Dal campo nell'East Sumba. Assistenza sanitaria, acqua pulita, prevenzione e sanità comunitaria dove l'accesso rimane difficile.
Donare
Assistenza sanitaria
Articoli e News
Storie dal campo
Glossario
Guida escursionistica
Programma Salute e Medicina
Agenti Kawan Sehat
Trained women and men providing first-line care, prevention, follow-up and early referral inside their own remote communities.
- 27 active health agents
- 700 to 1,000 patients supported each month
- Medicines and supplies restocked every two months
Care begins with someone the village already knows
When a child develops a fever or a wound begins to worsen, the first safe decision often happens at home. Kawan Sehat agents bring trained observation, basic care and a clear referral pathway into communities where formal services remain hours away.
Il programma
Local knowledge, structured clinical responsibility
In an isolated village, proximity matters. So do training, clinical limits and the ability to recognise when a patient needs more than community care.
In Lahiru, Desiana brings practical health education into Posyandu care, discussing prevention with children and adults.
Kawan Sehat agents live in or close to the communities they serve. They know the paths, families, languages and practical barriers that shape a patient’s decision to seek care. This trust makes earlier contact possible, but trust alone is not enough. Their work is organised through defined protocols, medical supervision and documented follow-up.
They are not doctors and they do not replace public health centres. They provide approved first-line care, health education and practical support while recognising danger signs and connecting patients to a higher level of care.
Women and men trained to serve communities where routine care remains difficult to reach.
Assessment, approved treatment, prevention, follow-up and referral delivered through the programme.
A 150-page field manual structures knowledge, clinical limits, prevention and safe decisions.
Medicines, dressings and basic diagnostic supplies are reviewed and replenished in the field.
Dal primo contatto fino al follow-up
How an agent supports a patient
The agent’s role is not simply to hand out medicine. Each contact must lead from careful listening to a proportionate decision, a written record and a plan for what happens next.
Listen
The agent hears what has changed, how long it has lasted and what the family has already tried.
Assess
Symptoms, temperature, available vital signs and visible danger signs are checked within the agent’s training.
Decide safely
Approved first-line care is given when appropriate. Severe, uncertain or worsening cases are referred.
Document
Findings, care and referral information are recorded so the next clinical decision begins with evidence.
Return
The agent checks progress, reinforces prevention and contacts the medical team when recovery is not following the expected course.
I confini clinici sono importanti
Close enough to act, trained to know the limit
Proximity becomes useful only when it is safe. Kawan Sehat agents work within defined protocols and refer whenever severity, uncertainty or missing resources make local care inappropriate.
Cosa possono fare gli agenti
- Listen, observe and assess common symptoms and available vital signs
- Pulire e curare ferite superficiali e semplici
- Fornire farmaci di prima linea approvati dal protocollo e reidratazione orale
- Supporta i disturbi infiammatori, respiratori, cutanei e digestivi senza complicazioni
- Monitor children, older people and patients living with chronic conditions
- Insegnare igiene, nutrizione, malaria, tubercolosi, HIV e prevenzione delle infezioni
Quando gli agenti fanno riferimento
- Dificoltà a respirare, alterazione della coscienza, shock o grave disidratazione
- Sepsis sospetta, infezione grave o malattia che peggiora rapidamente
- Gravi traumi, ferite profonde, ustioni o sospetta frattura
- Complicazioni della gravidanza o segni di pericolo nella madre o nel neonato
- Possible tuberculosis, leprosy, HIV or another condition requiring testing
- Any situation beyond available skills, protocols, medicines or diagnostic capacity
Mira studies a reusable HIV prevention and testing poster during Kawan Sehat training in East Sumba. The material is designed to be carried back into villages and used in local health education.
The system behind each agent
Training turns proximity into safe action
Community knowledge makes contact possible. Structured training makes that contact clinically useful. Agents learn through practical modules, supervised exercises, case review and repeated field support. Their tools are designed for places where connectivity, transport and formal services are limited.
Field manual
Fourteen modules across 150 pages cover first-line care, prevention, danger signs and responsible limits.
Supervised practice
Training, case discussion and field visits help translate written protocols into safer decisions.
Medical backpack
Approved medicines, dressings, basic diagnostics and education materials are organised for home visits.
Kawan Sehat App
Offline and online records support follow-up, review and a clearer picture of health needs across villages.
Quali cambiamenti nella pratica
A trained neighbour can shorten a dangerous delay
A recognisable first contact
Families can speak with someone they know before distance, cost or uncertainty turns a treatable problem into an emergency.
Earlier clinical warning
Changes in consciousness, breathing, hydration, infection or pregnancy can be recognised and referred sooner.
Prevention in local language
Health education happens during visits, in schools and inside homes, connected to the risks people meet each day.
Records connect visits
Documented findings and follow-up allow the medical team to review decisions and identify recurring problems.
Relazione del programmaPrimary Medical Care Relazione 2024Read the activities, field results and lessons from the programme that supports the agents.
Care systemPrimary Medical CareSee how agents, medical supervision, medicines, referral and prevention work as one field system.
Attrezzi da campoStrumenti digitali per la cura in ambito ruraleUnderstand how offline records support case documentation, follow-up and programme evidence.
PersoneWho are the Kawan Sehat?Meet the women and men who carry care, prevention and practical knowledge into their villages.
