Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694573346196.pdf (Australia)
Dear Mr Simpkins On 17 June 2014 at the hearing of the Joint Standing Committee on Foreign Affairs, Defence and Trade’s inquiry into human rights issues confronting women and girls in the Indian Ocean and Asia – Pacific Region, I undertook to provide the Committee with details of the effectiveness of the Australian aid program’s sexual and reproductive health program’s work with the Catholic church in Timor-Leste.
The Australian aid program provides funding to Marie Stopes International to support sexual and reproductive health in Timor-Leste.

Marie Stopes International currently works in eight of the country’s 13 districts.

They served 50,000 clients in 2013, 50 per cent of whom live below the poverty line.

Marie Stopes International is responsible for providing around one third of the total contraceptive protection to Timorese couples.
This has allowed Timorese families to plan and space their families to avoid an estimated 12,000 unwanted pregnancies, and so prevent around 2,000 unsafe abortions.

Aspects of Marie Stopes International’s work in Timor-Leste involves cooperation with the Catholic Church.

For example, when expanding into new locations, Marie Stopes International will work with the Ministry of Health, religious leaders and community leaders to agree where to work and how to work with local communities.
Marie Stopes International educates community and religious leaders on sexual and reproductive health and gains their support to provide education and services to members of their communities.

Maries Stopes International’s engagement with communities has been overwhelmingly positive, for example, over 60,000 people attended community education, youth counselling and night events in 2013.

The attached report from Marie Stopes International Timor-Leste provides additional information.
Regards Harinder Sidhu _______________________________ First Assistant Secretary Multilateral Policy Division Department of Foreign Affairs and Trade Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Annual Report 2013 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 2 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 3 Mission ‘Hili Los, Salva Moris’ – Good choices, Save Lives Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 4 Highlights This report marks my first year as Country Director at Marie Stopes International Timor-Leste.
To ensure we are primed for growth and greater impact, we also undertook an internal restructure in our head office, placing more Timorese staff into leadership positions.

Our commitment to supporting national leadership and building the capacity of our team was and will remain a priority.

We also continued to utilise the Australian volunteering program, and two Australian volunteers provided mentoring support to staff with identified leadership potential.
In 2014 we look forward to reaching more Timorese families with our services.

Our team’s ability to maintain excellence in quality is now backed up with stronger systems and improved organisational architecture.

These foundations, together with our positive partnerships with the Ministry of Health, DFAT and our non government partners, are critical to our success, enabling us to contribute to the development milestones to which Timor-Leste remains committed to.
Nicola Morgan Country Director Marie Stopes International Timor-Leste As an organisation, we achieved strong growth in couple years of protection (CYPs)1 and exceeded our projections, reaching more women and men with reproductive health services.

We have shown strong support to the Ministry of Health, working in partnership to provide over a third of the contraceptive use in the country2.
Our emphasis is on providing choice and access to the most effective methods of contraception for couples wanting to space their children.

We are committed to ensuring Timorese families have the best options available to them.

Parallel to this, we have consistently maintained high quality in the services we provide, scoring 96% on the 2013 Quality Technical Assurance assessment.
With support from the Australian Department of Foreign Affairs and Trade (DFAT) we continued to implement the ‘Access, equity and uptake’ project and the ANCP Innovations funded project, ‘Promoting and delivering sexual and reproductive health services to urban youth’.

These projects allowed us to continue offering family planning services, but also to scale up our services, providing more information and promoting healthy relationships to young people, who make up a majority of Timor-Leste’s population.
Through the ‘Timor-Leste Australia Collaboration for HIV Testing and Counselling’ (TAC- TAC) project we became prepared to increase screening and testing services to prevent the spread of the virus.

As a result, Marie Stopes International Timor-Leste (Marie Stopes) has become the first non-government organisation in Timor-Leste to offer this service.

The year 2013 marked a year of capacity building for both Government staff and for our national team.
We ramped up our delivery of training; training health care providers in the counselling and provision of a greater range of contraceptive methods, and building the capacity of our own providers in the testing and counselling of HIV, ensuring a greater range of services for women and men in Timor-Leste.

