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2020-12-31-accounts

Options for International Health

Annual Report and Accounts

31 December 2020

Company Limited by Guarantee Registration Number 9137405 (England and Wales)

Charity Registration Number 1160066

Contents

Reports
Legal and administrative information 1
Trustees’ report 2
Independent auditor’s report 9
Accounts
Statement of financial activities 14
Balance sheet 15
Statement of Cashflows 16
Principal accounting policies 17
Notes to the accounts 19

Legal and administrative information 31 December 2020

Trustees Jo Elms (Chair)
Alison Dembo Rath
Richard Burge
Claire Morris
Sally Hughes
Dr Faith Mwangi-Powell – appointed 2nd
Oct 2020
Registered office 2ndFloor, St Magnus House
3 Lower Thames Street
London
EC3R 6HD
Company registration number 9137405 (England and Wales)
Charity registration number 1160066
Accountants Sayer Vincent
Invicta House
108-114 Golden Lane
London
EC1Y OTL
Bankers Barclays Bank plc
Level 28
1 Churchill Place
London
E14 5HP
Solicitors A J Lutley
Springfield
Rookery Hill
Ashtead Park
Ashtead
Surrey
KT21 1HY

Options for International Health 1

Trustees’ report 31 December 2020

The trustees, who are directors for the purposes of company law, present their statutory report together with the financial statements of Options for International Health (“OIH”) for the year to 31 December 2020.

The accounts have been prepared in accordance with the accounting policies set out on page 17 therein and comply with the charitable company’s memorandum and articles of association, applicable law and the Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102).

The report has been prepared in accordance with Part 8 of the Charities Act 2011 and also constitutes a directors’ report as required by section 418 of the Companies Act 2006.

OIH is a wholly owned subsidiary of MSI Reproductive Choices (Registered Company Number 01102208 (England and Wales). OIH’s operational management is carried out by Options Consultancy Services Limited (Registered Company Number 2695347 (England and Wales)), which is also a subsidiary of MSI Reproductive Choices. Options Consultancy Services Limited was set up in 1992 to;

(1) To carry on the business of acting as consultants and providing advice and information in relation to family planning, population growth, birth control and contraception, good health, both mental and physical, of parents, young people and children, illness, whether physical or mental or distress caused by unwanted conception, involuntary sterility or difficulties connected with the marriage relationship or sexual problems and the advice, facilities and treatment available for such persons and other health and medical issues.

(2) To conduct research into any of the above.

(3) To co-operate with and enter into arrangements with any authorities agencies or bodies, international, national, local or otherwise and to obtain from any such authorities, agencies or bodies any rights, privileges and concessions.

(4) To carry on any other activity and do anything of any nature which may seem to the company capable of being conveniently carried on or done by the company in connection with the above, or may seem to the company calculated directly or indirectly to benefit the company.

Some of the programmes that Options managed address social issues for which there was interest in support from charitable sources. This led to the establishment of OIH as a charity for receiving donations and grants that can be channelled to enable the implementation of these programmes.

Options for International Health 2

Trustees’ report 31 December 2020

Objectives and Activities

The Charity’s Objectives, as set out in its Articles of Association are:

a) the prevention and relief of sickness and the preservation and promotion of mental and physical health for the public benefit worldwide, with a focus on those who are disadvantaged or in need particularly as a result of ill health or poverty, by such means as the Trustee Directors think fit including but not exclusively through:

b) the advancement of such other Charitable Purposes for the public benefit as are consistent with the Objectives stated above as the Trustee Directors in their absolute discretion determine.

Public Benefit

The trustees confirm that they have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the Charity’s objectives and aims and in planning future activities. The activities undertaken and planned during the reporting period are considered to directly contribute towards furthering the charity’s objectives for the public benefit.

Activities during the reporting period

a. Evidence for Action, funded by the Bill and Melinda Gates Foundation (BMGF)

The Evidence for Action (E4A) project works in Africa bringing together government, civil society and health practitioners in coalitions that use existing information and resources to:

Throughout the year, E4A continued to implement the $6M reinvestment from the BMGF (July 2019 - April 2022) which aims to further the gains the programme has made in Kenya and Nigeria. E4A’s strategies aimed at being sustainable by ensuring that the project’s approaches are institutionalized. The project empowered coalitions by strengthening the connection between civil society, health professionals and public officials to work as advocacy coalitions. There was sharing of best practices, tools and learning through the production of global public goods.

