
Programma Salute e Medicina
Kawan Against Malaria
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.
Il programma
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.
Quali cambiamenti nella pratica
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.
Registrazione in campo in tempo realeNote di viaggio dall'Indonesia orientaleRead current observations from testing, prevention sessions, household work and the realities teams meet in remote villages.
Guida pratica e glossarioMalaria terms explainedOpen practical explanations of RDTs, microscopy, LLINs, IRS, parasites, referral and community surveillance.
Referenza medicaWHO guidelines for malariaConsult the current evidence-based recommendations for diagnosis, treatment, prevention, vector control and surveillance.
In diretta dal campo
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.
Direttamente dal campo
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.
Banniere educativi contro la malaria installati nell'East Sumba
Nell’ambito del progetto di prevenzione della malaria nell’est di Sumba 2025, Fair Future e i partner hanno installato 20 grandi cartelli pubblicitari nelle comunità rurali. Questi messaggi illustrano alle famiglie come riconoscere i sintomi della malaria e come proteggersi. Un passo fondamentale per ridurre le infezioni in una delle regioni più colpite dell’Indonesia.
I test rapidi per la malaria rivelano casi Umalulu
Durante il nostro lavoro di campo Umalulu per il progetto di prevenzione della malaria nell’Est di Sumba, i test diagnostici rapidi hanno confermato nuovi casi positivi di malaria – bambini, donne e adolescenti – pur essendo fuori dalla stagione di punta. Senza i test, i casi restano invisibili. I test salvano vite.
Il progetto di prevenzione della malaria nell’Est di Sumba prosegue nel 2025
Dopo tre settimane di attività nel progetto di prevenzione della malaria, l’East Sumba ha registrato progressi reali. La campagna IRS è completata, sono stati allestiti 20 cartelli pubblicitari per la prevenzione e ora inizia la fase educativa. Questo progetto di prevenzione della malaria rafforza la consapevolezza, il trattamento e la protezione a lungo termine.
La formazione per il laboratorio di malaria rafforza la diagnostica nell’Est di Sumba
La formazione per l’utilizzo dei test diagnostici per la malaria nell’East Sumba ha coinvolto 28 analisti provenienti da tutti i centri sanitari e dall’ospedale RSUD. Guidati da mentori certificati dall’Organizzazione Mondiale della Sanità, hanno perfezionato le competenze di lettura dei preparati e di microscopia, rafforzando così l’accuratezza diagnostica e la rapidità del trattamento nelle aree rurali dell’Indonesia.
Spruzzatura interna per la lotta contro la malaria – Fair Future Foundation
Il Kawan Against Malaria programma porta avanti le operazioni di disinfestazione indoor contro la malaria nella East Sumba. Equipe specializzate spruzzano il prodotto in bambù e case di legno, superficie per superficie, per uccidere le zanzare e ridurre la trasmissione del virus. Ogni casa trattata diventa un luogo più sicuro per bambini e famiglie.
Prevenzione della malaria nell’est di Sumba 2025
Fair Future porta Kawan Baik Indonesia avanti un progetto di prevenzione della malaria in corso da tre mesi nell’East Sumba. L’iniziativa combina formazione in laboratorio, campagne di sensibilizzazione, spruzzate indoor e distribuzione di reti trattate con insetticidi per proteggere migliaia di famiglie vulnerabili.
Umalulu La base di dati sulla malaria trasforma i dati in azioni concrete
Dal marzo al luglio 2025, i quadri locali e il personale dei Puskesmas hanno condotto un sondaggio porta a porta in Umalulu. In 269 case e 460 interviste, lo studio ha mappato i controlli dei vettori, l’igiene delle acque e dei servizi igienico-sanitari, l’accesso e i comportamenti. I risultati forniscono una roadmap pratica per ridurre la malaria nell’East Sumba.
Cos'è la malaria e come prevenirla
La malaria si diffonde silenziosamente e può uccidere in pochi giorni. Tuttavia è possibile prevenirla. Scoprite cos'è la malaria, come si diffonde, chi è più a rischio e come Fair Future agisce quotidianamente per fermare questa malattia prima che la malattia si manifesti.
Kawan Against Malaria Affianca le comunità locali
L’ Kawan Against Malaria app di Fair Future riunisce le indagini sanitarie, l’educazione comunitaria e i dati sulle malattie locali per rafforzare il lavoro di prevenzione della malaria nella zona rurale di East Sumba.
Giornate di formazione per lo studio della malaria tramite l’app Kawan
Fair Future ha organizzato due giorni di formazione per preparare le squadre locali a uno studio cruciale sulla diffusione della malaria tramite l’ Kawan Against Malaria applicazione. 400 case Umalulu saranno visitate per guidare la definizione di strategie di prevenzione migliori.
Il giorno della cura primaria salva vite e costruisce la salute
Durante l’intera giornata dedicata al progetto primary medical care, i nostri team hanno effettuato screening e trattamenti per oltre 150 pazienti, con particolare attenzione alla malaria e alla tubercolosi. La fornitura di vaccinazioni, farmaci e formazione sanitaria non solo ha salvato vite umane, ma ha anche rafforzato la fiducia nella comunità.
Le zanzariere salvano vite ogni notte
Le famiglie del remoto East Sumba ricevono zanzariere progettate per ridurre l’esposizione alla malaria durante la notte, nell’ambito dell’ampio programma di prevenzione, educazione e assistenza di Fair Future.
Responsabilità
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.







