Bfpa 2013 annual report circulation by Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Our mission The Barbados Family Planning Association dedicates itself to the achievement of a better quality of life for Barbadians through the promotion and provision of sexual and reproductive health, family planning, family life education and related services.

Sixtyearstrong a nn ua l r ep ort 201 3

The Barbados Family Planning Association

Vision, Education, Dedication. we look to the future with hope, and to the past with pride. it is only with eyes fixed on both that we can adequately fulfil our purpose and our mission.

Contents 7

Board of Directors

President’s Message

Executive Director’s Message

Finance Report

Clinic Activity Report

Room 246: Youth Drop-In Centre

Outlook 2014 & Beyond

Financial Statements 38 40 42

44 4 46 59

Auditor’s Report Statement of Financial Position Statement of Comprehensive Income, Expenses & Changes in Undesignated Fund Balance Statement of Functional Expenses Statement of Cash Flows Notes to Financial Statements Reconciliation to Annual Report

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Board of Directors. for the period 2013-2015

L-R Back Row: Keith Seale, Hashim Degia, George Griffith, Latoya Lane, Barton Greene, Walter Alleyne and Rev. Hughson Inniss Front Row: Sharie Thomspon-Rudder, Joy-Ann Eli, Jefferson Kirton, Prof. Christine Barrow and Rev. Ruth Phillips

PRESIDENT 1st Vice President 2nd Vice President 3rd Vice President Honorary Secretary Honorary Treasurer Public Relations Officer Three Floor Members

Mr. Jefferson Kirton Dr. Opal Gibson Mr. Keith Seale Mrs. Latoya Lane Mrs. Moretta Worrell-Best Rev. Hughson Inniss, JP Mr. Barton Green, JP Mr. Kendal I. Ince Professor Christine Barrow, Sarah Joy-Bridgeman

EX OFFICIO Mr. Walter Alleyne Dr. Elizabeth Ferdinand Miss. Joy-Ann Eli Mrs. Esther Bayley-Smith Mrs. Rhonda Blackman

Pharmaceutical Association Ministry of Health Ministry of Education Child Care Board National Council of Parent Teachers Association Mrs. Stephanie Bryan Barbados Nurses Association Inc. Mrs. Rose Ann Foster-Vaughn Barbados Council for the Disabled Miss. Ruth Phillips Barbados Workers Union Mr. Hashim Degia National Menâ&#x20AC;&#x2122;s Health Barbados Association of Medical Practitioners Ms. Sharie Thompson-Rudder Barbados Youth Development Council Association

Progress the cross roads of change will see a completely new board with new members now having to steer the organization into its 60th year... - Mr. Jefferson Kirton

Presidents. (*1955 – 2014)

Managers & Executive Directors.

Hon. Sir Frank Hutson Lt. Col. O. F. C. Walcott Hon. J. S. B. Dear , Q. C. (Later Sir) Mr. Charles Pilgrim Sir Neville Osbourne Mr. Keith Yearwood Mr. Barton Green, JP Professor Christine Barrow Mr. Erskine Callender Dr. Henrick Ellis Mr. Jefferson Kirton

1955 – 1965 1965 – 1973 1973 – 1976 1976 – 1985 1985 – 1991 1991 – 1997 1997 – 2001 2001 – 2003 2003 – 2005 2005 2005 – 2014

MANAGERS Mr. Clyde Gollop (Later Sir Clyde) Mr. Wesley Gittens Mr. James Gilkes Mr. Clyde Gollop (Later Sir Clyde)

1963 – 1969 1969 – 1971 1971 – 1973 1973 – 1978

EXECUTIVE DIRECTORS Mr. Charles Alleyne Mr. Charles Pilgrim Mr. George Griffith

1978 – 1991 1991 – 1995 1995 – 2015

The Barbados Family Planning Association was formed in 1954, First Officers were elected in 1955 and Clinic Services commenced in 1955.

The Barbados Family Planning Association

Presidentâ&#x20AC;&#x2122;s Message. On the eve of its diamond jubilee celebrations of service to Barbados, the Barbados Family Planning Association (BFPA) stands at the cross roads of change. As we continue to embrace our mission statement of a better quality of life for Barbadians through the promotion and provision of Sexual and Reproductive Health, I share with you challenges, successes and recommendations for a way forward to my successors.

Mr. Jefferson Kirton President, BFPA

In reviewing the financial year, despite our many challenges, we saw an increase in services offered and this invariably led to an increase of income derived from our clinics. Clinic services were extended to Sunday openings and this has proven to be one of our more successful ventures. Governmentâ&#x20AC;&#x2122;s severe reduction in our annual subvention by 50% has forced us to sever ties with at least four members of staff in recent years. Nevertheless, the association has managed to maintain and execute the quality and efficiency of all of its programmes showing improvements in priority areas. Staff of the Association must be commended for their work as they often had to go beyond the call of duty, frequently having

to do what was necessary, in order to execute projects and programmes. One of the requirements for accreditation to the International Planned Parenthood Federation (IPPF), is to have a five year strategic plan in place to chart the course for the association for the next five years. I am happy to report that we have been able to satisfy this standard with that plan now in place. They are other standards which are still outstanding but it is hoped that these can be satisfied in the shortest possible time by the deadline of August this year. The success we have attained over the past fifty nine years has afforded the present population to have a better

Annual Report 2013 | Sixtyearstrong

The Association believes that women have rights over their bodies to determine the number of children they want o have...

quality of life with the limited resources the country can afford. The Association believes that women have rights over their bodies to determine the number of children they want to have. If we are to maintain the standards of the association over the next few years, donors have to come on board to assist this much needed organization. This association has for the past 59 years served this country well. As a Board and an Association I am sure that our founding members are pleased with where we have taken the association and the advances made. The BFPA wishes to support the Government in its effort at immunizing young females with the vaccine to reduce the incidents of cervical cancer. Our Association has been offering this service for some time now. We wish to urge parents to see this as a preventative action for their children and urge those who have not yet taken advantage of this service to do so as a matter of urgency. After three consecutive terms at the head of the Association, I give way to new leadership and a new injection of thinking at the helm. Additionally, the Association will lose the valuable input made by a number of other long serving stalwarts from the policy arm of the Association. Collectively these four members, namely, Professor Christine Barrow, Mr. Barton Green JP, Mr. Walter Alleyne, Mr. Keith Seale together with yours truly have a total of in excess of 90 years of service to the organization. While we can remain members of the general membership of the Association, we can no longer serve at the level of the board. We note that for some time now the spirit of volunteerism has been slowly diminishing from our Society. This batch of persons have shown

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Success. The success we have attained over the past fifty nine years has afforded the present population to have a better quality of life with the limited resources the country can afford...

- Mr. Jefferson Kirton

great commitment and dedication to a cause that has placed this noble organization at the forefront of sexual and reproductive health services in this hemisphere. I wish to make a call for more people to get out there and be a part of the Association if it is to survive another sixty years of service to a nation which has been reasonably good to it. Last year saw for the first time a group calling themselves “Friends of the BFPA” coming on board with a fund raising Tea Party to raise some necessary funds for the Association. This is not generally the case that the Association benefits from such generosity like other nongovernmental Organizations. Often times we hear of other organizations, benefitting from proceeds of such fund raisers. The association needs much more of those “friends” if it is to continue the good work we are known for over the years. The cross roads of change will see a completely new board with new members now having to steer the organization into its 60th year, at a time when its resources from its main donor is diminishing, year after year. I wish them every success and hope that more will be done to secure a new home for the association- sadly, a project which

we have not been able to see come to fruition but which is sorely needed if we can find the necessary support. Additionally, at the end of January 2015, our longest serving Executive Director, Mr. George Griffith, will be proceeding on retirement. This too adds to that crossroads which we will find ourselves. Mr. Griffith would have given twenty three valuable years of service to the association and by extension to the county. I wish to extend my sincerest gratitude to all who have made my tenure as President the success which I believe it has been. Personally, all members of staff, volunteers and friends of the Association have made that journey most pleasing and rewarding for me. I wish the incoming President and new Board all the best for the future and extend my continuing support to the organization which I love so dearly.

Jefferson Kirton President

I wish to make a call for more people to get out there and be a part of the Association if it is to survive another sixty years of service to a nation which has been reasonably good to it.

The Barbados Family Planning Association

Executive Director’s Message. The attainment of Universal Adult Suffrage in 1951 heralded the arrival of a level of social and political consciousness which set the stage for the social development revolution which inspired generations of Barbadians to the rapid growth and development which ultimately led to the designation of Barbados as the smallest developing country in the world.

Mr. George S. Griffith SCM, MS. JP

This historical fact is never contradicted irrespective of the frequency of its repition and rightly so. However the same cannot be said of the general acknowledgement of the BFPA’s role in the social development process and so I feel compelled to state that the role of the Barbados Family Planning Association (BFPA) in this breath taking yet pains taking achievement has never been fully recognized, appreciated or effectively articulated. Perhaps the Diamond jubilee Celebrations of this enduring NGO will be that moment in history when Barbados and Barbadians will at long last demonstrate the maturity and objectivity so long suppressed to the extent that credit will finally be given where that credit is justly due.

