Do you have Linux? There are lots of those for Linux.
I've tried a few Windows ones but they are really hard or missing features.
I use ModPlug Tracker to make mods/trackers and apparently it can export to Midi but you might find it hard to use as well. I've used it for years, and before that I used similar programs in DOS.
http://modplug.com/
I've only ever made MIDIs with an old Windows 95 program called MusicTime. It's pretty easy to use (I learned how to use it when I was like 12 years old). It's not free though. It looks like they have a new version with a free demo at:
http://gvox.com/
I'm checking it out now, actually...