BFPA ANNUAL REPORT 2009

RENEWING THE VISION 55th ANNUAL REPORT 2009

THE BARBADOS FAMILY PLANNING ASSOCIATION

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.

THE BARBADOS FAMILY PLANNING ASSOCIATION

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BARBADOS FAMILY PLANNING ASSOCIATION

55th Annual Report 2009

Fifty-fifth ANNUAL REPORT 2009

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THE BARBADOS FAMILY PLANNING ASSOCIATION

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contents Vision without action is a dream. Action without vision is simply passing the time. Action with Vision is making a positive difference. / joel Barker / 7

TABLES AND CHARTS

Message from the Executive Director

11

Male Clinic Services

18

Overview

15

New Clinic Acceptors/Clients by Method and Services Rendered 2008 – 2009

19

Medical and Clinical Services

17

Total Clinic Activity 2008 – 2009

19

Youth Development

25

Plant, Equipment and Furniture

31

No. of Acceptors/Clients Serviced by BFPA Clinical and Non-Clinical

19

Characteristics of Male Clients January to December

18

Finance Report

33

Auditors’ Report

38

Visits of Clients by Method Used and Medical Services 2008-2009

20

Balance Sheet

40

Total Number of Male Clients

21

Statement of Income, Expenses & Changes in Undesignated Fund Balance

Total Number of Clients Serviced by BFPA Clinical and Non-Clinical

21

42

Statement of Functional Expenses

44

Family Life Education and Peer Counselling Courses and No. of Graduates

21

Statement of Cash Flows

45

Provisional Live Births in Barbados 1981-2009

27

Notes to Financial Statements

46

Births to Teenagers at Q.E.H. in Barbados 1981-2009

27

Income by Percentage – 2008

34

Reconciliation to Annual Report

60

Photogallery: Year in Review 2009

61

Medical Revenue for period - Jan - Dec 2007-2009 by area of service delivery

34

Tribute to a Friend: Erskine Callender

63

Medical & Related Services Income for Three Year Period

35

Asset Composition

36

Liabilities Composition

36

Comparison of Gross Income, Surplus and Operating Expenses

36

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Message from the President

THE BARBADOS FAMILY PLANNING ASSOCIATION

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Vision is the art of seeing what is invisible to others. / Jonathan Swift /

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President’s Message Mr. Jefferson Kirton, President, BFPA

“Sexuality is a natural and precious aspect of life, an essential and fundamental part of our humanity. For people to attain the highest standard of health, they must first be empowered to exercise choice in their sexual and reproductive lives; they must feel confident and safe in expressing their own sexual identity” Words of our President of IPPF, Dr. Jacqueline Sharpe from the Forward of the “Sexual Rights : An IPPF Declaration” pocket guide.

It is on this premise that the Barbados Family Planning Association (BFPA) has been built over the past 55 years.

The International Planned Parenthood Federation must be commended for being able to complete the Sexual Rights declaration over the past year, and for which the BFPA will continue to advocate with a view of moving the recognition of the individual’s fundamental Rights and freedoms forward.

Association’s management structure had to be restructured in an effort to reduce expenditure.

The unavailability of professional staff to work for the Association in some critical areas continues to be a challenge for the Board and the fast movement and turnover of this staff did not make the exercise any easier either.

Equipment & Plant Up grade.

The year in review, though challenging was still a favourable one for the Association. Our message of retooling and re-shaping the Association to meet these challenging times did guide us in realizing some success during the last year.

The Board had its work cut out for it as it had to maintain a high level of output from the organization with the limited resources available to it. Some areas of the

Over the coming years, the Board has to channel its energies into securing a new home for the Association.

The Association has out grown its present location and with the building showing some signs of deterioration, it must be foremost in the minds of all members to look at new possibilities.

We also have to move urgently to address the need to replace the Association’s aging equipment. Efforts to keep up to date with this latest equipment must be a matter that has to occupy the mind of the members.

The Association has never really benefited from any major generosity from Corporate Barbados in the past.

It is however hoped that with our 55 year old record of service to the Barbados community in the area of Sexual and Reproductive Health, that Corporate Barbados will see this good work, and help the Association to continue the work which our founders fought long and hard for to assist those in needs of these essential services.

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As we celebrate our 56th year of service to the community of Barbados we do so at a time of economic challenges both locally and internationally. This we expect will have some effect on our ability to effectively discharge our mandate to provide services to our clients and the public at an affordable price. The Board has however determined that sexual and reproductive health services must be kept within reach of all persons and especially those less fortunate and will therefore continue to make these services both available and accessible.

Mens’ Health

Membership

Every effort should be made to increase our awareness in the community. Over the year past, with the help of the National Men’s Health Association and UNFPA, the Association was able to increase men’s awareness about their health. Our efforts at this have helped us in getting more men to address more meaningfully their health and wellness. There is evidence that our Mens’ clinic is gaining momentum. Our special thanks to Dr. Christy Daniel, Dr. Christopher Warner, Dr. Janet Collins and Dr. Ian Lewis who took up the mantle of responsibility after the departure of Dr. Dave Padmore. These doctors continue to give of their time in offering the best of services to our men. We wish to convey our gratitude to them for this show of community service, and for which the Association is most grateful.

Our membership drive has to get into high gear. During the course of the year past, several applications were received for membership. These applicants will add to the membership base of the Association as we continue to look to more volunteers to help us continue the work of the Association.

President’s Award As in previous years, an award is given to the Board member who, in the mind of the President, has given yeoman service to the Association. While it has been a quiet year for the Association several members stand out. I however have to thank our representative from the Ministry of Education, Mr. Hughson Inniss for his contribution to the Board over the past year. This new representative from the Ministry has guided us tremendously in the making of decisions and policies as it relates to HIV/AIDS and the like. Mr. Inniss is rarely absent from meetings and stands out as one of the better representatives the Association has attracted in recent years. Therefore it is my pleasure to present the President’s Award for the year 2009 to Mr. Hughson Inniss.

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Conclusion Mindful of the continuing challenges facing all Organisations, the Association has done considerably well. Some consolidation of resources has become necessary in order to survive these times. Some harsh decision may be necessary over the coming year in order to keep the Association afloat. It is expected that the year ahead will be an even harder one for the Board as we try to achieve this objective. My special thanks to members of the Board who gave of their time and expertise to keep the Association going forward.

As President, I must commend the staff for their continued support in implementing the policies and programmes of the Board. Their long relationship with the Association is testimony of the fact that we are indeed a family.

The Board is continuing its work to make sure this relationship lasts even longer.

Jefferson Kirton President and Chair of Board Directors

Quote

Dream lofty dreams, and as you dream,

your VISION so you shall become.

is the promise of what you shall one day be; your ideal is the prophecy of what you shall at last unveil.” / James Allen / (New Zealander Statesman.

Minister of Defense (1912-20), 1855-1942)

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Only those who look with the eyes of children can lose themselves in the object of their wonder. / Eberhard Arnold /

THE BARBADOS FAMILY PLANNING ASSOCIATION

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Message from the Executive Director Mr. George S. Griffith, SCM, MS, JP

Renewing the Vision

The invaluable contribution of the NGO sector to the growth and development of Barbadian society may never be fully appreciated by 21st century Barbadians.

We have forgotten that the infant mortality rate was 136 per 1,000 live births in 1951 and that both Houses of Parliament were so concerned for the future of Barbados that a joint committee was appointed “to examine the question of over-population in Barbados and to make recommendations for dealing with this problem”. The recommendations make very interesting reading and should jolt present day Barbadians into recognising that our very limited land mass and natural resources make each and every one of us vulnerable especially in today’s social and economic climate.

The then joint committee of 1952 was concerned about the prospects of an increasingly lower standard of living with consequent misery for everyone becoming Barbados’ reality.

Among the problems identified were: • The inadequacy of health services, the water supply, school places, inadequate housing, unemployment and underemployment.

It is very interesting to note that although the country has come a long way in terms of the realization of a better quality of life including very impressive infant mortality and maternal mortality rates, some of the concerns raised by that 1952 committee are still with us today.

Twenty-first century socio-economic expectations continue to drive the demand for housing to the extent that the perceived “housing problem” now seems so real that an increasing number of us are being led to believe the popular refrain that every one of the approximately 270,000 Barbadians should own “a piece of the rock”.

This is great philosophically, but mythical in reality.

As a nation, we have developed at so rapid a pace that we seem totally unaware of the capacity of the country’s natural resources to meet our ever expanding needs. The island’s water resources readily come to mind along with the growing ratio of swimming pools to head of population.

The demand for reduced classroom size to meet standards set by those for whom land space and financial resources do not constitute a problem is yet another case worthy of mention.

It is clear to me that. of necessity, someone must remind us all that we are still a developing country with a land mass of 166 square miles and one of the highest population densities in the world. We cannot feed ourselves, neither are we generating foreign exchange sufficient to meet our preferred level of consumption.

This in any language equals unsustainability. As daunting as this may seem, it pales in comparison with what passes for parenting in today’s Barbados.

One is led to believe that we have become such slaves to the “good life” and the immediate gratification

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Neither do I expect in my lifetime to hear any admission of the fact that the quality of life we have come to expect as a matter of course could not have been possible without the visionaries and pioneers of the family planning movement of the 20th century.

syndrome, that we have forgotten that the principal role of mothers and fathers is to be effective parents to their offspring.

It is as if parents somehow believe that providing the child with all the material things that he/she sees and demand constitute good parenting. This present state of affairs demand that we seek to rescue both parents and children since an increasing number of parents seem lost and do not know how to rear well rounded children by providing the effective parenting they so desperately need.

In today’s supersonic age so many of us are hooked on life styles as portrayed by popular films, local, regional and international entertainment characters that we have drifted into a world of make belief. For some of us it is as if we do not really live on this 166 square mile island and as a consequence a profound level of psychological and emotional detachment has taken place, hence the inability to discharge our duties and responsibilities effectively and consistently.