There are but few persons travelling on life’s journey who would have had that great, yet daunting opportunity to give to any country and its citizens what the founders of the BFPA gave to Barbados and its people in 1954 and to generations which followed. Those trailblazers were no less moved to change the course of Barbados’ social and economic environment than Clement Payne, Grantley Adams and the founders of the labour movement in that “socio-economic melting pot” which crystallized in the 1937-1941 period of mass awakening. A diligent reflection on that period of our country’s history should reveal that there was an undisputed commonality

Annual Report 2013 | Sixtyearstrong

...it has become absolutely necessary for Barbadians to guard very jealously those Reproductive Health and Rights freedoms which have been won in hard fought battles over many years across the globe and particularly right here in our beloved Barbados.

of purpose even though the focus and approach of those seemingly contrasting social development pioneers appeared to be miles apart. The socio-political features of the Barbadian society characterized by a colonial system which was wantonly suppressing the natural desire of the broad masses for growth, development, democracy and respect for the dignity of the human person, constituted a galling affront to the politically conscious of that time. Our founders were similarly moved by the very low priority afforded fundamental quality of life issues affecting the same mass of Barbadian people and which impacted very adversely on the defenseless majority of men, women and children who were perceived by the powerful plantocracy as constituting little more than an abundant source of cheap labour. Housing was primitive and grossly inadequate, unemployment was high and the range of job prospects were narrow, infant mortality was recorded as 136/1000. In plain language for every thousand children borned one hundred and thirty six died before their first birthday. Educational opportunities were severely limited and malnutrition was the constant companion of numerous families with vitamin deficiency malnutrition challenging the viability of those children who survived beyond age one. “The infant death rate in the year 1951 was 136 per1000 live births, many of those being unwanted and dying of intercurrent diseases associated with malnutrition and neglect” (Suppliment of the Official Gazette, August 26, 1954-493- (195354). The then birth rate was 34/1000 that is, for every thousand in the population thirty four gave birth each year. Poverty and destitution were the lot of a large and rapidly growing underclass with no meaningful access to Reproductive Health services or

The Barbados Family Planning Association

family planning. One of the government appointed commissioners was moved to state “there is ample evidence that family planning is clearly understood and practiced now by the higher income groups and the committee urges that the information and appliances be made available to all sections of the community so that the poorer women need not resort to the use of injurious herbs and abortions as a means of limiting their families.” Even at this early stage of family planning consciousness the “well to do” and those women and men with the means and connections were already accessing family planning services which were denied the poor, dispossessed and disadvantaged masses. The establishment of the BFPA sixty years ago has made a considerable difference to the growth and development of Barbadian society since then. Our nation’s quality of life and social development indicators are to a large extent a fitting testimony of the magnificent work and achievement of the relentless efforts of this NGO which regretfully continues to occupy the status of conspicuous unsung hero in Barbados’ socio-economic development over the years. I make bold to say that the social, economic and cultural development of Barbadian women and their impressive attainment in education, professional advancement, business and ready access to the commanding heights of this society could not have been the reality of a growing number of our women folk in the absence of the advocacy and access to those Sexual and Reproductive Health services which permitted them to voluntarily exercise effective control over their fertility.

We are often reminded that the price of freedom is eternal vigilance, in this context and even as we commence the celebration of our Diamond Jubilee it has become absolutely necessary for Barbadians to guard very jealously those Reproductive Health and Rights freedoms which have been won in hard fought battles over many years across the globe and particularly right here in our beloved Barbados. The apparent back handed compliment that the BFPA has been too successful in its work, coupled with a fifty percent (50%) reduction in Government’s annual subvention over the past five years can be seen as a high calabre shot across the bow and a clear message that sustainability efforts must be the number one priority of the BFPA from this time forth and into the future. Twenty first century Barbados needs a renewed and reinvigorated family planning movement which can reignite the spirit of its founders inclusive of the motivation, passion, dedication and determination which has propelled its successors to this stage of its illustrious journey. The BFPA has now reached a critical crossroads and nothing but the utmost and most unadulterated commitment of its Board of Directors and staff will suffice. The taking of a fresh guard is required in preparation for the task that lay ahead and for those new battles which must be waged in defence of those whose fundamental rights and freedoms are increasingly coming under attack. Our mission must be to support and defend the rights of those who are discriminated against, marginalized and intimidated while educating the misinformed in our midst. The challenges of the future must be embraced and accepted as the price we are called upon to pay for the liberation of those who through fear are now forced to live in the shadows

Annual Report 2013 | Sixtyearstrong

in this “Christian Society”. Ours is a noble humanitarian cause which deserves strong and decisive leadership so that the momentum which drives the march towards genuine social and economic development can be maintained, not for the sake of the BFPA but more so for today’s men, women, youth who are crying out for social justice because their Reproductive Rights are being trifled with and trampled upon. In a society where demagoguery is apparently on steroids I am tempted to say “for as much as you do it to the least of these my brethren you do it unto me.” What say ye! Conclusion And now, permit me to end on a personal note. This regretfully should be my final message to the Annual General Meeting in the capacity of Executive Director of this great and illustrious organization. Please accept my most profound appreciation for your very generous support and cooperation over these many years. Up until now I have enjoyed every moment of it and pledge my continued affection and support for BFPA’s mandate and for each and every one of you who constitute team BFPA. May the great architect of the universe grant us strength sufficient for the challenges that lay ahead and similarly for those pleasures that lay ahead in productive retirement.

Mr. George S. Griffith SCM, MS. JP Executive Director

Accreditation Process. During the year in review the Accreditation process continued all be it at a slower pace than the prior year. To date fifty-seven (57) standards have been completed satisfactorily with seven mainly pertaining to Governance engaging the attention of the Board of Directors.

This inability to complete the process was due in large measure to the time required for the development of a new five year Strategic Plan which demanded wide consultation with Staff, Board of Directors, Volunteers, Stake Holders and Partners including Relevant Government Ministries, NGO’s and other Community Based Organizations.

Arrangements, Governance, Human Resource and Staff Capacity Building, Operational Objectives, Public Relations and Marketing and Operational Finance and Funding.

The Youth Advocacy Movement, focus groups, UN Agencies and other local and Regional Social Development Service Providers were also consulted and made an invaluable contribution to the final document.

New policies and Protocols developed and implemented as part of the Accreditation Process included, the development of a new Staff Policy and Manual, Media Relation’s Policy, Training and Development Policy, Communications Policy, Children, Young People and Vulnerable Adults Protection Policy and an Anti- Discrimination And Sexual Harassment Policy.

The new Strategic Plan was discussed by the Board of Directors and approved during the reporting year. Major areas addressed in the plan are as follows: Institutional

It is anticipated that the new Accreditation including the requisite Sixty four international standards will be completed during the Diamond Jubilee year in 2014.

The Barbados Family Planning Association

Reflection.

Annual Report 2013 | Sixtyearstrong

Financial Report. Overview It would have required the most pessimistic thinking imaginable to have predicted the reality which unfolded throughout the year in review as it related to

in reviewing the financial year, despite our many challenges, we saw an increase in services offered and this invariably led to an increase of income derived from our clinics.

Government’s contribution to BFPA’s budget. To state that prior to financial year 2009-2010 the Subvention which began at BFPA’s inception in 1954 with the sum of $5000 had become as constant as the proverbial northern star until it reached $1,050,000 in the year 2008 would be an apt description.

- Mr. Jefferson Kirton

surplus:

82, 241

...the BFPA delivered a robust financial performance evidenced by the recording of a surplus of $82, 241 for the year January to December 2013.

However, steep and consistent reductions since then have challenged the tenacity, discipline and financial management capacity of the organization in ways which demanded the utmost prudence and ingenuity imaginable. The organization’s ability to maintain a relatively satisfactory level of financial stability in the reporting year 2013 is a tribute to the entire staff team, especially the Finance and Clinical departments which stood valiantly in the front line of the organization’s income generating activities. The volatility of the local economic environment and its impact on the public and private sectors as well as the NGO and Civil society organizations generally, constituted an ominous threat to the operations of the BFPA. In keeping with the three pronged strategy of cost containment, improved revenue generation and the expansion of services, a decision was taken to establish a general practice clinic on Sundays effective May 2013.

BFPA’s evaluation and projections of this proposal concluded that with all Government run polyclinics closed for business on Sundays, entering this market could be an additional source of revenue while providing a much needed service to clients and potential clients. At the conclusion of a year punctuated with much anxiety caused by the uncertainty of the worsening economic environment, the BFPA delivered a robust financial performance evidenced by the recording of a surplus of $82, 241 for the year January to December 2013. This was in stark contrast to the prior year. Current accounts and cash in hand increased by $6,363 over the prior year and ended with a working capital ratio of 1:1. This outcome demonstrates the tenacity of this organization’s prudent management coming out of a deficit position in the 2011 and 2012 reporting years when loan commitments to the NIS Department were made as a consequence of staff redundancies and severance payment obligations.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Comparison of Gross Income, Surplus & Operating Expenses Asset Composition

2,500,500 2,000,000

Total Income by Percentage - 2013

272,124

1,500,000

30,548

1,000,000 500,000

24,137

2008

-500,000

2009

Income

2011

2012

Expenses

403,898

Income Total income recorded was $1,833,681.00 as compared with $1,608,940 in the prior year 2012.

Cash & Interest bearing deposits

Government Subvention

44%

other income

Inventories

Medical services

44%

Advertising from

Accounts Receivable & Prepaid Expenses

Donor Restricted

Family Magazine

Property, Plant & Equipment

IPPF Cash/Commodities

3% 2%

Receivable at year end

$3,550

Other Income In-Kind/Non-cash Income

Donations under covenants

$2,000

Resource Development

$5, 300

table 1: Total Income − Budget vs. Actual, January–December − Un-audited 2013

category

Year to date Actual

Approved Budget

Budget-Actual Variance

800,000

IPPF Cash Grant

11,570

37,400

-25,830

IPPF Inventory Grant

49,045

23,215

25,830

IPPF/WHR Medical & Related services CBDC Sales* Peer Counselling fees/Outreach – IEC Resource Development Membership fees Investment Income & Bank Interest

10,925

742,487

655,950

86,537

43,946

25,000

18,946

8,253

9,500

-1,247

17,650

8,500

9,150

160

1,200

-1,040

2,369

3,500

-1,131

200

3,600

-3,400

1,686,604

1,567,865

118,739

Release of Fixed Assets Fund

27,222

22,000

5,222

Fixed Asset Disposal Income

75,164

102,386

22,000

80,386

14,000

1,914

Miscellaneous Income Total Cash Income Non- Cash Income

Total Unrestricted Income Restricted Income Ministry of Health – Training Grant UNFPA Cancer Prevention Project – ‘Fight Like a Girl’ Total Restricted Income Total Income

9,610

25,524

1,814,514

1,589,865

224,649

$1,800

Fundraiser Receivable at year end Notes to Chart: Other Income – Interest Income, Donations under Covenants, sale of I E & C services In-Kind/Non-Cash Income – Value on Trade-in Fixed Asset, Release to Fixed Assets Fund.

Liabilities Composition

Unrestricted Core Government Subvention

Deferred net income for this project after expenses for HPV injections and the purchase of wristbands totaled $ 6, 333. (notes to Financial Statements)

2013

Surplus Expenses

Earmarked Funds The friends of the “Fight like a Girl” Cervical Cancer Prevention project realized $10,443 from a fund raising Tea Party on September 14, 2013. A donation from Sagicor Life Insurance of $3,360 and the sale of promotional wristbands for $1,840 totaled $15, 643.

201,232 6,033

Grants and Subventions The Annual Subvention from the Government of Barbados recorded $800,000 for the financial period January to December 2013 representing 44% of total income.

325,015 Accounts Payable Differed Donor Designated Fund

IPPF Cash Grant Cash and Commodities Grant from IPPF were approved at $37, 400 and $23,215 respectively. However supplemental commodities requested for the procurement of eleven additional products reduced the cash total, resulting in the other side showing an increased commodities grant. The total grant of $60, 615 was an increase of 14.8% over the prior year’s approved figure.

