{"id":25115223,"date":"2025-10-07T13:10:48","date_gmt":"2025-10-07T05:10:48","guid":{"rendered":"https:\/\/fairfuturefoundation.org\/?page_id=25115223"},"modified":"2026-09-21T14:46:59","modified_gmt":"2026-09-21T06:46:59","slug":"program-primary-medical-care","status":"publish","type":"page","link":"https:\/\/fairfuturefoundation.org\/fr\/program-primary-medical-care\/","title":{"rendered":"Primary Medical Care Dans les zones recul\u00e9es"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; admin_label=&#8221;For the Top of all pages&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;64d58dee-3ecd-4bcf-8270-3416de241b8f&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;off|desktop&#8221; max_height=&#8221;100px&#8221; custom_padding=&#8221;10px|20px|10px|20px|true|true&#8221; custom_padding_tablet=&#8221;0px|1vw|0px|1vw|true|true&#8221; 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custom_css_main_element__hover=&#8221;background-color: rgba(174,32,18,0.8)!important;&#8221;]<\/p>\n<p>Support Care<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=&#8221;Articles &#038; News&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf0ae;||fa||900&#8243; disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Articles &#038; News&#8221; module_class=&#8221;blurb-top-pages blurb-top-pages&#8211;programs&#8221; _builder_version=&#8221;4.27.8&#8243; _dynamic_attributes=&#8221;link_option_url&#8221; _module_preset=&#8221;9ca1a36b-5807-4bd5-b25a-8e96404da0f9&#8243; custom_margin=&#8221;0px|0px|0px|0px|true|false&#8221; custom_padding=&#8221;|5px||5px|true|true&#8221; link_option_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI2Mjk1MyIsImVuYWJsZV9odG1sIjoib2ZmIn19@&#8221; custom_css_main_element=&#8221;min-width:140px;||max-width:155px;||box-shadow:0 1px 4px rgba(0,0,0,.10)!important;&#8221; locked=&#8221;off&#8221; 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resource families *\/\n.fff-program-section:has(> .fff-program-closing){padding-bottom:0!important}\n.fff-program-resource{border-top:4px solid transparent}\n.fff-program-resource--evidence{background:#f4f2fb;border-color:#d9d3ef;border-top-color:#6b5ca5}\n.fff-program-resource--clinical{background:#eff5ff;border-color:#cbdcf5;border-top-color:#4267b2}\n.fff-program-resource--people{background:#fff1ec;border-color:#f0d1c9;border-top-color:#c95a45}\n.fff-program-resource--tools{background:#eff8f4;border-color:#cce7dd;border-top-color:#2f8874}\n.fff-program-resource--evidence .fff-program-resource-tag{color:#6b5ca5}\n.fff-program-resource--clinical .fff-program-resource-tag{color:#4267b2}\n.fff-program-resource--people .fff-program-resource-tag{color:#c95a45}\n.fff-program-resource--tools .fff-program-resource-tag{color:#2f8874}\n.fff-program-resource--evidence:hover,.fff-program-resource--evidence:focus{border-color:#6b5ca5}\n.fff-program-resource--clinical:hover,.fff-program-resource--clinical:focus{border-color:#4267b2}\n.fff-program-resource--people:hover,.fff-program-resource--people:focus{border-color:#c95a45}\n.fff-program-resource--tools:hover,.fff-program-resource--tools:focus{border-color:#2f8874}.page-id-25115223 .fff-program-hero{isolation:isolate;overflow:hidden}<!-- [et_pb_line_break_holder] -->.page-id-25115223 .fff-program-hero:before{content:\"\";position:absolute;inset:0;z-index:1;background:linear-gradient(rgba(8,19,31,.58),rgba(8,19,31,.70));pointer-events:none}<!-- [et_pb_line_break_holder] -->.page-id-25115223 .fff-program-hero>.fff-program-hero-media{position:absolute!important;inset:0!important;width:100%!important;max-width:none!important;height:100%!important;margin:0!important;padding:0!important;z-index:0;pointer-events:none}<!-- [et_pb_line_break_holder] -->.page-id-25115223 .fff-program-hero-media .et_pb_column,.page-id-25115223 .fff-program-hero-media .et_pb_code,.page-id-25115223 .fff-program-hero-media .et_pb_code_inner{height:100%!important;margin:0!important;padding:0!important}<!