Many politicians the world around would characterize government handouts the same way, government enabling morbid obesity. And yet, is there some fundamental objection you have to educating women or providing mosquito nets? Dying to malaria does not seem a good rock-bottom to let people hit, if we can provide them cheap nets.
There's no serious objection to either end of the giving chain--donations are good, and education and mosquito nets are good. But donations can slow or cease based on a variety of factors, and then problems that seemed solved won't be solved anymore.
An enduring solution really has to be internally self-sustaining. (Nations with good sewer systems pay for the maintenance themselves.) It's not clear how to structure voluntary donations so they lead to a sustainable solution. Good public health is necessary for developing a sustainable solution, but by itself it is not sufficient.