1 Couple Years of Protection is a measure of contraception that is needed for a couple to prevent pregnancy over the course of a year.
Different family planning methods account for different numbers of CYPs, depending on how long they can be used for, and how effectively they prevent pregnancy.

2 Impact 2 Calculator is a tool developed by MSI that enables programs to measure the wider national impact of family planning.

It provides estimates that can be compared with other health, economic and environmental interventions.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Contents Mission statement Highlights Country & context MSI in Timor-Leste Our clients Our impact in 2013 Reaching the underserved Connections & partnerships Strengthening our foundations Financial statement Marie Stopes International Timor-Leste / Annual Report 2013 / Page 5 2 4 6 8 11 12 14 15 16 17 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 6 Country & context Access to family planning is making a difference in Timor-Leste Senhora Prandao lives in the remote district of Viqueque with her husband and their four children.
Struggling to provide for their family, Senhora Prandao and her husband were able to take control of how and when their family grew through access to family planning services, provided by Marie Stopes outreach teams.

She tells how access to family planning promotes healthy families and communities: “If we use family planning then we can help others with cooking and other activities in our community.
We can also do what we want, for instance look for work and help with farming and food production.” Marie Stopes works closely with government health care providers, building their capacity to provide family planning choices to under-served communities such as those in Viqueque, where one in three women have an unmet need for family planning.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 7 1.07m* Population 2.4%* Annual Population growth rate 62%* Population under 25 years old 5.7** Total fertility rate (average number of children born to a woman during her lifetime) 558** Maternal mortality rate (per 100,000 live births) 21%** Contraceptive prevalence rate (modern method) 31%** Unmet need for family planning 0.2%*** HIV prevalence rate Despite gains in the 12 years since independence, Timor-Leste continues to have some of the worst health outcomes in the Pacific-Asia region, particularly for women.
The country’s maternal mortality rate – the risk of death related to pregnancy and childbirth – is the highest in South East Asia and is equal to that of war-torn Afghanistan.

Maternal deaths account for at least 42% of all deaths among women of reproductive age, and in Timor-Leste large family sizes and pregnancies spaced too closely together are critical factors contributing to maternal mortality.
On average, women have five or six children, and it is not unusual for women to have much larger families in rural areas.

Low levels of contraceptive uptake means that these pregnancies are often unintended, with many babies born at home, without the presence of a skilled health care worker.

Currently only one in five married women are using contraception, and this is much lower in rural areas, despite the Government of Timor-Leste’s goal to increase contraceptive uptake to 44% by 2015.
This figure is strongly supported by the 70% of women who would like to delay their next pregnancy or not have any more children.

Yet only 22% of these women are accessing contraceptives.

Reaching those women with an unmet family planning need is critical to reducing the maternal mortality rate.
Whilst access to services remains an issue, particularly for those living in rural areas, the lack of training and supplies impacts on the contraceptive options available to women when they reach a health facility.

Most women currently using contraception are using a short-term method, such as an injectable or pills, and these methods require repeat visits to health facilities every one to three months.
Increasing access to long-acting reversible methods of family planning, including implants and intrauterine devices (IUDs), is important to those women and couples who choose to space or complete their families.

Marie Stopes and the Ministry of Health are working together to train midwives to provide a full range of methods to Timorese women, ensuring more women have access to the most effective methods of contraception.
“ Maternal deaths account for at least 42% of all deaths among women of reproductive age, and in Timor-Leste large family sizes and pregnancies spaced too closely together are critical factors contributing to maternal mortality.” * National Statistics Directorate, Ministry of Finance, Timor-Leste, 2010, Population and Housing Census Timor-Leste 2010, Dili, Timor-Leste.
** National Statistics Directorate, Ministry of Finance, Timor-Leste, and ICF Macro, 2010, Demographic and Health Survey 2009-10, Dili, Timor-Leste.