-- [et_pb_line_break_holder] -->.page-id-25115223 .fff-program-hero-media img{display:block;width:100%!important;max-width:none!important;height:100%!important;object-fit:cover;object-position:center 44%}<!-- [et_pb_line_break_holder] -->.page-id-25115223 .fff-program-hero>.fff-program-hero-row{position:relative;z-index:2}<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][et_pb_text admin_label=&#8221;Hero: Primary Medical Care&#8221; module_class=&#8221;fff-program-hero-copy&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"fff-program-kicker\">Health &amp; Medical Program<\/p>\n<h1>Primary Medical Care<\/h1>\n<p class=\"fff-program-hero-lead\">First-line assessment, treatment, prevention and referral for families living hours from a clinic and beyond reliable transport.<\/p>\n<ul class=\"fff-program-hero-facts\">\n<li>Active since December 2022<\/li>\n<li>27 Kawan Sehat agents<\/li>\n<li>700 to 1,000 patients each month<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Introduction&#8221; module_class=&#8221;fff-program-overlap&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Program Introduction Panel&#8221; module_class=&#8221;fff-program-shell fff-program-intro-panel&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;34px|42px|34px|42px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Introduction Statement&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Care starts where the road ends<\/h2>\n<p>In East Sumba, distance changes the course of illness. A fever, infected wound or dehydrated child may worsen for hours before transport is possible. Trained Kawan Sehat agents begin assessment, safe first-line care and referral inside the village.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Section navigation&#8221; module_class=&#8221;fff-program-nav-section&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Program page navigation&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<nav class=\"fff-program-anchor-nav\" aria-label=\"Primary Medical Care page\"><a href=\"#program-overview\">Overview<\/a><a href=\"#how-care-works\">How care works<\/a><a href=\"#scope-and-safety\">Scope and safety<\/a><a href=\"#tools-and-supervision\">Tools<\/a><a href=\"#field-reports\">Field reports<\/a><a href=\"#all-programs\">All programs<\/a><\/nav>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Overview&#8221; module_id=&#8221;program-overview&#8221; module_class=&#8221;fff-program-section&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Overview and facts&#8221; _builder_version=&#8221;4.27.9&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-two-col\">\n<div>\n<p class=\"fff-program-eyebrow\">The programme<\/p>\n<h2>A local health system built for distance<\/h2>\n<p class=\"fff-program-lead\">Here, distance is a clinical risk. A fever can become severe, a wound can progress to sepsis, and a pregnancy complication can turn critical before a family reaches formal care.<\/p>\n<p>Primary Medical Care places trained Kawan Sehat health agents inside their own communities. They are not substitutes for doctors. They are the first safe point of contact: close enough to act early, trained enough to recognise danger and connected to medical supervision when a case exceeds local capacity.<\/p>\n<p>Care is provided without charge at the point of service. <a href=\"https:\/\/fairfuturefoundation.org\/access-to-medicines-east-sumba\/\">Medicines, dressings, diagnostic supplies<\/a>, education tools and reporting systems are carried into areas where routine health infrastructure is absent or difficult to reach.