Select Page

Medical Assistance for the undernourished

Malnutrition refers to getting too little or too much of certain nutrients

What we do: Assistance to people in case of malnutrition problems

What is malnutrition and how does it affect a person’s overall health? in rural areas

Extract | Social consequences of malnutrition. Undernourished children have weaker immune systems and are thus more susceptible to infections and illnesses. Long-term insufficient nutrient intake and frequent infections can cause stunting, whose effects in terms of delayed motor and cognitive development are largely irreversible.

In Indonesia, 8.4 million children are stunted (excessively small for their age) and suffer from chronic malnutrition It is the underlying factor that contributes to almost half of the deaths of children under five.

Malnutrition can lead to a weakened immune system, which means children are more vulnerable to disease. These diseases can exacerbate malnutrition, creating a vicious cycle of malnutrition and disease.

Fair Future and Kawan Baik, as part of their medical activities in the regions of the far east of the country, are very actively occupied and concerned about the situation of people, especially children and other so-called vulnerable people, in terms of access. to healthy food, but also to clean water. Without water, it is difficult if not impossible to cook and eat healthily.

It goes without saying that access to healthy nutrition, without being specific, remains one of the major challenges in reducing child mortality, particularly in regions affected by water shortages, or seriously affected by it. pest invasions that are likely to destroy a cornfield, in. month of 15 minutes.

Quick facts about malnutrition

In some very rural areas, Fair Future is carrying out projects to prevent malnutrition by creating community gardens. Program implicitly linked to access to water.

The use of local resources will be used to prevent children and other so-called “vulnerable” people from falling ill. In our daily medical activities, Fair Future sets up outpatient clinics and anticipates the annual seasons of shortages, such as the rainy season or the one where pests are very present.

Our social and medical teams also adopt a preventive approach by distributing a nutritional supplement to people at risk, by ensuring the implementation of other diseases prevention initiatives, such as COVID-19, Tuberculosis, Dengue fever, and Malaria.

Go there, to their homes where no one ever goes

Without saying that “the majority of children could be cared for at home by their families”, it is an established fact that Fair Future seeks above all. Or idealize! Take care of yourself in your village, in your house.

This brings us directly to talking about medical centers here. Where we are active, care in a medical center is non-existent, too expensive, or simply closed for lack of personnel or medical equipment, drugs. Sometimes a medical center does not or no longer have access to water, or the people working there are no longer paid by the region or state.

The problem that Fair Future faces very often is that certain regions and villages are sometimes impossible to access, hence the creation of the “Truck of Life” program, which allows us to go wherever nobody goes.

Providing care in the villages is therefore essential. This strategy can result in cure rates of over 90% and reduce referral to non-existent hospital care.

What are the effects of malnutrition during pregnancy?

Maternal malnutrition increases the risk of poor pregnancy outcomes including obstructed labour, premature or low-birth-weight babies, and postpartum hemorrhage. Severe anemia during pregnancy is linked to increased mortality at labour. Low birth weight is a significant contributor to infant mortality.

What are the impacts of malnutrition?

People who are poor are more likely to be affected by different forms of malnutrition. Also, malnutrition increases health care costs, reduces productivity, and slows economic growth, which can perpetuate a cycle of poverty and ill-health

What do we do? A local recipe to fight against malnutrition

Most of the families in the outermost regions in which Fair Future is involved produce their own food. But the lack of knowledge of good culinary practices, the weight of tradition, the multiple displacements of the population associated with the low purchasing power of households mean that the family’s diet is little or not diversified: White rice, chilis, salts; that’s all. Adults, the elderly, pregnant women, and young children are subjected to the same diet, often monotonous and poor, resulting in malnutrition in children and disease in others. This poor diet also decreases the ability of parents to fight against childhood illnesses.

The key to eating healthier and staying healthy is having water: For gardening, growing vegetables and cooking them.

Fair Future thinks and acts globally but by imagining and implementing local actions, with existing resources. This by increasing the knowledge of people living in these regions in which, more than 8 months a year, it is difficult to find something to eat.

