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Support Care<\/p>\n
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Field stories<\/p>\n
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Field guides<\/p>\n
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Find anything<\/p>\n
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\nClimate change and health are already inseparable in East Sumba.<\/strong> Longer dry periods, extreme heat, unsafe water, crop losses, flooding and damaged roads alter who becomes ill, when families seek care and whether treatment can be reached in time. Our medical work increasingly includes adapting to these environmental pressures.<\/p>\n<\/blockquote>\n
[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ use_custom_gutter=”on” custom_padding_last_edited=”on|tablet” admin_label=”Main Section number 1″ _builder_version=”4.27.9″ _module_preset=”eccd0d04-0fbe-43b7-a56b-a23bf13f9b7e” background_enable_color=”off” custom_margin=”0vh||0vh||true|false” custom_padding=”6vh|0vw|0vh|0vw|false|true” custom_padding_tablet=”6vh|0vw|0vh|0vw|false|true” custom_padding_phone=”0vh|0vw|0vh|0vw|false|true” bottom_divider_height=”40px” hover_enabled=”0″ saved_tabs=”all” locked=”off” collapsed=”off” global_colors_info=”{}” sticky_enabled=”0″][et_pb_row use_custom_gutter=”on” admin_label=”Row for Title H1 and H3″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#FFFFFF” background_enable_color=”on” vertical_offset=”-170px” vertical_offset_tablet=”-100px” vertical_offset_phone=”0px” vertical_offset_last_edited=”on|phone” custom_padding=”0vh|0vw|0vh|0vw|true|true” border_width_bottom=”1px” border_width_bottom_tablet=”1px” border_width_bottom_phone=”0px” border_width_bottom_last_edited=”on|phone” locked=”off” collapsed=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” background_color=”#FFFFFF” border_width_top=”10px” border_color_top=”#4267B2″ border_width_top_last_edited=”off|phone” global_colors_info=”{}”][et_pb_button button_url=”#climate-change-tabs” button_text=”Health impacts” disabled_on=”off|off|on” admin_label=”click here to go to the Gallery Bellow (mobile only)” _builder_version=”4.27.4″ _module_preset=”2f2dfe93-bb93-411d-8bbe-35748e996e31″ button_text_size=”12px” button_text_color=”#666666″ button_bg_color=”#F6F6F6″ button_icon=”||fa||900″ button_icon_color=”#666666″ custom_margin=”0px|0px|0vh|0px|false|false” custom_margin_tablet=”||1vh||false|false” custom_margin_phone=”||1vh||false|false” custom_margin_last_edited=”on|desktop” custom_padding=”7px||7px||true|false” animation_direction=”left” animation_intensity_slide_last_edited=”off|desktop” locked=”off” global_colors_info=”{}” button_bg_color__hover=”#e8e8e8″][\/et_pb_button][et_pb_text admin_label=”Title: Main Title H2 and H3″ _builder_version=”4.27.4″ _module_preset=”a9d80557-4562-46cd-b2d7-7ae31805c0f3″ custom_margin=”1vh||1vh||true|false” custom_padding=”10px|10px|10px|10px|true|true” locked=”off” global_colors_info=”{}”]<\/p>\n
Climate Change and Health in Rural Indonesia<\/h2>\n
Heat, water, food, infection and access to care are changing together<\/h3>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”3_4,1_4″ admin_label=”Row for main Content” _builder_version=”4.27.9″ _module_preset=”299df2b2-3a4e-454d-8e31-a4939c76bffb” vertical_offset=”-170px” vertical_offset_tablet=”-100px” vertical_offset_phone=”0px” vertical_offset_last_edited=”on|phone” custom_margin=”0vh||0vh||false|false” custom_margin_last_edited=”off|desktop” custom_padding=”10px|10px|10px|10px|false|true” hover_enabled=”0″ locked=”off” collapsed=”off” global_colors_info=”{}” sticky_enabled=”0″][et_pb_column type=”3_4″ _builder_version=”4.27.0″ _module_preset=”3b7d3ef5-520a-4fe8-b2f5-9baf89977449″ custom_padding=”0vh|0vw|0vh|0vw|false|false” global_colors_info=”{}”][et_pb_text admin_label=”Extrait” module_class=”fff-essential-rhythm-lead” _builder_version=”4.27.0″ _dynamic_attributes=”content” _module_preset=”8b42ffc3-cf24-4dd3-afe3-9fdf3036e2fa” global_colors_info=”{}”]Climate change and health in rural Indonesia are visible in ordinary clinical work.<\/strong> We see dehydration during long dry periods, diarrhoeal disease when safe water becomes scarce, nutritional stress after crop losses, changing mosquito exposure, and delays in care when floods or damaged roads isolate villages.[\/et_pb_text][et_pb_text admin_label=”Text #1 of the page: Climate change and health in field practice” module_class=”fff-essential-rhythm-body” _builder_version=”4.27.4″ _module_preset=”185a3fb0-2550-4b28-82a3-fe2c347e493e” custom_margin=”1vh||1vh||false|false” custom_css_main_element=”font-weight: 300 !important;” locked=”off” global_colors_info=”{}” header_2_2_font_size_tablet=”2.8em” header_3_2_font_size_tablet=”2.8em” header_4_2_font_size_tablet=”2.8em” header_5_2_font_size_tablet=”2.8em” header_6_2_font_size_tablet=”2.8em” header_2_2_font_size_phone=”2.5em” header_3_2_font_size_phone=”2.5em” header_4_2_font_size_phone=”2.5em” header_5_2_font_size_phone=”2.5em” header_6_2_font_size_phone=”2.5em” header_2_2_font_size_last_edited=”on|desktop” header_3_2_font_size_last_edited=”on|desktop” header_4_2_font_size_last_edited=”on|desktop” header_5_2_font_size_last_edited=”on|desktop” header_6_2_font_size_last_edited=”on|desktop”]<\/p>\n
Climate is not a diagnosis, but it changes the conditions in which disease occurs<\/h4>\n
