{"id":25128903,"date":"2026-11-12T21:10:48","date_gmt":"2026-11-12T13:10:48","guid":{"rendered":"https:\/\/fairfuturefoundation.org\/?p=25128903"},"modified":"2026-11-12T21:10:48","modified_gmt":"2026-11-12T13:10:48","slug":"access-to-medical-care-haray","status":"publish","type":"post","link":"https:\/\/fairfuturefoundation.org\/de\/access-to-medical-care-haray\/","title":{"rendered":"A Mother, a Feverish Child, and the Long Road to Medical Care in Haray"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.27.4&#8243; background_color=&#8221;#111111&#8243; background_enable_color=&#8221;on&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;100%&#8221; width_last_edited=&#8221;off|desktop&#8221; global_colors_info=&#8221;{}&#8221; width__hover_enabled=&#8221;off|desktop&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/fairfuturefoundation.org\/wp-content\/uploads\/2026\/11\/haray-mother-child-access-to-medical-care.jpg&#8221; alt=&#8221;Access to medical care in Haray: a mother carries a child along a rough, sunlit road in East Sumba.&#8221; title_text=&#8221;Mother and child on the road to medical care in Haray&#8221; show_in_lightbox=&#8221;on&#8221; show_bottom_space=&#8221;off&#8221; _builder_version=&#8221;4.27.9&#8243; border_radii=&#8221;on|4px|4px|4px|4px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text admin_label=&#8221;Photo caption and enlargement note&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#D6D6D6&#8243; text_font_size=&#8221;12px&#8221; text_line_height=&#8221;1.45em&#8221; text_orientation=&#8221;left&#8221; custom_margin=&#8221;10px||22px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; text_orientation_tablet=&#8221;left&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>A mother carries her feverish child towards a health post from Haray, Mahu, along a rough road in East Sumba.<\/p>\n<p>Original photograph by Alex Wettstein, taken with Fair Future Foundation\u2019s camera. Preserved without cropping or alteration. Click to view the image at full size.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Picture of the Day &#8211; Haray&#8221; _builder_version=&#8221;4.27.9&#8243; _module_preset=&#8221;a9f9db81-700d-4f32-ab60-12f4699a1a92&#8243; text_orientation=&#8221;left&#8221; text_orientation_tablet=&#8221;left&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|desktop&#8221; custom_css_main_element=&#8221;text-align: left !important;&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>A Mother, a Feverish Child, and the Long Road to Medical Care in Haray<\/h1>\n<p><a href=\"https:\/\/fairfuturefoundation.org\/picture-of-the-day\/\">This new Photo of the Day<\/a> shows a mother carrying her child along an unpaved road in Haray, Kecamatan Mahu, East Sumba. The child has a fever. She is walking towards the nearest health post, with no vehicle to take them there. In this photograph, access to medical care begins with the weight of a child in her arms and the road ahead.<\/p>\n<h2>Access to medical care on foot<\/h2>\n<p>I took this photograph with the foundation\u2019s camera in a village where we have worked for several years. I estimate the distance to the nearest health post at 10\u201312 kilometres. That is an estimate, but the difficulty is visible. Stones break the road\u2019s surface. Dry vegetation lines the way. In the heat, this mother carries her child towards someone who can examine them.<\/p>\n<p>For many families here, walking is the only available transport. Every kilometre comes before the consultation, before a temperature is checked, before the cause of a fever can be assessed.<\/p>\n<h2>A fever needs assessment, not assumptions<\/h2>\n<p>Malaria is one possibility, but fever alone cannot establish that diagnosis. Suspected malaria requires testing, and other causes must also be considered. We do not know this child\u2019s diagnosis or outcome. What we know is that the mother is seeking care, and reaching it takes a long walk.