Options for International
Health
Annual Report and Accounts
31 December 2024
Company Llmtted by Guafantee
Regisiralion Number
9137405 IEn9land and Wales)
Charity Registralion Nurnber
1160066
11
•AE¢IlL9ER*
OW0412025
COMPANIES HOUSE
A14
#185

Contents
Reports
Legal and administrative information
Trustees. report
Independent auditor's report
10
Accounts
Statement of financial activities
14
Balance sheet
15
Statement of cashflows
16
Principal accounting policies
17
Notes to the account8
19

Legal and administrative inforniation 31 December 2024
Trustees
Jo Elms
Richard Burge
Claire Morris
Sally Hughes
Dr Faith Mwangi-Powell (Resigned 22nd
April 2024)
James Harcourt (Chair from 13 February
2025)
Maya Jaffe (Chalr) (Resigned 13
February 2025)
Regist•r•d offic•
1 Conway Street
Fitzroy Square
London
W1T6LP
Company reglgtratlon number
9137405 (England and Wales>
Charlty registration number
1160066
Accountants
Sayer Vincent
110 Golden Lane
London
EC1Y OTG
Bankorn
Barclays Bank plc
Level 28
1 Churchill Place
London
E14 5HP
Options for International Health I

Trustees, report 31 December 2024
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 2024.
The accounts have been prepared in accordance with the accounting policies set out on
page 17 therein and Comply with the chantable company's memorandum and articles of
association, applicable law and the Accounting and Reporting by Charities.. Slatemenl of
Recommended Practice applicable to charrties 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 {Re91slered Company
Number 01102208 (England and Wales)). OIH'S operational management is carried out by
Opts'ons 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 ol acting as consultants and providing advice and information
in relation to family planning, population grovrth, birth control and contraception, good
health, both mental and physical, ol parents, young people and children, illness, whether
physical or mental or distress caused by unwanted conception, involuntary sterility or
difficulties connected wilh the marriage relationship or sexual problems and the advice.
facilities and treatment available fof such persons and other health and medical issues.
(21 To conduct research into any of the above.
(31 To co-operate with and enter into arrangements with any authorities, agencies or bodies,
international, national, local or othepAii$e and to obtain from any such authorities, agencies
or bodies any rights, privileges and Concessions.
(4) To cary bn 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 programrnes that Options managed address Social issues for which there was
interest in support from charitable sources. Thls 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.
Optsons for International Health 2

TfUStees' ￿port 31 December 2024
Objectives and Activities
The Charity's Objects. as set out in its Articles of Association are..
a) the prevention and relief of sickness and Ihe preservation and promolion of menial and
physical health for the public benefit woddwide, 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 nol exclusively through..
strengthening healthcare services, increasing access and improving the quality of
healthcare provision;
improving maternal and newborn surlival by research and analysis to enable the
promolion of enhaneed accountabillty and services;
increasing public awareness, support and attention toward ending the practice known as
Female Genitalia Mutilalionlcutting,.
b} the advancement of such other Charitable Purposes for the public benefit as are
consistent with the Object stated above as the Trustee Directors in their absolute discretion
determine.
Publlc 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 contribule towards furthering the charity's objects
for the public benefit.
Actlvlties durlng th• reportlng p•rlod
Evldence for Action IE4A) funded by the Bill & Melinda Gat•s Foundatlon {BMGF)
E4A formally closed in September 2024, signalling the end of a 12-year investment from
DFID (2011-2016> and the BMGF (2015-2024).
E4A has inspired a passionate movement
bringing together grassroots civil society
organisations, health professionals, government and the media
to advocate and hold
government accountable for high-qualily and equitable reproductive maternal child and
adolescent health (RMNCAH> services across SU￿saharan Africa. It has achieved this by
combining evidence, action, and accountability to identify the reasons why V￿rnen, girls and
babies are dying, and leaming how to navigate politics to influence decisions on how
available resources can be used effectively to save lives. These local coalitions have
changed accountability ecosyslems by radically shifting poV￿r imbalances in favour of more
equal participation in decision-making through evidence-based dialogue.
Options for International Health 3

