Bfpa ar 2014 brochure insides4 singles1 (2)

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