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.
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Programme Santé et Médecine
Kawan contre le paludisme
Year-round malaria prevention, parasite-based diagnosis, treatment support and vector control with families across remote East Sumba.
- Active across East Sumba since 2022
- Thousands of insecticide-treated nets distributed
- Hundreds of homes protected through IRS
Malaria control must continue after a campaign leaves
In remote East Sumba, exposure, fever and delayed access are part of daily life. Since 2022, Kawan Against Malaria has worked with families throughout the year: preventing bites, testing suspected cases, supporting appropriate treatment and recognising when a patient needs urgent referral.
Le programme
A continuous malaria programme built around families
Malaria is preventable and curable, but the first symptoms can resemble many other infections. A patient needs observation, a parasite-based test and timely clinical decisions, not treatment based on fever alone.
Since 2022, Kawan Against Malaria has brought prevention and clinical action into remote villages. Kawan Sehat agents meet people at home, assess fever, support rapid testing, explain results, follow patients and refer danger signs. During community medical days, teams add broader clinical assessment, malaria screening, microscopy where available, medicines, prevention education and follow-up.
The programme also acts before anyone becomes ill. Thousands of insecticide-treated nets have been distributed, hundreds of homes have received indoor residual spraying, and families learn how to reduce exposure, recognise symptoms and seek testing early. The 2025 Umalulu study is one carefully documented part of this wider programme. It helps measure household risk and refine future action; it does not define the programme on its own.
Prevention, testing, treatment support, training, surveillance and referral continue throughout the year.
Repeated village actions combine net distribution with practical teaching on correct use, care, repair and replacement.
Indoor residual spraying is carried out as part of wider vector-control work by trained teams following safety protocols.
Kawan Sehat agents and community medical teams assess fever, support parasite-based diagnosis and follow patients in remote villages.
From suspected malaria to safer care
A fever must move through a reliable clinical pathway
Early action matters, but speed without diagnostic discipline can miss malaria, overlook another serious infection or expose a patient to the wrong medicine.
Recognise possible malaria
Fever, chills, headache, weakness and recent exposure are taken seriously, with particular caution for young children, pregnant women and people who are already fragile.
Confirm the parasite
A rapid diagnostic test or microscopy is used whenever available. Parasite-based diagnosis guides treatment and helps avoid treating every fever as malaria.
Assess severity
Consciousness, breathing, hydration, repeated vomiting, convulsions, jaundice, bleeding and the ability to drink help determine whether referral is urgent.
Treat or refer safely
Confirmed uncomplicated malaria follows approved national protocols through qualified services. Severe disease, uncertainty or unavailable treatment requires rapid referral.
Follow up and protect
Recovery, medicine completion and recurring fever are reviewed while the household receives practical support on nets, mosquito exposure and when to seek care again.
Fever is not a diagnosis
Local action must remain clinically safe
The programme brings prevention and diagnostic access closer to families while keeping clear limits. Severe malaria can progress rapidly, and other dangerous infections may begin with the same fever.
What the programme can do safely
- Document fever history, exposure, previous treatment and household risk
- Teach early symptoms, danger signs and when waiting is no longer safe
- Provide and demonstrate correct use and care of insecticidal mosquito nets
- Support rapid testing and microscopy through trained health personnel
- Carry out indoor residual spraying under controlled safety protocols
- Connect confirmed or worsening cases to treatment, referral and follow-up
When urgent referral is required
- Altered consciousness, repeated convulsions, collapse or extreme weakness
- Difficulty breathing, shock, severe pallor or suspected severe anaemia
- Inability to drink, persistent vomiting or signs of severe dehydration
- Jaundice, dark or bloody urine, abnormal bleeding or rapidly worsening illness
- Fever in a very young child, during pregnancy or in a highly vulnerable patient
- Any suspected malaria when testing, appropriate treatment or safe monitoring is unavailable
A diagnosis is not a device alone. It depends on correct sampling, slide preparation, reading, recording, clinical interpretation and a treatment pathway that the patient can actually reach.
