To reach ultra-rural villages, we rely on the Truck of Life to navigate rough, broken roads. This vehicle allows us to deliver essential supplies, including medicines, water, tools, solar kits, and food. Logistics play a crucial role in our program; without access to fuel, spare parts, and the commitment to long days on the road, we would be unable to reach the patients in need.

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Primary Care and Disease Prevention for All

The Fair Future Foundation is unwavering in its dedication to providing primary medical care, treatment, and disease prevention to strengthen the health and well-being of families, women, and children in vulnerable communities. Through unwavering, sustainable approaches and a relentless focus on clean water, nutrition, and accessible healthcare, we are resolutely committed to creating healthier, more resilient futures for all.

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Climate change is worsening health conditions across Indonesia

25.11.2025 | Our new page explains how climate change fuels disease, water scarcity, malnutrition and medical emergencies in rural Indonesia. Fair Future documents the impacts and outlines solutions for communities already living on the edge.

Truck of Life heads back to Sumba for vital medical fieldwork

24.11.2025 | On the 27th, the Truck of Life, Alex and Erwin leave for East Sumba to support Kawan Sehat health workers, restock essential medicines, and carry out field evaluations in villages with no medical access. A demanding mission, and we will keep you informed.

New HIV prevention posters for ultra rural East Indonesia communities

24.11.2025 | HIV cases are rising in Nusa Tenggara Timur. Fair Future and health teams launch a prevention campaign with new posters on testing, safe sex, and stigma-free care for villages that have no access to health information.

Primary Medical Care: new 2024 field report from rural Sumba

23.11.2025 | Our latest Primary Medical Care quarterly report is online. Kawan Sehat health workers treat thousands of patients in ultra-rural East Sumba and record diseases, medicines, and costs of care where there is no doctor at all.

Seeking 30 Android Phones to Equip Rural Kawan Sehat Health Workers

13.11.2025 - We urgently seek a manufacturer willing to donate 30 simple Android phones for our Kawan Sehat health workers. These devices are vital for using our medical app and caring for 1,000 patients monthly. Contact us if you can help.

One School Electrified—Over 100 Still Waiting for Light

07.11.2025 - Electrifying one school may seem small, yet it changes everything. In East Sumba, over 100 schools and villages still live without power. Together, we can bring light, opportunity, and hope to many more.

Solar Electrification Brings Power to SDN Mbajik School in East Sumba

07.11.2025 - Fair Future has powered SDN Mbajik School with solar energy—16 panels, a 14kW battery, and a hybrid inverter now supply electricity to 80 students and teachers. A first step toward sustainable energy and better education.

Fair Future Donates CHF 19,248.96 to Fund 2025/26 Primary Medical Care

07.10.2025 - Fair Future has donated CHF 19,248.96 (IDR 400M) to support the 2025/26 Primary Medical Care program. This vital funding ensures continued medical care, medicines, and support for remote Indonesian communities.

Connecting the Roof to Laindatang’s 115m³ Reservoir for First Rain

01.10.2025 - Today, we connect the roof to the 115m³ reservoir in Laindatang. After two months of drying, the structure is ready. Soon, the next rain will begin filling it. A big step toward sustainable clean water for the village.

Fair Future Allocates CHF 1,500 for Essential Medicines

30.09.2025 - We allocated nearly CHF 1,500 to purchase essential medicines, covering about two months of needs. These supplies are crucial for treating patients in remote communities with limited access to healthcare.

Final Report on the Construction of Eight Ferrocement Tanks in Hambarita

13.09.2025 - The final report on Hambarita’s eight ferrocement reservoirs is now online. These 4,400–5,300L tanks provide vital clean water for 151 residents. Read the full document and see how this project strengthens resilience

Explore Fair Future’s Interactive Map of East Sumba Projects

05.09.25 — Discover our detailed East Sumba map, showing schools, villages, and communities without electricity or clean water. Learn where Fair Future works daily to bring healthcare, water, and light to remote populations.

2024 Accounts Approved: 16 Years of Transparency and Excellence

19.05.25 - Our 2024 accounts are officially approved by our certified Swiss auditor, without remarks, for the 16th year. Please read the full audit report on our documentation page. Accountability is our commitment.