This brings me back to where I began and BFPA’s theme for this year’s celebrations. “Renewing the Vision”.

The Government of 1952 could not implement the recommendations of the Joint Parliamentary Committee simply because it was felt that the then population was so concerned with meeting their basic human needs that they would not have comprehended Government’s justification for the proposed programme.

On the other hand, the Church of that era, some politicians and “well to do” members of society chose to misrepresent the recommendations of the committee even though it was readily agreed that some fundamental change was desperately needed if the quality of life for the broad masses of the people was to change for the better.

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Expediency and pragmatism resulted in a programme of family planning, one of the principal areas of the recommendations, being undertaken by a group of brave volunteers who had a clear vision of the benefits that could accrue to Barbados if this programme (as it was then understood) was implemented.

The going was rough. Attacks came from diverse and sundry areas of the community, from the pulpit of very influential churches to political platforms in the City.

The ignorance of the uneducated was severely exploited even though it was acknowledged that the “well to do” ladies of that era who could afford it, were already accessing family planning services, yet the poor were being denied access on the basis of both their lack of good quality information and their ability to pay.

Today the renewal of our vision must of necessity encompass the apparent dearth of parenting skills in communities across Barbados to the extent that the parenting academy long in gestation must be urgently established. It must be emphasized that effective parenting is fundamental to the stabilization of any society, without it all other attempts at socio-economic development will fail since it is impossible to build a society without young, healthy men, women and children. It is said that “it is better to build boys/girls than to repair men/women”.

The vision which inspired and motivated our founders and succeeding generations of members over the past fifty-six years, has contributed to the social and economic revolution which is evident when the past sixty years is compared with today’s Barbados.

The renewal of that vision will require no less sacrifice, no less selflessness and no less dedication and determination than was required in the 1950’s.

The powers against whom we must fight today have been joined by HIV/AIDS, illegal drugs, the re-emergence of STi’s and communicable diseases (once thought to have been eradicated), over indulgence of diverse kinds and addiction to the “good life”. The task ahead though seemingly daunting is not insurmountable, for the sake of our beloved country and generations yet to come, we must not fail.

George Griffith, SCM, MS. JP Executive Director

Quote

Effective leaders help others to understand

common VISION the necessity of change and to accept a

of the desired outcome.” / John Kotter /

Fifty-fifth ANNUAL REPORT 2009

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THE BARBADOS FAMILY PLANNING ASSOCIATION

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/ Benjamin Franklin /

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It's easy to see, hard to foresee.

Overview

The year in review has tested the capacity of the BFPA to overcome a number of difficult challenges which have emerged as a consequence of the global recession, its impact on the Barbadian social and economic landscape and by extension the capacity of the organisation to discharge its mandate.

The organisation’s ability to reduce its budgeted expenditure by 13.5% from $1,983,596 to $1,715,113 in response to a 13.6% decline in income from $2,010,379 to $1,736,493 can be attributed in part to the commitment of the entire staff team to the best interest and financial viability of the BFPA. Honesty, however, dictates that there is some admission of the fact that the adjustment of expenditure downward by $183,099 was partially gratuitous since one redundancy and the slow pace at which positions which became vacant were filled contributed to the decline. So too the decision to fill temporary vacancies and to utilize sessional staff only when absolutely necessary without threatening the quality of service to clients.

It is anticipated that prevailing social and economic circumstances will heighten the demand for the Sexual and Reproductive Health Services presently offered by the organisation. It is also reasonable to expect that demands by Civil Society partners, and the public at large for BFPA services in the form of education, training and advocacy will continue to increase.

Assuming that these assumptions are realised and based on existing personnel levels, the organisation will be hard pressed to effectively meet these demands.

The market place has changed considerably over the last twenty-five years. This can be attributed to the persistent Educational and Advocacy programmes of the BFPA, the NGO and Civil Society sectors, other stake holders and the technological revolution which has ensured that information on the widest possible subject areas is no more than a “click” away.

The Barbados Family Planning Association can only maintain its relevance in this emerging global environment if it continues to invest in the education and training of its staff and Board of Directors at all levels.

It is accepted that this range and depth of training is indispensible to the continued growth development and survival of the organisation in today’s very rapidly changing socio-economic environment.

The year ahead though seemingly challenging will no doubt provide the opportunity for the BFPA to demonstrate its capacity to not only maintain its relevance in 21st century Barbados but to maintain its position as the dominant voice and service provider in the area of Sexual and Reproductive Health and Rights in Barbados both now and in the years to come.

The following outlines the work of the organisation and its performance during the reporting year 2009.

15 Fifty-fifth ANNUAL REPORT 2009

The three core management strategies which were deployed as an initial response to the emerging economic situation proved successful in the short term.

Cost Containment, Improved Revenue Generation and The Expansion of Services, these once implemented were maintained as the primary focus of the organisation.

Staff at all levels bought into these strategies as the organisation’s response to the economic uncertainty which threatened its ability to maintain the range of services to which the public had grown accustomed.

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If I have seen farther than others, it is because I was standing on the shoulders of giants. / Isaac Newton /

THE BARBADOS FAMILY PLANNING ASSOCIATION

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Medical and Clinical Services

The provision of good quality Medical and Clinical services is regarded as one of the major obligations of the BFPA to its clients, stakeholders and benefactors alike.

This obligation was discharged during the year under review with encouraging levels of effectiveness and efficiency in spite of the unprecedented socio-economic challenges which confronted the entire organisation for the duration of the year 2009.

Open Days

Staff turnover in the nursing categories continued unabated during the year, as has been the case for the past twenty-five years or more. This chronic situation seems beyond immediate control of the organisation since resources required to offer remuneration packages comparable with what is obtained in the market place cannot be readily mobilized given the organisation’s financial reality.

Open days were held on 26th and 27th May for males and females respectively. Some services were offered free of cost and others benefitted from a 50% discount in price.

Lectures/discussions were presented free of cost. Topics included stress management and breast examination/ breast cancer screening.

In spite of these limitations the performance of the Department of Medical and Clinical Services can be described as commendable.

The annual Open Day which coincides with the celebration of “Family Planning Week” has become a permanent feature of the BFPA’s calendar.

Stake holders from a number of local pharmaceutical companies displayed their products, provided educational information and made samples available to those in attendance.

Men’s Clinic

Medical and Related Services Income realised $563,573 in the year under review when compared with $525,126 in the previous year (2008). This constitutes 33% of total income for 2009 up from 27% in the year 2008.

The continued growth and development of BFPA’s Total Quality Care Service for men is a strong indication that men in Barbados can no longer be referred to as “the forgotten 50% in family planning” as was justifiably the case prior to the year 1998 when the first clinic specialising in men’s Reproductive Health was established.

There was an eighteen percent (18%) increase in new clients in the reporting period from 437 in 2008 to 515 in

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Income from this area of activity grew by 7.3% in 2009 when compared with income year 2008. With the exception of medical examinations and related services which contracted by 7.8% all other categories of medical income recorded growth over the prior year.

2009. Meanwhile, male clients have grown from 848 in 2008 to 878 in year 2009.

The Ministry of Health has followed by establishing a “Men’s Health Group” in each of the eight Polyclinics strategically located across Barbados. The BFPA has continued to lend its support to the growth and development of these groups by participating in their educational and outreach programmes.

Male Services 2009

Minor Procedures Circumcisions Prostate Checks Hernia Repairs Medical Services Vasectomies

National Men’s Health Association The year in review was characterized by an intensification in the emphasis being placed on men’s health.

It should be recalled that following the Regional workshop on “Gender Families and Sexual Health – A Spotlight on Males” held in 1997 at Grand Barbados Hotel, the BFPA determined that the establishment of a clinic specially designed for the provision of services to men would have been developed.

THE BARBADOS FAMILY PLANNING ASSOCIATION

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Following a very successful community Rap Session Series of meetings across the length and breath of Barbados “Men Talking with men about Men’s Issues” in 1998. The Association opened the first Men’s Health Clinic in the country during the year. This was followed by a second community Rap Session Series entitled “Men Talking with Men about Men’s Health”.

After twelve years, it was recognized with much pleasure that the Polyclinics were establishing “Men’s Health Groups” as well. This confirmed that view that NGO’s

across the world are often called upon to set examples which are worthy of emulation by Governments and Government-oriented entities.

These ground-breaking initiatives not withstanding, it was recognized that a more structured focus was required if the growing momentum was to be maintained. After much consultation and meetings with stake holders, the need for the formation of a National Men’s Health was considered desirable.

On November 15, 2008 a National Men’s Health Association was established. The mission of the organisation is as follows “To provide the best possible quality of life for Barbadian Men of all ages through the promotion and provisions of Good Health, Education, Services, Care and Research.”

The organisation will ensure a sustainable focus on men’s health through the following: • Establishing and maintaining a secretariat for the purpose of coordinating national efforts to improve men’s health.

• Ensure the conceptualisation, formulation and implementation of research in relevant areas.

• Identify appropriate funding for the programmes and activities of the Association.

• Advocate for and on behalf of all Barbadian men as determined by the Association.

• Make representation at the local, regional and international levels in accordance with the established standards and procedures of the Association.

This fledgling organisation has, during the year in review, co-sponsored a successful community outreach series of educational meetings with funding from the UNFPA. A series of Television and Radio interviews were conducted and research carried out. These initiatives have succeeded in raising public consciousness and ensuring that the male population of Barbados can no longer be referred to with any justification as the forgotten 50% in Family Planning and Reproductive Health.

Colposcopy This service expanded significantly during the year as a result of the acquisition of a new colposcope which replaced the older one which had seen better days and is now obsolete.

Effective marketing and the maintenance of a high quality of service are the prerequisites for success in this area of service to clients.

