• National Blood Service Zimbabwe • Annual Report 2016 •
Contents
Notice of National AGM 2
Core Values 6
Quality Policy 6
Chairman’s statement 7
Corporate Governance at National Blood Service Zimbabwe 9
CEO Review of Operations 10
Operational Highlights 12
Projects 13
AGMs 17
Strategic Partnerships / Activities 20
Testimonial 29
Financials 31
1 • National Blood Service Zimbabwe • Annual Report 2016 •
NOTICE OF NATIONAL AGM
Notice is hereby given that the 27th National Annual General Meeting of Members of National Blood Service Zimbabwe will be held on Friday 19 May 2017, at the National Blood Service Zimbabwe Headquarters, 53 Mazowe Street North Harare at 18:00 hrs to transact the following business:
ORDINARY BUSINESS
1. Notice convening the meeting
2. To confirm Minutes of the 26th Annual General Meeting held on Friday 30 September 2016
3. Matters Arising from the Minutes of the 26th Annual General Meeting
4. Chairman’s Report
5. To adopt the Financial Statements and Auditor’s Report for the financial year ended 31 Decem- ber 2016.
6. Directorate
(i) To note the retirement of Mr. Tarirai Chadebah and Mrs. Mary Nyagumbo as Non-Executive Directors with effect 31 August 2016. (ii) To note that in terms of Article 18 of the Articles of Association, the appointment of Dr. Stanford Nyashayashe Marangwanda and Mr. Sydney Makarawo as Non-Executive Directors.
7. To approve Directors fees paid during the financial year ended 31 December 2016.
8. To confirm the re-appointment of BDO (Zimbabwe) as external auditors for the ensuing year and to authorise Directors to fix their remuneration.
SPECIAL BUSINESS
9. To consider and approve amendments to the National Blood Service Zimbabwe Memorandum and Articles of Association
10. Any other business
2 • National Blood Service Zimbabwe • Annual Report 2016 •
CORPORATE INFORMATION
Registered Office Mazowe Street North Avondale HARARE
Auditors BDO Zimbabwe Chartered Accountants Kudenga House 3 Baines Avenue HARARE
Main Bankers Barclays Bank of Zimbabwe Limited Birmingham Branch Southerton HARARE
CBZ Bank Limited Selous Branch 7 Selous Avenue HARARE
Lawyers Dube, Manikai and Hwacha Legal Practitioners Sixth Floor, Goldbridge Cnr Sam Nujoma Street/Robert Mugabe Road Eastgate Complex HARARE
3 • National Blood Service Zimbabwe • Annual Report 2016 •
DIRECTORATE AND MANAGEMENT
Chairman Retired Justice L.G. Smith
Vice Chairman E. Mugamu
NBSZ CEO Ministry of Health & Ministry of Health & Vice Chairman (Retired Co-Opted Member Ms L. Marowa Child Care Child Care from Board) Professor A. Mandisodza L. Mabandi S. Makarawo T. Chadebah
Mutare Branch Zimbabwe Red Cross Masvingo Branch Committee Gweru Branch (Retired from Board) Mutare Branch Committee Committee Chairman E. Mlambo D. Tandiri Committee Chairman M. Nyagumbo Engineer J. Njunga N. Mlauzi
Board Secretary Bulawayo Branch Committee Bulawayo Branch NBSZ Medical Director R. Ganga-Raju Committee Chairman Dr J. C. Emmanuel (NBSZ Finance Manager) S. Bulle R. Chikwereti
4 • National Blood Service Zimbabwe • Annual Report 2016 •
Audit & Finance Committee Name Title/ position E. Mugamu Committee Chairperson L. Mabandi Committee Member S. Bulle Committee Member R. Ganga –Raju Committee Member L. Marowa NBSZ CEO R. Chikwereti NBSZ Finance Manager Dr. J Emmanuel NBSZ Medical Director Human Resources & Remuneration Committee Name Title/ position D. Tandiri Committee Chairperson N. Mlauzi Committee Member Engineer J Njunga Committee Member L. Marowa NBSZ CEO B. Mukwada NBSZ Human Resources & Adminstration Manager T. Chadebah Committee Member (Retired 31/08/16) M. Nyagumbo Committe Member (Retired 31/08/16) Executive Management
Chief Executive Officer Ms Lucy Marowa
1. 2. Medical Director- Dr Jean C. Emmanuel 3. Bulawayo Branch Manager - Mr. Nashford M Muchineuta 4. Finance and Administration Manager – Mr. Rhadi Chikwereti
Medical Director 5. Laboratory Services Manager – Mr. George Mavunganidze Dr Jean C. Emmanuel 6. Safety, Health, Environment & Quality Manager – Mr. Chancellor Kafere 7. Planning, Information & Research Manager – Mr. Tonderai Mapako 8. Public Affairs Manager – Miss Esther Massundah 9. Medical Services Manager –Sr. Judith Parirewa 10. Human Resources and Administration Manager – Mr. Blessing Mukwada
Planning, Information & Bulawayo Branch Manager Judith Parirewa Public Affairs Manager Mr. Nashford M Muchineuta Research Manager Tonderai Mapako Medical Services Manager Miss Esther Massundah
Human Resources & Laboratory Services Safety, Health, Environment Finance Manager Manager Administration Manager Radhi Chikwereti & Quality Manager Blessing Mukwada George Mavinganidze Chancellor Kafere
5 • National Blood Service Zimbabwe • Annual Report 2016 •
VISION, MISSION & CORE VALUES
OUR TAG LINE EMPATHY We are ready and willing to give of ourselves with an open heart and mind promoting compassion in the OUR VISION feelings and thoughts of others and To be an innovative, effective and efficient Blood use the insights available from this Service that meets national requirements and relationship in a constructive manner international standards. to assist ourselves and others to grow and mature. OUR MISSION We help save lives through provision of safe EXCELLENCE blood products and services that meet customer We put forth our personal and pro- expectations. fessional best, providing the highest PROFESSIONALISM quality of service and fully commit We manage ourselves with dignity ourselves to continuous improvement, and an awareness of the impact of seeking to set the recognized perfor- our behaviour on others at all times mance standards within our industry. while demonstrating effectiveness and efficiency in all our interactions. TEAM WORK We participate fully as team mem- INTEGRITY bers, empowering each other by We are each personally accountable sharing knowledge and leveraging for the highest standards of behavior, skills with cooperation and open including honesty and fairness in all communication in fulfilling our vision aspects of our work. We will consist- and purpose and to serving our cli- ently treat customers and company re- ents effectively. sources with the respect they deserve
QUALITY POLICY
National Blood Service Zimbabwe (NBSZ) is committed to saving lives through innovative and effective provision of safe blood and blood products that meet customer expectations and comply with national and international standards.
In order to realize this commitment, NBSZ shall undertake to achieve the following goals: - • Implement and continually improve a Quality Management System (QMS) based on ISO 9001:2008 • Establish and review quality objectives, which are related to this policy. • Promote the development of human capital. • Increase accessibility and consistency of safe blood products. • Enhance marketing; branding; blood donor and customer service. • Enhance financial management and funding mix. • Increase organizational effectiveness, performance and promote research.
This quality policy, objectives and the QMS as a whole shall be reviewed continually in response to changes in our operational environments.
6 • National Blood Service Zimbabwe • Annual Report 2016 •
CHAIRMAN’S STATEMENT
Zimbabwe. During the year the Service managed to collect 64890 units of blood for distribution. The surge in blood collections resulted in the significant improvement in the Service’s financial position for the year ended 31 December 2016.
The operating revenue decresed by 5.5%, from Chairman $7,82 million in 2015 to $7,39 million in 2016. Retired Justice L.G. Smith Donations accounted for 7% of revenue in 2015 as compared to 12% in the prior year. National Aids Introduction Council (NAC) remains the major donor for the Fellow members, on behalf of the Board of supply of first line test kits. The Service recorded a Directors, I am pleased to present Annual Report surplus of $621,444 which showed a decrease of and results for National Blood Service Zimbabwe 44% as compared to last year. The decrease was (NBSZ) for the year ended 31 December 2016. mainly due to funding constrains and reduction of fees for blood and blood products to improve The operating environment affordability by patients. The Service is owed The operating environment was characterised $2,016,474 by Government and Private Health by liquidity challenges, foreign currency Institutios. shortages and funding constraints. The regulatory environment also experienced some significant The Board and Governance changes with the introduction of bond notes Our governance framework plays an integral role pegged at par with the United States dollar. All in supporting the Service and helps us to deliver these factors affect the Service’s performance and on our strategy. We are committed to excellence its customers to varying degrees. Despite these in corporate governance, transparency and challenges, I am glad to inform you that the cost accountability. This is essential for the long-term containment strategies put in place by the Board performance and sustainability of the Service of Directors and the Executive Management are to protect the interests of blood donors and starting to bear fruits. During the year, user fees for stakeholders. The Branch Committees met four blood products were reduced from $165 to $120 times during the year to assist the NBSZ Board in for private and from $135 to $100 for Government carrying out its mandate. Health Institutions. The Service is in the process of revising the The Parliamentary Portfolio Committee on Health Memorundum and Articles of Association as visited the blood service in order to appreciate mandated by the 2016 AGM. This exercise entails a our operations and the general provision of blood detailed process and engagement of stakeholders products to the nation. The platform gave the to give views before we bring the documents for committee the opportunity to share various issues ratification and adoption. relating to blood collection and distribution and challenges faced by the Service. Special Events and Donor Awards The commemoration of the 2016 World Blood Financial performance Donor Day were held together with donor awards The mandate for NBSZ is to provide safe blood across our branches. The occasion was graced and blood products to health institutions in by officials from the Government, World Health
7 • National Blood Service Zimbabwe • Annual Report 2016 •
CHAIRMAN'S STATEMENT (Cont'd)
Organisation, Ministry of Health and Child Care and blood donors. As part of our social responsibility to the donor community, the Service provided blood products worth $42,255 to benefit blood donors and their dependants in the time of need.
