The symbolism of donor aid has brought humanitarian relief to communities in despair in Northern Ghana, as NGO projects continue to target beneficiaries. Challenges with project implementation processes have, however, reduced their effectiveness and impact. Deploying an ‘adaptive grounded theory’, coupled with questionnaires and interviews, this paper relied heavily on the iterative process of systematic literature review. It investigated the problem of project fragmentation and the imagery of development aids within the five northern regions of Ghana. Focusing on donor projects within the beneficiary communities, the study found joint causation for donor weakness in relation to the imagery of development efforts and beneficiary stress as consequences of the thwarted attempts at poverty intervention. The prognosis is the phenomenon of poverty dance of beneficiaries. Consequently, we conclude that for the effectiveness of substantial aid investments, there is the need to move policy dialogue of development interventions from ‘community needs assessments’ to targeted-infrastructure needs assessment.