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Is International Aid Paternalistic and Colonialist? | Mieux Donner

Is International Aid Paternalistic and Colonialist?

Among people who want to have a positive impact on others, one of the best-established realities is that you can generally make a far greater difference where basic needs are not being met. In practice, this means that our donations can have a much larger impact in countries where extreme poverty is present. But this reality raises a legitimate question: by deciding from Paris or London which populations need help and how to help them, are we not reproducing colonialist or paternalist logics? Should we only offer help when local populations explicitly request it?

Romain Barbe
Romain Barbe
Founder · Mieux Donner · Reading time: 12 min

These questions deserve to be taken seriously. This article examines the various risks and analyses surrounding this topic. It also explores why effective giving, grounded in evidence and oriented toward the real needs of beneficiaries, represents an advance on these questions, without having answered them definitively.


The humanitarian colonialism critique: what it gets right

The critique is not new, and it is not without foundation. For decades, researchers, journalists and humanitarian sector insiders themselves have pointed to structural dysfunctions in the way international aid is organised.

A documented power structure

In the vast majority of international NGOs, those who decide on priorities, allocate budgets and define intervention strategies are based in wealthy countries. Local staff often occupy subordinate positions, with significant salary gaps for equivalent roles. This structure reproduces a hierarchy in which the beneficiaries of aid are systematically absent from the decisions that most directly concern them.

Cathartic aid: serving the giver first

"Voluntourism" is a frequently cited example of this drift: short humanitarian stays during which Western volunteers, without any particular training, build schools, dig wells or care for orphans in poor countries. Studies have shown that some of these practices have counter-productive effects: poorly executed constructions that have to be rebuilt by local craftspeople, direct competition with the paid work of local professionals, and a sector organised more around the emotional experience of the volunteer than the real needs of the population. This is what American author Teju Cole called the "White Savior Industrial Complex": a system in which helping others becomes primarily an experience that elevates the helper, not a response to the needs of those it is supposed to benefit.

This dimension is not merely symbolic. Researchers have documented a measurable psychological reality: donors tend to treat adults living in poverty like children, assuming that conditional, controlled assistance will be more effective for them than assistance that leaves free choice.[1] This assumption is empirically false.

Aid in kind as a revealing symptom

This bias materialises in in-kind aid: clothing unsuited to the context or climate, seeds incompatible with local soils, expired medicines. These items are given because the donor assumes they know better than the recipient what is needed. Giving cash would seem less controllable, riskier. In-kind aid reassures the giver, not necessarily the recipient.

A serious structural critique, valid in certain cases

Economists like Dambisa Moyo, in Dead Aid, or Angus Deaton, in The Great Escape, have pushed this critique further: some forms of aid do not address the political causes of poverty, they can even mask them.[2] By funding services that states should provide, or by keeping failing governments on life support, some aid has delayed necessary institutional reforms and reduced states' accountability to their own citizens. This is not a critique of all aid: it is a targeted critique of poorly designed forms of aid, and it deserves to be heard.


Three critiques that can be made of international aid

International aid faces three distinct objections that each deserve serious examination.

1
Aid treats symptoms without addressing causes

Distributing bed nets or vitamins does not address the economic and political structures that produce poverty. The risk would be to fund palliative interventions indefinitely, sustaining dependency rather than working to make it unnecessary. Some aid organisations would even have an implicit interest in maintaining the need rather than making it disappear.

2
Aid can weaken states rather than strengthen them

When an effective NGO takes over public services in a region, it can, unintentionally, reduce political pressure on the state to develop its own systems. Families grow accustomed to receiving care from a foreign NGO rather than demanding it from their government. At scale, this can erode the legitimacy of local institutions and weaken democratic accountability in the long term.

3
Aid does not consult populations

Interventions are designed in distant offices, without genuine consultation with the communities concerned. They arrive with pre-defined solutions rather than emerging from locally expressed needs. In some cases, external presence can even short-circuit community organising dynamics that would have been more effective and more durable.

These three objections do not carry equal weight. The first is partially right but incomplete. The second is a real risk that must be taken seriously. The third conceals an important ambiguity, which the next section will unpack.


The logical argument: from a valid observation to a false conclusion

One can fully agree with the observation that past interventions have often ignored the real needs of populations, and disagree with the conclusion that only explicitly requested interventions should be funded. The problem lies in the "because" that connects these two positions.

What the argument confuses: two very different types of asymmetry

Value asymmetry → paternalism

Imposing your values on others ("you should educate your daughters", "your tradition is wrong") is genuinely paternalistic: you substitute your own vision of the good for that of the people concerned.

