Through the Primary Medical Care program, Kawan Sehat health workers provide treatment for fevers, wounds, and malaria in villages lacking access to doctors. They carry essential medicines, adhere to established medical protocols, and refer emergency cases promptly to prevent delays in care.
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True stories. Real people. Humanitarian action in motion.
Here you’ll find stories from the field—100% real, 100% original. Every article is written by us, by those who live these moments, walk these roads, and treat these illnesses. We write them by hand, after the long days, often from tents or remote villages, because we believe in showing what’s real.
The people, the lives, the wounds, the repairs—this is not fiction. This is our daily reality in ultra-rural Indonesia. Every photo is taken by us. Every word comes from those who act. From emergency responses and clean water to child health and malaria cases, these stories reflect both the daily struggles and the incredible strength of those we serve.
Our News page is more than just updates. It’s a record of direct action. A collection of emotions, medical cases, construction progress, and social encounters. We don’t write for clicks—we write for those who care, those who want to know, and those who support our mission.
It’s raw, human, sometimes difficult, but always true. Read them, share them, let them move you. This is how change begins—with knowledge, emotion, and connection.
Alex Wettstein – Fair Future Foundation – Updated in June 2025
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Our latest articles
Malaria Program – Preparing and Mobilizing Resources
As we mentioned in last week’s newsletter, Fair Future Foundation, Kawan Baik Indonesia, and Sumba Volunteer are joining forces to launch a crucial health and medical operation to combat malaria in the Mahu region of East Sumba, Indonesia. The “Malaria Prevention Initiative 2023 – Sumba Timur 2023” aims to prevent, detect, and treat this devastating disease in one of the most affected regions. Malaria has become endemic in this area, establishing itself and finding a conducive environment for its spread, leading to an unprecedented increase in cases in recent months.
Disease prevention, detection and treatment in rural areas
The teams of Fair Future and Kawan Baik are highly respected for their steadfast dedication to assisting ill and underprivileged individuals residing in far-flung rural areas of eastern Indonesia. Their selflessness holds true significance to them. However, it's not widely known that their medical and social teams put in tireless efforts, even during nighttime and 7-day workweeks. Through this new "Picture of the Day," we offer you the opportunity to witness their work as they combat health issues like malaria, unsafe water, and malnutrition while sacrificing their sleep.
Diseases can strike at any time, even in the darkness of night. The teams, equipped with masks and Sumba coffee, fight against these illnesses. And during this time of the malaria epidemic, doctors, nurses and volunteers are working tirelessly to provide treatment to patients.
Their dedication and passion go above and beyond the call of duty, even working late into the night to provide lifesaving care. They save lives and do so with unwavering energy and enthusiasm.
On the spot, at all hours of the day or night, they not only treat the symptoms, they also attack the root causes of health problems. Fair Future and Kawan Baik foundation fight against diseases related to dirty water by providing facilities through the #waterconnections program and raising awareness in communities about the importance of hygiene. Their mission is to make communities more resilient and prevent diseases before they even appear.
Even when faced with difficult challenges and trying situations, the teams remain resilient and optimistic. Their sense of humor is a crucial component that aids them in overcoming tough times. It also fosters a strong bond between them, enabling them to maintain a positive outlook.
Alex Wettstein shares a few words about the Foundation's medical and social teams, who work tirelessly to help people who are sick or have urgent needs.
Water and sanitation are crucial in the fight against malaria
Check out the latest addition to our "Photo of the Day" collection featuring our colleague Kawean Essi. In the village of Mbinudita (East Sumba), Kawan Essi teaches a hundred villagers of all ages, including children, about the importance of clean and safe water and how it can lead to a healthier life. The "Water Connections" program is a practical approach to fight against various infectious diseases, such as malaria.
In the fight against malaria, it's essential to acknowledge the progress made. However, we must also recognize the crucial role of hygiene, clean water, and sanitation in eliminating this disease. This is why the Water Connections program exists – to provide access to these necessities.
At Fair Future, we understand that improving these fundamental aspects of daily life can significantly prevent malaria transmission and ultimately save lives. Addressing issues such as hygiene, water, and sanitation is crucial in the fight against malaria because they directly impact mosquito breeding, access to clean water, hygiene practices, and vector management.
We prioritize these issues in all our activities, particularly in implementing the "Malaria Prevention Initiative Sumba Timur 2023" program, which we aim to start as soon as possible as part of the PMC, Primary Medical Care program.