*** Ministry of Health Timor-Leste, 2011, National HIV and STI strategy 2011- 2016, Dili Timor-Leste.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 8 Marie Stopes International in Timor-Leste As the only organisation specialising in sexual and reproductive health services in the country, Marie Stopes is focused on improving the health of people in Timor-Leste through provision of family planning and safe motherhood services, sexually transmitted infection and HIV counselling and testing, and youth friendly information and services.
This is done both in partnership with the Ministry of Health and the Australian Government Department of Foreign Affairs and Trade.

Marie Stopes uses service delivery and targeted community education to raise awareness and provide family planning services directly to the community.

Through advocacy and technical support to the Government, Marie Stopes works to strengthen health services and health outcomes across the country.
Through the reproductive health clinic, Marie Stopes provides quality and specialist sexual and reproductive health services to the urban population in the capital Dili.

The clinic provides a wide range of family planning services while also serving as a centre for training and competency assessment for health care providers.

In 2013, the clinic attended to 6,698 clients providing safe motherhood, family planning, treatment for sexually transmitted infections and other services.
Marie Stopes’ district outreach teams currently work in eight of Timor-Leste’s 13 districts.

In 2013, these teams collaborated with the Ministry of Health to provide services through 1,571 visits to Government health facilities.

As well as working through Government facilities, district teams provided support to the Government outreach ‘SISCa’ program and conducted independent mobile clinics to deliver services to Timor-Leste’s rural majority.
In 2013, Marie Stopes provided 1,896 such visits to local communities.

In 2013, Marie Stopes reached over 60,000 people with information and education activities via community education, youth counselling spaces and a free youth infoline.

This is testament to Marie Stopes’ ability to increase knowledge of safe motherhood, family planning and improved sexual and reproductive health outcomes.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International in Timor-Leste Marie Stopes International Timor-Leste / Annual Report 2013 / Page 9 Marie Stopes coverage in Timor-Leste 107 full time employees 1 clinic 11 vehicles 20 motor bikes 2 youth centres 8 outreach districts 1 youth infoline Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 10 Service Matrix – Marie Stopes and Ministry of Health l e n n a h C Family Planning Family Planning counselling Tubal Ligation IUD Implant Injectable Contraceptive Oral contraceptive pills Male condoms Female condoms Sexual & Reproductive health STI Diagnosis / treatment Voluntary HIV counselling & Testing (VCT) Provider Initated HIV counselling & testing (PICT) Treatment for Urinary / Reproductive Tract Infections Infertility management Adult Male Circumcision Reparasi / Vagina Plastic Safe motherhood Ante natal and post natal care Detect and refer emergencies for BEOC BEOC – IV Antibiotics, Oxytocics, Anticonvulsants BEOC – Ventouse, MVA, Manual removal of placenta General Health General Health services s l a t i p s o H t n e m n r e v o G ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ h t l a e H y t i n u m m o C ) C H C ( e r t n e C t n e m n r e v o G ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ t s o P h t l a e H t n e m n r e v o G ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ i p h s r e n t r a p n i s n o i t a c o l ) a C S I S - n o n ( ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 11 Our clients Marie Stopes prides itself as a client-centred organisation, offering choice and quality in sexual and reproductive health care.
In a recent Client Exit Interview survey (January 2013), Marie Stopes’ clients showed high levels of satisfaction with the service they received.

An overwhelming majority (99.4%) reported that the service met or exceeded their expectations and 98% said they would recommend Marie Stopes to a friend.

The survey also demonstrated Marie Stopes’ success in reaching the underserved.

Almost half of all clients were classified as poor and a similar number were adopters of family planning.
Young people represent a large portion of clients; a quarter of Marie Stopes’ family planning clients, and 80% of infoline callers were under the age of 25.
3 out of 10 clients were younger than 25 years old 5 out of 10 clients live below the national poverty line 5 out of 10 clients were family planning adopters 8 out of 10 of our infoline callers were younger than 25 years old Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 12 Our impact in 2013 Long-acting methods of family planning – more choice for Timorese women Filomena is 35 years old, with eight children aged from three months to 17 years.
Like many women in Timor-Leste, Filomena delivered every one of her babies without medical care in the family’s small home.

Having so many pregnancies in quick succession has taken a serious toll on Filomena’s health and when her eldest daughter left for the city, there was little help in raising the younger children.

