Silly me for to trying to institute a discussion around this.

Go straight to the NGOs everybody.
No questions, no further discussion, and certainly no alternatives!

There - the right answer.
All very pragmatic and easy.
Happy now, Ghost??

"former KR communities" "communities supporting..." "more self-reliant communities"
obviously an idea from another planet to some.
NObody said leave them in the dust to fend for themselves. and nobody said there is no role for NGO's.
And it may be interesting to some readers anyway, to hear that there is research that shows that actual real-life experience turned out better for many amputees who did not receive help from an NGO.
Dial up your local on-call NGO is not the only way to go.

Sorry. I know us westerners suddenly feel all powerless like somebody cut off our balls when somebody suggests an answer that does not involve an NGO or a westerner riding in to the rescue on a white horse.
- just about the only answer we have to these kind of problems in the third world and we feel castrated without it.

or maybe, Ghost, you are simply frustrated at all this "meaningless" talk when you just want to get some real and meaningful help for this individual and his family on the ground.
I can sure understand that kind of frustration myself.

My experience and observations when trying to help somebody at this level ...
Sure, sometimes there is an obvious appropriate agency and it is just a fairly simple hook-up.
- but generally you need to take up some sort of personal advocacy crusade. Lots of looking/asking around.
Lots of talking on their behalf.
Lots of hardcore "expectation management" all round, including of your own (!!)
Lots of "responsibility allocation". < explaining all that can prevent a dependence or victim mentality too.

Or, make it simple one-on-one material help plus mentoring.

But yeah, if you are willing to do all that. sometimes it can work - meaningfully and pragmatically.
Sorry, that's as practical as i can get.

Oh yeah, NB, reminder - it is reckless and irresponsible to embark on an a mission like this if you are not sure you can follow it thru.
That's cruel.