<\/p>\n<\/div>\n<aside class=\"fff-program-factbox\" aria-label=\"Primary Medical Care at a glance\">\n<h3>At a glance<\/h3>\n<ul>\n<li><strong>Where<\/strong>Ultra-rural villages of East Sumba, Indonesia<\/li>\n<li><strong>Who<\/strong>Children, adults, pregnant women, older people and families living far from care<\/li>\n<li><strong>How<\/strong>Community agents, medical supervision, stocked kits, prevention and referral<\/li>\n<li><strong>Continuity<\/strong>Medicine and supply restocking every two months, with ongoing follow-up<\/li>\n<\/ul>\n<\/aside>\n<\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Evidence metrics&#8221; module_class=&#8221;fff-program-section fff-program-section&#8211;soft&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;65px|0px|65px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Current programme figures&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-metrics\">\n<div class=\"fff-program-metric\">\n<div class=\"fff-program-metric-number\">27<\/div>\n<div class=\"fff-program-metric-label\">Active health agents<\/div>\n<p>Women and men working inside their own villages, with structured training and support.<\/p>\n<\/div>\n<div class=\"fff-program-metric\">\n<div class=\"fff-program-metric-number\">700-1,000<\/div>\n<div class=\"fff-program-metric-label\">Patients each month<\/div>\n<p>Assessment, treatment, education, follow-up and referral carried out close to home.<\/p>\n<\/div>\n<div class=\"fff-program-metric\">\n<div class=\"fff-program-metric-number\">2 months<\/div>\n<div class=\"fff-program-metric-label\">Restocking cycle<\/div>\n<p>Medicines, dressings and basic diagnostic supplies are checked and replenished regularly.<\/p>\n<\/div>\n<div class=\"fff-program-metric\">\n<div class=\"fff-program-metric-number\">Year 4<\/div>\n<div class=\"fff-program-metric-label\">Continuous field care<\/div>\n<p>The programme began in December 2022 and continues as a permanent field operation.<\/p>\n<\/div>\n<\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Care pathway&#8221; module_id=&#8221;how-care-works&#8221; module_class=&#8221;fff-program-section fff-program-section&#8211;dark&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;How care reaches a patient&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"fff-program-eyebrow\">From first contact to follow-up<\/p>\n<h2>How care reaches a patient<\/h2>\n<p class=\"fff-program-lead\">Every consultation must connect observation to a safe decision. Symptoms, vital signs, treatment, danger signs, referral and follow-up are documented so care does not end when the agent leaves the house.<\/p>\n<div class=\"fff-program-path\">\n<div class=\"fff-program-step\">\n<div class=\"fff-program-step-number\">01<\/div>\n<h3>First contact<\/h3>\n<p>A nearby Kawan Sehat agent listens, examines and records the patient\u2019s symptoms and history.<\/p>\n<\/div>\n<div class=\"fff-program-step\">\n<div class=\"fff-program-step-number\">02<\/div>\n<h3>Assessment<\/h3>\n<p>Vital signs, danger signs and the limits of community treatment guide the next decision.<\/p>\n<\/div>\n<div class=\"fff-program-step\">\n<div class=\"fff-program-step-number\">03<\/div>\n<h3>Care or referral<\/h3>\n<p>Safe basic care is provided locally. Severe or uncertain cases are referred without delay.<\/p>\n<\/div>\n<div class=\"fff-program-step\">\n<div class=\"fff-program-step-number\">04<\/div>\n<h3>Documentation<\/h3>\n<p>The Kawan Sehat app and field records support case review, follow-up and disease surveillance.<\/p>\n<\/div>\n<div class=\"fff-program-step\">\n<div class=\"fff-program-step-number\">05<\/div>\n<h3>Follow-up<\/h3>\n<p>The agent returns, checks progress, reinforces prevention and contacts the medical team when needed.<\/p>\n<\/div>\n<\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Scope and safety&#8221; module_id=&#8221;scope-and-safety&#8221; module_class=&#8221;fff-program-section&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Clinical scope and referral&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"fff-program-eyebrow\">Clinical boundaries matter<\/p>\n<h2>Care close to home, referral when risk rises<\/h2>\n<p class=\"fff-program-lead\">The most important clinical skill is knowing the limit of local care. Agents work within defined protocols, treat what is safe, and refer immediately when symptoms, vital signs or uncertainty indicate higher risk.