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Richard Horton’s Comment (July 13, p 112) 1 suggests that recent international commitments on development cooperation have done more harm than good for healthcare in Africa. I disagree. But his conclusion that our “global health panjandrums” need better feedback from beneficiaries on the ground is sound. We now have a window of opportunity to get things right. As the international community designs successors to the Millennium Development Goals, it needs to listen to those on the receiving end of the existing international development machinery, and to draw lessons from a decade-long international drive for more effective aid. The Global Partnership for Effective Development Co-operation allows us to do just that. Founded after the 2011 Busan High-Level Forum on Aid Effectiveness, it offers a global platform for leaders to listen to the concerns of developing countries and—crucially—to take action …