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Global Health. 2012 May 31;8:13. doi: 10.1186/1744-8603-8-13.
The Paris Declaration on Aid Effectiveness, which provides an international agreement on how to deliver aid, has recently been reviewed by the Organization for Economic Co-operation and Development (OECD). Health sector aid effectiveness is important, given the volume of financial aid and the number of mechanisms through which health assistance is provided. Recognizing this, the international community created the International Health Partnership (IHP+), to apply the Paris Declaration to the health sector. This paper, which presents findings from an independent monitoring process (IHP+Results), makes a valuable contribution to the literature in the context of the recent 4th High Level Forum on Aid Effectiveness in Busan, Korea.
IHP+Results monitored commitments made under the IHP + using an agreed framework with twelve measures for IHP + Development Partners and ten for IHP + recipient country governments. Data were collected through self-administered survey tools. IHP+Results analyzed these data, using transparent criteria, to produce Scorecards as a means to highlight progress against commitments and thereby strengthen mutual accountability amongst IHP + signatories.
There have been incremental improvements in the strengthening of national planning processes and principles around mutual accountability. There has also been progress in Development Partners aligning their support with national budgets. But there is a lack of progress in the use of countries' financial management and procurement systems, and in the integration of duplicative performance reporting frameworks and information systems.
External, independent monitoring is potentially useful for strengthening accountability in health sector aid. While progress in strengthening country ownership, harmonisation and alignment seems evident, there are ongoing challenges. In spite of some useful findings, there are limitations with IHP + monitoring that need to be addressed. This is not surprising given the challenge of rigorously monitoring Development Partners across multiple recipient countries within complex global systems. The findings presented here suggest that the health sector is ahead of the game--in terms of having an established mechanism to promote alignment and harmonisation, and a relatively advanced monitoring framework and methods. But to capitalise on this, IHP + signatories should: a) reaffirm their commitments to the IHP+; b) actively embrace and participate in monitoring and evaluation processes; and c) strengthen in-country capacity notably amongst civil society organizations.
《援助实效巴黎宣言》为援助提供了一个国际协议，最近经济合作与发展组织（经合组织）对其进行了审查。鉴于财政援助的数量以及提供卫生援助的机制数量，卫生部门的援助效果很重要。国际社会认识到这一点，创建了国际卫生伙伴关系（IHP+），将《巴黎宣言》应用于卫生部门。本文介绍了独立监测进程（IHP+结果）的发现，这是对韩国釜山第四次援助实效高级别论坛的重要贡献。
IHP+结果使用与 IHP+发展伙伴的 12 项措施和 IHP+受援国政府的 10 项措施的商定框架，监测 IHP+下的承诺。通过自我管理的调查工具收集数据。IHP+结果使用透明标准分析这些数据，生成记分卡，以突出承诺的进展，从而加强 IHP+签署方之间的相互问责。
在加强国家规划进程和相互问责原则方面取得了渐进式进展。发展伙伴在使支持与国家预算保持一致方面也取得了进展。但是，在利用国家财务管理和采购系统以及整合重复的绩效报告框架和信息系统方面，进展有限。
外部独立监测对于加强卫生部门援助的问责制可能是有用的。虽然在加强国家自主权、协调和一致性方面似乎取得了进展，但仍存在挑战。尽管 IHP+监测有一些有用的发现，但仍存在需要解决的局限性。考虑到在复杂的全球系统中对多个受援国的发展伙伴进行严格监测的挑战，这并不奇怪。这里提出的结果表明，卫生部门在建立促进协调和一致性的机制方面处于领先地位，并且具有相对先进的监测框架和方法。但是，要充分利用这一点，IHP+签署方应：a）重申对 IHP+的承诺；b）积极参与监测和评价过程；c）加强国家能力，特别是在民间社会组织中。
