An empirical analysis of the relationship between “objectively assessed need” and the formation of NGOs in Andhra Pradesh, India, suggests that the former is not a significant trigger for the latter. The formation of NGOs appears to be a response to perceptions of need that are so far removed from the local level that they fail to prioritize amongst levels and locations of poverty. In the absence of objective feedback mechanisms, the global—and therefore indiscriminate—perspective of international funding sources may help explain the lack of correspondence between need and NGO location, combined with the inevitably limited and blinkered knowledge of regional disparities that can be obtained through local NGOs. This preliminary “epistemological” approach to the question of the sub-optimal formation of NGOs is buttressed by consideration of the factors that may bring perception, reality, and organizational responses into better alignment when natural disasters occur, namely the factors that make natural disasters compelling news stories, unlike chronic underdevelopment.