When Marie Stopes visited her small village to host a community information session, Filomena heard about the modern contraceptive options available to her.
Following discussion with her husband, Filomena opted for a contraceptive implant that would provide her with five years of protection from unwanted pregnancy.

The reality of a rest from pregnancy, childbirth and breastfeeding after more than 17 uninterrupted years was something for Filomena to celebrate.
Service provision in 2013 248 Injectable 1 month 4,005 Male Condoms 1,005 Injectable 3 months 7,145 IUD insertion 16Maternal deaths averted 1,959 Unsafe abortions averted 849 Pills 2,430 5 year implant 11,855 Unintended pregnancies averted Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Our impact in 2013 Long-acting methods of family planning – more choice for Timorese women 2,000 Marie Stopes International Timor-Leste / Annual Report 2013 / Page 13 CYP & client number 2007–2013 Number of visits conducted to Government Hospitals, Community Health Centres and local Health Posts 2012–2013 s t i s i v f o r e b m u N 1,600 1,200 800 400 0 2012 50,000 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 0 2013 2007 2008 2009 2010 2011 2012 2013 2,000 1,600 1,200 800 400 s t i s v i f o r e b m u N 0 2012 2013 2007 2008 2009 2010 2011 2012 2013 50,000 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 0 Year Year Year Year CYPs Client number In 2013, Marie Stopes served 49,327 clients and delivered 28,578 CYPs – a 42% increase on the previous year.
90% of the CYPs were delivered in Government health facilities in partnership with the Ministry of Health.

Provision of short-term methods grew by 73% and use of contraceptive injectables – the most common method of family planning in Timor-Leste – more than doubled.

While short- term methods continue to be popular, increased awareness about the health benefits of child spacing and a focus on training midwives has seen an increase in uptake of long-acting reversible methods.
During 2013, Marie Stopes’ educators sought to address myths about long-acting methods through case studies and testimonials from satisfied clients.

At the same time, recruitment and training of midwives meant that implants and IUDs could be offered in areas where they had not previously been available.

As a result, uptake of IUDs grew by 18% and usage of implants offering five years of protection by 43%.
In 2014, Marie Stopes will continue to increase the range, availability and acceptability of contraceptive methods.

Marie Stopes works in close collaboration with the Ministry of Health and district level health providers across the eight districts.

As a response to the District Health Director’s request to expand support into new sub-districts, Marie Stopes has significantly increased support to Government health facilities.
In comparison to 2012, the number of visits conducted in 2013 to Government Hospitals, Community Health Centres and local Health Posts increased by 41%.

The year 2013 was a successful year for engagement with young people.

Following a re-branding campaign, the number of calls to the youth infoline increased from 6,458 in 2012 to 19,479 in 2013.
Marie Stopes also established two youth friendly sexual and reproductive counselling spaces at local youth centres through the DFAT ANCP Innovations Fund program, launching a centre in Comoro Child and Youth Centre in Dili in December 2012, and in Maliana in February 2013.

These youth friendly counselling spaces have become more popular with adolescents, particularly after two mural design competitions in July 2013, and with the provision of free Timor Telecom-sponsored internet access in the centres.
In 2013, the centres’ provided 79 counselling services to 59 females and 22 males.

Of these young people, 56 utilised further services at the Dili reproductive health clinic, demonstrating a viable link between the work Marie Stopes does in the community and improved access to services for young people.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 14 Reaching the underserved Outreach Youth In Timor-Leste, 70% of the population live in rural areas and 50% live below the national poverty line3.

Marie Stopes reaches these people through district outreach teams, which are made up of a team leader, midwife, community educator, nurse and driver.
The teams provide sexual and reproductive health services, information and education across large geographical areas, often splitting up and using cars, boats and motorbikes to reach as many people as possible.

Outreach teams work closely with local district health services to complement and mentor Government health staff.

Services are provided at regional hospitals, sub-district community health centres, local health posts and remote mobile clinics.
In 2013, Marie Stopes’ outreach teams increased their geographical spread across the eight districts they work in, providing services to a total of 1,896 clients through mobile outreach.

