01 / Install
25+ plants installed
Over 50,000 individuals reached with safe drinking water
How we do it
Water Filtration Programme, installed across rural Pakistan
UKMAP · Annual impact report 2025
Your kindness. Their tomorrow.
Clean water.
Better health.
A way forward.
A year of turning generosity into care for families across Pakistan. Discover the people, the projects, and what we can make possible together.
Your impact at a glance
Safer water. Skilled carers. Stronger communities.
Your support funds clean water, medical training, hepatitis care and emergency relief. Here is what that work has achieved over time, followed by the money put to work in 2025.
Clean water · Programme to dateSafe water.
Safe water.
Everyday dignity.
What your support has made possible
- 25+
Filtration plants installed
Safe water starts with infrastructure communities can rely on.
- 50,000+
People reached with clean water
Everyday access to safer drinking water for families across Pakistan.
- up to 80%
Fewer waterborne disease cases
Reported reduction in project areas. Results vary by community.
Cumulative clean water programme results reported by UKMAP. These are not totals for 2025 alone.
50+
Medical students sponsored
Programme to date
90%
Of sponsored students serve communities in Pakistan
Programme to date
12
Local NGO partners delivering and maintaining projects
Programme to date
The 2025 financial snapshot · Year ended 31 December
£41,825
Total income
Year ended 31 Dec 2025
£76,522
Spent directly on projects
86% of all expenditure
Nil
Trustee remuneration and paid staff
Year ended 31 Dec 2025
Programme figures are drawn from UKMAP’s published programme reporting; financial figures from the accounts filed with the Charity Commission for the year ended 31 December 2025.
From the field
See the difference.
Meet the community.
Films from UKMAP’s project library. A closer look at the work your support makes possible; footage is not limited to 2025.
Water project in Dhamial · Tap a film to watch with playback and sound controls.
Foreword
Photo
portrait of Todd Shea to be supplied
Todd Shea
Founder, Community Development and Relief Services (CDRS)
What sets UKMAP apart is not just its capacity to respond, but its commitment to lasting change.
It is a privilege to offer this foreword for the UK Association for Medical Aid to Pakistan (UKMAP)'s Annual Impact Report for January 2025 to December 2025. I have had the profound honour of witnessing the power of human compassion in action, from the frontlines of disaster zones to the quiet resilience of remote communities. Since 9/11 reshaped my life's purpose, I have been directly involved in humanitarian missions across the globe, from the tsunami in Sri Lanka to Hurricane Katrina, and from the earthquake in Haiti to the refugee crisis in Syria. But it is my work in Pakistan, a country that has become a second home, that has consistently reaffirmed my belief in the strength of partnerships.
In 2005, the same year I joined a group of Pakistani American doctors responding to the devastating Kashmir earthquake, the UK Association for Medical Aid to Pakistan (UKMAP) was founded with a similar mission. That moment of shared purpose has since grown into a steadfast partnership that has endured through floods, earthquakes, and the silent, ongoing crisis of contaminated water. Working together as a delivery partner on the ground, through Community Development and Relief Services (CDRS), I have seen UKMAP's commitment firsthand. We have stood side by side in Dera Ghazi Khan, distributing emergency supplies to families displaced by floods. We have brought life-saving filtration to communities like Sammon Rind in Tharparkar, where water contaminated with arsenic and fluoride has left thousands unable to stand upright. And in the remote reaches of Balochistan, we have rushed relief to families shattered by earthquakes.
What sets UKMAP apart is not just its capacity to respond, but its commitment to lasting change. It is one thing to provide immediate aid; it is another to fund the training of a midwife, sponsor a medical student who will return to serve their community, or ensure a water project remains functional for years to come. This is the kind of sustainable work that transforms not just individual lives but entire communities. It is the kind of work that gives hope.
As you read through this report, I hope you see not just figures and projects, but the faces of families who have been given a second chance. These are the mothers, fathers, and children who, because of your generosity and UKMAP's tireless work, can now drink clean water, access medical care, and look toward a future with dignity. This is the real impact of partnership.
On behalf of everyone at CDRS, I thank you for standing with us and with UKMAP. Your support has saved lives and built a foundation for a healthier Pakistan. Together, we continue to serve.
Message from the Chair
A year built by volunteers, partners and people who refused to look away.
Zahra Shah
Chair of Trustees
It is with gratitude and pride that I reflect on what UKMAP achieved in 2025. The progress we made is a direct testament to the vision, dedication and collaborative spirit of our trustees, volunteers, partners and supporters.
I extend my deepest appreciation to our partners on the ground, including Community Development and Relief Services (CDRS). Your expertise, passion and generosity turned shared ambition into tangible outcomes for the communities we serve.
Our mission is clear: to relieve sickness, disease and poverty in Pakistan by supporting and strengthening the existing medical care system. In a year of economic complexity and rising humanitarian need, our resolve to serve the most vulnerable communities is stronger than ever.
