Illness often begins long before someone arrives at the hospital. Our campaigns on smoking, waste management, alcohol, and sexual health display straightforward messages across schools and village walls in local languages. Through simple posters, talks, and games, we help protect thousands of children.
Donate
Support Care
Programs
All projects
Quick News
Field updates
Stories
Field stories
Fair Future Foundation, a Swiss-based non-profit, is an innovative force in global healthcare and social aid.
Know your status, take an HIV test now – HIV prevention poster used by Kawan Sehat health agents.
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
%
Social and medical actions
%
Fundraising work
%
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.
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.
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.
Keep in Touch via Instagram
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
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
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.
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.
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.
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.