Outlook Despite the challenging business environment, the Board and Management remain optimistic that streamlining cost structures and increasing distribution of blood and blood products will continue to sustain the Service in future. The work that was done during the year with respect to streamlining the Service’s operations and cost structure, has created a solid base for positive performance. However internally generated revenue is not adequate to cover all operational costs hence donor funding is critical for the Service.
In appreciation I would like to thank our valued stakeholders for their continued support, the NBSZ Board and all Board Committees for their guidance and wise counsel, Management and Staff for their continued dedication and commitment in sustaining the Service’s operations.
------Justice Leslie George Smith (Retd) CHAIRMAN
8 • National Blood Service Zimbabwe • Annual Report 2016 •
CORPORATE GOVERNANCE
National Blood Service Zimbabwe is committed of National Blood Service Zimbabwe. to the highest standards of corporate governance Authority for implementing policies is delegated and its subscribers to the principles of corporate to the Chief Executive Officer. There are two board governance enshrined in the King III Report. committees which are Audit & Finance and Human Resources and Remuneration. Board of Directors and board procedures The Board currently consists of 17 directors The Audit and Finance Committee oversee the with diverse business experience. Of these 17 adequacy of internal controls and the integrity members, there are 14 non-executive directors, of the organization’s accounting, financial, including the Chairman. The Board meets at least information management systems and risk 4 times a year and more frequently as and when management. a business requirement dictates. Appropriate information is given to directors to enable them to The Human Resources and Remunerations effectively discharge their responsibilities. Committee oversee the Human Resources strategy The Board is responsible for the overall direction and policies of NBSZ.
BOARD ATTENDANCES Name Title/ position Number Attended
(Retired) Justice L G Smith Chairman 2 E Mugamu Vice Chairman 3 T Chadebah Vice Chairman 2 (Retired 31/08/16) S Bulle Bulawayo Branch Committee Chairman 3 Engineer J Njunga Mutare Branch Committee Chairman 3 N Mlauzi Gweru Branch Committee Chairman 3 R Ganga-Raju Bulawayo Branch Committee 3 D Tandiri Mutare Branch Committee 2 M Nyagumbo Masvingo Branch Committee 2 (Retired 31/08/16) L Mlambo Zimbabwe Red Cross 3 L Mabandi Ministry of Health & Child Care 3 S Makarawo Ministry of Health & Child Care 1(new member of the Board) Professor A. Mandisodza Co-opted Member 3 L. Marowa NBSZ CEO 3 Dr. J Emmanuel NBSZ Medical Director 3 R. Chikwereti Board Secretary (NBSZ Finance Manager) 3
9 • National Blood Service Zimbabwe • Annual Report 2016 •
Chief Executive Officer Executive Summary of Operations
golf day at the Royal Harare Golf Club under the theme “Building Smart Partnerships” on 1 April 2016 as a way to continue building relationships with potential partners and reinforce relationships with existing partners
Quality Management System (QMS) In our efforts to assure a sustainable supply of good quality blood and blood products to the nation, the Service managed to maintain its ISO 9001:2008 certification. NBSZ CEO The Service shall continue to seek ways to improve its Ms L. Marowa internal management and operational processes, by Introduction pursing the implementation of the AfSBT Step-wise The role of National Blood Service Zimbabwe (NBSZ) in Accreditation standards and ISO 9001:2015 our society is undisputed, as health institutions, blood donors and patients expect quality products and services Human Resources Management that are produced through international best practices. In Human capital development remains at the heart of order to maintain our edge in these times of complexity effective service delivery for any organisation. The and dynamic national and global changes, the NBSZ Service strives to continue the creation and cultivation hinges on innovative transformational measures and of environments in which its staff can resolutely learn several initiatives to achieve its desired set strategic and apply new ideas, competencies, skills, behaviours goals for continual growth in an environment marked by and attitudes as this is vital in increasing productivity uncertainty and constant change. and quality of work for the Service. Human Resources Management is a valuable tool for the Service to thrive Resource Mobilization Initiatives in this turbulent business environment. Given that there The traditional approaches to medical business strategy has been economic instability, it becomes important no longer apply to the current volatile operating for NBSZ to keep its human capital motivated and at environment thus relentless efforts to establish business the same time productive. The Service recognises the linkages with the corporate sector that seek to avail importance of performance management, employee opportunities for fundraising initiatives for the Service motivation, organisation development, wellness, training were pursued in 2016. NBSZ, with the support of its and compensation. Business Advisory Committee, successfully hosted a Business Breakfast Meeting under the theme “Building Blood Collection and Distribution Smart Partnerships” in order to create partnerships The selflessness of all the blood donors is invaluable to with the business community in Zimbabwe. The aim is NBSZ. It is the generosity of voluntary non-remunerated to build a consistent supply of critical resources that blood donors that distinguishes the Zimbabwe blood are important in maintaining a consistent supply of donation programme from other countries in the world. adequate safe blood in Zimbabwe. In its search for The Service is continually thankful to all the voluntary partnerships, the Service targets captains of industry, blood donors. Through your caring action, we were business membership organizations, health development able to collect a total of 64890 units of blood from partners, international donor agencies and other key all the centres in the year 2016. These safe blood stakeholders in the different sectors of the economy. In collections were achieved after taking into consideration addition, NBSZ hosted its inaugural Charity corporate the prevailing adverse economic environment, which
10 • National Blood Service Zimbabwe • Annual Report 2016 •
resulted in decreased demand of blood products from complexities posed by our operating environment. the hospitals. The demand of and ordering patterns of Nevertheless the perseverance in the implementation of Group O blood by Public Sector Hospitals prompted the strategic plan helps us to gain control of the future the Service to swiftly introduce the targeted blood and the destiny of our organization. We are driven by a collections strategy in order to match the increasing strategic foundation of being an innovative, effective and demand for the blood Group O red blood cell packed efficient Blood Service and this drives the organisation to cells. uphold the highest professional and ethical standards.
Workshops and congresses attended Looking Ahead As part of the NBSZ’s efforts to strengthen its regional As always, I must pay tribute to the exceptional quality and international research agenda, the Service of our staff, our executive Management and the Board participated in the 2016 Africa Society for Blood who have delivered such an excellent performance in Transfusion (AfSBT) congress held in Kigali, Rwanda. The 2016 under very challenging conditions yet this has ten NBSZ participants to the AfSBT made oral and poster been achieved with no let up in quality of both our presentations. Participation at the AfSBT Congress was service and products. To meet the national requirements an invaluable learning experience, focusing on training while maintaining safe, quality blood products and and quality, which is directly related to a safer and more services when our own resources were overstretched is a sustainable blood service through evidence based plausible achievement indeed. decision making. The AfSBT Congress provides access to scientific, technical, administrative and operational Thanks, too, to all our partners, supporters and our information to enrich professional careers that are key in revered voluntary blood donors. I hope we all share my the blood transfusions industry. abiding sense of privilege in being involved with this noble cause. A Scientific Evening was held courtesy of a sponsorship by NetOne mobile. The objective of the Scientific Evening was to bring the scientific community together to have an appreciation of the evidence-based blood safety initiatives that are happening within Zimbabwe and to highlight the NBSZ research framework. ------Ms Lucy Mary Marowa PhD graduates from the T-REC Project CHIEF EXECUTIVE OFFICER The T-REC PhD Fellows Dr Tonderai Mapako and Dr Nyashadzaishe Mafirakureva managed to successfully defend their PhD theses on 9 December 2016 at the University of Groningen, the Netherlands. Dr Mapako’s thesis was on risk modeling of transfusion transmissible infections whilst Dr Mafirakureva’s thesis focused on the health economics of blood transfusion in Zimbabwe.
NBSZ Corporate Strategic Plan The Management team continues to steer the Service towards the attainment and achievement of the Strategic Plan objectives guided by adherence to its six strategic intents. Since the commencement of the Strategic Plan in 2015 the implementation has been marred by the
11 • National Blood Service Zimbabwe • Annual Report 2016 •
OPERATIONAL HIGHLIGHTS
BLOOD COLLECTIONS
The 2016 target for blood collection was all blood groups as there continued to be a 65000 units; this was achieved after taking into generalised lack of reagents to blood group consideration the prevailing adverse economy, patients for transfusion. This strategy has become which resulted in a decreased demand of standard practice and was implemented through blood products from the hospitals. Total blood out the year using Eldon Blood Grouping cards, collection for 2016 was 64890 units. 68% of which are rapid tests for use at point of donor the total donations were from repeat donors grouping, in order to reduce expiring of non while new donors constituted 32%. Males group ‘O’ blood, which had a low demand .The contributed 60% of the donations and females donation intervals for donors with group ‘O’ blood contributed 40%, which was similar to 2015. was reduced to fifty six days minimum for males Out of 68514 donors who turned up for blood and seventy days for females in order to increase donation, 3311 potential donors (4.8%) were collection of group ’O’ blood, donation. This had deferred during screening for various reasons; the desired effect of ensuring that there were 58% of total deferrals were due to failing the sufficient stocks to meet demand, throughout the haemoglobin screening test. year, even during holiday periods and the festive season. Targeted blood collections were introduced in order to identify blood Group O donors Out of the total units collected Mobile teams as Public Sector Hospitals were demanding collected 50592 units (78%) of blood collection, Group O blood, which can be transfused into whilst static clinics collected 14297 units (22%).
Figure1: Blood collection by branch 2015 vs 2016
• There was a significant increase in collections at Harare and Masvingo branches with the collection pattern at the other 3 branches remaining the same.