Information asymmetry → expertise

Providing medical expertise that is not locally accessible is different. The link between micronutrient deficiency and irreversible blindness is specialised medical knowledge, produced by decades of research, that is not accessible without training.

This is an information asymmetry, not a value asymmetry. And these two situations call for very different moral responses.

Vitamin A: wanting without being able to ask

Every year, between 250,000 and 500,000 children go blind from vitamin A deficiency, and half of them die within twelve months.[3] Studies conducted in Ghana, Kenya and other sub-Saharan African countries show that the main barrier to adopting supplementation is not parental refusal, but lack of information about the causal link and access to the medicine itself.[4] When mothers receive nutritional education, uptake rates increase significantly. These mothers want their children to be healthy: it is a universal and deeply held preference. They do not "ask" for supplementation not because they do not want it, but because they have no way of knowing that this is what their children need.

Conditioning funding on explicit demand would mean funding vitamin A supplementation only where medical information is already present — precisely where the need is least urgent.

250,000–500,000 children go blind each year from vitamin A deficiency
50 % of them die within 12 months
4 to 12 % reduction in child mortality through supplementation

Bed nets: the same logic

In some rural areas of Madagascar, surveys found that fewer than half of villagers identified bed nets as a tool for protection against malaria, and that only 73% knew that transmission occurs through mosquitoes.[5] Yet all of them wanted their children not to die. The gap was not in their ultimate values. It was in knowledge of the causal links between mosquito, parasite and disease.

Genuine autonomy begins with survival

There is something paradoxical about the idea of refusing an effective intervention in the name of "respecting the autonomy" of populations. Real autonomy — the capacity to make choices, to organise, to claim rights — starts with being alive and healthy. Sociologists have shown that it is precisely when material insecurity decreases that movements for justice, institutional reform and political emancipation tend to strengthen. Material security is not the opposite of political agency: it is often its precondition.

Between "deciding for populations" and "acting only on explicit demand" lies a third path: starting from the deep and universal preferences of populations (to live, to be healthy, to see their children grow up) and mobilising available expertise to serve them. That is precisely what effective giving seeks to do.


What effective giving does concretely differently

Effective giving is not simply a critique of traditional aid. It is a rigorous attempt to build something different. Its founding principles respond directly to the problems identified in the preceding sections.

Starting from real impact on beneficiaries, not donor satisfaction

The central question is not "what seems right to give?" nor "what makes me feel good?", but "what genuinely improves the lives of the people concerned as much as possible?" This shift in compass may seem obvious, but it is far from the norm in the sector.

This is the starting point of the effective altruism movement, which emerged in the early 2010s around philosophers like William MacAskill and Peter Singer. The core idea is simple: if you genuinely want to help others, you need to apply the same rigour you use in other important areas of your life to finding out which actions actually produce the best improvements in life for the people concerned. This means relying on available data, comparing interventions, accepting that some apparently generous approaches are ineffective, and that others, less intuitive, are far more impactful.

Mieux Donner applies these principles to direct giving toward the most effective organisations and interventions. For donations targeting extreme poverty and global health, this means in practice relying on the work of independent evaluators like GiveWell, which devotes thousands of hours to analysing randomised controlled trials, field impact data and financial reports to identify the interventions that produce the best life improvements per dollar spent. The result is often counterintuitive: multiple analyses show that there is no correlation between an organisation's size, age and actual effectiveness. The best charities can deliver 100 times more impact than the average.

Here is how these principles translate concretely in the recommended organisations:

Full choice GiveDirectly
Transfers cash directly to people living in extreme poverty, with no conditions on use. Beneficiaries decide entirely how to spend it. More than 200 independent studies have evaluated the impact of unconditional cash transfers.[6] Their convergent conclusion: beneficiaries make better choices than NGOs would have made on their behalf. They spend the money on food, health, education and productive investments. The assumption that this money would be spent on alcohol or tobacco is empirically refuted. GiveDirectly has distributed more than $900 million to approximately 1.7 million beneficiaries across several countries.
Preferences integrated GiveWell
When explicit demand is not directly possible, effective altruism seeks to approximate it through other means. GiveWell funded surveys among nearly 1,800 people in Kenya and Ghana to measure their real trade-offs between different types of benefit: saving a life versus increasing a family's income, for example.[7] These preferences are then incorporated into allocation models. The process is not perfect: a significant share of GiveWell's moral weightings still comes from its donors and staff rather than beneficiaries. GiveWell acknowledges this and actively funds new research to improve the methodology. It is a work in progress, not a box checked.
System support New Incentives
Illustrates another way of operating without replacing local institutions. Its programme increases vaccination rates in Nigeria by offering small financial incentives to families to bring their children to existing vaccination clinics. The organisation operates entirely within the Nigerian health system: it strengthens its coverage, it does not replace it. Each year, 700,000 children under five die of preventable diseases. Vaccination can reduce this mortality by approximately 50 %.
Support role AMF & HKI
Against Malaria Foundation finances the purchase of insecticide-treated bed nets, but does not itself run distribution campaigns. It is national malaria control programmes and their local partners who organise and carry them out. AMF employs 13 people and does not deploy field staff in beneficiary countries. Helen Keller International, for its part, provides technical and financial support to campaigns run under the direction of the governments of the countries concerned: the agents implementing these programmes are employees or volunteers recruited by the government. These models avoid the direct substitution that critics rightly denounce in other forms of aid.
Structural causes LEEP
A common misconception is that effective giving is confined to palliative interventions and never acts on structural causes. This is inaccurate. LEEP (Lead Exposure Elimination Project), incubated by Charity Entrepreneurship, works with governments to adopt regulations on lead paint, guide manufacturers toward lead-free formulations, and strengthen local testing and monitoring capacities. LEEP has secured government regulatory commitments in nine countries, including Malawi, Madagascar, Pakistan and Zimbabwe. In Malawi, within two years, the market share of paints containing lead fell by more than 50%, at a cost of under $2 per child protected.[8] LEEP's stated goal is to enable the state to address this problem permanently and independently. Its founders have explicitly stated that they do not wish to maintain their organisation indefinitely: if the problem is solved, they close. This is precisely the opposite of aid that perpetuates its own necessity.

What remains open: the blind spots that require humility

Acknowledging that effective giving represents an advance on these questions does not imply that it has fully answered them. Three limitations deserve to be named honestly.

The risk of institutional crowding-out remains an open question
Even well-designed interventions can, at scale and over the long term, reduce political pressure on states to develop their own health systems. If populations know that an NGO will distribute bed nets every three years, they may be less inclined to demand this service from their government. This substitution effect is difficult to measure but theoretically plausible. It is a risk that serious organisations factor into their design, but that none has fully resolved.
The structural critique retains a degree of truth
Effective giving saves lives now, and gives people better starting conditions in life. Health interventions often have very high economic returns for the populations concerned: a child who does not go blind, who does not suffer cognitive delays from lead poisoning, who does not miss years of school due to malaria, has very different life prospects. This type of intervention does not have to be the only kind supported. The principles of effective giving can also be applied to deep systemic change, as the LEEP case shows. The two agendas are complementary, not opposed.
The sector's composition remains a work in progress
The neo-colonial critique has an empirical foothold in the effective altruism community itself: it remains overwhelmingly composed of people from wealthy countries, white, from affluent backgrounds. This "monoculture" inevitably influences the collective agenda, research priorities and the movement's behaviour. Before 2019, the moral weightings underpinning GiveWell's recommendations were built almost exclusively from data from wealthy-country populations, for lack of studies in low-income countries.

The movement acknowledges this and is taking concrete steps. EAGx conferences are expanding into less-represented regions, with events in South-East Asia and projects in sub-Saharan Africa. Local groups are emerging in Africa, founded by people who are appropriating the tools of effective altruism in their own contexts.

An instructive example comes from Cameroon. In 2021, a group of humanitarian development professionals there founded Effective Help Cameroon. In 2022, they organised a competition to identify the most effective local organisations, receiving 21 applications. Their main finding echoes analyses from the international community: there was no correlation between organisations' experience, budget and actual impact. Their conclusion: organisations become, over time, more effective at capturing funding, not necessarily at improving the lives of the people they are meant to serve.[9] This Cameroonian group, through its own independent analysis, confirmed findings that the international EA community had produced from global data. This is precisely what the movement's geographic diversification enables: not to validate Western analyses, but to confirm, complement and nuance them from different contexts.

Vigilance about the sector's composition is not an optional stance: it is a condition of credibility and continuous improvement.

Conclusion

The critique of paternalism and neo-colonialism in international aid is legitimate. We would all prefer to live in a world where extreme poverty does not exist, where basic care is provided by functioning governments everywhere. That is not the world we live in.

