From the field in East Sumba. Medical care, clean water, prevention and community health where access remains difficult.
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Health & Medical Program
Kawan Against Malaria
Year-round malaria prevention, parasite-based diagnosis, treatment support and vector control with families across remote East Sumba.
- Active across East Sumba since 2022
- Thousands of insecticide-treated nets distributed
- Hundreds of homes protected through IRS
Malaria control must continue after a campaign leaves
In remote East Sumba, exposure, fever and delayed access are part of daily life. Since 2022, Kawan Against Malaria has worked with families throughout the year: preventing bites, testing suspected cases, supporting appropriate treatment and recognising when a patient needs urgent referral.
The programme
A continuous malaria programme built around families
Malaria is preventable and curable, but the first symptoms can resemble many other infections. A patient needs observation, a parasite-based test and timely clinical decisions, not treatment based on fever alone.
Since 2022, Kawan Against Malaria has brought prevention and clinical action into remote villages. Kawan Sehat agents meet people at home, assess fever, support rapid testing, explain results, follow patients and refer danger signs. During community medical days, teams add broader clinical assessment, malaria screening, microscopy where available, medicines, prevention education and follow-up.
The programme also acts before anyone becomes ill. Thousands of insecticide-treated nets have been distributed, hundreds of homes have received indoor residual spraying, and families learn how to reduce exposure, recognise symptoms and seek testing early. The 2025 Umalulu study is one carefully documented part of this wider programme. It helps measure household risk and refine future action; it does not define the programme on its own.
Prevention, testing, treatment support, training, surveillance and referral continue throughout the year.
Repeated village actions combine net distribution with practical teaching on correct use, care, repair and replacement.
Indoor residual spraying is carried out as part of wider vector-control work by trained teams following safety protocols.
Kawan Sehat agents and community medical teams assess fever, support parasite-based diagnosis and follow patients in remote villages.
From suspected malaria to safer care
A fever must move through a reliable clinical pathway
Early action matters, but speed without diagnostic discipline can miss malaria, overlook another serious infection or expose a patient to the wrong medicine.
Recognise possible malaria
Fever, chills, headache, weakness and recent exposure are taken seriously, with particular caution for young children, pregnant women and people who are already fragile.
Confirm the parasite
A rapid diagnostic test or microscopy is used whenever available. Parasite-based diagnosis guides treatment and helps avoid treating every fever as malaria.
Assess severity
Consciousness, breathing, hydration, repeated vomiting, convulsions, jaundice, bleeding and the ability to drink help determine whether referral is urgent.
Treat or refer safely
Confirmed uncomplicated malaria follows approved national protocols through qualified services. Severe disease, uncertainty or unavailable treatment requires rapid referral.
Follow up and protect
Recovery, medicine completion and recurring fever are reviewed while the household receives practical support on nets, mosquito exposure and when to seek care again.
Fever is not a diagnosis
Local action must remain clinically safe
The programme brings prevention and diagnostic access closer to families while keeping clear limits. Severe malaria can progress rapidly, and other dangerous infections may begin with the same fever.
What the programme can do safely
- Document fever history, exposure, previous treatment and household risk
- Teach early symptoms, danger signs and when waiting is no longer safe
- Provide and demonstrate correct use and care of insecticidal mosquito nets
- Support rapid testing and microscopy through trained health personnel
- Carry out indoor residual spraying under controlled safety protocols
- Connect confirmed or worsening cases to treatment, referral and follow-up
When urgent referral is required
- Altered consciousness, repeated convulsions, collapse or extreme weakness
- Difficulty breathing, shock, severe pallor or suspected severe anaemia
- Inability to drink, persistent vomiting or signs of severe dehydration
- Jaundice, dark or bloody urine, abnormal bleeding or rapidly worsening illness
- Fever in a very young child, during pregnancy or in a highly vulnerable patient
- Any suspected malaria when testing, appropriate treatment or safe monitoring is unavailable
A diagnosis is not a device alone. It depends on correct sampling, slide preparation, reading, recording, clinical interpretation and a treatment pathway that the patient can actually reach.
The diagnostic and prevention chain
Every tool must lead to a safer decision
Rapid tests, microscopes, mosquito nets and sprayers only protect people when training, quality control, clear protocols, stock management and follow-up remain connected. Kawan Against Malaria builds that chain with local teams rather than delivering isolated equipment.
Household knowledge
Families learn how malaria is transmitted, how to use and repair nets, where mosquitoes breed and which symptoms require testing.
Parasite-based diagnosis
Rapid diagnostic tests support early decisions, while microscopy strengthens species identification, parasite detection and laboratory capacity.
Vector control
LLIN distribution and indoor residual spraying are documented, explained and adapted to the condition of each household.
Treatment and follow-up
Confirmed cases are connected to approved treatment and reviewed for deterioration, recurring fever, adherence and referral needs.
What changes in practice
Malaria control becomes local, measured and repeatable
Fewer fevers are treated blindly
Testing separates confirmed malaria from other causes of fever and directs patients towards more appropriate care.
Protection fits the household
Net condition, sleeping spaces, wall surfaces, behaviour and exposure are observed before prevention is planned.
Severe disease is recognised earlier
Families and local agents share a practical language for danger signs, urgent referral and the limits of home care.
Local data changes the next action
Household evidence, test results and field records guide training, supplies, vector control and follow-up instead of assumptions.
