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Community trainings on malaria, hygiene and safe water

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Better year ahead from East Indonesia with Fair Future

As 2025 comes to an end in East Indonesia, Fair Future teams share a better year ahead East Indonesia message rooted in presence, care, and responsibility. After 16 years on the ground, our commitment remains focused on health access prevention and dignity where needs are greatest.

Merry Christmas 2025 from East Indonesia with Fair Future

Tonight is Christmas Eve in East Indonesia. While families gather elsewhere, Fair Future teams share a message of presence, gratitude, and community from the field, where Christmas has no snow but the same human warmth.

Skin infection prevention in rural Indonesia

Skin infections are not cosmetic. In ultra rural areas, small cuts, insect bites, or scratched skin can quickly become dangerous infections. Heat, dirty water, and delayed care increase the risk. Early cleaning and simple prevention save lives every day in the field.

Help deliver medical care where no doctors work

Every contribution funds direct care in remote villages. Medicines, wound treatment, diagnostic tests, clean water systems, and solar-powered cold chains to protect vaccines and enable care at night.

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WHAT WE ARE DOING NOW

Fighting Malaria in Eastern Indonesia

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.

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Medical care for children affected by Malaria

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.

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PMC program evaluation in Lapinu

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.

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PMC program evaluation in Kabanda

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.

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Check blood pressure in rural areas

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.

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Check Blood Pressure as part of the PMC program

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.

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PMC program evaluation in Mbatapuhu

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.

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Giving life to the village of Laindatang

Giving life to the village of Laindatang

The current priority in this village is to give them clean, safe water and sanitation. Here, families must walk for miles, sometimes more than 10 hours, to bring a few litres of clean water home. People here have less than 2 litres per day and a person to drink, eat, go to the toilets, and wash. So you have to make sacrifices. Malaria is taking its toll here, just like infectious diseases that considerably weaken families' health, especially those of children under five. This is a critical situation for us on a health level. Still, on a social level, Fair Future and Kawan Baik, in collaboration with the local authorities, wish to start a simple Water Connections project in this village as soon as possible.

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Our 2024 Impact in Remote Villages

Medical consultations delivered in ultra-rural villages where no doctor, no clinic, and no alternative care exists.

Litres of safe water storage built or funded, allowing families to drink, cook, and wash without risking disease.

People reached through daily health education on hygiene, malaria prevention, clean water, and basic nutrition.

Children who can now study, read, and move safely after dark thanks to clean, reliable solar light in their homes and schools.

2024 Annual Report – 15 Years of Concrete Action

Discover Fair Future’s 2024 Annual Report—a compelling testament to our work in East Sumba, from primary healthcare and access to clean water to nutrition and education programmes. This year marked our 15th anniversary, a significant milestone in resilience, impact, and innovation. The full report, available in both French and English, reflects the lives we have touched and the urgent challenges that lie ahead.

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One story that explains our work

A story you shouldn’t skip

Climate change is no longer tomorrow’s problem. In East Indonesia, it already shapes daily illness, hunger, and water scarcity.

Our core programmes in ultra rural Indonesia

Medical agent providing care in ultra-rural village

Primary Medical Care

Trained Kawan Sehat health agents provide first line medical care in villages without doctors. With equipped medical backpacks and remote supervision, they treat wounds, infections, fevers, malaria, and chronic illness for 700 to 1 000 patients every month. This programme prevents simple problems from becoming emergencies.


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Medical agent providing care in ultra-rural village

Water Connections

We drill wells, build ferrocement reservoirs, and install safe water points so families can drink, cook, wash, and grow food without risking disease. Clean water reduces diarrhoea, malnutrition, and many infections we see daily in our clinics. Every tank and every tap is a public health intervention.


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Medical agent providing care in ultra-rural village

Kawan Against Malaria

In malaria endemic areas we combine prevention, rapid tests, treatment, and education. Long lasting insecticidal nets, indoor spraying, field studies, and posters help reduce fevers, anaemia, and deaths, especially among children and pregnant women. This programme links community action with rigorous medical follow up.


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Medical agent providing care in ultra-rural village

Light and Energy for Health

With partners such as SolarBuddy and Smart Energy Tech, we bring solar light and basic electricity to schools, homes, and health posts. Light at night means safer deliveries, homework after sunset, functioning fridges for vaccines, and fewer injuries on dark paths. Energy access becomes a tool to protect health.


See how this programme works