The 3% decline from 1332 pap smears in year 2008 to 1297 in year 2009 could be attributed to the prevailing economic environment. An aggressive marketing programme aimed at drawing national attention to the value of timely screening and especially for women who are approaching or have passed their reproductive years is being introduced. This outreach is seeking to capture those women who erroneously hold the view that pap smear screening loses its relevance with the cessation of their reproductive capacity or once they are no longer sexually active. This programme is likely to energise the demand for pap smears and by extension colposcopy services.

Cytology Services

Cryo-Surgery

The Barbados Family Planning Association has persisted with the operation of its own cytology lab at a time when there has been a significant movement in the market place from pap smear slides to the new liquid test. Ordinarily the utilization of this new and more modern technological shift would have been preferred, however, the cost effectiveness of this change is beyond the BFPA at this time.

The unavailability of a properly functioning cryo-gun during the past year has contributed to the 8% decline in this service during the year in review from 27 in year 2008 to 25 in year 2009.

The 25% increase in colposcopies is an indication of the demand for this service when taken into consideration the fact that the organisation has been without a colposcope for the greater part of the year 2009. A total of 64 colposcopies in part of the past year when compared with 51 for the entire duration of the prior year speaks volumes of the potential of this service for growth and income generation.

The linkages which exist between an effective pap smear screening programme, colposcopy services and cryo-surgery are well known to the medical and clinical team of the organisation. With the acquisition of new equipment which is more effective and reliable, it is anticipated that reporting year 2010 will reflect a greater use of relevant services by the consuming public.

In addition, the organisation has developed an impressive record in this area of service in terms of accuracy, reliability and the timeliness of results.

New Clinic Acceptors/ CLIENTS BY METHOD AND SERVICES RENDERED 2007-20008 NEW CLIENTS

TOTAL VISITS

2008

2009

Change

2008

2009

Change

Orals

88

168

90%

1307

1279

-2%

IUCD

21

12

-43%

152

105

-31%

Condoms

35

18

-49%

592

326

-45%

Injections

42

99

136%

1474

1600

9%

FOAMS etc.

4

0

-100%

0

0

0

Diaphragms

0

0

-

0

0

0

Sterilizations

13

13

-

35

39

11%

Medical Services

1209

999

-17%

6112

5735

-6%

Total Clinic Activity 2008-2009 Activity

2008

2009

New Acceptors

1411

1493

Change 6%

Advice /Counselled

1595

2351

47%

Pap Smears

1316

1297

-1%

Pregnancy Test

712

614

-14%

Infertility

13

15

Persons Serviced

2720

3644

Number Of Acceptors/Clients Serviced by Bfpa Clinical And Non-Clinical Location

2008

2009

Headquarters

2057

3644

Six Roads Clinic

139

154

15%

CBDC

453

484

34%

Total

2649

4282

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METHODS

of pregnancy test of -14%. And the most pleasing increase was that of an overall 34% increase in clients’ serviced in comparison to last year which means that the association has managed growth in clientele despite the economic climate.

There has been a general increase in overall clinic activity from 2008 with an increase in new acceptors, significant increase in the counseling services provided an increase of 47%, slight decrease in Pap smears of -1%. The most significant decline was that

Visits of Clients by Method Used and Medical Services 2008-2009

Characteristics

TOTAL

08

NEW CLIENTS

1404 1481

MEDICAL SERVICES

08

09

08

09

08

09

08

09

88

81

21

12

35

18

54

60

4

13

1209

999

1

-

Total New Clients

1411 1493 88

81

ORAL

35

IUCD

18

CONDOM

54

60

4

13

1209 999

OTHER

MEDICAL SERVICES

08

08

INJECTION

08

09

8762 7800 1208 1111

138

94

561

310

1475 1513 40

36

5340 4736

453

219

265

265

Total Client Visits

9681 9084 1307 1279

152

105

592

326

1474 1600

44

39

6112 5735

Contraceptive Visits

3417 3033 1148 1139

73

76

391

312

1329 1502

4

4

Pap Smear Tests

1321 1297

115

80

37

27

54

18

66

53

23

12

1021 1109

Clients Seen By Doctor

1386 4003

252

169

100

64

139

38

226

166

32

24

3607 3536

Pregnancy Tests

743

20

15

08

09

05

06

47

25

-

1

632

484

614

188

09

12

09

C.B.D.C

08

21

08

Old Client Visits

THE BARBADOS FAMILY PLANNING ASSOCIATION

OTHER

09

STERILIZATION: Female

09

INJECTION

08

12

08

CONDOM

09

6

TOTAL

IUCD

08

STERILIZATION: Male

Characteristics

20

09

ORAL

The most glaring concern is the decline of actual visits which seems to be a trend. There was an 11% decline in old client visits in comparison to last year. There was

08

09

09

-

09

-

558

also a 7% decline in total client visits. There was an 11% decline intotal contraceptive visits.

Characteristics of Male Clients January To December

Total

Minor Procedures

Circumcisions

Prostate Checks

Hernia

Medical Services

Vasectomies

Repairs New Visits

305

-

1

58

3

158

12

Old Visits

573

-

-

125

-

448

0

Total Visits

878

0

1

183

3

606

12

Total Number of Clients Serviced by the BFPA clinical and non-clinic

Number of Male Clients

878

Year 2009

Year 2007 848

Year 2008 Year 2007

Year 2008 Year 2009

838

Year 2007

3128

Year 2009 Year 2008

2720

Year 2008

3644

Year 2009

Year 2007

810 820 830 840 850 860 870 880

Family Education and Peer Counselling Courses and No. Of Graduates 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 TOTAL

NO. 4 7 4 4 4 2 2 3 3 1 3 3 3 2 3 47

MALE 24 73 28 21 17 13 6 6 4 4 24 8 3 11 11 253

FEMALE 88 92 91 87 66 24 22 32 37 23 69 46 51 66 125 919

TOTAL 112 165 119 108 83 37 28 38 41 27 93 54 54 77 136 1172

21 Fifty-fifth ANNUAL REPORT 2009

YEAR

Education

Operating Theatre

annually or as directed by the doctor will be conducted. e. Open day for women and men will be expanded. f. The reintroduction of general anaesthesia services for BFPA Clients as well as private clients is very high on the list of BFPA priorities. The sourcing of a new machine with all the appropriate attachments will enhance the operating theatre services and make possible the expansion of existing services while introducing new services and procedures.

Efforts to improve and upgrade the operating theatre services continued throughout the year in review.

Community-Based Distribution of Contraceptive Programme (CBDC)

Revenue from theatre rental grew by 12.8%, up from $43,745 in 2008 to $49,355 in year 2009. Special medical services moved from $74,425 to $91,550 to record a 23% increase in revenue.

The consolidation of BFPA’s administrative arrangements aimed at higher levels of effectiveness and efficiency resulted in the number of departments being reduced from six to three, namely:

Clinic Management System

• Department of Finance.

• Department of Medical and Clinical Services and the • Department of Administration, Professional and General Services.

Departments of Social Marketing and Research, Counselling Services and General Services were absorbed by the new departmental arrangements.

A number of in service educational and training sessions were organized for the medical and clinical staff throughout the year. Some members of the Nursing staff participated in the Family Life Education and Peer Counselling Training Programme.

The Integrated Clinical Management System using the open EMR technology made tremendous progress during the year in review after floundering during the prior year.

It should be noted that the BFPA was the first Member Association (MA) of the International Planned Parenthood Federation to be exposed to this system. The first phase comprised a comprehensive range of training for all relevant staff with technical assistance and the required hardware and software provided by the IPPF/WHR. Phase two is currently underway and already the benefits of the system are being felt and enjoyed by the organisation.

Members of staff are to be highly commended for their willingness to adapt to this new technology.

The CBDC programme which had seen better days in the three previous decades i.e. 1970’s – 1990’s gradually lost market share to the point where revenue from the sale of contraceptives available in the programme could not cover its administrative cost.

It was widely acknowledged that IPPF’s inability to maintain a range of products for which there was a consistent demand contributed to the decline in this programme. So too the organisation’s failure to identify, source and introduce new and attractive products for which a demand could be generated.

A glimpse of the future

THE BARBADOS FAMILY PLANNING ASSOCIATION

22

a. Plans are underway for the continuation of monthly educational and and in house training for clinic staff at all levels. b. A series of educational sessions for clients attending all antenatal clinics will be implemented. c. Refresher courses for nurses in Acute Cardiovascular Life Support System will be continued. d. A pap smear drive aimed at encouraging both old and new clients to access pap smear screening at least

It is worthy of note that the IPPF’s condom market has been overwhelmed by the private sector strategy of researching and catering to the needs of a new generation of condom users who are not as concerned about quality as they are about condom style, glitz and glamour. Another very attractive marketing strategy has been the introduction of condoms which are flavoured and laced with retarding chemicals which cater to the ego of the male user. This fits into the image of the rap and 21st century dance hall and hip hop trend setters.

Optinor

Family Development Services

The Family Development Services Programme of the BFPA came into direct contact with 3020 persons during the year in review. This number comprised 1072 males and 1948 females. As is the custom, a wide cross section of educational and other institutions and organisations This not withstanding, Optinor continued to do sought the services of the organisation during the year. exceptionally well throughout the year in review.

Sales contributed significantly to the 31.8% increase in Man-power constraints and the organisation’s cost contraceptive sales in year 2009 when compared with containment strategy limited the number of invitations which could be accepted. A number of secondary schools, the prior year. tertiary institutions and special educational facilities were visited and received presentations and other forms of Roselle lecture/discussions in the following subject area: Roselle a new low dose oral contraceptive pill which was manufactured by ICON, IPPF’s Pharmaceutical company Parenting, Sexual and Reproductive Health and failed to win the confidence of clients and stake holders Rights, self esteem, decision making, a history in the initial stages. Unfortunately indications are that of contraceptives, emergency contraception and this product might not be on the market for much pregnancy termination/abortion. longer given a number of emerging issues which are in The BFPA participated in special workshops organised the process of negotiation between its principles. by the centre for “At Risk Teens” and teenage mothers.