Trustees, report 31 December 2024
Funding in 2024 supported an exit initiative and included strengthening project and financial
management capabilities of Givil society coalitions, and the formalisation of the 'MamaYe
Collective,. which will connect advocates and drive global and regional RMNCAH advocacy.
This Collective has been re9lStered as a non-govemment organisation.
The project's key achievement and lasting legacy is the building up of a grassroots
movement into one that can run independently, continue to leverage financial support, and
deliver impact in the long-term
TA Connect funded by the Bill & Melinda Gates Foundation and Technical Advice
Connect LTDIGTE (TAConn•ct
This trwo-year programme in Kano, Nigeria, strengthens primary healthcare systems and
scales.. (i) maternal and newborn health {MNH) innovations, and {ii).high impact
inlen4entions in reproductive matemal child and adolescent health and nutrition.
In partnership with the Center for Integrated Health Programs we are addressing gaps by
enhancing the quality and uptake of MNH innovations and RMNCAH+N high-impact
interventions, promoling data-driven decision-making, strengthening primary healthcare
systems, and fostering gender-responsive approaches to mitigate barriers and inequalities.
This program Is designed to provide critical technical assistance to the State Ministry of
Health and Slate Primary Health Care Management Board to facilitate sustainable
improvements in maternal and newborn health outcomes the state.
The Strengthening Health Systems lo Catalyse Greater Access to FPISRH Services in
Kenya, funded by The Waterloo Foundation.
In 2024 the implementation approach was refined. and scope narrowed to the piloting of a
scalable model to increase hospital revenue generation. As part of this shift, implementalion
was coneentraled in Nakuru (across five high-volume sub-county hospilals), discontinuing
support in Bungoma and Nairobi MOH.
This strategic pivot
undertaken in collaboration with county govemment, healthcare
providers, and partner agencies
culminated in a model that leverages Facility
Improvement Funds (FIF) to slrengthen Maternal and Perinatal Death Surweillance and
Response {MPDSR). The model empowers Health Facility Management Committees to
utilise the financial autonomy provided under FIF laws and regulations. The updated
approach focused on two key intervention areas.. (i) optimising revenue generation and
management; and (ill institutionalising MPDSR to improve quality of care.
To ensure the scalability and sustainability of these inteTventions, technical support was
extended to the county heallh department to integrate these initiatives into the county's
FY2024125 Annual Work Plan and Budget - fostering long-term institutional ownership and
secure financial comrnitment.
Opts'ons for International Health 4

Trustees, report 31 December 2024
Key lessons from the pilot were disseminated widely across the county, and the county
team began rolling out the MPDSR Action Tracker to additional facilities beyond the five
pilot hospitals.
This effort is expected to standardise MPDSR practices and promote a culture of continuous
quality improvement across the county's health system. Although implernented over
limited period, early results indicate that the model has yielded positive outcomes across all
five hospitals. These initial successes suggest that further support would provide the
necessary time to build a robust ease for the model, generate valuable lessons to refine its
approach, and secure broader stakeholder buy-in, including from the county government.
Thls I￿￿-year project will Conclude in March 2025.
Foundab'on for a Just Society
OIH has been implementing a three-year grant from the Foundation for a Just Society
(FJSI), leveraging and supporting the work of TGG-ALM. The support provides lunding to
grassroot organisalions in Senegal in support of ending FGM.
As at the end of 2024, the grants mechanism has dislributed funds to 24 small, medium,
and large grantees, and has provided valuable learning about the how grants can contribute
towards a wider social movement.
The Chopra Foundation
The Chopra Foundation provided funds to support The Girl Generation.. Support to the
Afnca-led Movement to End FGMIC {TGG-ALM) programme's leadership tralning. Thi5
included a residential five-day course where FGM suriivor-activists came together to learn
about self-care techniques, strengthen their leadership skills, and develop peer-to-peer
support nelworks.
The Chopra Foundatlon's support also purchased equipment for participants and the
production of a short video lo capture participants, experiences of the week.
The Chopra Foundation also amplified TGG-ALM'S work via their social media platforms,
increasing exposure to millions of followers.
The Power of Collective Healing.. Scaling Up Survivors Leadership Initiative through
Trainlng of Trainers, funded by The Wallace Foundats'on
This project strengthened the global movement to end FGMIC by.. producing a holistic
curriculum lo support the delivery of Survivors Leadership Training (SLT), strengthening the
leadership and emotional well-being of survivor-activists,. training a multivcounty cohort of
20 Master Trainers, to equip them to cascade the approach to others,. connecting SLT
participants and Master Trainers into existing and emerging end FGMIC ne￿OrkS,
supported by TGG and our partners., promoting uptake of the approach to a wide range of
priority audiences,. and evaluating the project, capturing results and learning.
Options for International Health 5