12 • National Blood Service Zimbabwe • Annual Report 2016 •
Figure 2: 2016 Contribution by branch
• Harare branch contributed 45% of blood units Donors deferred during screening collected, which was an increase of 2%, com- 3311 (4.8%) of 68514 potential blood donors, pared to 2015;Masvingo branch contributed in 2016, were deferred during donor screening , 13%, an increase of 1% compared to 2015. 58% failed screening tests for anaemia, which was • Gweru branch’s performance remained static at the most common deferral; which was a decrease 11% while Bulawayo and Mutare branches de- of 6% from 2015. The 2nd highest deferral reason creased by 2% and 1% respectively. was due to colds/flu (6%); followed by a possibility of risk behaviours (3%). A total of 147 donors were deferred for risk factors; with Gweru branch having the highest figure at 126 (86%).
APHERESIS PROCEDURES
Single Donor Platelet donation Theraupetic Plasma exchange Procedures Single donor platelets were collected based on Four patients underwent plasma exchange for demand so as to reduce wastage of packs and Guillaine Barre Syndrome in 2016. Some of the control expiries; an average one unit of single requests received could not be fulfilled as the donor platelets was collected per week in Harare, patients failed to raise the cash required for the however collection of platelets was increased if procedure. there was increased demand. One hundred and forty one single donor platelets were collected in Therapeutic Venesection 2016. This translates to (70%) increase compared Clinicians continued to refer patients for vene- to eighty three units in 2015. section for various ailments, a total of 282 vene- sections were performed in 2016, indicating an Clinical support services increase of 26% compared to 2015. The Service continued to offer clinical support services in the form of therapeutic plasma ex- Directed donations change and therapeutic bleeding for patients and No directed donations were carried out during this logistical assistance in the programme for Paternity period and the same requirements for Clinician Disputes. education applies.
13 • National Blood Service Zimbabwe • Annual Report 2016 •
Blood donor mobilisation Net One High School Blood Donation 684 motivational talks out of the planned 787 Competition Programme talks (83%) were given to existing and poten- Through the NetOne sponsored best panels tial donors by the Planning and Recruitment schools competition for 2016, NBSZ presented Officers. These motivational talks are important prizes to winning schools in each province which because they inform and educate donors on the included a Floating shield and Schools shield. importance of voluntary non-remunerated blood Below is the list of the winning schools from each donation. province in no particular order.
Province School Harare Nyatsime College Mashonaland Central Shingirirai High Mashonaland East Rakodzi High Bulawayo Mpopoma High Matabeleland North John Tallach Matabeleland South Thekwane High Midlands Progress College Mutare Mutare Boys Masvingo Kyle College Mashonaland West Vimbai High
Mr. Tichaona Saira - NBSZ Head of Planning & Recruitment handing over winning shield to Vimbai High School, winner of the Mashonaland West NetOne Schools Competition
14 • National Blood Service Zimbabwe • Annual Report 2016 •
YOUTH PROGRAMMES
Pledge 25 Club Zimbabwe 2016 Pledge 25 collections The club annual target for blood collection was 11,811. Through the various blood drives held during 2016 the club managed to collect 9,590 units of blood. Below are the total Pledge Club 25 Blood Drives held in 2016:
Table 1: Pledge 25 Blood drives Blood Drive No. of Blood drives held Men Splash 15 Ladies Gala 15 Mixed Galas 64 Youth Donor Month Galas(YDMS) 40
Anyway Moraicho a Pledge 25 Club Member donating blood during a Men Splash Blood Drive
Peer Promoters A total of 515 peer promoters and 207 teachers were trained in 2016. 248 schools were invited and 238 schools turned up. Certificates for peer promoters were distributed at the workshops. Peer promoters have played a pivotal role in most of the high yielding panels.eg Mutare Boys, Vimbai, Murewa, Muten- di, Progress, Premier, Hartzel and Glen View. At tertiary level Chinhoyi University of Technology and HIT peer promoters played a pivotal role as collections improved by 53% from the previous collection.
15 • National Blood Service Zimbabwe • Annual Report 2016 •
Feedback from customers, donors relating to detection of infectious agents. This and other stakeholders figure is very low, in spite of electronic contacts 100% of the feedback from blood donors used to notify donors to come for counselling. expressed great appreciation of staff attitude, There is a need to continue educating blood knowledge, reception and willingness to donors through public education medium; during continue donating blood. The issue of blood educational talks and during the pre-donation grouping was raised with panels expressing counselling at the time of donation. their views that it was cumbersome and time consuming. Collecting samples for known Paternity Testing non-O blood groups pilot study is underway. 85 paternity tests were carried out in 2016, at the request of the Magistrate’s Courts and Legal Counseling Services Practitioners to resolve cases of disputed paternity. Pre-donation Counselling The figure decreased by 36% compared to 2015. Pre-donation counselling was carried out on Of the 85 cases, 55 were confirmed as cases of all prospective donors as it is an important paternity and 30 were excluded from paternity. component of blood safety. Beneficiaries of Blood Products & Post Donation Counselling Services Very few donors returned for post test The Service assisted blood donors through counselling and this is a challenge. Forty two the ‘waiver of fees’ charged for blood products donors were counselled in 2016 compared issued to patients, who qualified as being existing to thirty six in 2015, reflecting a 16% increase; or having been previous blood donors, in terms of however, the number of donors counselled NBSZ’s Blood Products Beneficiary Policy. was only 7.6%, in donors deferred for reasons
Table 2: Beneficiaries and products issued - January to December 2016.
No. of Whole/Packed Paediatric Fresh Frozen Plasma/ Branch beneficiaries cells packs Platelets/Cryoprecipitates
Harare 132 380 0 40 Bulawayo 11 28 0 0 Mutare 19 54 0 0 Gweru 7 14 0 0 Masvingo 4 58 0 29 TOTALS 173 534 0 69
• Products and services worth $ 42 255 were issued to beneficiaries of blood and blood products. Some of the beneficiaries are patients with chronic medical conditions, who require products regularly from the Service. The amount has relatively increased in 2016 compared to 2015 when products worth $33 826 were distributed .
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HAEMOVIGILANCE PROGRAMME
Health Care workers Management systems in hospitals through A training workshop was held in July 2016 to HTCs, leading to a Provincial and National educate health care workers on clinical transfusion Haemovigilance System. practice and to advocate and facilitate the Formation of Hospital HTCs at major hospitals formation of Hospital Transfusion Committees remains a challenge though some Provincial and (HTCs) in Matebeleland North Provinces. The District hospitals have formed HTCs. Two Referral objective of the training was to improve safety in hospital United Bulawayo Hospitals and Mpilo Clinical Blood Transfusion Practices; commonly have functional HTCs, however all the referral referred to as “Vein to Vein”; from the point of hospitals in Harare are still to form HTCs. Support donation up to the transfusion of blood into a visits were conducted to Hospitals, which have patient. The participants comprised of Doctors, established sustainable HTCs. The visits were Nurses and Medical Scientists; as well as productive, promoting useful interaction between Pharmacist Administrator of relevant Hospitals. NBSZ and the hospitals as well as addressing Fifteen participants were trained. The training problems experienced by the respective hospitals. focused on appropriate clinical use of blood (CUB) and the need to develop sound Quality
BLOOD COMPONENT PREPARATION
Component Preparation Approximately 78% collections were separated into various components as shown in Table 3.1 below.
Table 3.1: Component Production
Blood components prepared Total Red Cell Red Blood Cells Plasma Platelets Cryo Components PC Paed WB Paed FFP 1 and Plt1 and Period Q1 PC WB FFP 3 Plt 2 Q2 13756 96 522 41 4260 1140 1140 14415 Q3 12633 144 668 8 2110 1229 1229 13453 Q4 11300 146 450 2 1269 1269 1269 11898 Total 12660 193 404 10 1746 1190 1190 13267 50349 579 2044 61 9385 4828 4828 53033
Cryo – Cryoprecipitate PC – Packed Cells Plts – Plateletes
Key PaedPC – Paediatric Packed Cells WB – Whole Blood
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DONATIONS TESTING
Transfusion Transmissible Infections Section Screening for all donated blood for transfusion transmissible infections (TTIs) was done on the Abbott Architect i2000SR serology platforms which serve as the first line screening method. All donated blood was tested within a 72hour turnaround time (TAT), as test kits were always readily available during the period.