It is to be regretted that the glimmer of hope which ICON inspired by its proposal to produce a number of BFPA’s Health Fair good quality cost effective products for IPPF Affiliates/ The annual Health Fair hosted by the organisation Member Association’s seems to have been short lived. as part of its Family Planning week celebrations was This turn of events has brought back to the fore the highly successful. Approximately 500 persons visited and participated in the lecture/discussions, viewed the future of the CBDC programme and its viability. exhibits and accepted brochures, leaflets and samples of The BFPA is left with little choice but to safeguard its own products on display. interest with respect to the procurement of marketable contraceptive products capable of generating income The BFPA has had to be very strategic with respect to determining which health fairs and community events sufficient to (at least) cover its administrative costs. to attend in light of the cost associated with such events.

The next meeting of the Caribbean Family Planning Affiliation (CFPA) would be an ideal forum for the It is worth stressing that all costs associated with discussion and resolution of this difficult and vexing attending community events, such as the procurement problem of effective procurement of contraceptive of tents, tables and chairs are borne by the BFPA. products for the federation’s affiliates in this sub-region.

The very successful Advocacy Programme which was designed for Optinor, the new emergency contraceptive (EC) product and which came to an end on December 31st 2008 when project funding was exhausted.

Fifty-fifth ANNUAL REPORT 2009

23

“

“

/ James Allen /

THE BARBADOS FAMILY PLANNING ASSOCIATION

24

“

“

A vision is not just a picture of what could be; it is an appeal to our better selves, a call to become something more.

A vision is not just a / James Allen / picture of what could be; it is an appeal to our better selves, a call to become something more.

Youth Development

The Barbados Family Planning Association continues to place much emphasis on youth and youth-related education and services as it seeks to ensure that today’s youth are well positioned for the role they can and must play in identifying , shaping and administering policies and programmes which affect them either directly or indirectly.

To this end, the services of the Association’s Youth Development Officer has been in great demand by schools, colleges, youth and community groups, other NGO’s and the print and electronic media as they seek to find meaningful ways of responding effectively to the wide and varied issues confronting the Nation’s youth.

Room 246 is primarily used for the following: Facilitating: • Educational session for school groups • Training for youth groups, clubs e.g.

• Youth Advocacy Movement (YAM) • Barbados Red Cross, Barbados Youth Development Council (BYDC) and Computer/Internet Access to youth

such as Probation Department, Magistrates Courts, other stake holders and walk-ins which cater to youth.

While the importance of this service is clearly understood and appreciated, it must be borne in mind that effective counselling can be time-consuming and that its quality or success cannot be determined on the basis of the number of persons passing through the programme. The point to be made is that given the potential for growth and the perceived likelihood of an increasing number of persons being referred, urgent consideration must be given to the staffing of the youth Drop-In Centre if the existing staff is not to be overwhelmed by the number and complexity of demands being made upon it by a public eager for relief from a range of troubling issues.

Education and Outreach The youth Drop-In Centre conducted bi-weekly education and counselling sessions at the Edna Nicholls Centre and visited a number of secondary and primary schools during the year.

Counselling The youth Drop-In Centre has developed a vibrant youth counselling programme since its establishment. Referrals originate with a number of youth-affiliated organisations

The inaugural youth debate competition was organised by the youth Drop-In Centre and attracted several participating teams. It is anticipated that this will become an annual event and will grow from strength to strength.

25 Fifty-fifth ANNUAL REPORT 2009

The Organisation continued during the year in review to maintain Room 246 – the Youth Drop-In Centre.

This initiative has come to be accepted by the wider Barbadian Society as having a meaningful role to play in the education and training of the country’s youth.

Youth Advocacy Movement (YAM) This youth organisation continued to function through the year as the youth arm of the BFPA. It is democratically run and elections are held in accordance with established procedures and a continuous recruitment drive is maintained.

This has proved successful since there is a continuous turnover of members, given the need to pursue educational and work related obligations.

Members of YAM participate in on-going training in a number of relevant areas in additions to the BFPA’s Family Life and Peer Counselling Training Programme which is a pre-requisite for membership of YAM. YAM has become a regular participant in the annual “Girl Friends Expo” and contributes to its success by mounting a booth and displaying educational materials as well as sharing information with persons attending the event.

YAM & Advocacy Members of YAM appeared on National Radio and Television regularly throughout the year in review and contributed to a number of current affairs issues especially those focusing on youth and youth related matters.

The President of YAM participated in a Regional Advocacy competition organised by the IPPF/WHR and was chosen as one of the International Youth Advocates.

THE BARBADOS FAMILY PLANNING ASSOCIATION

26

In this position, she has represented Barbados and the region at a number of Regional and International fora.

The BFPA is proud of her achievement and wishes her every success as she advances the cause of youth across the world.

NGO Partnership The Youth Drop-In Centre continues to gain national recognition as one of the more positive forces for good in the country. This is evidenced by the frequency with which its staff and Yam are invited to participate in the development of policies and programmes aimed at the youth population.

The centre worked very closely throughout the year with the National Council for the Disabled in its Sexual and Reproductive Health Programme (S&RH) for the disabled community.

BFPA’s Youth Development Officer attended a Trainer of Trainers' Workshop in Jamaica and gained very valuable insights in this area of work. She also represented the BFPA at the 2009 Global Partners in Action Forum on Sexual and Reproductive Health (S&RH) and Development.

BFPA’s youth development Programme is very rapidly coming of age and is ripe for expansion. The one limitation standing in its way, however, is the unavailability of the financial and manpower resources so critical for its continued growth and development.

Provisional Live Births in Barbados 1981-2009 N.S

<15

15-17

18-19

Total Teenage Births

Total Births

Teen Births by % Total Births

1981

27

21

378

604

1003

4380

22.8

1982

7

35

333

627

995

4499

22.1

1983

18

18

352

568

938

4496

20.8

1984

20

12

286

536

834

4214

19.8

1985

21

10

228

472

710

4281

16.6

1986

6

17

217

386

620

4043

15.3

1987

13

10

207

354

571

3828

14.9

1988

4

9

209

311

529

3745

14.1

1989

6

9

218

384

611

4015

15.2

1990

11

9

271

443

723

4313

16.8

1991

2

8

241

431

680

4240

16.0

1992

7

12

249

421

682

4139

16.5

1993

57

11

195

335

541

3687

14.7

1994

10

7

178

331

516

3540

14.6

1995

2

8

174

337

519

3744

13.9

1996

-

-

-

-

550

3527

15.6

1997

-

3

159

336

498

3765

13.2

1998

-

4

183

362

579

3510

15.6

1999

-

10

171

359

540

3836

14.0

2000

-

10

197

382

589

3762

15.7

2001

-

12

219

409

640

4051

15.8

2002

-

11

183

358

552

3812

14.5

2003

-

5

169

340

514

3748

13.7

2004

94

12

140

298

450

3473

13.0

2005

7

5

121

312

438

3590

12.2

2006

6

3

137

295

435

3415

12.7

2007

2

10

155

307

472

3537

13.4

2008

-

15

176

330

521

3329

16.0

2009

-

8

178

339

525

3551

16.4

Source: Statistical Department

27 Fifty-fifth ANNUAL REPORT 2009

YEAR

0

0

0

0

0

0

0

0

2002

2004

2005

2006

2007

2008

2009

0

2001

2003

0

0

1998

0

0

1997

1999

0

2000

0

1996

0

1991

1995

0

1990

0

0

1989

1994

0

1988

0

1

1987

0

0

1986

1992

0

1985

1993

1

0

0

1982

1983

0

1981

1984

11

YEAR

0

1

1

0

0

0

0

0

2

2

0

0

0

0

0

0

1

0

0

0

2

0

0

0

0

0

1

0

0

12

1

5

1

0

0

5

2

2

3

1

2

2

0

0

1

1

0

2

2

0

1

3

2

4

3

1

6

1

2

13

7

8

9

6

8

11

4

18

5

14

16

12

3

8

7

9

12

16

10

10

4

7

9

9

9

14

14

26

26

14

THE BARBADOS FAMILY PLANNING ASSOCIATION

11

15

23

21

21

21

18

28

31

36

25

23

37

25

19

33

27

43

45

39

29

29

36

35

36

44

62

54

55

15

28 47

52

54

56

56

68

67

66

79

70

68

73

57

66

72

65

80

83

90

83

86

79

65

76

91

120

151

136

151

16

120

106

112

95

88

112

128

127

154

130

111

131

105

92

119

103

144

174

150

172

131

156

118

122

156

174

210

238

191

17

166

159

151

143

169

155

191

182

220

206

203

194

190

181

165

178

192

206

235

227

204

147

198

204

231

289

293

280

295

18

173

166

162

173

189

194

167

196

221

196

200

194

220

178

201

184

264

248

249

235

200

179

184

214

297

288

330

306

330

19

524

512

513

494

531

566

577

619

715

655

625

629

612

550

584

572

720

772

781

768

657

600

613

674

823

930

1068

1041

1050

Total Teenaged Births

3225

3329

3332

3203

3225

3341

3521

3421

3636

3335

3532

3234

3366

3140

3213

3155

3390

3797

3772

3858

3552

3404

3839

4069

4237

4218

4494

4450

4413

Total Births

Births to Teenagers At Q.E.H In Barbados 1981-2009

16.3

15.4

15.4

15.4

16.5

16.9

16.0

18.0

20.0

20.0

18.0

19.0

18.2

17.5

18.2

18.1

21.2

20.3

20.7

19.9

18.4

17.6

15.9

16.6

19.4

22.0

23.7

23.3

23.7

Teenaged Births as % of Total Births.