Trustees. report 31 December 2024
Plans for 2025
All ongoing programmes will be delivered as per grants and expectations.
Fundraisin9 activities will continue to leverage learning, insight and data from on90ing
interventions and programmes that have concluded in 2024, and also lo broaden our scope
of delivery in key technical areas and geographies.
This data, insight and learning will also be used to further the global leaming agenda
Structure, governance and management
Constitutlon
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 1$ 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.
Oryanisation
Trustees can be appointed by ordinary resolution of the members.
All trustees were recruited through recommendations ol 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 regulady updated on Charity Commission best practice. During
2021, this information formed part of a comprehensive Trustee Induction pack that was
shared with all trustees
Govemanc• and management during 2024
During 2024 OIH implemented six grants from Gates, FJSI. the Waterloo Foundation, TA
Connect, Wallace Foundation and the CHOPRA Foundation through the Management and
Administralive Services Ag￿efflent with Options Consultancy Services Ltd (Options) who
carried out the specific activities as authorised through the Enabling Agreement. These
were..
• E4AIMamaYe, funded by the Bill and Melinda Gates Foundation, Expenditure in
2024. £720,167
Options for International Health 6

Trustees, report 31 Oecember 2024
• A grant from the Foundation for a Just Society Intemational LTD, Expenditure in
2024 '. £587,025
• A grant from the Waterloo Foundation, Expenditure in 2024 .' £85,017
• A grant from TA Connecl-expenditure in 2024 .' £178,757
• A grant from the Wallace Foundation- expenditure in 2024 .' £39,568
• A grant from the CHOPRA Foundation - expenditure in 2024 .' £4,121
OIH Trustee meeting was held in April 2024. Trustees were updated on progress of the
above grants and were satisfied with their progress. Trustees were also Informed of the
plans for continuing fundraising for the programme to support the Africa-led movement to
end FGM.
Key management personnel
The trustees consider that they comprise the key management personnel of the charity
along wilh 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 Accounlin9 Standards (United
Kingdom Generally Accepted Accounting Practice).
Company law requires the trustees to prepare financial statements lor 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..
select suitable accounting policies and then apply them consistently.
observe the methods and principles in 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).,
• make judgements and estimates Ihat are reasonable and prudent,.
state whether applicable UK accounting standards have been lollowed, subject to any
material departures disclosed and explained in the financial siatements., and
• prepare the financial statements on the going concern basis unless it is inappropriate to
presume that the charity will continue in operation.
Options for International Health 7

Trustees, report 31 December 2024
The trustees are responsible for keeping adequate accounting records that disclose with
reasonable accuracy al 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 Ihe prevention and deteclion of fraud and other irregularities.
Each of the trustees Confirms that..
• so far as the trustee is aware, there is no relevant audit information of which the
charity's audilors are unaware,. and
• the trustee has taken all the steps they ought to have taken as a twstee in order to
make themselves aware of any relevant audit information and to establish that the
charity's auditors are aware ofthat information.
This confirmation is given and should be interpreted in accordance with the provisions ol
5418 of the Companies Act 2006.
Risk management
The trustees have reviewed the major risks to which the charity is exposed, in particular
Ihose relating to the specific operational areas of the Charity and its flnances. 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 afeas where risks may occur..
Programm• delivory
OIH is conscious of the need lo ensure that it can meet its deliverable targets in its contracts
¥￿th 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 I'options") whereby
Options wll provide the charity with programmatic support thus ensuring donor compliance.
The charity has also adopted a Risk Management Policy in order to ensure that any risks
facing the charity (programmatic and operational) are ralsed, 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 wrth 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 ag￿ernent is subject to
detailed budget which ensures that expenditure and activities are within the agreed
Options for International Health 8