Options for International Health 3

Trustees’ report 31 December 2020

The programme also expanded technical assistance to civil society in Francophone Africa to increase access and strengthen accountability of the Global Financing Facility (GFF) processes in Senegal.

In response to COVID-19, the E4A teams undertook a rapid assessment of the impact on Maternal, Newborn Health services, decision-making and accountability. They developed a COVID-19 strategy paper and provided support, training and guidance documents to adapt and respond to their changing context while keeping themselves and partners safe.

Plans for 2021

Structure, governance and management

Constitution

OIH is a company limited by guarantee incorporated in England and Wales (registered number 9137405) and is governed by its Memorandum and Articles of Association dated 18 July 2014. It is also registered with the Charity Commission, charity registration number 1160066. In the event of the company being wound up the members would each be required, if necessary, to contribute to the assets of the company a sum not exceeding £1.

Organisation

Trustees can be appointed by ordinary resolution of the members. The trustees, who served throughout the financial period were as follows: Jo Elms (Chair) Alison Dembo Rath Richard Burge Claire Morris Sally Hughes Dr Faith Mwangi-Powell

Options for International Health 4

Trustees’ report 31 December 2020

Jo Elms and Alison Dembo Rath are employed by Options Consultancy Services Ltd, for whom Jo Elms is the Managing Director. All trustees were recruited through recommendations of people involved in the work that OIH was set up to address, and their appointment was through approval of the parent entity, MSI Reproductive Choices. Background checks on all trustees were carried out to ensure all met the due diligence requirements and all fulfil annual declarations covering conflicts of interest.

The trustees of the charity are given information on the roles and responsibilities of trustees of a UK charity and are regularly updated on Charity Commission best practice.

Governance and management during 2020

During 2020 OIH implemented one project administered through the Management and Administrative Services Agreement with Options Consultancy Services Ltd (Options) who carried out the specific activities as authorised through the Enabling Agreement . These were:

OIH Trustee meeting was held in October 2020. Trustees confirmed their approval for the above grant and were kept informed of progress.

Key management personnel

The trustees consider that they comprise the key management personnel of the charity along with support from key personnel from Options Consultancy Services Limited. The charity had no employees during the accounting period.

Trustees’ responsibilities statement

The trustees (who are directors of Options for International Health for the purposes of company law) are responsible for preparing the trustees’ report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial period which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charity for that period. In preparing these financial statements, the trustees are required to:

Options for International Health 5

Trustees’ report 31 December 2020

The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Each of the trustees confirms that:

This confirmation is given and should be interpreted in accordance with the provisions of s418 of the Companies Act 2006.

Risk management

The trustees have reviewed the major risks to which the charity is exposed, in particular those relating to the specific operational areas of the Charity and its finances. The trustees review the measures in place and establish policies, systems and procedures should they be needed to minimise or manage any potential impact on the charity should those risks materialise.

The trustees have identified 2 main areas where risks may occur:

Programme delivery

OIH is conscious of the need to ensure that it can meet its deliverable targets in its contracts with third parties. In the event that it does not meet those targets, there is a risk of future funding being withheld or withdrawn. Therefore, in order to mitigate this risk, the charity has entered into an agreement with Options Consultancy Services Limited (“Options”) whereby Options will provide the charity with programmatic support thus ensuring donor compliance.

Options for International Health 6

Trustees’ report 31 December 2020

The charity has also adopted a Risk Management Policy in order to ensure that any risks facing the charity (programmatic and operational) are raised, discussed and managed.

Governance and management

The trustees are mindful of the risks that the Charity Commission have issued with regard to connections with non-charities.

In order to help ensure that OIH comply with the above, laws and regulations dealing with the operation of charities the Board consists of trustees with considerable experience and expertise of working in the charitable sector.

Each call down that OIH issues to Options through the enabling agreement is subject to a detailed budget which ensures that expenditure and activities are within the agreed parameters and within the charitable purposes. The OIH board review the charity’s financial report at the trustee meetings.

The funding relationship that exists between OIH and Options is fully disclosed to donors to ensure complete transparency.

The trustees of OIH are aware of their responsibility when it comes to serious incident reporting through to the Charity Commission. The reporting is delegated to the Chair of Trustees.

