Canada Must Show Leadership for Global Fund’s 8th Replenishment – Organizational Sign-on Letter

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The Right Honourable Mark Carney, P.C., M.P.
Prime Minister of Canada
80 Wellington Street
Ottawa, Ontario
K1A 0A2

Dear Prime Minister

The Eighth Replenishment of the Global Fund to Fight AIDS, Tuberculosis (TB) and Malaria (the Global Fund) will take place in November this year, co-hosted by the Republic of South Africa and the United Kingdom. This marks a pivotal moment in the fight against the world’s three deadliest infectious diseases and in our progress on delivering the 2030 Agenda for Sustainable Development ensuring that No One Is Left Behind

Canada has long been a crucial partner as the seventh largest funder of the Global Fund and an ardent defender of human rights, gender equality, and global health. Canada’s continued leadership on the global stage is more critical than ever. As the 2025 President of the G7 and a longstanding partner of the Global Fund, Canada’s bold pledge to the Eighth Replenishment is one of the most effective ways to save lives, improve the health of millions, protect human rights, and reinforce global security and prosperity for all. As the G7 President and an alumni host of a Global Fund Replenishment (2016), Canada now holds a particular diplomatic role, responsibility and privilege to lead by example, setting the bar for other governments to follow.

We, the undersigned organizations, represent communities affected by HIV, TB, and malaria, as well as civil society allies in Canada and around the world. Together, we are calling on the Government of Canada to demonstrate its continued leadership in global health and human rights with a pledge of CAD$457 million per year (CAD$1.37 billion over three years) to the Global Fund’s Eighth Replenishment. 

Good health and well-being (SDG 3) are both a cause and a consequence of sustainable development. They are decisive foundations for ensuring strong, productive, and resilient societies with extensive evidence showing immense return on investment, economic benefit for other sectors, and value for money. Investing in the Global Fund is a strategic choice that closely aligns with Canada’s priorities of global leadership and security, inclusive economic growth, human rights protections, gender equality, and sustainable development.

Over the past two decades, working hand-in-hand with communities most affected by the three diseases, governments (implementers and donors), the private sector, civil society and technical partners, the Global Fund partnership has saved 70 million lives. Together, our impact has been monumental. For instance, incidence rates across the three diseases have fallen by 42% and we have successfully achieved a 63% reduction in the combined death rate from AIDS, TB, and malaria. These investments in health not only save lives, they bolster communities, strengthen critical health systems and essential infrastructure, and drive economic productivity and broader socioeconomic development.

With a target of at least US$18 billion, a fully funded Eighth Replenishment would save 23 million more lives, prevent 400 million new infections, and further reduce mortality rates. A fully funded Global Fund would also enable other lifesaving impacts including:

  • Strengthened pandemic preparedness, protecting people and communities here in Canada and around the world through investments in diagnostics, community health workers, disease surveillance systems, and resilient community-led responses;
  • Improved climate resilience by supporting health and community systems to prepare for and withstand climate shocks and vector-borne disease threats;
  • Strong economic dividends, with an estimated US$19 generated for every dollar invested. This could contribute to an estimated US$323 billion over the next three years alone;
  • Enhanced global stability and equity by addressing the root causes of poverty and insecurity; and
  • Ensured human rights protections for the most marginalized and criminalized populations in contexts where they are now under threat.

Canada is part of a global community and therefore holds a responsibility to protect the well-being of people everywhere. Our shared learnings from the recent COVID-19 pandemic show us that an outbreak somewhere can rapidly escalate into a global health crisis with profound human and economic costs. Global health security must be prioritized alongside the broader security agenda; it is not an either/or dilemma. Fighting deadly infectious diseases is in all of our interest. History has taught us that global disease outbreaks are inevitable, but epidemics and pandemics are preventable.

We must protect and accelerate the remarkable gains that we have realized since the Global Fund Partnership was created in 2002. Canada has invested billions, both domestically and internationally, to tackle AIDS, tuberculosis and malaria. If we retreat now, those taxpayer dollars—and millions of lives—are at risk. Continuing this fight until it is won is both a moral imperative and a matter of sound fiscal stewardship. We call on Canada to lead by example and pledge CAD$1.37 billion over three years to the Global Fund’s Eighth Replenishment. With Canada’s bold leadership, smart investment, and the full use of the tools that we have at hand, we can take the next decisive step to end AIDS, TB, and malaria and build a healthier, more secure future for all.

