YWAM Medical Ships Annual Report 2021

An2nu0al 2Re1port

TOWNSVILLE
215 Walker Street, Townsville, QLD 4810, Australia
PO Box 1959, Townsville, QLD 4810, Australia | +61 7 4771 2123 | [email protected]

PORT MORESBY
PO Box 545, Vision City, NCD 121, Papua New Guinea

YWAM Medical Ships - Australia & Papua New Guinea

YWAM Medical Ships Australia Ltd ABN 45 070 160 904 is a company limited by guarantee. Its registered
office is located at 215 Walker Street, Townsville Queensland.

CHARITABLE STATUS, TAX CONCESSIONS & FUNDRAISING
YWAM Medical Ships - Australia is a Public Benevolent Institution (PBI) and a Deductible Gift Recipient (DGR).
YWAM Medical Ships - Australia’s auditor is PKF Brisbane.

ACCREDITATIONS

The Australian Council for International Development (ACFID) is the peak Council for Australian not-for-profit
aid and development organisations. YWAM Medical Ships - Ltd is a signatory to the ACFID Code of Conduct,
which is a voluntary, self – regulatory sector code of good practice. As a signatory we are committed and
fully adhere to the ACFID Code of Conduct, conducting our work with transparency, accountability, and
integrity. Complaints relating to a breach of the ACFID Code of Conduct can be made to the ACFID Code of
Conduct Committee via their website, https://acfid.asn.au/content/complaints

Feedback on this report and our operations can be sent to [email protected] or in writing to: YWAM
Medical Ships - Australia, PO Box 1959, Townsville QLD 4810.
YWAM Medical Ships - Australia’s complaints policy can be accessed via our website,
https://ywamships.org/about/faqs/

ANNUAL REPORT 2021

Contents

SECTION ONE - WHO WE ARE

6 1.1 Message from Chair of the Board
7 1.2 Message from Managing Director
8 1.3 Twenty Twenty-One Milestones and Highlights
12 1.4 History
14 1.5 Model of Operation
17 1.6 Our Footprint
18 1.7 Messages from Our Patrons
20 1.8 Major Donors
21 1.9 Supporters

SECTION TWO - WHAT WE DO

24 2.1 Maritime Operations
26 2.2 Primary Health Care
30 2.3 Oral Health
31 2.4 Supporting Delivery of Health Patrols
32 2.5 Health Education and Community Empowerment
34 2.6 Health Workforce Strengthening and Capacity Building

SECTION THREE - FINANCIALS

38 3.1 Plain Language Summary
39 3.2 Financial Summary

SECTION FOUR - WHAT'S AHEAD

48 4.1 Moving Forward
49 4.2 Twenty Twenty-Two Deployment

SECTION FIVE - GOVERNANCE &
LEADERSHIP

52 5.1 Board of Directors & Project Management Team
53 5.2 Advisors

SECTION SIX - APPENDIX

56 6.1 Abbreviations
57 6.2 Letters of Endorsements

YWAM MEDICAL SHIPS

ANNUAL REPORT 2021 ANNUAL REPORT 2021

SECTION ONE

2021 at a Glance

YWAM MEDICAL SHIPS YWAM MEDICAL SHIPS

1M.1 essage from Chair of the Board

What a significant year, in the midst of the ongoing We are so grateful for the lasting partnerships and friendships
disruption of a global pandemic, to redeploy the MV YWAM that help to fuel the work being done in Papua New Guinea,
PNG in February 2021. With constantly changing travel and I’m so pleased that our team has been able to deliver
restrictions and an ever-changing working environment, 41,934 health and training services in Western Province, in
it was a tremendous feat for the ship to depart with the collaboration with the local health workers at the national,
intention to recommence the vital medical and training work provincial and district level.
in Papua New Guinea.
While the numbers tell the larger narrative of the important
Though this milestone marked an important step into a new work we have engaged in, my heart is continually drawn
season, we continued to both face new challenges, as well to the individuals whose lives are changed. One such life
as experience tremendous victories, navigating these new this year was that of a young woman who our team first
operational requirements, always with the hope to continue met in 2013. She had been previously diagnosed with spinal
to see rural and remote Papua New Guineans increase in their tuberculosis, leaving her unable to walk. Since that time we
access to essential health services and training. have followed her journey, and in 2019, found her wheelchair
was no longer functional. Our volunteers took it upon
I have never been more amazed by our long-term volunteer themselves to source a new chair, and our team delivered it
staff who continually persevered through an ever-challenging to her upon return to her village this year. This will enable her
year. Their faith, perseverance, creative problem solving, and to be more mobile again within her home and community, and
ultimately commitment to the people of Papua New Guinea create hope for the future.
are the reasons you are reading this report. In particular,
Captain Jeremy Schierer and Ship Manager Jeana Wiemeyer We’re so grateful to be one part of the work being done across
epitomised these characteristics as they navigated Papua New Guinea, in collaboration with so many people, and
and led through many obstacles during a challenging dry we look forward to what is ahead.
dock period. Their commitment and love for the nation of
Papua New Guinea has helped to maintain perspective and
determination, and to achieve what is presented here.

Warm regards,

Rebekah Hoover
Chairperson of the Board

PAGE 6 ANNUAL REPORT 2021

1M.2 essage from Managing Director

Having come out of a very fluid year navigating rapid effectiveness and multiplication around the coastal
adjustment and changes, it’s been amazing to see the vast regions and highlands of PNG. Moving forward, YWAM
growth that we have experienced despite the difficult MS, with the assistance of many key stakeholders, will
circumstances. be reviewing our current operations to consider how to
strengthen and expand our community development to
After many years of engaging in Papua New Guinea (PNG), bring greater outcomes of “healthy lives” across PNG.
it was beautiful to see the initiative and drive in our local
and international volunteers to carry out innovative One recommendation which has been under consideration
patrols amidst this year’s climate. Our teams were able to for several years is to transition from our current vessel, the
meet the urgent needs that the pandemic had awakened, MV YWAM PNG, to smaller vessels under 500 tonnes. With
providing COVID-19 immunisations combined with ongoing 84% of the population living in rural and remote areas, the
needs within the healthcare system, such as administering present and growing need for greater infrastructure along
childhood immunisations. It has been a joy to see our PNG’s 5,000 kilometre coastline, massive river systems and
volunteers working together to empower local PNG health 291 inhabited islands is immense.
workers and to build capacity at such a crucial time.
I am deeply grateful for the support of all our partners,
After twelve years of successful community engagement volunteers and collaborators over the years, and I look
in PNG, YWAM MS has grown significantly in various ways, forward to all that is to come in the coming years!
including the continued operations of the MV YWAM PNG,
land-based teams, a Port Moresby satellite campus and
the newly arrived Dental Semi-Trailer. YWAM MS is well
positioned to expand its operations.