$5,000

Medical and Related Services Income Income from Medical and Related Services for the year in review (2013) grew by 17% recording $786,433 up from $672,051, gaining 2% increase in total income percentage share from 42% in 2012 to 44 % of the total income for the reporting year. Contraceptive Sales The significant reduction in the range of products to three broad categories namely, Orals, Injectables, Copper T-IUCD’s and the emergency contraceptive Pill sales, showed much promise of re-gaining the revenue position held in former years by recording a 7.5 % increase over the comparative period of 2012. Cytology Service These services grew by 31.1% recording $56,09 up from $42,744 in the prior year. This very impressive level of increase is largely due to Pap Smear Services, the introduction of the Human Papilloma Virus (HPV) and DNA testing.

Ultra Sound Service Revenue from this service showed a dramatic percentage increase of 121% from $3,370 in reporting year 2012 to $7,450 in 2013. Vasectomy Service Revenue was recorded at $ 6,075 up from $3.750 for a percentage increase of 62%. Over the prior year. Special Medical (VTP) Services The administration of the medication and surgical procedures of these services recorded $ 64,155 and $53,935 respectively for a total of $118,090 up 9% from $108,310 in the prior year 2012. Rental of Operating Theatre Facilities Rental by Private sector providers grew by 12.7 % recording $64,870 up from $57,540 in the prior year. This range of Medical and related Services could benefit from increased Marketing and Promotion since the potential exists for greater revenue generation from this range of services. Efforts are on going for the procurement of a new Operating Theatre Light to replace the now retired light which rendered many years of faithful service over the years. The cost of $20,000 for the replacement light is a major challenge given the current economic environment. Funding through IPPF’s cash grant has been negotiated and there is guarded optimism of its procurement during the coming operating year.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

table 2: Medical & Related Services Income for Three Year Period 2011 - 2013 2011 Actual

2012 Actual

2013 Actual

2012 – 2013 % change

2013 Budget

2013 Budget Variance

65,260

103,862

111,680

7.5

85,300

26,380

228,800

237,793

247,627

4.1

238,250

9,377

24,969

44,482

119,543

168.7

60,000

59,543

Registration Fees

6,250

5,905

6,059

2.6

6,800

-741

Cytology services

40,690

42,744

56,039

31.1

41,000

15,039

Colposcopy & Cryosurgery services

39,600

39,500

33,735

-14.6

41,500

-7,765

category Sale of Contraceptives & Services* Medical Examinations & other medical services Lab services

Ultrasound services

4,850

3,370

7,450

121.1

5,000

2,450

Tubal Ligation

2,700

1,500

3,600

-,3600

Vasectomy

6,615

3,750

6,075

62.0

4,500

1,575

Circumcision

1,350

3,810

3,075

-19.3

3,000

102,820

108,310

118,090

9.0

120,000

-,1910

14,765

19,485

12,190

-37.4

12,000

190

Special Medical (VTP) Services Other surgical procedures Theatre Rental totals

59,685

57,540

64,870

12.7

60,000

4,870

598,354

672,051

786,433

17.0

680,950

105,483

*Contraceptives services relate to services that must be administered by medical staff. I.e., Injections, IUCD’s. N.B: CBDC Contraceptive sales are disclosed within this category.

chart 1 : Monthly Income − Medical and Clinical Services for period Jan-Dec 2011- 2013

80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0

2013

2013 2012 2011

Jan

Feb

Mar

Apr

May

June

July

Aug

Sept

Oct

Nov

Dec

66,659

55,175

65,774

62,348

62,875

62,480

69,572

62,040

54,918

70,039

56,742

53,515

Expenditure Despite the astronomical increase in the cost of goods, Services and Medical supplies in the market place, Operational Expenditure was held to an increase of 2.3% recording $1,751,440 when compared with $1,711,238 in the prior year.

chart 2 : SHR Income − Clinical & Non-Clinical for period Jan-Dec 2011-2013 By area of service delivery

900,000 800,000 700,000 600,000 500,000 400,000 300,000 200,000 100,000 0 HQ

2013 2012

MEN’S CLINIC

SAT. CLINIC

SUNDAY

CBDC

THEATRE

TOTALS

66,659

55,175

65,774

62,348

62,875

62,480

69,572

66,659

55,175

65,774

62,348

62,875

62,480

69,572

2013 2012 2011

This performance can be directly attributed to the success of the three pronged strategy of cost containment, improved revenue generation and the expansion of services. Cost containment continues to be a useful tool in keeping expenditure to an absolute minimum.

Staff Costs Expenditure for personnel and employee benefits decreased by 12.9%, recording $815,608 down from $936,442 in the prior year. Last year’s total contained a severances payment component of $154,657 which has now been transformed into long term liability as a consequence of the NIS facilitating severance payment to meet staff redundancies. The interest amount paid in the reporting period was $13, 302.00. Consideration is being given to reengaging the National Insurance Tribunal with a view to securing a reduction in this liability. The projected reduction in Government’s subvention in the coming financial year will make this an absolute necessity Capital Expenditure A total of $23,516 was spent on the purchase of a Blood Pressure Monitor, Computer Equipment, A/C unites, a washing Machine and a sum of &11,302 (VAT) was paid to off-set the trade-in value of a new vehicle. Other Expenditure Consultancy and other professional fees increased by 62.5%, recording $337,247 when compared with $207,557 in the prior year. This seemingly significant increase was largely due to Laboratory fees charged to clients for relevant services and passed on to Private Laboratory services providers, increased sessional fees to nurses facilitating surgical procedure and substituting in vacant clinic posts as the need arose. Medical and Surgical Consumerables This area of expenditure expanded by 22.6%, recording $59,995 as compared with $48,935 in 2012. This increase was attributed to increased Service activity and the increased cost of procuring appropriate supplies.

Telecommunications Expenditure in this area increased by 15.2%, recording $59,059 up from $51,242 in the prior year. The Association was plagued by frequent communication outages due to an obsolete telephone system which required very frequent maintenance. The system was replace with a more modern and effective AVAYA SYSTEM. Cost containment was enforce and maintained at the same level for all other categories of expenses.

Other Business The initial setup data for the Inventory Module in the Navision Accounting system was submitted to the IPPF/WHR consultants for review and agreement. This activity when completed will be linked to the existing open EMR Clinic Management System and will bring considerable improvement to BFPA’s operations through the integration of Finance Inventory and Procurement control system.

table 3: Budget vs. Actual, January–December − Un-audited 2013 Year to date Actual

Approved Budget

Budget Variance

Empowering Youth

42,166

63,085

-20,919

Information, Education and Outreach Programmes

35,051

36,455

-1,404

Sub-Total

77,217

99,540

-22,323

948,877

923,305

25,572

Cytology Services

29,225

36,000

-6,775

Theatre Services

139,186

84,175

55,011

category EXPENSES Family Development Services

Medical & Related Services Expanding Service Delivery

Sub-Total

1,117,288

1,043,480

73,808

Governance and Accreditation

67,379

78,100

-10,721

Advocacy

56,700

64,200

-7,500

Resource Mobilization/Sustainability

24,129

10,000

14,129

1,342,713

1,295,320

47,393

Strategy Total Management & Administration (Indirect cost)

357,151

265,045

92,106

1,699,864

1,560,365

139,499

14,000

UNFPA

1,914

Cancer Prevention Project – ‘Fight Like a Girl’

9,610

25,524

Total Unrestricted Expenditure Restricted Expenditure Ministry of Health – Training Grant

Total Restricted Expenditure

1,725,387

1,560,365

165,022

Capital Expenditure

Total Operational Expenditure

23,516

29,500

-5,984

total expenditure

1,748,903

1,589,865

159,038

Growth. The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Clinic Activity Report. The prolonged and seemingly deepening economic difficulties which have plagued almost ever sector of Barbadian Society and Characterized by economic recession, job losses, record levels of taxation and a severe dampening of the morale of both the private and public sector was not enough to prevent the medical and clinical service of the Association from registering yet another impressive yearâ&#x20AC;&#x2122;s performance.

...the number of clients attending BFPA clinics grew by 5% from 3906 in 2012 to 4094 in the reporting year 2013.

clinic services were extended to sunday openings and this has proven to be one of our more successful ventures. - Mr. Jefferson Kirton

It is also an indication of the quality of service offered when one takes into consideration the fact that a Government Administered Polyclinic offering a wide range of similar services free at the point of delivery is located in close proximity to BFPAâ&#x20AC;&#x2122;s clinic. It is also confirmation of the view that clients and potential clients have a need for service options which must be respected irrespective of their socio-economic status. It goes without saying that BFPA and its comprehensive range of Sexual and Reproductive Health Services are occupying a space in the health and social services market which is valid, credible and absolutely necessary.

Year 2009

Year 2010

Year 2011

Year 2012

47,345

50,000 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0

44,244

Number of Clinic Services Provided 2009-2013

30,661

4,094

This sector grew by 17% recording $786,433 when compared with the prior year 2012. In addition a record number of services totaling 47,347 were provided to clients when compared with 44,244 services provided in the prior year. This 10% increase is but one indication of the dedication, determination and commitment of Service Providers to meeting the needs of clients.

24,161

clients:

24,395

Year 2013

The number of clients attending BFPA clinics grew by 5% from 3906 in 2012 to 4094 in the reporting year 2013. Performance Based Funding The Barbados Family Planning Association and the Bolivia Association in the Western Hemisphere were selected as two of four pilot projects worldwide for the Performance Based Funding Initiative.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

General Medical; Non-Sexual and Reproductive Health Services 2009-2013 General Medical; Non-Sexual and Reproductive Health Services 2009-2013 table 2.1: Barbados Service Statistics Matrix 2009-2013 Year 2009

2010

2011

2012

2013

major service categories

Year 2012

Sexual And Reproductive Health Contraceptive Services Sexual And Reproductive Health Non-Contraceptive Services Non-Sexual And Reproductive Health Medical Services grand total

7,604

5,572

7,998

7,270

15,753

22,617

29,108

31,579

983

804

2,472

7,138

8,496

24,395

24,161

30,661

44,244

47,345

non-contraceptive services over the past five years. Graph 1.8 clearly presents this trend which has recorded growth from 14,780 services in year 2009 to 21,108 in 2012 and to 31,579 in the reporting year, totaling 9% over the prior year.

The diversification of BFPA services and its transition from hardcore Family Planning Services to a comprehensive range of medical services continues to meet the increasing demand of clients. One example is the steady growth of

Total Sexual and Reproductive Health Non-Contraceptive Services 2009-2013

50,000 45,000 40,000 35,000

The utilization of the Open EMR within the context of the Performance Based Funding Initiative (PBF) and the utilization of modern technological tools have equipped the BFPA to comfortably satisfy the international scrutiny demanded by the PBF initiative. The service matrix is one tool which facilitates the grouping of all services provided into three major categories along with sub-categorizations. This level of stratification makes possible BFPA’s demonstration of its capacity to meet global standards within the context of existing international competition for both ranking and funding.

