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PRIMARY MEDICAL CARE AND DISEASE PREVENTION
Where no doctor is available, care must reach people directly. Fair Future Foundation delivers primary medical care and disease prevention through trained local health agents following structured protocols. Treatment of common illnesses, fever, wounds, and malaria is combined with hygiene, vaccination, and community education. This integrated model reflects WHO public health principles, where prevention and care form a single, continuous medical response.
Medical & Prevention
The Medical & Prevention category focuses on evidence-based field medicine and public health actions implemented in ultra-rural contexts. It documents how primary medical care, disease prevention, and early intervention reduce morbidity and mortality where access to healthcare is absent. Articles address infectious diseases, maternal and child health, hygiene, vaccination, and community education, aligned with WHO recommendations. Beyond theory, this section presents concrete medical practices carried out on the ground by trained local health agents, highlighting how prevention remains the most effective and sustainable medical act in vulnerable populations.
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Inventing toys when you don’t have any
This "Picture of the Day" shows two children from Tanah Mbanas, Sumba Tengah, who have created a kitchen with waste from the plastic they found around their houses made of earth and bamboo. They are playing cooking. Here, families do not have access to water and even less to clean water.
Here in Sumba, in these ultra-rural villages, it is not uncommon for children of all ages to invent toys and games from natural materials or objects from waste or old. In these areas, children rely on their creativity and ingenuity to find new forms of play and have fun.
For example, children can make their toys from natural materials such as sticks, pebbles and leaves. They can use these materials to create games like building forts or playing "tag" with modified rules. Likewise, old items like cans, tires, or ropes can be repurposed to create new toys, like a toy truck, makeshift soccer ball, or swing.
These types of imaginative play experiences are very beneficial for the development of children. They encourage creativity, problem-solving and social interaction as children work together to develop new ideas and adapt the rules of their games. Additionally, playing in nature can provide opportunities for physical activity and exploration, positively affecting physical and mental health.
Primary medical care dedicated to children
This "Picture of the Day" shows children who, thanks to the "Primary Medical Care" programme, learn to protect themselves against illness and injury through simple gestures and habits. Children in these regions do not have access to health centres, and no doctors are present in these villages (apart from those from the Fair Future and/or Kawan baik Indonesia foundations). It makes prevention an essential component of their health and well-being. Children in ultra-rural areas can significantly reduce their risk of illness or injury by incorporating simple habits and actions into their daily routines. In addition, it is essential to make children and parents aware of the importance of these habits and gestures so that they become part of their daily lives.
Giving primary medical care is not insignificant. It usually is doctors and nurses who do this. This is what makes this program unique in terms of innovation. Those who provide care, life-saving drugs and cures for Malaria, for example, are the teachers of this isolated village in eastern Indonesia. Therefore, for us here on site, it is essential to assess the impact and effectiveness of this program regularly. We carry out surveys, and we meet to collect medical data. We, therefore, highlight the areas where we can make the necessary changes. If this primary medical care program is a huge success, it is because it involves the communities in the various planning and implementation processes.
Teachers and parents of ill or injured children provide us with essential information. This 100% medical emergency program is in the process of success. It requires multiple collaborations, adequate ongoing training, sharing of supported cases and regular evaluation to ensure its safety, effectiveness and sustainability.
Kids here have to fetch water from the age of five!
This "Picture of the Day" shows you a five-year-old girl who, twice a day, descends the hill, steep and stony, without shoes to fetch water. She runs to go to the source, 500m away. Sometimes she falls, hurts herself, and comes back up with difficulty carrying a 5-litre jerrycan of not-so-clean water, which she and her friends have been looking for at the source.
In this village, like in many others here, people can only wash once a month, are all sick and don't have enough to eat and drink. Without access to this clean water, families – especially children – suffer from severe malnutrition, chronic respiratory and joint diseases and other illnesses linked to the consumption of dirty water and the absence of sanitation facilities. The fight against malaria, dengue fever and infectious diarrhoea also requires access to clean water and healthy water tanks. And to water that does not stagnate but circulates between the installations.
As we have already said, East Sumba is the poorest province in Southeast Asia, the region with the highest child malnutrition and associated mortality. Fait Future, therefore, wishes to act for these hundreds of people and give them access to clean and healthy water for their health.