THE VISION Quote

is really about empowering workers, giving

them all the information about what's going on so they can do a lot more than they've done in the past.” / Bill Gates / American Entrepreneur & Founder of Microsoft Co., b.1955

Fifty-fifth ANNUAL REPORT 2009

29

“

When I dare to be powerful - to use my strength in the service of my vision, then it becomes less and less important whether I am afraid.

“

/ Audre Lorde /

THE BARBADOS FAMILY PLANNING ASSOCIATION

30

Plant, Equipment and Furniture

Following major work on the exterior and interior of the buildings in the period 2007-2008, the programme was considerably scaled back in year 2009.

Work done was limited to minor repairs including painting and general maintenance.

Auto Clave Machine The Association was able to acquire and install a new autoclave/sterilizer compliments of the IPPF-London.

The BFPA is desperately in need of an anaesthetic machine, as the existing machine is beyond repair. Efforts are continuing to source a new one since procedures requiring general anaesthesia cannot be conducted. This places a severe limitation on the surgeons who utilise the facility, while retarding the organisationâ&#x20AC;&#x2122;s sustainability efforts.

Ultrasound

A new colposcopse was received from the Ministry of Health which was generously donated by the Government of Spain through the Caricom Secretariat for use in a Trainer of Trainerâ&#x20AC;&#x2122;s Programme following a workshop attended by BFPAâ&#x20AC;&#x2122;s Medical Director.

Efforts are underway to upgrade the existing ultrasound machine to permit the performance of prostatic biopsies, transrectal examinations and other procedures not now possible in the absence of the relevant software and attachments.

The search for a sessional diagnostic ultrasound technician continues even though it appears futile at times.

31 Fifty-fifth ANNUAL REPORT 2009

This machine doubles the capacity of the older machine and has been assigned to the operating theatre.

“

Good business leaders create a vision, articulate the vision, passionately own the vision, and relentlessly drive it to completion.

“

/ Jack Welch /

THE BARBADOS FAMILY PLANNING ASSOCIATION

32

Finance

The year in review can be described as one of very mixed fortunes for the Barbados Family Planning Association.

For the second year in succession, the organisation was unable to meet the demands of the staff and its bargaining body, the Barbados Workers Union, for wages and salaries increases as contained in the proposed Collective Bargaining Agreement.

This was mainly due to the fact that Government was unable to improve its annual subvention to the organisation while the BFPA was unable to generate income sufficient to meet the projected cost of increased wages and salaries.

The staff and its bargaining body, the BWU, are to be commended for exercising a profound level of patience and understanding with the BFPA while at the same time demonstrating a strong commitment to the survival of the organisation.

The impact of the global recession on the local economy impacted adversely on the cash flow position of the BFPA. As a consequence and as a prudent precaution, the organisation negotiated and secured overdraft facilities with the First Caribbean International (Barbados) Bank.

The sole purpose of this facility is to bridge any financial gap which may exist from time to time if or when the Government’s quarterly allocation of the Annual Subvention is paid later than the scheduled dates.

Income The Government of Barbados maintained the annual subvention at the same level held in 2008. The sum of $1,050,000 which represents 60% of BFPA’s budget is profoundly appreciated. This makes possible the subsidisation of services to the public and especially vulnerable populations including youth and other “hard to reach” groups in society. In addition, the organisation continues to provide public education in difficult subject areas which are not generally seen as popular by existing formal and informal educational entities and institutions.

Unrestricted Cash and Inventory Grants from the International Planned Parenthood Federation (IPPF) were increased fractionally, recording the sum of $63,136 as approved for the year 2009 programme, when compared with $62,960 in the previous year, 2008.

Deferred Income A grant of US$11,115 was approved by the IPPF/WHR to fund the new financial accounting system. Phase one (1) of the project commenced in December 2009 with the planning and acquisition of software. However, the funds will be received in year 2010 and recorded as donor receivable at the end of December 2009.

Donor Restricted Income A total of $5,550 was donated by the United Nations Fund for Population Activities (UNFPA) for the purpose of funding a Men’s Wellness Programme. This programme was executed in collaboration with the National Men’s Health Association of Barbados. $2,550 was received

33 Fifty-fifth ANNUAL REPORT 2009

On the one hand it presented a major challenge to the financial viability of the organisation while on the other it presented its management team with an unprecedented opportunity to demonstrate its capacity to survive in a difficult socio-economic environment.

Chart 1. Income by Percentage - 2009 32% Government Subvention 2%

Medical services

1%

4%

5%

Advertising/Donations Donor Restricted IPPF Cash/Inventory

1%

Other

60% Notes to Chart Other Income constitutes Membership fees, Bank Interest and Release of fixed assets fund Advertising/donations â&#x20AC;&#x201C; Family magazine and Donations under Covenants

Chart 2 Medical Revenue for period - Jan - Dec 2007-2009 by area of service delivery 600,000 2009

400,000

2008

200,000 0

THE BARBADOS FAMILY PLANNING ASSOCIATION

34

2007 HQ

Men's Clinic

Sat. Clinic

Six Rds

Theatre

Totals

2009

291,113

16,426

55,050

5,839

195,145

563,573

2008

287,546

14,718

55,690

6,653

160,520

525,126

2007

276,179

15,246

49,476

7,662

179,195

527,758

Medical and Related Services Income

and other medical services which declined by 7.8%.

Registration fees, cytology services, ultrasound services, vasectomies and special medical services' which went into decline in income year 2008, recorded varying levels of growth in the reporting period, 2009, with revenue moving from $524,748 in 2008, to $563,573 in year 2009.

Income from Medical and Related Services grew by 7.3% over the last financial year. All categories of medical income recorded growth during income year 2009, with the exception of the category â&#x20AC;&#x153;Medical Examinations

As was the case last year, revenue from the sale of the Emergency Contraceptive, Optinor, contributed significantly to the 31.8% increase in sales for contraceptive services in the reporting year.

prior to the commencement date and the remainder of $3,000 was receivable at the end of the year 2009.

Chart 1 shows total income by category and percentage.

Special mention must be made of the vasectomy services which recorded growth of 190%, from $3,355 in year 2008 to $ 9,730 in the current year, and ultrasound services from $1,425 in 2008 to $4,150 in the current year recording growth of 191.2%.

This is a clear indication that the capitalisations of operating theatre and ultrasound services have the potential of energizing the Organisation’s sustainability programme.

The improvement recorded in these categories in the current income year must not ignore the fact that income realised though encouraging is still 25.8% below the projected income. This can be attributed in part to the prevailing economic climate and the urgent need for adequate capitalisation of clinical and theatre equipment.

See Table 1 and Chart 3

Table 1 Medical & Related Services Income for Three Year Period Category

2007

2009

% change

2009

$

$

$

2008-2009

Budget

52,499

62,356

82,188

31.8

70,965

249,516

257,383

237,227

-7.8

373,319

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

2008

6,083

5,940

6,250

5.2

6,250

Cytology services

Registration Fes

40,465

38,927

42,763

9.8

50,000

Colposcopy services

23,295

23,780

25,170

5.8

25,000

Ultrasound services

17,550

1,425

4,150

191.2

5,000

-

1,200

-

-100.0

14,400

4,110

3,355

9,730

190.0

4,000

Special Medical

85,910

74,425

91,550

23.0

90,000

Other surgical procedures

10,495

12,590

15,190

20.6

20,000

Theatre Rental

37,835

43,745

49,355

12.8

50,000

527,758

525,126

563,573

7.3

708,974

Tubal Ligation Vasectomy

Totals

*Contraceptives services relate to services that must be administered by medical staff. i.e., Injections, IUCD’s and fitting of diaphragms.

N.B: CBDC Contraceptive sales are disclosed within this category.

Total income declined by 12.7%, recording $1,755,944 in 2009 as compared with $2,010,379 in 2008.

This substantial decrease was in the area of restricted donor funding which gained $298,239 in year 2008.

This donor restricted funding facilitated the execution of the Safe Termination and Advocacy for Emergency Contraception Projects which came to an end on December 31, 2008.

Unrestricted income grew fractionally in the period under review. In addition, advertising income projected from “Family” magazine was not fully realised since only one production was published.

It should be explained that the period of personnel transition coupled with the deepening financial crisis during the year played some part in this inability to reach prior levels of revenue from advertising contributions.

Fifty-fifth ANNUAL REPORT 2009

35

Budgeted income fell below the targeted amount by 8.5%. This shortfall in income was partially offset by the downward adjustment in projected expenditure by $183, 099 mainly in the area of staff costs.

Financial Year-End Status Excess revenue over expenditure at year end was $18,613. The working capital ratio at December 3, 2009 was 1:1.

The post of Manager of Social Marketing and Information was made redundant and the projected salary increases deferred. In addition, other operational costs were severely curtailed in light of the uncertainty surrounding the prevailing economic climate.

Expenditure Total expenditure decreased by 12.4%, recording $1,737,331 when compared with $1,983,596 in the prior year.

Asset Composition 12,407 30,333 21,847

Due to cash flow deficiencies experienced during the year and as referred to earlier, the approved expenditure budget of $1,898,212 was adjusted during the year in an effort to ensure that the Associationâ&#x20AC;&#x2122;s core programme and activities were maintained. The decrease in donor funding over the prior year was also a factor in the 12.4% decrease in expenditure.

228,448

Cash & Interest bearing deposits Inventories Accounts Receivable Other Debtors Property, Plant & Equipment

499,825

Liabilities Composition

Staff Costs Cost for personnel and employee benefits decreased by 11.3%, recording $1,050,542 in 2009, down form $1,183,997 in year 2008. This change was a direct consequence of staff changes.

5,758 4%

Firstly, the Safe Termination Project and the Advocacy for Emergency Contraception (EC) Projects were completed. Staff cost for both projects was $112,222 in the previous year and secondly, staff redundancy at the level of Manager, Social Marketing and Research along with periods when various posts were vacant also affected the decrease.