<\/p>\n<div class=\"fff-program-safety\">\n<div class=\"fff-program-safety-card fff-program-safety-card--care\">\n<h3>What agents can do<\/h3>\n<ul class=\"fff-program-checklist\">\n<li>Assess symptoms, temperature and available vital signs<\/li>\n<li>Clean and dress superficial, uncomplicated wounds<\/li>\n<li>Provide protocol-approved first-line medicines and oral rehydration<\/li>\n<li>Support uncomplicated fever, respiratory, skin and digestive complaints<\/li>\n<li>Monitor older people, children and patients with chronic conditions<\/li>\n<li>Teach hygiene, nutrition, malaria, tuberculosis, HIV and infection prevention<\/li>\n<\/ul>\n<\/div>\n<div class=\"fff-program-safety-card fff-program-safety-card--refer\">\n<h3>When agents refer<\/h3>\n<ul class=\"fff-program-checklist\">\n<li>Breathing difficulty, altered consciousness, shock or severe dehydration<\/li>\n<li>Suspected sepsis, severe infection or rapidly worsening illness<\/li>\n<li>Major trauma, deep wounds, burns or suspected fracture<\/li>\n<li>Pregnancy complications or danger signs in a mother or newborn<\/li>\n<li>Possible tuberculosis, leprosy, HIV or another condition requiring medical testing<\/li>\n<li>Any presentation that is uncertain or beyond available skills, protocols or supplies<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"fff-program-clinical-note\"><strong>Primary Medical Care does not replace hospitals or public health centres.<\/strong> Its role is to shorten dangerous pre-treatment delays, recognise deterioration earlier and help patients reach formal care with documented clinical information.<\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Tools and supervision&#8221; module_id=&#8221;tools-and-supervision&#8221; module_class=&#8221;fff-program-section fff-program-section&#8211;soft&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Tools, medicines and supervision&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-tools\">\n<div class=\"fff-program-tools-visual\"><img decoding=\"async\" class=\"fff-program-field-image\" src=\"https:\/\/fairfuturefoundation.org\/wp-content\/uploads\/2025\/05\/thumbs-medical-backpack-1920x1080-2.jpg\" alt=\"Kawan Sehat agents reviewing medicines and patient information during a rural home visit in East Sumba\" loading=\"lazy\"><\/p>\n<p class=\"fff-program-caption\">Medicines matter, but safe use depends on training, documentation, clean equipment, supervision and regular restocking.<\/p>\n<\/div>\n<div>\n<p class=\"fff-program-eyebrow\">The system behind each visit<\/p>\n<h2>Tools that make continuity possible<\/h2>\n<p>A bag of medicines alone is not a health system. Each visit depends on trained judgement, a defined medicine list, clean dressings, usable records, follow-up and access to medical supervision. Standardising these foundations reduces unsafe improvisation and makes every case reviewable.<\/p>\n<div class=\"fff-program-tool-grid\">\n<div class=\"fff-program-tool\">\n<h3>150-page manual<\/h3>\n<p>Fourteen training modules covering first-line care, prevention, danger signs and safe practice.<\/p>\n<\/div>\n<div class=\"fff-program-tool\">\n<h3>Kawan Sehat app<\/h3>\n<p>Offline and online case documentation designed for villages with weak connectivity.<\/p>\n<\/div>\n<div class=\"fff-program-tool\">\n<h3>Medical kits<\/h3>\n<p>Medicines, dressings, basic diagnostics and prevention materials adapted to field conditions.<\/p>\n<\/div>\n<div class=\"fff-program-tool\">\n<h3>Medical supervision<\/h3>\n<p>Training, case review, field visits, referral support and regular supply control.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Outcomes and resources&#8221; module_class=&#8221;fff-program-section&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Programme outcomes and reference links&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"fff-program-eyebrow\">What changes in practice<\/p>\n<h2>Earlier care changes the course of illness<\/h2>\n<div class=\"fff-program-outcomes\">\n<div class=\"fff-program-outcome\">\n<h3>Shorter delay to first care<\/h3>\n<p>A child, older person or injured worker can be assessed the same day instead of waiting for money, a vehicle or a passable road.