Table 4.1: TTI Screening Pack Type Collections HIV %HBV % Syphilis % HCV %
Wet 52432 188 0.4 146 0.3 36 0.07 0 0 Dry 12458 80 0.6 87 0.7 12 0.1 0 0 Total 64890 268 0.4 233 0.4 48 0.07 0 0
HBsAg - Hepatitis B surface Antigen HCV – antibody to Hepatitis C virus
Key HIV - Human Immunodeficiency Virus
Blood Grouping figures (41496), was 90% of the Packed Cell units Approximately 53% of all collections made were made from Whole blood donations. The opening blood group Os. The pattern generally follows that stock for 2016, that was carried over from 2015 of the distribution pattern of the blood groups in was not factored in. Expressed per packed red cell the population. The group O percentage was not units made, there was no significant difference with significantly different from that of the past 2 years that for 2015 (89%), however it was a 5% decrease (2014 and 2015 – 52%) even though there were from the 2014 (95%) figures. efforts made to target more group O collections. It is hoped that this will improve in the coming 82% of the blood distributions were through the year as collections of non blood group O will be despatch sections of the laboratory with the other minimised to sample collections as a blood stock 18% being through the compatibility laboratory inventory mangement control measure. sections. Blood group O components constituted most of the red cell components distributed at Blood Product Distributions and Services 65%. This figure, compared to the proportions Offered collected, indicates the increased need of targeted Approximately 45196 packed cell units were collections to suit what the clients are ordering. distributed to hospitals throughout the NBSZ’s five branches. This was 9% increase from the 2015
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Blood Distribution - Table 5.1: Component Distribution Red Cells Plasma Platelets Cryo PC Paed WB Paed FFP 1 FFP 3 Plt 1 Plt 2 Period PC WB Q1 11449 69 193 51 949 12 836 20 76 Q2 10857 140 146 4 1143 27 823 19 12 Q3 10789 119 158 0 1051 16 644 40 69 Q4 12101 158 160 10 891 15 648 36 51 Total 45196 486 657 65 4034 70 2951 115 208
Figure 5.2: Red Cell Component Production and Distribution (2016 – 2015) 16 000 14 000 12 000
10 000 Red Cell 8 000 Components Produced 6 000 Red Cell Components Distributed 4 000 2 000 Number of Red Cell Components PC + Paed PC + 0 WB + Paed WB Q1 '15 Q2 '15 Q3 '15 Q4 '15 Q1 '16 Q2 '16 Q3 '16 Q4 '16
Table 5.3: Red Cell Components Distribution by Group (%)
Components A B O AB
Red Cell Components 19% 15% 65% 1%
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SAFETY, HEALTH ENVIRONMENT AND QUALITY ISO 9001
Transition to ISO 9001:2015 NBSZ is working towards transition to the ISO AfSBT Accreditation Project 9001:2015. A transition plan which was developed Implementation of the AfSBT Step-wise at the end of 2015 was being followed in order to Accreditation standards continued throughout the prepare the organisation for migration to the latest year. These are being implemented simultaneously version of the standard in 2017. with the ISO 9001:2015 standard. Awareness training on the AfSBT standards was successfully Gap Analysis conducted for all staff. Almost all quality A gap analysis was conducted during the first management system documents had to be revised quarter of the year to determine all sections of to align them to the new ISO standard, AfSBT the standard which were not being met by the standards and also brand them with the new NBSZ current quality management system. A corrective logo. By end of the year, approximately 10% of the action plan was developed to address all required documents had been released with many nonconformities identified during the gap analysis others still at draft stage. and implementation of the plan was still ongoing by end of the year. Management Review Review of the organisation’s quality management Red Cell Training system was done through 2 management review Components Produced Awareness training on the ISO 9001:2015 meetings. These were scheduled and conducted standard was conducted for management and all one in each half of the year. Senior members of staff. A total of 13 internal auditors successfully staff from all branches of the Service participated attended and completed a transition training in the meetings. course at the Standards Association of Zimbabwe (SAZ) which was meant to capacitate them to be Calibration of Equipment able to conduct internal audits against the new The coordination of calibrations of all laboratory standard. and clinic measuring equipment was successfully done. The recommendation made in the previous ISO 9001:2008 Certificate Maintenance year to have all equipment calibrated once The quality management system and hence ISO annually was implemented. All equipment was 9001:2008 certificate was maintained throughout calibrated and was within calibration up to end of the year. A surveillance audit was conducted by year. The new calibration cycles implemented are Standard Association of Zimbabwe (SAZ) during expected to do away with these challenges. the middle of the year at Harare, Bulawayo and Gweru branches. Although some nonconformities were raised during the audits, the auditors concluded that the quality management system is still intact and functional. A corrective action plan to address the nonconformities was raised, developed, submitted and was accepted by SAZ. Follow-up was not yet done by end of year 2016.
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SAFETY, HEALTH ENVIRONMENT AND QUALITY ISO 9001 (Cont`d)
External Quality Assessment Schemes mance was exceptionally good in all UK NEQAS (EQAS) and SANBS schemes where 100% was obtained NBSZ laboratories successfully participated in throughout the year and satisfactory in ZINQAP EQAS throughout the year. The organisation scheme where an overall of 97% and 89% respec- renewed registration with the United Kingdom tively were recorded in immunology and full blood National External Quality Assessment Scheme count schemes respectively. The minimum accept- (UKNEQAS), South Africa National Blood Service able performance is 80%. The overall performance (SANBS) and the Zimbabwe National Quality for all the schemes is shown in Table 1 below. Assurance Program (ZINQAP) scheme. The perfor-
Table 6: Summary of proficiency scheme performance 2016 Number of Scheme shipments Overall score (%) UK NEQAS Microbiology 11 100 SANBS (virology) 4 100 SANBS (blood group serology) 6 100 SANBS (antibody identification) 2 100 ZINQAP (blood group serology) 4 100 ZINQAP (Immunology) 10 97 ZINQAP (Full Blood Count) 9 89
Quality control of blood and blood com- Quality Control of incoming materials ponents Quality control tests were done on new lots of Quality control checks were performed on sam- reagents and critical items before they are were pled units of blood and blood components from approved for routine use within NBSZ. In 2016, a all NBSZ branches. Haematological tests were total of 125 lots of reagents and blood bags were performed using the Mindray BC 30S, a new received and evaluated. Of these, 106 lots (85%) analyser installed, validated and commissioned for conformed to the specified requirements and were use in 2016. Sterility tests and factor VIII assay were accepted for use while 19 (15.2%) lots failed and outsourced. were rejected.
PLANNING, MONITORING AND EVALUATION
Strategic Plan Strengthening Research and The NBSZ started the year by reviewing its 2015- Development Activities 2018 Strategic Plan after the Q3 2015 quarterly NBSZ Research Capacity Review review had signaled that performance was In Quarter one of 2016, a research paper titled trending downwards. The reviewed Strategic plan A systematic approach for reviewing research was then used to review the 2015 Q4 Strategic capacity within Zimbabwe's national blood Plan. A review of the NBSZ Strategic plan for Q1, service by Mr Tonderai Mapako was submitted Q2 and Q3 2016 and other related work plans was and accepted for publication in the International successfully done. Society for Blood Transfusion (ISBT) Science Series.
21 • National Blood Service Zimbabwe • Annual Report 2016 •
PLANNING, MONITORING AND EVALUATION (Cont`d)
This research made the recommendations that community together to have an appreciation NBSZ will act upon to strengthen the Service`s of the evidence-based blood safety initiatives research and development activities. that are happening within Zimbabwe and to highlight the NBSZ research framework. The Research Proposals event was funded from a donation received All submitted research proposals were from Net One. The Scientific evening was reviewed as appropriate. A research proposal open to all medical and laboratory staff, and on the development of the NBSZ Research each of the 186 participants was awarded Portal was approved and the researcher, an eight Continuous Professional Development Information Communication Technology (ICT) points by the Medical Laboratory and Clinical PIR intern from Midlands State University, Scientists Council of Zimbabwe. There completed the development of the NBSZ was much appreciation on how NBSZ has research portal which is now in use. endeavoured to continuously develop and how it has assisted students to carry out research NBSZ Scientific Evening activities in partial fulfilment of their academic A National Research Committee meeting requirements. It was recommended by and Scientific Evening was successfully held participants that NBSZ maintains the Scientific on 29 September 2016. The objective of the Evening as an annual event. Scientific Evening was to bring the scientific
From right: Mr. John Nyashanu-NetOne PR Manager, Dr Stanley Midzi-WHO, Mr Douglas Mangwanya- MOHCC, Ms Lucy Marowa-NBSZ CEO, Dr Lovemore Mbengeranwa- Health Services Board Chairman, Dr. Tonderai Mapako - NBSZ Information & Research Manager with Presenter Dr. Mukonoweshuro Specialist Anaestetist
Some of the participants attending the Scientific Evening
22 • National Blood Service Zimbabwe • Annual Report 2016 •
PhD graduates from the T-REC Project The T-REC PhD Fellows Dr Tonderai Mapako and Dr Nyashadzaishe Mafirakureva managed to successfully defend their PhD theses on 9 December 2016 at the University of Gronin- gen, the Netherlands. Dr Mapako’s thesis was on risk modeling of transfusion transmissible infections whilst Dr Mafirakureva thesis focused on the health economics of blood transfusion in Zimbabwe. Both thesis are available on the University of Groningen website. Through these PhD fellows, a number of scientific publications Prof. Dr. Ben HC Westerink (on behalf of the were made in high impact international jour- University of Groningen Rector Magnificus Prof. E. Sterken) awarding the PhD honor to Dr nals. Tonderai Mapako
PLANNING, MONITORING AND EVALUATION (Cont`d)
Publications Blood Donor Subpopulations and Models on the The international research scientific community Estimation of Transfusion Transmission Residual continues to recognise NBSZ`s research Risk of Human Immunodeficiency Virus, Hepatitis efforts as evidenced by peer reviewed papers B Virus, and Hepatitis C Virus in Zimbabwe.” accepted and published in mostly high impact Transfusion 56 (6 Pt 2): 1520–28. doi:10.1111/ factor Journals listed below: trf.13472.
