Not OP but I presume one of the root problems is how the aid is organized. You need lot of grass roots work to actually figure out what works locally. But that'

Not OP but I presume one of the root problems is how the aid is organized. You need lot of grass roots work to actually figure out what works locally. But that's not how you progress in a western organization. You need clear project plans, then you need a budget and follow ups on the project milestones. Which is all paperwork, and not directly related to the actual effect of the project on ground. It's like a re-enactment of the Soviet Union. Big plans, big scopes ...