THE BARBADOS FAMILY PLANNING ASSOCIATION

36

This is attributed to the decrease in donor-restricted expenses. Unrestricted expenses increased marginally by 1.6%, moving from $1,685,357 in the prior year to $1,712,589 in the reporting year 2009.

65,489 46%

Deferred Donor Loans

Comparison Of Gross Income, Surplus and Operating Expenses

Other operational costs The major change in operational costs took place in the Medical and Related Services Programme. The sum of $1,117,206 was expended in year 2008 while $832,215was spent in year 2009.

Accounts Payable

70,508 50%

2,500,000 2,000,000 1,500,000 1,000,000 500,000 0 -500,000

Income Surplus Expenses 2005

2006

2007

2008

2009

The best economic and financial management brains in the country have cautioned against any premature expectation that the national economy will return to buoyancy in the short term. This cannot be good news for the BFPA, given its dependence on an annual subvention from Government for the greater part of its 56 year history.

Government’s financial support for the organisation began at its inception in 1954 and has grown from an initial contribution of $5,000 to $1,050,000 in 2009. This represents 60% of the total budget and has fluctuated over time from 50 + % to today’s 60%. The value of the BFPA to the continued growth and development of Barbadian society cannot be underestimated, yet its sustainability and economic viability continue to experience a state of chronic economic and financial anaemia.

The question must be seriously asked and the answer effectively addressed with respect to the future of the BFPA and its inability to attract private sector financial support commensurate with the wide and varied demands for services which it has always addressed with the utmost efficiency and effectiveness.

The organisation has never experienced any shortage of strategies or programmes capable of successfully addressing the issues which fall within its mandate.

The extent to which these new, exciting and creative programmes have never seen the light of day can be fairly and squarely attributed to the chronic financial anaemia which has persistently plagued the organisation.

The future of this mature NGO will therefore depend on its ability to put right the systemic problem of undercapitalisation which hampers sustainability, retards personnel growth and development and forces the Organisation to function below optimum capacity.

Programmes which cannot be properly implemented given the Organisation’s existing financial position are a. the much needed parenting Academy b. the Operating Theatre development

c. Ultrasound services d. Expanded social work and counseling services e. A more sustained marketing and public relations programme f. The construction of more modern and appropriately customised-built clinic, theatre and administrative buildings.

An organisation of the BFPA’s age, experience, public profile and image must not be forced to remain in the suppressed state in which it now finds itself.

The public of Barbados is unlikely to ignore any opportunity to respond to an appropriately designed and well articulated programme of redevelopment of an institution as important to the continued growth, development and quality of life of Barbadians as the BFPA. A major priority of the Organisation in the short and median term must be to identify sources of funding other than reliance on Government and the IPPF. Failure to do so as a matter of the utmost urgency has the potential of threatening its very survival.

Every effort must be made to ensure that no charge of complacency can be laid against the BFPA with any semblance of justification.

The vision which inspired our founders and pioneers in the middle of the last century is as real and relevant today as it was then. It has now fallen to present day members and staff alike to renew that vision so that the public at large, our clients, partners and stakeholders will once more feel the motivation to support us as we re-dedicate ourselves to the achievement of a better quality of life for Barbadians through the promotion and provision of Sexual and Reproductive Health Services, family planning, family life education and related services.

The men, women and youth of Barbados are depending on our success. We must not fail them.

37 Fifty-fifth ANNUAL REPORT 2009

Outlook

INDEPENDENT AUDITORS’ 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, 2009, the statement of comprehensive income, expenses and changes in undesignated fund balance, statement of functional expenses and statement of cash flows for the year then ended, and a summary of significant accounting policies and other explanatory notes.

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. This responsibility includes: designing, implementing and maintaining internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error; selecting and applying appropriate accounting policies; and making accounting estimates that are reasonable in the circumstances.

Auditors’ 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 whether the financial statements are free from material misstatement.

THE BARBADOS FAMILY PLANNING ASSOCIATION

38

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditors’ 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 auditors consider 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.

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, 2009, and its financial performance and its cash flows for the year then ended in accordance with International Financial Reporting Standards.

Chartered Accountants May 11, 2010 Bridgetown, Barbados

Fifty-fifth ANNUAL REPORT 2009

39

16,450 453,150

205,848 658,998

Total current assets

Non current assets: Property, plant and equipment (note 5)

Total assets

9,407 8,153 –

21,847

78,868 318,425

Unrestricted

Prepaid expenses

Receivables: Other debtors IPPF grant receivable UNFPA grant receivable

Inventories (note 4)

Current assets Cash: Current account and in hand Interest bearing deposits

Assets

As of December 31, 2009

150,292

22,600

127,692

–

– 22,160 3,000

–

45,288 57,244

Donor restricted

BDS Dollars

Statement of Financial Position

The Barbados Family Planning Association

THE BARBADOS FAMILY PLANNING ASSOCIATION

40 809,290

228,448

580,842

16,450

9,407 30,313 3,000

21,847

124,156 375,669

Total

329,499

102,924

226,575

8,225

4,704 4,077 –

10,923

39,434 159,212

Unrestricted

Current year

75,146

11,300

63,846

–

– 11,080 1,500

–

22,644 28,622

Donor restricted

US Dollars

404,645

114,224

290,421

8,225

4,704 15,157 1,500

10,923

62,078 187,834

Total

745,572

286,535

459,037

17,623

7,342 – –

21,621

55,216 357,235

Total BDS $

Prior year

(expressed in Barbados dollars)

372,786

143,268

229,518

8,811

3,671 – –

10,810

27,608 178,618

Total US $

70,438 – 70,438 70,438 – – 79,854 79,854 150,292

65,489 50 5,758 71,297 71,297 286,261 235,565 65,875 587,701 658,998

Fifty-fifth ANNUAL REPORT 2009

_______________

–

Unrestricted

BDS Dollars Donor restricted

Approved by the Board on May 11, 2010 by

Total liabilities and fund balances

Total fund balances

Fund balances: Designated (note 9) Undesignated Fixed Assets Fund (note 10)

Total liabilities

Total current liabilities

Borrowings (note 8)

Deferred income (note 7)

Liabilities Current liabilities: Accounts payable and accrued expenses (note 6)

Liabilities and Fund Balances

As of December 31, 2009

Statement of Financial Position …continued

The Barbados Family Planning Association

41

329,499

293,850

143,130 117,782 32,938

35,649

35,649

2,879

25

32,745

Unrestricted

75,146

39,927

– – 39,927

35,219

35,219

–

35,219

–

Donor restricted

US Dollars

404,645

333,777

143,130 117,782 72,865

70,868

70,868

2,879

35,244

32,745

Total

President _______________ Executive Director

809,290

667,555

286,261 235,565 145,729

141,735

141,735

5,758

70,488

65,489

Total

Current year

745,572

629,305

281,498 206,359 141,448

116,267

116,267

31,889

28,558

55,820

Total BDS $

Prior year

(expressed in Barbados dollars)

372,786

314,651

140,749 103,178 70,724

58,135

58,135

15,945

14,280

27,910

Total US $

Total income

Sales Interest income Fund raising income Miscellaneous

Other income:

Other donors IPPF/WHR Youth hotline UNFPA

Government of Barbados IPPF cash grant IPPF commodity grant Release of fixed assets fund (note 10)

Grant income:

For the year ended December 31, 2009

1,731,202

564,004 2,186 38,025 238

– – –

1,050,000 43,134 20,002 13,613

Unrestricted

24,742

– – – –

18,719 473 5,550

– – – –

Donor restricted

BDS Dollars

1,755,944

564,004 2,186 38,025 238

18,719 473 5,550

1,050,000 43,134 20,002 13,613

865,601

282,002 1,093 19,013 119

– – –

525,000 21,567 10,001 6,806

Total Unrestricted

Current year

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

The Barbados Family Planning Association

THE BARBADOS FAMILY PLANNING ASSOCIATION

42 12,371

– – – –

9,360 236 2,775

– – – –

Donor restricted

US Dollars

877,972

282,002 1,093 19,013 119

9,360 236 2,775

525,000 21,567 10,001 6,806

Total

2,010,379

525,126 8,059 25,401 25,751

298,239 – –

1,050,000 48,911 14,049 14,843

Total BDS $

262,563 4,030 12,700 12,875

149,120 – –

525,000 24,456 7,025 7,421

Total US $

1,005,190

Prior year

(expressed in Barbados dollars)

Fifty-fifth ANNUAL REPORT 2009

Undesignated fund balance - end of year

Surplus of comprehensive income over expenses Undesignated fund balance - beginning of year Transfer from designated fund (note 9)

Total expenses:

Administration and general costs

Total projects

Strategy 1 - Family Development Services Strategy 2 - Medical and Related Services Strategy 3 - Governance and Sustainability

Expenses:

For the year ended December 31, 2009

Donor restricted

19,192 5,550 – 24,742 – 24,742

– – –

–

Unrestricted

258,777 826,665 197,881 1,283,323 429,266 1,712,589

18,613 206,359 10,593

235,565

BDS Dollars

235,565

206,359 10,593

18,613

1,737,331

429,266

1,308,065

197,881

832,215

277,969

117,782

103,178 5,298

9,306

856,295

214,633

641,662

98,940

413,333

129,389

Total Unrestricted

Current year

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

The Barbados Family Planning Association

43

–

– –

–

12,371

–

12,371

–

2,775

9,596

Donor restricted

US Dollars

117,782

103,178 5,298

9,306

868,666

214,633

654,033

98,940

416,108

138,985

Total

206,359

162,802 16,774

26,783

1,983,596

446,197

1,537,399

212,657

1,117,206

207,536

Total BDS $

Prior year

(expressed in Barbados dollars)