As we have engaged in PNG over the years there has been
a growing awareness that our current outreaches need
to evolve to enable greater capacity, sustainable cost

Kind regards,

Ken Mulligan OBE, OAM PAGE 7
Managing Director

YWAM MEDICAL SHIPS

1T.w3enty Twenty-One
Milestones & Highlights

Twenty twenty-one was a challenging year as YWAM allow for a new model of outreach to be established.
Medical Ships - Australia & PNG (YWAM MS) navigated the The modification of outreaches has strengthened the
circumstances set by the ongoing pandemic, while also working relationship with the Western Provincial Health
pressing forward with the vision of empowering healthy Authority (WPHA), increased effectiveness in field planning,
lives, healthy families, and healthy communities for a and subsequently improved monitoring, evaluation, and
healthy Papua New Guinea (PNG). YWAM MS was grateful learning processes.
to continue to pursue this vision in collaboration with
various stakeholders in both PNG and Australia. The MARINE
following are some selected highlights and milestones. Amongst many major milestones, this year the MV
YWAM PNG underwent a planned dry dock, which, due to
REDEPLOYMENT unforeseen circumstances, took three months longer than
The year began with much joy as the MV YWAM PNG anticipated to complete. During this time, YWAM MS was
returned home to PNG waters in February, with plans for able to complete the 20-year special survey of MV YWAM
both the vessel and its personnel to stay in the country PNG, which had been delayed since June 2020 due to the
indefinitely. This redeployment marked a new season for global pandemic.
YWAM MS in many ways, particularly as travel restrictions
made the transit of both short and long-term volunteers A notable accomplishment for YWAM MS was installing
challenging. After discussions with various stakeholders, multibeam hydrographic survey equipment on the MV
the decision was made to focus specifically on Western YWAM PNG, allowing uncharted waters to be surveyed and
Province in order to decrease the movement between made accessible. Nearly 3,000 linear kilometres of seafloor
provinces during this season and increase the level of were surveyed during outreach, averaging approximately
engagement in a smaller geographic area, which would 10 kilometres of advance survey for every one kilometre

PAGE 8 ANNUAL REPORT 2021

travelled by the ship. Deployments to villages on the MCH clinics facilitated by the MV YWAM PNG resumed
north side of the Torres Strait, which were not previously in October throughout Middle and South Fly districts in
accessible by MV YWAM PNG, are now possible for future Western Province.
outreaches because of this equipment.
PARTNERSHIPS
MEDICAL Throughout the year, YWAM MS continued to grow in
During the prolonged dry dock of the MV YWAM PNG, YWAM collaboration with various organisations to bolster
MS deployed land-based medical teams to continue to effectiveness. YWAM MS entered into a new six-month
reach rural and remote areas of Western Province, with agreement with the Australian Department of Foreign
a focus on maternal and child health (MCH) and COVID-19 Affairs and Trade (DFAT), primarily focussed on routine
activities. These land-based teams were able to engage 86 childhood immunisations and COVID-19 awareness, testing,
villages, providing 6,301 routine childhood immunisations and vaccine access.
and 1,866 COVID-19 vaccines.
Partnership with World Vision continued throughout
In July of this year, YWAM MS initiated a roll out of 2021 and progressed to a formal grant relationship,
integrated childhood and COVID-19 vaccine programs in focussed on routine childhood immunisation. Additionally,
the Mabudawan Health Centre and Emeti Health Centre collaboration with PNG Sustainable Development Program
catchments. This novel approach proved successful in both (PNGSDP) was strengthened to collaboratively provide
locations, and this model has now been adopted by WPHA necessary health and training services to remote and rural
and other partners in Western Province. communities in Western Province.

YWAM MEDICAL SHIPS PAGE 9

2021

Summary Statistics

41,934 PNG NATIONALS ENGAGED

Healthcare & 115
Training Services
DENTAL PROCEDURES
TOTAL PATIENTS
537
9,872
HEALTH PROMOTION ATTENDEES
(4,894 M / 4,978 F)
22,585
IMMUNISATIONS ADMINISTERED
(11,056 M / 11,529 F)
16,516
ANNUAL REPORT 2021
(8,360 M / 8,156 F)

NATIONALITIES REPRESENTED

12

VOLUNTEERS BY COUNTRY

43 PAPUA NEW GUINEA
11 AUSTRALIA
7 UNITED STATES
4 NEW ZEALAND
3 NETHERLANDS
3 GERMANY
2 CANADA
2 NORWAY
2 UNITED KINGDOM
1 IRELAND
1 ZIMBABWE
1 KENYA

YWAM MEDICAL SHIPS

1H.4istory

YWAM MS first began engaging with PNG in 2009, although worked tirelessly, giving their time and personal funds to
YWAM’s presence through land-based teams began in 1969. make the dream a reality. People from all walks of life gave
as the vision was presented - communities, churches, school
Before YWAM MS’ operations began, the Hon Mike Reynolds students, companies, governments, charities, and individuals
CBE, AM and YWAM MS’ senior leadership team met with from all over the world contributed to the need. In 2014,
the then-Secretary for Health in PNG, Dr Clement Malau, to YWAM MS officially acquired the vessel and began to work
present the idea of a medical ship reaching rural and remote through the details of refitting the vessel into a medical and
areas of the country with healthcare and training. With training ship that would serve hundreds of remote villages on
no money and little resources at hand, YWAM MS received an annual basis.
an invitation from Dr Malau on behalf of the PNG National
Department of Health (NDoH) to bring the first ship, the The vessel was named the MV YWAM PNG to reflect its
MV Pacific Link, to the Gulf Province. The MV Pacific Link was intended purpose of dedicated service to the nation of PNG.
gifted to YWAM Australia from YWAM Marine Reach YWAM MS’ shared desire with national and provincial health
New Zealand. authorities is for the vessel to be utilised as an innovative
tool to deliver services that build capacity in local villages
The first number of years were very challenging as YWAM MS and assists to provide training, supplies, encouragement,
started to sail into PNG’s very remote and rural communities. and support to the dedicated health workers serving on
From the beginning, YWAM MS worked in partnership with the ground. The vessel spends most of its time conducting
PNG both at a national and grassroots level to bring hope outreach patrols in PNG, with administrative and logistical
and resources to villages in great need. It became obvious support coming from the YWAM MS Resource Campus in
that the MV Pacific Link (a refitted 37 metre-long Japanese Townsville, Australia.
fishing vessel built in 1979) was too limiting for the demands
and needs identified in the field. YWAM MS then began In 2021, YWAM MS Port Moresby Satellite Campus was opened,
the process of acquiring a much larger ship that would be and inaugural training schools were run from this location.
more suitable for PNG’s remote areas and increase YWAM This campus is directly collaborating with the MV YWAM PNG
MS’ capacity to support PNG’s health system. It was a huge for outreaches, and as the campus continues to develop, more
undertaking, as YWAM MS had no funds toward the vessel at administrative and logistical support will be facilitated from
the time. However, the very real needs seen up-close in the this location.
field far outweighed the obstacles.
Globally, YWAM is broad-structured with no centralised
After much research, a second-hand ship was found – a small headquarters or funding, operating in over 180 nations. It is
cruise liner built in 1999 by Austal. The asking price was AUD a network of separate legal entities, with separate financial
$6.5 million. Acquiring the ship took an extreme amount of and management structures. This includes local YWAM
work; a small dedicated team made up of volunteer staff centres in PNG and YWAM ship networks that operate in
named the campaign, “Overcoming the Impossible”. The team PNG waters.

