We save lives.We make an impact.
ANNUAL REPORT 2014
THE BARBADOS FAMILY PLANNING ASSOCIATION
INTRODUCTION
A year of Transition
The Barbados Family Planning Association is one of Barbados’ oldest civil society organizations having been established by an Act of Parliament in 1954. At sixty one years, we continue to experience strong growth. During 2014 there was a changing of the guard with the retirement of longstanding Executive Director Mr. George Griffith and with Mrs. Juliette Bynoe-Sutherland Attorney-at-law and Health Planner assuming the organization’s leadership. We have proven to be a resilient organization with great potential for continued sustainability. We continue to strengthen our financial base through our clinic revenues. Internal financing now accounts for 53% of the income of the Association. The Government of Barbados remains our main partner recognizing our role in reaching hard to reach populations and our ability to take pressure away from public service providers by providing services to persons who can afford to pay small amounts to receive care. Unfortunately, due to continuing financial constraints, Government’s subsidy enduring 2014 was reduced by 32% from 2013. This significant reduction has impacted the organization’s cash flow and its ability to provide free services to vulnerable persons most in need of care. However, it also provides impetus for meeting the challenge with expanded fund raising. The Board during 2014 refined its strategic focus and has begun a process of reengaging members. We are also building new partnerships with organizations representing vulnerable communities to better role out our advocacy agenda. Our youth interventions in schools and in the community continue to be in demand and our Youth Advocacy Movement began a process of rebuilding to better respond to requests for support. We are saving lives. We are making an impact.
KEY STATISTICS 2014 Number of Clients in Clinic
Number of Services Provided to clients
Number of New Clinic Clients
4,165
55, 173
1,465
Number of Repeat Clinic clients
Number of Youth reached in School and Community Outreach
Number of Youth services (< 25) in clinic
2,700
3,368
16,388
Number of Condoms distributed
115,994
Service
Provision During 2014, 55173 services were provided. BARBADOS SERVICE STATISTICS MATRIX 2013-2014 MAJOR SERVICE CATEGORIES
YEAR 2013
2014
Sexual and Reproductive Health Contraception Services
7,270
7,581
% Change
4
Sexual and Reproductive Health Contraceptive Counselling
3,420
3,114
-9
Contraceptive – Modern Methods – Short Acting Reversible Contraceptive
2,698
2,918
8
Contraceptive – Modern Methods – Long Acting Reversible Contraceptive Services
74
138
86
Contraceptive – Modern Methods – Long Acting Permanent Contraceptive
105
84
-20
Contraceptive – Modern Methods – Emergency Contraceptive
973
1,327
36
Sexual and Reproductive Health Non-Contraception –Services
31,580 40,116
27
Special Voluntary Service and Related Care Services
1,718
1,654
-4
HIV and AIDS
4,499
4,199
-7
Sexual Transmitted Infections Associated Services
7,062
11,827
67
Gynaecology
10,296
9,266
-10
Obstetrics
2,916
5,908
103
Urology
647
793
23
Sub Fertility
60
62
3
4,382
6,407
46
Non-Sexual and Reproductive Health Medical Services
8,496
7,476
-13
Total Services
47,346 55,173
17
Specialised Sexual and Reproductive Health Services and Other Services
Our
Outcomes SAVING LIVES, MAKING AN IMPACT Number of Antenatal services
Number of HIV Tests conducted
Number of Positive HIV Test
671
787
3
Number of STI labs tests conducted
Number of Positive STI Tests
Number of SRH counselling
2031
167
16,817
Number of Hernia surgeries
Number of pap smears
Number of Abnormal Pap smears
48
1,166
316
WHO WE SERVE Number of Female Clinic Clients
3,559
Number of Male Clinic Clients
606
PROFILE OF CLIENTS AGE PROFILE OF CLIENTS
45+
933
40 to 44
0 to 9 10 to 14
368 465
35 to 39
15 to 19 577
30 to 34 25 to 29
726
20 to 24
793
20 to 24 25 to 29 30 to 34
270
15 to 19
35 to 39
26
10 to 14
40 to 44
7
0 to 9 0
45+ 200
400
600
800
1000
PROFILE OF CLIENTS RELIGION
ETHNICITY 4% | 154 Unspecified 25% | 1044 Anglican
3% | 120 No Response 36% | 1500 None
1% 1% Unspecified Other
0% | 10 Protestant
1% | 48 Wesleyan 9% | 358 Pentecostal
20% | 826 Other
83% Afro-Caribbean
2% | 105 Catholic
Our
Finances TOTAL INCOME FOR 2014
$1, 575,918 INCOME DISTRIBUTION
5% 1% IPPF Cash/ Other Commodities income 4% Donor Restricted
3% In-Kind/ Non-Cash Income 34% Government Subvention
53% Medical Services
14% Caucasian 1% Asian
FOUR MAIN SOUR •
Clinical and Medic
•
The IPPF Cash gra
•
Government Subv
•
The IPPF Commod
•
Community sales
Number of Clinic Clients above age 25
3,069
Number of Clinic Clients under age 25
1,096
CLIENT LOCATION BY PARISH
2000
1683
1500 1000
653 106 101 57 ST. LUCY
UNSPECIFIED
71
ST. JOSEPH
ST. JAMES
ST. JOHN
ST. PETER
ST. THOMAS
ST. PHILIP
ST. GEORGE
ST.MICHAEL
CHRIST CHURCH
0
300 181 162 151
ST. ANDREW
410 290
500
MALE CLIENTS MALE CLIENTS OF CLINIC 2012 -2014 2800 600
503
552
606
NUMBER OF MALE SERVICES IN CLINIC 2012 -2014
6000
400
4000
200
2000
0
YEAR 2012
YEAR 2013 YEAR 2014
0
2891
YEAR 2012
3869
4414
YEAR 2013 YEAR 2014
RCES OF INCOME
ical Services increased by 8% to $803,842 compared to $742,487 in 2013.
