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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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
Kullup is a hole in the rock to collect rainwater
This new "Picture of the Day" shows you kids from the village of Laidatang, who fetch water far from home in the "Kullup" of the village. Elthon, responsible for documentation (with the black t-shirt), and Alex, from the medical staff, are also present in this photo. With the kids and one or two adults accompanying us, we walk more than an hour to reach this place in the middle of a high hill. You must descend a steep path to access these hand-dug holes in the rock. In 30 minutes, we will have to go up the hill and walk back. But this time, loaded with several jerrycans filled to the brim.
The Fair Future and Kawan Baik teams spend two days with the families of the ultra-rural and isolated village of Laindatang to get to know them even better. In this village, we have the project to create a #WaterConnections project. I let you read here the articles related to this project and here to see what your want to do to save their lives,
In Laindatang, families only have access to rainwater. It's for everything: eating, drinking, cooking, bathing, washing clothes, drinking water, caring for children, sick people or watering animals. Therefore, one of the ways for women and young girls to have water at home to live on is to walk several kilometres to find the "Kullup".
Kullup, what is it? These are small stone basins, directly dug into the rock by the villagers, used to collect and store rainwater in rural areas. When it rains, the water seeps into the ground at the top of the hill and then is filtered through the earth and the basements. It flows drop by drop in these stone basins, the "Kullup". Then the villagers come to fill their jerrycans with five or ten litres.
The "Kuluk" are an essential water source for the local communities. But the quality of stored water can be affected by bacterial contamination, chemicals, animal waste or debris. Therefore, regularly cleaning these small holes in the rock is essential to maintain water quality. It is important to note that the "kuluk" is only a temporary solution to the water crisis in areas with limited access to drinking water. Indeed, the "kuluks" cannot fill up correctly without rain. They dry out about ten days after the last rains and remain dry for almost nine months. To find water, young girls, women and children, sometimes under five, will have to walk even further and longer.
Our two organizations work with local communities to implement longer-term solutions, such as constructing water supply networks using deep boreholes and sealed and healthy rainwater cisterns. The Water Connections program offers innovative and sustainable solutions. It includes promoting water conservation practices with “Kawan Sehat” and self-sustaining access to Primary Medical Care through the PMC program.
Helping ultra-rural families to have a healthier life
This new "Picture of the Day" features Kawan Ino, one of the Fair Future team members in Sumba (Rumah Kambera Leader), talking to health workers and the village community of Kabanda. To do this, he uses the "Kawan Sehat" book we produced at the end of 2022 for children in these regions. This book is an integral part of the program of access to primary medical care for children in ultra-rural areas.
We spend two days here, and you can read what we have done in Kabanda. This village is genuinely one of the most isolated I have ever seen. Getting it is difficult, even dangerous, at times. No road leads to this village; only extremely steep or steep stony paths allow us to go there. Kawan Ino explains how to have a healthier life thanks to implementing specific things in everyday life. This includes physical and mental health, body and home hygiene, daily habits and women empowerment.
Thanks to the Kawan Sehat program, we see a significant improvement in the health and well-being of rural populations. It is truly heartening to see healthy habits being encouraged and access to health care increasing. It is vital that everyone has access to quality health care, and we are happy that this program allows more people to receive the care they need.
Here, when a person is sick or injured while a woman is due to give birth, one of the only ways for her to receive medical attention is to carry her on people's backs for several hours or even a whole day until the nearest health centre. This person also does not know if he will arrive in time at the medical centre, called "Puskesmas or Pustu", as we have seen on several occasions.
This is why this book is necessary: “Kawan Sehat” is intended for schools and teachers. It's an amazing teaching aid for them, and kids love it. Nothing is done here to give children the means to learn from an early age how to wash themselves, eat healthier, use soap, and learn not to pollute or brush their teeth etc… In the classrooms here in East Sumba, the book“Kawan Sehat” is the only one available for children; there are no others.
Access to clean water is vital for human health
This "Picture of the Day" shows young children's struggles in East Sumba. The jerry cans are heavy and sometimes more prominent than the children themselves. With limited access to drinking water sources, the kids who live there (here in these images in the villages of Kabanda, Mahu, Laindatang, and Tana Mbanas) are forced to walk long distances to fetch water. Water in rivers or wells which are also contaminated. It takes up a lot of their time and puts them at risk of injury or illness by carrying heavy loads of water. Lack of access to clean water also contributes to poor hygiene and sanitation practices, further compounding the health problems of those East Sumba communities where Kawan Baik and Fair Future work so hard. Together, we are taking action to improve access to clean water sources, in these areas where no roads lead, to ensure the health and well-being of young children and their families. In addition to the physical hardship of fetching water, and as explained in this post, children in rural areas of East Sumba are often deprived of education and other opportunities because of this task. It is widespread (like in this picture of the day) that they miss school or other activities to help collect water, which affects their academic progress and social development.
