Preventing starvation in Afghanistan involves a moral dilemma? Money and other resources are fungible. If foreigners feed, clothe or educate Afghani civilians the national government is free to divert resources away from those areas towards other areas, such as the army.
The civil war Nigerian forces fought against separatists in Biafra was sustained by donations made by international aid groups. The separatists would have surrendered or been defeated much faster without it.