The last half a century of Foreign Aid disbursal to Sub-Sahara Africa had been dominated by the need to address the perennial problem of its effectiveness. This has provided to a great number of stakeholders a premise for dismissal of foreign aid to be an instrument for economic growth and poverty reduction as initially thought. Drawing from recent literature, a conceptual framework was designed to capture and investigate various contextual factors that would contribute or initiate particular characteristics of the donor-recipient relationship. From a perspective of aid recipients, this study assumes that a management approach to aid would provide an understanding of mismatches between donors and recipients as a possible reason for aid effectiveness standards being unsatisfactory to many. A qualitative case study of two idiosyncratic countries: Cameroon and Tanzania was conducted utilizing a retroductive analysis approach. To provide additional internal validation, a stakeholders' analysis and a business appraisal were also conducted. A number of explanatory mechanisms were constructed and answered positively the research preoccupation of identifying donor-recipient mismatches as well as showing that these mismatches affected to a very large extent the effective management of foreign aid.Further research is recommended chiefly in the donor-recipient relationship vis-à-vis foreign aid quality looking at the history, current and future international interactions. Also, researches in new and meaningful ways of assessing foreign aid impacts.