22,617

30,000 20,000 15,000 10,000

15,753

25,000 14,780

Incentives in the form of increased funding is allocated to Member Associations on the basis of services expansion and sanctions in the form of reduced funding for those not maintaining a consistent level of expansion over the prescribed time frame.

31,579

The Primary indicator measures the number of services provided per client per visit as well as cumulatively over the reporting year.

8,632 14,780

29,108

Following considerable training of staff at relevant levels and the installation of requisite Information Technological Systems, this proposed initiative which utilize the Open Electronic Medical Records (EMR) and the Integrated Clinic Management System was commissioned.

8,496

Year 2013

5,000 0

Year 2009

Year 2010

Year 2011

Year 2012

Year 2013

All Sexual and Reproductive Health Non-Contraceptive Services 2012-2013

All Other SHR Medical & Specialised Counselling Services

4,382 7,753

All Infertility Services

60 101

All Urology Services

647 349

All Obstetrics Services

2,916 2,731

All Gynaecological Services

10,295 8,383

All STI/RTI Services

7,062 4,178

All HIV/AIDS Services

4,499 4,522

All Special Medical (VTP) Services

1,718 1,091

2,000

4,000

6,000

8,000 10,000 12,000

2013 2012

7,138

Year 2011

2,472

Year 2010

804

Year 2009

983

The Transition from an almost singular focus on birth control in the formative years of the BFPA in the 1950’s to today’s comprehensive range of services including the consistent expansion in Reproductive Health Non-Contraceptive Services, speaks to the Association’s ability to not only understand the demands of the marketplace but to introduce such changes as are necessary in today’s 21st century environment and consciousness. The focus on individual Rights and Freedoms including Sexual diversity are quite timely and in the best interest of the Association’s sustainability efforts. Clinic Management System and Services Provision The Open EMR and the Clinic Management System continues to be one of the most progressive initiatives of the BFPA in recent years. It has led to consistent levels of improvement in the quality of data recorded, the ability to provide timely reports and makes possible the ability of management to plan and project the future endeavors of the Organization Strategically. Two members of staff have benefitted from a new round of advanced training sponsored by the IPPF/WHR in this new and exciting area of cutting edge technology.

2,000

4,000

6,000

8,000

10,000

Traditional Clinic Indicators table 2.2: Traditional Indicators of Clinic Activity 2012-2013 2012

2013

indicator new acceptors/clients

1340

1416

advice/counselled

5876

11496

pap smear test

1310

1327

pregnancy test

760

666

infertility

returning clients

2566

3488

persons serviced

3906

4904

table 2.3: Number of Clients Serviced by The BFPA Clinical and Non-Clinical 2012

2013

3906

4094

location headquarters cbdc total

Sexual & Reproductive Health Non Contraceptive Services The number of New Clients grew by 6% from 1340 in the year 2012 to 1416 in the reporting year. Indications are that new clients have expressed a clear preference for oral and Injectable contraceptives during this period when compared with those accessing other Medical Services which recorded a decline of 3% when compared with the prior year. It might be too early to conclude that the current economic climate is motivating more women towards contraceptive use but continued monitoring can determine if such a trend is in the making.

495

506

4401

4600

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Table 2.4: Characteristics of Male Clients Janaury to December 2013

10,000

Year 2009

Year 2010

5,000 0

Year 2011

Repeat Clients The deliberate policy decision by the Barbados Family Planning Association (BFPA) to offer clients the widest range of services possible as stipulated in the strategy of expansion of services has been succeeding beyond projected targets. Repeat / Returning Clients grew by 36% from 2566 in 2012 to 3488 in the reporting year. This healthy level of repeat Clients can be interpreted as a manifestation of confidence in the quality and convenience of services offered and accessed. Cytology Services This range of services is under utilized by the eligible female population especially in light of the growing consciousness of the need to urgently address the incidence of Cervical Cancer and the associated morbidity and mortality. During the reporting year the number of persons accessing Pap Smear Screening grew very marginally by 1% from 1310 in 2012 to 1327 in year 2013.

Year 2012

Year 2013

The ability of the BFPA to maintain its own cytology lab and the ability to provide test results in a shorter time frame than most should make it the service provider of choice for most women on the basis of both effectiveness and efficiency. In addition the Association’s foresight in providing Colposcopy and Cryosurgery Services makes it an undisputed leader in the provision of an enviable comprehensive range of good quality Sexual and Reproductive Health Services for Barbadian women. Human Papilloma Virus (HPV) For more than two decades successive Medical Directors and Community Educators have been in the vanguard of efforts aimed at sensitizing the Public about this virus and its potential for debilitating levels of Morbidity and Mortality. Credit must be given to Dr. Meera Bai, Dr. Eltora Bennett – Former Medical Directors and Dr. Tracy Archer current Medical Director for their foresight and commitment aimed at minimizing, if not eradicating this threat to Citizens of this country.

This project has been in place for the past eighteen months with satisfactory results and without any adverse consequences. Total Quality Care Service for Men (Men’s Clinic) The provision of specialized Reproductive Health Services for men continues to be a major objective of the Association throughout the year in review. The increase in New Male Clients by 19% in the reporting year from 212 in 2012 to 253 in 2013 though encouraging, demands a very careful level of analysis in light of the apparent anomaly surrounding the existing significant reduction in overall Male Client visits by 39% from 900 in 2012 to 548 in 2013. Similarly Old Male Clients visits showed an alarming 43% decrease from 688 in year 2012 to 295 in the reporting year 2013.

Prostate Checks

Hernia Repairs

Medical Services

Vasectomies

charateristics

new clients

253

195

old visits

295

225

total visits

548

420

In seeking to get a clear understand of Male Clinic Client Visits 2009-2013

these statistics the following factors must be explored – firstly, with respect to client visits the average number of follow-up visits in the reporting year when compared with prior years, since the stabilization of the client’s condition could make multiple visits during the year unnecessary.

Male Clinic Client Visits 2009-2013

Year 2009

Year 2010

Year 2011

Year 2012

548

15,000

15,753

20,000

14,780

25,000

Circumcisions

900

22,617

30,000

Minor Procedures

882

35,000

Total

919

40,000

29,108

45,000

31,579

50,000

The most recent initiative has been the ongoing “Fight Like a Girl Campaign” which has as its principle objects raising public awareness about the Human Papilloma Virus (HPV) and the preventative value of the HPV Vaccine, making the vaccine available to Adolescents and Young Adults before they are sexually active and advocating for its acceptance by parents, guardians and the public generally. In a valiant effort to lead by example a group of public spirited individuals conceptualized the “Fight Like a Girl a Campaign” and have been seeking through public contributions and fund raising events the financial resources necessary for procuring the HPV vaccine and have been subsidizing it for person who are interested in accessing it but are unable to bear the entire cost.

878

Total Sexual and Reproductive Health Non-Contraceptive Services 2009-2013

Secondly, Treatment options could result in longer periods between clinic visits. Thirdly, the consistently deteriorating economic climate could be forcing men to place their health care and clinic visits at a lower level of priority than in previous years These factors demand a more scientific examination since the best interest of male clients and the Association’s commitment to maintaining effective growth and development in addition to the highest level of Client satisfaction possible must not be taken lightly. Pregnancy Tests For the second year in succession there has been a reduction in the number of pregnancy tests from 781 in year 2011 to 760 in 2012 and 666 in 2013 constituting a 12% reduction when compared with the prior year. The Reproductive Health landscape continues to experience very rapid change especially over the past twenty years, this is evidenced by the ready availability of a growing number of products which previously required a doctor’s prescription or were difficult to access in the market place.

Today, self administered rapid results pregnancy test are readily available in pharmacies, supermarkets, petrol stations and other such places of business. Other emerging Reproductive Health products presently accessible or which are becoming more easily accessible by the public are Emergency Contraception, Medication Abortion formulas, Rapid Results PSA testing kits and perhaps HIV Rapid Testing Kits to name the most glaring examples. Advice and Counselling The provision of advice and counselling to clients, have attracted greater attention since the introduction of the Performance Based Funding initiative by the IPPF and the Open EMR Integrated Clinical Management System.

Year 2013

These developments demand a greater focus on quantifying the number of services each client receives during the course of each visit to the clinic along with a provider initiated approach to available services during the entire client clinic experience. Against this background, during the year in review, 2013, the number of clients receiving advice and counselling grew by 97% from 5876 in 2012 to 11,497. Community Based Distribution of Contraceptive Programme (CBDC) This programme has experienced the ebbs and flows associated with the volatility of the modern fast paced Reproductive Health World and the multiplicity of products in fierce competition for the attention of a discriminating consuming public.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

3 1

2 1

Family Life Education and Peer Counselling Training Programme

2 Family Life Education and Peer Counselling Training Programme Graduating Class 3 Family Life Education and Peer Counselling Training Programme Graduation

The experience of the CBDC Programme over the past two decades bears the scars of the cyclothymic nature of the International Federation’s procurement record with respect to the satisfaction of Member Association’s product demands. The circumstances which gave rise to the growth of the CBDC programme though fortuitous does not detract from the value and importance of this programme to the success of the BFPA as a comprehensive service provider. The expansion of the CBDC programme product users by 2% from 495 to 506 in the reporting year reinforces the view that there is a definite role for this programme in spite of the instability in product availability and supply over the years.

During the year in review, 2013 BFPA willingly came to the rescue of both Government and Private Sector suppliers in times of acute shortage of various products. This perhaps is an indication that there is space in the market place for an expanded BFPA role, in addition, a more aggressive marketing initiative with respect to pregnancy tests, emergency contraception, rapid results PSA test and other such products for which there will be a ready demand in the fore seeable future should be explored. Family Life Counselling and Community Development Training Programme The Family Life Education and Peer Counselling Training Programme came of age when it celebrated its 21st anniversary at the end of the reporting year. To date 1, 626 men, women and youth have successfully completed the programme. This programme recorded a 67% increase in the number of persons graduating from 30 persons in 2012 to 50 persons in 2013. A decision was taken to change the name of the programme to more accurately reflect its growth and development over the past 21 years. The new name change agreed upon after much consideration and consultation is now “Family Life Counselling and Community Development”.

A strong Community Development dimension has been infused into the course, this seeks to prepare graduates for the Advocacy, Education, Leadership, Counselling and Community Organisation role and functions they are required to perform on completion of training in their respective communities

A wide cross section of professionals drawn from the areas of Social Work, Medicine, Law and Order, Psychology, Child Care, Community Development, Drug Rehabilitation and Counselling, Gender Relations and from BFPA’s professional staff both past and present continue to provide high quality lectures and presentations to participants.