Together, we can dramatically reduce malaria transmission and improve the health and well-being of affected communities. We must prioritize these efforts to save lives, prevent unnecessary suffering, and move towards a significant decrease in malaria cases, especially here in Sumba, where we currently are.
Empowering Health and Transforming Lives of Children
This new "Picture of the Day" displays a gathering of children in one of the homes in the remote village of Mbatapuhu, East Sumba. Our dedicated socio-medical team educates them on the importance of self-care, utilizing the "Kawan Sehat" guidebook. This village is situated in a challenging location with no access to electricity, clean water, or sanitation facilities. The nearest medical centre is over two hours away by motorbike or a gruelling six-hour walk. The villagers rely on nature for their restroom needs. Unfortunately, due to poor hygiene practices, malaria has become a significant issue. Additionally, malnutrition is a primary concern in this impoverished and rural community.
In the remote villages of East Sumba, the Fair Future Foundation conducts information sessions for children under the "Kawan Sehat" program during every visit. We collaborate with members of these rural communities to disseminate crucial information on maintaining good health, accessing better healthcare, and protecting oneself from diseases like malaria and dengue fever. These sessions, which are both informative and fun, equip children with the knowledge they need to lead healthier, more promising lives.
Malaria and dengue fever are grave illnesses that frequently afflict the rural areas of East Sumba. Through these sessions, we educate children on preventive measures such as using insecticide-treated bed nets, eliminating stagnant water and seeking medical assistance immediately upon experiencing symptoms. Through promoting this knowledge, we hope to significantly reduce the incidence of these diseases and safeguard children's health. The "Malaria Prevention Initiative Sumba Timur 2023" program was launched to combat malaria.
These sessions are not limited to specific illnesses but also cover topics such as personal hygiene, balanced nutrition, and healthy lifestyles. Children are encouraged to adopt positive habits like handwashing, consuming nutritious foods, and exercising. By incorporating such practices into their daily lives, they can develop more robust, healthier, and resilient bodies.
The Fair Future and Kawan Baik teams empower children and strengthen entire communities by providing vital information on disease prevention and healthy habits.
Sumba Malaria Prevention Program 2023
Discover how the East Sumba Malaria Prevention Initiative we are presently executing is combatting this destructive ailment. By implementing preventive measures like distributing mosquito nets treated with insecticides and raising awareness on eliminating mosquito breeding sites, this initiative strives to diminish the occurrence of malaria in the area. Witness the combined efforts of Fair Future and Kawan Baik, working together with local authorities and the severely impacted ultra-rural communities, to safeguard the population against this mosquito-transmitted disease.
A healthier life thanks to the Water Connections program
This new "Picture of the Day" shows a delighted father who can now provide daily showers for his children, thanks to the newly installed water supply. Previously, they could only shower sporadically, sometimes only once a month. Additionally, the photo showcases the new sanitation facilities constructed in Mbinudita. The Water Connections project has successfully installed over forty reservoirs, thirty sanitary installations, three deep boreholes, and more than 15000 meters of HDPE pipes.
Water scarcity can be a significant source of stress for some regions, and various factors can cause it. Arid climates, low rainfall and prolonged droughts are just a few conditions that can contribute to water scarcity. Poor water resource management and a lack of knowledge can also exacerbate this problem, making it even more difficult for everyone to access the water they need to thrive.
Despite these challenges, Fair Future is working hard to address water scarcity and ensure people have access to this vital resource. That is why we have developed the Water Program Connections.
Fair Future and Kawan Baik have noticed a significant improvement in the behaviour of families who have benefited from the "Water Connections" initiative. This program has enabled people to grow gardens, consume healthier food, enjoy life more, reduce stress, and boost energy levels. As a result, there has been a marked decrease in illnesses.
Witnessing these positive changes fills us with joy and reinforces our conviction in our decisions. Fair Future and Kawan Baik Foundation have always aimed to improve individual health, and providing access to safe drinking water is a beautiful way to accomplish this objective. As a Medical Foundation, Fair Future Foundation understands clean water's significance for maintaining good health. Drinking enough clean and healthy water is crucial for various physiological processes, including body hydration, proper organ function, digestion, and elimination of toxins.
Access to clean and safe water prevents dehydration-related illnesses, such as urinary tract infections, kidney stones, and constipation. It also significantly prevents dehydration, particularly in hot areas where sweating and water loss through respiration are common. While water is necessary for maintaining good health, we understand better than anyone else that certain medical conditions may require alternative treatments.