CC: Hon. Randeep Sarai, Secretary of State (International Development)
Hon. Anita Anand, Minister of Foreign Affairs
Hon. Shafqat Ali, President of the Treasury Board

Signed,

HIV Legal Network
(Canada)

Stephen Lewis Foundation
(Canada)

On behalf of the undersigned:

Canadian Organizations

Action Canada for Sexual Health and Rights
Action Canada pour la santé et les droits sexuels
Ottawa, ON

Afro-Canadian Positive Network of BC
Burnaby, BC

AIDS Activist History Project
Ottawa, ON

AIDS Committee of Durham Region (ACDR)
Comité du SIDA de la région de Durham
Ajax, ON

AIDS Committee of North Bay and Area
Comite du sida de North Bay et de la région
North Bay, ON

AIDS Committee of Ottawa
Comite du sida d’Ottawa
Ottawa, ON

AIDS Committee of Toronto
Comité sida de Toronto
Toronto, ON

AIDS Community Care Montreal (ACCM)
SIDA Bénévoles Montréal
Montreal, QC

Alliance for South Asian AIDS Prevention
Toronto, ON

Atlantic Interdisciplinary Research Network on the Social and Behavioural Aspects of  HIV and HCV (AIRN)
Réseau de recherche interdisciplinaire de l’Atlantique
Atlantic Canada

BC Centre for Excellence in HIV/AIDS
Centre d’excellence sur le VIH/sida de la Colombie-Britannique
Vancouver, BC

BC Coalition of Experiential Communities Association
Vancouver, BC

Blooms for Africa (a 27-member Grandmothers group within the Stephen Lewis Foundation)
Hamilton, ON

Bruce House
Ottawa, ON

Campbell River Grandmothers to Grandmothers (SLF)
Campbell River, BC

Canadian AIDS Society (CAS)
Société canadienne du sida (SCS)
Ajax, ON

Canadian Drug Policy Coalition
Coalition canadienne des politiques sur les drogues (CCPD)
Vancouver, BC

Canadian Partnership for Women and Children’s Health
Partenariat canadien pour la santé des femmes et des enfants
ON

Canadian Positive People Network
Reseau Canadien Des Personnes positives
Ajax, ON

Canadian Students for Sensible Drug Policy
Étudiant.es Canadien.nes pour les Politiques Éclairées sur les Substances Psychoactives
National

CATIE
National

CAYR Community Connections
Newmarket, ON

Coalition des organismes communautaires québécois de lutte contre le sida (COCQ-SIDA)
Coalition des organismes communautaires québécois de lutte contre le sida (COCQ-SIDA)
Montréal, QC

Community-Based Research Centre (CBRC)
Centre de recherche communautaire (CBRC)
Vancouver, BC

Egale Canada
Toronto, ON

Equitas – International Centre for Human Rights Education
Equitas – Centre international d’éducation aux droits humains
Montreal, QC

Fondation Émergence
Montréal, QC

Glacier Grannies (Grandmothers Group with 71 members affiliated with the Grandmothers to Grandmothers Campaign of the Stephen Lewis Foundation)
Comox Valley, BC

Global Fund Advocates Network (GFAN)
Ottawa, ON

Global Sentinels Movement
Ottawa, ON

Grandmothers Advocacy Network
Mouvement de soutien des grands-mères
Ottawa, ON

Grandmothers and Grandothers
Barrie, ON

Grandmothers of Alberta for a New Generation
Edmonton, AB

Grannies Aid for Africa
Hudson, QC

Grannies for Good (Grandmothers to Grandmothers Campaign of The Stephen Lewis Foundation)
Montreal, QC

Guelph Community Health Centre
Guelph, ON

HIV & AIDS Legal Clinic Ontario (HALCO)
Clinique d’aide juridique VIH-SIDA de l’Ontario
Toronto, ON

HIV West Yellowhead Society  aka Options HIV West Yellowhead
AB

InclusHIV Consulting
Barrie, ON

Langs Farm Village Association
Cambridge, ON

Lexian Life Coaching
Port Severn, ON

Médecins du Monde International Network
Réseau international de Médecins du Monde
Paris, France et Montréal, ON