PAGE 12 ANNUAL REPORT 2021

YWAM MS does not have oversight over or involve itself in YWAM MS is honoured to have two patrons: Patron - PNG,
responsibility for the activities of other YWAM entities, the Right Honourable Sir Rabbie Namaliu GCL, KCMG, CSM
except within the confines of formal agreements which and Patron - Australia, the Honourable Mike Reynolds CBE,
may be in place from time to time. Such agreements are AM. These gentlemen have been active in their positions
based upon the expectations of the Australian Council since 2012 and 2009, respectively. Each contributes vast
for International Development (ACFID) Code of Conduct, a understanding of PNG, its relationship with Australia, and the
voluntary, self-regulatory sector code of good practice, which YWAM MS program to date. YWAM MS also has an extensive
is considered to be best practice in Australia and around list of committed advisors who provide advice and direction
the world. in their particular field of expertise.

ACFID focuses on good practices (including a public In keeping aligned with the worldview and the foundational
complaints mechanism) and operational values of integrity, values of the organisation, YWAM MS’ Christian ethos
cooperation, transparency, equality of opportunity and endeavours to create policies and procedures that cultivate a
accountability. This builds trust and accountability in the healthy organisation to care, connect, serve, and build within
communities YWAM MS supports in PNG, the communities individuals and communities.
who support YWAM MS in Australia, and the partners with
whom YWAM MS collaborates. YWAM MS is fully committed to YWAM MS long-term volunteers, including the Managing
the ACFID Code of Conduct. Director, raise funds external to YWAM MS and donate their
professional services in-kind. All YWAM volunteers contribute
YWAM MS formally partners with many like-minded their goodwill and skills with no expectation of remuneration.
organisations and has had agreements in place with both A limited number of critical roles are externally filled, with
government and non-government entities including but not remuneration when necessary (e.g. specific engineer rank,
limited to: bookkeeper).
• PNG Department of National Planning
• Australian Department of Foreign Affairs and Trade
• The Ministry of the Foreign Affairs of Israel
• World Vision
• PNG Provincial Governments
• PNG Sustainable Development Program (PNGSDP)
• PNG Tribal Foundation
• PNG National Youth Development Authority
• YWAM Norway
• Universities and higher education institutions in

Australia and PNG

YWAM MEDICAL SHIPS PAGE 13

1M.5 odel of Operation

YWAM MS’ model is centred around building healthy lives, and control the probability or impact of unfortunate events
families, and communities for a healthy nation. Over 84% of and to maximise the realisation of opportunities.
PNG’s population lives in rural areas. The isolation and lack of
infrastructure makes delivering healthcare and training very The PNG NDoH’s National Health Plan (NHP) includes the
challenging. expectation that rural health facilities will regularly
reach out to villages in their catchment on what is called
YWAM MS aims to care, connect, serve, and build with ‘patrol’, with a special focus on preventive maternal-child
individuals and communities in Australia, PNG, and beyond. health services (including offering family planning and
YWAM MS teams work in partnership with locals from various immunisations). It is these regular visits that are supported
sectors to achieve the following right at the doorstep of by YWAM MS teams, along with a package of additional
coastal and inland Western Province: support, significantly reducing the marginal cost of each
• Strengthening the capacity of rural facilities to serve activity delivered to these challenging locations.

year-round including activities such as: As a mother ship, the MV YWAM PNG serves to build capacity
» Delivery of drug supplies in each village of engagement; YWAM MS is not there to
» Assistance with vital maintenance and upgrades to create an independent or parallel health service. YWAM MS
aligns itself with the goals and objectives outlined in the
equipment NDoH NHP.
» Peer support, supervisory visits, in-service updates
• Boost district patrol capacity through facilitating Facilitating collaborative patrols is implemented in a variety
collaborative patrol activities (explained below) in of ways:
currently poorly served areas • Patrol supported by MV YWAM PNG at short range (teams
• Work with grassroots communities (with a special focus
on youth) to empower them to take an increasingly deployed less than a two-hour boat ride from the mother
active part in promoting their own wellbeing ship)
• Advocate to spotlight areas of current under-service, • Patrol supported by MV YWAM PNG at long range
directing attention and resources to improve the deployed via a mix of:
situation on the ground » extended-range patrol tenders (boats carried
• Champion young people
aboard, then released)
Risk management is of paramount importance in YWAM MS » teams trekking inland on foot
operations; risks are identified, evaluated, and prioritised » aviation solutions
on a continual basis. This is followed by coordinated and
economical application of resources to minimise, monitor,

PAGE 14 ANNUAL REPORT 2021

Historically, YWAM MS has proudly involved many students YWAM MS works by invitation, seeking to work in
in patrols. This has included a variety of training programs, collaboration and respect with a non-partisan approach at
such as rural health workers who have requested upskilling, the national, provincial, district, local-level government,
third and fourth year nursing and midwifery students doing and village level. YWAM MS commenced outreaches in the
their rural placements, and first year primary health care Southern Region and Morobe Province after receiving an
workers. Fifth year medical students from the University of invitation from each of the provinces, and this year the
Papua New Guinea (UPNG), medical students from Divine Word WPHA extended an official invitation to resume outreaches
University (DWU), and student midwives from the University in their province. These outreaches are carefully planned in
of Goroka (UoG) have also joined outreaches to fulfil their rural close consultation with key stakeholders, with regularly
health placements. YWAM MS’ goal is to increase the health submitted reports, and data is input into the National Health
workforce in PNG, and training is a vital part of that. That Information System.
said, all students work under supervision of qualified medical
professionals with the appropriate medical qualifications
and registrations for their job. In some cases, these are
among some of the foremost professionals in their industry in
their nation.

YWAM MEDICAL SHIPS PAGE 15

picture of jetty

YWAM TOWNSVILLE - YWAM MS PORT MORESBY
RESOURCE CAMPUS SATELLITE CAMPUS
The City of Townsville, Sister City to PNG’s capital Port “The Jetty” - YWAM MS Port Moresby Satellite Campus2 -
Moresby, is proud host to the resource campus of YWAM is directly linked to the MV YWAM PNG outreaches. After
MS. Based out of YWAM Townsville’s City Campus1, the more than ten years of operation in PNG with medical and
main office of YWAM MS engages a committed and training ships and land-based teams, YWAM MS is currently
diverse team of self-funded personnel from many nations. establishing a campus in Port Moresby for the delivery of
YWAM Medical Ships has a close working relationship vocational training and facilitation of outreaches. This
with YWAM Townsville, itself a not-for-profit charitable facility will also provide an ideal platform to start YWAM
entity including a Registered Training Organisation (RTO) Outreach Houses around the nation to build stronger
under the trading banner YWAM Medical Ships Training engagement in PNG.
(RTO Reg. No 30614, CRICOS Provider No. 02205D). YWAM
Medical Ships Training provides Australian-recognised Additionally, The Jetty will serve as the hub for YWAM
and accredited training in a range of fields, and youth MS’ Dental, Medical, and Training Trailer, which was
development opportunities. This includes training acquired at the end of 2019. This year, teams have been
opportunities for young Papua New Guineans. actively working with the PNG National Capital District
Commission (NCDC), Henry Schein Halas, and Ok Tedi Mining
to develop a plan to bring the trailer into Port Moresby
for the purpose of providing dental services, training
opportunities, and health education to schools in the
National Capital District (NCD).