The BFPA and Barbadian Society generally are profoundly indebted to this diverse cadre of professionals for so generously contributing their time and energy to this very worthy cause.

Population, Rates Of Birth, Death and Infant Mortality 1982-2013 Resident Population at December 31

Birth Rate

Death Rate

Rate of Natural Increase

Infant Mortality

Rate of Population Growth

(‘ 000persons)

(Per 1000 pop.)

(Per 1000 births)

(%)

1982

251.2

17.8

8.0

9.8

21.3

0.2

1983

251.8

17.9

8.2

9.7

24.5

0.4

1984

255.8

16.7

7.8

8.9

18.4

0.3

1985

257.0

16.7

8.3

8.4

17.8

0.4

YEAR

1986

258.0

15.7

8.4

7.3

19.0

0.4

1987

258.8

14.8

8.5

6.3

22.3

0.3

1988

259.4

14.5

8.6

5.9

19.5

0.2

1989

260.3

15.5

8.8

6.7

18.2

0.2

1990

260.8

16.5

8.2

8.0

15.5

0.5

1991

262.5

16.2

8.7

7.5

15.3

0.4

1992

263.1

15.6

9.0

6.8

13.8

0.2

1993

263.9

14.3

9.1

5.2

9.8

0.3

1994

264.3

13.4

8.9

4.5

8.5

0.2

1995

264.4

13.1

9.4

3.7

13.2

0.4

1996

264.6

13.3

9.1

4.2

14.2

0.1

1997

266.1

14.3

8.7

5.6

13.2

0.6

1998

266.8

13.6

9.3

4.3

7.8

0.4 0.2

1999

267.4

14.5

9.0

5.5

10.0

2000

269.1

14.0

9.1

5.0

17.0

0.6

2001

270.4

15.0

8.9

6.1

15.8

0.6

2002

271.3

14.1

8.5

5.6

14.4

0.3

2003

272.2

13.8

8.4

5.4

9.9

0.3

2004p

272.7

12.7

8.9

3.8

18.4

0.2

2005

273.4

12.6

7.9

4.9

8.3

0.3

2006

274.0

12.4

8.5

3.9

11.1

0.2

2007P

274.7

12.9

8.1

4.8

13.0

0.3

2008p

275.3

12.9

9.0

3.9

18.3

0.2

2009P

275.7

12.9

8.8

4.1

8.7

0.1

2010p

276.3

12.2

8.0

4.2

10.1

0.2

2011P

276.8

11.8

8.8

3.0

13.7

0.2

2012

277.0

11.5

8.7

2.8

11.0

0.1

2013

277.5

10.9

8.2

2.7

7.3

0.2

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Birth to Teenagers at The Queen Elizabeth Hospital in Barbados 1980-2011

Family Life & Community Development Training Programme 1992-2013

Total Teenaged Births

Total Births

Teenage Births as % of Total Births

1980

142

218

308

320

1,093

3,828

28.6

1981

151

191

295

330

1,050

4,413

23.7

1982

136

238

280

306

1,041

4,450

23.3

1983

151

210

293

330

1,068

4,494

23.7

1984

120

174

289

288

930

4,218

22.0

1985

156

147

179

823

4,237

19.4

1986

122

204

214

674

4,069

16.6

1987

118

198

184

613

3,839

15.9

1988

156

147

179

600

3,404

17.6

1989

131

204

200

657

3,552

18.4

1990

172

227

235

768

3,858

19.9

1991

150

235

249

781

3,772

20.7

1992

174

206

248

772

3,797

20.3

1993

144

192

264

720

3,390

21.2

1994

103

178

184

572

3,155

18.1

1995

119

165

201

584

3,213

18.2

year

# of Courses

Male

Female

Total

1992

127

1993

101

1994

112

1995

165

1996

181

178

550

3,140

17.5

1996

119

1997

105

190

220

612

3,366

18.2

1997

108

1998

131

194

629

3,234

19.0

1999

111

203

200

625

3,532

18.0

2000

127

182

196

655

3,335

20.0

2001

154

220

221

715

3,636

20.0

2002

130

206

196

619

3,421

18.0

2001

2002

2003

2004

2003

128

191

167

577

3,521

16.0

2005

2004

112

155

194

566

3,341

16.9

2006

2005

169

189

531

3,225

16.5

2008

2006

143

173

494

3,203

15.4

2009

125

136

2007

112

151

162

513

3,332

15.7

2010

2008

108

161

169

521

3,329

15.4

2011

2012

2009

120

166

173

525

3,225

16.3

2013

2010

172

164

468

3,132

14.9

Total

355

1271

1626

2011

144

165

447

3,028

14.8

2007

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Freedom.

ROOM 246 – Youth Drop-In Centre.

we are often reminded that the price of freedom is eternal vigilance, in this context and even as we commence the celebration of our diamond jubilee, it has become absolutely necessary for barbadians to guard very jealously those reproductive health and rights freedoms...

The Youth Development Programme was maintained throughout the year despite a number of persistent challenges. These challenges required strategic creativity and dogged determination. The youth department persisted and worked assiduously to ensure that the quality of services provided to the nation’s youth was kept high.

- Mr. George S. Griffith

Priority was giving to the continuation of Sexual & Reproductive Health and Rights Education in schools, empowerment and support of young mothers, advocacy about critical youth issues and recruiting young people into the Youth Advocacy Movement (YAM). To this end, the programs as reported represent a summary of those areas, which were most prominent. Adolescent/Young Mothers Seminar As has become the norm over previous years, the third annual Adolescent/Young Mothers Seminar for young mothers between the ages of 10 – 24 was successfully hosted. After careful review of past seminars and feedback of participants, and with the intention of staying committed to empowering these young mothers, the seminar was expanded from 2 days to 4 days. This move proved favorable as it allowed facilitators to have longer sessions and provided the opportunity to address a wider range of sub-topics and critical points. The main areas addressed continued to focus on topics such as Body Image & Self Esteem, Mother and Child Nutrition, Bonding and Post-Partum Depression, Human Sexuality, Healthy Sexual Behaviour, Effective Contraceptive Methods, Budgeting

& Finance and Continuing Education. The hosting of a fun filled ‘Baby Shower’ for participants brought the curtain down on yet another successful initiative. This event allowed the young ladies to bond even more with each other in a therapeutic yet relaxed environment and helped to cement the new friendships formed. In The Winners Circle 11+ Program This annual multi-sectoral program seeks to sensitize students, ages 10 – 11 years old, who had recently completed the 11+ Examination, to the challenges they could encounter as they make the transition from Primary to Secondary school. It promotes the importance of making positive, informed choices while avoiding deviant and harmful behaviours. The Youth Department has been facilitating the SRH component of this program for the past 6 years and continues to have a strong and influential voice in its structuring and implementation. BFPA’S participation, therefore, continues to afford the organization the opportunity to reach a wider cross section of the younger demographic and provide them with critical information at what could easily be seen as one of the most significant stages of their development.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Prevention. The BFPA wishes to support the Government in its effort at immunizing young females with the vaccine to reduce the incidents of cervical cancer...We wish to urge parents to see this as a preventative action for their children and urge those who have not yet taken advantage of this service to do so as a matter of urgency. - Mr. Jefferson Kirton

Media, Schools and the Wider Community The Youth Development Officer/ Social Worker continued to respond to requests from schools, churches, community groups, and other social agencies to address many youth issues through the facilitation of presentations, group discussions and interviews. Advantage was taken of requests from media houses to examine and share expert opinions on critical issues regarding youth and various social challenges, thus providing the BFPA with noteworthy opportunities for dynamic advocacy on vital youth issues.

Youth Advocacy Movement (YAM) The Youth Advocacy Movement has not been unaffected by the prevailing social and economic environment. The overall climate of ‘volunteer constituted youth groups’ in Barbados still remains quite dreary, but, be that as it may, the value of youth movements such as YAM and the positive impact that they are capable of making on the nation’s youth cannot be disputed. To this end, every effort and energy expended on revitalizing the movement was focused on the aptly titled project - Operation: Rebuild YAM. The 1st half of 2013 was devoted to re-evaluating the function and structure of the movement, identifying priority areas and strategically planning the best approaches to be employed to get the movement active again and to ensure sustainability. The latter half of the year focused on recruitment of new YAM members and structured training, with efforts to fast track the new members into the movement with appropriate orientation processes. In addition to these programs, efforts are under way for the implementation of a new eighteen (18) month pilot project scheduled to be implemented in the new year. This initiative, sponsored by The Maria Holder Memorial Trust and supported by the Caribbean Policy Development Centre (CPDC), is designed to build on the well-established Adolescent/Young Mothers Seminar and will afford BFPA the opportunity to expand on the services offered in that program. This level of inter agency cooperation augurs well for the advancement of the Association’s Adolescent Development Programme. The Youth Development officer and Social Worker, Mrs. Keriann Hurley, is to be highly commended for her persistence and dedication to duty in a most challenging social and economic environment.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Celebration.

Outlook 2014 & Beyond. The provision of Sixty years of service is a major achievement for any organization and is worthy of celebration, however such celebrations as is contemplated must of necessity be shaped by the prevailing social and economic environment.

ours is a noble humanitarian cause which deserves strong and decisive leadership so that the momentum which drives the march towards genuine social and economic development can be maintained. - Mr. George S. Griffith

It is quite clear that the impressive performance of the BFPA since 1954 which is measurable both quantitatively and qualitatively has not been enough to insulate it from the impact of today’s economic austerity, consequent impositions and the potential challenges to the organization’s continued growth and development. The loss of approximately 50% of what had become the organization’s most reliable source of income for the greater part of its existence must not be seen as an insurmountable challenge but as an opportunity to showcase the metal of which it is made. The inability of government to maintain its financial support in my view heralds the arrival of the BFPA at that fork in the road which not only test the resolve of the organization’s leadership and its credibility but perhaps very inadvertently creates a wonderful opportunity for the BFPA to lead the NGO community and civil society organizations by the example it sets as it responds to this volatile social and economic environment. The organization having completed a new five year Strategic Plan and a number of very progressive policies, must now set about implementing those aspects of the Strategic

Plan which are most urgent, workable, affordable and directed at improving sustainability in the shortest possible time. The Board of Directors must as a matter of the utmost urgency get down to that most critical task of mobilizing such financial and other resource as are necessarary for the effective and efficient administration of the Organization and the execution of its mandate. The importance of Standing committees to the effective management of the Organization must be seen as an invaluable aspect of good governance. The specter of Board Meetings having to be aborted due to the lack of a quorum must not be a feature of the organization’s experience. Documents circulated for information and study prior to meetings must be reflected in the quality of deliberations and subsequent decision making if staff morale and the Board’s own self concept is to be elevated. Advocacy is perhaps the most reliable and effective weapon in the Association’s armory this should be utilized most effectively and should not be perceived as being the exclusive domain of the

The Barbados Family Planning Association

Professional staff but rather as the primary responsibility of the entire organization with the leadership constituting the front line voices in any communication with partners, stakeholders and the public at large.

