I don’t know enough about the situation to say what is going on. But I think there does need to be some perspective.
Imagine trying to start, say, a small manufacturing plant in the aftermath of the Haiti earthquake. How efficient do you think you’d be?
You need to find staff, which means drawing on severely depleted local resources, or trying to recruit people from the U.S. to go to a third world disaster zone. Then you have to set up some kind of functioning payroll system, somehow working with local banks than are no doubt in chaos, and find accommodations that your foreign staff is willing to stay in-- and there will likely be stiff competition go whatever livable space is still standing, driving up prices.
Then you need an office. Good luck with that one. You’ll need a lockable room, a bathroom with running water, and electricity most of the day to charge the laptops. With so much devastation and so many people setting up shop, this will be a challenge. Not to mention dealing with leases, local regulations, unreliable landlords, etc.
Then you need to actually do the work. You get to navigate import-export regulations for whatever equipment you need. I hope you know a lot about shipping. And that you have some way to unload stuff from the docks and transport it to where you need it. And that you can get the electricity that you need to run the stuff. And every step of the way you’ll have corrupt local officials, opportunists, and outright thieves to deal with.
You may want to contract out some of your work. It can be cheaper, it builds local capacity and makes things more sustainable, and is overall a good best practice. But how much oversight? Too much, and you end up paying double for the same work just to watch them. Not enough, and some money will no doubt be lost.
And through this all, your staff will be mourning, getting sick, and fully immersed in the reality of the disaster.
Again, the Red Cross story is making the news in development circles, and it does seem the alleged waste is more than normal. But the idea that you can run an airtight program without waste in a disaster zone is unrealistic.