ant increased by 236% to $38,835 in 2014 compared to $11,570 in 2013.
vention was reduced by 32% to $543,296 compared to $800,000 in 2013.
dities grant was $41,074 in 2014 compared to $49,044 in 2013.
s of commodities was reduced by 15% to $37,106 in 2014 compared to $43,946 in 2013.
EXPENDITURE 26% Administration and General Costs
74% Total Projects
Our Youth
Programmes
During 2014, 11 new Youth Advocacy Movement volunteers joined and this new youth cohort was trained in an IPPF module on Peer Education & Advocacy. These young person ranging in age from 14 to 20 are supporting the Association in youth education in schools and community We expanded our Adolescent Young mothers programme from a 4 day seminar, focusing only on life skills, to an 18 month program with an expanded Life Skills focus and opportunity for young mothers to acquire two CXCs and one technical skill such as nail technology or dressmaking. This ground breaking pilot project was funded by The Maria Holder Memorial Trust and is replicated in Grenada. This has increased number of adolescents mothers reached from 11 in the previous year to 25. We facilitated educational sessions at 13 Secondary Schools and 8 Community Organizations and conducted 24 outreach programmes in the community. Our staff undertook a wide range of speaking engagements on SRH topics island wide. We also began a process of going into workplaces to deliver counselling and treatment referrals.
YOUTH OUTCOMES Counselling and Casework by staff Social Worker • Males 20 • Females
38
SRH Youth Education & School/Community Outreach • Males reached 1627 • Females reached 1741
Our Vision A community where each individual has access to the highest, quality sexual and reproductive health, information, education and services.
Our Advocacy
Initiatives During 2014 we expanded partnerships with disabled groups such as BARNOD and advocacy bodies such as the Barbados Council for the Disabled. We began discussions with LGBT groups such as SEED and MOVEDAT to better understand how to reach and serve these communities. Our main advocacy issues worked on during 2014 were: • Promoting comprehensive sexuality education. • Training of teachers and social workers in sexuality particularly in primary schools. • Expanding access to sexual and reproductive health services by the LGBT and disabled community. • Ending the age of consent (16 years old)/age of access to health services (18 years old) disconnect for adolescents. • Population and development – responding to concerns about the impact of low birth rates on long term population replacement from a gender and womens’ rights perspective.
OUR ADVOCACY HAS BEEN IMPACTFUL • Government is favorably disposed in policy documentation and public statements to ending the Age of Consent/Age of access disconnect. • Organizations representing vulnerable groups are moving towards the association for deeper partnerships. • Increased use of services from youth and vulnerable communities.
donate now Our Mission To serve and empower people with their sexual and reproductive health needs. OUR GOVERNANCE
We are known for our transparency and is governed by a Board of Directors under the leadership of Rev. Ruth Phillips with representatives of the Ministry of Health (CMO), private sector and NGO partners and reflecting the age, ethnic, religious, disability, and socio-economic diversity that is Barbados
What We Do SERVICES FOR WOMEN
SERVICES FOR YOUTH
Counselling
Counselling
Pap smears
In Schools programmes
Contraceptives
Peer Education
Breast examinations
Contraceptives
Pregnancy testing
Pregnancy Testing
Pregnancy care
HIV and STI screening and treatment
Testing for HIV Testing and treatment for Sexually Transmitted infections Gynecological treatment Fertility support
Community outreach
volunteer
Minor surgeries Women’s health
SERVICES FOR MEN Counselling Prostate examinations
LOCATION HEAD OFFICE & SIR CLYDE GOLLOP HEALTH CLINIC BARBADOS FAMILY PLANNING
Vasectomies Testing for HIV Testing and Treatment for HIV and STIs Minor surgeries
Bay Street, St Michael Tel: 1-246-426-2027 Email: info@bfpaonline.com www.bfpaonline.com
Men’s Health Treatment of Erectile Dysfunction
Strategic Priorities FOR 2015
• Increasing quality service delivery • Improving financial performance to meet budgetary requirements • Increasing fundraising and volunteerism