Through the Primary Medical Care program, Kawan Sehat health workers provide treatment for fevers, wounds, and malaria in villages lacking access to doctors. They carry essential medicines, adhere to established medical protocols, and refer emergency cases promptly to prevent delays in care.

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Having Lives Through Primary Medical Care in Remote Areas

Fair Future Foundation’s Primary Medical Care initiative is a lifeline for remote communities in East Sumba. By providing essential healthcare where access is nearly impossible, this program saves lives. Our approach empowers local women as Kawan Sehat health agents, ensuring that even the most isolated villages receive vital medical attention. This unique program is building healthier, more resilient communities.

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No access to rural healthcare: a reality millions live every day

06.01.2026 | In many rural regions, healthcare simply does not exist. This new page explains what it means to live without diagnosis, treatment, or follow-up care, and why primary medical care is a matter of survival. We invite you to read it.

Fair Future stands in solidarity with Crans Montana and Switzerland

02.01.2026 | As a Swiss foundation, we stand in deep solidarity with the people of Switzerland, the canton of Valais, and the village of Crans-Montana during this tragic time. Our thoughts are with the families and communities affected. Celebrating is difficult while our country is hurting.

Welcoming Sorai, son of Alex and Ayu of the Fair Future family

28.12.2025 | With great joy, we announce the birth of Sorai, born at 08:17, weighing 3.2 kg and measuring 50 cm. He is the son of Alex, founder of Fair Future, and Ayu, director of Kawan Baik Indonesia. Welcome, Sorai.

Support our new socio medical center for East Sumba communities

07.12.2025 | We have secured the land for Fair Future’s first permanent socio-medical centre in East Sumba. A 15 per cent deposit has already been paid. The whole presentation is now available to anyone who wishes to help us complete the purchase and begin construction in 2026.

New SolarBuddy distribution reports now available for everyone

04.12.2025 | Two key SolarBuddy reports are now online. They detail the distribution of 2,224 solar lamps for children and families without electricity in East Sumba, including logistics, fieldwork, and the real impact on daily life.

The Day Night Changed: electrifying Mbajik School in rural Indonesia

02.12.2025 | Watch The Day Night Changed, our short film about bringing electricity to Mbajik School. A remote hilltop village, children studying in the dark, and a community transformed the moment the lights came on. A simple act that changes everything.

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.

Primary Medical Care

The Primary Medical Care category documents the delivery of essential healthcare services in ultra-rural settings where access to doctors and facilities is limited or absent. Articles describe how trained health agents provide first-line care, manage common illnesses, treat injuries, monitor chronic conditions, and identify early warning signs requiring referral. This work follows WHO primary health care principles, combining treatment, prevention, and continuity of care. By bringing structured medical care directly to communities, this category highlights measurable improvements in health outcomes, safety, and resilience under real field constraints.

Content type Post Page Gallery

Disease prevention, detection and treatment in rural areas

by Alex | Jun 7, 2023 | Primary Medical Care, Picture of the day, Preventive Health

The teams of Fair Future and Kawan Baik are highly respected for their steadfast dedication to assisting ill and underprivileged individuals residing in far-flung rural areas of eastern Indonesia. Their selflessness holds true significance to them. However, it's not widely known that their medical and social teams put in tireless efforts, even during nighttime and 7-day workweeks. Through this new "Picture of the Day," we offer you the opportunity to witness their work as they combat health issues like malaria, unsafe water, and malnutrition while sacrificing their sleep.

Diseases can strike at any time, even in the darkness of night. The teams, equipped with masks and Sumba coffee, fight against these illnesses. And during this time of the malaria epidemic, doctors, nurses and volunteers are working tirelessly to provide treatment to patients.

Their dedication and passion go above and beyond the call of duty, even working late into the night to provide lifesaving care. They save lives and do so with unwavering energy and enthusiasm.

On the spot, at all hours of the day or night, they not only treat the symptoms, they also attack the root causes of health problems. Fair Future and Kawan Baik foundation fight against diseases related to dirty water by providing facilities through the #waterconnections program and raising awareness in communities about the importance of hygiene. Their mission is to make communities more resilient and prevent diseases before they even appear.

Even when faced with difficult challenges and trying situations, the teams remain resilient and optimistic. Their sense of humor is a crucial component that aids them in overcoming tough times. It also fosters a strong bond between them, enabling them to maintain a positive outlook.

Alex Wettstein shares a few words about the Foundation's medical and social teams, who work tirelessly to help people who are sick or have urgent needs.

Interactive Maps for Planning and Impact

by Alex | May 30, 2023 |

Fair Future’s interactive maps serve as essential tools for planning and monitoring humanitarian efforts. Covering areas such as healthcare access, water infrastructure, and disease prevention, these dynamic maps meticulously document each phase of our initiatives to ensure accurate execution, effective interventions, and lasting impact.

Primary Medical Care Progress Report

by Alex | May 17, 2023 | Field Innovation, Primary Medical Care, Project Update

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.

Medical care for children affected by Malaria

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

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, Primary Medical Care, Community Education, Kawan Sehat Agents

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, Primary Medical Care, Community Education

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.