<\/p>\n<\/div>\n<div class=\"fff-program-outcome\">\n<h3>Safer treatment decisions<\/h3>\n<p>Defined protocols, supervised medicine lists and case review reduce unsafe improvisation and avoidable self-medication.<\/p>\n<\/div>\n<div class=\"fff-program-outcome\">\n<h3>Clearer referral<\/h3>\n<p>Referral begins with recorded symptoms, vital signs, treatment already given and the danger signs observed.<\/p>\n<\/div>\n<div class=\"fff-program-outcome\">\n<h3>Prevention inside daily life<\/h3>\n<p>Malaria, tuberculosis, HIV, wound infection, hygiene and nutrition are discussed at home, in schools and during care, in language people understand.<\/p>\n<\/div>\n<\/div>\n<div class=\"fff-program-resource-grid\">\n<a class=\"fff-program-resource fff-program-resource--evidence\" href=\"\/primary-medical-care-report-2024\/\"><span class=\"fff-program-resource-tag\">Programme report<\/span><strong>Primary Medical Care: 2024 report<\/strong><span>Read the field results, activities and lessons from the programme&#8217;s second year.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--clinical\" href=\"\/documentation\/projects\/primary-care\/books\/pmc-thebook-v2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"fff-program-resource-tag\">Clinical manual<\/span><strong>Primary Medical Care field manual<\/strong><span>Open the 150-page manual used to structure assessment, treatment, prevention, follow-up and referral.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--people\" href=\"\/program-kawan-sehat-agents\/\"><span class=\"fff-program-resource-tag\">People<\/span><strong>Meet the Kawan Sehat agents<\/strong><span>Understand who provides care and how community knowledge becomes clinical action.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--tools\" href=\"\/programs-medical-apps\/\"><span class=\"fff-program-resource-tag\">Field tools<\/span><strong>Digital tools for rural care<\/strong><span>See how field applications support patient records, follow-up, evidence and safer decisions.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--evidence\" href=\"\/sumba-sepsis-study-2026-results\/\"><span class=\"fff-program-resource-tag\">Research<\/span><strong>Sumba Sepsis Study 2026<\/strong><span>Explore evidence on infection, delayed care and household risk across 1,001 families.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--people\" href=\"\/field-notes-from-eastern-indonesia\/\"><span class=\"fff-program-resource-tag\">Live field record<\/span><strong>Field Notes from Eastern Indonesia<\/strong><span>Follow short, dated updates on care, prevention, research, logistics and the realities teams meet.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--tools\" href=\"\/glossary-of-humanitarian-terms\/?fff_topic=health\"><span class=\"fff-program-resource-tag\">Field guide &amp; glossary<\/span><strong>Health and care, explained<\/strong><span>Explore clinical terms and practical field guides grounded in Fair Future&#8217;s work in remote communities.<\/span><\/a><br \/>\n<a class=\"fff-program-resource fff-program-resource--clinical\" href=\"https:\/\/www.who.int\/health-topics\/primary-health-care\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"fff-program-resource-tag\">Medical reference<\/span><strong>WHO primary health care<\/strong><span>Read the international framework connecting treatment, prevention and community participation.<\/span><\/a>\n<\/div>\n<div class=\"fff-program-live\">\n<div class=\"fff-program-live-head\">\n<div>\n<p class=\"fff-program-eyebrow\">Live from the field<\/p>\n<h3>Medical Field Notes, as the work happens<\/h3>\n<\/div>\n<p>Two recent signals from care, research and prevention in East Sumba. These notes refresh from the Field Notes archive when a new medically relevant update is published.