MissAdventure
I've bought my grandsons a cow, a cockeral, and my best one was a toilet.
All donated so that families can set themselves up with farming basics, and begin to earn their way out of poverty. 
I used the send-a-cow foundation, but there are lots similar.
This is what my mother, sister and I do for my brother, who is wealthy andspecifically said he doesn't want physical presents. This year, I have bought the opportunity for a child to have an operation to heal a cleft lip.