In 2014, Marie Stopes plans to expand into new districts in consultation with the Ministry of Health.

Young people are particularly vulnerable to unplanned pregnancy and sexually transmitted diseases.
In Timor-Leste, almost two thirds of the population is under the age of 25 and 20% of 19 year old girls have already begun childbearing4.

Marie Stopes seeks to educate young people about their sexual and reproductive health and rights through a variety of channels.

Marie Stopes team members receive specific training so they can deliver non-judgemental and youth-friendly information and services.
In 2013, the team provided 158 life skills based training and sexual and reproductive health education sessions in schools, training centres, universities, youth centres and other places where young people gather, reaching 1,685 young people.

Through these activities – reinforced by the youth infoline and the youth centres – the proportion of clients under the age of 25 years has increased from 29% in 2012 to 33% in 2013.
Men Men are often the primary decision makers, for both themselves and their families, including when it comes to matters of health and healthcare.

Marie Stopes provides information and education to men, increasing their understanding of the risks associated with pregnancy and the benefits of family planning.

In 2013, community educators were trained in the use of targeted behaviour change communication techniques to engage men.
Flip card stories and films have been successful tools in promoting discussion about healthy birth spacing and safe delivery.

As a result, the proportion of male clients has increased two-fold from 2012.

Safe motherhood and high impact services High fertility rates, young age at the time of first pregnancy and short spacing between children increase the risk of maternal mortality.

All three are common issues facing Timor-Leste.


In response, the Marie Stopes team identified promotion of child spacing and provision of long-acting methods of contraceptives to women who were currently pregnant or who had recently given birth as an intervention with high impact.

In 2013, Marie Stopes developed targeted communication materials, conducted information sessions at maternity wards and provided one-on-one counselling to women receiving antenatal and post-natal care.
Quality Assurance As a member of the Marie Stopes International global partnership, the Timor-Leste program delivers services that comply with international and national clinical standards.

Ongoing compliance to these standards is measured through an annual assessment of the organisation’s service delivery, medical management and infection prevention measures in our clinic and through our outreach work.

In 2013, Marie Stopes achieved a score of 96.8% across these areas.
In order to increase efficiency while maintaining high clinical standards, Marie Stopes has purchased a number of autoclaves and trained staff in sterilising medical equipment.

Equipment that previously needed to be transported to Dili will now be able to be sterilised in district field offices, increasing the number of services that can be provided with each set of equipment.
3 National Statistics Directorate, Ministry of Finance, Timor-Leste, 2010, Population and Housing Census Timor-Leste 2010, Dili, Timor-Leste.

4 National Statistics Directorate, Ministry of Finance, Timor-Leste, and ICF Macro, 2010, Demographic and Health Survey 2009-10, Dili, Timor-Leste.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 15 Connections & partnerships Through the support of local and international partners, Marie Stopes is able to deliver quality information and services that enable women, families and communities in Timor-Leste to make reproductive health choices.
The Timor-Leste Ministry of Health is a key partner in the delivery of these services and Marie Stopes operates within the policy framework and environment established by the Ministry.

Marie Stopes seeks to contribute to the goals of the Ministry and support the development of health care systems and structures in Timor-Leste through technical advice, resources and positive partnerships.
Marie Stopes works closely with the Government of Timor- Leste to coordinate training for sustainable health outcomes across the country.

Marie Stopes provides resources – such as transport, medicines, commodities, instruments and infection prevention kits – to Ministry of Health facilities and the National Institute of Health, to support the institute in its role as the national training provider for clinical health staff.
Marie Stopes’ clinical co-ordinator is a recognised master trainer and worked with National Institute of Health teams to conduct clinical competency assessments for the provision of long-acting and reversible methods of contraception at 26 health centres across the country.

With this support, 86 midwives, including nine Marie Stopes providers, received competency assessment for implants and IUDs, greatly increasing the contraceptive choices available to women.
DFAT continues to be a strong supporter of, and key partner for Marie Stopes’ activities in Timor-Leste.