<\/p>\n<\/div>\n<div class=\"fff-program-live-grid\" data-sync=\"server\">\n                            <a class=\"fff-program-note\" href=\"https:\/\/youtu.be\/cT9zIs3yDgM\" target=\"_blank\" rel=\"noopener noreferrer\">\n                    <span class=\"fff-program-note-meta\">\n                        <span>Research<\/span>\n                        <span>21 Sep 2026<\/span>\n                    <\/span>\n                    <strong>The Sumba Sepsis Study film is now online<\/strong>\n                                            <span class=\"fff-program-note-summary\">Our new film follows the Sumba Sepsis Study from the field, where teams documented health realities across 1,001 households and worked to make sepsis visible before it becomes a fatal emergency.<\/span>\n                                    <\/a>\n                            <a class=\"fff-program-note\" href=\"https:\/\/fairfuturefoundation.org\/community-medical-outreach-rotary-support\/\">\n                    <span class=\"fff-program-note-meta\">\n                        <span>Medical Outreach<\/span>\n                        <span>15 Sep 2026<\/span>\n                    <\/span>\n                    <strong>Five medical outreach days fully funded<\/strong>\n                                            <span class=\"fff-program-note-summary\">An AUD 7,453.60 grant from the Rotary Club of Mandurah Districts will fund five outreach days, covering care, medicines and testing in East Sumba.<\/span>\n                                    <\/a>\n                    <\/div>\n<div class=\"fff-program-live-links\"><a href=\"\/field-notes-from-eastern-indonesia\/\">Open all Field Notes<\/a><a href=\"\/glossary-of-humanitarian-terms\/?fff_topic=health\">Browse Health &amp; care field guides<\/a><\/div>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Latest field reports&#8221; module_id=&#8221;field-reports&#8221; module_class=&#8221;fff-program-articles&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Latest field reports heading&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-articles-header\">\n<div>\n<p class=\"fff-program-eyebrow\">Directly from the field<\/p>\n<h2>Latest Primary Medical Care reports<\/h2>\n<\/div>\n<p>These field reports document the care actually delivered: clinical problems encountered, prevention work, referrals, supply constraints and the decisions our teams make in remote villages.<\/p>\n<p>Work in preparation includes <a href=\"https:\/\/fairfuturefoundation.org\/community-care-days-east-sumba\/\">community care days connecting consultations with practical prevention<\/a> and <a href=\"https:\/\/fairfuturefoundation.org\/community-medical-care-bidi-hunga\/\">support for the next medical care day in Bidi Hunga<\/a>.<\/p>\n<\/div>\n<p>[\/et_pb_text][et_pb_blog posts_number=&#8221;12&#8243; include_categories=&#8221;416&#8243; excerpt_length=&#8221;24&#8243; show_more=&#8221;on&#8221; show_author=&#8221;off&#8221; show_categories=&#8221;off&#8221; admin_label=&#8221;Blog: Latest Primary Medical Care&#8221; module_class=&#8221;fff-program-feed fff-home-blog fff-category-archive-v2-blog&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;d7ef1db0-df52-43e8-96fb-8966339042c6&#8243; custom_margin=&#8221;2vh||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blog][et_pb_text admin_label=&#8221;Back to top after field reports&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Cross-program navigation&#8221; module_id=&#8221;all-programs&#8221; module_class=&#8221;fff-program-explore&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;78px|0px|78px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Explore all programs&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<nav aria-label=\"Explore Fair Future Foundation programs\">\n<p class=\"fff-program-eyebrow\">One field reality, connected solutions<\/p>\n<h2>Explore our programs<\/h2>\n<p class=\"fff-program-explore-intro\">A child with diarrhoea may also be drinking unsafe water. A patient with malaria may live without a mosquito net, electricity or transport. Our programmes are connected because the causes of illness are connected.