Merville Grandmothers
Merville, BC

Moyo Health and Community Services
Peel, ON

Nelson Grans to Grans (Grandmothers Group)
Nelson, BC

OCASI – Ontario Council of Agencies Serving Immigrants
Toronto, ON

Old Orchard Blossoms Grandmothers Group (supporting The Stephen Lewis Foundation)
Toronto, ON

ONE the Campaign
Campagne ONE
Ottawa, ON

Ontario AIDS Network
Toronto, ON

PAN
BC

Partners In Health Canada
Toronto, ON

PEERS Alliance
Charlottetown, PEI

Peterborough AIDS Resource Network
Peterborough, ON

Plan International Canada
Cornwall, ON

Queer Momentum
Halifax, NS

Rainbow Railroad
Toronto, ON

REACH Nexus at MAP Centre for Urban Health Solutions at St. Michael’s Hospital
Toronto, ON

Realize
Réalise
Toronto, ON

Results Canada
Résultats Canada
Victoria, BC

Save the Children Canada
Toronto, ON

Stop TB Canada
Ottawa, ON

Thrive HIV Prevention & Support
Waterloo Region, Guelph, and Wellington County, ON

Toronto Harm Reduction Alliance
Toronto, ON

Toronto People With AIDS Foundation
Toronto, ON

Uzima Women Relief Group International
Scarborough, ON

Vancouver Island Persons with HIV/AIDS Society
Victoria, BC

Victoria Grandmothers For Africa
Victoria, BC

International Organizations

Action for Community Development Uganda
Kampala, Uganda

Action pour la Défense de l’Éducation, de la santé, et de l’Environnement au Niger (ONG ADESEN-NAFA)
Niamey, Niger

ACTION POUR LA RESTAURATION DE LA PAIX ET LA JUSTICE (ARPJ ASBL)
Goma, Democratic Republic of Congo

Advocacy Core Team
Harare, Zimbabwe

Africa Japan Forum
Tokyo, Japan

African Network of Adolescents and Young Persons Development (ANAYD)
Abuja, Nigeria

AIDS and Rights Alliance for Southern Africa (ARASA)
Alliance pour le sida et les droits en Afrique australe (ARASA)
Namibia

APCOM Foundation
Bangkok, Thailand

And Soppeku
Dakar, Senegal

Asociación Costarricense para el Estudio e Intervención en Drogas (ACEID)
San José, Costa Rica

Association camerounaise pour l’épanouissement et l’autonomisation des personnes vulnérables (Asceaupev+)
Yaounde, Cameroon

Association de Lutte Contre le Sida (ALCS)
Casablanca, Morocco

Association des jeunes juristes du Niger
Niamey, Niger

Association des jeunes pour les développements de la région du Nord
Garoua, Cameroon

ASSOCIATION EMARD JEUNESSE INFRASTRUCTURES en sigle AEJI
Brazzaville, Republic of Congo

Association For Promotion Sustainable Development
Hansi, India

Association nigérienne des scouts de l’environnement (ANSEN)
Niamey, Niger

Association of Former Tuberculosis Patients of Benin
Association des Anciens Patients Tuberculeux du Bénin (ASSAP-TB/BENIN)
Cotonou, Benin

Association pour la santé communautaire
Kaélé, Cameroon

Association Tous Ensemble pour le Développement
Maroua, Cameroon

Association YEMINI SANTE
Brazzaville, Republic of Congo

AVIL (Australian Injecting and Illicit Drug Users League)
Australia

Benevolent Integrated Development and Care Foundation
Iganga, Uganda

BETTER FUTURE
Nkongsamba, Cameroon

Better Life Restoration Initiative BERI
Bauchi State, Nigeria

BHASO (Batanai HIV and AIDS Support Group)
Masvingo, Zimbabwe

Botswana Labour Migrants Association
Molepolole, Botswana

Cameroon Association  For the Promotion of Albino (CAPA)
Association pour la promotion des albinos au Cameroun APAC
Yaoundé, Cameroon

Centre d’expertise en Droits Humains et Criminologie (CEDHUC)
Democratic Republic of Congo