Who we are
The UK’s charity working exclusively on healthcare in Pakistan.
Founded in response to the 2005 Kashmir earthquake and registered with the Charity Commission in April 2008, UKMAP works alongside Pakistan’s existing healthcare system. We are governed by seven volunteer trustees; no trustee receives remuneration, and we have no paid employees.
01
Clean water & sanitation
Solar-powered reverse-osmosis and filtration plants for communities affected by arsenic, fluoride and salinity contamination.
02
Medical education & training
Sponsorship for medical students, midwives and health workers from underprivileged backgrounds, building a lasting workforce.
03
Hepatitis prevention & treatment
Awareness, free vaccination for at-risk groups and early treatment funding, confronting one of Pakistan's gravest health burdens.
04
Emergency relief & disaster response
Rapid, partner-led response for families hit by floods, earthquakes and food insecurity: shelter, food, clean water and medical care.
2005
Founded after the Kashmir earthquake
2008
Registered charity in England & Wales
100%
Volunteer-led, with no paid staff and no trustee remuneration
Where we work
Across Pakistan.
Closer to the people.
Ten locations. Local partnerships. Explore the places and projects behind this report.
Project atlas / Pakistan10 locations
Tap a numbered marker to explore its project.
Location 01 / 10
Punjab
Dhamial, Rawalpindi
Clean water
Filtration infrastructure bringing safer drinking water to the Dhamial community.
Explore the locations
Programme locations from the report, across multiple years. Markers show approximate areas, not exact project sites. The wider report also references work in Gilgit-Baltistan. Simplified boundaries are for orientation only. Map: Natural Earth.
Pillar one · Clean water and sanitation
We install plants, then stay for the maintenance.
Over 70% of Pakistan’s rural population lacks access to a safe water source. Where the only water available carries arsenic, fluoride and salt, a filtration plant is not an improvement. It is the difference between illness and health.
70%
of rural Pakistan lacks safe water access
SDG 6
the UN goal this programme is aligned to
50,000+
people reached to date
02 / Protect
Up to 80% fewer waterborne cases
Prevention of skeletal fluorosis and arsenic-related disease
How we do it
Contamination-specific filtration for arsenic, fluoride and salts
03 / Maintain
12 local partners
Plants maintained and community-owned after handover
How we do it
Partnership with local NGOs for sustainable project management
£120 could give a whole family lasting access to clean, safe drinking water.
Case study · Clean water
Sammon Rind, Tharparkar
In a village 480km from Karachi, almost every resident walks with a bent spine. The cause is the water.
The situation
Sammon Rind, in tehsil Chachro, Tharparkar, is home to more than 3,000 people. Nearly all of them suffer severe spinal deformities and cannot stand upright. The only drinking water available to the village is contaminated with arsenic and toxic levels of fluoride and salts, a chemical burden that deforms bone over years of exposure.
Our response
UKMAP is committed to installing filtration capable of removing these toxins at source. Filtration prevents further health complications for children who have not yet been exposed, and restores dignity to families who have carried this for a generation.
Why it matters
Skeletal fluorosis is irreversible but entirely preventable. Every year a community waits, another cohort of children is exposed.
3,000+
residents affected in one village
480km
from Karachi, the nearest major city
Contaminants
- Arsenic
- Fluoride
- Salinity
Pillar two · Medical education and training
Funding the doctors and midwives Pakistan is short of.
Pakistan’s doctor-to-patient ratio remains well below WHO recommendations. UKMAP sponsors talented students from underprivileged backgrounds through medical education, and funds midwifery training where maternal care is thinnest.
Mother & Child Health Centre, Northern Swat
With CDRS, UKMAP supports a fully functioning hospital providing prenatal and postnatal care, vaccinations, treatment for common illness and emergency care, reducing maternal and infant mortality in a remote, underserved region.
Mentorship and placements
Sponsored students study at institutions in Pakistan and abroad, with structured mentorship from UK-based clinicians among our trustees and supporters. A formalised mentorship programme is a 2026 priority.
Pillar three · Hepatitis prevention and treatment
One of the world’s heaviest hepatitis burdens, and it is preventable.
The World Health Organisation identifies hepatitis as the second-largest health challenge Pakistan faces. UKMAP’s approach is deliberately unglamorous: awareness first, then vaccination, then early treatment before disease progresses.
01 · Awareness
Community education campaigns
Explaining causes, transmission, prevention and treatment in communities where stigma keeps people from testing.
Outcome: Reduced stigma and increased uptake of testing.
02 · Vaccination
Free Hepatitis B vaccination
Targeted at newborns, healthcare workers and at-risk families.
Outcome: Prevention of mother-to-child transmission and reduced community spread.
03 · Early treatment
Funding treatment at diagnosis
Life-saving treatment funded for people newly diagnosed.