Learn how to provide Primary Medical Care
This "Picture of the Day" shows you one of the classes of brave women (and two or three men) who learn with our teams how to give first aid – Primary Medical Care which is the most important – to a person or a sick or injured child.
These first days of medical training welcomed around sixty participants from the most isolated and rural villages. To give you an idea, folks, none of these villages has access to clean or safe water, and only a few have access to some electricity. There is often no road leading there, but only paths that are often impassable. And, of course, no medical centre or health centre near the villages.
The participants are 95% women, and all are teachers in the school of their ultra-rural region. What they have been doing for a few months now is remarkable. They heal and undoubtedly save lives, see here some images taken with their mobile phone.
Aside from being most undoubtedly unique in the world, the magic of this "primary medical care" program is that it works. The first batch of about 60 teachers who have undergone training in rural primary medical care are now gaining more and more confidence, and hundreds of urgent medical care are being provided to the children of sick or injured adults. Lives are being saved.
In a few days, Fair Future Foundation with Kawan Baik Indonesia will evaluate this program directly from the villages, in the company of those who are its heroes, all these extraordinary women.
Learning how to live healthier in rural areas
Thanks to the Fair Future & Kawan Baik teams on site and the various publications that our two foundations have produced for them, we share a few hours in each group of houses, in each village where Fair Future and Kawan Baik have carried out one or more projects related to access to drinking water and to toilets and other sanitary facilities. Together, we learn the means available to the villagers to have a healthier life, with fewer illnesses, to eat and drink better, to wash more, to take care of themselves and one’s families.
On-site Primary Medical Care Program Assessment
This primary medical care program in ultra-rural areas, which we initiated and started last year, is extraordinary, it saves lives. Since December 2022, the participants in the primary medical care program – who are the village teachers – have been providing first aid to children and villagers. They treat wounds, diseases, malaria, dengue fever. Images taken by teachers in their villages.
Health, happiness & sustainable development
What does Sustainable Development Goals mean in a nutshell for Fair Future? Reduce poverty (and not eradicate it because it is impossible), increase access to basic and primary medical care, improve access to technology and knowledge, reduce the number of undernourished people, be better health, reduce antimicrobial resistance, provide quality education for all, eliminate gender inequalities, reduce all forms of discrimination against women and girls, ensure universal protection and equitable access to clean, non-lethal water at an affordable cost and much more. Our teams on the ground manage to change things, that’s obvious, but it takes time.
Washing hands to preserve health and life
Some forms of gastrointestinal and respiratory infections can lead to serious complications, especially in young children, the elderly, or people with weakened immune systems. This is why hand washing prevents the spread of disease. Indeed, many infectious and contagious diseases can be transmitted from one person to another through contaminated hands. These illnesses include gastrointestinal infections, such as salmonellosis, and respiratory infections, such as the flu, colds, and coronavirus (COVID-19). Washing your hands properly with water (when available) and soap will prevent the spread of germs, bacteria and viruses that cause these illnesses.
Teachers provide primary medical care
The magic of this "Primary Medica Care" program? It's just that it's unique in the world and it works. The first batch of sixty teachers who have followed the training in primary medical care in rural areas, tell us about their "exploits" and their work as rescuers. They take confidence in themselves it is the most important, and we note it. Medical care is given to children of sick or injured adults. Lives are being saved.
Women, children and water at home
Indonesian women play a vital role in water management due to their traditional responsibilities of collecting water, cooking, cleaning and raising children. These women from these ultra-rural areas of eastern Indonesia are strong. They represent tremendously well the strength and the courage it takes to survive here in this vast country. To fend for themselves most of the time, without the help of others, to meet the family’s most basic needs. Therefore, empowering women to increase water security is essential in the regions where we work. With climate change affecting water sources, it is vital to ensure that women are involved in water management decisions. This allows (we see this every day) families and local communities to improve their incomes and the health of family members, including their children.
List of drugs we need to buy
To make it simple and short, we urgently need a lot of medicines (see the list attached in the post) and sanitary equipment such as antiseptics, dressings and other small miscellaneous equipment. Indeed, friends, all our stocks are almost finished because we have prescribed or used everything, which is a good thing. On the other hand and from tomorrow, we can no longer treat patients except for simple problems that do not require medical treatment.