Mafirakureva, Nyashadzaishe, Tonderai Mapako, Mapako, Tonderai, Welling Oei, Marinus van Hulst, Star Khoza, Jean C. Emmanuel, Lucy Marowa, Mirjam E. Kretzschmar, and Mart P. Janssen. 2016. David Mvere, Maarten J. Postma, and Marinus “Modelling the Risk of Transfusion Transmission van Hulst. 2016. “Cost Effectiveness of Adding from Travelling Donors.” BMC Infectious Diseases Nucleic Acid Testing to Hepatitis B, Hepatitis C, 16 (April): 143. doi:10.1186/s12879-016-1452-z. and Human Immunodeficiency Virus Screening of Blood Donations in Zimbabwe.” Transfusion Information Communication Technology 56 (12): 3101–11. doi:10.1111/trf.13858. Information and Communication Technology is now a business enabler at NBSZ. The year 2016 Mapako, T., N. Mafirakureva, M. Mutenherwa, saw the NBSZ attain remarkable milestones such G. Bvuma, D. A. Mvere, L. M. Marowa, as the reintroduction of global email addresses J. C. Emmanuel, and I. Bates. 2016. “A and the mirroring of the Harare e-Delphyn server Systematic Approach for Reviewing Research to the Bulawayo e-Delphyn server. The NBSZ Capacity within Zimbabwe’s National Blood Smart Donor Mobile Application and website Service.” ISBT Science Series 11 (2): 110–17. were upgraded. However, the Internet failover and doi:10.1111/voxs.12276. paperless projects could not be completed . With an average network uptime of 96.2%, connectivity Mapako, Tonderai, Mart P. Janssen, David between all NBSZ branches was generally A. Mvere, Jean C. Emmanuel, Simbarashe satisfactory throughout the year. The state of ICT Rusakaniko, Maarten J. Postma, and Marinus hardware was also generally satisfactory. van Hulst. 2016. “Impact of Using Different
23 • National Blood Service Zimbabwe • Annual Report 2016 •
PUBLIC AFFAIRS ACTIVITIES
Stakeholder Engagement NBSZ activities that include the Business Breakfast Quarter one of 2016 saw the commencement meeting, NBSZ Golf Classic, World Blood Donor of a national networking programme where the Day and the Festive Season Campaign. In Quarter Coordination Office through the CEO and Public four of 2016, NBSZ received pledges of support Affairs Manager were engaged in one-on-one for selected NBSZ activities in 2017. meetings with business leaders from the different sectors. A total of 32 meetings were held in the The Service successfully managed to host the year with the business leaders and 22 meetings first guided tour by the Parliamentary Portfolio were held with Public Relations & Marketing Committee on Health in June 2016 that was led by Practitoners. The stakeholder engagement for the the Chairperson of the committee; Honourable Dr. year resulted in support being received for various Ruth Labode (MP).
Brigadier General Dr. Gerald Gwinji tour of Masvingo Branch with the PMD for Masvingo Province Dr Shamu and Ms. Kundai Machimbidzofa—NBSZ Head of Parliamentary Portfolio Committee on Health tour Centre of NBSZ operations
Masvingo Branch had a courtesy call from the Permanent Secretary in The Ministry of Health and Child Care, Brigadier General Dr Gerald Gwinji on 15th December 2016. He was accompanied by the Provincial Medical Director for Masvingo Province, Dr Amadeus Shamu. He commended the Branch and NBSZ as a whole for doing very good work in helping saving lives.
EVENTS
World Blood Donor Day 2016 saw the World Blood Donor Day commemorations being decentralized to make them more donor centric with a commemoration being held at all NBSZ centres. As a result the Annual Blood Donor awards ceremonies are now combined with the World Blood Donor Day commemorations. All blood donors who achieved their milestone blood donations were recognized at the Annual Blood Donor awards ceremonies that were held in all branches on 14 June 2016. Mr Elliot Mugamu NBSZ Board Vice Chairman posing for a picture after handing 150th Milestone Donor Award to Jenni Hogg whilst Mr Pete Hogg looks on
24 • National Blood Service Zimbabwe • Annual Report 2016 •
EVENTS (Cont'd)
At the same event, corporate organizations were given certificates of appreciation in recognition for their support. This was done according to the guidelines given in the Resource Mobilization Policy. The Patron Professor Hope Sadza, donated a floating trophy to be awarded to the organiza- tion that had the highest financial contribution and the first recipient of this trophy was National Aids WHO Director Health Strategies Dr. Stanley Council. Midzi, Douglas Mangwanya MOHCC handing over certificate & shield to Tichaona Saira, NBSZ Employee on his 100th Blood Donation Milestone award
National Aids Council receiving their Certificate of recognition and Trophy for the best supporting Organisation to NBSZ Operations from NBSZ Patron Prof. Hope Sadza (Middle)
Annual General Meetings AGM image, visibility and brand repositioning. The The National AGM was held on the 30th of Corporate Marketing Strategy is to grow the NBSZ September 2016. Branch AGMs were held as Brand and Brand Visibility by Building Strategic follows: Partnerships. Efforts to operationalize and Centre AGM Date 2016 implement the strategy are ongoing through Brand Harare AGM - 15 July internalization and externalization strategies that Bulawayo AGM - 15 July leverage on the Operational Marketing Plan. Gweru AGM - 15 July Mutare AGM - 12 August Brand Externalization Campaigns Masvingo AGM - 25 August Go-to-Market campaign The Go to market campaign was successfully held Corporate Marketing and leveraged on the World Blood Donor Day The Corporate Marketing Strategy and Plan was campaign which was held through print, broadcast crafted to find ways of promoting the organization’s and social media. Through this campaign for the
25 • National Blood Service Zimbabwe • Annual Report 2016 •
EVENTS (Cont`d) first time live radio broadcasts were done through programme was at 1,8 million radio listeners. The radio stations Radio Zimbabwe, Star FM and Yah Star FM report estimated an audience reach of FM. According to a report from Radio Zimbabwe, about 1,6 million radio listeners. the audience reach for the cross-over done during the afternoon slot for Kwaziso Ukubingelelana
Brand Ambassador Pauline Matambanadzo on radio interview with Radio Zimbabwe presenter Thandekile Simango
Radio adverts and programmes were Festive Season Campaign conducted in vernacular languages. The Festive season campaign is another corporate Programmes were done on Radio Zimbabwe, Marketing initiative which was also held as part of Star FM, National FM and Power FM in Brand externalization. Amongst other mediums the English, Shona and Ndebele. For TV, a two campaign mainly made use of Radio and Social part episode TV recording for the Positive Talk Media. Radio Zimbabwe was the official media Show ZTV programme was aired on ZTV in partner and provided live promo-build ups, free July and August.. Green Studios did another DJ mentions and live crossover of the campaign free coverage and live recording of the Harare launch whilst on social media Alpha Media commemoration. The programme was also Holdings through their number daily newspaper aired on ZTV. twitter page partnered with the Service through a Hashtag campaign that achieved 193,183 The Go-to-Market campaign was effectively engagements and 772,733 tweet impressions. carried out on social media especially on twitter through a hashtag campaign that ran in partnership with Alpha Media Holdings. The hashtag campaign (BloodConnectsUsAll) had over 650,000 tweet impressions and over facebook 90,000 post reach.
26 • National Blood Service Zimbabwe • Annual Report 2016 •
EVENTS (Cont'd)
NBSZ blood donation promotional the Service was given recognition amongst the Audio Jingle top 5 most improved brands at the Customer The first NBSZ 30 second audio jingle was Service Excellence Awards which were held in produced by SGC Communications and efforts October 2016. Such recognition improves on the to promote it were done through the Go-to- significance of the Service in the Health Sector Market/WBDD Campaign publicity strategy. and also raises the visibility, image and credibility Furthermore, Brian Nyahuma a Jazz music artist of NBSZ, its brand and products. and Mathias Mhere a gospel music artist both The official handover of the award was done on the produced blood donation related tracks as 30th of November 2016 during the Festive Season their own initiatives voluntarily produce songs Campaign launch. Contact Centre Association on behalf of NBSZ. of Zimbabwe offered to assist the organisation in further improving its Customer handling by Corporate Awards offering a free training to NBSZ front office staff in Testament to NBSZ’s Brand visibility efforts, the year 2017.
NBSZ CEO Ms L. Marowa and Professor Mandisodza (NBSZ Board Member) receiving a Customer Service Excellence Award from CCAZ President Mr. Owen Vere
Media Relations the Pledge 25 Club blood drives and activities. NBSZ received positive media coverage during Coverage was received from both electronic the period under review for all its activities. and print media. In Print media 47 articles were Solicited and unsolicited media coverage was published in various newspapers and there were received for all NBSZ events and these include 21 invitations received to participate on radio and the Business Breakfast meeting, NBSZ Golf TV Health programmes. Classic, WBDD, Festive season campaign and
27 • National Blood Service Zimbabwe • Annual Report 2016 •
RESOURCE MOBILIZATION
Fundraising Strategy target audience for this meeting were captains of The Fundraising Strategy for 2016 was industry, business membership organizations, health “Build Smart Partnerships through Resource development partners, EU and decision makers of Mobilization”. the different organizations in the different sectors within the country. Guest of Honour at the event was Resource Mobilization Initiatives in 2016 the Honourable Minister of Health & Child Care Dr NBSZ Business Breakfast Meeting 4 David Parirenyatwa. The NBSZ Chief Executive Officer March 2016 made a presentation on the Current NBSZ Status and In an effort to establish business linkages and the Desired Position. During the Breakfast Meetings opportunities for its fundraising initiatives, NBSZ with cash donations were made by National Aids Council; the support of the Business Advisory Committee $403 000, Potraz (Blood bags to the tune of $18000), successfully hosted a Business Breakfast Meeting ZimboLove $3500 and NICOZ Diamond; $2000. under the theme “Building Smart Partnerships”. The
Dr. Marowa NAC Board Chairman and MOHCC Permanent Secretary Brigadier General Dr. G. Gwinji presenting dummy cheque of donation to NBSZ Chairman (Retired) Justice L. Smith
NBSZ Golf Classic NBSZ Golf Classic Tournament was held at the Royal Harare Golf Club under the theme “Building Smart Partnerships” on 1 April 2016. A total of 104 players participated from different sectors including the banking sector, insurance, health, telecommunications, legal, transport, defence forces and security sector. Guest of Honour at the event was the Honourable Minister of Industry & Commerce Dr Mike Bimha. Total income as at September 2016 for the project was $19 710 before expenses. As a result of hosting this golf tournament, NBSZ was identified as the charity initiative for the 2017 ZimOpen tournament.