Coronavirus

As OIH relies on Options to deliver its programmes through the enabling agreement, it is important for OIH to consider the effects that Coronavirus will have on its operation. There is a summary below describing the actions that Options is undertaking to mitigate the risks.

The devastating impact of the COVID-19 pandemic has continued to impact on how Options carries out its business. The company has maintained strong liquidity through its treasury management processes and has mobilised alternative operational approaches to enable business-continuity even while all staff are working from their homes and other remote locations. Business continuity plans have ensured each contract fulfils its objectives, with active dialogue with all clients to agree on alternative arrangements where necessary. As COVID-19 has impacted on developing countries’ health systems and populations, Options has been able to provide support to health ministries through existing programmes and through newly commissioned work. This has contributed to the reputation of the business for being able to contribute towards the strategies for addressing the immediate and mediumterm effects of the pandemic.

Options for International Health 7

Trustees, roport 31 Dtscember 2020 Financial report lor the perlod Results for the perlod The charity's total income was £1,347,838 (2019 £1,895,416) during the year, all ol which was expended on charitable aclivilie8. Re£aYvos policy The trustees have continued lo review the need for reserve8 and, due lo the close relalionship between the ¢harlty and Options, have agreed there are no liabilities requirin9 OIH to hold any unreslricled reserves. This is deemed appropriate while OIH'S work continues to be subcontracted lo Oplions. This posllion is reviewed on an ongoing bas15. Fin4n¢ial Position. The Charity currently holds of £1,558.103 of ¢urrenl assets wilh creditors of £1,558,103 due within one year. Therefora, the Charity doesn't hold any net assets. This is in line wth prévious years. Approved by Ihe trustees and signed on their behalf by.. Trustee Approvad by Iha truslees on: Options tor International Health 8

Independent auditor’s report 31 December 2020

Independent auditor’s report to the members of Options for International Health

Opinion

We have audited the financial statements of Options for International Health (the ‘charitable company’) for the year ended 31 December 2020 which comprise the statement of financial activities, balance sheet, statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on Options for International Health's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Options for International Health 9

Independent auditor’s report 31 December 2020

Other Information

The other information comprises the information included in the trustees’ annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

Options for International Health 10

Independent auditor’s report 31 December 2020

Responsibilities of trustees

As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud are set out below.

Capability of the audit in detecting irregularities

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following:

Options for International Health 11

Independent auditor’s report 31 December 2020

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities . This description forms part of our auditor’s report.

Options for International Health 12

Independent auditor’s report 31 December 2020

Use of our report

This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.

Jonathan Orchard (Senior statutory auditor) 12 April 2021 for and on behalf of Sayer Vincent LLP, Statutory Auditor Invicta House, 108-114 Golden Lane, LONDON, EC1Y 0TL

Options for International Health 13

Statement of financial activities 31 December 2020

Restricted and total
funds
Restricted and total
funds
Income and expenditure
Notes
2020
£
2019
£
Income from:
Donations
Total income
Expenditure on:
Charitable activities
1
Total expenditure
Net income and movement in funds
Fund balances brought forward at 1 January 2020
Fund balances carried forward at 31 December 2020
1,347,838 1,895,416
1,347,838 1,895,416
1,347,838 1,895,416
1,347,838 1,895,416
-

All of the charity’s activities derived from continuing operations during the above financial period.

The charity has no recognised gains and losses other than those shown above.

Options for International Health 14

Balanca Sheet as at 31 December 2020 2020 2020 2019 2019 Notes Current assets Prepaym8nts Cash at bank 1,553,237 4,86e 1.232,604 4.891 Creditors.. amounts falling due within (bnÈ y8ar 4 1.558,103 1.237,495 Total net assets The funds of the charlty Funds and r8serv8S Unr88trlcled funds The financial slatemanis have been prepared in accordan￿ with the sp8aal provisions of Part 15 of the Companles Act 2006 relating to srnall companies. Approved by the Irusl88s of Options for Intemalional H88lth, Company Registration Number 9137405 (England and Wales) and signed on their behalf by.. Trustee 30 2aLI Approved on: Options for International Health 15

Statement of Cashflows 31 December 2020

$ Cash Flows from Operating Activities:
Net Income / (outgoing) resources
#
Change in Creditors
Change in Debtors
Net Cash from Operating Activities
Net decrease in Cash & Cash Equivalents
Cash at the beginning of the period
Cash at the end of the period
2020
£
-26
320,608
-320,634
-26
-26
4,891
4,866
2019
£
-75,536
59,643
-135,179
-75,536
-75536
80,427
4,891

Options for International Health 16

Principal accounting policies 31 December 2020

The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the accounts are laid out below.