We drill wells, create gardens using local seeds, how to treat your garden in a healthy way, without pesticides for example. Improving the quantities harvested also makes it possible to eat healthily, but to sell part of the harvest at the local market. Thus it will increase income for families, allowing other crops and harvests and market sales; while improving their living and health conditions.

COVID-19 in Indonesia, a dramatic situation

Take care of people, do what the state does not! Fair Futur acts to detect, test, treat and vaccinate the victims of the Pandemic. No Antigen tests, no vaccine (here in Sumba for example, hardly anyone is vaccinated). Also, the health centers are closed because they are infected and the medical staff is sick.

There are very few doctors and other medical personnel who are still at work. This is linked to medical and infectious factors, but also and above all because the staff is no longer paid, therefore they no longer come to work.

**Click here to make a donation

Donate for East Indonesia disaster

After the Sumba natural disaster in April 2021, Fair Future is the only foreign organization there. We commit ourselves every day to rebuild, to improve...

We are confronted with health problems, social challenges. We need infrastructural and human resources. They need to eat, drink, have access to healthcare and a roof to protect themselves!

**Click here to make a donation

Donate for Clean Water Access in East Sumba

Do you want to participate in the drilling of a well for 40 families and 250 people? Provide clean and potable water to all those who no longer have access to it, or who have never had access to it. Water is life, water makes you feel good!

To do this, Fair Future and the Indonesian Red Cross are launching a program to build wells, toilets and provide access to drinking water to 42 villages and communities in East Sumba.

**Click here to make a donation

Donate for a cause of your choice

Donate to programs initiated by Fair Future and be on the ground with us. We are committed to ensuring that as many people as possible have access to medical care (basic and emergency care), Covid-19 screening and testing, access to school and knowledge, drinking and clean water, sanitation, women's rights, and minorities living in rural and ultra peripheral areas.

Going where no one ever goes is one of our priorities, see Truck Of Life program.

**Click here to make a donation

You don't have access to e-banking?

Sometimes, it is not possible to make a donation via modern solutions, by what is called "e-banking".

From then on, you can participate in one of our projects or programs by making a bank transfer, via one of our two bank accounts in Switzerland.

**Click here to make a donation

Action for Fair Future Plateforme

The Fair Future donation platform focuses on the fundraising needs of nonprofit organizations

More than yesterday and even less than tomorrow, Fair Future and Kawan Baik Foundations continue to develop projects with humanitarian, positive, and virtuous objectives.

Our organizations get involved every day, in a concrete way on the ground. They are men and women, mostly volunteers, who work to find solutions and implement them so that everyone can have a better life.

**Click here to make a donation

Some more Information

Dengue fever cases still on the rise despite seasonal change

The COVID-19 epidemic has not slowed the onset of seasonal dengue fever across the country. The country has been battling dengue fever since early this year, at a time when state resources have been spent on curbing the COVID-19 outbreak. The similarities between dengue fever and COVID-19 symptoms have also complicated efforts to mitigate the annual spike in cases. The island of Java has contributed the highest average number of dengue hemorrhagic fever cases each year. In recent years, Bali and Borneo (Kalimantan) have had the highest incidence.

Impact of air pollution on health in Indonesia

Outdoor air pollution is a mix of chemicals, particulate matter, and biological materials that react with each other to form tiny hazardous particles. It contributes to breathing problems, chronic diseases, increased hospitalization, and premature mortality. In Indonesia, this is the cause 50% of morbidity nationwide. How is air pollution affecting Indonesia? More than 80% of the Indonesian population of more than 260 million inhabitants, is exposed to annual average concentrations of pollution, well above the WHO guideline. The country has the fifth-highest loss of years of life in the world due to particulate matter pollution.

Assistance to people in case of malnutrition problems

Social consequences of malnutrition. Undernourished children have weaker immune systems and are thus more susceptible to infections and illnesses. Long-term insufficient nutrient intake and frequent infections can cause stunting, whose effects in terms of delayed motor and cognitive development are largely irreversible.

Medical Assistance for Children’s in pandemic time

Fair Future notes that children are certainly the most affected by the indirect impact of the pandemic than by the viral infection itself. Indeed, we have noticed that the COVID-19 pandemic is having an impact on the health of children, but through the increase in poverty, the loss of education and the closure of schools -here in Indonesia the closure of schools since March 2020-, food insecurity, violence as well as increased pressure on health systems and reduced access to personal health care services.