28 • National Blood Service Zimbabwe • Annual Report 2016 •
RESOURCE MOBILIZATION (Cont'd)
Hon. Minister Industry & Commerce; Mr Mike Bimha, Deputy Minister Of Health & Child Care; Mr Aldrin Musiiwa & NBSZ CEO Ms L. Marowa prize presentation to Mr. P. Mangwendeza & Mr. M Bako NBSZ Golf Classic Tournament Floating Trophy winner
Major Support for NBSZ Activities in 2016 NBSZ Blood Drive partners in 2016 The following companies provided major support financially 1. Alliance Health and in kind to NBSZ in 2016: 2. National Aids Council (NAC) Company 3. Delta 1. National Aids Council 4. AutoWorld 2. Net One 5. Big Sky 3. NICOZ Diamond 6. Paragon Business forms 4. New Avakash 7. Book and Bean (Bulawayo) 5. Medsure 8. SDA Mandara North 6. Doves Holdings 9. Mutare Bottlers 7. NBSZ Golf Classic 10. Bindura Town Council 8. Radio Zimbabwe 11. Mvurwi Town Council 9. Schweppes Zimbabwe 12. Chinhoyi Town Council 13. Kadoma Post Office
29 • National Blood Service Zimbabwe • Annual Report 2016 •
NOTES
30 • National Blood Service Zimbabwe • Financial Statements 2016 •
31 • National Blood Service Zimbabwe • Financial Statements 2016 •
NATIONAL BLOOD SERVICE ZIMBABWE Nature of Business organisation whose main activity is the provision of blood and blood products
REGISTRATION NUMBER 58/442 DIRECTORS
Justice eslie eorge Smith Retd Chairman lliot Mugamu Vice Chairman ucy Mary Marowa r Jean C mmanuel Medical Director Sydney Ma arawo Non-executive avid Tandiri Non-executive rofessor Arthur Mandisodza Non-executive dson Mlambo Non-executive
Mary Nyagumbo Non-executive (Retired 31/08/16) eonard Mabandi Non-executive Sipho Bulle Non-executive Tarirai Chadebah Non-executive (Retired 31/08/16) Nhlanhla Mlauzi Non-executive Rabin anga-Raju Non-executive Jac son A Njunga Non-executive
REGISTRATION OFFICE Mazowe Street North Avondale HARARE LAWYERS ube Mani ai and Hwacha egal ractitioners Si th loor oldbridge Cnr Sam Nujoma Street/Robert Mugabe Road astgate Comple HARARE AUDITORS Main Banks
B Barclays Ban of Zimbabwe imited Zimbabwe Chartered Accountants Birmingham Branch Kudenga House Southerton Baines Avenue HARARE HARARE CBZ Ban imited Selous Branch 7 Selous Avenue HARARE
32 • National Blood Service Zimbabwe • Financial Statements 2016 •
Contents
Directors' responsibility statement 34
Report of the independent auditors 35
37
38
Statement of changes in equity 38
39
40
33 • National Blood Service Zimbabwe • Financial Statements 2016 •
DIRECTORS› RESPONSIBILITY STATEMENT
The directors are required by the Companies Act The directors are of the opinion based on the in- Chapter to maintain adequate accounting formation and e planations given by management records and are responsible for the content and that the system of internal control provides rea-
- statements fairly present the state of affairs of the cial control can provide only reasonable but not absolute assurance against material misstatement or loss year then ended in conformity with International inancial Reporting Standards and in the manner required by the Companies Act Chapter are responsible for assessing the Service’s ability to continue operating as a going concern disclosing The directors ac nowledge that they are ultimately as applicable matters related to going concern - and using the going concern basis of accounting trol established by the Service and place consid- unless the directors either intend to liquidate the erable importance on maintaining a strong control Service or to cease operations or have no realistic environment To enable the directors to meet alternative but to do so these responsibilities the Board sets standards for internal control aimed at reducing the ris of fraud The directors have assessed the ability of the Ser- or error in a cost effective manner The standards vice to continue operating as a going concern and include the proper delegation of responsibilities - - ments on a going concern basis is still appropriate counting procedures and adequate segregation of duties to ensure an acceptable level of ris These The e ternal auditors are responsible for inde- controls are monitored throughout the Service and pendently auditing and reporting on the Service’s all employees are required to maintain the highest ethical standards in ensuring the Service’s business related notes have been audited by the Service›s is conducted in a manner that in all reasonable e ternal auditors and their report is presented on circumstances is above reproach The focus of ris page 5 to management in the Service is on identifying as- sessing managing and monitoring all nown forms of ris across the Service While operating ris out on pages 7 to 5 which have been prepared cannot be fully eliminated the Service endeavours on the going concern basis were approved by the to minimize it by ensuring that appropriate infra- Board and were signed on its behalf by structure controls systems and ethical behaviour are applied and managed within predetermined procedures and constraints
Board Chairman Justice Leslie George Smith (Retd) Lucy Mary Marowa
34 • National Blood Service Zimbabwe • Financial Statements 2016 •
INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF NATIONAL BLOOD SERVICE ZIMBABWE
Opinion accordance with International inancial Reporting Standards and the requirements of the Companies NATI NA B S R IC ZIMBABW set Act Chapter and for such internal control out on pages 7 to 5 which comprise the as the directors determine is necessary to enable
free from material misstatement whether due to comprehensive income statement of changes in fraud or error
Service’s directors are responsible for assessing policies and other e planatory notes the Service’s ability to continue operating as a going concern disclosing as applicable matters related to going concern and using the going concern basis of accounting unless the directors of NATI NA B S R IC ZIMBABW as at either intend to liquidate the Service or to cease operations or have no realistic alternative but to do so accordance with International inancial Reporting Standards Auditor’s Responsibilities for the Audit of the Financial Statements Basis for Opinion ur objectives are to obtain reasonable assurance We conducted our audit in accordance with International Standards on Auditing ISAs ur are free from material misstatement whether due responsibilities under those standards are further to fraud or error and to issue an auditor’s report described in the auditor’s responsibilities for that includes our opinion Reasonable assurance is a high level of assurance but is not a guarantee our report We are independent of the Service that an audit conducted in accordance with ISAs in accordance with the International thics will always detect a material misstatement when it Standards Board for Accountants’ Code of thics e ists Misstatements can arise from fraud or error for rofessional Accountants art A and B and are considered material if individually or in together with the ethical requirements that are the aggregate they could reasonably be e pected
ethical responsibilities in accordance with these requirements We believe that the audit evidence provide a basis for our opinion
Responsibilities of directors for the financial statements The Service’s directors are responsible for
35 • National Blood Service Zimbabwe • Financial Statements 2016 •
INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF NATIONAL BLOOD SERVICE ZIMBABWE (Cont‘d)
As part of an audit in accordance with ISAs we e - • valuate the overall presentation structure and ercise professional judgment and maintain profes- sional scepticism throughout the audit We also - ments represent the underlying transactions and • Identify and assess the ris s of material misstate- events in a manner that achieves fair presentation due to fraud or error design and perform audit proce- We communicate with the Service’s directors dures responsive to those ris s and obtain audit regarding among other matters the planned
provide a basis for our opinion The ris of not detecting a material misstatement resulting from internal control that we identify during our audit fraud is higher than for one resulting from error as fraud may involve collusion forgery intentional We also provide directors with a statement that we omissions misrepresentations or the override of have complied with relevant ethical requirements internal control regarding independence and to communicate • btain an understanding of internal control rele- with them all relationships and other matters that vant to the audit in order to design audit proce- may reasonably be thought to bear on our inde- dures that are appropriate in the circumstances pendence and where applicable related safe- but not for the purpose of e pressing an opinion guards on the effectiveness of the Service’s internal con- trol Report on other legal and regulatory requirements • valuate the appropriateness of accounting pol- icies used and the reasonableness of accounting all material respects been properly prepared in estimates and related disclosures made by man- compliance with the disclosure requirements of agement and in the manner required by the Companies Act • Conclude on the appropriateness of the directors’ Chapter use of the going concern basis of accounting and based on the audit evidence obtained whether a material uncertainty e ists related to events or
Service’s ability to continue as a going concern If we conclude that a material uncertainty e ists BDO Zimbabwe we are required to draw attention in our auditor’s Chartered Accountants
statements or if such disclosures are inadequate to modify our opinion
ur conclusions are based on the audit evidence obtained up to the date of our auditor’s report However future events or conditions may cause Harare the Service to cease to continue as a going con- 30 March 2017 cern
36 • National Blood Service Zimbabwe • Financial Statements 2016 •
STATEMENT OF FINANCIAL POSITION as at 31 December 2016
ASSETS
2016 2015 Note US$ US$
Non current assets roperty and equipment 4 2,132,613 2,227,181
Current assets Inventories 5 474,699 507,696 Trade and other receivables 6 2,333,111 2,302,850 Bank and cash balances 14 1,193,701 761,577 4,001,511 3,572,123
Total assets 6,134,124 5,799,304
RESERVES AND LIABILITIES
Reser es onated assets reserve 7 7 Revaluation reserve Accumulated surplus 7 5 4,580,267 3,921,372
Current liabilities Trade and other payables 7 55 57 77
Total reser es and liabilities 6,134,124 5,799,304
Board Chairman Justice Leslie George Smith (Retd) Lucy Mary Marowa
30 March 2017
37 • National Blood Service Zimbabwe • Financial Statements 2016 •
STATEMENT OF INCOME AND EXPENDITURE for the year ended 31 December 2016
INCOME
2016 2015 Note US$ US$ Revenue 8 7,385,343 7,820,528 Donations and grants 9 533,555 1,091,042 Other income 10 59,599 72,686 7,978,497 8,984,256 EXPENDITURE
Operating expenses 11 2,422,593 2,723,917 Administrative expenses 12 4,934,460 5,150,539 Finance charges 13 - 575 7,357,053 7,875,031
