Effect Hope
STAR RATINGCi's Star Rating is calculated based on the following independent metrics: |
✔+
FINANCIAL TRANSPARENCY
Audited financial statements for current and previous years available on the charity’s website.
B+
RESULTS REPORTING
Grade based on the charity's public reporting of the work it does and the results it achieves.
High
DEMONSTRATED IMPACT
The demonstrated impact per dollar Ci calculates from available program information.
NEED FOR FUNDING
Charity's cash and investments (funding reserves) relative to how much it spends on programs in most recent year.
77%
CENTS TO THE CAUSE
For a dollar donated, after overhead costs of fundraising and admin/management (excluding surplus) 77 cents are available for programs.
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OVERVIEW
About Effect Hope:
Effect Hope is a 5-star charity. It has above average disclosure with a B+ results reporting grade. It holds reserves within Ci’s reasonable range. For every dollar donated to Effect Hope, 77 cents are available to go to the cause.
A Charity Intelligence 2025 Top Impact Charity.
A Charity Intelligence 2025 Top 100 Rated Charity.
Founded in 1892 as The Leprosy Mission Canada, Effect Hope is a Canadian Christian global health charity and the largest in Canada exclusively focused on people affected by neglected tropical diseases (NTDs). Effect Hope screens and treats people for skin NTDs, including leprosy, Buruli ulcer, lymphatic filariasis, and scabies. It also trains health workers, provides mental health counselling and vocational support, funds research, and advocates for stronger health policy. It rebranded to Effect Hope in 2014, broadening its mandate from leprosy alone to NTDs more widely. In the fiscal year ending December 2025, the charity reached 1.4 million people across eight countries. These included Bangladesh, India, Ethiopia, Liberia, Nigeria, Ghana, Côte d'Ivoire, and the Democratic Republic of the Congo.
The charity reports that 1.6 billion people globally are affected by NTDs (roughly one in every five people). India accounts for the highest number of cases in 11 out of the 20 NTDs identified by the WHO. It also reports over half of all new leprosy cases globally each year.
Effect Hope runs five main programs: Strengthening Health Systems; Constituency Education; Activating and Equipping Communities; Research; and Advocacy, Policy and Partnership. In 2025, Ci estimates the charity spent $4.9m on its programs.
Strengthening Health Systems is Effect Hope's largest program, accounting for 54% of total program spending in 2025. The charity funds diagnosis, treatment, and health worker training for NTDs. In 2025, Effect Hope screened 1,282,574 people for skin-NTDs, delivered medical treatment to 123,064 people, trained 3,817 health care professionals, gave 3,013 people self-care training, and conducted 1,374 surgeries.
Constituency Education accounted for 14% of total program spending in 2025. It funds public education and awareness campaigns about NTDs, both in program countries and in Canada. In 2025, it reached 105,719 people through awareness and education campaigns in the communities where Effect Hope works and reached 1.3 million Canadians through advocacy and awareness campaigns.
Activating and Equipping Communities accounted for 11% of total program spending in 2025. It funds community-based groups, vocational training, counselling, and mobility aids for people affected by NTDs. In 2025, 5,773 people participated in community-based NTD awareness groups and 4,665 people received support through vocational training, counselling, or advocacy. It provided mental health counselling to 567 people and trained 209 peer counsellors. It also gave 540 children education support, helped 1,140 people access government grants or support, and provided 3,579 pairs of customized footwear.
Research accounted for 11% of total program spending in 2025. Effect Hope funds NTD-related research with the global health community. In 2025, the charity published two peer-reviewed research papers and led two presentations and workshops at global health conferences.
Advocacy, Policy and Partnership accounted for 10% of total program spending in 2025. Effect Hope funds engagement with governments and policy stakeholders to secure and sustain NTD care commitments. In 2025, the charity engaged 201 senior government and policy stakeholders.
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Results and Impact
In 2025, Effect Hope diagnosed 5,008 people with a neglected tropical disease.
Much of this work happened through ASPIRE, an active case finding project in Jamui district, Bihar, India. The project screens for five skin-NTDs at once: leprosy, lymphatic filariasis, PKDL, cutaneous leishmaniasis, and scabies. Between November 2022 and January 2024, search teams screened 100% of villages and roughly 90% of households in Jamui district. The project found two to three times more cases of leprosy, lymphatic filariasis, and scabies than earlier reporting had captured. 93% of suspected cases reached a Primary Health Centre for confirmation and treatment.
Effect Hope also provided 1,374 surgeries in 2025 to help people affected by NTDs regain mobility and independence.
While Ci highlights these key results, they may not be a complete representation of Effect Hope's results and impact. Ci has rated Effect Hope as High impact based on demonstrated impact per dollar spent.
Impact Rating: High
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Finances
Effect Hope’s audited financial statements use activity-based costing. This is a best practice.