In East Sumba, climate-related health risk is rarely a single event. A long dry season can reduce water availability, increase the distance walked to collect it and make hygiene more difficult. Crop losses can reduce dietary diversity. Extreme heat increases fluid requirements and physical strain. When heavy rain arrives, damaged roads and flooding can interrupt referral and contaminate local water sources.<\/p>\n
These pressures interact with diseases that are already present. Malaria and dengue transmission depend on several factors, including rainfall, temperature, mosquito ecology, housing and prevention. Diarrhoeal disease is influenced by water quality and sanitation. Undernutrition affects immunity and recovery. The medical risk comes from these pathways acting together, particularly where formal healthcare is several hours away.<\/p>\n
Our response therefore connects primary medical care<\/a>, community health agents<\/a>, malaria and dengue prevention, nutrition, health education and safer water systems<\/a>. The aim is not to attribute every illness to climate change. It is to recognise when environmental conditions are increasing exposure, vulnerability or delays in care, and to act on the parts we can change.<\/p>\n
For our teams, climate adaptation is already part of daily health work: protecting water, recognising dehydration, maintaining access to medicines, reducing mosquito breeding, following vulnerable patients and keeping referral possible when roads or weather become difficult.<\/p>\n
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Climate pressure reaches health through ordinary daily conditions<\/h4>\n
Families in eastern Indonesia do not experience climate change as an abstract global indicator. They experience a well that no longer provides enough water, longer walks to collect it, a harvest that fails, intense heat or a road that becomes impassable after heavy rain.<\/p>\n
Each change can affect health. Less water can reduce drinking, washing and sanitation. Food insecurity can worsen nutritional status. Heat increases dehydration risk. Floods can contaminate water and interrupt access to care.<\/p>\n
These pressures are visible in our work on Water Connections<\/a> and in the broader reality of rural healthcare access<\/a>. Climate change often acts as a risk multiplier rather than as a separate diagnosis.<\/p>\n
[\/et_pb_tab][et_pb_tab title=”Health Pathways” _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Water, food, heat and vectors connect climate conditions to illness<\/h4>\n
Water insecurity can increase exposure to unsafe drinking water and make hygiene more difficult. Crop losses and unstable food supply can worsen undernutrition, particularly in children and pregnant women.<\/p>\n
Heat directly affects people working outdoors, infants, older adults and patients with chronic disease. Dehydration and heat illness require early recognition and rapid referral when danger signs appear.<\/p>\n
Vector-borne disease is more complex. Temperature and rainfall influence mosquito ecology, but malaria and dengue transmission also depend on housing, behaviour, immunity and prevention. Our malaria prevention work<\/a> and community disease-prevention approach<\/a> therefore combine environmental action with testing, education and medical care.<\/p>\n
[\/et_pb_tab][et_pb_tab title=”Access & Vulnerability” _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Environmental pressure becomes more dangerous when care is already difficult to reach<\/h4>\n
A health problem that is manageable near a clinic can become serious in a village several hours away. Flooding, damaged roads, fuel costs and lack of transport can extend the interval between the first danger signs and effective treatment.<\/p>\n
Children, pregnant women, older people, people with chronic illness and households with limited financial reserves may have less capacity to absorb repeated drought, flood or food shocks.<\/p>\n
This interaction between illness and access is central to our page on life without reliable rural healthcare<\/a>. Our Sumba Sepsis Study 2026<\/a> also documents delays, transport barriers and infection pathways in East Sumba. It is not a climate-attribution study, but it helps describe the vulnerabilities that extreme weather can aggravate.<\/p>\n
[\/et_pb_tab][et_pb_tab title=”Prevention & Adaptation” _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Climate adaptation is already part of practical primary healthcare<\/h4>\n
Our response focuses on measures that remain useful across different climate scenarios: safer water, primary care close to communities, mosquito control, nutrition, health education, medicine availability, surveillance and functional referral pathways.<\/p>\n
Kawan Sehat health agents<\/a> help recognise danger signs, reinforce prevention and maintain a local connection to medical supervision. Primary Medical Care<\/a> brings assessment and treatment closer when weather or distance makes referral difficult.<\/p>\n
Adaptation therefore means strengthening systems before an emergency occurs. Our work on community health prevention in East Sumba<\/a> links household-level prevention with clinical care, safe water and follow-up.<\/p>\n
[\/et_pb_tab][et_pb_tab title=”Evidence” _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
The field observations align with established global climate-health evidence<\/h4>\n