Truck of Life, Truck of Health Medical Care in Kangeli, East-Sumba

Truck of Life, Truck of health. Providing medical care in a remote village in East Sumba, close to Lewa. Desa Kangeli, where more than 120 people, essentially children have received medical care, medical treatments, food, clothes, games, books, and fun with the Fair Future and Kawan Baik Indonesia foundations.

Sumba disaster, current situation, what we are going to do next!

The food crisis, the crisis linked to the lack of water, the lack of access to healthcare … What Fair Future is doing to remedy many problems on the spot, here in Sumba East. Well drilling, construction of community water points, free medical care, planning of the reconstruction phase …

A “central water point” for 250 people, 39 families from East Sumba

Fair Future has just allocated a fund of IDR.148’000’000.- in order to proceed to the drilling of a deep well in order to provide clean water to a population of 250 people. This includes toilets and a place to wash and create social activities around the theme of water. This water center also aims to improve the health of people, especially children. A project by Fair Future, Kawan Baik, and the Indonesian Red Cross.

Going everywhere to help people from East Sumba

As you can see in these few photos taken by our teams in the field, thousands of people live in difficult conditions. Today, Fair Future and C / o are still working in a hurry! Certainly not the one that followed the disaster, but to tempt those who no longer have access to the most basic things such as: Water, food, medical care … As you can see in these few photos taken by our teams in the field, thousands of people live in difficult conditions.

Common diseases we work on

Life-saving tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

Tuberculosis

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable.

A social disease, tuberculosis affects more particularly the poorest groups of the population, in particular the homeless people in whom the incidence (approximately 200 / 100,000) far exceeds that of other groups.

In Indonesia, tuberculosis is the leading cause of death in the category of infectious diseases. However, when one considers the general causes of death, tuberculosis ranks 3rd after heart disease and acute respiratory disease at all ages. The number of tuberculosis cases found in 2019 was around 645,000 cases. This figure has increased from the tuberculosis data recorded in 2018, which was in the order of 566.00 cases.

Meanwhile, the number of recorded deaths from tuberculosis based on WHO 2019 data is 98,000 people. This includes 5,300 deaths of tuberculosis patients with HIV / AIDS.

Life-saving anti-tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

In 2020, the 30 countries with a high TB burden accounted for 87% of new TB cases. Eight countries account for two-thirds of the total, led by India, followed by Indonesia, China, Philippines, Pakistan, Nigeria, Bangladesh, and South Africa.


More info: https://tbindonesia.or.id/pustaka-tbc/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/

Tuberculosis

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable.

A social disease, tuberculosis affects more particularly the poorest groups of the population, in particular the homeless people in whom the incidence (approximately 200 / 100,000) far exceeds that of other groups.

In Indonesia, tuberculosis is the leading cause of death in the category of infectious diseases. However, when one considers the general causes of death, tuberculosis ranks 3rd after heart disease and acute respiratory disease at all ages. The number of tuberculosis cases found in 2019 was around 645,000 cases. This figure has increased from the tuberculosis data recorded in 2018, which was in the order of 566.00 cases.

Meanwhile, the number of recorded deaths from tuberculosis based on WHO 2019 data is 98,000 people. This includes 5,300 deaths of tuberculosis patients with HIV / AIDS.

Life-saving anti-tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

In 2020, the 30 countries with a high TB burden accounted for 87% of new TB cases. Eight countries account for two-thirds of the total, led by India, followed by Indonesia, China, Philippines, Pakistan, Nigeria, Bangladesh, and South Africa.


More info: https://tbindonesia.or.id/pustaka-tbc/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/

Dengue virus (DENV) infection is a major cause of acute febrile illness in Indonesia.  And a high cause of death.

Dengue Fever

Dengue hemorrhagic fever is a disease caused by dengue virus infection (IVD) which is transmitted through the bite of the Aedes aegypti and Aedes albopictus mosquitoes.