PAGE 16 1 YWAM Townsville Assoc Inc is a separate legal entity from YWAM Medical Ships
2 YWAM Training PNG Inc is a separate legal entity from YWAM Medical Ships
providing dental services, training opportunities, and health education to schools in
the National Capital District (NCD).

ANNUAL REPORT 2021

1O.6ur Footprint

PRE-PANDEMIC FOOTPRINT
Since beginning in 2009, YWAM MS has developed an extensive footprint across PNG. Utilising both ship-based and land-
based patrol teams, YWAM MS has operated across the Southern Region and Morobe Province. YWAM MS deeply values
partnership with local and national authorities and operates solely via invitation of respective provincial governments.

2021 FOOTPRINT S E C T I O N O N E : P A G E 1 67
In discussion with stakeholders, YWAM MS has focused
its current outreach engagement to Western Province,
particularly the South and Middle Fly Districts. This will
allow for a new model to be established with the intent
to expand operations in the future.

YWAM MEDICAL SHIPS

1M.7 essages from Our Patrons

PAPUA NEW GUINEA

The year 2021 has been a major challenge for the world due to the COVID-19
pandemic. Its impact on practically every country has not been seen for over
a hundred years since the Spanish flu pandemic at the height of the First
World War. Papua New Guinea was no exception; however, we are a people who
face adversity with unity, determination and resolve, and the same has been
true for YWAM Medical Ships - Australia and PNG (YWAM MS).

It’s been inspiring to see YWAM MS persevere through the adversities of
the year, in collaboration with the people of PNG, to continue to provide the
critical health and training services that are necessary for healthy lives,
healthy communities, and a healthy nation.

When the ship was unable to sail due to an unforeseen prolonged drydock, the
determination and versatility of YWAM MS prevailed, and land-based teams
were deployed to work with health workers on the ground to ensure that
necessary services were being provided to rural and remote communities in
Western Province.

I’ve been particularly encouraged by the growth of YWAM MS in the current
global climate. As a new satellite campus has been established in Port
Moresby for the purpose of vocational training, YWAM MS is currently working
with so many amazing Papua New Guineans to grow more of the mentors and
role models that Papua New Guinea youth so desperately need.

I would like to congratulate the Managing Director, Ken Mulligan, for his
strong leadership and commitment to PNG to initiate growth amidst such a
dynamic year. More than ever, I anticipate continued great outcomes for PNG
with the strong partnership between Australia and PNG.

Kind regards,

PAGE 18 The Right Honourable Sir Rabbie Namaliu GCL, KCMG, CSM
YWAM Medical Ships - Australia & PNG Patron, Papua New Guinea

ANNUAL REPORT 2021

AUSTRALIA

It has been an honour and a privilege to be part of another incredible year
despite the many challenges faced around the world. I am proud to see
the number of Australians volunteering on board the ship to serve our
nearest international neighbours at a time where collaboration
has never been so important.

I would like to also commend the inspiring leadership of Ken Mulligan and
the leaders at YWAM Medical Ships - Australia & Papua New Guinea. Their
resilience and versatility in delivering healthcare, training and capacity
building services has been imperative to experience the level of growth
that YWAM MS has over the last year.

In 1983, as the Mayor of Townsville, I established the important sister-
city relationship between Townsville and Port Moresby. Today, I am
very proud to be a part of an organisation who is playing such a key
part in strengthening this important relationship, particularly with
the establishment of the YWAM Medical Ships Port Moresby Campus.
Townsville and Port Moresby have a unique opportunity to learn and
collaborate with one another to see amazing outcomes for both nations
and I certainly look forward to all that is to come!

Kind regards,

Honourable Mike Reynolds CBE, AM
YWAM Medical Ships - Australia & PNG Patron, Australia

YWAM MEDICAL SHIPS PAGE 19

1.8

Major Donors

PAGE 20 ANNUAL REPORT 2021

1S.9upporters

Alex Supply MOB Enterprise
Barnabas Foundation Mineral Resource
BOC Ophthalmic Instruments Development Company
Pty Ltd Novartis
Bridco O’Shea & Dyer Solicitors
Carl Zeiss Pty Ltd Oil Laboratories - PNG
Cattani Australia OilMin
Cirrus Insight Optical Repairs
Consort Express Lines, Penske Power Systems
Papua New Guinea PNG Australia Association
Cook Islands Trust Corporation PNG Eye Care / Brien Holden
Credit Corporation Vision Institute
Designs for Vision PNG National Prevention of
Device Technologies Blindness Committee
Dunlop PNG Ports North
Electrotech RANZCO Scientific Congress
FileMaker Rosshaven Marine
Filter Supplies Shailer Medical
First Advisers Signs of Excellence
Food Relief NQ Stryker Medical
FVS Fire NQ The Drill Guys
GE & MJ Chapman Partnership Thermo Fisher
Heroes Need Heroes Total E&P
Hemisphere GNSS Tradelinked Cairns & PNG
Kumul Consolidated Holdings Viatris
Lanotec Vital Medical Supplies
Insight Surgical William Talbot Eye Care
International Agency for the Xerox
Prevention of Blindness YWAM Melbourne
ITC Global YWAM Newcastle
Julian Zahara Memorial Fund YWAM Norway
Lankhorst - Euronete Australia Zoll Medical Australia
99.9 Live FM
Lloyd’s Register
Maritime Cook Islands
Maritime Safety Queensland

YWAM MEDICAL SHIPS PAGE 21

ANNUAL REPORT 2021 ANNUAL REPORT 2021

SECTION TWO

What We Do

YWAM MEDICAL SHIPS YWAM MEDICAL SHIPS

2M.1 aritime Operations

After nine months of layup in Townsville due to international changed due to delays at the shipyard. This created an
COVID-19 travel restrictions and the challenges of operating opportunity for the MV YWAM PNG to host the first YWAM
a ship while maintaining effective social distancing, YWAM MS PNG-based training schools aboard while the new Port
MS decided in early January 2021 to re-activate the MV YWAM Moresby satellite campus underwent further development.
PNG. This fortuitous decision enabled the ship to be put to
sea when Cyclone Kimi threatened Townsville on 18 January, At the end of April the MV YWAM PNG came out of the
and the ship was directed to evacuate the port with less water in Port Moresby for an expected two to three weeks
than one day's notice. of dry dock. The small Cairns dry dock that had previously
supported the ship was no longer available due to compliance
The cyclone dissipated as fast as it appeared, and the ship complications. Most of the 20-year survey had been
returned to Townsville two days later. After completing completed in Townsville, and the ship's Classification Society
above-the-waterline repairs to the aluminium hull, the ship (Lloyds Register) had agreed to complete the remainder of
departed Townsville on 6 February with 22 people aboard. the survey remotely by live stream video. Due to unforeseen
After receiving exemptions to depart Australia in the midst circumstances, this planned dry dock’s duration was much
of a pandemic and similar exemptions to arrive into PNG, longer than the anticipated few weeks.
the ship sailed slowly up to Port Moresby over five days and
completed the remaining nine-day quarantine at anchor in
Port Moresby. Intentions to dry dock shortly after arrival
to complete the already-postponed 20-year special survey