Breaking Menstrual Taboos: Dignity and Health for Every Girl

13.05.25 - Menstruation is not shameful—it’s natural. Yet in ultra-rural Indonesia, girls lack access to hygiene, education, and support. Fair Future works to restore dignity and health. Please read our full article to understand and act.

Health and medicine

The Health & Medicine category of Fair Future Foundation focuses on bringing essential medical care and health education to ultra-rural Indonesia. We share stories of how our teams work tirelessly to treat illnesses, prevent infectious diseases, and improve community health. These articles highlight the importance of access to healthcare in remote areas and show how medical programs save lives and build healthier futures for those who need it most.

We focus on primary care, treatment and prevention of diseases

Behavioral Impacts on Spread of Malaria

by Alex | May 26, 2023 | Kawan Against Malaria, Picture of the day, Project Update

Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day" shows a young girl from Lapinu village who appears unwell. Taken in 2020, Alex examined her and used a stethoscope to listen to her heartbeat. In April 2023, we revisited the village as part of the Primary Medical Care program. Unfortunately, the girl contracted malaria and suffered from high fever, body pains, and poor overall health. However, after receiving treatment and giving advice to her mother, the little girl has shown significant improvement after just one month.

Our organisation is dedicated to promoting public health in ultra-rural regions of Indonesia (like here in East Sumba), and we're deeply concerned about the impact of malaria on vulnerable communities, as you know already. Sadly, malaria remains a leading cause of illness and death in Indonesia, particularly in East Sumba, where we are based.

Some little history: The word "malaria" originates in Italian. It comes from the expression "mal'aria", which translates as "bad air". This term was used historically to describe the belief that disease was caused by inhaling polluted or stale air in swampy areas. The Plasmodium parasite is responsible for causing malaria, and research suggests that it has been affecting humans for at least 4,000 years.

Several human behaviours contribute irreparably to the spread or persistence of malaria. Here are some of the factors that lead to an increase in malaria cases:

Failure to prevent mosquito bites, poor waste management, inadequate housing and sanitation, deterioration of hygienic conditions, deforestation, alterations to natural habitats, movement of people, drug resistance*** and misuse, limited access to health services, higher illiteracy rates among younger populations, and lack of community involvement and awareness can all lead to an increase in malaria cases… And this, among other examples!

As a result, many people, particularly children and pregnant women, continue to suffer from this preventable and treatable disease. Our program aims to tackle these issues head-on by implementing various activities to strengthen malaria control efforts in the region. It is crucial to highlight that combatting malaria demands a unified strategy encompassing preventive and therapeutic measures. It also involves initiatives to enhance the environment and living standards of communities affected by the disease.

***The problem of self-medication and the consequent development of resistance to antimalarial drugs are two interconnected challenges that significantly hinder the effective management and control of malaria.

Our aim is to take swift action against malaria

by Alex | May 24, 2023 | Child Health, Kawan Against Malaria, Urgent Needs

Malaria has a significant impact on Eastern Indonesia, specifically Sumba Timur, due to its remote and inaccessible locations, insufficient healthcare infrastructure, and limited preventative measures. Plasmodium falciparum and Plasmodium vivax malaria are both prevalent in these areas, with malaria transmission occurring year-round. We have partnered with various donors and organizations to take swift and efficient action to address this critical health issue.

Beyond Borders, Fighting Malaria Together in Eastern Indonesia

by Alex | May 24, 2023 | Kawan Against Malaria, Picture of the day, Project Update

Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day" shows three kids between 8 and 12 years old. Children are among the most vulnerable malaria victims in Indonesia, especially in the east of the country and of course here, where we work with Fair Future, Kawan Baik foundations and all our partners and friends.

The health and well-being of children in eastern Indonesia are threatened by malaria, which hinders their growth, development, and quality of life. Our organizations have a deep understanding of the urgency to address this issue, and we are working hard on our disease control program, which is of utmost importance. We have a strong track record of working in these regions where the epidemic affects about 80% of children. Collaborative efforts are underway to combat malaria and prioritize the welfare of children in these areas.

Young children are at a higher risk of contracting malaria due to their underdeveloped immune systems. Living in rural and poor areas with limited access to preventive measures only exacerbates the severity of symptoms if infected. A contributing factor is that young children typically haven't been exposed to the malaria parasite enough times to build up immunity* against it.