<\/p>\n<h2>The first contact Haray still needs<\/h2>\n<p>Haray has no Kawan Sehat health agent today. A trained local agent could offer earlier assessment, recognise warning signs and help arrange referral within the programme\u2019s clinical limits. She would not replace the health post or remove the need for transport.<\/p>\n<p>Fair Future Foundation and Kawan Baik Indonesia support these agents through training, supplies and supervision. Many villages still need that presence. Better access to medical care would give mothers like her someone nearby to turn to when a child becomes ill.<\/p>\n<p>[\/et_pb_text][dsm_text_divider header=&#8221;Related Resources&#8221; admin_label=&#8221;5. Title: Related Resources&#8221; _builder_version=&#8221;4.27.9&#8243; _module_preset=&#8221;21536528-39cb-48dd-9e70-e5a08f7ac11f&#8221; header_text_color=&#8221;#FFFFFF&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/dsm_text_divider][et_pb_text admin_label=&#8221;Text &#8211; Verified external resources&#8221; _builder_version=&#8221;4.27.9&#8243; _module_preset=&#8221;a9f9db81-700d-4f32-ab60-12f4699a1a92&#8243; text_orientation=&#8221;left&#8221; custom_css_main_element=&#8221;text-align: left !important;&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4><strong>Related field resources<\/strong><\/h4>\n<ul>\n<li><a href=\"https:\/\/fairfuturefoundation.org\/program-primary-medical-care\/\"><strong>Fair Future | Primary Medical Care<\/strong><\/a>: See how community assessment, basic care, medical supervision and referral connect remote East Sumba families with the wider health system.<\/li>\n<li><a href=\"https:\/\/fairfuturefoundation.org\/program-kawan-sehat-agents\/\"><strong>Fair Future | Kawan Sehat agents<\/strong><\/a>: Meet the programme supporting local agents through training, supplies and supervision, with clear limits and referral when patients need more care.<\/li>\n<li><a href=\"https:\/\/fairfuturefoundation.org\/no-access-to-rural-healthcare\/\"><strong>Fair Future | Rural healthcare access<\/strong><\/a>: Explore how distance and transport barriers affect rural families, and why bringing first-contact care closer to home remains essential.<\/li>\n<li><a href=\"https:\/\/www.who.int\/teams\/global-malaria-programme\/case-management\/diagnosis\"><strong>WHO | Malaria diagnostic testing<\/strong><\/a>: Read why suspected malaria requires prompt testing by microscopy or a rapid diagnostic test, rather than assuming every fever is malaria.<\/li>\n<li><a href=\"https:\/\/kawanbaikindonesia.org\/\"><strong>Kawan Baik Indonesia<\/strong><\/a>: Discover our Indonesian partner\u2019s community health and education work, developed with local teams to improve access in remote communities.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_button button_text=&#8221;Understand the journey to care&#8221; admin_label=&#8221;Pop-Up Button &#8211; Child Fever and Care Access&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;ea06e631-5eb7-48fe-b975-7d01a636427d&#8221; custom_margin=&#8221;2vh||||false|false&#8221; dsm_modules_popup=&#8221;on&#8221; dsm_modules_popup_library=&#8221;25128901&#8243; dsm_modules_popup_width=&#8221;25%&#8221; dsm_modules_close_icon_color=&#8221;#111111&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; dsm_modules_popup_width_tablet=&#8221;65%&#8221; dsm_modules_popup_width_phone=&#8221;95%&#8221; dsm_modules_popup_width_last_edited=&#8221;on|desktop&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A mother carries her feverish child along an unpaved road in Haray, East Sumba. The nearest health post is an estimated 10\u201312 kilometres away. This photograph brings the distance into view and explains why a trained Kawan Sehat agent could offer families a first contact closer to home.