SEAFLOOR SURVEYED MARINE VOLUNTEERS

3,000KM 22 TOTAL

PAGE 24 13 PAPUA NEW GUINEA
3 AUSTRALIA
2 UNITED STATES
1 NORWAY
1 NETHERLANDS
1 KENYA
1 CANADA

ANNUAL REPORT 2021

Four months after coming out of the water, the ship was The ship also returned to familiar locations, including the
floated on the 25th of August. Three days later a COVID-19 Bamu River and the north bank of the Fly River mouth for
outbreak occurred, pushing the ship into three weeks of the first time since September 2019.
quarantine anchorage until the last case was cleared.
Finally, on 16 October, the ship sailed to join YWAM MS’ While on outreach, the large patrol tenders which are
long-range outreach team efforts and further expand critical to supporting daily outreach activities required
activities to support Western Province. continuous repairs to the inflatable tubes. YWAM MS
has known for a number of years that these boats would
During the dry dock, a Wide Angle Sonar Seafloor Profiler require replacement in order to maintain sustainable
(WASSP) system was installed in the ship, with a similar operations. Therefore, the decision was made to accept the
system installed in one of the ship's small boats. Most of generous offer of YWAM Ships Norway to acquire two new,
the waters along the 265-kilometre coastline from Daru diesel-powered and truly commercial tenders. YWAM Ships
to the Indonesian border are insufficiently surveyed to Norway signed a contract in December with Maritime
allow safe navigation. These systems enabled an advance Partner to build two custom boats for delivery to PNG in
boat to survey the seafloor and identify and record safe the third quarter of 2022.
passages for future use. During the outreach, nearly 3,000
linear kilometres of seafloor were surveyed, averaging
approximately 10 kilometres of advance survey for every
one kilometre travelled by the ship.

YWAM MEDICAL SHIPS PAGE 25

2P.r2imary Health Care

Ensuring that all Papua New Guineans have access to PENTAVALENT VACCINE: KEY
primary health care is the main objective of PNG’s National MONITORING INDICATOR
Health Plan (NHP); therefore, primary health care (with a The vaccine commonly called Pentavalent or Penta is
heavy emphasis on MCH, particularly routine childhood a key indicator on PNG’s essential routine childhood
immunisations) is the bread and butter of YWAM MS immunisation schedule. It helps protect children from
clinical operations. five serious diseases and is used by YWAM MS and partners
to monitor the effectiveness of immunisation activities.
In 2021, YWAM MS volunteer nurses and midwives joined The aim is for all children to be able to access three doses
local community health workers, nursing officers, health by their first birthday; however, this is rarely achieved,
extension officers, and medical laboratory scientists on especially in remote rural areas. In 2021, YWAM MS renewed
the ground to provide routine childhood immunisations, its commitment to reaching the youngest babies but also
antenatal care, family planning, COVID-19 testing and to providing catch-up immunisation to their older siblings
vaccinations, wound care, tuberculosis screening, and who had missed out previously.
general outpatient care.
A snapshot of the situation in YWAM MS-supported health
ESSENTIAL CHILDHOOD IMMUNISATION facility catchments is presented below (as assessed
COVERAGE IN RURAL AREAS with reference to eNHIS facility records and YWAM MS’
Due to ongoing and escalating pandemic disruption in independent data checking where possible). Unless
2021, PNG’s already fragile health system experienced otherwise indicated, this data compares coverage in the
further deterioration in comparison to 2020. This first half of 2021 to the second half of 2021 (when YWAM
was evidenced in a drop off in electronic National field teams were able to redeploy both independently and
Health Information System (eNHIS) recorded childhood with mother ship support).
immunisation coverage across Western Province (e.g. • Total Penta administration rose >325% in the July -
Penta 1 vaccine coverage among under one year olds, drop
of 7.5%). Dec 2021 period (from 717 to 2337 doses)
• Immense effort was invested in catch-up for toddlers
In contrast, maintenance and even increases in
childhood immunisation coverage recorded in YWAM MS- and children under five years of age: >500% increase
supported health facility catchments were a remarkable in Penta doses delivered to children >12 months old
achievement and testament to excellent team work during this period (267 vs 1358 doses)
across a number of key stakeholders. • Among the smallest babies, first dose (Penta 1) and
third dose (Penta 3) coverage in children under one year
(CU1) was maintained and increased (21.3% and

PAGE 26 ANNUAL REPORT 2021

• 6.4% respectively) in spite of the Delta surge and deteriorating,
widespread pandemic impacts

• Across 2021, 40% of all Penta 3 CU1 recorded in these
catchments was directly facilitated by YWAM MS volunteer
health workers (108 of 266 doses reported)

The above provides a glimpse into how essential the practical
support from YWAM MS field teams was to these catchments
in 2021 and will continue to be as local health systems are
strengthened. While there is still a long way to go to achieve
desired levels of childhood immunisation coverage, it is
encouraging to see forward movement. YWAM MS and partners
are expectant to see further coverage improvements as efforts
continue in 2022.

PHC PATIENTS 4210

MALE

FEMALE 4715

0 1000 2000 3000 4000 5000

PHC CLINIC ANTENATAL
PATIENTS IN 2021 CONSULTATIONS

9,557 145

(4,704M / 4,873F) COUPLE YEARS
PROTECTION (CYP)
CHILDHOOD IMMS
ADMINISTERED 533

12,797

(6,404M / 6,393F)

CHILDHOOD IMMUNISATIONS
ADMINISTERED 2018-21

2018 22,882

2019 31,561

2020 4,504

2021 12,797 15000 20000 25000 30000 35000
0
5000 10000

YWAM MEDICAL SHIPS PAGE 27

COVID-19 RESPONSE SHtoirgyhlight
YWAM MS was pleased to assist with the COVID-19 response
in Western Province. Teams were able to engage in extensive While YWAM MS teams were engaging
awareness building activities with communities as well as provide in the Bamu River, a young 12-year
access to testing and vaccination. This was paired with routine old-girl was carried by her mother
childhood immunisation patrols. This integrated approach was to the clinic, as she was too sick
novel, as there was strong hesitancy and fear surrounding COVID-19. to walk by herself. She was very
However, after extensive community engagement, the activities malnourished and exhibited laboured
proved to be very effective, and many locals took advantage of the breathing. The YWAM MS team was
opportunity to be immunised. able to take a sputum sample and
organise transport to take her to
DISABILITY ENGAGEMENT the district hospital in Balimo. A
The YWAM MS team has been following one woman in Middle Fly sample was assessed later that
District since 2013, when clinicians saw her in her home, unable evening aboard the MV YWAM PNG, and
to walk due to spinal tuberculosis. Although she had a very old a positive diagnosis of tuberculosis
wheelchair, when the YWAM MS team saw her in 2019, that chair was determined. Balimo had the
was no longer functioning. The YWAM MS volunteers who assessed treatment necessary for the girl, and
her at that time travelled home and found a wheelchair especially upon follow up, it was found that she
for her, and this year, the wheelchair was able to be delivered to her responded well and was discharged
home. She is now able to engage in her community again, which will home to her village.
greatly improve both her and her family’s quality of life.
ANNUAL REPORT 2021
DOSES DELIVERED (COMPARATIVE VACCINES)