Behavioral Impacts on Spread of Malaria
Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day" shows a young girl from Lapinu village who appears unwell. Taken in 2020, Alex examined her and used a stethoscope to listen to her heartbeat. In April 2023, we revisited the village as part of the Primary Medical Care program. Unfortunately, the girl contracted malaria and suffered from high fever, body pains, and poor overall health. However, after receiving treatment and giving advice to her mother, the little girl has shown significant improvement after just one month.
Our organisation is dedicated to promoting public health in ultra-rural regions of Indonesia (like here in East Sumba), and we're deeply concerned about the impact of malaria on vulnerable communities, as you know already. Sadly, malaria remains a leading cause of illness and death in Indonesia, particularly in East Sumba, where we are based.
Some little history: The word "malaria" originates in Italian. It comes from the expression "mal'aria", which translates as "bad air". This term was used historically to describe the belief that disease was caused by inhaling polluted or stale air in swampy areas. The Plasmodium parasite is responsible for causing malaria, and research suggests that it has been affecting humans for at least 4,000 years.
Several human behaviours contribute irreparably to the spread or persistence of malaria. Here are some of the factors that lead to an increase in malaria cases:
Failure to prevent mosquito bites, poor waste management, inadequate housing and sanitation, deterioration of hygienic conditions, deforestation, alterations to natural habitats, movement of people, drug resistance*** and misuse, limited access to health services, higher illiteracy rates among younger populations, and lack of community involvement and awareness can all lead to an increase in malaria cases… And this, among other examples!
As a result, many people, particularly children and pregnant women, continue to suffer from this preventable and treatable disease. Our program aims to tackle these issues head-on by implementing various activities to strengthen malaria control efforts in the region. It is crucial to highlight that combatting malaria demands a unified strategy encompassing preventive and therapeutic measures. It also involves initiatives to enhance the environment and living standards of communities affected by the disease.
***The problem of self-medication and the consequent development of resistance to antimalarial drugs are two interconnected challenges that significantly hinder the effective management and control of malaria.
Our aim is to take swift action against malaria
Malaria has a significant impact on Eastern Indonesia, specifically Sumba Timur, due to its remote and inaccessible locations, insufficient healthcare infrastructure, and limited preventative measures. Plasmodium falciparum and Plasmodium vivax malaria are both prevalent in these areas, with malaria transmission occurring year-round. We have partnered with various donors and organizations to take swift and efficient action to address this critical health issue.
Beyond Borders, Fighting Malaria Together in Eastern Indonesia
Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day" shows three kids between 8 and 12 years old. Children are among the most vulnerable malaria victims in Indonesia, especially in the east of the country and of course here, where we work with Fair Future, Kawan Baik foundations and all our partners and friends.
The health and well-being of children in eastern Indonesia are threatened by malaria, which hinders their growth, development, and quality of life. Our organizations have a deep understanding of the urgency to address this issue, and we are working hard on our disease control program, which is of utmost importance. We have a strong track record of working in these regions where the epidemic affects about 80% of children. Collaborative efforts are underway to combat malaria and prioritize the welfare of children in these areas.
Young children are at a higher risk of contracting malaria due to their underdeveloped immune systems. Living in rural and poor areas with limited access to preventive measures only exacerbates the severity of symptoms if infected. A contributing factor is that young children typically haven't been exposed to the malaria parasite enough times to build up immunity* against it.
It can be challenging for young children in our regions to communicate or identify the symptoms of malaria, and their parents may not be familiar with them either. As a result, affected children may display non-specific symptoms like fever, tiredness, loss of appetite, irritability, and vomiting, which could easily be mistaken for other common childhood illnesses like drinking contaminated water. Consequently, this can cause delays in diagnosing and treating malaria accurately
*Some additional explanation: People living in malaria-endemic areas gradually develop acquired immunity, which reduces their susceptibility to severe infections in the future.
Primary Medical Care Progress Report
The Primary Medical Care (PMC) program has made a remarkable difference in the rural communities of East Sumba, providing over a thousand treatments that offer critical medical assistance to those in need. Through their unwavering dedication and hard work, the women of the region have been empowered to take control of the health and welfare of their ultra-rural communities. By providing them with the essential knowledge, resources and tools, we have successfully equipped them to face all the socio-medical challenges that come their way. Over nearly five months, Fair Future and Kawan Baik, our partners, all participants, and teams collaborated to go above and beyond in reaching the most challenging areas and evaluating the impact of the field program. The results are awe-inspiring, leaving no doubt that the Primary Medical Care program is the definitive solution to ensure everyone can access emergency medical assistance.