Here people mainly only have access to contaminated water. This leads to many diseases, including gastrointestinal infections, skin diseases, parasitic diseases and other infectious diseases such as Malaria, Dengue Fever, Cholera, typhoid fever, hepatitis A or diarrhoea. Children and the elderly are particularly vulnerable to illnesses caused by contaminated water, a significant cause of infant mortality here.
In conclusion, ensuring access to clean water through a program like the #waterconnections project is our top priority that cannot be overlooked. Access to clean water is essential to sustaining life and maintaining good health for everyone here. Water plays a vital role in preventing the spread of the diseases mentioned above, ensuring people can lead healthier lives. Whether for drinking, cooking or cleaning, clean water is essential for everyday life. Without access, communities in the ultra-rural areas of East Sumba suffer from a lack of sanitation and hygiene, leading to various health problems.
Therefore, we must do everything we can to ensure that clean water is available to everyone who needs it.
Let’s prevent malaria rather than cure it!
In this "Picture of the Day" shows you three children from Kabanda Village in East Sumba (read this post here), where the PMC program is in place. In this village, very far from everything, especially health centres, malaria is very active and wreaking havoc. We are talking about 80% of children under 12 are affected. It is, therefore, essential to prevent and train families. This is what we are doing here.
The daily observations concerning the causes of malaria are multiple here. These include, in particular, the lack of access to health care, information on prevention methods, the unavailability of health centres and sanitation, and the growing resistance to antimalarial drugs for regions with access to these treatments.
A reminder for all Kawans: Malaria is transmitted by female mosquitoes of the "Genus Anopheles", throughout the East Sumba region. These mosquitoes breed in standing water, such as rainwater storage tanks and open water sources, most of the time in rural and deprived areas of East Sumba.
As Fair Future has repeatedly seen and repeated for years, the consequences of malaria are serious if nothing is done to treat it: High fever, severe headache, nausea and vomiting. If not treated quickly, the disease can progress and lead to severe complications, including kidney failure, anaemia, seizures and death.
It is essential to train families and rural communities to protect themselves from this disease to reduce its transmission. Also, by learning how to prevent and treat Malaria, rural families and communities will reduce the economic and social burden of the disease. Malaria entails high costs for families and communities, particularly medical expenses (if they can access them), school absenteeism, and reduced productivity.
As we apply it with the Primary Medical Care Program (PMC), training families and rural communities to protect themselves from malaria contributes to strengthening the resilience of these populations in the face of epidemics of infectious diseases such as HIV, Tuberculosis, Gastroenteritis, cholera etc…
Alexandre Wettstein from the Foundation’s Medico-Social Camp in East Sumba, Rumah Kambera, Lambanapu, on the 2nd of May 2023
Reduce health risks with clean water for families
In this "Picture of the Day" shows you what children do several times a day: Fetch water for the family with some 5-litre jerrycans. Most of the time, the young girls take care of this. Here in this photo, it is a young child of ten years. There are no daughters in the family. He does this job instead of going to school. He and his family have only two litres or less of water a day for eating, drinking, bathing and everything else.
Unfortunately, like here in Tana Mbanas (Sumba Tenggah), there is still a vast majority of villages in Sumba that do not have access to clean drinking water. In these villages, the inhabitants often depend on surface water sources such as rivers, lakes or ponds, which bacteria, viruses, chemicals or by animals and insects mostly contaminate.
The lack of clean water has severe consequences for the health of the inhabitants. Waterborne diseases, such as diarrhoea, cholera and typhoid, hepatitis A, Malaria and Dengue fever, are common where access to clean water and toilets is limited or absent. These diseases can be severe and even fatal, especially in children, pregnant women and the elderly.
To help villages without clean water in Sumba, Fair Future and Kawan Baik are implementing effective measures to improve access to clean and healthy water. Our solutions include drilling deep wells with our equipment, construction of water treatment plants, storage tanks, rainwater harvesting and storage, and installation of water management systems—irrigation and construction of healthy sanitation facilities.
We are still seeking funding and technical resources to set up sustainable, safe and clean water infrastructure in this region, one of the world's poorest and most dry.
Alexandre Wettstein from the Foundation’s Medico-Social Camp in East Sumba, Rumah Kambera, Lambanapu, on Mai 1st, 2023.
