Thanks to our increased harvest and processes in place, we were able to reduce the cost of food for hospitals meals by 86% compared to the current market price and we were able to save $81,547.

This year our farms contribution to hospitals meals is 84%.

Farms contribution to overall organization is 20.4%. This is hospitals meals plus commercial clients.

Grown our team from 102 employees in 2021 to 133 employees at the end of 2022.

We reduced the cost of food by

86%

Hosted 72 groups at our Mike Stenbock Kitchen Built in partnership with Imbuto foundation. thanks to Our farm program

Partnered with local restaurants in our "A MEAL TASTES BETTER WHEN SHARED" campaign to raise funds.

MEET OUR MANAGEMENT TEAM

Isabelle Kamariza Founder and President

Murenzi Emmanuel Operations Manager

Fidel Ndemezo Executive Chef

Marlene Bizimana Sales Manager

Jean Baptiste Dusabimana Agronome

Donatila Mukasharangabo Co-founder & Social Outreach Manager

Franco Nshimiyimana General Manager

Sandra De Baydak Efficiency Manager

Simon Oyier Chief Finance Officer

John Sengabo Monitoring & Evaluation Officer

Gretta Umutoniwase Executive Assistant

Mukankuranga Vestine Quality Control & Field Officers' Supervisor

Kevine Umuhoza Financial Accountant

Julienne Ishimwe Key Accounts Manager

Gisèle Uwitonze Supply Chain Manager

George Ndahiro PR & Communications Officer

Hubert Macumu Chief Maintenance

Nteziyaremye Felix Financial Accountant

Chantal Batamuriza Maurine Cleaning Manager

Agnes Kabagire Store Keeper

MEET OUR BOARD

Isabelle Kamariza Founder and President

Patrick Nizeyimana Board Member

Ariane Inkesha Co-Founder & Board Member

Raissa Kanyange Board Member

Patrick Ndoli Board Member

Audric Mitraros Co-Founder & Board Member

Donatila Mukasharangabo Co-founder & Social Outreach Manager

Natasha Sukiranya Board Member

FRIENDS OF SOLID'AFRICA BOARD

Beth Crookham President

Donna Hackley Secretary

Lydia Hsu Director

Susan Evans Vice President

Belise Rutagengwa The newest board member of FoSA

Ruby Johnson Board member & Social Media Manager

ABOUT US

Solid'Africa is a Rwandan social enterprise founded in 2010 to tackle food insecurity in public hospitals because meals are not provided during one’s hospital stay In partnership with Imbuto Foundation, Solid'Africa has built an industrial kitchen capable of cooking 15000 meals per day Since inception, we have served over 5 million meals Currently, Solid'Africa operates in five public hospitals which are C H U K, Muhima, Nyarugenge, Kibagabaga, and Masaka but we plan to expand our services in the whole country To become more autonomous, Solid’Africa has created a Community Benefit Company (CBC) that provides catering, kitchen design, and kitchen management services to private companies 100% of the profit generated from these lucrative activities is re-channeled into feeding vulnerable patients, supporting their endeavors to scale Solid’Africa’s CBC is currently negotiating a private-public partnership with the Government of Rwanda, allowing them to scale and manage all 47 district hospitals

OUR APPROACH

The biggest challenge facing vulnerable patients is lack of medically tailored meals. Which in return slows their recovery To sustain the provision of medically tailored meals, Solid’Africa deploys a farm-to-fork approach that focuses on farming organic produce, cooking medically tailored meals in their industrial kitchen with the help of nutritionists and delivering food directly to hospitals, and collecting all food waste in the kitchen and at the hospitals to make a natural fertilizer and grow organic crops

1) Solid’Africa farms organic produce on land awarded by the Government of Rwanda

2) The food is then cooked in their industrial kitchen Nutritionists design meals to ensure they fit the specific needs of each patient’s condition

3) The food is packaged and served to in-patients at specific public hospitals across Kigali The organization ensures 100% waste reduction at each stage of production/consumption by collecting all food waste in the kitchen and at the hospitals to make a natural fertilizer and grow organic crops

SUCCESS STORIES

On August 4, 2022, a seven-year-old girl named Jacky (not her real name) was admitted to Masaka Hospital for malnutrition Upon admission, she was severely anemic and had lost much of her muscle mass, weighing 11 kg The medical team at Masaka Hospital started her on an IV drip of fluids; unfortunately, due to the family’s financial struggles, Jackie was not able to receive an adequate diet

