2019 Annual Report
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FINANCIAL STATEMENTS & ANNUAL REPORT 2019 PAGE.2 MARIE STOPES INTERNATIONAL FINANCIAL STATEMENTS & ANNUAL REPORT 2019 OUR ESTIMATED IMPACT WAS ACHIEVED THROUGH 2019 13.6M 36.8M Client visits CYPs* IN NUMBERS 37 13 Countries Policy restrictions removed WE ESTIMATE THAT IN 2019 OUR SERVICES RESULTED IN 10,000+ 4,200 32.2M 13.1M Public Sector Team members Strengthening sites Women and men using contraception provided by MSI Unintended pregnancies averted 2,400 1,000 6.5M 34,600 Social franchisees Marie Stopes Ladies Unsafe abortions averted Maternal deaths averted 450 490 Our impact figures *Couple years of protection (CYP): The impact figures shown in this This is one of our key service metrics document have been calculated using which estimates the protection from Outreach teams Centres Impact 2, our innovative sociodemographic pregnancy provided by contraceptive mathematical model that allows us to methods during a one-year period. estimate the impact of our work, and the Different methods of contraception have wider social and economic benefits of different CYP values which depend on how offering access to contraception and safe long they can be used for, the likelihood of abortion. You can find out more about wastage, and how effectively they prevent Impact 2 on our website: www.mariestopes. pregnancy. For instance, 120 condoms are org/what-we-do/our-approach/our- needed to provide one CYP, while a five- technicalexpertise/impact-2/ year IUD provides 3.3 CYPs. For a more detailed explanation of CYPs please visit: www.mariestopes.org/media/2188/msi- cyp-infographic.pdf PAGE.4 MARIE STOPES INTERNATIONAL FINANCIAL STATEMENTS & ANNUAL REPORT 2019 CHARITY DETAILS Registered name and charity number Marie Stopes International, 265543 (registered in England and Wales) Company number 1102208 (registered in England and Wales) CONTENTS Registered office 1 Conway Street Fitzroy Square London W1T 6LP CEO STATEMENT 6 Board of Trustees The Trustees of Marie Stopes International are the charity’s Trustees under charity law, and the Directors of the charitable company. TRUSTEES’ REPORT 8 Trustees Glenda Burkhart, Chair (appointed 6 March 2020) Timothy M Rutter FRCS (resigned 6 March 2020) Dr Mohsina Bilgrami INDEPENDENT AUDITOR’S REPORT 41 Frank Braeken Fiona Duby (appointed 23 May 2019) Philip D Harvey CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES 46 Claire Emma Morris Dr Kristin Anne Rutter Jess Search CONSOLIDATED BALANCE SHEET 47 Chief Executive Officer Simon Cooke Independent Auditors CONSOLIDATED CASHFLOW STATEMENT 48 PricewaterhouseCoopers LLP 1 Embankment Place London WC2N 6RH NOTES TO THE FINANCIAL STATEMENTS 49 Principal bankers Standard Chartered Bank Plc 1 Aldermanbury Square London EC2V 7SB Barclays Bank Plc 1 Churchill Place London E14 5HP PAGE.6 MARIE STOPES INTERNATIONAL FINANCIAL STATEMENTS & ANNUAL REPORT 2019 CEO STATEMENT It’s a strange time to be reflecting with the greatest need; adolescents for We spoke with our clients, our team on the previous year, when whom contraceptive access is invariably members, our partners, and we went COVID-19 fixes our attention so heavily restricted; those using a method further afield, beyond our sector, to of contraception for the first time, and those challenge ourselves to think of innovative urgently on the demands of the living in extreme poverty, where neither ways to solve old problems. Many themes here and now. The circumstances the public or private sector provides emerged - the strength of our service we find ourselves in would have affordable options. delivery, the trust that our partners have been unimaginable when 2019 I am immensely proud of these in the choice and quality we offer, the came to a close, as the last of achievements, especially given our refusal, importance of diversifying our impact the nearly 14 million clients we since 2017, to bid for US government metrics, the opportunities to integrate our supported in the year received funding due to its damaging and punitive services with others across the health restrictions on organisations that support system, and the power of our advocacy, services, and we heard the first safe abortion. The US administration when we do speak up. reports of a new virus emerging. remains the biggest single funder of We also learned that MSI is often The pandemic has brought many things contraceptive programmes worldwide, but is perceived as a ‘lone wolf’ in our approach into sharp focus, not least the resilience and implacably opposed to any grantee offering to delivering services, and needs to work dedication of our frontline teams, to whom advice, support or even counselling for better with others, to form stronger, lasting our 2019 achievements are a testament. It women seeking safe abortion care. We will partnerships that will multiply the impact has also provided a stark reminder of how not bid for US funding until the damaging of our collective efforts for the benefit essential and time-critical our services are. ‘Gag Rule’ is overturned. of millions of people across the world. Sexual and reproductive