Fighting Malaria in Eastern Indonesia
East Sumba, where we work at the time of writing this article, was experiencing a dramatic malaria epidemic. In the first quarter of 2023, there were more than 28,000 cases of Malaria, a significant increase from the previous year. A few months ago, Fair Future declared this life-threatening emergency. Despite our best efforts, Malaria cases are increasing. Here, when a child has a fever, it is more than 80% of the time a question of Malaria. We conduct health education campaigns to raise awareness of the importance of malaria prevention and early detection. Efforts to control the epidemic should include the distribution of mosquito nets, the provision of essential antimalarial drugs, as well as rapid diagnostic tests.
Medical care for children affected by Malaria
In this "Picture of the Day", Fair Future and Kawan Baik medical teams provide medical care to a child most likely affected by Malaria. He is less than two years old and has a fever of 40.6. Her symptoms fit this diagnosis of Malaria. We give him appropriate primary medical care to reduce his fever as quickly as possible. Then he will go for treatment tomorrow at the nearest health centre, more than three hours from the village.
Malaria is a severe public health problem, especially in the ultra-rural and impoverished areas where Fair Future and Kawan Baik Foundations work so hard. Malaria is a life-threatening disease caused by the Plasmodium parasite is transmitted to humans through the bites of infected female Anopheles mosquitoes. Children under five and pregnant women are also particularly vulnerable to Malaria, as their immune systems are less developed and may have more difficulty fighting infection. People suffering from chronic illnesses are also vulnerable (HIV, Hepatitis, malnutrition, etc.)
Ultra-rural and poor areas such as East Sumba are particularly vulnerable to the spread of Malaria due to factors such as lack of water or contaminated water, deplorable housing conditions, lack of access to healthcare health and preventive measures, inadequate sanitation… Moreover, here we do not have antimalarial drugs nor rapid tests to detect the disease. This makes our treatment and prevention work very difficult.
PMC program evaluation in Lapinu
These women linked to the PMC program devote part of their lives to saving others. These unsung heroines work tirelessly to keep people from the danger of illness and injury. They put their lives on the line to ensure others can live to see another day. Teachers trained in primary medical care, these women are the backbone of these ultra-rural communities in East Sumba. They exemplify true bravery and selflessness, and we are eternally grateful for their service. Therefore, we express our deep gratitude to all women who save lives. Thanks for what you’re doing for the others.
PMC program evaluation in Kabanda
Kabanda is genuinely one of the most isolated I have ever seen. Getting it is difficult, even dangerous, at times. No road leads to this village; only extremely steep or steep stony paths allow us to go there. It took us over six hours to get there, including four hours of absolute terrain with the Truck of Life, a 4×4 medical truck specially designed for this journey. Kabanda is no exception; so many villages are in the same situation: That is to say, they have no road leading there. This raises – among other things – the question of access to health care, of course. And it is for these types of communities that Fair Future exists, and together with our friends from Kawan Baik, Sumba Volunteer and Charis Foundation, we have created this primary medical care program.
Check blood pressure in rural areas
Here in the ultra-rural and poor areas where Fair Future Foundation and Kawan Baik Indonesia work, populations tend to have a higher prevalence of high blood pressure than in urban and wealthier areas. This is mainly due to poor diet, excessive tobacco consumption, and poor hydration. Of course, poverty and limited access to resources will also contribute to higher stress levels, increasing blood pressure. An unhealthy lifestyle increases the risk of cardiovascular disease and other health problems. We teach some “Kawan Sehat” health workers participating in the primary medical care program to measure blood pressure and take the necessary measures.
Check Blood Pressure as part of the PMC program
This new "Picture of the Day" shows you Mama Katerina, from the village of Lapinu, who is learning to take blood pressure with Dr Aldo. She knows what a systole is or a diastole is and from when and under what conditions there is hyper or hypotension. She will also learn to give appropriate medical treatment (Captopril) for high blood pressure.
As part of the Primary Medical Care program, Katerina and eight other "Kawan Sehat" health workers participate in this unique pilot experience. These women teachers can measure a patient's blood pressure and give appropriate medical treatment in case of hypertension.
It is a social and medical revolution, in our opinion. The fight and prevention of hypertension and cardiovascular diseases are essential here in the ultra-rural regions of eastern Indonesia. To be active and efficient, our medical teams provide knowledge and equipment (manual blood pressure measuring device, stethoscope) in each pilot village. They are five out of the thirty-five in which the PMC project is implemented.
This, for example, has led us to talk about active and passive smoking. To make it clear, tobacco is dangerous for your health, and it is also the cause of high blood pressure and, consequently, strokes, heart attacks, respiratory problems and a host of other related diseases at the cigarette shop.
PMC program evaluation in Mbatapuhu
Non-professionals who give medical care and medicine to people, sick children, and injured. They do so through a unique and innovative medical care program. Because here, there are no doctors, no health centre, or else too far away. No one has a vehicle, and the roads that lead to these villages are often impassable. This program saves and preserves the lives of children as well as adults. Today, we are in Mbatapuhu.