<\/p>","protected":false},"author":179,"featured_media":25128904,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"section\" _builder_version=\"4.27.4\" background_color=\"#111111\" background_enable_color=\"on\" collapsed=\"off\" global_colors_info=\"{}\"][et_pb_row admin_label=\"row\" _builder_version=\"4.27.4\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" width=\"100%\" width_last_edited=\"off|desktop\" global_colors_info=\"{}\" width__hover_enabled=\"off|desktop\"][et_pb_column type=\"4_4\" _builder_version=\"4.27.4\" custom_padding=\"|||\" global_colors_info=\"{}\" custom_padding__hover=\"|||\"][et_pb_image src=\"https:\/\/fairfuturefoundation.org\/wp-content\/uploads\/2026\/11\/rural-healthcare-in-lewa.jpg\" alt=\"Meeting about rural healthcare in Lewa around a table covered with illustrated posters, books and a tablet.\" title_text=\"Meeting about rural healthcare in Lewa\" show_in_lightbox=\"on\" show_bottom_space=\"off\" _builder_version=\"4.27.9\" border_radii=\"on|4px|4px|4px|4px\" global_colors_info=\"{}\"][\/et_pb_image][et_pb_text admin_label=\"Photo caption and enlargement note\" _builder_version=\"4.27.8\" _module_preset=\"default\" text_text_color=\"#D6D6D6\" text_font_size=\"12px\" text_line_height=\"1.45em\" text_orientation=\"left\" custom_margin=\"10px||22px||false|false\" custom_padding=\"0px||0px||false|false\" text_orientation_tablet=\"left\" text_orientation_phone=\"left\" text_orientation_last_edited=\"on|desktop\" locked=\"off\" global_colors_info=\"{}\"]<p>Our team and Puskesmas Lewa staff discuss village care around a table of fabric posters and foundation books.<\/p><p>Authentic photograph supplied by Alex from the meeting at Puskesmas Lewa, East Sumba. Original image retained without cropping, retouching or AI alteration. Click the image to view it at full size.<\/p>[\/et_pb_text][et_pb_text admin_label=\"Picture of the Day - Lewa\" _builder_version=\"4.27.9\" _module_preset=\"a9f9db81-700d-4f32-ab60-12f4699a1a92\" text_orientation=\"left\" text_orientation_tablet=\"left\" text_orientation_phone=\"left\" text_orientation_last_edited=\"on|desktop\" custom_css_main_element=\"text-align: left !important;\" global_colors_info=\"{}\"]<h1>Around One Table at Lewa, Connecting Village Care with the Health Centre<\/h1><p><a href=\"https:\/\/fairfuturefoundation.org\/picture-of-the-day\/\">This new Photo of the Day<\/a> shows our meeting at Puskesmas Lewa in East Sumba. Fabric posters and foundation books cover the table as staff and our team exchange questions. Two new Kawan Sehat agents joined us. For nearly three hours, rural healthcare in Lewa was a conversation between people who know how difficult reaching care can be.<\/p><h2>Rural healthcare in Lewa starts with listening<\/h2><p>We met the centre\u2019s management and staff with Erwin, our field coordinator, Dr Narni, Susanti, Elthon, Anton and Putra. We presented the posters and books, took time over questions and listened. The response was very positive. These materials become useful through the people who explain them and the conversations they make possible.<\/p><h2>A centre that stays open through the night<\/h2><p>Puskesmas Lewa provides round-the-clock care, including overnight stays. Our field account puts the number of overnight patients at around 28 to 30. Many surrounding villages are far away, while the team works with limited resources.<\/p><p>Strengthening rural healthcare in Lewa means keeping village agents connected with clinical care. A Kawan Sehat agent can be a nearby first point of contact, within their training and with medical support. They do not replace the centre or its staff.<\/p><h2>Making time for the people doing the work<\/h2><p>Putra is preparing to take over from Erwin next month, as Erwin returns to his studies. Sharing this meeting also matters for that continuity.<\/p><p>We left encouraged by the welcome and the time everyone gave. Fair Future Foundation and Kawan Baik Indonesia work alongside these teams. The questions around this table deserve the same attention as the books and posters we brought.