In 2025, Effect Hope earned $6.2m in revenue. It received $5.7m in donations (92% of total revenue) and $484k in investment income (8% of total revenue).
Administrative costs are 11% of revenues (less investment income). Fundraising costs are 11% of donations. Total overhead is 23%. For every dollar donated to Effect Hope, 77 cents are available to go to the cause. This is within Ci's reasonable range.
In 2025, Effect Hope spent $4.9m on programs, or 80% of total revenue. Of that, international programs accounted for $4.2m (86%) and Canadian programs accounted for $706k (14%). Effect Hope recorded a $30k deficit, drawing on its reserve funds. The charity spent $81k on capital projects.
Effect Hope has $7.5m in reserve funds (cash and investments). These reserves can cover roughly one and a half years of its annual program costs. This is within Ci’s reasonable range.
This charity update has been sent to Effect Hope for review. Changes and edits may be forthcoming. Updated by Nick Reszetnik on July 10, 2026.
Financial Review
Fiscal year ending December
|
2025 | 2024 | 2023 |
|---|---|---|---|
| Administrative costs as % of revenues | 11.4% | 11.2% | 6.7% |
| Fundraising costs as % of donations | 11.3% | 13.3% | 8.8% |
| Total overhead spending | 22.7% | 24.5% | 15.5% |
| Program cost coverage (%) | 153.5% | 184.9% | 122.8% |
Summary Financial StatementsAll figures in $000s |
2025 | 2024 | 2023 |
|---|---|---|---|
| Donations | 5,674 | 5,524 | 7,921 |
| Government funding | 0 | 0 | 1 |
| Business activities (net) | 18 | 64 | 85 |
| Investment income | 484 | 689 | 364 |
| Total revenues | 6,176 | 6,277 | 8,371 |
| Program costs - International | 4,211 | 3,509 | 5,152 |
| Program costs - Canada | 706 | 693 | 581 |
| Administrative costs | 649 | 626 | 534 |
| Fundraising costs | 640 | 735 | 700 |
| Total spending | 6,206 | 5,563 | 6,967 |
| Cash flow from operations | (30) | 714 | 1,404 |
| Capital spending | 81 | 12 | 30 |
| Funding reserves | 7,545 | 7,767 | 7,041 |
Note: 1. DEFERRED REVENUE: Ci adjusted for deferred revenue within donations. This affected total revenue by $nil in 2025, ($54k) in 2024, and ($72k) in 2023. 2. DUE TO FIELD PROGRAMS: Ci adjusted for changes in amounts due to field programs within international program costs. This affected expenses by ($174k) in 2025, ($58k) in 2024, and ($15k) in 2023. 3. AMORTIZATION: Ci removed amortization from program, fundraising, and administrative costs on a pro-rata basis.
Salary Information
$350k + |
0 |
$300k - $350k |
0 |
$250k - $300k |
0 |
$200k - $250k |
0 |
$160k - $200k |
1 |
$120k - $160k |
4 |
$80k - $120k |
5 |
$40k - $80k |
0 |
< $40k |
0 |
Information from most recent CRA Charities Directorate filings for F2025
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Comments & Contact
Comments added by the Charity:
Comment added on August 13, 2024:
Transforming Lives for Over 130 Years
Globally, 1.6 billion people are affected by Neglected Tropical Diseases (NTDs). That’s about 1 in 5 of us.
Effect Hope is the only organization in Canada exclusively focused on serving people affected by NTDs. Motivated by our Christian faith, we refuse to let people suffer needlessly from treatable diseases.
Our work is made possible through collaboration with the Canadian government, foundations, institutions, and donations from thousands of generous Canadians. We work with our committed supporters here in Canada and our partners in the countries where we serve to be champions of hope.
Holistic Care for Lasting Change
Our programs are designed to address a person’s physical condition, while also impacting their social connections, ability to earn a living, and their mental well-being. This helps to promote full restoration of a person’s life, so that they can enjoy physical health, reintegrate into their community, and regain independence.
For people affected by NTDs to successfully overcome the impact of these diseases, the health system around them must be well-equipped.
That’s why we work with public health centres and officials in the communities we serve. We train health care workers to identify the symptoms of NTDs, and deliver appropriate medical interventions. We also work with community leaders to ensure culturally relevant best practices, and participate in advocacy for sustainable outcomes. When a health system is strengthened, no one is left behind.
We seek out the areas and people with the greatest need and work to remove barriers to health for some of the world’s most vulnerable people and communities.
Evidence-based solutions are critical, particularly in places where resources and infrastructure are limited. We seek out the best solutions and innovations that make the biggest difference for people and communities affected by these diseases. We are constantly measuring and evaluating our programs, ensuring your donations are applied for maximum impact.
Your Generosity in Action
In 2023 alone, through strategic programming in Asia and Africa, we:
Charity Contact
This email address is being protected from spambots. You need JavaScript enabled to view it. Tel: 1-888-537-7679