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

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The Global Fund to Fight AIDS, Tuberculosis (TB) and Malaria (the Global Fund) has saved 70 million lives since 2002 and reduced death rates from these diseases by 63%. However, with several donor governments significantly reducing their international assistance budgets, the progress we have made together is at significant risk.


This year is a replenishment year for the Global Fund, and we desperately need to work together to ensure Canada demonstrates its ongoing commitment to global health and security with a bold three-year pledge to the Global Fund. Together, we must call 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.

With full funding, the Global Fund could save 23 million additional lives and cut death rates from AIDS, TB, and malaria by another 64%.

We invite organizations in Canada and around the world to sign onto this letter to Canada’s Prime Minister to call on Canada to show the leadership the world needs.

Signatures will be accepted through Friday, October 3.
_________________________________
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.

Signed,
HIV Legal Network (Canada)
Stephen Lewis Foundation (Canada)

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