Dengue virus infection is an endemic disease that appears throughout the year, especially in the rainy season in various tropical and sub-tropical regions including in Indonesia. The rainy season is an optimal condition for breeding mosquitoes, so there can be an increase in cases that are high and fast. According to WHO, Indonesia is the second-largest country with dengue cases among 30 endemic regions.

The case fatality rate (CFR) has been estimated at more than 20% of those infected. Knowing that Dengue fever affects millions of people every year, this makes it one of the most important causes of death in Indonesia. Complications can lead to circulatory system failure and shock, and can be fatal (also known as Dengue Shock Syndrome).

In some cases, Dengue infection is asymptomatic – persons do not exhibit symptoms. Those with symptoms get ill between 4 to 7 days after the bite. The infection is characterized by flu-like symptoms which include a sudden high fever coming in separate waves, pain behind the eyes, muscle, joint, and bone pain, severe headache, and a skin rash with red spots. Treatment includes supportive care of symptoms.

There is no antiviral treatment available. The illness may progress to Dengue Hemorrhagic Fever (DHF). Symptoms include severe abdominal pain, vomiting, diarrhea, convulsions, bruising, and uncontrolled bleeding.


More info: https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-019-4379-9

Dengue Fever

Dengue hemorrhagic fever is a disease caused by dengue virus infection (IVD) which is transmitted through the bite of the Aedes aegypti and Aedes albopictus mosquitoes.

Dengue virus infection is an endemic disease that appears throughout the year, especially in the rainy season in various tropical and sub-tropical regions including in Indonesia. The rainy season is an optimal condition for breeding mosquitoes, so there can be an increase in cases that are high and fast. According to WHO, Indonesia is the second-largest country with dengue cases among 30 endemic regions.

The case fatality rate (CFR) has been estimated at more than 20% of those infected. Knowing that Dengue fever affects millions of people every year, this makes it one of the most important causes of death in Indonesia. Complications can lead to circulatory system failure and shock, and can be fatal (also known as Dengue Shock Syndrome).

In some cases, Dengue infection is asymptomatic – persons do not exhibit symptoms. Those with symptoms get ill between 4 to 7 days after the bite. The infection is characterized by flu-like symptoms which include a sudden high fever coming in separate waves, pain behind the eyes, muscle, joint, and bone pain, severe headache, and a skin rash with red spots. Treatment includes supportive care of symptoms.

There is no antiviral treatment available. The illness may progress to Dengue Hemorrhagic Fever (DHF). Symptoms include severe abdominal pain, vomiting, diarrhea, convulsions, bruising, and uncontrolled bleeding.


More info: https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-019-4379-9

Each year, malaria kills thousands of people in Indonesia. 70% of all deaths are children under five years of age.

Malaria

The malaria trend in Indonesia is increasing dramatically in recent years. The disease is fairly easy to treat, but access to the most effective treatments remains insufficient.

90% of all malaria deaths occur due to a lack of access to medical care. Mosquito nets are expensive and out of reach for many.

  • Malaria risk is present below the altitude of : 2000 meters
  • High-risk months for Malaria are: January to December

The transmission of COVID-19 in Indonesia has continued unabated and has spread to malaria-endemic areas, in particular the eastern provinces of the country, such as East Nusa Tenggara (NTT) where Fair Future is working, Maluku, and Papua, forcing authorities to intensify their vigilance to avoid a double burden of disease.

According to data from the Indonesian Ministry of Health, an estimated 250,644 cases of malaria have occurred in Indonesia, 85% of which are in rural areas. The high level of malaria endemicity in some areas is a cause for concern, not least because there is no end in sight for the COVID-19 crisis.

Plasmodium - a parasite that causes malaria in humans - can damage the immune system, which is why patients with malaria are prone to other infections, including COVID-19.

And there are no new drugs in the development pipeline, which means we may find ourselves without effective options in the future.


More info: https://hellosehat.com/pernapasan/tbc/tbc-di-indonesia/

Malaria

The malaria trend in Indonesia is increasing dramatically in recent years. The disease is fairly easy to treat, but access to the most effective treatments remains insufficient.

90% of all malaria deaths occur due to a lack of access to medical care. Mosquito nets are expensive and out of reach for many.