Trustees, report 31 December 2024
parameters and within the charitable purposes. The OIH board review expenditu￿ reports
at the trustee meetings.
The funding relationship that exists between OIH and Opiions 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 Charrty Commission. The reporting is delegated to the Chair of
Trustees.
Flnanclal report for the perlod
Results for the period
The charty's total income was £1,615,088 {2023 £1,429,376) during the year, all of which
was expended on charitable activities.
Ro8erv•8 poIIcy
The trustees have continued to review the need for reserves and, due to the Close
relationship betr￿en the charity and Options, have agreed there are no liabilities requiring
OIH to hold any unrestricted reserves. This is deemed appropriate while OIH'S work
continues to be subcontracted to Options. This position is reviewed on an ongoing basis.
Flnanclal Posltion
The Charty currently holds of £719,023 of current assets with credrtors of f 719,023 due
within one year. Therefore, the Charity doesn't hold any net assets. This is in line with
previous years.
Approved by the trustees and signed on Iheir behalf by..
Trustee
Jame5 Harcourt
Approved by the trustees on.. 28th March 2025
Options for International Health 9

Independent auditor's report 31 December 2024
Independent auditor's report to the members of Options for International
Health
Oplnion
We have audited the financial statements of Options for Internalional Health (the 'charitable
company,) for the year ended 31 December 2024 which comprise the slalement of financial
a¢livities, 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
I￿land (United Kingdom Generally Accepted Accounting Practice).
In our opinion. the financial statements..
Give a true and fair view of the state of the charitable company's affairs as at 31
December 2024 and of Its incoming resources and application ol resources, including
its income and expenditure for the year then ended
Have been properly prepared in accordance with United Kingdom Generally Accepted
A¢¢ounting Practice
Have been prepared in accordance with the requirements of the Companies Act 2006
Basis for opinion
We Conducted our audit in accordance with Intemational Standard$ on Auditing (UK) (ISAS
IUKI) 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
thal are relevant to our audit of the financial statements in the UK, including the FRC'S
Ethical Standard and we have fijlffilled our other ethical responsibilities in accordance with
these requirements. We believe that the audit evidence we have obtained is sufficient and
appropriale to provide a basis for our opinlon.
Con¢lu$lon$ relatlng to golng concem
In auditing the financial statements, we have concluded that the twstees, 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 uncertaintles
relating to events or conditions that, individually or collectively, may cast significant doubt on
Options for Intemational 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 concem are
described in the relevant sects'ons of this report.
Options for Intemational Health 10

Independent audltorfs report 31 December 2024
Other Infomiation
The other information comprises the information included in the trustees, annual report,
other than the financial statements and our auditor's report thereon. The twstees are
responsible for the other infomiation 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 malerial
misstatements, we are required lo delermine whether this gives rise to a material
misstatement in the financial statements themselves If, based on the work VR have
performed, we conclude thal there is a material misstatement ol this other infomiation, we
are required to report that fact.
We have nothing to report in this regard.
Oplnlons on other matters prescrlbed by the Companles Act 2006
In our opinion, based on the work undertaken in the course of the audit:
The information given in the twstees, annual report. for the financial year for which
the financial statements are prepared is consistenl with the financial statements; and
The Irustees, annual report has been prepared in accordance with applicable legal
requirements.
Matters on which we are required to report by exceptlon
In the light of the knowledge and understanding of the charitable company and its
environment obtained in the course of the audit, we have not identified material
misstatements in the trustees, annual report. We have nothing to report in respect ofthe
following matters in relation to which the Companies Act 2006 requires us lo report to you if,
in our opinion..
Adequate accounting records have not been kept, or returns adequate for our audit
have not been received from branches not visited by us- or
The financial statements are not in agreement with the accounting records and
retums-, or
Certain disclosures of trustees, remuneration specified by law are not made., or
We have not received all the information and explanations we require for our audit., or
The directors were not entitled to prepare the financial statements in accordance with
the small Gompanies regime and take advantage of the small companies, exemptions
in preparing the trustees, annual report and from the requirement to prepare
strategic report.
Options for International Health 11