Surplus for the year 621,444 1,109,225
STATEMENT OF CHANGES IN RESERVES for the year ended 31 December 2016
Revaluation Donated Accumulated Total reserve assets surplus reserve US$ US$ US$ US$ Balance as at 1 January 2015 1,274,077 44,451 1,475,409 2,793,937 Donated assets - 7,000 - 7,000 Revaluation surplus 20,745 - - 20,745 Realisation of donated assets reserve - (9,535) - (9,535) Surplus for the year - - 1,109,225 1,109,225 Balance as at 31 December 2015 1,294,822 41,916 2,584,634 3,921,372 Donated assets - 46,986 - 46,986 Realisation of donated assets reserve - (9,535) - (9,535) Surplus for the year - - 621,444 621,444 Balance as at 31 December 2016 1,294,822 79,367 3,206,078 4,580,267
30 March 2017
38 • National Blood Service Zimbabwe • Financial Statements 2016 •
STATEMENT OF CASH FLOWS for the year ended 31 December 2016
CASH FLOWS FROM OPERATING ACTIVITIES
2016 2015 Note US$ US$ Surplus for the year 621,444 1,109,225
Adjusted for:- epreciation of property and equipment 5 77 Realisation of donated assets 5 5 5 5 oss on disposal of assets 5 - 941,562 1,477,602
Working capital changes ecrease/ Increase in inventories 7 7 Increase in trade and other receivables ecrease in trade and other payables 75 Net cash generated from operating acti ities 620,223 788,999
CASH FLOWS FROM INVESTING ACTIVITIES
Additions to property and equipment roceeds from disposal of assets - 7 Net cash utilised in in esting acti ities (188,099) (239,528)
CASH FLOWS FROM FiNANCING ACTIVITIES
oan repayment - 5 - (15,333)
NET INCREASE IN CASH AND CASH EQUIVALENTS 432,124 534,138
CASH AND CASH EQUIVALENTS AT THE BEGINNING OF THE YEAR 761,577 227,439
CASH AND CASH EQUIVALENTS AT THE END OF THE YEAR 14 1,193,701 761,577
39 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
1. GENERAL INFORMATION 2.2 Changes in accounting policy and 1.1 Nature of business interpretations National Blood Service Zimbabwe is a not-for-prof- (a) New standards, interpretations and it organisation whose main activity is the provision amendments effective from 1 January of blood and blood products. 2016 The following new standards, amendments and in- 1.2 Currency terpretations are effective for the first time in these The Service’s functional and presentation currency financial statements and have not had a material is the United States of America dollar (“USD”). effect on the Service:-
2. ACCOUNTING POLICIES - IAS 1 Presentation of Financial Statements, 2.1 Basis of preparation The amendment clarifies that aggregation or The principal accounting policies adopted in the disaggregation should not obscure useful infor- preparation of the financial statements are set out mation. Materiality applies to each of the primary below. The policies have been consistently applied financial statements, the notes and each specific to all the years presented, unless otherwise stated. disclosure required by IFRS. - IAS 16 Property, Plant and Equipment, Has The financial statements are based on statutory been amended to prohibit the use of reve- records that are maintained under the historical nue-based methods of depreciation for items of cost convention as modified by the revaluation of property, plant and equipment because the reve- computer equipment, motor vehicles, furniture, lab nue generated by an activity that includes the use equipment, land and buildings. of an item of property, plant and equipment gener- ally reflects factors other than the consumption of These financial statements have been prepared in the economic benefits of the item. IAS 38 Intangible Assets, accordance with International Financial Reporting - Has been amended to Standards, International Accounting Standards and incorporate a rebuttable presumption that amor- Interpretations (collectively IFRSs) issued by the tisation based on revenue is not appropriate. The International Accounting Standards Board (IASB). presumption can be rebutted if either the intan- gible asset is expressed as a measure of revenue; The preparation of financial statements in compli- or revenue and the consumption of the economic ance with adopted IFRS requires the use of certain benefits of the intangible asset are highly correlat- critical accounting estimates. It also requires the ed. Service’s management to exercise judgment in ap- - IFRS 19 Employee Benefits, The amendment to plying the Service’s accounting policies. The areas IFRS 7 clarified that high quality corporate bonds where significant judgments and estimates have used to determine the discount rate for the ac- been made in preparing the financial statements counting of employee benefits need to be denom- and their effect are disclosed in note 3. inated in the same currency as the related benefits that will be paid to the employee.
40 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
(b) New standards, interpretations and 2.3.3 Donations and grants amendments not yet effective Income from donations and grants is recognised The following new standards, interpretations on a receipt basis. and amendments, which are not yet effective and have not been adopted early in these finan- 2.3.4 Interest income cial statements, will or may have an effect on the Interest income is recognised on a time propor- Service’s future financial statements: tionate basis after taking into account the capital - IFRS 15: Revenue from Contracts with Custom- amount outstanding and effective rate over the ers (Effective from periods beginning on or after period to maturity. 1 January 2018) - IFRS 16: Leases (Effective from periods begin- 2.4 Financial instruments ning on or after 1 January 2019) - Amendments to IFRS 9: Financial Instruments 2.4.1 Financial assets (Effective for periods beginning on or after 1 The Service classifies its financial assets as loans January 2018). and receivables. The Service›s accounting policy - Annual Improvements to IFRSs 2012–2014 for loans and receivables is as follows: Cycle: - IFRS 7 Financial Instruments: Disclosures (Pro- Loans and receivables spective application) (Consequential amend- These assets are non-derivative financial assets ment to IFRS 1). with fixed or determinable payments that are not quoted in an active market. They are principally None of the new standards, interpretations and made up of trade and other receivables and bank amendments, which are effective for periods and cash balances. They are initially recognised beginning after 1 January 2016 and which have at fair value plus transaction costs that are directly not been adopted early, are expected to have a attributable to their acquisition or issue, and are material effect on the Service›s future financial subsequently carried at amortised cost using the statements. effective interest rate method, less provision for impairment. 2.3 Revenue recognition 2.3.1 Sale of blood and blood products Impairment provisions are recognised when there Revenue from the sale of blood and blood prod- is objective evidence (such as significant finan- ucts is recognised when the products have been cial difficulties on the part of the counterparty or delivered, the customer has accepted the prod- default or significant delay in payment) that the ucts and the collectability of the related receiva- Service will be unable to collect all of the amounts ble is reasonably assured. Revenue is measured due under the terms receivable, the amount of at the fair value of consideration received or such a provision being the difference between receivable. the net carrying amount and the present value of the future expected cash flows associated with the 2.3.2 Medical tests impaired receivable. For trade receivables, which Income from procedures and tests is recognised are reported net; such provisions are recorded in when the procedures and tests have been com- a separate allowance account with the loss being pleted and results have been delivered to the recognised within operating expenses in the state- customer. ment of income and expenditure.
41 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
On confirmation that the trade receivable will not sequent costs are included in the asset’s carrying be collectable, the gross carrying value of the asset amount or recognised as separate assets, as ap- is written off against the associated provision. propriate, only when it is probable that future eco- nomic benefits associated with the items will flow The Service’s loans and receivables comprise trade to the entity and the costs can be measured reli- and other receivables in the statement of financial ably. All other repairs and maintenance costs are position. charged to the statement of income and expendi- ture during the period in which they are incurred. Cash and cash equivalents include cash in hand and deposits held on call with other banks. Property and equipment are subsequently carried at revalued amounts, based on periodic valuations, Derecognition of financial assets by a professionally qualified valuer, less accumu- Financial assets are derecognised when the rights lated depreciation and impairment losses. These to receive cash flows have expired or where they revaluations are made with sufficient regularity to have been transferred and the Service has also ensure that the carrying amount does not differ transferred substantially all risks and rewards of materially from that which would be determined ownership. using fair value at the end of the reporting period.
Impairment of financial assets Revaluation surpluses on property and equipment A financial asset is deemed to be impaired when are credited to a revaluation reserve, except to the its carrying amount is greater than its estimated extent that it reverses a revaluation decrease for receivable amount, and there is evidence to sug- the same asset previously recognised as an ex- gest that the impairment occurred subsequent to pense, in which case the increase is credited to the the initial recognition of the asset in the financial statement of income and expenditure to the extent statements. Impairment loss is recognised in ex- of the decrease previously charged. A decrease in penditure. the carrying amount arising on the revaluation of property and equipment is charged as an expense 2.4.2 Financial liabilities to the extent that it exceeds the balance, if any, The Service’s financial liabilities comprise trade held in the revaluation reserve relating to a previ- and other payables. Trade and other payables are ous revaluation of that asset. initially recognized at fair value and subsequently carried at amortised cost using the effective inter- On the subsequent sale or retirement of revalued est rate method. assets the attributable revaluation surplus is trans- ferred directly to accumulated surplus. 2.5 Post employment benefits Contributions to defined contribution pension schemes are charged to the statement of income and expenditure in the year to which they relate.