...the Diamond Jubilee year would certainly be the year of new beginnings and rebirth of the pioneering spirit, passion and commitment of our visionary predecessors...

Marketing Strategies strategically deployed are poised to be the catalyst best able to lead the process of rapid revenue generation and must be implemented without delay. The anxiety which is now understandably present among staff at all levels of the organization, as a direct consequence of the perceive unreliable funding of the Association, can only be relieved by a meaningful and consistent commitment to resource mobilization by those who are charged with that responsibility. The performance of the organization in the twin areas of income generation and the expansion of services generated growth of 14% and 17% respectively over the past year inspite of the accelerating contraction in

Annual Report 2013 | Sixtyearstrong

traditional funding sources. This pleasing testimony of the resilience of the BFPAâ&#x20AC;&#x2122;s staff team and its ability to deliver with minimal incentives, suggests very glaringly that it is more than prepared for the task of propelling the organization forward and even unto a significantly higher level of performance and by extension expanded levels of revenue generation capable of filling the income gap occasioned by the reduced subvention. This coupled with the efforts of a rejuvenated Board and the full engagement of partners and stake holders, should go a long way towards making the performance of operating year 2014 the brightest and best in the BFPAâ&#x20AC;&#x2122;s illustrator history. Should these projections and admonitions be realized the Diamond Jubilee year would certainly be the year of new beginnings and rebirth of the pioneering spirit, passion and commitment of our visionary predecessors in this great but treacherous humanitarian journey of human liberation and development.

Commitment. The establishment of the BFPA sixty years ago has made a considerable difference to the growth and development of Barbadian society... - Mr. George S. Griffith

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Financial Statements the barbados family planning association dec e m be r 31, 2 01 3 (e x pr e s s e d i n b a r b a d o s d ol l a r s)

INDEPENDENT AUDITOR’S REPORT To the Members of The Barbados Family Planning Association

We have audited the accompanying financial statements of The Barbados Family Planning Association, which comprise the statement of financial position as of December 31, 2012, the statements of comprehensive income, expenses and changes in undesignated fund balance, functional expenses and cash flows for the year then ended, and a summary of significant accounting policies and other explanatory information.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the financial statements present fairly, in all material respects, the financial position of The Barbados Family Planning Association as of December 31, 2012, and its financial performance and its cash flows for the year then ended in accordance with International Financial Reporting Standards.

Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with International Financial Reporting Standards and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor’s Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with International Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.

May 21, 2013 Bridgetown, Barbados

The Barbados Family Planning Association

Statement of Financial Position.

Statement of Financial Position

As of December 31, 2013 (expressed in Barbados dollars)

…continued

Current year

Prior year

BDS Dollars Donor Unrestricted restricted

Total

Total BDS $

Total US $

–

100,247

229,933

114,967

–

3,346

2,652

1,326

3,017

12,840

6,420

103,593

3,017

106,610

245,425

122,713

325,273

162,637

–

162,637

313,724

156,862

132,511

66,256

–

66,256

50,270

25,135

22,600

59,766

18,583

11,300

29,883

86,988

43,494

494,950

22,600

517,550

247,476

11,300

258,776

450,982

225,491

702,137

28,633

730,770

351,069

14,317

365,386

696,407

348,204

Total

Unrestricted

200,494

–

200,494

6,693

–

6,693

–

6,033

207,187

Designated (note 9) Undesignated

Liabilities

100,247 3,346

6,033

–

6,033

213,220

325,273

–

132,511

–

37,166

Current liabilities: 65,979

6,033

72,012

32,990

3,017

36,007

72,456

36,228

331,886

–

331,886

165,943

–

165,943

320,167

160,084

– Inventories (note 5)

Total

Total BDS $

Donor restricted

Unrestricted liabilities and fund balances

Cash:

US Dollars

Donor restricted

Current assets

Interest bearing deposits (note 4)

Prior year

BDS Dollars

Donor Unrestricted restricted

Current year

US Dollars

assets

Current account and in hand

Annual Report 2013 | Sixtyearstrong

24,200

–

Accounts payable and accrued expenses (note 7) IPPF payable

24,200

12,100

–

12,100

20,265

10,132 Deferred income (note 8)

Receivables: Other debtors IPPF grant receivable

14,686

–

14,686

7,343

–

7,343

6,318

3,159

–

3,324

1,662

15,861

–

15,861

7,930

–

7,930

15,828

7,914

Total liabilities Fund balances:

Prepaid expenses Total current assets

452,612

6,033

458,645

226,306

3,017

229,323

438,358

219,179

Property, plant and equipment (note 6)

249,525

22,600

272,125

124,763

11,300

136,063

258,049

129,025

Total assets

702,137

28,633

730,770

351,069

14,317

365,386

696,407

348,204

Non current assets:

Fixed assets fund (note 10) Total fund balances Total liabilities and fund balances

Approved by the Board on

President

Executive Director

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Statement of Comprehensive Income, Expenses and Changes in Undesignated Fund Balance.

Statement of Comprehensive Income, Expenses and Changes in Undesignated Fund Balance

For the year ended December 31, 2013 (expressed in Barbados dollars)

…continued

Current year Current year

Unrestricted

Donor restricted

Total

Unrestricted

Donor restricted

Total

Total US $

US Dollars

Total

Total BDS $

Total US $

–

40,593

104,912

52,456

566,987

12,762

579,749

949,759

474,879

135,599

67,800

–

67,800

126,983

63,492

25,524

1,376,285

675,380

12,762

688,142

1,181,654

590,827

375,155

–

375,155

187,578

–

187,578

529,584

264,792

1,725,916

25,524

1,751,440

862,958

12,762

875,720

1,711,238

855,619

82,241

–

82,241

41,121

–

41,121

(102,298)

(51,149)

50,270

–

50,270

25,135

–

25,135

158,398

79,199

–

(5,830)

(2,915)

132,511

–

132,511

–

66,256

50,270

25,135

US Dollars Total BDS $

Prior year

BDS Dollars

Prior year

BDS Dollars

Unrestricted

Donor restricted

Unrestricted

Donor restricted

Total

81,186

–

81,186

40,593

1,133,976

25,524

1,159,500

135,599

–

1,350,761

Expenses: Grant income: Government of Barbados

Strategy 1

800,000

–

800,000

400,000

–

400,000

800,000

400,000

IPPF cash grant

11,570

–

11,570

5,785

–

5,785

26,174

13,087

- Family Development Services Strategy 2

IPPF commodity grant

49,044

–

49,044

24,522

–

24,522

23,295

11,648

IPPF/WHR

10,927

–

10,927

5,464

–

5,464

–

- Medical and Related Services

IPPF/WHR technical assistance grant

19,423

–

19,423

9,711

–

9,711

–

Strategy 3

Release of fixed assets fund (note 10)

27,222

–

27,222

13,611

–

13,611

34,273

17,137

- Governance and Sustainability Total projects

Other donors Kevin Fryer

–

20,502

10,251

Youth hotline

–

4,567

2,284

UNFPA

–

1,914

–

957

4,747

2,373

Ministry of Health

–

14,000

–

7,000

–

Total expenses:

–

9,610

–

4,805

–

Surplus/(deficit) of comprehensive

Administration and general costs

Fight Like a Girl Cancer Prevention Project

income over expenses Undesignated fund balance -

Other income: Sales

802,034

–

802,034

401,017

–

401,017

680,357

340,178

2,112

–

2,112

1,056

–

1,056

2,228

1,114

Fund raising income

10,300

–

10,300

5,150

–

5,150

11,900

5,950

Miscellaneous income (note 11)

75,525

–

75,525

37,763

–

37,763

897

448

25,524 1,833,681

904,079

12,762

916,841

1,608,940

804,470

Interest income

Total income

1,808,157

beginning of year Transfer to designated fund (note 9) Undesignated fund balance - end of year

66,256

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Statement of Functional Expenses.

Statement of Cash Flows.

For the year ended December 31, 2013 (expressed in Barbados dollars)

2013

2012

For the year ended December 31 For the year ended December 31, 2013 (BDS Dollars) Family Development Services

Medical & related services

Governance and sustainability

2013

Sub-total Administration projects & general costs

Total BDS $

BDS $

2012 Total US $

Printing and stationery Cost of goods sold Occupancy costs Vehicle running costs Entertainment Medical consumables Communications Travel Training and seminars Insurance Audit fees Advertising General expenses

24,984

489,662

113,400

628,046

187,562

815,608

407,804

US $

936,442

468,221

10,361

19,237

–

29,598

29,085

58,683

29,341

57,918

28,959

–

50,701

–

50,701

–

50,701

25,350

37,491

18,745

4,800

76,785

–

81,585

37,342

118,927

59,464

127,318

63,659

–

19,135

–

19,135

15,996

35,131

17,565

43,003

21,501

700

5,374

–

6,074

4,523

10,597

5,299

13,809

6,904

–

59,995

–

59,995

–

59,995

29,998

48,935

24,467

22,215

16,037

–

38,252

20,807

59,059

29,530

51,242

25,621

578

–

578

7,167

7,745

3,873

12,927

6,464

8,792

500

1,125

10,417

300

10,717

5,358

22,913

11,457

–

5,113

–

5,113

3,657

8,770

4,385

8,766

4,383

–

18,478

9,239

20,118

10,059

7,324

12,777

20,272

40,373

–

40,373

20,186

10,515

5,258

150

18,896

–

19,046

1,946

20,992

10,496

18,215

9,107

Surplus/(deficit) of comprehensive income over expenses

82,241

41,120

Interest income on designated fund

11,549

5,775

Release of fixed assets fund

(27,222)

(13,611)

(34,273)

(17,137)

Depreciation of plant and equipment

84,605

42,303

89,009

44,505

(75,165)

(37,582)

Gain on disposal of plant and equipment

(102,298) 9,857

(422)

13,302

6,651 (6,831)

(12,085)

(6,043)

75,649

37,825

(46,592)

(23,296)

(34,410)

(17,205)

172,629

86,315

126,037

63,019

Changes in non-cash working capital balances (note 14) Cash generated from operations

41,239

20,620

(13,302)

(6,651)

Interest received

12,058

Net cash flows from operating activities

39,995

Interest paid

(1,810)