Johnson & Johnson AZ Dose 1 AZ Dose 2

1,095 1,663 861

0 500 1000 1500 2000 2500 3000 3500 4000

DOSES DELIVERED BY GENDER

MALE 1,956

FEMALE 1,663

0 500 1000 1500 2000

TOTAL DOSES OF C-19 TOTAL PERSONS

VACCINE DELIVERED 'FULLY VACCINATED'

3,619 1,956

(1,956 M / 1,663 F) (1,012 M / 944 F)

C-19 RAPID DIAGNOSTIC

TESTS PERFORMED

352

(194 M / 158 F)

PAGE 28

Highlight Story

A YWAM MS land-based patrol team was in Lake Murray In one such meeting, the Boboa Health Centre staff were
during a COVID-19 outbreak. During this time, the local encouraged to find isolation solutions that would best
health workers were growing in confidence in facilitating work for their communities. One of their health workers
COVID-19 awareness and education, but they were still not recommended that families could go to their camping
familiar with testing, personal protective equipment (PPE), places, which would enable them to have food and water
and home isolation protocols. YWAM MS volunteer nurses while remaining secluded from other people in the village.
were able to collaborate with them and facilitated an This home isolation advice was then used widely in YWAM
upskilling session, in which they demonstrated how to use MS’ response to the pandemic. When the YWAM MS team
PPE appropriately, how to maintain infection control during left, the Boboa and Middle Fly District Health staff were
the pandemic, and encouraged them in how they could confident in how to test, use PPE, provide education
answer questions from the community. This training was to affected communities, and were familiar with home
put into practice and reiterated in many team meetings isolation guidelines for positive cases.
together thereafter.

YWAM MEDICAL SHIPS PAGE 29

2O.r3al Health

In light of the emphasis on the COVID-19 response, as well as ensuring that
foundational maternal and child health services were adequately covered
throughout the rural communities, oral and eye health were not a major
focus for YWAM MS in 2021.

However, YWAM MS was able to facilitate two outreaches with dental
care, with the dental team composed exclusively of PNG dental health
care workers.

YWAM MS looks forward to increasing activity in both eye and oral health
care again in the near future.

TOTAL DENTAL DENTAL PATIENTS
PROCEDURES
295
537
(190 M / 105 F)

PAGE 30 ANNUAL REPORT 2021

2S.u4pporting Delivery of Health Patrols

YWAM MS had the privilege of not only engaging differently with
communities in 2021, but also engaging in new locations, particularly
throughout the Western Treaty Villages.

Prior to this year, Daru was the furthest west the MV YWAM PNG had
anchored along the southern coast of PNG, as most of the waters along
the 265 kilometre coastline to the Indonesian border lack sufficient
charts to allow safe navigation of ships. However, through a strengthened
partnership with PNGSDP, who funded the newly installed multibeam
survey system, personnel aboard were able to survey this stretch of
coastline, and teams were able to engage as far west as Bula.

A deeper level of collaboration with Mission Aviation Fellowship (MAF) also
allowed for the mobilisation of patrol teams to collaborate with local
health workers in inland communities not accessible by ship.

Imaging of the sea floor that was obtained via the new multibeam
survey system.

YWAM MEDICAL SHIPS PAGE 31

2H.5ealth Education & Community Empowerment

Empowering locals in rural communities to make change is the
underpinning goal throughout all YWAM MS operations. Twenty twenty-
one proved to be no different, and YWAM MS teams conducted extensive
information, education, and communication (IEC) and risk communication
and community engagement (RCCE) activities in the villages engaged,
particularly around topics including childhood immunisations, COVID-19,
and the COVID-19 vaccination.

As has been the case in communities all around the world, locals in
the rural villages of PNG had heard a barrage of misinformation about
COVID-19, which created unnecessary fear and hesitancy to engage in
any clinical activity. YWAM MS teams addressed these fears head-on by
providing extensive training and community education to combat the
misinformation, helping equip individuals and communities with the
necessary information and tools to care for themselves and make their
own informed choices during this time.

TOTAL COMMUNITY TOTAL ATTENDEES AT
EDUCATION
SESSIONS COMM. EDUCATION

477 22,585

11,056 MALE / 11,529 FEMALE

CHILDHOOD TOTAL ATTENDEES AT
IMMUNISATIONS
IEC SESSIONS CHILDHOOD IMMS IEC

86 4,850

2,312 MALE / 2,538 FEMALE

TOTAL COVID-19 + TOTAL ATTENDEES AT
COVID-19 VACCINE
RCCE SESSIONS COVID-19 VACCINE

258 RCCE SESSIONS

13,564

6,845 MALE / 6,719 FEMALE

PAGE 32 ANNUAL REPORT 2021

Highlight Story

INFORMATION = EMPOWERMENT

During the initial visit to a remote Middle Fly village in late community, in part a direct result of the health awareness
July by a YWAM MS collaborative patrol team, COVID-19 and community education efforts of the initial team
vaccination hesitancy was rife; only one person wanted to four months prior. A total of 97 adults stepped up to be
receive this vaccine, and all the women and babies were immunised in one day. Children were also brought forward
hidden out of sight. The YWAM MS team conducted RCCE to receive their routine immunisations in strong numbers.
awareness with a small group of local men, nonetheless. This example epitomises the necessity of preceding
vaccination rollout with effective, thorough RCCE and
When the next patrol team revisited this village in awareness which can have transformational impact on
November, the community had decided to wholeheartedly communities.
take up the COVID-19 vaccine in order to help protect their

YWAM MEDICAL SHIPS PAGE 33

2.6

&HCeaalpthciWty BorukfiolrdicenSg trengthening

YWAM MS works diligently to come alongside local health workers and the
relevant authorities in place to strengthen the current systems, rather
than provide parallel services. In doing so, capacity building and collegial
support are the natural heartbeat throughout all clinical operations.

For example, while in Mabudawan, the officer-in-charge requested
that the YWAM MS team conduct training sessions about childhood
immunisations, malaria testing and treatment, health promotion
techniques, COVID-19, and managing and assessing acute and emergency
patients. These sessions were run after work hours, and many local health
workers attended.