Independent auditorfs report 31 December 2024
Responsibilities of trustoes
As explained more fijlly 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, wthether 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 relaled 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 altemative but to do so.
Auditor's respon8lbllitles lor the audlt of th• financlal 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 Ihat 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. Mis$latements 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 irregularilies, including fraud. The extent to which our
procedures are capable of detecting irregularities. including fraud are set out below.
Capabillty of the audlt In detecting irregularlties
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..
We enquired of management, whlch included obtaining and reviewng supporting
documentation, conceming the chanty's policies and procedures relating to..
Identifying, evaluating. and complying with laws and regulations and whether they
were aware of any instances of non-compliance,.
Detecting and responding to the risks of fraud and vthether they have knowledge of
any actual, suspected, or alleged fraud",
The internal controls established to mitigate risks related to fraud or non-compliance
with laws and regulations.
We inspected the minutes of meetings of those charged with governance.
We obtained an understsnding of the legal and regulatory framework that the charity
operates in, focusing on those laws and regulations that had a material effect on the
Options for International Health 12

Independont auditorfs report 31 December 2024
financial statements or that had a fundamental effect on the operations of the charrty
from our professional and sector experience
We communicated applicable laws and regulations throughout the audrt team and
remained alert to any indications of non-compliance throughout the audit.
We reviewed any reports made lo regulators.
We reviewed the financial statement disclosures and tested these to supporting
documentation lo assess compliance with applicable laws and regulations.
We performed analytical procedures to identify any unusual or unexpected
relationships that may indicate risks of material misstatement due to fraud.
In addressing the risk of fraud through management override of controls, we tested
the appropriateness of journal entries and other adju5tmen15, assessed whether the
judgements made in making accounling estimates are indicalive of a potential bias
and tested significant transactsons that are unusual or those outside the normal
Course of business.
Because of the inherent limitations of an audit, there is a risk that we will not delect a15
irregularities, including those leading to a material misstatement in the financial statement5
or non-compliance with regulation. This risk increases the more that compliance with a law
or regulalion 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 a150 greater regarding irregularities occurring due to fraud rather than error, as fraud
involves inlenlional concealment, forgery. collusion, omission or misrepresentation.
A further description of our responsibilities is available on the Financial Reporting Council's
website at.. W￿￿.frC.0r
.ukJaudilorsres
onsibililies. Thi$ description forms part of our
auditor's report.
Use of our rnport
Thi3 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
pefmitled 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 audrt work,
for this report, or for the opinions we have formed.
Jonathan Orchard {Senior statutory auditor)
03 April 2025
for and on behalf of Sayer Vincent LLP, Statutory Auditor
110 Golden Lane, LONDON. EC1Y OTG
Options for International Health 13

statement of financial activities 31 December 2024
Restrictsd and total
funds
2024
2023
Income and expenditure
Notes
In¢om• from:
Donations
Total incom•
1,616,088
1,615,088
1,429.376
1,429.376
Expendlturn on:
Charitable activities
Total expendlture
1 1,616,088
1,615,088
1,429,376
1,429,376
Nel In¢om• and movernent In fund•
Fund balan¢•s broughl lo￿ard at 1 January 2024
Fund balances earrlèd fon#•rd at 31 D•c•mber 2024
All of the charity'8 activities derived from continuing operatlons during the above financial
period.
The charity has no recognised gains and105ses other than those shown above.
Options for International HeaFth 14

Balance Sheet as at 31 December 2024
2024
2024
2023
2023
Note5
Current assets
Prepayments
Cash al bank
714,312
4,711
1,161,344
98,103
Crnditorn: amounts falling due
thin one year
719,023
1,259,447
Totsl net assets
Th• fund• of the ch•rlty
Fund$ and reserves
un￿Stric1ed funds
The financial statements have been prepared in accordance with the special provisions of
Part 15 ol the Companies Act 2006 relating to small companies.
Approved by the trustees of Options for Intemalional Health, Company Registration Number
9137405 {England and Wales) and signed on their behalf by..
Trustee
James Harcourt
Approved on..
13th March 2025
Options for International Health 15