The diagnostic and prevention chain
Every tool must lead to a safer decision
Rapid tests, microscopes, mosquito nets and sprayers only protect people when training, quality control, clear protocols, stock management and follow-up remain connected. Kawan Against Malaria builds that chain with local teams rather than delivering isolated equipment.
Household knowledge
Families learn how malaria is transmitted, how to use and repair nets, where mosquitoes breed and which symptoms require testing.
Parasite-based diagnosis
Rapid diagnostic tests support early decisions, while microscopy strengthens species identification, parasite detection and laboratory capacity.
Vector control
LLIN distribution and indoor residual spraying are documented, explained and adapted to the condition of each household.
Treatment and follow-up
Confirmed cases are connected to approved treatment and reviewed for deterioration, recurring fever, adherence and referral needs.
Quels changements dans la pratique
Malaria control becomes local, measured and repeatable
Fewer fevers are treated blindly
Testing separates confirmed malaria from other causes of fever and directs patients towards more appropriate care.
Protection fits the household
Net condition, sleeping spaces, wall surfaces, behaviour and exposure are observed before prevention is planned.
Severe disease is recognised earlier
Families and local agents share a practical language for danger signs, urgent referral and the limits of home care.
Local data changes the next action
Household evidence, test results and field records guide training, supplies, vector control and follow-up instead of assumptions.
Complete field reportThe full Umalulu reportOpen the complete report, including household evidence, field observations and action priorities from the 2025 study.
Scientific reportIMRaD methods and resultsOpen the scientific version covering methodology, findings, discussion, limitations and public-health implications.
Field resultsEast Sumba prevention in practiceSee how education, LLINs, IRS, diagnostics and village partnerships were delivered and documented.
Diagnostic capacityMicroscopy training and validationFollow the practical work of preparing, reading and discussing malaria slides with local laboratory teams.
Récord en direct du terrainNotes de terrain de l’Indonésie orientaleRead current observations from testing, prevention sessions, household work and the realities teams meet in remote villages.
Guide de terrain & glossaireMalaria terms explainedOpen practical explanations of RDTs, microscopy, LLINs, IRS, parasites, referral and community surveillance.
Références médicalesWHO guidelines for malariaConsult the current evidence-based recommendations for diagnosis, treatment, prevention, vector control and surveillance.
En direct du terrain
Kawan Against Malaria Field Notes, as the work happens
Two recent field signals from testing, microscopy, household prevention, mosquito-net use or vector control. These notes refresh when a relevant Field Note is published.
Directement du terrain
Latest Kawan Against Malaria reports
These reports follow the continuing programme: fever assessment, rapid tests, microscopy, treatment support, LLIN distribution, indoor residual spraying, education, referral and the limits teams meet in remote villages.
Banniers d’information sur le paludisme installés dans l’est de Sumba
Dans le cadre du projet de prévention de la malaria à East Sumba 2025, Fair Future et ses partenaires ont installé 20 grands panneaux publicitaires dans les communautés rurales. Ces visuels enseignent aux familles comment reconnaître les symptômes de la malaria et comment se protéger. Une étape cruciale pour réduire les infections dans l’une des régions les plus touchées d’Indonésie.
Les tests rapides de la malaria révèlent des cas Umalulu
Lors de nos travaux de terrain dans le Umalulu cadre du projet de prévention de la malaria dans l’est de Sumbawa, des tests de diagnostic rapide ont confirmé de nouveaux cas positifs de paludisme – chez des enfants, des femmes et des adolescents – malgré l’absence de la saison la plus active de l’année. Sans tests, les cas restent invisibles. Les tests permettent de sauver des vies.