  • Malaria risk is present below the altitude of : 2000 meters
  • High-risk months for Malaria are: January to December

The transmission of COVID-19 in Indonesia has continued unabated and has spread to malaria-endemic areas, in particular the eastern provinces of the country, such as East Nusa Tenggara (NTT) where Fair Future is working, Maluku, and Papua, forcing authorities to intensify their vigilance to avoid a double burden of disease.

According to data from the Indonesian Ministry of Health, an estimated 250,644 cases of malaria have occurred in Indonesia, 85% of which are in rural areas. The high level of malaria endemicity in some areas is a cause for concern, not least because there is no end in sight for the COVID-19 crisis.

Plasmodium - a parasite that causes malaria in humans - can damage the immune system, which is why patients with malaria are prone to other infections, including COVID-19.

And there are no new drugs in the development pipeline, which means we may find ourselves without effective options in the future.


More info: https://hellosehat.com/pernapasan/tbc/tbc-di-indonesia/

A real health emergency, resistance to antimicrobials. It threatens to make simple cuts & easily treatable diseases, are deadly again.

Antimicrobial resistance

Antimicrobial agents have played a vital role in reducing the burden of communicable diseases around the world. The WHO South-East Asia Region is no exception. On an Indonesian or "local" scale, antimicrobial drugs, including antibiotics, are very cheap, accessible, and very effective. It is with good reason that many have long considered them to be "miracle drugs".

The situation in Indonesia with this major health problem is absolutely catastrophic. Participating physicians prescribe antimicrobials on all counts, for infections for which any form of antimicrobial is unnecessary. Too large a proportion of sick patients simply no longer respond to the treatments they - sometimes very urgently - need.

The emergence of antimicrobial resistance (AMR) creates “superbugs” that make treatment of basic infections difficult (and in some cases impossible) and surgery risky. And while the emergence of resistance in microorganisms is an ongoing phenomenon, its amplification and spread are the results of one thing: human behavior.

The WHO South-East Asia Region is particularly affected. As the risk assessments conducted by WHO have shown, the Region is probably the most at-risk part of the world. Not only does AMR affect the health and well-being of people in Indonesia, it also has ramifications for public health and general well-being. This makes the problem of immense global importance.

 


More info: https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/1386/pdf

Antimicrobial resistance

Antimicrobial agents have played a vital role in reducing the burden of communicable diseases around the world. The WHO South-East Asia Region is no exception. On an Indonesian or "local" scale, antimicrobial drugs, including antibiotics, are very cheap, accessible, and very effective. It is with good reason that many have long considered them to be "miracle drugs".

The situation in Indonesia with this major health problem is absolutely catastrophic. Participating physicians prescribe antimicrobials on all counts, for infections for which any form of antimicrobial is unnecessary. Too large a proportion of sick patients simply no longer respond to the treatments they - sometimes very urgently - need.

The emergence of antimicrobial resistance (AMR) creates “superbugs” that make treatment of basic infections difficult (and in some cases impossible) and surgery risky. And while the emergence of resistance in microorganisms is an ongoing phenomenon, its amplification and spread are the results of one thing: human behavior.

The WHO South-East Asia Region is particularly affected. As the risk assessments conducted by WHO have shown, the Region is probably the most at-risk part of the world. Not only does AMR affect the health and well-being of people in Indonesia, it also has ramifications for public health and general well-being. This makes the problem of immense global importance.

 


More info: https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/1386/pdf

Plastic that burns, everywhere! Air pollution is responsible for almost 50% of mortality here.

Impact of air pollution on health

Globally, air pollution kills an estimated 7 million people annually in Indonesia according to the World Health Organisation (WHO). Current air pollution problems are greatest in Indonesia as they caused 50% of morbidity across the country.

Diseases stemming from vehicular emissions and air pollution include acute respiratory infection, bronchial asthma, bronchitis, and eye, skin irritations, lung cancer, and cardiovascular diseases.

In Indonesia plastic combustion is responsible for the majority of asthma cases in children. The culprits are "phthalates", those chemicals which give plastic its prized qualities (flexibility), and which are serious endocrine disruptors, associated with a plethora of health problems.