Statement of Cashflows 31 December 2024
Options for Internatlonal Health statement ot Cashflows
For the year ended 31 December 2024
2024
2023
Cash Flows frorn Operatin8 Actlvltles:
Net Income / loutgoingl resources
Change in Creditors
Chan8e in Debtors
440.424
447,032
-110.083
203,364
Net Cash from Operatlng Actlvltles
-93,392
93,281
Net movement in Cash & Cash Equivalents
Cash at the be8lnnln8 of the period
Cash at the end of the period
-93,392
98,103
4,711
93.281
4.822
98.103
Opts'ons for International Health 16

Principal accounting policies 31 December 2023
The principal accounting policies adopted, judgements and key sources of estimats'on
uncertainty in the preparation of the accounts are laid out below.
8asls of preparatlon
These accounts have been prepared for the year to 31 December 2024.
The accounts have been prepared under the historical cost convention with item$
recognised at Cost or transaction value unless other￿lSe stated in the relevant accounting
policies below or the notes to these accounts.
The accounts have been prepared in accordance with Arxountin9 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 ac¢ountlng •8timate8 and ar•a• of Judgement
Preparation of the accounts can ￿quIre the trustees to make significant judgements and
estimates.
There a￿ no items in the accounts where these judgements and estimates were
significanl.
Assessmont of going Concem
The trustees have assessed whether the use of the going concem assumption Is
appropriate in prepanng 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 Ihere are no material uncertainties related
to events or conditions that may cast significant doubt on the abilrty of the charity to
continue as a going concem. The trustees are of the opinion that the charity will have
sufficient resources to meet its liabililies as they fall due. The most significant areas of
judgemenl that affect items in the accounts are detailed above. With regard to the next
accounting period, the period ending 31 December 2024. the most signfficant area that
affects the carrying value of the assets held by the charty are the level of future contract
income.
Opts'ons for International Health 17

Princlpal ac¢ounting policies 310ecember 2023
Income
Income is recognised in the period in which the charity is entidèd to receipt, it ts probable
the income will be received, and the amount can be measured with reasonable certainty.
Income 1$ deferred only when the charity has to fulfil conditions before becoming entitled
to it or where the donor or funder has speclfied that the income is to be expended in a
future accounting period.
Expenditure and tho baglg 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 Oplions Consultancy Services L TD.
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.
Credltors and provisions
Creditors and provision5 are recognised when there is an obligation al 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 Intemational Health 18

Notes to the financial ststements 31 December 2024
1 Charitable activities
2024
Total
fund8
2023
Total
funds
Grants
1.61S,088
1,616,088
1,429,376
1,429,376
Charitable activities were made through grants to Options Consultancy Services Limited
under a Management and Administrative SeNi¢e Agreement.
2 Gov•manc• costs
All governance costs and auditor's remuneration were mel by Opiions Consultancy
Ser¥i¢es Limlted during the year ended 31 Decembèr 2024.
3 Taxatlon
Options for International Health ig 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 ono yfrar
2024
Total
fund8
2023
Total
lunds
Creditors
Accruals and deferred income
4,711
714,312
719,023
98,103
1,181,344
1,259,447
5 Financial instruments
2024
Totsl
funds
2023
Total
funds
Financial assets
Bank and cash balances
Financial liabilities measured at undiscounted rate receivable
. Creditors
4,711
98,103
4,711
98.103
6 Ultimate controlllng party
The company's umimate 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. Filzroy Square, London, W1T 6LP.
Options for International Health 19

Notes to the financial statements 31 December 2024
7 Relaled party transactions
All expenditure incurred by Options for International Health is sub granted to Options
Consultancy Services LTD. The prepayment in the balance sheet represents an amount
held by Options Consullancy Services LTD which is yet to be spent al the balance sheet
date.
8 Key management and trust888' remuneration and expenses
As explained in the trustees, report, the trustees consider that they comprise the key
management personnel of the charity. The charity had no employees during the period.
None of the trustees received any remuneration in respect of their services or
reimbursement of expenses during the period (2023 - none).
9 Charlty Informatlon
The charity is constituted as a company limited by guarantee. In the event ol the charity
being wound up members are required to contribute an amount not exceeding £1.
The registered office of the charity is 1 Conway Street, Fitzroy Square, London, W1T 6LP
Option5 for International Health 20