TOTAL PNG NATIONALS ENGAGED
IN THE FIELD PROGRAM

115

TOTAL PNG NATIONAL HEALTH
WORKERS ENGAGED

69

PAGE 34 ANNUAL REPORT 2021

Marcus (with a YWAM MS volunteer nurse) conducting RCCE with a community in Mapodo catchment

Highlight Story

MARCUS During the most recent collaborative patrol, Marcus was
Marcus is a community health worker (CHW) based in the upskilled by YWAM MS personnel in delivery of COVID-19
Mapodo catchment and was pleased to join the YWAM MS vaccine. As a result of this training, he was able to join a
team in collaborative patrol in his catchment. He previously Middle Fly District Health patrol team that engaged villages
volunteered to participate in YWAM MS’ patrols in other along the lower Bamu River, helping to provide COVID-19
locations and grew in experience and leadership. Alongside vaccinations as part of this patrol team. Marcus’ upskilling
the team at Mapodo, the childhood immunisation program not only benefited the people of his catchment, but also
has markedly strengthened. Mentorship, alongside logistical other communities in Western Province.
support, has made the difference.

YWAM MEDICAL SHIPS PAGE 35

ANNUAL REPORT 2021 ANNUAL REPORT 2021

SECTION THREE

Financials

YWAM MEDICAL SHIPS YWAM MEDICAL SHIPS

3P.l1ain Language Summary

YWAM MS’ total operating income in 2021 came to A further $2,427,000 was invested in international
$5,946,000, a figure reflective of milestones such as programs and program support costs for activities in
redeploying the MV YWAM PNG and increasing field activity, PNG, and $304,000 was invested in accountability and
as well as the disruptions of a global pandemic. administration. YWAM MS ended the year with a small
operating deficit of $204,000.
The largest income category remains gifted goods and
services, totalling $3,041,000, thanks to 80 volunteers **Figures rounded to the nearest thousand.
from 12 countries donating their professional services. The
largest expense category in 2021 was non-cash program
expenses of $3,419,000, predominantly being gifted goods
and services, inclusive of donated professional services.

WHERE THE MONEY COMES FROM

4% DONATIONS: CASH
51% DONATIONS: GIFTED GOODS AND SERVICES
10% GRANT: DFAT
19% GRANTS: OTHER OVERSEAS
16% OTHER INCOME

PAGE 38 WHERE THE MONEY GOES

39% INTERNATIONAL PROGRAMS - CASH EXPENSES
5% ACCOUNTABILITY & ADMINISTRATION
56% NON-CASH PROGRAM EXPENSES

ANNUAL REPORT 2021

3F.i2nancial Summary

REVENUE YWAM MEDICAL SHIPS - AUSTRALIA LIMITED 2020 ($)
ABN: 45 070 160 904

INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2021

2021 ($)

DONATIONS & GIFTS 211,068 268,778
3,041,243 2,685,654
Monetary
Non-Monetary 610,004 408,233
28,092 133,258
GRANTS 730,000
412,644 -
Grants & Sponsorship: DFAT 1,780,740 151,029
Grants & Sponsorship: Other Australia 692,521
Grants & Sponsorship: Other Overseas 8,087
Grants & Sponsorship: Other Overseas - Papua New Guinea 904,424 421
Total Grants 159,704
5,945,562
Investment Income 3,807,078
Other Income

TOTAL REVENUE

THE ABOVE STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME SHOULD BE
READ IN CONJUNCTION WITH THE ACCOMPANYING NOTES

YWAM MEDICAL SHIPS PAGE 39

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2021

EXPENDITURE 2021 ($) 2020 ($)

INTERNATIONAL AID & DEVELOPMENT PROGRAMS EXPENDITURE 304,157 380,287
- 1,887
Accountability and Administration
Fundraising Costs 654,704
134,035
INTERNATIONAL PROGRAMS 2,345,720 788,739
81,257
Funds to International Programs 2,674,013
Program Support Costs 2,426,977 249,191
Total International Programs
4,094,117
Non-Monetary Expenses 2,736,357 (287,039)
Depreciation and Amortisation 682,365
-
TOTAL EXPENDITURE 6,149,856
EXCESS/(SHORTFALL) OF REVENUE OVER EXPENDITURE (204,294) (287,039)
Other Comprehensive Income
-

TOTAL COMPREHENSIVE INCOME / (LOSS) (204,294)

THE ABOVE STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME SHOULD BE
READ IN CONJUNCTION WITH THE ACCOMPANYING NOTES

PAGE 40 ANNUAL REPORT 2021

ASSETS YWAM MEDICAL SHIPS - AUSTRALIA LIMITED 2020 ($)
ABN: 45 070 160 904

BALANCE SHEET AS AT 31 DECEMBER 2021

2021 ($)

CURRENT ASSETS

Cash and cash equivalents 429,527 1,981,008

Trade and other receivables 7,782 1,139

Loans receivable - related entities 1,265,000 -

Inventories on hand 867,820 599,733

Other current assets 131,388 89,545

TOTAL CURRENT ASSETS 2,701,517 2,671,425

NON-CURRENT ASSETS 570,943 541,559
5,069,214 5,632,460
Property, plant and equipment 5,640,157 6,174,019
Right of use assets
TOTAL NON-CURRENT ASSETS 8,341,674 8,845,443

TOTAL ASSETS

LIABILITIES 2021 ($) 2020 ($)

CURRENT LIABILITIES 24,986 513,048

Trade and other payables 504,504 -
Lease liabilities
Provision for employee benefits 18,508 25,603
Borrowings
TOTAL CURRENT LIABILITIES - (352)

NON-CURRENT LIABILITIES 547,998 538,300

Provision for employee benefits - 6,611
Lease liabilities 4,629,503 4,932,066
TOTAL NON-CURRENT LIABILITIES 4,629,503 4,938,677
TOTAL LIABILITIES 5,177,501 5,476,977
NET ASSETS 3,164,173 3,368,467

EQUITY 3,164,173 3,368,467
Retained Surplus 3,164,173 3,368,467
TOTAL EQUITY

THE ABOVE STATEMENT OF FINANCIAL POSITION SHOULD BE READ IN CONJUNCTION WITH THE
ACCOMPANYING NOTES

YWAM MEDICAL SHIPS PAGE 41

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 DECEMBER 2021

RETAINED SURPLUS ($) TOTAL EQUITY ($)

Balance at 1 January 2020 3,655,506 3,655,506

Surplus/(deficit) after income tax expense for the year (287,039) (287,039)
Other comprehensive income for the year, net of tax - -
Total comprehensive income
(287,039) (287,039)
Balance at 31 December 2020
3,368,467 3,368,467

Balance at 1 January 2021 3,368,467 3,368,467

Surplus/(deficit) after income tax expense for the year (204,294) (204,294)
Other comprehensive income for the year, net of tax - -
Total comprehensive income / (loss) for the year
(204,294) (204,294)
Balance at 31 December 2021
3,164,173 3,164,173

THE ABOVE STATEMENT OF CHANGES IN EQUITY SHOULD BE READ IN CONJUNCTION WITH THE
ACCOMPANYING NOTES

PAGE 42 ANNUAL REPORT 2021

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

The financial statements cover YWAM Medical Ships - Australia Limited as an individual entity, incorporated, and
domiciled in Australia. YWAM Medical Ships - Australia Limited is a company limited by guarantee. The company is a
not-for-profit entity for financial reporting purposes under Australian Accounting Standards.