2.6 Property and equipment Property and equipment is initially measured at cost. Cost includes expenditure that is directly attributable to the acquisition of the asset. Sub-
42 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
Subject to the above property and equipment is de- inventories. Net realisable value is the estimate of preciated on a straight line basis over the remaining the selling price in the ordinary course of business, useful lives as follows: less selling expenses. Write downs to net realisable • Buildings 20 years values and inventory losses are expensed in the • Furniture 10 years period in which the write downs or losses occur. • Laboratory and clinical equipment 10 years • Motor vehicles 5 years 3. CRITICAL JUDGEMENTS IN APPLYING THE SERVICE’S ACCOUNTING POLICIES • Computer equipment 3 years
In preparing the financial statements, management The assets› residual values and useful lives are is required to make estimates and assumptions reviewed at each reporting date and adjusted if that affect the amounts presented in the financial appropriate. The residual value of an asset is the statements and related disclosures. Use of availa- estimated amount that would currently be ob- ble information and the application of judgment tained from disposal of the asset, after deducting is inherent in the formation of estimates. Actual re- the estimated costs of disposal, if the asset was sults in the future could differ from these estimates already of the age and in condition expected at which may be material to the financial statements. the end of its useful life. Significant judgments include: Gains and losses on disposals are determined by (a) Trade and other receivables comparing proceeds with the carrying amounts. The Service assesses its trade receivables for These gains and losses are included in the state- impairment at each reporting date. In determining ment of income and expenditure. whether an impairment loss should be recognised
Impairment of property and equipment in the statement of income and expenditure, the Service makes judgments as to whether there is The carrying amount of property and equipment observable data indicating a measurable decrease is reviewed at each reporting date to determine in the estimated future cash flows from the receiv- whether there is any indication of impairment. If ables. any such indication exists, the asset’s recovera-
ble amount is estimated. Any impairment loss is (b) Impairment testing recognised through the statement of income and The Service is required to test, on an annual basis, expenditure whenever the carrying amount of an whether an asset has suffered any impairment. asset exceeds its recoverable amount. Impairment loss is the amount by which the car- De-recognition of property and equipment rying amount of an asset exceeds its recoverable amount. The recoverable amount of an asset is the An item of property and equipment is derecog- higher of its fair value less costs of disposal and nised upon disposal or when no future economic its value in use. The determination of value in use benefits are expected from use or disposal. requires the estimation of future cash flows and of 2.6 Inventory a discount rate. Inventory is initially measured at cost and subse- quently stated at the lower of cost and net realis- able value, after making allowance for obsolete
43 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
4. PROPERTY AND EQUIPMENT
Buildings Furniture Laboratory Computer Motor Total and & clinic equipment ehicles equipment
US$ US$ US$ US$ US$ US$
Carrying amount as at 1 Jan 2015 1,473,077 100,565 469,809 75,660 218,710 2,337,821 ross carrying amount - cost/valuation 5 7 5 5 7 5 Accumulated depreciation 5 5 5 5
Additions - 5 5
onated assets - - - 7 - 7
Revaluations - - - 7 5 - 7 5
epreciation charge for the year 5 5 5 7 5 5 5 77
isposals - - - 7 ross carrying amount - 7 - 5 7 Accumulated depreciation - 7 - 5 5
Carrying amount as at 31 Dec 2015 1,376,577 110,872 430,477 72,994 236,261 2,227,181 ross carrying amount - cost/valuation 7 7 7 7 Accumulated depreciation 55 5 75 5
Additions - 5 5 5 77
onated assets - - - -
epreciation charge for the year 5 7 5 7 7 5
isposals - - - - 5 5 ross carrying amount - cost/valuation - - - 5 Accumulated depreciation - - - 7 5 5 5
Carrying amount as at 31 Dec 2016 1,280,077 140,644 484,534 67,416 159,942 2,132,613 ross carrying amount - cost/valuation 5 77 Accumulated depreciation 5 5 5
44 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
5. INVENTORIES
2016 2015 US$ US$ Blood bags 5 onor incentives 7 5 Immunoglobulins rotective clothing 7 Reagents and chemicals 5 Stationery 7 5 5 ther consumables 5 7 474,699 507,696
6. TRADE AND OTHER RECEIVABLES
Trade receivables 5 7 7 ess provision for impairment of trade receivables 7 7
Total financial assets other than cash and cash 7 equivalents classified as loans and receivables
ther receivables 7 2,333,111 2,302,850
As at ecember trade receivables of US 7 5 US were past due but not impaired They relate to customers with no default history Trade receivables of S7 5 7 were impaired The aging of these debtors is as follows
Up to months 5 months and above 55 5 5 2,016,474 2,013,962
Movements in the impairment allowance for trade receivables are as follows
At January 7 7 Increase during the year - - At ecember (78,804) (78,804)
45 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
7. TRADE AND OTHER PAYABLES
2016 2015 US$ US$
Trade 5 5 ther 7 Total financial liabilities classified as financial liabilities measured 715,040 842,718 at amortised cost
ther payables ension ta and social security payments 7 5 1,553,857 1,877,932
8. REVENUE
Human blood products 7 7 7 Immunoglobulins 5 Medical tests 7 7 7,385,343 7,820,528
9. DONATIONS & GRANT
Centre for isease Control C C AR roject - 5 National Aids Council 5 7 ther donations 5 533,555 1,091,042
10. OTHER INCOME
Interest income 7 7 Realisation of donated asset reserve 5 5 5 5 Sundry income 7 7 7 59,599 72,686
46 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
11. OPERATING EXPENSES
2016 2015 US$ US$ Blood procurement e penses 77 5 Branch visits e penses 5 Canteen e penses Cleaning e penses 5 5 Co-ordination e penses 5 75 7 55 - ntertainment and presentation 5 5 uel 7 Incineration and waste disposal 57 7 7 aboratory e penses 7 5 7 inen administration Motor vehicle repairs and maintenance 5 ublic affairs e penses 5 Quality assurance e penses 7 7 2,422,593 2,723,917
12. ADMINISTRATIVE EXPENSES
2016 2015 US$ US$ Audit fees 5 5 Ban charges 7 Buildings maintenance and repairs 7 Computer e penses Consultancy e penses 7 55 ebt collection 7 epreciation of property and equipment 5 77 irectors fees 5 7 5 lectricity and rates 7 7 change loss 7 eneral e penses 5 Insurance 5 ibrary and reference boo s oss on disposal of assets 5 - Medical aid 7 enalties ension 5
47 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
ADMINISTRATIVE EXPENSES (Cont‘d)
2016 2015 US$ US$ lanning information and research 5 7 5 ostage 5 5 remises rentals rinting and stationery rotective clothing 7 Salaries and wages 7 7 Security 77 7 7 Staff and educational e penses 5 5 Staff welfare Telephone and fa Telephone rentals 7 77 Training and seminars 7 7 Transport 7 5 5 Water 7 5 4,934,460 5,150,539
13. FINANCE CHARGES
2016 2015 US$ US$ Interest charges - 575
14. BANK AND CASH BALANCES
Ban balances 5 7 7 7 5 Cash balances 1,193,701 761,577
15. POST EMPLOYMENT BENEFITS 15.1 NATIONAL SOCIAL SECURITY AUTHORITY SCHEME All employees are members of the National Social Security Authority Scheme which is a contributory pension scheme The scheme is administered by the National Social Security Authority This scheme was promulgated under the National Social Security Authority Act of The Services obligations under
of pensionable emoluments up to a ma imum of 5 per month
Contributions for the year 5
48 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
15.2 Externally administered fund Pensions are provided for employees by a separate fund administered by Old Mutual, to which the Ser-
2016 2015 US$ US$ Contributions for the year - 176,108
There were no contributions paid to the Old Mutual Pension Fund relating to the year ended 31 December 2016. This was due to a directive from Insurance and Pensions Commission (IPEC) to seize deducting pension from employees until the Service has cleared its outstanding balance with Old Mutual Pension Fund. 16. COMPENSATION TO KEY MANAGEMENT Key management personnel are those persons having authority and responsibility for planning, directing
National Social Security Authority pension contribution only as no Old Mutual pension contribution was deducted. 613,940 555,367 2,646 24,616 616,586 579,983
2016 includes National Social Security Authority pension contribution only as no Old Mutual pension contribution was deducted.
17. FINANCIAL INSTRUMENTS - RISK MANAGEMENT
1. Credit risk 2. Liquidity risk
instruments. This note describes the Service›s objectives, policies and processes for managing those risks and methods used to measure them. Further quantitative information in respect of these risks is presented
- jectives, policies and processes for managing those risks or the methods used to measure them from the previous periods unless otherwise stated in this note.
49 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
i Principal financial instruments
follows a Trade and other receivables b Ban and cash balances c Trade and other payables
ii Financial instruments by category FINANCIAL ASSETS Loans and Receivables
2016 2015 US$ US$ Trade and other receivables 5 Ban and cash balances 7 7 577 3,526,812 3,064,427
FINANCIAL LIABILITIES At Amortised Cost
2016 2015 US$ US$ Trade and other receivables 7 5 7 Ban and cash balances 715,040 842,718
iii Financial instruments not measured at fair value
inancial instruments not measured at fair value include ban and cash trade and other receivables and trade and other payables
ue to their short-term nature the carrying value of ban and cash trade and other receivables and trade and other payables appro imates their fair value
General objectives, policies and processes The Board has overall responsibility for the determination of the Service›s ris management objectives and policies and whilst retaining ultimate responsibility for them it has delegated the authority for de- signing and operating processes that ensure the effective implementation of the objectives and policies
The main ris s facing the Service are credit ris and liquidity ris
50 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
17. FINANCIAL INSTRUMENTS - RISK MANAGEMENT (Cont`d)
17.1 Credit risk fails to meet its obligations inancial assets which potentially subject the Service to concentrations of credit ris consist primarily of ban and cash balances and trade and other receivables The Service`s cash receivables is limited to contractual obligations by the debtors The Service has also suspended credit facilities on defaulting debtors and now demands cash upfront
Carrying Ma imum Carrying Ma imum alue E posure alue E posure 2016 2016 2015 2015 US$ US$ US$ US$ Trade and other receivables 5 5 5 5 Ban and cash balances 7 7 7 577 7 577 3,605,616 3,605,616 3,143,231 3,143,231
17.2 Liquidity risk liquidity ris that the Service faces the Service›s policy has been throughout the year ended ecember
undiscounted payments Up to 3 Between Between O er 2 Total months 3 and 12 12 and 24 years months months
US$ US$ US$ US$ US$
At 31 December 2016
Trade and other payables 7 5 57 - 55 57 7 5 57 - 55 57
At 31 December 2015
Trade and other payables 55 5 55 55 - 7 7 255,615 1,323,551 1,323,551 - 2,902,717
51 • National Blood Service Zimbabwe • Financial Statements 2016 •
NOTES TO THE FINANCIAL STATEMENTS for the year ended 31 December 2016 (Cont’d)
18. CAPITAL COMMITMENTS
2015 2015 US$ US$ Authorised and contracted for - - Authorised and not contracted for 57 5 289,800 579,159
19. EVENTS AFTER THE REPORTING DATE
19.1 Approval of financial statemen ts
52