Most charities spend the money on utterly stupid things.
Give a man a fish and he can feed his family for a day, give him a fishing rod and he can feed himself for life.......
but you put the local guy who sells fishing rods out of business, when that rod breaks the guy who use to fix them doesn't have his tools anymore as his business died. Then when everyone sucks all the fish out of the local lake, they've stopped growing as much food, and are now starving again.
I made that up entirely, but this IS what happened with mosquito nets, some country got a bunch free, put the locals out of business, they all get ripped and they can't get replacements. Charity thinks short term and stupid not long term and sensible.
Get all the money together in one big pot from all charities, send a team over to teach a workforce of guys how to build sewers, use the money to pay locals to have a job, which stimulates the local economy while building infrastructure.
Infrastructure is what allows western worlds to thrive and grow by allowing us to move good around, get food where it needs to be, keep streets clean and people healthy. WE throw the basics at them which just essentially "keeps them down", if we help pay for massive infrastructure changes, their lives will improve slowly, but permanently.
The vast majority of charity is wasted on people who will die anyway basically, rather than on improving the country long term so people won't constantly be dying to start with.
This is before you get in to the ******* catholics, their political power. They offer infrastructure for charities simply because they've been there for so long that they have channels for getting food to people and medical supplies, plus, you know, silly money. But they use this to influence what other charities do.
Charity X has Y amount of money lets say 1mil, they can spend 1 mil on aid, or 500k on aid and 500k on personnel and transport to get it there. Some Catholic church offers space on the planes they are already sending with aid, and transport over there, and security, so the charity puts it all into aid, which is great, But they only offer this support if they agree to not give out condoms, and don't teach people that having loads of kids is bad, etc, etc.
This isn't all aid and it's probably lessening as a problem but has been a significantly problem for decades, while Africa was being ravaged by aids, the Catholic church was telling them all condoms were bad and to have loads of kids, they made the problem worse.