Thanks to its partnership with Masaka Hospital, Solid’Africa took charge of the child’s well being by providing a tailored diet Jackie was given a high-calorie, nutrient-rich diet to help her regain her strength and energy She was also given medication and an iron supplement to help her anemia The medical team also worked to identify any underlying causes of her malnutrition Jacky was in the hospital for three months and a half before she was discharged During this time, she had gained some weight (4 kg) and strength, and her anemia had improved Solid’Africa and the medical team at Masaka Hospital provided Jacky with the care and support she needed to get back on her feet.

On March 11, 2022, one-year-old Keza (not her real name) was brought to the hospital with severe burns over her whole body Upon further examination, doctors determined that she had been scalded with hot water. The burns caused her to fall into a coma, and she could only eat through a feeding tube As medical care was expensive and the family struggled to make ends meet, Solid’Africa assisted with the payment of Keza’s treatment as well as her diet. To restore her health, Solid’Africa team put her on a liquid-diet consisting of porridge, milk, and vegetarian soup

As Keza got better, she was put on a high-protein diet to restore her strength To prevent infection, Keza went through surgery, which went well. Keza was monitored for several days in the hospital for signs of infection and any other complications Thanks to an appropriate diet and adequate medical care, Keza made a good recovery and was discharged She arrived at the hospital weighing 7 kg, and by the time she left, she weighed 11 kg. She is now a healthy child who will continue to strive!

OUR IMPACT

GEMURA: FOOD FOR ALL

Meals served

Number of meals served per month

923K

In 2022, we served close to one million meals.

GEMURA: FOOD FOR ALL Patients served

Number of patients served per month

Total number of patients served

Number of patients served per gender

Patients served per ubudehe categories.

GEMURA: FOOD FOR ALL

Medically tailored meals

Total number of special diet served 2022

48,999K

Special diet served by gender

58.1%

41.9%

SPECIAL DIET LIST

List of special diet we provide

We believe food is medicine and that is why we serve medically tailored meals. To efficiently and sustainably respond to the issue of nutrition insecurity, we collaborate with nutritionists to provide meals tailored to patients’ dietary needs: patients with cancer, renal failure, diabetes, heart disease, tube-fed patients, etc. For example this year, we have introduced a special diet for breastfeeding mothers. The menu caters for the mothers' specific dietary needs by incorporating food items that increase breastmilk production. Low-sodium

This is a no added salt diet that includes no more than 1,500 to 2,400 mg of sodium per day. At Solid’Africa this diet is usually composed of bread without salt, bananas, beans, potatoes and pumpkins.

High-Vitamins

This diet consists of vitamin-rich foods like fish, dark leafy greens, seeds, broccoli, pork, beef, mushrooms, nuts, eggs, avocados, peas, and fruits. At Solid'Africa, we typically serve it with a mixture of mushroom soup and green vegetables or cassava leaves accompanied with beetroot juice.

Breastfeeding mothers diet

This involves reducing or completely excluding simple carbohydrates and added sugar from the diet. The menu is prepared from fruits and vegetables, e.g yams , lean protein (e.g., white meat and fish), and whole grains.

This diet typically contains large quantities of protein and only a small amount of carbohydrate. It usually consists of eggs, beans, and vegetables rich in protein such as spinach.

This is a high-fat-high-sugar diet. At Solid'Africa,this dish is typically prepared with red meat, meat soup, spaghetti, and cake (made with banana or vanilla)

A soft diet consists entirely of liquids diet and foods that are easily digestible. We usually make this type of diet composed of soft fish, green bananas, irish potatoes , soups, milk, and sugarfree African tea.

We have a specific diet for breastfeeding mothers who experienced complications during childbirth, developed infections, or are mothers of sick children. We provide high-quality nutrient-rich meals to support their physical health and the production of breast milk, which has a vital role in the baby's growth and development. This diet consists of soft meals like vegetables, light green plantains, soups, and porridge.

OUR IMPACT

Supplementary programs

Our extra programs are Kiza, Gombora, and Sukura. They only make up 5% of everything we do.

