Malaria continues to pose a daily threat in this area. Through Kawan Against Malaria, we monitor cases, test all fevers, protect homes, and educate families. The use of bed nets, spraying, and prompt treatment turns statistical data into lives that endure quietly, rather than ending prematurely.
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Fair Future Foundation, a Swiss-based non-profit, is an innovative force in global healthcare and social aid.
We work in some of the most remote regions of Southeast Asia, where there are no doctors, no electricity, and often no clean water. For over sixteen years, Fair Future has been on the ground, creating long-term medical and social solutions with the communities who live here.
Through the Primary Medical Care programme, we treat wounds, infections, HIV, malaria, tuberculosis, and chronic illnesses directly in remote villages. With access to clean water, safe reservoirs, and nutritional support, communities can finally prevent disease rather than suffer from it.
Our approach is simple: stay close, listen, understand, and act with science and solidarity. Every action we take aims to strengthen families, improve health, and reduce preventable deaths.
Your support sustains this work. It transforms long days under the sun, muddy roads, and emergency care into measurable change for those who have nowhere else to turn. Alex Wettstein – Fair Future Foundation – Updated in November 2025
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.
Explore our field work and medical reports
Search our articles, field stories, medical updates, and project reports from the ground
Stories from the Field
Real moments from our medical and humanitarian missions in ultra-rural Indonesia. Nothing arranged — just life, as we live it with them.
How your donations are used?
Fair Future directs 93% of every donated franc to field projects, including medical care, clean water systems, and malaria prevention. Full financial reports are published and audited annually
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Social and medical actions
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Fundraising work
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Field operations and management
WHAT WE ARE DOING NOW
Field stories of wounds treated, clean water built, and families protected
These articles are not reports — they are moments from the field. They show how we care for wound infections, bring clean water to villages, train health agents, and travel days to reach isolated families. This is the reality of our medical work.
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.
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.
Our 2024 Impact in Remote Villages
These figures reflect real patients, real treatments, and real kilometres crossed to bring care where no doctor is available.
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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Real moments from our medical, water, and community missions in ultra-rural Indonesia. Nothing staged — just the daily reality of our work on the ground.
One story that explains our work
Our core programmes in ultra rural Indonesia
We work in the extreme east of Indonesia, in ultra rural villages with no doctors, no electricity, and often no clean water. These programmes turn medical knowledge, community effort, and solidarity into concrete solutions for families who live far from any form of care.
