Malaria in East Sumba: All villages turned Red!
This new "Picture of the Day" shows you a brave but sad mom who asks for care for her little boy. She is a courageous but sad mother who seeks care for her little boy, who suffers from Malaria. With pain and more than 40 fever, He is the example of the "typical patient" here: Under five years old, this family lives in an ultra-rural and marginalized area. She is poor, and they don't have access to medical care or enough food and clean water; They don't have toilets either. Moreover, the whole village does not have access to electricity.
The medical staff of Kawan Baik and Fair Future Foundation bring him relief and medicine to lower his fever and get better as soon as possible. We also talk to the mother and give her good advice.
Let me re-explain to you what malaria is and why this disease is hazardous, and the categories of people it affects in the first place:
Malaria is caused by parasites transmitted by the bites of infected mosquitoes. Although anyone can get malaria, specific categories of people are more susceptible to severe illness and complications. We find that the impact of malaria varies by geographic region and local health infrastructure. Our efforts to fight malaria focus on prevention through measures such as the establishment of the Primary Medical Care Program (PMC), mosquito nets, spraying in villages (fogging), and learning to wash with an "ani-malaria or disinfectant" soap, among others.
1. First, children under five: This is because young children have a weaker immune system and have not yet developed immunity to disease. They are more likely to have serious symptoms and complications, including severe anaemia and cerebral malaria, which can be life-threatening. This is the case here: Infant mortality is very high in ultra-rural areas and marginalized populations of East Sumba.
2. But also pregnant women: Of course, malaria can have adverse effects on both the mother and the unborn child. Pregnant women are at an increased risk of developing severe malaria, leading to complications such as maternal anaemia, spontaneous abortion, stillbirth or low birth weight infants. I spoke to you about a similar case in Kabanda, right?
Public health interventions to provide vital advice to the most affected populations via the #kawansehat program are essential. You have to be close to people if you want to advise them on the best way to have a healthier life.
3. Ultra-rural and marginalized populations: Communities living in rural and remote areas, often with limited access to health care, such as here in East Sumba, are disproportionately affected by malaria. Factors such as poverty, lack of knowledge about preventive measures and limited access to health services contribute to malaria's higher prevalence and impact in these communities.
4. Immunocompromised people: People with weakened immune systems, such as those living with HIV/AIDS, are more likely to contract severe malaria. We are also talking about people with chronic illnesses. Malaria can also aggravate the progression of HIV infection. And concerning the rate of HIV-positive people here is also very high, even with very few tests being conducted.
Happy to have water without going far to get it
This new "Picture of the Day" shows you a 12-year-old kid named Yaspan. He was born in a tiny village in East Sumba where Fair Future and Kawan Baik have worked for over four years. We built a new school for him a few years ago, #sdmbinudita, and now he and his family have clean water reaching his house, which was not the case before. Yaspan and all his friends from the Village of Mbinudita are lucky because children struggle to get water everywhere else. They have to find it very far on foot; to do this, they miss school, get injured, and fall ill.
There's something inexplicably satisfying about the heavy rains in ultra-rural East Sumba, especially when you live in a water-scarce area: The sound of raindrops hitting the roof is soothing, and the smell of wet earth is refreshing; plus, you feel good because you know that this rain will help the family. When it rains a lot, kids and families here can't help but be happy knowing that their water tanks will be filled and they won't have to worry about running out of water for a moment.
"-It's a small blessing for which I am grateful, and I always make sure to take advantage of the rain while it lasts…" a friend from the village told me last month.
Heavy rains like the ones we experienced last month in one of the ultra-rural villages in East Sumba, where we work with Fair Future and Kawan Baik Indonesia foundations, are also an opportunity to celebrate as these kids wade through the water. They are the first to be happy because they won't have to walk for hours to fetch water far from home.
With those heavy rains comes plenty of water and the relief of much-needed hydration. The floods will provide much-needed food for crops, wash livestock and provide villagers with general water and sanitation assistance. With the bonus of increased economic activity and improved social well-being from the new abundance of water, these small floods are becoming the opportunity of a lifetime for the villages of Sumba. With increased water storage, a healthier environment and better living conditions, small floods caused by heavy rains are the perfect way to improve the lives of villagers in these areas where water is absent.
It's interesting to consider that what may be a challenge for many of us is a helpful solution for these families.