NOTE ONE - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

BASIS OF PREPARATION

This summary financial report has been prepared in accordance with the requirements set out in the ACFID Code of
Conduct. For further information on the Code please refer to the ACFID Code of Conduct Implementation Guidance
available at www.acfid.asn.au.

The financial statements have been prepared on an accruals basis and are based on historical costs, modified, where
applicable, by the measurement at fair value of selected non-current assets, financial assets and financial liabilities. The
amounts presented in the financial statements have been rounded to the nearest dollar.

This financial report is a summarised version of our full financial report. Our 2020 audited annual financial report can be
obtained by visiting https://www.acnc.gov.au.

YWAM MEDICAL SHIPS PAGE 43

INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF
YWAM MEDICAL SHIPS – AUSTRALIA LTD

Report on the Financial Report
Opinion

We have audited the accompanying financial report of YWAM Medical Ships – Australia Ltd (“the
Company”), which comprises the statement of financial position as at 31 December 2021, the statement of
profit or loss and other comprehensive income, the statement of changes in equity and the statement of
cash flows for the period then ended, notes comprising a summary of significant accounting policies and
other explanatory information, and the directors’ declaration.

In our opinion the financial report of the Company is in accordance with Division 60 of the Australian
Charities and Not-for-profits Commission Act 2012, including:

a) Giving a true and fair view of the Company’s financial position as at 31 December 2021 and
of its performance for the period ended; and

b) Complying with Australian Accounting Standards – Reduced Disclosure Requirements and
the Division 60 of the Australian Charities and Not-for-profits Commission Regulation 2013.

Basis for Opinion

We conducted our audit in accordance with Australian Auditing Standards. Our responsibilities under those
standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Report section
of our report.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our
opinion.

Independence

We are independent of the Company in accordance with the ethical requirements of the Accounting
Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants
(including Independence Standards) (the code) that are relevant to our audit of the financial report in
Australia. We have also fulfilled our other ethical responsibilities in accordance with the Code.

Directors’ Responsibilities for the Financial Report

The directors of the Company are responsible for the preparation of the financial report that gives a true and
fair view in accordance with Australian Accounting Standards – Reduced Disclosure Requirements and the
Australian Charities and Not-for-profits Commission Act 2012. The directors’ responsibility also includes
such internal control as the directors determine is necessary to enable the preparation of the financial report
that is free from material misstatement, whether due to fraud or error.

PAGE 44 ANNUAL REPORT 2021

In preparing the financial report, the directors are responsible for assessing the Company’s ability to PAGE 45
continue as a going concern, disclosing, as applicable, matters related to going concern and using the going
concern basis of accounting unless the directors either intend to liquidate the Company or to cease
operations, or have no realistic alternative but to do so.

Auditor’s Responsibilities for the Audit of the Financial Report

Our objectives are to obtain reasonable assurance about whether the financial report as a whole is free from
material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our
opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted
in accordance with Australian Auditing Standards will always detect a material misstatement when it exists.
Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate,
they could reasonably be expected to influence the economic decisions of users taken on the basis of the
financial report.

As part of an audit in accordance with the Australian Auditing Standards, we exercise professional
judgement and maintain professional scepticism throughout the audit. We also:

• Identify and assess the risks of material misstatement of the financial report, whether due to fraud or
error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is
sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material
misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve
collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

• Obtain an understanding of internal control relevant to the audit 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 Company’s internal control.

• Evaluate the appropriateness of accounting policies used and the reasonableness of accounting
estimates and related disclosures made by the directors.

• Conclude on the appropriateness of the directors use of the going concern basis of accounting and,
based on the audit evidence obtained, whether a material uncertainty exists related to events or
conditions that may cast significant doubt on the Company’s ability to continue as a going concern. If
we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report
to the related disclosures in the financial report or, if such disclosures are inadequate, to modify our
opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s
report. However, future events or conditions may cause the Company to cease to continue as a going
concern.

• Evaluate the overall presentation, structure and content of the financial report, including the
disclosures, and whether the financial report represents the underlying transactions and events in a
manner that achieves fair presentation.

We communicate with the directors regarding, among other matters, the planned scope and timing of the
audit and significant audit findings, including any significant deficiencies in internal control that we identify
during our audit.

We also provide the directors with a statement that we have complied with relevant ethical requirements
regarding independence, and to communicate with them all relationships and other matters that may
reasonably be thought to bear on our independence, and where applicable, action taken to eliminate threats
or safeguards applied.

PKF BRISBANE AUDIT

TIM FOLLETT
PARTNER

19 MAY 2022
BRISBANE

YWAM MEDICAL SHIPS

ANNUAL REPORT 2021 ANNUAL REPORT 2021

SECTION FOUR

What's Ahead

YWAM MEDICAL SHIPS YWAM MEDICAL SHIPS

4M.1 oving Forward - A new model

YWAM MS’ vision is to come alongside the nation of Papua A key recommendation is to undertake the replacement
New Guinea (PNG) to empower a “smart, wise, fair, healthy, of the MV YWAM PNG with smaller ships under 500 tonnes
and happy society,” per the Government of PNG’s Vision within the next few years to expand operational capacity
2050 statement, empowering healthy individuals and and effectiveness. With new vessels comes the obvious
healthy families to create healthy communities for a need for further modification of the YWAM MS outreach
healthy nation. model. Training and building the capacity of locals via non-
formal, formal, and informal education will continue to be a
After twelve years of successful community engagement key strategy throughout all YWAM MS activities, including
in PNG, YWAM MS has grown significantly in several ways. all clinical, maritime, and hospitality operations. Smaller
The MV YWAM PNG has continued to operate, land-based ships will enable greater ownership locally and increased
teams have been deployed, a Port Moresby satellite focus on geographic areas, providing increased depth of
campus is open and developing, and preparations for community development and training.
the Dental Semi-Trailer are underway. YWAM MS is well-
positioned to expand its operations. YWAM MS is proud to collaborate with so many partners in
PNG, Australia, and beyond to be a part of the vision to see
Over the last five years, there’s been a growing awareness a thriving, healthy nation, and looks forward to engaging in
that YWAM MS current outreaches need to evolve to 2022 utilising training centres, ships, and mobile clinics.
enable greater capacity, sustainable cost effectiveness,
and multiplication around the coastal regions and
highlands of PNG.

PAGE 48 ANNUAL REPORT 2021

420.222 Deployment

YWAM MS aims to increase frequency and duration of outreaches in 2022; this continues to be dependent upon the
context of the current pandemic, as well as other dynamic factors that stem from this.

Outreach dates for 2022 remain fluid. Indicative dates for outreach can be seen below or on the YWAM MS website
(www.ywamships.org).

Outreach 1: 1st - 24th March
Outreach 2: 11th April - 21st May
Outreach 3: 30th May - 9th July
Outreach 4: 1st August - 20th August
Outreach 5: 10th October - 12th November
Outreach 6: 21st November - 10th December

YWAM MEDICAL SHIPS PAGE 49

ANNUAL REPORT 2021 ANNUAL REPORT 2021