In 2007, the Sarah Ferguson Foundation was established in New York to fund programs that aid children and families in dire need.

Since 2005, the Duchess has served as a Global Ambassador for World Children’s Day, an international campaign produced by Ronald McDonald House Charities.  In 2004, the Duchess became a spokesman for SOS Children’s Villages, the world’s largest independent, non-political child welfare organization providing stability for abandoned and abused children.