Le projet de prévention du paludisme à East Sumba progresse en 2025
Trois semaines après le lancement du projet de prévention du paludisme, l’Est de Sumbawa a réalisé des progrès réels. La campagne IRS est terminée, 20 panneaux d’affichage de prévention ont été installés et la phase d’éducation débute maintenant. Ce projet de prévention du paludisme renforce la sensibilisation, le traitement et la protection à long terme.
La formation en laboratoire de la lutte contre le paludisme renforce le diagnostic dans l'est de Sumba
Malaria lab training in East Sumba brought together 28 analysts from all health centres and the RSUD hospital. Under WHO-certified mentors, they refined slide reading and microscopy skills, strengthening diagnostic accuracy and treatment speed in rural Indonesia.
Traitement intérieur par pulvérisation contre le paludisme – Fair Future Foundation
Le Kawan Against Malaria programme assure des opérations de pulvérisation intérieure contre le paludisme dans l’est de Sumba. Des équipes formées pulvérisent le bambou et les maisons en bois, pièce par pièce, afin d’éliminer les moustiques et de réduire la transmission. Chaque maison traitée devient un lieu plus sûr pour les enfants et les familles.
Prévention de la malaria dans l’est de Sumbawa 2025
Fair Future Kawan Baik Indonesia mène un projet de prévention du paludisme sur trois mois dans l’est de Sumba. Cette initiative combine une formation en laboratoire, des campagnes de sensibilisation, des traitements de l’intérieur des habitations et la distribution de moustiquaires traitées à l’insecticide afin de protéger des milliers de familles vulnérables.
Umalulu La base de données sur le paludisme transforme les données en actions
De mars à juillet 2025, des cadres locaux et le personnel des centres de santé ont mené une enquête de porte à porte dans le district de Umalulu. Au cours de 269 ménages et de 460 entrevues, l’étude a permis de cartographier les contrôles des vecteurs, les activités d’assainissement, l’accès aux services et les comportements. Les résultats donnent un plan pratique pour réduire le paludisme dans l’est de Sumba.
Qu’est-ce que la malaria et comment la prévenir ?
La malaria arrive silencieusement et peut être mortelle en quelques jours. Mais elle est évitable. Apprenez ce qu’est la malaria, comment elle se propage, qui est le groupe le plus à risque et comment Fair Future agit quotidiennement pour mettre fin à cette maladie avant qu’elle ne se déclare.
Kawan Against Malaria Améliore les capacités des collectivités locales
L’ Kawan Against Malaria application Fair Future regroupe des enquêtes de santé, des activités de sensibilisation communautaire et des données locales sur les maladies afin de renforcer les efforts de prévention du paludisme dans les zones rurales de l’Est de Sumba.
Journées de formation sur l’étude de la malaria utilisant l’application Kawan
Fair Future a organisé deux jours de formation pour préparer les équipes locales à un important projet de surveillance de la transmission de la malaria grâce à l’ Kawan Against Malaria application. 400 domiciles Umalulu seront ainsi étudiés afin d’orienter les stratégies de prévention.
Le jour des soins primaires sauve des vies et contribue à améliorer la santé
Tout au long de cette journée entièrement dédiée à primary medical care cette initiative, nos équipes ont examiné et traité plus de 150 patients, en mettant l’accent sur le paludisme et la tuberculose. La fourniture de vaccins, de médicaments et d’informations sanitaires a non seulement sauvé des vies, mais a également favorisé la confiance au sein de la communauté.
Les moustiquaires sauvent des vies chaque nuit
Les familles du nord de l’île de Sumba reçoivent des moustiquaires conçues pour réduire l’exposition aux moustiques la nuit, dans le cadre des activités de prévention, d’éducation et de soins plus vastes de Fair Future.
Rapports de responsabilisation
Malaria control must remain measurable after the campaign leaves
We document households reached, tests performed, confirmed cases, nets distributed, surfaces sprayed, people trained, referrals made and gaps that remain. Kawan Against Malaria is not a one-day distribution. It is a continuing clinical and public-health process built with communities and local services.