Registrazione in campo in tempo realeNote di viaggio dall'Indonesia orientaleFollow short, dated updates from training, home visits, medical outreach and prevention work.
Guida pratica e glossarioSalute e assistenza, spiegatoExplore clinical terms and practical guides grounded in work inside remote communities.
Referenza medicaPrimary health careRead the international framework connecting accessible care, prevention and community participation.
In diretta dal campo
Kawan Sehat Field Notes, as the work happens
Two recent signals involving community agents, home care, prevention or training. These notes refresh when a relevant Field Note is published.
Direttamente dal campo
Latest Kawan Sehat reports
These reports document home visits, clinical training, prevention, medicine supply, patient follow-up and the limits agents meet inside remote villages.
Kawan Sehat Giorno dell'agente sanitario nel Lahiru villaggio indonesiano
In Lahiru, Kawan Sehat health workers Sarlota and Yosef wake with the sun, walk steep paths for water, farm the hillsides and open their house as a small clinic. This film lets you follow their routine of cooking, washing, treating fevers and wounds so neighbors in a remote village can stay on their feet.
Chi sono gli agenti Kawan Sehat sanitari?
In questo articolo scoprite finalmente chi sono gli operatori Kawan Sehat sanitari, non come numeri, ma come persone. Attraverso ritratti e brevi testimonianze, vi raccontano chi sono, dove vivono, i pazienti che curano e perché hanno scelto di diventare quotidianamente la prima linea di assistenza sanitaria nelle remote colline dell’Est di Sumba.
Il viaggio di Erwin per portare la cura
Erwin, il coordinatore del Primary Medical Care programma sul campo, trascorre giorni attraversando strade fangose, ponti in rovina e sentieri ripidi per portare medicine a Kawan Sehat Agents. Il suo lavoro mantiene i villaggi remoti dell’East Sumba collegati a cure salvavita, dignità e supporto medico affidabile.
Kawan Sehat Formazione sanitaria
Nel mese di maggio, 21 operatori Kawan Sehat sanitari hanno completato una formazione intensiva nella sanità primaria. Oggi servono quasi 1.000 pazienti ogni mese in villaggi indonesiani remoti, offrendo cure mediche, prevenzione e educazione dove non sono disponibili medici.
Ibu Anggi riceve il suo certificato
Questa nuova foto della giornata mostra Erwin che consegna un Kawan Sehat certificato a Ibu Anggi Laindatang. Non è solo un documento, ma un simbolo del suo ruolo essenziale nella fornitura di assistenza sanitaria dove non ci sono medici.
Kawan Sehat Formazione nei villaggi di East Sumba
Nel maggio del 2025 hanno Kawan Sehat Agents completato un intenso corso di tre giorni nell'East Sumba, perfezionando le loro competenze mediche, rifornendosi di kit e preparandosi a trattare centinaia di persone in aree ultra-rurali.
Borsa da viaggio medica che salva vite
Nella East Sumba, le donne portano sulle spalle cure salvavita. Queste borse mediche contengono oltre 50 articoli essenziali e sono fondamentali per il Primary Medical Care programma di Fair Future. Un mezzo di autonomia e sopravvivenza.
Logistica medica nella zona rurale dell'Indonesia
Erwin prepara kit medici salvavita per gli operatori sanitari che lavorano nei villaggi privi di medici, farmacie o strade. La logistica diventa una parte fondamentale dell'assistenza sanitaria per migliaia di persone nell'East Sumba.
Iniziative per risolvere la carenza di medici rurali
Our foundation addresses the severe shortage of doctors in rural Indonesia through a multifaceted approach that includes training local health agents, upgrading infrastructure, and implementing solutions to alleviate the doctor scarcity, ultimately improving access to medical care.
Mira, un agente sanitario che salva vite nelle campagne rurali
Mira svolge il ruolo di agente Kawan Sehat sanitario, fornendo assistenza medica a migliaia di persone in villaggi remoti. Dotata di forniture mediche essenziali, si occupa di ferite, gestisce malattie e forma le famiglie su come migliorare le proprie pratiche sanitarie, garantendo che l’assistenza sanitaria raggiunga coloro che ne hanno più bisogno.
Supportare le cure primarie salvatrici nella zona rurale dell’Indonesia
Oggi, Fair Future ha trasferito 23.529 franchi svizzeri per finanziare il secondo trimestre del Primary Medical Care programma in Indonesia. Questa iniziativa salvavita necessita ancora di supporto per il terzo trimestre. Grazie per aver reso possibile questo gesto e vi invitiamo a donare per mantenere viva questa importante attività.
Kawan Sehat L'umanità attraverso la sanità rurale
Kawan Sehat I sanitari hanno assistito centinaia di pazienti – bambini, anziani e feriti – durante tutta la stagione delle vacanze nell’ambito del programma #PrimaryMedicalCare. La loro dedizione non ha mai smesso. Visitate il nostro sito per vedere le ultime foto del loro straordinario lavoro. Grazie per il vostro continuo supporto!
Responsabilità
Community care must remain trained, supervised and reviewable
Trust is essential, but it cannot replace evidence. We document care, referrals, medicines, training, follow-up and field limitations. Cases can be reviewed, supplies can be traced and unsafe practices must be corrected.