KIZA

Kiza covers medication and medical equipment like crutches and wheelchairs The program covers hospital and outpatient medical exams Solid'Africa's Gombora program helps recovering patients return home by covering their remaining bills and transportation costs The program also covers the cost of medical tests both within and outside the hospitals

GOMBORA

Under the Gombora program, Solid’Africa assists patients who are unable to pay the remainder of their bills by covering the outstanding amounts and transportation fees to help them return to their homes after their recovery We also pay the caution fee that patients need to pay before their hospitalization This fee is a form of prepayment that hospitals demand weekly while treating their patients

SUKURA

Supplementary programs in numbers

Gombora Program

Total number of Gombora support given 630,000RWF

Gombora support by hospital

Sukura Program

Patients supported through Sukura program by ubudehe Category

OUR IMPACT

Harvested 205.7 tons of fresh produce, which is a 40% increase from 2021. Thanks to our increased harvest and processes in place, we were able to reduce the cost of food for hospitals produce by 86% compared to the current market price.

This year we harvested 205.7 tons. These are Our largest harvest

Maize Pumpkins Cabbage

Rice Cassava Eggplants Spinach

Production trends by crops (tonnes)

Crops

2022 FINANCES

One of the key elements pivotal to building our success is the sourcing and management of finances. In 2022, the financial management took a different approach aimed at better understanding our cost drivers and boosting our operational efficiency through a more robust financial reporting mechanism Internally generated revenues are now a focus area through Solid’Africa CBC’s contribution, which covers part of the overall program costs In 2021, the coverage was 17% and in 2022 it rose to 24%, the target for 2023 is 30%, and a higher percentage for the subsequent years as the operations of CBC expand. We are continually exploring avenues for prudent use of the finances received, we are happy to report that in 2022, we achieved a saving of $81,547 attributed to boosting the farm production.

Key Successes

For the year ending December 2022

Disclaimer:

This financial report is provided for informative purposes The exact financial report will be accessible after this year ' s audit is completed.

Disclaimer: This financial report is provided for informative purposes. The exact financial report will be accessible after this year ' s audit is completed

Partnerships, Campaigns, & Festivals

Partnerships

We partnered with CRI Foundation for a study and a pilot in two public hospitals

We partnered with Mastercard foundation to fight COVID-19 stigmatization

On Feb 17th, 2022, we joined CHUK Hospital to celebrate international patient’s day to honor patients as well as their caregivers

New partnerships

Partners For Equity, Dovetail Impact Foundation, Khadja Nin & Jacky Lckx, Partners In Health, King Faisal Hospital, Community Servings, and I Matter Initiative

A meal tastes better when shared campaign

We partnered with local restaurants in our campaign to raise funds Restaurants we partnered with are: Maguru Le Bistro De Kigali, PiliPili, Nyurah, Select, Tania's, Chomad, Les Quatres Soeurs, and Poivre Noir

Festivals

We participated in 3 festivals this year The 2022 Kigali Christmas market, Shirikiana Festival, and 18th Kwita izina ceremonies

Conferences, Events, Training, & Recognition

Conferences

We participated in ten conferences

African Women Entrepreneurs Cooperative Commonwealth Day celebrations

Women Leaders Summit Rwanda

Making More Health in Ingelheim, Germany

Opportunity collaboration

The Future Summit

2022 RPF Bureau Politique Meeting

CPHIA 2022

Segal Family award dinner

Global Philanthropy Forum

Events

We hosted 3 events

We hosted our volunteers at our Mike Stenbock Kitchen built in partnership with Imbuto Foundation

The 2022 Annual General Assembly was held at the Mike Stenbock Gemura kitchen built in partnership with @imbuto

On Dec 26th, we spread the holiday cheer with our Christmas gift at CHUK, Muhima, Nyarugenge, Masaka, and Kibagabaga hospitals

Recognition Training

We were selected to be part of Making More Health Accelerator Program

Our founder and president became a member of the African Healthcare Funders forum

This year we partnered with COMMUNITY SERVINGS for food processing training We learned about:

Food delivery systems

Kitchen health and safety

Patient menu, and meals packaging process

A BIG THANK YOU TO OUR PARTNERS

With you, we will be one step closer to providing medically tailored meals to all patients in Rwandan public hospitals. Below is the list of our partners:

BARBARA STIEFEL FOUNDATION

KHADJA NIN & JACKY LCKX

HOSPITALS WE PARTNERED WITH

Solid'Africa operates in five public hospitals.