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.
76%
CENTS TO THE CAUSE
For a dollar donated, after overhead costs of fundraising and admin/management (excluding surplus) 76 cents are available for programs.
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OVERVIEW
About Effect Hope:
Effect Hope is a 5-star charity with High Demonstrated Impact. It has a B+ Results Reporting grade, which is above average. The charity's reserve funds are within Ci's reasonable range. For every dollar donated to Effect Hope, 76 cents are available to go to the cause, which is within Ci's reasonable range.
Founded in 1982, Effect Hope (formerly The Leprosy Mission Canada) is a Christian development charity with a mission to bring hope and restoration to people affected by neglected tropical diseases (NTDs). Examples of NTDs include leprosy, Buruli ulcers, lymphatic filariasis, hookworm, roundworm, and river blindness. The Leprosy Mission International was founded in India in 1869. Effect Hope reports that one in five, or 1.5 billion people globally have an NTD. The charity runs programs in nine countries: Liberia, Ivory Coast, Ghana, Nigeria, the Democratic Republic of the Congo, Ethiopia, India, Nepal, and Bangladesh. The charity partners with global health organizations, local governments, and community leaders to deliver programs that strengthen healthcare systems and improve access to resources for marginalized people. In F2024, Effect Hope spent $4.2m on its programs.
A Charity Intelligence 2024 Top Impact Charity.
A Charity Intelligence 2024 Top 100 Rated Charity.
Strengthening Health Systems and Transforming Lives represented 53% ($2.2m) of program costs in F2024. Effect Hope trains health professionals, and finds and treats people with NTDs. In F2024, Effect Hope diagnosed 9,100 people with skin-NTDs, of which, 1,242 were women. The charity provided 1,688 surgeries and sent 6,734 pairs of customized protective footwear to restore mobility. Effect Hope trained 9,276 health care professionals to diagnose and treat people with NTDs in F2024. 388 people with NTDs received financial support for starting or maintaining a small business in F2024.
Constituency Education and Advocacy represented 26% ($1.1m) of program costs in F2024. Effect Hope provides little information on this program. Ci believes the Constituency Education program is Effect Hope’s Canadian programming. Effect Hope reached 317,166 people through awareness and education activities.
Advocating and Equipping Communities represented 12% ($505k) of program costs in F2024. Effect Hope treated 2,187,158 people through Mass Drug Administration for onchocerciasis and lymphatic filariasis. 5,957 people participated in a community group to spread awareness about NTDs and reduce social stigma. Effect Hope educated 47,432 children in schools about symptoms and treatments for NTDs.
Advancing Global Health represented 9% ($379k) of program costs in F2024. Effect Hope funds researchers to find cures and unknown side effects of NTDs. In F2024, Effect Hope co-authored three research papers related to NTDs. The charity presented its research at four international health conferences.
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Results and Impact
In F2024, Effect Hope diagnosed 9,100 people with skin NTDs and provided 1,688 surgeries to restore people’s mobility and independence. The charity treated 2,187,158 people through Mass Drug Administration for onchocerciasis and lymphatic filariasis. Effect Hope’s ASPIRE subprogram in India has identified two to three times more leprosy, LF, and scabies cases than those found through localized routine and government surveillance activities. As a result, the World Health Organization expressed an interest in replicating the ASPIRE program in new areas.
Effect Hope’s REDRESS subprogram in Liberia was named the International Collaboration of the Year at the Times Higher Education Awards.
The charity’s research article on the mental health effects and stigma of NTDs was published in International Health in F2024.
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.
Effect Hope received $5.5m in donations in F2024. The charity spent $4.2m on its programs, which is 67% of revenue. Effect Hope recorded a surplus of $714k, which is 12% of revenue.
Effect Hope spent $732k on fundraising, which is 13% of donations, and $623k on administration, which is 11% of revenue (excluding investment income). Total overhead spending is 24%. For every dollar donated to Effect Hope, 76 cents are available to go to the cause, which is within Ci’s reasonable range.
Effect Hope has $7.8m in reserve funds (cash and investments). These reserves can cover 1 year and 10 months of its annual program costs. This is within Ci’s reasonable range.
Effect Hope uses external fundraisers. Its F2024 T3010 was not yet available at the time of this update. In F2023, Effect Hope paid external fundraisers $139k to collect $155k. It cost Effect Hope 90 cents to raise a dollar using external fundraisers. It is likely more efficient to donate directly to the charity.
This charity report is an update that has been sent to Effect Hope.
Updated on June 11, 2025 by Liam Chapleau
Financial Review
Fiscal year ending December
|
2024 | 2023 | 2022 |
---|---|---|---|
Administrative costs as % of revenues | 11.2% | 6.6% | 13.7% |
Fundraising costs as % of donations | 13.3% | 8.8% | 18.4% |
Total overhead spending | 24.4% | 15.4% | 32.0% |
Program cost coverage (%) | 184.6% | 122.7% | 150.0% |
Summary Financial StatementsAll figures in $000s |
2024 | 2023 | 2022 |
---|---|---|---|
Donations | 5,524 | 7,921 | 4,670 |
Government funding | 0 | 1 | 2 |
Business activities (net) | 64 | 85 | 39 |
Investment income | 689 | 364 | (154) |
Total revenues | 6,277 | 8,371 | 4,556 |
Program costs - International | 3,517 | 5,152 | 3,263 |
Program costs - Canada | 690 | 587 | 650 |
Administrative costs | 623 | 531 | 643 |
Fundraising costs | 732 | 696 | 859 |
Total spending | 5,563 | 6,967 | 5,414 |
Cash flow from operations | 714 | 1,404 | (858) |
Capital spending | 12 | 30 | 7 |
Funding reserves | 7,767 | 7,041 | 5,870 |
Note: 1. Deferred revenue: Ci adjusted for deferred revenue within donations. This was ($54k) in F2024, ($72k) in F2023, and $127k in F2022. 2. Due to Field Programs: Ci adjusted for changes in amounts due to field programs within international program costs. This affected expenses by ($58k) in F2024, ($15k) in F2023, and $16k in F2022.
Salary Information
$350k + |
0 |
$300k - $350k |
0 |
$250k - $300k |
0 |
$200k - $250k |
0 |
$160k - $200k |
0 |
$120k - $160k |
2 |
$80k - $120k |
6 |
$40k - $80k |
2 |
< $40k |
0 |
Information from most recent CRA Charities Directorate filings for F2023
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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