Du terrain de jeu de l'Est de Sumbawa. Les soins médicaux, l’eau potable, la prévention et la santé communautaire sont difficiles à atteindre.
Donner
Support Care
Articles et News
Contes de la campagne
Glossaire
Guides de terrain
Programme Santé et Médecine
Santé de l'enfant
Care, prevention and early referral for children growing up far from clinics, safe water and reliable transport.
- Care close to homes and schools
- Assessment, prevention and early referral
- Connected to a 27-agent rural health network
A childhood illness should not become dangerous because the road is long
In East Sumba, fever, diarrhoea, a wound or breathing difficulty can worsen while a family is still deciding how to reach care. Child Health brings observation, prevention, practical first-line support and a safer referral pathway closer to the child.
Le programme
Care begins before a child reaches an emergency
A child’s condition can change quickly. The earlier a family recognises danger, receives safe advice and reaches appropriate care, the greater the chance of preventing severe illness.
Child Health works through the same village network that supports Primary Medical Care. Kawan Sehat agents meet children in homes, schools and community activities. They listen to caregivers, assess common symptoms within their training, support prevention and connect families to medical supervision or formal services when risk rises.
The programme does not replace paediatric care, vaccination services or public health centres. It helps close the dangerous interval between the first sign of illness and the moment a child receives the level of care they need. Clean water, nutrition, immunisation, malaria prevention and family knowledge are treated as part of the same health system.
A rural network able to recognise risk, support families and connect children to supervised care.
Observation and practical advice happen where children live, before transport becomes possible.
Hygiene, nutrition, infection, waste, malaria and health risks are explained in language children understand.
Danger signs are recognised sooner so referral can begin before a child becomes critically ill.
From a caregiver’s concern to safer care
How the programme supports a child
Child health is not one isolated consultation. It is a sequence that begins with listening and continues through assessment, prevention, referral and follow-up.
Listen to the caregiver
The agent asks what changed, when it began, whether the child can drink, eat, breathe, sleep and respond normally.
Look for danger
Hydration, fever, breathing, consciousness, pain, wounds and visible signs of infection are checked within the agent’s training.
Act within limits
Safe first-line measures and approved medicines are used only when appropriate. Uncertain or severe cases move to referral.
Protect the next day
Caregivers receive practical guidance on fluids, hygiene, nutrition, medicine use, warning signs and when to seek help again.
Return and review
Follow-up checks whether the child is recovering and gives the medical team a clearer record if care must escalate.
Small bodies can deteriorate quickly
Common illness, serious risk when care is distant
The programme helps families recognise what can be supported locally and what requires urgent professional care. The threshold for referral remains deliberately cautious.
Care and prevention close to home
- Assess common symptoms and available vital signs within protocol
- Support oral rehydration and safe feeding advice during uncomplicated diarrhoea
- Nettoyer et soigner les plaies superficielles et non compliquées
- Teach hand hygiene, safe water, food safety and infection prevention
- Identify missed vaccination and help families reconnect with public services
- Monitor recovery, nutrition concerns and recurring illness through follow-up
When a child needs referral
- Breathing difficulty, chest indrawing, blue colour or severe weakness
- Altered consciousness, convulsions, shock or a child who cannot drink
- Severe dehydration, persistent vomiting or blood in stool
- Possible sepsis, spreading infection or a rapidly worsening wound
- Severe malnutrition, oedema or repeated illness affecting growth
- Any newborn danger sign or condition beyond local skills and supplies
Protecting a child takes more than treating symptoms. It requires trusted information, vaccination access, clean water, adequate nutrition, follow-up and a route to formal care.
Care around the whole child
Clinical care and daily conditions belong together
A child’s recovery is shaped by the water they drink, the food available at home, indoor smoke, mosquito exposure, vaccination access and how quickly an adult recognises that something is wrong. Child Health connects these conditions instead of treating each one as a separate problem.
Family knowledge
Caregivers learn practical danger signs, safe medicine use, hydration and when waiting is no longer safe.
School prevention
Children learn about hygiene, infection, nutrition, malaria, waste and risks they can recognise in daily life.
Village follow-up
Local agents can return, observe recovery and identify children who repeatedly become ill or fail to improve.
Programmes connectés
Clean water, malaria prevention, nutrition, Primary Medical Care and referral reinforce the same protective system.
Quels changements dans la pratique
Earlier care protects more than the present illness
Less dangerous waiting
A caregiver has a known first contact before money, transport or uncertainty postpones a necessary decision.
Safer recognition of dehydration
Drinking, urine, alertness and other warning signs can be checked before fluid loss becomes critical.
Infection is taken seriously
A small wound, fever or skin infection is followed for change rather than dismissed until severe illness appears.
Prevention enters family life
Water, food, vaccination, smoke, mosquitoes and hygiene become part of one practical conversation about health.
PréventionPreventable childhood diseaseUnderstand vaccination gaps, trust, logistics and the work required to reconnect remote children with services.
Water and healthUnsafe water and childhood diarrhoeaSee how dehydration, infection and malnutrition reinforce each other when safe water is absent.
NutritionMalnutrition and infectionExplore how inadequate nutrition weakens immunity and makes ordinary infections harder for a child to survive.