health needs do Last year, we continued to see the My thanks go to all who took part in this not stop in a crisis, whether that is a global chilling effect of this policy play out around consultation process. MSI will be stronger pandemic, conflict or the effects of the the world with an increasingly sophisticated because of your inputs and your candour. climate emergency. Such circumstances and emboldened anti-choice movement. In Our guiding principle will always be are all too familiar for many of our team response, we continued to be unapologetic our belief that every person, wherever they members, and last year they persisted in our defence of a woman’s right to live and whoever they are, should have through a myriad of challenges from political choose: from ensuring access to abortion the opportunity to control their own body unrest in Bolivia, to ongoing conflict in was on the agenda at Women Deliver and and determine their own future. As we look Yemen and Myanmar. Through all this, MSI ICPD+25, to the publication of the largest ahead to 2030, we know that access to delivered another record year of impact. survey on women’s views on abortion care. safe abortion everywhere is within reach, In 2019, there were over 32 million We were also delighted to participate and universal access to contraception as people using a method of contraception in a number of notable victories: from part of broader Universal Health Coverage supplied by MSI, 4.6 million people turned decriminalisation in New South Wales in (UHC) is entirely achievable. But achieving to us for safe abortion and post-abortion Australia, Oaxaca in Mexico and Northern this vision will take collaboration, within and care services, and we delivered 36.8 million Ireland in the UK, to new post-abortion care beyond our sector. couple years of protection (CYPs), over guidelines in Kenya. It’s important to hold on Thank you to all our valued partners for 2.2 million additional CYPs compared to to this forward momentum, despite the best making our record-breaking impact possible 2018. These services prevented 13.1 million efforts of those opposing reproductive rights in 2019, and for joining us on this journey as unintended pregnancies, 6.5 million unsafe around the world. We remain committed we evolve to face the challenges ahead. abortions and 34,600 maternal deaths. With to playing our part in removing barriers for essentially flat income, this was achieved women to access safe care. by greater efficiency and a laser focus on 2019 was the penultimate year of our providing choice and quality. ‘Scaling-Up Excellence’ strategy, and early Our 10,000 team members worked in the year we embarked on the process of intense consultation and debate about how tirelessly to provide services across 37 Simon Cooke MSI should adapt to deliver even greater countries, from our safe abortion clinics in CEO, Marie Stopes International the UK to our newest outreach services in impact in the decade ahead. Our starting the Democratic Republic of Congo. In our point was a bold, guiding vision: to eliminate international programmes, over 70% of all unsafe abortion and meet demand for clients served were living in communities contraception by 2030. PAGE.8 MARIE STOPES INTERNATIONAL FINANCIAL STATEMENTS & ANNUAL REPORT 2019 The Board of Trustees presents its report and the audited consolidated financial statements for the year ended 31 December 2019 under the TRUSTEES’ Charities Act 2011 and the Companies Act 2006, incorporating the Directors’ Report. Pages 8 to 40 incorporate the requirements of the Strategic Report. We provide high quality services, in tough decisions and challenge others in line WHO WE ARE some of the world’s most hard-to-reach with our mission. communities, often using innovative We know what a difference choice approaches to reach the clients who need Founded in 1976, Marie Stopes can make, so we do whatever it takes to us. Our dedicated team members embody REPORT International (MSI) has grown make sure that a woman can access the our vision and never lose sight of our from a single clinic in central contraception and safe abortion services mission. The way we work, and the culture that give her control over her body. It’s why London to one of the world’s of our organisation is driven by our values: largest providers of high quality, we provide our services in a whole range affordable contraception and safe Mission driven: With unwavering of different ways, from static centres in abortion services. commitment, we exist to empower people to urban areas to mobile outreach teams who have children by choice, not chance. travel long distances to rural communities. Since day one, choice has been at the Because we understand that when women Client centred: We are dedicated to our heart of everything that we do and our and girls are given the tools to decide clients and work tirelessly to deliver high mission remains clear: to empower women whether and when to have children, the quality, high-impact services that meet their and girls to choose if and when they have health, livelihoods and resilience of not only individual needs.