It can be challenging for young children in our regions to communicate or identify the symptoms of malaria, and their parents may not be familiar with them either. As a result, affected children may display non-specific symptoms like fever, tiredness, loss of appetite, irritability, and vomiting, which could easily be mistaken for other common childhood illnesses like drinking contaminated water. Consequently, this can cause delays in diagnosing and treating malaria accurately

*Some additional explanation: People living in malaria-endemic areas gradually develop acquired immunity, which reduces their susceptibility to severe infections in the future.

Primary Medical Care Progress Report

by Alex | May 17, 2023 | Primary Medical Care, Project Update, We are the Future

The Primary Medical Care (PMC) program has made a remarkable difference in the rural communities of East Sumba, providing over a thousand treatments that offer critical medical assistance to those in need. Through their unwavering dedication and hard work, the women of the region have been empowered to take control of the health and welfare of their ultra-rural communities. By providing them with the essential knowledge, resources and tools, we have successfully equipped them to face all the socio-medical challenges that come their way. Over nearly five months, Fair Future and Kawan Baik, our partners, all participants, and teams collaborated to go above and beyond in reaching the most challenging areas and evaluating the impact of the field program. The results are awe-inspiring, leaving no doubt that the Primary Medical Care program is the definitive solution to ensure everyone can access emergency medical assistance.

Malaria in East Sumba: All villages turned Red!

by Alex | May 15, 2023 | Kawan Against Malaria, Picture of the day, Vital problems

This new "Picture of the Day" shows you a brave but sad mom who asks for care for her little boy. She is a courageous but sad mother who seeks care for her little boy, who suffers from Malaria. With pain and more than 40 fever, He is the example of the "typical patient" here: Under five years old, this family lives in an ultra-rural and marginalized area. She is poor, and they don't have access to medical care or enough food and clean water; They don't have toilets either. Moreover, the whole village does not have access to electricity.

The medical staff of Kawan Baik and Fair Future Foundation bring him relief and medicine to lower his fever and get better as soon as possible. We also talk to the mother and give her good advice.

Let me re-explain to you what malaria is and why this disease is hazardous, and the categories of people it affects in the first place:

Malaria is caused by parasites transmitted by the bites of infected mosquitoes. Although anyone can get malaria, specific categories of people are more susceptible to severe illness and complications. We find that the impact of malaria varies by geographic region and local health infrastructure. Our efforts to fight malaria focus on prevention through measures such as the establishment of the Primary Medical Care Program (PMC), mosquito nets, spraying in villages (fogging), and learning to wash with an "ani-malaria or disinfectant" soap, among others.

1. First, children under five: This is because young children have a weaker immune system and have not yet developed immunity to disease. They are more likely to have serious symptoms and complications, including severe anaemia and cerebral malaria, which can be life-threatening. This is the case here: Infant mortality is very high in ultra-rural areas and marginalized populations of East Sumba.

2. But also pregnant women: Of course, malaria can have adverse effects on both the mother and the unborn child. Pregnant women are at an increased risk of developing severe malaria, leading to complications such as maternal anaemia, spontaneous abortion, stillbirth or low birth weight infants. I spoke to you about a similar case in Kabanda, right?

Public health interventions to provide vital advice to the most affected populations via the #kawansehat program are essential. You have to be close to people if you want to advise them on the best way to have a healthier life.

3. Ultra-rural and marginalized populations: Communities living in rural and remote areas, often with limited access to health care, such as here in East Sumba, are disproportionately affected by malaria. Factors such as poverty, lack of knowledge about preventive measures and limited access to health services contribute to malaria's higher prevalence and impact in these communities.

4. Immunocompromised people: People with weakened immune systems, such as those living with HIV/AIDS, are more likely to contract severe malaria. We are also talking about people with chronic illnesses. Malaria can also aggravate the progression of HIV infection. And concerning the rate of HIV-positive people here is also very high, even with very few tests being conducted.

Helping ultra-rural families to have a healthier life

by Alex | May 9, 2023 | Education & Social, Health and medicine, Picture of the day

This new "Picture of the Day" features Kawan Ino, one of the Fair Future team members in Sumba (Rumah Kambera Leader), talking to health workers and the village community of Kabanda. To do this, he uses the "Kawan Sehat" book we produced at the end of 2022 for children in these regions. This book is an integral part of the program of access to primary medical care for children in ultra-rural areas.