Système de soinsPrimary Medical CareSee the agents, medicines, supervision, records and referral system supporting children and their families.
Récord en direct du terrainNotes de terrain de l’Indonésie orientaleFollow recent medical visits, prevention sessions and the daily conditions affecting children in remote villages.
Guide de terrain & glossaireChild health terms explainedOpen practical explanations of infection, nutrition, prevention, referral and community-based care.
Références médicalesChild health and integrated careRead the international framework linking survival, development, nutrition, prevention and access to quality care.
En direct du terrain
Child Health Field Notes, as the work happens
Two recent signals involving children, caregivers, school prevention, nutrition or medical care. These notes refresh when a relevant Field Note is published.
Directement du terrain
Latest Child Health reports
These reports document illness, prevention, vaccination access, nutrition, unsafe water, school health and the decisions families face when formal care remains far away.
Les enfants de cette région doivent aller chercher de l'eau dès l'âge de cinq ans !
Dans les villages éloignés de l’Est de Sumbawa, les jeunes enfants doivent souvent parcourir de longues distances pour apporter de l’eau à leurs familles.
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…
Se laver les mains pour préserver la santé et la vie
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…
Les femmes, les enfants et l'eau à la maison
Les femmes indonésiennes jouent un rôle vital dans la gestion de l’eau en raison de leurs responsabilités traditionnelles telles que la collecte de l’eau, la cuisson, le nettoyage et l’éducation des enfants. Ces femmes originaires de ces zones ultra-rurales de l’est de l’Indonésie sont fortes. Elles représentent admirablement bien la force et le courage nécessaires pour survivre dans ce vaste pays.
A 9-year-old child needs surgery quickly
This little boy’s name is Assaria, he’s nine years old. He has severe 3rd-degree burns to over 24% of his body and requires surgical attention. He is not well, and we have to find a solution together. He can barely walk because of terrible burns to his legs and back.
Nous avons besoin de médicaments contre le paludisme !
Fair Future émet une alerte rouge intense liée à la flambée de la maladie du paludisme qui atteint un niveau critique ici, dans l’est de Sumba, en Indonésie. Pendant des semaines, des milliers de cas de paludisme ont été enregistrés ici dans l’est de Sumba. Toutefois, ce chiffre doit être considéré avec prudence car, dans de nombreux villages, les personnes n’ont ni carte d’identité ni livre familial…
Épidémie de malaria dans l’est de Sumba, en Indonésie
La malaria est l'un des problèmes de santé publique les plus graves au monde. Ici en Indonésie, et surtout dans les régions orientales, elle est l'une des principales causes de décès et de maladies. Les enfants de moins de cinq ans et les femmes enceintes sont les groupes les plus touchés.
Consommer de l’eau non salubre peut ressembler à ceci !
Dans ces quelques images prises fin octobre 2022, dans un village de l’Est de Sumbawa, plus d’une centaine de personnes ont accès à cette source d’eau unique. Un puits a été creusé à la main il y a plus de dix ans et est presque toujours sec. Les gens doivent faire la queue pour obtenir quelques litres d’eau, totalement impropres à la consommation et dangereux pour leur santé.
Nouvelles installations sanitaires complètes et propres à Ritta, dans l’est de Sumbawa
Nous ne nous arrêtons pas ; les équipes des fondations Fair Future et Kawan Baik ont déjà construit, dans le cadre du #waterconnections projet, un site de #mbinudita #sdmbinudita, plus de trente (30) citernes de plus de 6000 litres, six (6) installations sanitaires complètes comprenant deux toilettes, douches, un lavabo et un point d’eau potable.
Nouveaux sanitaires complets et sains à Wondenu, dans l’est de Sumba
Dans les villages ruraux de l’est de l’Indonésie, où nous travaillons, les toilettes sont très rares. C’est un problème particulièrement important dans les zones rurales, où un tiers de la population doit continuellement faire ses besoins à l’extérieur. Pour Bapak Rinto, c’est un soulagement et une grande fierté que sa famille ait enfin une toilette grâce au soutien de Fair Future et de Kawan Baik Indonesia.
Primary Medical Care Pour les enfants des zones rurales
Les habitants des villages ruraux n’ont pas accès aux soins de base, et la plupart des centres médicaux sont souvent à plusieurs heures de marche. La dureté de la vie ici signifie que nous sommes souvent blessés, mais il n’existe aucun moyen de nous soigner : pas de médecin, pas de connaissances, pas d’équipement médical et, bien sûr, pas d’antiseptique ni de médicaments.
Les bienfaits de l’eau propre dans la vie
Les avantages de l’eau propre influencent la vie quotidienne des enfants et des adultes et impactent la qualité de vie d’une communauté pour les générations à venir. Fair Future voit un changement dans les habitudes des familles qui bénéficient du Water Connections programme. Sans creuser de puits ici, les familles n’auront pas accès à de l’eau potable et devront…
Rapports de responsabilisation
Children need continuity, not a single intervention
We document visits, referrals, medicines, prevention activities and the limits teams meet in the field. Child Health remains connected to public services and to the water, nutrition and infection risks that shape whether a child recovers and continues to grow.