Complete field reportThe full Umalulu reportOpen the complete report, including household evidence, field observations and action priorities from the 2025 study.
Scientific reportIMRaD methods and resultsOpen the scientific version covering methodology, findings, discussion, limitations and public-health implications.
Field resultsEast Sumba prevention in practiceSee how education, LLINs, IRS, diagnostics and village partnerships were delivered and documented.
Diagnostic capacityMicroscopy training and validationFollow the practical work of preparing, reading and discussing malaria slides with local laboratory teams.
Live field recordField Notes from Eastern IndonesiaRead current observations from testing, prevention sessions, household work and the realities teams meet in remote villages.
Field guide & glossaryMalaria terms explainedOpen practical explanations of RDTs, microscopy, LLINs, IRS, parasites, referral and community surveillance.
Medical referenceWHO guidelines for malariaConsult the current evidence-based recommendations for diagnosis, treatment, prevention, vector control and surveillance.
Live from the field
Kawan Against Malaria Field Notes, as the work happens
Two recent field signals from testing, microscopy, household prevention, mosquito-net use or vector control. These notes refresh when a relevant Field Note is published.
Directly from the field
Latest Kawan Against Malaria reports
These reports follow the continuing programme: fever assessment, rapid tests, microscopy, treatment support, LLIN distribution, indoor residual spraying, education, referral and the limits teams meet in remote villages.
Malaria Crisis in Umalulu: A Structural Emergency
In Umalulu, nearly all children at a six-class primary school have already had malaria. With infection rates over 50% and national health budgets slashed, we’re launching an urgent study to understand and combat this deadly disease. Our goal: real, scalable solutions for one of Indonesia’s most affected regions.
Massive Humanitarian Mission Begins in East Indonesia
A five-month humanitarian mission begins in Sumba, bringing medical care, water access, and solar energy to isolated communities. Fair Future is delivering 3 tons of supplies, launching a malaria study, and building vital infrastructure to improve lives where help is most needed.
Fair Future Distributes Long-Lasting Mosquito Nets
We’re purchasing over 300 long-lasting insecticidal nets (LLINs) to protect families from malaria in Umalulu and beyond. These high-quality, extra-resistant nets last over 5 years and are a crucial tool in our #ZeroMalaria program. Costing nearly $20 each, they are a major investment in health and prevention.
Malaria Study in Umalulu for Urgent Health Solutions
Fair Future Foundation is launching a vital malaria study in Umalulu, one of the most affected regions in East Sumba. This research will assess infection rates, risk factors, and healthcare needs to build an effective malaria response, ensuring long-term health solutions for this remote community.
Fair Future Launches New Malaria Research Project
Fair Future is allocating nearly 90M IDR (4,900 CHF) to study malaria in East Sumba, one of the most infected regions. This research will assess needs, understand disease spread, and involve communities in finding the best solutions. An essential step in the fight against this deadly disease. #ZeroMalaria
Local Impact: Fighting Malaria with Prevention and Care
The Fair Future Foundation and Rotary International have launched the Zero Malaria Program to combat malaria in remote Indonesian regions. Our efforts include distributing insecticide-treated nets, conducting rapid diagnostic tests, and educating families on disease prevention.
Collaboration with Rotary Club Australia in East Sumba
From April 17 to 24, Fair Future hosted five members of the Rotary Club Australia. They visited East Sumba to learn about our work, including clean water projects and efforts to combat diseases like malaria and dengue. Together, we distributed SolarBuddy lights and promoted healthy living. We deeply appreciated their support.
Rumah Kambera Pharmacy: Bridging Medical Gaps in East Sumba
In East Sumba, the Rumah Kambera Base Camp’s pharmacy is a lifeline for many who rely on essential medicines and health programs like #PrimaryMedicalCare and #ZeroMalaria. But we can’t do it alone. We need your help to bridge the medical gap and ensure access to healthcare for all.
A Journey of Hope in our Fight Against Malaria
Combating Malaria | A Journey of Hope. Witness the valor of Fair Future’s teams in their relentless #ZeroMalaria campaign. This gripping film is more than a narrative—it’s an intimate portrayal of the life-saving quest in Eastern Indonesia’s ultra-rural heartlands, where hope emerges against the odds.
Echoes from Lulundilu: Nine Children’s Fight Against Malaria
Amidst the rugged beauty of East Sumba’s Lulundilu, the stark reality of nine children’s daily battle with malaria unfolds. Their barefoot steps and courageous hearts reveal a narrative of resilience and hope that Fair Future Foundation is dedicated to supporting.
Detecting Malaria: Life-Saving Screenings in Rural Areas
In the remote regions of East Sumba, each blood sample tells a story of survival. Fair Future’s detection and screening initiatives are more than medical procedures; they’re gateways to a malaria-free existence. With every slide examined, we’re inching closer to a future where health prevails.
Donate Now: ZeroMalaria’s Urgent Fight in Eastern Sumba
The rainy season is weeks away and malaria cases in Eastern Sumba are about to rise sharply. Fair Future’s ZeroMalaria program urgently needs your donation for crucial medical supplies like diagnostic kits and antimalarial medications. Your support directly equips our medical teams and saves lives. Act now.
Accountability
Malaria control must remain measurable after the campaign leaves
We document households reached, tests performed, confirmed cases, nets distributed, surfaces sprayed, people trained, referrals made and gaps that remain. Kawan Against Malaria is not a one-day distribution. It is a continuing clinical and public-health process built with communities and local services.