Child/Women Welfare Foundation
Kumba, Cameroon

Children In Distress (CINDI) Kitwe Trust
Kitwe,  Zambia

Children with Future in Zambia
Kitwe, Zambia

Christ Soldiers Foundation NGO
Accra, Ghana

Civil Society for Malaria Elimination
SOCIÉTÉ CIVILE POUR L’ÉLIMINATION DU PALUDISME
Yaoundé, Cameroon

Coalition Anti Sida (cas)
Bamako, Mali

Coalition PLUS
France

Comité de Suivi, de Veille et d’Alerte pour le financement de  la Santé ( CSVA)
Dakar, Senegal

Community Research in Environment and Development Initiatives (CREADIS)
Bungoma County, Kenya

Corps des Jeunes contre le Paludisme de la RDC
Kinshasa, Democratic Republic of Congo

Correlation-European Harm Reduction Network
Amsterdam, Netherlancds

Deliberar ORG
Colombia

Developing Families Together (DFT)
Addis Ababa, Ethiopia

Drug Injecting Services in Canterbury Trust
Christchurch, New Zealand

ECOM – Eurasian Coalition on Health, Rights, Gender and Sexual Diversity
Tallinn, Estonia

Education For All (E4A)
Maroua, Cameroon

Empower India
Thoothukudi, India

Eurasian Harm Reduction Association (EHRA)
Vilnius, Lithuania

European Network of People who Use Drugs
Réseau européen des usagers de drogues (EuroNPUD)
Leer, Germany

Foreningen for Human Ruspolitikk (FHR) / Norwegian Association for Humane Drug Policy (FHR)
L’Association Norvégienne pour des Politiques des Drogues Humaines
Oslo, Norway

Funders Concerned About AIDS
Washington, USA

GHPN-KE
Kenya

Global Fund Advocates Network Asia-Pacific (GFAN AP)
Asia-Pacific

Global Network of Young People Living With HIV (Y+ Global)
Amsterdam, Netherlands

Grandmothers Consortium
Seeta, Uganda

Guardian Angels Care And Support Centre Organisation
Center Welkom, South Africa

Harm Reduction International
Liverpool, UK

Health for Children Organization
Singida Region, Tanzania

Help For progressive Women Foundation
Adamawa State, Nigeria

Help The Children International
Bertoua, Cameroon

HIV Justice Network
Amsterdam, Netherlands

HIV/AIDS PEOPLE ALLIANCE of KENYA
Mombasa County, Kenya

HODSAS
Bukavu, Democratic Republic of Congo

Hope for Future Generations-Ghana
Accra, Ghana

Hope Tariro Trust
Masvingo, Zimbabwe

Human rights organization ODH, Mozambique-Africa
Mozambique

ICF “Alliance for Public Health”
Ukraine

ICHANGE
Abidjan, Côte d’Ivoire

IDUCARE
Cebu City, Philippines

Impact santé Afrique
Yaoundé, Cameroon

India HIV AIDS alliance
Delhi, India

Initiative For Persons Infected and Affected Masaka
Masaka, Uganda

Initiative for the Promotion of Community Action-IPAC
Initiative pour la Promotion de l’Action Communautaire-IPAC
Bujumbura, Burundi

International Drug Policy Consortium (IDPC)
Consortium international sur les politiques des drogues
Global

International Network of People who Use Drugs (INPUD)
UK

Jimma Zone Health Office
Jimma Town, Ethiopia

Kared For Women Development Programme
Kenya

KeNPUD
Nairobi, Kenya

Kirinyaga Men Of Hope (MoHo)
Kenya

LEAP UK
UK

Legalize NL
Amsterdam, Netherlands

LGBT Voice Tanzania
Dar es Salaam, Tanzania

Light youth group cbo
Kisumu, Kenya

Maasai Women Development Organization-MWEDO
Tanzania

MAAYGO
Kisumu, Kenya

Mainline
Amsterdam, the Netherlands

Malaria and childhood illness NGO network secretariat
Kampala, Uganda

MATRAM – Mozambique Treatment Access Movement
Maputo, Mozambique

Men for Sexual Health and Rights ODSAS RDCongo
Homme pour les droits et la santé sexuelle ODSAS RDCongo
Bukavu, Democratic Republic of Congo

