If I want a loan, I must jump through hoops, and for the life of that loan I am accountable to how the money is expended, e.g., a home. You have really raised an excellent aspect to this discussion.
We have not learned the lesson: "Teach a man to fish, and he will feed himself for the rest of his life."
In terms of this discussion, we are exporting the wrong product: money!
We should be exporting the U.S. Constitution. If every country in the world would adopt and live by the [original] U.S. Constitution, then every country in the world could become as rich and powerful as we are.
IOW, instead of feeding these fools, we should be teaching them about FReedom and the U.S. Constitution, the second-most remarkable document ever written (after the Bible).
"The Divine Right of Kings" is what is holding every country (including America, which has been sashaying back towards that awful "Rule of Man" theory since 1787) in the world back. We are surrounded by tin pot despots and tyrannical Kings who can't stand it that their "Vision" of the world (Divine Right of Kings) has been thoroughly trashed by we upstart, smart-ass Americans.
When we understand and practice (walk the walk!) the kind of FReedom the Founding Fathers envisioned, and are able to really sell it to other countries, the world will become a better place. Til then -- well, read the papers!
The countries where the killing and starvation is going on all are ruled by Kings, or dictators (same thing). Why do people want to be a King? Thass where the money is! If you kill enough people in your country, you might become king. When you become king, you become rich, and rich is what most people want to be.
[We called it "King of the Hill" when I was a kid, but we didn't kill the other kids to get there. Adult play is a little rougher -- politics in the 21st Century is a blood sport, in more ways than one.]
All foreign aid does is aid and abet tin horn dictators and despotic kings to remain in power and get richer. Our money has not bought us any FRiends in the world, and foreign aid ought to be stopped immediately.
But I am not going to hold my breath. Even our own State Department poobahs don't like or abide by the U.S. Constitution.