Aid-delivery systems urgently need restructuring. Tanzania suffers a thousand aid missions from well-meaning agencies every year to check out project and write reports. The lack of coherence in internal aid efforts is mind-boggling. Tied-aid—asking for receipts, to ensure that the money got to those targeted---was seen as a form of colonialism in the 1970s. The wheel has turned and now the much-hated “conditionality” is accepted as encouraging good housekeeping.