6,029

8,021

4,011

19,998

130,438

65,220

–

57,615

–

57,615

26,990

84,605

42,303

89,009

44,505

Property, plant and equipment acquired

(134,016)

(67,008)

(87,793)

110,500

55,250

1,000

professional fees

(10,116)

(5,058)

(5,976)

1,282

327,163

802

329,247

8,000

337,247

168,623

207,557

103,779

–

510

–

510

–

510

255

1,440

720

–

13,302

6,651

3,620

1,810

Deposits withdrawn

–

500 (2,988)

30,000

15,000

(33,632)

(16,816)

(62,769)

(31,385)

(6,807)

(3,404)

(31,334)

(15,667)

6,807

3,404

31,160

15,580

–

6,363

3,182

Cash and cash equivalents - beginning of year

59,616

29,808

Cash and cash equivalents - end of year

65,979

32,990

Net cash flows used in investing activities

–

(43,897)

Cash flows from financing activities

Total at December 31, 81,186

1,159,500

135,599

1,376,285

40,593

579,749

67,800

688,142

375,155 1,751,440

Decrease in deferred income

1,711,238

Decrease in donor restricted funds

Total at December 31, in US$

1,810

(3,620)

Proceeds on disposal of plant and equipment

in BDS$

(211)

(13,661)

Amounts deposited

Loan interest

4,929

Interest income Operating cash flows before working capital changes

3,620

(51,149)

Interest expense

Consultancy and other Bad debt written off

US $

Cash flows from investing activities

Fixed assets: Depreciation

BDS $

Cash flows from operating activities BDS $

Personnel and employee benefits

US $

187,578

875,720

855,619 Net cash flows used in financing activities Increase in cash and cash equivalents for the year

(174)

(87)

67,495

33,748

(7,879)

(3,940)

59,616

29,808

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Notes to Financial Statements. December 31, 2013 (expressed in Barbados dollars)

Organisational structure and principal activities

Principal sources of revenue arise from the International Planned Parenthood Federation (IPPF) of which it is a member, subventions from the Barbados Government and from local fund raising activities.

In order to carry out its tasks, The Barbados Family Planning Association provides the following services to the population:

IAS 19 (amendment) IAS 27 IAS 28 IFRS 1 (amendment) IFRS 7 (amendment)

‘Employee benefits’ (effective January 1, 2013) ‘Separate financial statements’ (effective January 1, 2013) ‘Associates and joint ventures’ (effective January 1, 2013) ‘First time adoption’, on government loans (effective January 1, 2013) ‘Financial instruments: Disclosures’ on asset and liability offsetting (effective January 1, 2013) IFRS 10 ‘Consolidated financial statements’ (effective January 1, 2013) IFRS 11 ‘Joint arrangements’ (effective January 1, 2013) IFRS 12 ‘Disclosures of interest in other entities’ (effective January 1, 2013) IFRS 13 ‘Fair value measurement’ (effective January 1, 2013)

The Barbados Family Planning Association is a voluntary charity with the objective of promoting family planning services through its head office located at Bay Street, Bridgetown, Barbados.

New standards, amendments and interpretations issued but not effective for the financial year beginning January 1, 2013 and not early adopted

•

The provision of medical and clinical services, advice on family planning technology and maintenance of clinical service statistics.

•

The assessment of the conduct and effect of the programmes undertaken.

IAS 32 (amendment)

•

The formulation and development of information, education and training programmes including the application of audio visual and mass media materials.

IAS 36 (amendment)

•

The promotion of national and local fund raising campaigns.

IFRS 9

Significant accounting policies a) Basis of preparation The financial statements of the Association have been prepared in accordance with International Financial Reporting Standards (IFRS) under the historical cost convention.

b) Revenue recognition The Association recognizes unrestricted support grants as income in the period of receipt. Donor restricted grants for specific activities are deferred and recognized as income as the funds are expended. Other income from sales and fund raising activities are recognised on the completion of the performance of services and customers’ acceptance.

The preparation of financial statements in conformity with IFRS requires the use of certain critical accounting estimates. It also requires management to exercise its judgement in the process of applying the Association’s accounting policies. The areas involving a higher degree of judgement or complexity, or areas where assumptions and estimates are significant to the financial statements, are disclosed in Note 3.

New and amended standards adopted by the Association

The Association did not adopt any new or amended standards for the financial year.

New standards, amendments and interpretations mandatory for the first time for the financial year beginning January 1, 2013 but not currently relevant to the Association

The following new standards, amendments and interpretations are effective for the financial year beginning January 1, 2013 but have no impact on the Association.

‘Financial instruments: Presentation’, on asset and liability offsetting (effective January 1, 2014) ‘Impairment of assets on recoverable amount disclosures’ (effective January 1, 2014) ‘Financial instruments’ (effective January 1, 2015)

Interest income is recognised on an accrual basis, using the effective interest method.

c) Inventories Inventories are reflected in the financial statements at the lower of cost and net realisable value. Cost is determined using the first-in first-out basis. Provision is made for obsolete, slow-moving and defective items.

d) Property, plant and equipment Property, plant and equipment are stated at cost less accumulated depreciation and impairment losses. Cost includes expenditure that is directly attributable to the acquisition of the item. Donated property, plant and equipment are recorded at cost and credited to the Fixed Assets Fund account. The balance on the Fixed Assets Fund is released to income at the same rate at which these fixed assets are depreciated.

Subsequent costs are included in the asset’s carrying amount or recognised as a separate asset, as appropriate, only when it is probable that future economic benefits associated with the item will flow to the Association and the cost of the item can be measured reliably. All other repairs and maintenance are charged to the statement of comprehensive income during the financial period in which they are incurred.

Notes to Financial Statements

The Barbados Family Planning Association

Depreciation is computed on the straight-line method at rates considered adequate to write-off the cost of depreciable fixed assets over their useful lives.

The useful lives are: Furniture and equipment Computer equipment Medical equipment Motor vehicles

The assets’ useful lives are reviewed, and adjusted if appropriate, at each date of the financial statements.

An asset’s carrying amount is written down immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount.

Gains and losses on disposals are determined by comparing proceeds with carrying amount. These are included in the statement of comprehensive income.

Foreign currency translation

Accounts payable Accounts payable are obligations to pay for goods and services that have been acquired in the ordinary course of business from suppliers. Accounts payable are recognised initially at fair value and subsequently measured at amortised cost using the effective interest method.

Critical accounting estimates and judgements in applying accounting policies

Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances.

Functional and presentation currency Items included in the financial statements are measured using the currency of the primary economic environment in which the Association operates which is the Barbados dollar (‘the functional currency’). The financial statements are presented both in Barbados and United States dollars, which are the Association’s presentation currencies. Transactions and balances Foreign currency transactions are translated into the functional currency using the exchange rates prevailing at the dates of the transactions. Foreign exchange gains and losses resulting from the settlement of such transactions and from the translation at year-end exchange rates of monetary assets and liabilities denominated in foreign currencies are recognised in the statement of comprehensive income.

a) Critical accounting estimates and assumptions There were no estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year. a) Critical judgements in applying the entity’s accounting policies There were no critical judgements in applying the Association’s accounting policies that would have a material effect on the financial statements.

Interest bearing deposits 2013

f) Gratuities Gratuities due to staff on the expiry of contracts with the Association are accrued over the term of the contracts. g) Provisions Provisions are recognised when the Association has a present legal or constructive obligation, as a result of past events, if it is probable that an outflow of resources will be required to settle the obligation and a reliable estimate of the amount can be made.

Income taxes The Barbados Family Planning Association is a non-profit charitable organisation and is exempt from income taxes under Section 4 of the Income Tax Act.

2012

BDS $

US $

BDS $

US $

324,675

162,338

313,127

156,564

7,211

3,605

7,040

3,520

331,886

165,943

320,167

160,084

Barbados Public Workers Co-operative Credit Union CIBC FirstCaribbean International Bank

h) Cash and cash equivalents Cash and cash equivalents include unrestricted current accounts and cash in hand and interest bearing deposits with original maturities of three months or less. i)

Annual Report 2013 | Sixtyearstrong

j) Receivables Receivables are recognised initially at fair value and subsequently measured at the anticipated realisable value. A provision for impairment of receivables is established when there is objective evidence that the Association will not be able to collect all amounts due according to the original terms of receivables. Significant financial difficulties of the debtor and default or delinquency in payments are considered indicators that the trade receivable is impaired. The amount of the provision is the difference between the carrying amount and the anticipated realisable value. The carrying amount of the asset is reduced through the use of the provision for impairment of receivables and the amount of loss is recognised in the statement of comprehensive income. When a receivable is uncollectible, it is written off against the provision for impairment of receivables and any subsequent recoveries of amounts previously written off are credited against administration and general costs.

3 - 10 years 3 - 5 years 5 years 5 years

Notes to Financial Statements

The interest rate on the term deposits were 2.25% - 3.75% (2012 - 2.8% - 3.25%) at year end.

Notes to Financial Statements

The Barbados Family Planning Association

Inventories

Notes to Financial Statements

6 2013 BDS $

2013 US $

2012 BDS $

2012 US $

24,226

3,549

1,774

1,773

887

Depo Provera

457

1,167

583

1,373

687

Cost

Norigynon

183

346

173

731

365

Accumulated depreciation

Land $

Contraceptives Condoms Copper T 380 A

Noristerat

Property, plant and equipment

Quantity

Brand name

Annual Report 2013 | Sixtyearstrong

Furniture and equipment $

Computer equipment $

Medical equipment $

Motor vehicles $

Total $

At December 31, 2011 22,600

79,077

230,311

184,534

636,952

(86,690)

(68,291)

(148,507)

(73,621)

(377,109)

22,600

33,740

10,786

81,804

110,913

259,843

–

120,430

145

414

207

913

456

8,182

5,596

2,798

1,974

987

Triquilar

493

363

182

662

331

Roselle

154

124

1,030

515

Marvelon

–

771

385

Lo Femenal

–

547

273

Opening net book value

22,600

33,740

10,786

81,804

110,913

259,843

Exluton

1,543

1,727

864

1,035

518

Additions

–

9,660

1,738

26,989

49,406

87,793

Optinor

–

3,095

1,548

Transfers

–

780

1,010

–

859

Vaginal Film

–

Disposals

1,882

3,166

1,583

–

- cost

–

(8,090)

(19,857)

(47,367)

(32,758)

(108,072)

720

699

349

–

- accumulated depreciation

–

6,653

19,857

47,367

32,758

106,635

Depreciation charge

–

(15,564)

(5,847)

(30,223)

(37,375)

(89,009)

22,600

27,179

5,746

79,580

122,944

22,600

122,780

60,027

210,943

201,182

617,532

(54,281)

