Amref Health Africa Inc Inc (Amref)

What it reported doing in 2024

Primary health care - amref is committed to its core mission of ensuring accessible, high-quality primary healthcare for communities throughout africa. The organization's primary care initiatives are comprehensive, addressing all aspects crucial to overall health and wellbeing across all stages of life. Amref focuses on expanding access to essential healthcare services for women, particularly during pregnancy and postpartum, to safeguard both maternal and infant health. Similarly, its children's health programs encompass interventions in homes, schools, and healthcare facilities, employing an integrated approach to meet the diverse healthcare needs of children. Additionally, amref empowers healthcare workers to provide reproductive health education to women and their partners, while also educating both girls and boys on reproductive health to enable informed decision-making. Nutrition interventions are seamlessly integrated into amref's programs as part of its holistic health approach. Furthermore, the organization endeavors to prevent the spread of communicable diseases, such as HIV/AIDS, tb, malaria, ebola, and covid-19, through education, immunization services, and robust disease surveillance and detection efforts. Amref is also actively engaged in preventing, diagnosing, and treating non-communicable diseases, leveraging community engagement, screening services, and referrals for specialized care to address this growing health challenge.

Financial Efficiency

• Mission deployment rate: 78.5%; rating input score 78
• Program expense ratio: 84%; rating input score 84
• Fundraising efficiency: $9.79 raised per $1 spent on fundraising; rating input score 38; 38th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 4 of 8 controls in place; rating input score 50
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Limited
  • Conducts field audits: Pass
  • May suspend future funding: Limited
  • Requires financial reports: Limited
  • Conducts site visits: Pass
  • Requires grant agreements: Pass
  • May require repayment: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.9%; rating input score 59; 59th percentile among comparable filings
• Total-asset coverage ratio: 0.46; rating input score 14; 14th percentile among comparable filings
• Liabilities to assets ratio: 0.15; rating input score 66; 66th percentile among comparable filings
• Officer compensation ratio: 3.7%; rating input score 62; 62nd percentile among comparable filings

Growth

• Program expense growth: 9.1% per year; rating input score 100; 67th percentile among comparable filings
• Revenue growth: 3.3% per year; rating input score 100; 28th percentile among comparable filings
• Asset growth: 4.4% per year; rating input score 100; 31st percentile among comparable filings