Not wanting to support projects that might have more negative consequences than positive ones is a necessary attitude, one that has not always been present in international aid. Particularly when that aid took the form of cathartic giving, designed from above without consulting populations, serving the preferences of those who give rather than the needs of those who receive.

However, deciding to do nothing is not necessarily the best contribution. The tools and evaluators of effective giving seek precisely to serve the real preferences of beneficiaries with the best available evidence. The right question is not "who gives, and from where?" but "what actually helps?" Evidence-based giving is the most rigorous effort to answer that question. It is not exempt from limitations, it is in continuous improvement, and that is why the critique remains useful: not to reject effective giving, but to refine it continuously.

In the unequal world we live in, people and governments in wealthy countries can direct part of their resources toward interventions that genuinely serve the interests of the most vulnerable populations. That capacity for action is precious. The challenge is to ensure it is exercised with rigour, humility and a sincere attentiveness to those we seek to help.

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Frequently asked questions

Is it not presumptuous to decide what poor populations need?

Two very different situations need to be distinguished. Imposing your values on other people — deciding for them what they should eat, how they should raise their children, or which traditions they should abandon — is genuinely paternalistic and unacceptable. But providing medical expertise that populations cannot acquire on their own is different. For example, parents in low-income countries deeply want their children to be healthy and not go blind. What they often do not know, for lack of access to medical information, is that a simple vitamin A deficiency is the leading preventable cause of childhood blindness in these regions, and that a capsule twice a year can prevent it. This is not imposing a value: it is putting expertise at the service of a preference that already exists.

Why not simply give to local organisations rather than large international NGOs?

Geographic origin is not a good indicator of an organisation's effectiveness. Some local organisations can be highly effective; others achieve little despite good intentions. The same is true of large international NGOs. Analyses conducted in Cameroon by humanitarian development professionals showed no correlation between an organisation's size, age or prominence and its actual impact on populations. The effective giving approach consists precisely of evaluating interventions independently of their origin, using clinical trials, field data and cost-effectiveness analyses, to identify those that improve the most lives per dollar spent, whether they are local or international.

Does international aid not risk creating dependency and weakening local states?

This is a real risk that serious evaluators take into account. If a foreign organisation permanently takes over health service delivery from a state, it can reduce the pressure from citizens on their government to develop its own capacities. The best interventions are designed to avoid this pitfall. Some work directly with local health ministries, which retain direction of campaigns. Others, like the Lead Exposure Elimination Project (LEEP), help governments adopt regulations and strengthen their own oversight capacities, with the explicit goal of disappearing once their mission is accomplished. Effective giving does not seek to replace local institutions: it seeks to strengthen them.

What is effective giving and how is it different from traditional aid?

Effective giving draws on the effective altruism movement, which emerged in the 2010s around philosophers like William MacAskill and Peter Singer. Its founding principle is simple: if you genuinely want to help others, you need to apply the same rigour you use in other important decisions to find out which actions actually produce the best improvements in life for the people concerned. Concretely, this means relying on randomised controlled trials, independent impact evaluations and cost-effectiveness analyses, rather than intuition or emotion. Unlike traditional aid, which often starts from donor preferences, effective giving starts from the needs and preferences of beneficiaries. Effective altruism applies these principles to direct giving toward the charities whose impact is best documented.

Sources
  1. 1Schroeder J. & Epley N. (2020). Mind Perception and Paternalism. Journal of Experimental Psychology. Read the study
  2. 2Moyo D. (2009). Dead Aid. Farrar, Straus and Giroux. Deaton A. (2013). The Great Escape. Princeton University Press.
  3. 3Helen Keller International / WHO data. Vitamin A deficiency: 250,000 to 500,000 children go blind each year, 50% mortality within 12 months. GiveWell on Helen Keller International
  4. 4Ezezika O. et al. (2025). Barriers and facilitators to vitamin A supplementation in Africa. Journal of Nutrition. Read the study
  5. 5Githinji S. et al. (2014). Household malaria knowledge and bednet ownership in rural Madagascar. PMC / Malaria Journal. Read the study
  6. 6GiveDirectly. Research on cash transfers: more than 200 independent studies. See the research
  7. 7IDinsight / GiveWell (2019). Beneficiary Preferences Survey, Kenya and Ghana, ~1,800 respondents. See GiveWell's methodology
  8. 8LEEP / Charity Entrepreneurship. Malawi results 2020–2022. Estimated cost: $1.66 per child protected (Founders Pledge). LEEP website
  9. 9Effective Help Cameroon (2024). This chart is right. Most interventions don't do much. EA Forum. Read the post

Published 4 May 2026