Outcome: Disease progression prevented, complications and household costs avoided.
Why prevention wins
A vaccination costs a fraction of a treatment course, and a treatment course costs a fraction of a family’s collapse into poverty. Every intervention earlier in the chain protects more people for less.
Pillar four · Emergency relief and disaster response
When the water rises or the ground moves, our partners are already there.
UKMAP does not run its own field operation. We fund and direct trusted partners (CDRS, IDSP and local organisations) who can reach families within days and account for every item delivered.
Dera Ghazi Khan flood relief
Working through CDRS, UKMAP funded immediate support for displaced families as floodwater cut off the region.
2,000 water bottles · 50 tents · clothing, flour and bedding for a further 50 people
15,000 people remain displaced in the region. The need has not closed.
Mashkel earthquake response
In Mashkel, Washuk district, closer to the Iranian border than to Quetta, UKMAP funded relief delivered with IDSP after a 7.8 magnitude earthquake.
Tents · grocery supplies · water purification tablets and ORS · mosquito nets
Needs were identified with community representatives before procurement began.
Ramadan family food packs
With CDRS, family food packs were distributed to deserving households in Usta Muhammad, Balochistan, and Abbottabad, Khyber Pakhtunkhwa, giving food security to families facing extreme hardship during Ramadan.
Two provinces · delivered with CDRS
Finance
A deliberate deficit year: we spent reserves on projects.
In the year ended 31 December 2025, UKMAP spent £88,792 against income of £41,825, funding project commitments from reserves built in earlier years. Reserves remain positive, and diversifying income is our first priority for 2026.
| Donations | 34,352 |
|---|---|
| Gift Aid | 7,473 |
| Total income | 41,825 |
| Charitable projects | (76,522) |
| Cost of generating voluntary income | (12,272) |
| Total expenditure | (88,792) |
| Net movement in funds | (46,967) |
| Funds brought forward | 100,637 |
| Funds carried forward | 53,668 |
How we spent it
86%to charitable projects
Charitable projects86%
Generating voluntary income14%
86p
of every pound we spent in 2025 went directly to charitable projects.
No paid staff or trustee payments
No trustee received remuneration, payments or benefits. Secretarial support and administration cost £4,852.
Charity status
Registered in England and Wales, no. 1123929, registered 30 April 2008 (previously Medical Aid to Pakistan). Recognised by HMRC for Gift Aid.
No trading subsidiaries
The charity holds no trading subsidiaries and no restricted-fund deficits.
Source
Figures as filed with the Charity Commission for the year ended 31 December 2025; accounts and annual returns are publicly available on the Register of Charities.
Governance and our people
Seven trustees. No salaries. One standard of accountability.
Meet the seven people named in this report who oversee UKMAP’s work. Every trustee gives their time without remuneration.
Board of Trustees
Seven members overseeing strategy, finance and governance. No trustee receives remuneration or expenses.
Volunteer network
UK volunteers run fundraising, communications and administration. UKMAP has no paid employees.
Regulatory compliance
All governance complies with Charity Commission requirements; accounts and annual returns are filed publicly.
Challenges and lessons learned
What did not go as planned.
An honest account of the year matters more to our supporters than a flawless one. Four constraints shaped 2025, and each has changed how we will work in 2026.
Resource limitations
Limited income constrained our ability to scale programmes to the demand we saw.
Lesson: Diversify funding sources and grow regular giving.
Geographic reach
Remote and underserved areas such as Tharparkar and Washuk remain the hardest and slowest to reach.
Lesson: Deepen partnerships with organisations already embedded locally.
Impact measurement
Early-stage metrics collection was informal, which is why parts of this report cite programme-to-date rather than single-year figures.
Lesson: A refined KPI framework has been implemented for 2026.
Awareness
Too few potential donors know UKMAP exists, despite eighteen years of delivery.
Lesson: Expand digital presence and publish field content consistently.
Looking ahead
Four priorities for 2026.
We enter 2026 with a clearer measurement framework, a rebuilt supporter base and a deliberate focus: expand what demonstrably works, and fund it predictably.
01
Expand clean water projects
Reach more communities affected by arsenic, fluoride and salinity through new filtration and purification installations.
02
Increase medical sponsorships
Sponsor more students from underprivileged backgrounds, and formalise the mentorship that keeps them in practice.
03
Enhance relief capacity
Build the standing capability to respond faster to floods and earthquakes, with pre-agreed partners and procurement routes.
04
Secure sustainable funding
Grow regular giving and partnership income so project commitments no longer depend on drawing down reserves.
Give today
What will your kindness make possible?
Every plant installed, every student sponsored and every food pack delivered in 2025 began with someone choosing to give. If this report has shown you something worth continuing, here is how.
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Registered charity
UK Association for Medical Aid to Pakistan
Charity no. 1123929
England & Wales
UKMAP Annual Impact Report · January to December 2025