<\/p>\n<div class=\"fff-program-groups\">\n<section class=\"fff-program-group\">\n<h3>Health &amp; Medical<\/h3>\n<ul>\n<li><span aria-current=\"page\">Primary Medical Care<\/span><\/li>\n<li><a href=\"\/programs-child-health\/\">Child Health<\/a><\/li>\n<li><a href=\"\/programs-kawan-against-malaria\/\">Kawan Against Malaria<\/a><\/li>\n<li><a href=\"\/program-kawan-sehat-agents\/\">Kawan Sehat Agents<\/a><\/li>\n<li><a href=\"\/program-medical-advices-rural-health\/\">Medical Advice<\/a><\/li>\n<\/ul>\n<\/section>\n<section class=\"fff-program-group\">\n<h3>Water, Energy &amp; Infrastructure<\/h3>\n<ul>\n<li><a href=\"\/program-water-connections\/\">Water Connections<\/a><\/li>\n<li><a href=\"\/program-water-connections-laindatang\/\">Laindatang &amp; Hambarita<\/a><\/li>\n<li><a href=\"\/program-solar-buddy\/\">Solar &amp; Electrification<\/a><\/li>\n<li><a href=\"\/program-rumah-kambera\/\">Rumah Kambera<\/a><\/li>\n<li><a href=\"\/programs-truck-of-life\/\">Truck of Life<\/a><\/li>\n<\/ul>\n<\/section>\n<section class=\"fff-program-group\">\n<h3>Community &amp; Prevention<\/h3>\n<ul>\n<li><a href=\"\/programs-empowerment\/\">Community Empowerment<\/a><\/li>\n<li><a href=\"\/programs-medical-apps\/\">Field Apps<\/a><\/li>\n<li><a href=\"\/environment-climate-program\/\">Environment &amp; Climate<\/a><\/li>\n<li><a href=\"\/program-nutrition-food\/\">Nutrition &amp; Food<\/a><\/li>\n<li><a href=\"\/malnutrition-child-health\/\">Malnutrition &amp; Child Health<\/a><\/li>\n<\/ul>\n<\/section>\n<\/div>\n<p><a class=\"fff-program-all-link\" href=\"\/programs-overview\/\">See the complete program overview<\/a><\/nav>\n<div class=\"fff-program-backtop\"><a href=\"#program-top\">Back to top \u2191<\/a><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;PROGRAM MASTER: Transparency and support&#8221; module_class=&#8221;fff-program-closing&#8221; _builder_version=&#8221;4.27.8&#8243; custom_padding=&#8221;62px|0px|62px|0px|true|true&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;fff-program-shell&#8221; _builder_version=&#8221;4.27.8&#8243; width=&#8221;90%&#8221; max_width=&#8221;1120px&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Transparency and support&#8221; _builder_version=&#8221;4.27.8&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"fff-program-closing-grid\">\n<div>\n<p class=\"fff-program-eyebrow\">Accountability<\/p>\n<h2>Care must remain measurable, reviewable and transparent<\/h2>\n<p>A programme caring for 700 to 1,000 patients each month must show more than activity. We document medicines used, care delivered, referrals, prevention work, field limits and how resources are engaged. What works is strengthened. What fails is corrected and reported.<\/p>\n<\/div>\n<div class=\"fff-program-buttons\"><a class=\"fff-program-button\" href=\"\/annual-activity-reports\/\">Read our reports<\/a><a class=\"fff-program-button\" href=\"\/where-the-money-goes\/\">How funds are used<\/a><a class=\"fff-program-button fff-program-button--primary\" href=\"\/donate\/\">Support this program<\/a><\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Primary Medical Care Il propose un traitement de premi\u00e8re ligne supervis\u00e9, des m\u00e9dicaments, des mesures de pr\u00e9vention et des transferts vers les zones rurales recul\u00e9es de l'Est de Sumbawa. Dans vingt-sept villages, o\u00f9 les cliniques sont encore \u00e0 plusieurs heures de route, 700 \u00e0 1 000 patients re\u00e7oivent chaque mois des Kawan Sehat Agents soins.<\/p>","protected":false},"author":179,"featured_media":25125865,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_searchwp_excluded":"","footnotes":""},"categories":[408,414,416],"tags":[1126,1095,933,451,1164,1146,449,862,873],"class_list":["post-25115223","page","type-page","status-publish","has-post-thumbnail","hentry","category-empowerment","category-health-preservation","category-primary-medical-care","tag-community-health-education","tag-community-health-impact","tag-healthcare-access","tag-kawan-sehat","tag-kawan-sehat-actions","tag-primary-care-support","tag-primary-medical-care","tag-rural-communities","tag-rural-healthcare"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.4 - 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