We spend two days here, and you can read what we have done in Kabanda. This village is genuinely one of the most isolated I have ever seen. Getting it is difficult, even dangerous, at times. No road leads to this village; only extremely steep or steep stony paths allow us to go there. Kawan Ino explains how to have a healthier life thanks to implementing specific things in everyday life. This includes physical and mental health, body and home hygiene, daily habits and women empowerment.

Thanks to the Kawan Sehat program, we see a significant improvement in the health and well-being of rural populations. It is truly heartening to see healthy habits being encouraged and access to health care increasing. It is vital that everyone has access to quality health care, and we are happy that this program allows more people to receive the care they need.

Here, when a person is sick or injured while a woman is due to give birth, one of the only ways for her to receive medical attention is to carry her on people's backs for several hours or even a whole day until the nearest health centre. This person also does not know if he will arrive in time at the medical centre, called "Puskesmas or Pustu", as we have seen on several occasions.

This is why this book is necessary: “Kawan Sehat” is intended for schools and teachers. It's an amazing teaching aid for them, and kids love it. Nothing is done here to give children the means to learn from an early age how to wash themselves, eat healthier, use soap, and learn not to pollute or brush their teeth etc… In the classrooms here in East Sumba, the book“Kawan Sehat” is the only one available for children; there are no others.

Let’s prevent malaria rather than cure it!

by Alex | May 2, 2023 | Emergencies, Kawan Against Malaria, Picture of the day

In this "Picture of the Day" shows you three children from Kabanda Village in East Sumba (read this post here), where the PMC program is in place. In this village, very far from everything, especially health centres, malaria is very active and wreaking havoc. We are talking about 80% of children under 12 are affected. It is, therefore, essential to prevent and train families. This is what we are doing here.

The daily observations concerning the causes of malaria are multiple here. These include, in particular, the lack of access to health care, information on prevention methods, the unavailability of health centres and sanitation, and the growing resistance to antimalarial drugs for regions with access to these treatments.

A reminder for all Kawans: Malaria is transmitted by female mosquitoes of the "Genus Anopheles", throughout the East Sumba region. These mosquitoes breed in standing water, such as rainwater storage tanks and open water sources, most of the time in rural and deprived areas of East Sumba.

As Fair Future has repeatedly seen and repeated for years, the consequences of malaria are serious if nothing is done to treat it: High fever, severe headache, nausea and vomiting. If not treated quickly, the disease can progress and lead to severe complications, including kidney failure, anaemia, seizures and death.

It is essential to train families and rural communities to protect themselves from this disease to reduce its transmission. Also, by learning how to prevent and treat Malaria, rural families and communities will reduce the economic and social burden of the disease. Malaria entails high costs for families and communities, particularly medical expenses (if they can access them), school absenteeism, and reduced productivity.

As we apply it with the Primary Medical Care Program (PMC), training families and rural communities to protect themselves from malaria contributes to strengthening the resilience of these populations in the face of epidemics of infectious diseases such as HIV, Tuberculosis, Gastroenteritis, cholera etc…

Alexandre Wettstein from the Foundation’s Medico-Social Camp in East Sumba, Rumah Kambera, Lambanapu, on the 2nd of May 2023

Reduce health risks with clean water for families

by Alex | May 1, 2023 | Health preservation, Picture of the day, Water Connections

In this "Picture of the Day" shows you what children do several times a day: Fetch water for the family with some 5-litre jerrycans. Most of the time, the young girls take care of this. Here in this photo, it is a young child of ten years. There are no daughters in the family. He does this job instead of going to school. He and his family have only two litres or less of water a day for eating, drinking, bathing and everything else.

Unfortunately, like here in Tana Mbanas (Sumba Tenggah), there is still a vast majority of villages in Sumba that do not have access to clean drinking water. In these villages, the inhabitants often depend on surface water sources such as rivers, lakes or ponds, which bacteria, viruses, chemicals or by animals and insects mostly contaminate.

