A problem is a lack of entrepreneurial culture, and I see this in many places in the West also, so it's not just "them."
Another problem is lack of money for infrastructure. An American entrepreneur does not worry that his child could die of measles, pneumonia, or simply from the water he drank this morning. An American entrepreneur does not have to pay for his child's education (elementary or high school). An American does not have to walk three hours every day to fetch worm-infested water. An American does not have to see the things he "eliminates" from his body ever again, because there is a sewer system.
If we want poor people to have a new, entrepreneurial culture, we should train them to have one. But if these people cannot read or write, have no access to phones or electricity or CREDIT, are not even legally registered, and cannot afford 12 cent malaria shots to protect their kids, then "culture" is an issue secondary to BASIC FINANCIAL NEED.