103,178

81,401 8,385

13,392

991,798

223,098

768,700

106,329

558,603

103,768

Total US $

277,969 138,985

Total at December 31, in US$

416,108

832,215

155,198 575 –

5,377 – –

42,396

474,813 16,828 23,420 36,621 19,315 3,217 26,383 10,367 900 4,205 – – 5,247 12,730

31,125

62,251

– – –

–

28,363 30,416 – – – – – – – – – – – 3,472

67,815

135,630

– – –

–

113,400 11,592 – – – 4,178 – – 6,053 407 – – – –

654,033

1,308,065

160,575 575 –

42,466

817,249 71,555 23,420 41,538 23,318 7,942 26,383 23,015 12,826 27,901 – – 12,922 16,380

For the year ended December 31, 2009 (BDS Dollars) Medical & related Resource Sub-total services development Governance projects

70

7,675 178

– –

12,648 5,873 23,289

–

4,917 4,003 547

–

200,673 12,719

Total at December 31, in BDS$

Personnel and employee benefits 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 Fixed assets: Depreciation Consultancy and other professional fees Bad debt written off Loan interest

Empowering youth

For the year ended December 31, 2009

Statement of Functional Expenses

The Barbados Family Planning Association

THE BARBADOS FAMILY PLANNING ASSOCIATION

44 214,633

429,266

868,666

–

92,343 288 1,570

184,686 575 3,139 24,111 – 3,139

1,737,331

36,405

72,809 30,343

525,271 41,292 11,710 35,053 22,887 7,006 13,191 19,969 8,826 14,396 4,875 15,285 6,814 11,485

233,293 1,050,542 11,028 82,583 – 23,420 28,568 70,106 22,455 45,773 6,071 14,013 – 26,383 16,924 39,939 4,827 17,653 892 28,793 9,751 9,751 30,569 30,569 705 13,627 6,590 22,970

Admin and finance management

1,983,596

201,531 3,398 3,979

69,671

1,183,997 67,297 25,704 93,457 42,580 11,448 28,148 39,426 20,184 37,524 8,344 23,991 95,305 27,612

For the year ended December 31 2009 2008 Total Total US BDS BDS $ $ $

(expressed in Barbados dollars)

991,798

–

100,766 1,699 1,990

34,835

591,999 33,648 12,852 46,728 21,290 5,724 14,074 19,713 10,092 18,762 4,172 11,996 47,652 13,806

US $

The Barbados Family Planning Association

Statement of Cash Flows For the year ended December 31, 2009 (expressed in Barbados dollars)

2008

BDS $

US $

BDS $

US $

Cash flows from operating activities Surplus of income over expenses Interest income on designated fund Interest income on fixed assets fund Release of fixed assets fund Depreciation of plant and equipment Loss/(gain) on disposal of plant and equipment Interest expense Interest income

18,613 15,356 2,856 (13,613) 72,809 816 3,139 (20,399)

9,306 7,678 1,428 (6,806) 36,404 408 1,570 (10,199)

26,783 19,741 2,900 (14,843) 69,671 (23,606) 3,979 (30,700)

13,392 9,870 1,449 (7,421) 34,836 (11,803) 1,990 (15,350)

Operating cash flows before working capital changes Changes in non-cash working capital balances

79,577 (24,782)

39,789 (12,391)

53,925 19,297

26,963 9,648

Cash from operations Interest paid Interest received

54,795 (3,139) 20,399

27,398 (1,570) 10,199

73,222 (3,979) 31,898

36,611 (1,990) 15,949

Net cash flows from operating activities

72,055

36,027

101,141

50,570

Cash flows used in investing activities Property, plant and equipment acquired Proceeds on disposal of plant and equipment Amounts deposited Deposits redeemed

(500) – (18,434) –

(249) – (9,217) –

(130,991) 44,867 (346,809) 326,655

(65,495) 22,434 (173,405) 163,327

Net cash flows used in investing activities

(18,934)

(9,466)

(106,278)

(53,139)

Cash flows from financing activities Repayment of borrowings Increase/(decrease) in deferred income

(26,131) 41,950

(13,066) 20,975

(31,911) (322,362)

(15,955) (161,181)

Net cash flows from/(used in) financing activities

15,819

7,909

(354,273)

(177,136)

Increase/(decrease) in cash and cash equivalents for the year

68,940

34,470

(359,410)

(179,705)

Cash and cash equivalents - beginning of year

55,216

27,608

414,626

207,313

Cash and cash equivalents - end of year

124,156

62,078

55,216

27,608

Represented by: Current accounts and cash in hand

124,156

62,078

55,216

27,608

45 Fifty-fifth ANNUAL REPORT 2009

2009

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

THE BARBADOS FAMILY PLANNING ASSOCIATION

46

1

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:

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.

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

The promotion of national and local fund raising campaigns.

2

Significant accounting policies

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.

a)

Basis of preparation

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.

Standards, interpretations and amendments to published standards effective in the current year

Management has reviewed the standards, interpretations and amendments to published standard effective in the current year and concluded that the following amendment is relevant to the Association’s operations.

IAS 1 (revised), ‘Presentation of financial statements’

As a result of the amendment, the balance sheet has been renamed the statement of financial position and statement of income has been renamed the statement of comprehensive income.

Standards, interpretations, and amendments to published standards that are not yet effective

Management has reviewed the standards, amendments and interpretations to published standards that are not yet effective and concluded that none are relevant to the Association’s operations.

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

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

Significant accounting policies …continued b)

Revenue recognition

Other income from sales and fund raising activities are recognised on the completion of the performance of services and customers’ acceptance.

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

c)

Inventories

d)

Property, plant and equipment

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 Company 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.

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:

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.

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.

Property, plant and equipment are stated at cost. Less accumulated depreciation and impairment losses.

Cost includes expenditure that is directly to the acquisition 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.

Furniture and equipment Computer equipment Medical equipment Motor vehicles

47 -

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

The assets’ useful lives are reviewed, and adjusted if appropriate, at each balance sheet date.

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.

Fifty-fifth ANNUAL REPORT 2009

2

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

2

Significant accounting policies …continued e)

THE BARBADOS FAMILY PLANNING ASSOCIATION

48

Foreign currency translation a)

Functional and presentation currency

Items included in the financial statements are measured using the currency of the primary economic environment in which the Company operates (‘the functional currency’). The financial statements are presented both in Barbados and United States dollars, which are the Association’s presentation currencies.

b)

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.

f)

Gratuities

g)

Provisions

h)

Cash and cash equivalents

i)

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.

Gratuities due to staff on the expiry of contracts with the Association are accrued over the term of the contracts.

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.

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

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

Significant accounting policies â&#x20AC;Ścontinued j)

Borrowings

k)

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.

l)

Accounts payable

Accounts payable are recognised initially at fair value and subsequently measured at amortised cost using the effective interest method.

Borrowings are recognised initially at fair value, net of transaction costs incurred. Borrowings are subsequently stated at amortised cost and any difference between the net proceeds and the redemption value is recognised in the statement of comprehensive income over the period of the borrowings using the effective interest method. Borrowings due within twelve months of the balance sheet are classified as current liabilities.

3

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. 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.

b)

Critical judgements in applying the entityâ&#x20AC;&#x2122;s accounting policies

There were no critical judgements in applying the Associationâ&#x20AC;&#x2122;s accounting policies that would have a material effect on the financial statements.

49 Fifty-fifth ANNUAL REPORT 2009

2

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

4

Inventories

Quantity

2009 BDS $

2009 US $

2008 BDS $

2008 US $

Contraceptives Condoms Copper T 380 A Depo Provera Norigynon Noristerat Exluton Marvelon Microgynon ED Trinordiol Nordette Roselle Lo Femenal Optnor Neo Sampoon

21,886 53 827 56 110 – – 2,560 1,892 11 5,621 2,256 762 –

3,282 50 1,794 93 306 – – 1,720 1,590 8 4,010 1,172 1,334 –

1,641 25 897 46 153 – – 860 795 4 2,005 586 667 –

1,231 93 1,327 425 841 277 74 2,514 2,155 25 4,248 613 2,372 339

615 46 664 212 420 139 37 1,257 1,078 12 2,124 306 1,186 170

Clinical Equipment Cyto Brushes Disposable Gloves HCG Pregnancy test kits Depo Provers Syringes MR Syringe Kits Cannulae Silicone Lubricant

1,500 30,800 930 1,300 39 120 3

1,122 2,230 1,116 106 772 300 10

561 1,115 558 53 386 150 5

773 1,184 742 – 891 300 9

386 592 371 – 446 150 5

– 37 13 7 24

– 254 390 68 120

– 127 195 34 60

101 96 359 415 217

50 48 180 208 108

21,847

10,923

21,621

10,810

Brand name

THE BARBADOS FAMILY PLANNING ASSOCIATION

50

Other Batrafen Cream Canesten Cream Cleocin Cream Gyno Travogen Cream Trovogen Cream

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

Property, plant and equipment

Land $

Furniture and equipment $

Computer equipment $

Medical equipment $

Motor vehicles $

Total $

Cost Accumulated depreciation

22,600 –

99,970 (49,898)

60,231 (44,666)

106,800 (67,273)

176,039 (96,798)

465,640 (258,635)

Net book value

22,600

50,072

15,565

39,527

79,241

207,005

Opening net book value Additions Disposals - cost Disposals - accumulated depreciation Depreciation charge

22,600 – –

50,072 42,924 (10,003)

15,565 27,088 (9,570)

39,527 36,950 (2,490)

79,241 63,500 (54,175)

207,005 170,462 (76,238)

– –

10,003 (16,435)

9,570 (9,657)

990 (16,766)

34,414 (26,813)

54,977 (69,671)

Closing net book value

22,600

76,561

32,996

58,211

96,167

286,535

Cost Accumulated depreciation

22,600 –

132,891 (56,330)

77,749 (44,753)

141,260 (83,049)

185,364 (89,197)

559,864 (273,329)

