Bill Gates would disagree with that assessment. Infant mortality in Africa is much lower now than it was in the 1990s: https://qz.com/468017/child-mortality-ra

Bill Gates would disagree with that assessment. Infant mortality in Africa is much lower now than it was in the 1990s: https://qz.com/468017/child-mortality-rates-across-sub-saharan-africa-have-fallen-by-over-45-in-the-last-two-decades-and-theyre-still-improving/ https://qz.com/468017/child-mortality-rates-across-sub-sahar... Well targeted evidence-based philanthropy does really work. In addition to the challenges that you mentioned, there is also the hubris of imagining what people need rather than asking and working with them directly.