  • Burning plastics releases toxic gases such as dioxins, furans, mercury, and polychlorinated biphenyls into the atmosphere, and poses a threat to vegetation, as well as to the health of humans and animals;
  • When plastic is burned, it releases dangerous chemicals such as hydrochloric acid, sulfur dioxide, dioxins, furans, and heavy metals, as well as particulates. These emissions are known to cause respiratory ailments and stress human immune systems, and they're potentially carcinogenic;
  • Dioxins are deposited on crops, fruits, vegetables, and in waterways where they end up in our food and therefore in our bodies. These dioxins are potentially fatal persistent organic pollutants that can cause cancer and disrupt the respiratory and thyroid systems.
  • ...

Read the full page about this very serious matter

 


More info: https://fairfuturefoundation.org/air-pollution-and-plastic-waste-in-indonesia/

Impact of air pollution on health

Globally, air pollution kills an estimated 7 million people annually in Indonesia according to the World Health Organisation (WHO). Current air pollution problems are greatest in Indonesia as they caused 50% of morbidity across the country.

Diseases stemming from vehicular emissions and air pollution include acute respiratory infection, bronchial asthma, bronchitis, and eye, skin irritations, lung cancer, and cardiovascular diseases.

In Indonesia plastic combustion is responsible for the majority of asthma cases in children. The culprits are "phthalates", those chemicals which give plastic its prized qualities (flexibility), and which are serious endocrine disruptors, associated with a plethora of health problems.

  • Burning plastics releases toxic gases such as dioxins, furans, mercury, and polychlorinated biphenyls into the atmosphere, and poses a threat to vegetation, as well as to the health of humans and animals;
  • When plastic is burned, it releases dangerous chemicals such as hydrochloric acid, sulfur dioxide, dioxins, furans, and heavy metals, as well as particulates. These emissions are known to cause respiratory ailments and stress human immune systems, and they're potentially carcinogenic;
  • Dioxins are deposited on crops, fruits, vegetables, and in waterways where they end up in our food and therefore in our bodies. These dioxins are potentially fatal persistent organic pollutants that can cause cancer and disrupt the respiratory and thyroid systems.
  • ...

Read the full page about this very serious matter

 


More info: https://fairfuturefoundation.org/air-pollution-and-plastic-waste-in-indonesia/
Cover for Fair Future Foundation
2,357
Fair Future Foundation

Fair Future Foundation

The Fair Future Foundation is a Swiss Foundation recognized of Pure Public Utility & State Approved by the Canton of Vaud and the Swiss Confederation.

Comments Box SVG iconsUsed for the like, share, comment, and reaction icons
1 week ago
Fair Future Foundation

We drill a new well and we @fairfuturefoundation & @kawanbaikindonesia, found clean water at 38m deep. It's good, clear, health for all!

Our Community garden is happy, people are happy, we are happy.

For social purposes, to reduce malnutrition, improve health and economics issues during the #Covid_19 time.

#fairfuturefoundation
#kawanbaikindonesia
#rumahkambera
#waterconnections
#water #wateraccess
#healthyfood
#Covid_19 #improvinglife

fairfuturefoundation@org
... See MoreSee Less

Load some more here!

Our fight against the Covid-19 pandemic in NTT

Indonesia is one of the countries most affected in the world

Fair Future and Kawan Baik as you know have a center in Sumba East, in which our teams are active every day: volunteers, doctors, nursing staff. Rumah Kambera, our Base Camp on-site for the territories of eastern Indonesia, with the "Truck of Life" program that we recently launched, is able to carry out screening campaigns, Antigen or PCR tests, and of course, participate in the common effort of vaccination for all.

Tests, Vaccines, careActo with us to fight the pandemic

How your donations are used?Your donations pay for tons of food, medical treatments, solutions to have a better and healthier life!Thank you very much for your support

%

Socio-Medical Mission

%

Fundraising

%

Management & General Admin

Your donationMatters a lot to them!Your gift will help us provide solutions for an healthier life, to all thos in need

How your donationsAre used?Your gifts provide medical care, life-saving resources, to tens of thousands of people

The key to anHealthy living is to Simply being with people, understanding them and helping them according to their real needs