I moved to St Petersburg, Russia in 1989. The place was a mess. It was a few years removed from the break up of the Soviet Union and their cancer wards were filled with people dying of leukemia, etc after Chernobyl. I went there to bring in medical aid, including medication that was tremendously effective in treating leukemia. We also brought in food and clothing aid.
What I witnessed completely broke my heart. Almost none of the food and clothing aid went to its purpose. Not even 10% of it. There was a pecking order for the vultures who would take their bounty from the containers - customs, city officials, Orthodox Church, market sellers. At the end, you had a few torn shirts and unmatched shoes. That went to the needy. The food was the same.
We had to pay tremendous fees to "Consultants" and brand all the distribution boxes for the Orthodox Church to get the medication off the dock. then, the Church SOLD it to the hospitals.
I have lived in Russia, Ukraine, Kenya and Ghana. It's the same everywhere. Foreign aid, whether sovereign or private, is a massive money laundering scam. It actually makes the lives of the actual people much worse. Those profiting from our conscience-salving donations are financially motivated to make human suffering as bad as possible to perpetuate their racket.
Red Cross, US Aid, all the pathetic billionaire foundations, 100% of all of it - scam. You can tell they are a scam, because they are still in operation. There are millions of wonderful small scale operations. 100% of large scale operations are money laundering, life destroying, human trafficking scams.
I used to think that it couldn't be "thaaat" bad, until I saw it for myself doing some local aid work while in the Navy. It's the same everywhere, here in the U.S. and overseas. Worse overseas, by far, but still works the same way here. That's why I just give it directly to the people in need. They're much more grateful for it when it comes form a more personal place, anyway.