Net book value

22,600

76,561

32,996

58,211

96,167

286,535

Opening net book value Additions Disposals - cost Disposals - accumulated depreciation Depreciation charge

22,600 – –

76,561 500 (1,564)

32,996 – (5,330)

58,211 15,038 –

96,167 – –

286,535 15,538 (6,894)

– –

748 (15,013)

5,330 (10,615)

– (20,214)

– (26,967)

6,078 (72,809)

Closing net book value

22,600

61,232

22,381

53,035

69,200

228,448

Cost Accumulated depreciation

22,600 –

131,827 (70,595)

72,419 (50,038)

156,298 (103,263)

185,364 (116,164)

568,508 (340,060)

Net book value

22,600

61,232

22,381

53,035

69,200

228,448

At December 31, 2007

Year ended December 31, 2008

At December 31, 2008

Year ended December 31, 2009

At December 31, 2009

51 Fifty-fifth ANNUAL REPORT 2009

5

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

6

Accounts payable and accrued expenses 2009

THE BARBADOS FAMILY PLANNING ASSOCIATION

52

2008

BDS $

US $

BDS $

US $

Accounts payable

35,313

17,657

16,259

8,129

Accrued expenses

30,176

15,088

39,561

19,781

65,489

32,745

55,820

27,910

Total restricted funds - end of year

Total expenditure

Funds expensed during the year

Total funds available

Add funds received during year Add funds receivable

Fund balance b/f

2009 –

38,938 22,160 61,098

18,719 18,719

42,379

– – 20,502

– –

20,502

7,557

473

473

8,030

– –

8,030

BDS Dollars Youth IPPF/WHR Hotline

20,502

Fryer Donation

–

5,550

5,550

5,550

2,550 3,000

–

UNFPA

Deferred income - statement of changes in Donor Fund balance

Fifty-fifth ANNUAL REPORT 2009

7

December 31, 2009

Notes to Financial Statements

The Barbados Family Planning Association

53

70,438

24,742

24,742

95,180

41,488 25,160

28,532

Total

10,251

–

–

10,251

– –

10,251

Fryer Donation

21,189

9,360

9,360

30,549

19,469 11,080

–

3,779

236

236

4,015

– –

4,015

US Dollars Youth IPPF/WHR Hotline

–

2,775

2,775

2,775

1,275 1,500

–

UNFPA

(expressed in Barbados dollars)

35,219

12,371

12,371

47,590

20,744 12,580

14,266

Total

7

20,502

–

Total expenditure

Total restricted funds - end of year

71,375

–

–

369,614

298,239

369,614

–

20,502

Total funds available

322,362 47,252

IPPF/WHR

Funds expensed during the year Property, plant and equipment purchased during the year

20,502 –

Fryer Donation

Fund balance b/f Add funds received during year

2008

8,030

–

–

–

8,030

8,030 –

Youth Hotline

BDS Dollars

Deferred income - statement of changes in Donor Fund balance …continued

As of December 31, 2009

Statement of Financial Position

The Barbados Family Planning Association

THE BARBADOS FAMILY PLANNING ASSOCIATION

54 28,532

369,614

71,375

298,239

398,146

350,894 47,252

Total

10,251

–

–

–

10,251

10,251 –

Fryer Donation

–

184,807

35,687

149,120

184,807

161,181 23,626

IPPF/WHR

US Dollars

4,015

–

–

–

4,015

4,015 –

Youth Hotline

(expressed in Barbados dollars)

14,266

184,807

35,687

149,120

199,073

175,447 23,626

Total

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

Borrowings

Total borrowings Less current portion

2009 $

2008 $

5,758 (5,758)

31,889 (31,889)

–

–

The loan of $63,800 (US$32,000) represented a facility issued by the IPPF in 2007. The loan bears interest at the rate of 12 month LIBOR + 200 basis points variable, which at year end was 7.31% (2008 - 7.31%). The loan is repayable over three years in US dollars with a refinancing option.

9

Statement of changes in designated fund balance Provident fund $

Severance fund $

2009 Total $

2008 Total $

244,749

36,749

281,498

278,531

13,629

1,727

15,356

19,741

Transfers from undesignated funds

(10,593)

–

(10,593)

(16,774)

Fund balance - end of year

247,785

38,476

286,261

281,498

Fund balance - beginning of year Interest income on interest bearing deposits

55 Fifty-fifth ANNUAL REPORT 2009

8

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

10 Statement of changes in Fixed Assets Fund BDS $

US $

64,450 15,038 (13,613)

32,225 7,519 (6,806)

65,875

32,938

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

54,398 22,600

27,199 11,300

Interest on bequeathed cash donation - Hamilton Estate

76,998 2,856

38,499 1,428

79,854

39,927

145,729

72,865

39,822 39,471 (14,843)

19,911 19,736 (7,421)

64,450

32,226

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

51,498 22,600

25,749 11,300

Interest on bequeathed cash donation - Hamilton Estate

74,098 2,900

37,049 1,449

76,998

38,498

2009 Unrestricted Fund balance - beginning of year Add: Property, plant and equipment purchased during the year Less: Amount released to income during the year

Fund balance - end of year 2008 Unrestricted Fund balance - beginning of year Add: Property, plant and equipment purchased during the year Less: Amount released to income during the year

THE BARBADOS FAMILY PLANNING ASSOCIATION

56

Fund balance - end of year

141,448

70,724

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

11 Insurance

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 effected as follows:

Motor vehicles Furniture and equipment Inventories

BDS $

US $

258,600 199,669 181,405

129,300 99,835 90,703

2009 $

2008 $

405,790 24,745

424,045 30,337

12 Key management compensation

57 Fifty-fifth ANNUAL REPORT 2009

Salaries and allowances National Insurance

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

13 Financial risk management a)

Financial risk factors

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

Cash flow and fair value interest rate risk

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 was 3% - 5% (2008 - 4.25% - 6.25%).

The Association is exposed to the effects of fluctuations in interest rates with respect to its borrowings. Interest rates on borrowings are disclosed in Note 8.

ii)

Liquidity risk

Management monitors cash and cash equivalents on the basis of expected cash flow. Financial liabilities at the balance sheet date based on the remaining period to maturity were as follows:

Less than 1 year $

Greater than 1 year $

Total $

35,313 13,693

– –

35,313 13,693

49,006

–

49,006

16,259 37,631

– –

16,259 37,631

53,890

–

53,890

As at December 31, 2009 Accounts payable Borrowings

THE BARBADOS FAMILY PLANNING ASSOCIATION

58

As at December 31, 2008 Accounts payable Borrowings

The Barbados Family Planning Association

Notes to Financial Statements December 31, 2009 (expressed in Barbados dollars)

13 Financial risk management …continued a)

Financial risk factors …continued iii)

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: 2008 $

33,327 – 9,393

7,342 – –

42,720

7,342

No provision for impairment has been considered necessary in 2009 and 2008.

b)

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.

59 Fifty-fifth ANNUAL REPORT 2009

0 to 3 months 3 to 6 months 6 months +

2009 $

The Barbados Family Planning Association

Reconciliation to Annual Report (For management information purposes only)

December 31, 2009

BDS $ Surplus of income over expenses per Annual Report Income Adjustments as of December 31, 2009 Investment interest - BNB Grant Income - IPPF commodities Grant Income - IPPF cash Strategy 3 - Advertising income Release of fixed assets fund

BDS $ 18,835

1,121 3,296 8,172 2,000 471 15,060

Expenses Adjustments as at December 31, 2009 Strategy 1 - Depreciation expense Strategy 1 - Depreciation expense Strategy 2 - Brokerage and Transportation Strategy 2 - Depreciation expense Strategy 2 - Depreciation expense Strategy 2 - Depreciation expense donated Strategy 2 - Salaries General Staff Strategy 2 - Salaries General Staff Strategy 2 - Vehicle insurance Administration and general Services - Audit fees Administration and general services - Loan interest Surplus of income over expenses per audited accounts

THE BARBADOS FAMILY PLANNING ASSOCIATION

60

(18) 168 (3,296) 172 (115) (471) 510 2,435 (1,615) (11,250) (1,802)

(15,282) 18,613

Fifty-fifth ANNUAL REPORT 2009

Year in Review 2009

61

Year in Review 2009 Continued

Tribute to a Friend Erskine Callender

I was made to feel very welcome by Erskine Callender when I became a member of the Barbados Family Planning Association. I made that extra effort to be early for meetings so that I could choose my seat- That seat right next to Erskine.

This choice seat has afforded me the opportunity to learn the ins and outs of the Association. It is the little asides that you really should pay some attention to. It is through these asides that I have learnt all about the BFPA and its members.

Erskine knew the history of the Association and took some time out to start documenting all those Founding members and the work they took on to bring the Association to this point.

As a matter of fact, if you could not remember a particular incident you just had to turn to Erskine.

You would imagine then that my assumption to the office of President following Erskineâ&#x20AC;&#x2122;s term in that said position, was a smooth transition for me. The knowledge gained from the many asides allowed me to be better able to carry the meeting and get on with the agenda in good time.

Erskine was always adamant that we were here to ensure that those who did not have the means still had access

to reproductive health services at an affordable price with high quality service.

In recent years after meetings, I would give Erskine a ride to his daughterâ&#x20AC;&#x2122;s Welches establishment or back to GIS and he used this time to comment on my stewardship with advised on how to move forward and how I should deal with situations. Before he took ill, he always made it a point to make sure he attended meetings.

He was very accessible and was always ready to lend his knowledge and advice on several matters.

I will cherish the time I was able to spend with this giant of man.

Erskine, we at the Barbados Family Planning Association will miss you. - I will miss you.

On behalf of my wife, Avonda, the Board and staff of the Association, I wish to offer my deepest sympathy to his wife Evonda, his daughter Dawn Lisa, Chris, Natasha and Georgina.

Thank you all for allowing me to share in the life of this great family planner.

Farewell my friend.

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