The IHP is putting into practice the international principles on the effectiveness of development aid and development cooperation set out in the Paris Declaration on the Effectiveness of Development Assistance, the Accra Action Programme and the Busan Partnership for Effective Health Cooperation, promoting broad support for a single national strategy or a single national health plan , a harmonized monitoring and evaluation framework and a strong emphasis on partner accountability. The aim of the partnership is to build trust among all stakeholders in the country whose activities have an impact on health. The Global Partnership for Effective Development Cooperation (GPEDC) was launched in 2011 at the fourth high-level forum on the effectiveness of development aid in Busan. This platform brings together governments, bilateral and multilateral organizations, civil society, the private sector and representatives of parliaments and trade unions, who are working to strengthen the effectiveness of their development partnerships. 161 countries and 56 organizations supported the creation of the global partnership under the 2011 busan partnership agreement. First, the agenda was designed with a certain image of donor and partner countries in mind. It was based on the assumption that the two groups were more homogeneous than then or today. Donor countries were therefore expected to be concerned about the effectiveness of aid and development outcomes, but in reality they were very different in terms of organization, experience and essential interests. Among the partner countries, the differences were equally important and institutional constraints prevented many fragile societies from assuming the intended ownership. The different starting points and profiles of donors and partners show that progress in implementing efficiency principles can vary. There is a growing public concern that aid alone is not enough to lift developing countries out of poverty.
Whether or not aid has a significant impact on growth, it does not operate in isolation. An increasing number of donor countries can complement or hinder development, such as trade, investment or migration. The Center for Global Development Index`s year-round Development Commitment Index is such an attempt to examine donor policy towards developing countries and to go beyond simple comparisons of aid. It takes into account not only the quantity, but also the quality of aid and penalizes nations that have received large amounts of tied aid. An evaluation in 2011 concluded that, of the five main principles, most of the progress has been made in the area of ownership obligations, while progress in harmonization and harmonization has been uneven and results management and mutual accountability have made little progress. While governments supported the aid effectiveness agenda at international meetings, neither donors nor partner countries seemed very inclined to make the necessary policy adjustments. Further work on aid effectiveness is being carried out by the DAC networks – a global foray that brings together experts. Transparency can be defined as a fundamental expression of mutual responsibility.  Mutual responsibility can only work if there is a global culture of transparency, which requires the provision of information through a set of rules and standards of conduct that are difficult to implement in the case of official development cooperation.