<\/p><p>Alex Wettstein - Fair Future Foundation<\/p>[\/et_pb_text][dsm_text_divider header=\"Related Resources\" admin_label=\"5. Title: Related Resources\" _builder_version=\"4.27.9\" _module_preset=\"21536528-39cb-48dd-9e70-e5a08f7ac11f\" header_text_color=\"#FFFFFF\" locked=\"off\" global_colors_info=\"{}\"][\/dsm_text_divider][et_pb_text admin_label=\"Text - Verified external resources\" _builder_version=\"4.27.9\" _module_preset=\"a9f9db81-700d-4f32-ab60-12f4699a1a92\" text_orientation=\"left\" custom_css_main_element=\"text-align: left !important;\" global_colors_info=\"{}\"]<h4><strong>Related field resources<\/strong><\/h4><ul><li><a href=\"https:\/\/fairfuturefoundation.org\/program-primary-medical-care\/\"><strong>Fair Future | Primary Medical Care<\/strong><\/a>: Our Primary Medical Care programme connects village health agents, medical supervision and referral for families living far from clinical services.<\/li><li><a href=\"https:\/\/fairfuturefoundation.org\/program-kawan-sehat-agents\/\"><strong>Fair Future | Kawan Sehat agents<\/strong><\/a>: Meet the Kawan Sehat programme, supporting community health agents through training, supervision and practical tools for care in rural East Sumba.<\/li><li><a href=\"https:\/\/fairfuturefoundation.org\/educational-posters\/\"><strong>Fair Future | Educational posters<\/strong><\/a>: Explore illustrated health posters designed to support explanations and discussion with communities, volunteers and local health teams in the field.<\/li><li><a href=\"https:\/\/kawanbaikindonesia.org\/\"><strong>Kawan Baik Indonesia<\/strong><\/a>: Our Indonesian partner brings community knowledge and field experience to collaborative work on health, education and access to essential services.<\/li><li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/primary-health-care\"><strong>WHO | Primary health care<\/strong><\/a>: WHO explains how primary health care connects prevention, treatment and community participation, bringing services closer to people\u2019s daily lives.<\/li><\/ul>[\/et_pb_text][et_pb_button button_text=\"Understand the work behind this meeting\" admin_label=\"Pop-Up Button - Community Health Education\" _builder_version=\"4.27.8\" _module_preset=\"ea06e631-5eb7-48fe-b975-7d01a636427d\" custom_margin=\"2vh||||false|false\" dsm_modules_popup=\"on\" dsm_modules_popup_library=\"25128806\" dsm_modules_popup_width=\"25%\" dsm_modules_close_icon_color=\"#111111\" locked=\"off\" global_colors_info=\"{}\" dsm_modules_popup_width_tablet=\"65%\" dsm_modules_popup_width_phone=\"95%\" dsm_modules_popup_width_last_edited=\"on|desktop\"][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","_searchwp_excluded":"","footnotes":""},"categories":[299,816,1223],"tags":[450,1436,1816,574,933,451,567,449],"class_list":["post-25128903","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-access","category-kawan-sehat-agents","category-picture-of-the-day","tag-child-health","tag-east-sumba","tag-fever-assessment","tag-haray","tag-healthcare-access","tag-kawan-sehat","tag-mahu","tag-primary-medical-care"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.5 - aioseo.com -->\n\t<meta name=\"description\" content=\"Follow a mother carrying her feverish child in Haray, East Sumba, where access to medical care means a long walk and no local Kawan Sehat agent.\" \/>\n\t<meta name=\"robots\" content=\"max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n\t<meta name=\"author\" content=\"Alex\"\/>\n\t<meta name=\"msvalidate.01\" content=\"a91bf6de7b2042729f05dbc779dae84a\" \/>\n\t<meta name=\"p:domain_verify\" content=\"eec8952b4679e043cc524cc08174327e\" \/>\n\t<meta name=\"yandex-verification\" content=\"2596e2346a9439b9\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/fairfuturefoundation.org\/de\/access-to-medical-care-haray\/\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO Pro (AIOSEO) 5.0.5\" \/>\n\t\t<meta property=\"og:locale\" content=\"de_DE\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Fair Future Foundation\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"A Mother, a Feverish Child, and the Road to Care\" \/>\n\t\t<meta property=\"og:description\" content=\"In Haray, a mother carries her feverish child towards a distant health post. 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