(131,363)

(78,238)

(359,483)

122,944

258,049

Microgynon ED

Norlevo Misoprostol

Net book value Year ended December 31, 2012

(931)

Clinical Equipment Cyto Brushes Disposable Gloves Surgical Gloves

1,900

706

353

656

328

10,800

964

482

2,011

1,005

100

357

179

HCG Pregnancy test kits

1,163

1,403

701

–

Depo Provera Syringes

1,257

233

117

106

851

425

851

425

117

293

147

292

146

MR Syringe Kits Cannulae Silicone Lubricant Other Canesten Cream

281

141

Cleocin Cream

1,460

730

1,343

671

Gyno Travogen Cream

552

276

362

181

Trovogen Cream

238

119

151

24,200

12,100

20,265

10,132

Closing net book value

258,049

At December 31, 2012 Cost Accumulated depreciation Net book value

– 22,600

(95,601) 27,179

5,746

79,580

Notes to Financial Statements

The Barbados Family Planning Association

Land $

Furniture and equipment $

Medical equipment $

Computer equipment $

Motor vehicles $

Notes to Financial Statements

Annual Report 2013 | Sixtyearstrong

Deferred income - statement of changes in Donor Fund balance

Total $

BDS Dollars

US Dollars

Year ended December 31, 2013 Opening net book value

22,600

27,179

5,746

79,580

122,944

258,049

–

6,567

1,771

3,876

121,802

134,016

- cost

–

(6,890)

(2,440)

- accumulated depreciation

–

6,796

2,440

Depreciation charge

–

(6,882)

(2,883)

(29,955)

4,634

53,501

Additions Disposals

Closing net book value

Accumulated depreciation Net book value

2013 Fund balance b/f

22,600

26,770

– –

(95,000) 59,759

68,995

(44,885)

(84,605)

164,620

Cancer IPPF/ Prevention Project UNFPA WHR

Ministry Total of Health

Cancer IPPF/ Prevention Project UNFPA WHR

Total

–

10,926

–

1,914

12,840

–

5,463

–

957

6,420

during year

14,000

–

15,643

–

29,643

7,000

–

7,822

–

14,822

Total funds available

14,000

10,926

15,643

1,914

42,483

7,000

5,463

7,822

957

21,242

the year

14,000

10,926

9,610

1,914

36,450

7,000

5,463

4,805

957

18,225

Total expenditure

14,000

10,926

9,610

1,914

36,450

7,000

5,463

4,805

957

18,225

–

6,033

–

6,033

–

3,017

–

3,017

(104,330)

272,125

Add funds received

Funds expensed during

At December 31, 2013

Cost

Ministry of Health

22,600 – 22,600

122,457

59,358

214,819

227,984

647,218

(95,687)

(54,724)

(161,318)

(63,364)

(375,093)

26,770

4,634

53,501

164,620

272,125

Total restricted funds end of year

Accounts payable and accrued expenses BDS Dollars 2013 BDS $

US $

BDS $

US $

Fryer Donation

IPPF/ WHR

Youth Hotline

UNFPA

Total

Fryer Donation

IPPF/ WHR

Youth Hotline

UNFPA

Total

20,502

10,926

4,567

8,005

44,000

10,251

5,463

2,284

4,002

22,000

–

4,567

4,749

9,316

–

2,284

2,374

4,658

–

1,342

–

671

the year

20,502

–

20,502

10,251

–

10,251

Total expenditure

20,502

–

4,567

6,091

31,160

10,251

–

2,284

3,045

15,580

–

10,926

–

1,914

12,840

–

5,463

–

957

6,420

2012 Fund balance b/f

Accounts payable

43,285

21,642

58,527

29,264 Funds expensed

Due to National Insurance Office Accrued expenses

US Dollars

2012

140,459

70,230

154,656

77,328

16,750

8,375

16,750

8,375

200,494

100,247

229,933

114,967

during the year Repayable to donor Property, plant

The amount due to National Insurance Office (NIS) relates to severance expense payments which the Association has to refund NIS. The Association is in the process of negotiating the repayment terms relating to this amount. Interest is accrued at the rate of 1% per month.

and equipment purchased during

Total restricted funds - end of year

Notes to Financial Statements

The Barbados Family Planning Association

Statement of changes in Designated Fund balance

Fund balance - beginning of year Interest income on interest bearing deposits Transfers from undesignated funds Fund balance - end of year

Notes to Financial Statements

Annual Report 2013 | Sixtyearstrong

11 Miscellaneous income Provident fund $

Severance fund $

2013 Total $

2012 Total $

271,964

41,760

313,724

298,037

10,185

1,364

11,549

9,857

–

5,830

282,149

43,124

325,273

313,724

2013

Gain on disposal of plant and equipment

2012

BDS $

US $

BDS $

US $

75,165

37,583

422

211

Volunteer contributions

160

475

237

Other income

200

100

–

75,525

37,763

897

448

12 Insurance 10 Statement of changes in Fixed Assets Fund

BDS $

US $

Property, plant and equipment and inventories may be acquired at a reduced cost or donated. The replacement costs have been estimated by the Association and reflected in the insurance policies held by them, with cover affected as follows: BDS $

US $

Motor vehicles

365,540

182,770

Furniture and equipment

710,098

355,049

Inventories

267,568

133,784

2013 $

2012 $

381,791

376,573

29,461

29,182

2013 Unrestricted Fund balance - beginning of year

64,388

32,194

Less: Amount released to income during the year

(27,222)

(13,611)

37,166

18,583

Restricted

13 Key management compensation

Fund balance - beginning of year Bequeathed land donation - Hamilton Estate Fund balance - end of year

22,600

11,300

59,766

29,883 Salaries and allowances National Insurance

2012 Unrestricted Fund balance - beginning of year Less: Amount released to income during the year

98,661

49,331

(34,273)

(17,137)

64,388

32,194

22,600

11,300

86,988

43,494

Restricted Fund balance - beginning of year Bequeathed land donation - Hamilton Estate Fund balance - end of year

Notes to Financial Statements

The Barbados Family Planning Association

14 Changes in non-cash working capital balances 2013

2012

BDS $

US $

BDS $

(3,935)

(1,968)

(Increase)/decrease in other debtors

(8,368)

(4,184)

2,087

1,044

3,324

1,662

(3,324)

(1,662)

Decrease in prepaid expenses (Decrease)/increase in accounts payable and accrued expenses Increase in IPPF payable

(33)

(17)

(29,439)

(14,719)

4,041

2,021

(34,410)

(17,205)

6,880

(2,044)

3,440

83,189

2,652

1,326

172,629

86,315

Accounts payable

Financial risk factors

The Association’s activities expose it to a variety of financial risks as follows:

Accounts payable

As the Association has no significant interest bearing assets other than the deposits, the Association’s income and operating cash flows are not significantly dependent on changes in market interest rates.

The interest rates on the deposits at year end were 2.25% - 3.75% (2012 - 2.8% - 3.25%).

b) Credit risk Credit risk arises from the Association’s cash and cash equivalents and exposure to customers and donors in the area of outstanding receivables. Cash and deposits are placed with credit worthy international banks. The credit quality of receivables is assessed in the table shown below: 2013 $ 0 to 3 months 6 months +

183,744

213,183

d) Fair values The carrying values of financial assets and liabilities are assumed to approximate fair values due to the short-term nature of these assets and liabilities.

a) Market risk Cash flow and fair value interest rate risk

Total $

As at December 31, 2012

15 Financial risk management

Less than 1 year $ As at December 31, 2013

(1,022)

166,378

Annual Report 2013 | Sixtyearstrong

Liquidity risk Management monitors cash and cash equivalents on the basis of expected cash flow. Financial liabilities at the date of the statement of financial position based on the remaining period to maturity were as follows:

US $

(Increase)/decrease in inventories Decrease/(increase) in IPPF grant receivable

Notes to Financial Statements

2012 $

4,253

–

10,433

9,644

14,686

9,644

No provision for impairment has been considered necessary in 2013 and 2012.

The Barbados Family Planning Association

Annual Report 2013 | Sixtyearstrong

Reconciliation to Annual Report.

Notes.

(For management information purposes only) December 31, 2013

BDS $ Surplus of comprehensive income over expenses per Annual Report

BDS $ 89,191

Income Adjustments as at December 31, 2013 Admin interest earned IPPF/WHR â&#x20AC;&#x201C; Technical Assistance Grant

(257) 19,423

19,166

Expenses Adjustments as at December 31, 2013 Strategy 2 - - Medical and related services IT Professional fees

(19,423)

Strategy 2 - - Medical and related services Software maintenance Surplus of comprehensive income over expenses per audited accounts

(6,693)

(26,116) 82,241

The Barbados Family Planning Association

EDUCATION/INFORMATION Counselling and Education in Sexual And Reproductive Health: For Children, Adolescents and Adults. Community Based Distribution Programmes: Contraceptive supplies and guidance to workers on their job sites. MEDICAL SERVICES Contraceptive Services: Supplying Pills, Injections, Diaphragm Fitting, IUD Insertions, Condoms, Spermicides and Counselling on Family Planning Methods Pregnancy and Pap Smear Tests: Breast and Pelvic Examinations

Family Life Education Programmes: Adolescent Parenting programme for teenaged parents and prospective parents. Lectures: Lectures given to schools, tertiary institutions, youth and community groups supported by audio visual aids and literature.

Emergency Contraception: For those who have unprotected encounters

Family Life Education and Peer Counselling Course: Courses offered at Introductory and Advanced Levels.

Permanent Contraceptive Methods: Voluntary Male and Female Sterilisation

Youth Group Affiliates: Youth Advocacy Movement (YAM)

Operations: Tubal Ligation, Endometrical Biopsy D & C and Loop cone Biopsy

195 4-pr esen t

Routine Medical Examinations: Routine checks, Weight, Blood Pressure, Blood Sugar Test, HIV/AIDS Testing Specialised Services: Colposcopy/ Cryosurgery Infertility Clinic, Antenatal Clinic

OPENING HOURS Monday to Friday 7:30 a.m. - 4:30 p.m.

Total Quality Care for Men: Urological care including Prostate Monitoring, Nutritional Counselling, Varicocele Repair, Prostatic Biopsy, Adult Circumcision, Vasectomy and other healthcare services

Wednesday

7:30 a.m. - 7:00 p.m.

Saturday

8:00 a.m. - 1:00 p.m.

Sunday

8:00 a.m. - 1:00 p.m.

contact us. The Barbados Family Planning Association Bay Street, St.Michael, Bridgetown, Barbados Tel: (246) 426-2027 Fax: (246) 427-6611 Email: bfpa@caribsurf.com Website: www.bfpa.net