Basis of preparation

These accounts have been prepared for the year to 31 December 2020.

The accounts have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant accounting policies below or the notes to these accounts.

The accounts have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) (Charities SORP FRS 102) issued on 16 July 2014, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Charities Act 2011.

The charity constitutes a public benefit entity as defined by FRS 102.

The accounts are presented in sterling and are rounded to the nearest pound.

Critical accounting estimates and areas of judgement

Preparation of the accounts can require the trustees to make significant judgements and estimates.

There are no items in the accounts where these judgements and estimates were significant.

Assessment of going concern

The trustees have assessed whether the use of the going concern assumption is appropriate in preparing these accounts. The trustees have made this assessment in respect to a period of one year from the date of approval of these accounts.

The trustees of the charity have concluded that there are no material uncertainties related to events or conditions that may cast significant doubt on the ability of the charity to continue as a going concern. The impact of Coronavirus has been taken into account when making this judgement. The trustees are of the opinion that the charity will have sufficient resources to meet its liabilities as they fall due. The most significant areas of judgement that affect items in the accounts are detailed above. With regard to the next accounting period, the period ending 31 December 2021, the most significant area that affects the carrying value of the assets held by the charity are the level of future contract income.

Options for International Health 17

Principal accounting policies 31 December 2020

Income

Income is recognised in the period in which the charity is entitled to receipt, it is probable the income will be received, and the amount can be measured with reasonable certainty. Income is deferred only when the charity has to fulfil conditions before becoming entitled to it or where the donor or funder has specified that the income is to be expended in a future accounting period.

Expenditure and the basis of apportioning costs

Expenditure is included in the statement of financial activities when incurred and includes attributable VAT which cannot be recovered. Expenditure comprises grants for charitable work that the Charity has subcontracted to Options Consultancy Services LTD.

Cash at bank and in hand

Cash at bank and in hand represents such accounts and instruments that are available on demand or have a maturity of less than three months from the date of acquisition.

Creditors and provisions

Creditors and provisions are recognised when there is an obligation at the balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Creditors and provisions are recognised at the amount the charity anticipates it will pay to settle the debt. They have been discounted to the present value of the future cash payment where such discounting is material.

Options for International Health 18

Notes to the financial statements 31 December 2020

1 Charitable activities

Charitable activities
2020
Total
funds
£
2019
Total
funds
£
Grants 1,347,838 1,895,416
1,347,838 1,895,416

Charitable activities were made through grants to Options Consultancy Services Limited under a Management and Administrative Service Agreement.

2 Governance costs

All governance costs and auditor’s remuneration were met by Options Consultancy Services Limited during the year ended 31 December 2020.

3 Taxation

Options for International Health is a registered charity and therefore is not liable to income tax or corporation tax on income derived from its charitable activities, as it falls within the various exemptions available to registered charities.

4 Creditors: amounts falling due within one year

2020
Total
funds
£
2019
Total
funds
£
Creditors
Accruals and deferred income
4,866
1,553,237
4,891
1,232,604
1,558,103 1,237,495
Financial instruments 2020
Total
funds
£
2019
Total
funds
£
Financial assets
. Bank and cash balances
Financial liabilities measured at undiscounted rate receivable
. Creditors
4,866
4,866
4,891
4,891

5 Financial instruments

6 Ultimate controlling party

The company's ultimate parent undertaking is MSI Reproductive Choices. It is a company limited by guarantee and is registered in England and Wales. Their registration address is 1 Conway Street, Fitzroy Square, London, W1T 6LP.

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Notes to the financial statements 31 December 2020

7 Related party transactions

8 Key management and trustees’ remuneration and expenses

9 Charity information

The charity is constituted as a company limited by guarantee. In the event of the charity being wound up members are required to contribute an amount not exceeding £1.

The registered office of the charity is 2[nd] Floor, St Magnus House, 3 Lower Thames Street, London, EC3R 6HD.

Options for International Health 20