L’Association Nationale de lutte contre le Sida – Sénégal
Dakar, Senegal

Maison de la Culture des Diversités Humaines
Abidjan, Côte d’Ivoire

MPEG
Thika, Kenya

Muslim Education and Welfare Association ( MEWA)
Mombasa, Kenya

Mzilikazi Miners Exminers Association
Zambezi, Namibia

National Association for People living with HIV/AIDS in Malawi (NAPHAM)
Lilongwe, Malawi

Nexus social care foundation
Damaturu, Nigeria

Nsambya Homecare, St. Francis Hospital Nsambya
Kampala, Uganda

Nyaka AIDS Orphans Project
Kampala, Uganda

ONG Kéké Viviane Traoré Humanity Assistance KVT-HA
ONG Kéké  Viviane Traoré Humanity Assistance
Abidjan, Côte d’Ivoire

ONG SEMHY-CI Service d’Éradication de Mobilisation et Hygiène en Côte d’Ivoire
Côte d’Ivoire

ONG Tous Ensemble pour le Développement
Niamey, Niger

ONG VIE PLUS
Grand-Bassam, Côte d’Ivoire

ORGANISATION CONGO PREVENTION SECOURS OCPS
Brazzaville, Republic of Congo

PASADA
Dar e Salaam, Tanzania

Partenariat pour l’Education la Réinsertion et l’Epanouissement Social (PERLE SOCIALE ONG)
Savalou, Benin

Positive Life Kenya
Nairobi, Kenya

Positive Vision Cameroon
Bamenda, Cameroon

Pride Pakistan
Pakistan

Promotion of Health and Education of Young People Association  (APROSEJ)
Association pour la Promotion de la Santé et l’Education des Jeunes (APROSEJ)
Douala, Cameroon

Rainbow Sunrise Mapambazuko
Bukavu, Democratic Republic of Congo

Rajmala Welfare Society
New Delhi, India

Ringa Women Fighting Aids group (RWFAG)
Kenya

Rwanda NGOs Forum on HIV/AIDS and Health Promotion
Rwanda

Santé Espoir Vie
Santé Espoir Vie
Guinea

Senegalese Association for Harm Reduction
Association Sénégalaise pour la Réduction des Risques chez les groupes vulnérables (ASRDR)
Dakar, Senegal

Society for Women and AIDS in Africa , Ghana (SWAA-Ghana)
Accra, Ghana

SOLDIS : Solidarity for Development and Public Health Initiatives
SOLDIS : Solidarité pour le Développement et les Initiatives de Santé publique/
Bafoussam, Cameroon

Sophiatown Community Psychological Services
Johannesburg, South Africa

Southern Africa Miners Association (SAMA)
Sandton, South Africa

St Joseph’s Hospice
Livingstone, Zambia

St. Francis Health Care Services
Jinja, Uganda

Stepping Stones Kenya Network
Kisumu, Kenya

STOPAIDS
London, UK

StoptheDrugWar.org
Washington, USA

Swaziland AIDS Support Organisation
Eswatini

Tanzania NGOs for Malaria Elimination Network ( TANMEN)
Singida, Tanzania

Tanzania organization of serving orphans and vulnerable (TOSOVC)
Mpanda District, Tanzania

TB Women
TB Femme
Global

Together For Women’s Rights (TWR)
Bujumbura, Burundi

Transform Drug Policy Foundation
Bristol, UK

Treatment Action Group
New York City, USA

Twavwane Home Based Care Initiative
Lusaka, Zambia

Uganda Network of AIDS service organizations
Uganda

Uganda Parliamentary Forum on Malaria
Kampala, Uganda

Union Congolaise des organisations des PvVIH (UCOP+)
Kinshasa, Democratic Republic of Congo

VIH Zéro Transmission Haïti
Pétion-Ville, Haïti

Voices Of Community Action and Leadership (Vocal-Kenya)
Nairobi, Kenya

Watu Centre for Health and Advocacy (WACHA CBO
Kenya

Women’s International Peace Centre
Kira, Uganda

Women4GlobalFund
Femmes pour le Fonds mondial (W4GF)
Global

Y+ Malawi – United! Movement
Mzimba

Young Happy Health and Safe
Chipata,  Zambia

Youth RISE (Resources, Information, Support, Education)
Barcelona, Spain

Zeenat Quershi Stroke Institute
Pakistan

International Aids for Sustainable Development
Aide Internationale pour le Développement Durable
Daloa, Côte d’Ivoire