The lack of clean water has severe consequences for the health of the inhabitants. Waterborne diseases, such as diarrhoea, cholera and typhoid, hepatitis A, Malaria and Dengue fever, are common where access to clean water and toilets is limited or absent. These diseases can be severe and even fatal, especially in children, pregnant women and the elderly.

To help villages without clean water in Sumba, Fair Future and Kawan Baik are implementing effective measures to improve access to clean and healthy water. Our solutions include drilling deep wells with our equipment, construction of water treatment plants, storage tanks, rainwater harvesting and storage, and installation of water management systems—irrigation and construction of healthy sanitation facilities.

We are still seeking funding and technical resources to set up sustainable, safe and clean water infrastructure in this region, one of the world's poorest and most dry.

Alexandre Wettstein from the Foundation’s Medico-Social Camp in East Sumba, Rumah Kambera, Lambanapu, on Mai 1st, 2023.

Fighting Malaria in Eastern Indonesia

by Alex | Apr 28, 2023 | Child Health, Emergencies, Kawan Against Malaria

East Sumba, where we work at the time of writing this article, was experiencing a dramatic malaria epidemic. In the first quarter of 2023, there were more than 28,000 cases of Malaria, a significant increase from the previous year. A few months ago, Fair Future declared this life-threatening emergency. Despite our best efforts, Malaria cases are increasing. Here, when a child has a fever, it is more than 80% of the time a question of Malaria. We conduct health education campaigns to raise awareness of the importance of malaria prevention and early detection. Efforts to control the epidemic should include the distribution of mosquito nets, the provision of essential antimalarial drugs, as well as rapid diagnostic tests.

Medical care for children affected by Malaria

by Alex | Apr 28, 2023 | Empowerment, Kawan Against Malaria, Picture of the day, Primary Medical Care

In this "Picture of the Day", Fair Future and Kawan Baik medical teams provide medical care to a child most likely affected by Malaria. He is less than two years old and has a fever of 40.6. Her symptoms fit this diagnosis of Malaria. We give him appropriate primary medical care to reduce his fever as quickly as possible. Then he will go for treatment tomorrow at the nearest health centre, more than three hours from the village.

Malaria is a severe public health problem, especially in the ultra-rural and impoverished areas where Fair Future and Kawan Baik Foundations work so hard. Malaria is a life-threatening disease caused by the Plasmodium parasite is transmitted to humans through the bites of infected female Anopheles mosquitoes. Children under five and pregnant women are also particularly vulnerable to Malaria, as their immune systems are less developed and may have more difficulty fighting infection. People suffering from chronic illnesses are also vulnerable (HIV, Hepatitis, malnutrition, etc.)

Ultra-rural and poor areas such as East Sumba are particularly vulnerable to the spread of Malaria due to factors such as lack of water or contaminated water, deplorable housing conditions, lack of access to healthcare health and preventive measures, inadequate sanitation… Moreover, here we do not have antimalarial drugs nor rapid tests to detect the disease. This makes our treatment and prevention work very difficult.

PMC program evaluation in Lapinu

by Alex | Apr 27, 2023 | Empowerment, Kawan Sehat Agents, Learning, Primary Medical Care

These women linked to the PMC program devote part of their lives to saving others. These unsung heroines work tirelessly to keep people from the danger of illness and injury. They put their lives on the line to ensure others can live to see another day. Teachers trained in primary medical care, these women are the backbone of these ultra-rural communities in East Sumba. They exemplify true bravery and selflessness, and we are eternally grateful for their service. Therefore, we express our deep gratitude to all women who save lives. Thanks for what you’re doing for the others.

PMC program evaluation in Kabanda

by Alex | Apr 20, 2023 | Empowerment, Learning, Primary Medical Care

Kabanda is genuinely one of the most isolated I have ever seen. Getting it is difficult, even dangerous, at times. No road leads to this village; only extremely steep or steep stony paths allow us to go there. It took us over six hours to get there, including four hours of absolute terrain with the Truck of Life, a 4×4 medical truck specially designed for this journey. Kabanda is no exception; so many villages are in the same situation: That is to say, they have no road leading there. This raises – among other things – the question of access to health care, of course. And it is for these types of communities that Fair Future exists, and together with our friends from Kawan Baik, Sumba Volunteer and Charis Foundation, we have created this primary medical care program.

The Zero Malaria Spot Radio

Interactive East Sumba map