This opinion is not going to be popular, but I'm an honest person... so here it is;
We need to stop sending aid, entirely.
It's a self-perpetuating problem, and the more we "help" the worse and more expensive the problem becomes. We feed them, and they survive... great. But then they grow up to be young adults who, like their parents, breed out of control with most women in Niger averaging 5-6 children. And now we have more mouths to feed because we fed them instead of teaching them. We gave them aid instead of setting up schools to teach them how to rotate their crops, and how to build efficient irrigation systems. We fed and clothed them instead of teaching them about the importance of medicine, food preparation and proper hygiene. We enable them to remain a third-world country.
It's not that I don't care, I do care. But feeding them, clothing them and vaccinating them to feel better about ourselves with a quick fix does absolutely nothing good. It only enables the cycle to continue. They need education, global awareness, metaphysical thought processes, less fatalism and more positive reinforcement. They need to be taught how to think and act for themselves. They need to learn that the consequences of breeding with wild abandon.
Quite honestly, we need to let them go. We are only making the problem worse. The cycle snowballs and will become more grave until we teach them instead of coddle them. Rough idea, but I am personally tired of watching African children die in the arms of a pregnant mother with her five other children watching. It breaks my heart for the kids, but I know that they will grow up to be just as stupid as their mother until they get some education. Not trying to be heartless, but we give them supplies instead of tools and they learn nothing.