A report by the charity published one month after the tragedy also said more effort was needed to maintain the quality and quantity of aid.

The mass of money donated to tsunami-hit countries has resulted in too many organisations working in the disaster zones without adequate skills, Oxfam complained.

It wants governments and the United Nations to bring in accreditation for all agencies and to monitor their work.

It said that in the month since the devastating December 26 quake and massive waves unprepared and inexperienced agencies have set up operations flushed with cash.

Brendan Cox, an Oxfam spokesman, said “The vast majority of aid is working very well, but we need to get the balance right.”

“Where there are issues and challenges, we need to be open about them and confront them.”

Although many communities are being rebuilt, a lack of consultation with local people had caused problems, Oxfam said.

In Sri Lanka, some new houses were built too close together, leading to potential sanitation problems, and the dwellings lacked the country’s traditional kitchens which are open to the elements.

There have also been significant difficulties in southern India coordinating agencies, the charity said.

Barbara Stocking, director of Oxfam, who has just returned from visiting the countries affected by the tsunami, said the quality of aid must be examined.

“One month ago the world responded to the tsunami with an unprecedented aid effort,” she said.

“Undoubtedly this work has saved lives but there are many challenges that cannot be ignored.

“The amount of money raised means that governments and aid agencies must address issues of the quality, not just quantity of aid.”

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