DFAT is funding Marie Stopes’ program to provide sexual and reproductive health services at the Dili clinic and through outreach to complement the Ministry of Health’s goals.
Other national and local partners include Health Alliance International, PRADET, CARE, Child Fund, CCT, Hadiak, CVTL, HIVOS, Fundasaun Timor Hari’I, Comoro Child and Youth Centre, Maliana Youth Centre and the Secretary of Youth and Sport.

Through the TAC-TAC project funded by DFAT and the Albion Centre, Marie Stopes is continuing the integration of training and service provision to leverage resources.
In 2013, the Albion Centre provided training to Ministry staff, the National Laboratory and Marie Stopes service providers in HIV testing.

Marie Stopes is now providing HIV counselling at sites jointly identified and agreed with the Ministry.
Marie Stopes aims to further contribute to the strengthening of Timor-Leste’s health system through future utilisation of the reproductive health clinic as a site of training for Government service providers and location for ‘on-the-job’ experience for midwifery students from the University of Timor-Leste.
Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 16 Strengthening our foundations In 2013, Marie Stopes begun piloting a number of new technologies and systems to support teams in the field and increase efficiencies.

Marie Stopes continually strives to improve performance and service provision through the application of research and evidence.
In 2014, operational research will be conducted into the effectiveness and impact of Marie Stopes’ support to the Government mobile outreach ‘SISCa’ program.

Research will also be conducted in partnership with the Menzies School of Public Health at the University of Darwin to better understand and address the causes of unmet need for family planning in Timor-Leste.

Building the capacity of government health workers ensures Marie Stopes delivers its mission in Timor-Leste.
At the same time, Marie Stopes is committed to strengthening the capacity of its own staff to achieve this, and in 2013, nine midwives were trained and received certification in providing new forms of contraception, having a direct impact in the services and choices provided to Timorese women and men.

In addition, twenty Marie Stopes’ nurses and midwives were trained in HIV counselling and testing.

Previously only offered by Government lab technicians, these HIV services are now more accessible.
A new GPS system installed in all Marie Stopes vehicles will enable teams to spend more time in the field providing services as the vehicles will no longer need to return to Dili at the end of each week.

CLIC, a new data management information system, was also piloted in a number of districts.

The roll out of this system will allow district team leaders to send service data and reports back to the support office in Dili, using laptops and 3G while they are in the field.
These innovations, coupled with the installation of autoclave sterilisation machines and staff training in their use, will increase the number of days Marie Stopes teams work in the districts and allow them to travel further afield.
“ Building the capacity of government health workers ensures Marie Stopes delivers its mission in Timor-Leste.” Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 17 Financial statement January–December 2013 Reporting currency USD Grant Income Total Grant Income Other Income Total Other Income Income from CYP generating services Income from non CYP generating services Net Service Income Total Income Service Provider Salaries Supplies used Performance related pay Other Operating Costs Non Service Provider Costs Travel Costs Vehicle Running Costs Marketing and Research Office Costs Building Costs Other Costs Total Other Costs Total Expenses Net Surplus / (Deficit) Actual 2,270,021.00 2,270,021.00 – – 4,606.00 13,489.00 18,095.00 2,288,116.00 160,987.00 88,019.00 8,187.00 29,759.00 286,952.00 821,651.00 354,388.19 105,905.81 163,550.00 239,564.00 112,175.00 162,870.00 1,960,104.00 2,247,056.00 41,060.00 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Page 18 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission Marie Stopes International Timor-Leste / Annual Report 2013 / Page 19 Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission For further information, enquiries or complaints please contact: Marie Stopes International Timor-Leste Av.
Vila Verde Vila Verde, Dili, Timor-Leste Postal address PO Box 313, Dili, Timor-Leste (via Darwin, Australia) Telephone +670 332 2923 (Head Office) +670 332 2841 (Clinic) Email msi.timorleste@mariestopestl.org Marie Stopes International Timor-Leste would like to thank those who support our work and make it possible for us to serve women and men across Timor-Leste.

Human rights issues confronting women and girls in the Indian Ocean – Asia Pacific regionSubmission 27 - Supplementary Submission