Check blood pressure in rural areas

by Alex | Apr 17, 2023 | Primary Medical Care, Project Update, Preventive Health

Here in the ultra-rural and poor areas where Fair Future Foundation and Kawan Baik Indonesia work, populations tend to have a higher prevalence of high blood pressure than in urban and wealthier areas. This is mainly due to poor diet, excessive tobacco consumption, and poor hydration. Of course, poverty and limited access to resources will also contribute to higher stress levels, increasing blood pressure. An unhealthy lifestyle increases the risk of cardiovascular disease and other health problems. We teach some “Kawan Sehat” health workers participating in the primary medical care program to measure blood pressure and take the necessary measures.

Check Blood Pressure as part of the PMC program

by Alex | Apr 13, 2023 | Primary Medical Care, Picture of the day, Kawan Sehat Agents

This new "Picture of the Day" shows you Mama Katerina, from the village of Lapinu, who is learning to take blood pressure with Dr Aldo. She knows what a systole is or a diastole is and from when and under what conditions there is hyper or hypotension. She will also learn to give appropriate medical treatment (Captopril) for high blood pressure.

As part of the Primary Medical Care program, Katerina and eight other "Kawan Sehat" health workers participate in this unique pilot experience. These women teachers can measure a patient's blood pressure and give appropriate medical treatment in case of hypertension.

It is a social and medical revolution, in our opinion. The fight and prevention of hypertension and cardiovascular diseases are essential here in the ultra-rural regions of eastern Indonesia. To be active and efficient, our medical teams provide knowledge and equipment (manual blood pressure measuring device, stethoscope) in each pilot village. They are five out of the thirty-five in which the PMC project is implemented.

This, for example, has led us to talk about active and passive smoking. To make it clear, tobacco is dangerous for your health, and it is also the cause of high blood pressure and, consequently, strokes, heart attacks, respiratory problems and a host of other related diseases at the cigarette shop.

PMC program evaluation in Mbatapuhu

by Alex | Apr 12, 2023 | Empowerment, Primary Medical Care, Community Education, Kawan Sehat Agents

Non-professionals who give medical care and medicine to people, sick children, and injured. They do so through a unique and innovative medical care program. Because here, there are no doctors, no health centre, or else too far away. No one has a vehicle, and the roads that lead to these villages are often impassable. This program saves and preserves the lives of children as well as adults. Today, we are in Mbatapuhu.

PMC – Teachers receive their training certificate

by Alex | Apr 10, 2023 | Primary Medical Care, Community Education, Picture of the day, Kawan Sehat Agents

This new "Picture of the Day" shows three real heroes and three incredible women, Merlin, Siyane and Sarlota. In the ultra-rural and isolated village of Kabanda, the three participants and teachers in the primary medical care program received their first work and training certificate.

This follows the teaching they received from the foundation's teams in December 2022. Complete medical training based on fifteen modules, which explain and demonstrate how to care for a sick or injured patient (adult or child ). This is in villages where no health centre, doctor, or health professional is present, available or accessible, and most of the time, like here in this village, where no road leads.

You must understand the situation, friends: These women come from Asia's most rural regions and perhaps even the world. Most have not been to school or received basic compulsory training. They were trained for three months in teaching in the ultra-rural areas by a partner association called Charis Sumba.

So you have to imagine their pride to have succeeded in becoming one of these health workers, the person in the village responsible for providing first aid in an emergency, the possibility of illness in the event of an injury, an adult or a child. So when they received this certificate, tears flowed. Their tears flowed ours too, and it was a moment of incredible strength, but above all, very emotional.

In principle, here, and related to local culture and traditions, a woman takes care of household chores, fetching water, cooking for the children, and caring for the family. These three female superheroes are not only teachers within the framework of Charis Sumba, but they are also now – and for more than four months – the health workers of the PMC program. They are the ones who can save a life in the absence of a medical centre, medical care or a doctor in the village. This is not anything in terms of enhancing the role of women in ultra-rural villages; this is immense and important progress.

Evaluation of 8 Kawan Sehat agents, in Mbinudita

by Alex | Apr 10, 2023 | Empowerment, Medical & Prevention, Primary Medical Care, Kawan Sehat Agents

In the village where it all started for us: The #rebuildmbinudita program is the construction of a school, and the construction of a drinking water network for more than 2700 people, 60% of whom are children under 12 years old . It is really the (re)construction of an entire village or learning to live healthier, healthier all together, within the framework of the creation of innovative programs. Access to primary medical care is part of this program here in Mbinudita and it is only natural that we have included it in this Care program.

PMC program pre-assessment in Mbinudita

by Alex | Apr 2, 2023 | Empowerment, Medical & Prevention, Primary Medical Care, Kawan Sehat Agents

Fair Future teams examine and investigate more than two hundred cases of various illnesses or injuries treated under the primary medical care program by health workers. We also take stock of what will happen next week to accurately assess the supply of new equipment, drugs and medical devices. We also tell them that three will be part of a “test” screening program for high blood pressure and, in this case, the “prescription” of treatment and an appropriate medical procedure.

The Zero Malaria Spot Radio

Interactive East Sumba map