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Rumah Kambera, the last few months on the site!

Rumah Kambera | Water access | We are the Future

Alex Wettstein

15/10/2021

Extract | Rumah Kambera, some pictures taken during the last 6 weeks. A job 18 hours a day, 7 days a week in order to give the best of ourselves to all those who have great needs in the regions of eastern Indonesia. The foundation develops and implements actions in eastern Indonesia (NTT) and notably in East Sumba. To do so, we decided to coordinate our actions from what is now; “The Fair Future Base Camp” in the eastern regions of the country. In a village near Waingapu called Lambanapu. Rumah Kambera is its name. This -house- is a place of coordination of all our socio-medical, educational activities in favor of children, women, and communities in rural and peripheral regions where access to water, electricity, education, or healthcare is almost non-existent.

Some pictures of our Base Camp in East Sumba -Rumah Kambera-. A place that Fair Future Foundation and Kawan Baik Indonesia renovated with their own hands last year.

A magical place in which the projects of our 2 legal organizations are created, developed & carried out, one Swiss and the other Indonesian.

Programs are set up in partnership with the local government, the Tp-pkk Sumba Timur, but also and above all with local communities, notably those in the most rural, inaccessible, and consequently disadvantaged regions. Those for whom access to water, electricity, medical care -even the most basic- is almost inaccessible. But we are here to help, find the most suitable, innovative & sustainable solutions.

Within the framework of Rumah Kambera, these are public health actions, the fight against the Covid-19 pandemic and other epidemics, access to clean and potable water, to sanitation solutions (toilets, showers, washing clothes), but also access to school, donations of healthy food that are being put in place.

In this regard, Rumah Kambera is heavily involved in health issues of access to medical care. In order not to do things in the short terms , we know that clean water and good sanitation are essential to prevent and reduce child mortality. Women who become pregnant at either extreme of childbearing age are at higher maternal and pediatric risks; the same goes for multiparous women and women with short birth intervals. Read More here!

Directly form Rumah Kambera, Fair Future and Kawan Baik Foundations are medically involved. Indeed, it should be known that most deaths of children aged 1 to 4 years are preventable by a simple health intervention. The one that we can provide to many, many people on site every day. Note also that the main causes of mortality here are diarrheal and respiratory diseases, malnutrition and infectious diseases (in this, vaccination of children is extremely important, but still far too rare). Finally, we realize that we are doing a lot of health prevention work within the framework of Rumah Kambera. And this, in the simplest way! Doing things with our heart!

As local doctors have told us more than once: “You guys really take care of people in an extraordinary way …“. It’s a nice compliment, because we don’t realize it, it’s just our daily life when we receive sick patients, to talk to them, to make them laugh, to share more than a simple medical consultation with them.

Among the innovative occupations, we build metal structures there, repair objects, scooters, plan the drilling of deep wells in completely inaccessible areas. For example, the construction of toilets, showers linked to the drilling of a well for access to clean water, this is done in Rumah Kambera. It will take us two weeks to build a sanitation point including two toilets per type and showers. This construction will then be finalized and in the field, where nobody hardly ever goes. See the pictures here!

Rumah Kambera? It is a magical place in which people with a lot of imagination, dreams, live and work with a smile. It is also a house in which all dreams come true!

Our community garden is developing well, as is the pharmacy and the health center which welcomes sick patients or patients with various illnesses every day. Notably linked to the malnutrition which is wreaking havoc here, in the regions where we are located.

In short, years of work are presented to us! And if you want to be part of this magical place, give us a hand, then all of you are welcome.

We thank you all very much for your interest, benevolence, and always great support. Take good care of yourself and your loved ones!

Alex, from Sumba, East Indonesia, the October 15th, 2021 – Rumah Kambera Base Camp.

Note: Your feedback (comment) is extremely important to us and our teams in the field. They give us the courage, the strength, the motivation to help even more! Please let us know your thoughts. Thanks in advance for your words!


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What are we doing in Rumah Kambera?

  • Covid-19 pandemic: Tests of the population, vaccinations, mapping of the situation, donation of healthy food, drinking water, information and prevention about the routes of contamination;
  • Medical and health care: Rumah Kambera welcomes patients with health problems every day. Our pharmacy and our on-site medical team can help people take care of themselves through the donation of medicines, vitamins and food supplements. The most common illnesses are related to lack of clean water, lack of healthy food, air pollution, joint and back problems, asthma, skin problems such as lipomas, fibroids, allergies, cancer;
  • Access to clean water and sanitary facilities: Construction of central water points, drilling of wells, toilets by type, showers, biological filtration and information on the water, commit to preserve it and use it in a healthy way for people;
  • Creation and construction of school infrastructures, schools, health centers so that each can have access to health care and to school;
  • Responses in the event of natural disasters (common in the region), reconstruction, preservation, emergency care, advanced first aid station, establishment of emergency medical care, distribution of food, water etc...;
  • Truck of Life program: Medical care, distribution of food, construction materials, transporting medical teams to the sites, picking up a sick or injured person to bring them to the hospital, etc...;
  • And all the other social, medical, infrastructural activities linked to the mission of the foundation in the field;

Common diseases we work on

Life-saving tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

Tuberculosis

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable.

A social disease, tuberculosis affects more particularly the poorest groups of the population, in particular the homeless people in whom the incidence (approximately 200 / 100,000) far exceeds that of other groups.

In Indonesia, tuberculosis is the leading cause of death in the category of infectious diseases. However, when one considers the general causes of death, tuberculosis ranks 3rd after heart disease and acute respiratory disease at all ages. The number of tuberculosis cases found in 2019 was around 645,000 cases. This figure has increased from the tuberculosis data recorded in 2018, which was in the order of 566.00 cases.

Meanwhile, the number of recorded deaths from tuberculosis based on WHO 2019 data is 98,000 people. This includes 5,300 deaths of tuberculosis patients with HIV / AIDS.

Life-saving anti-tuberculosis drugs are still unaffordable and out of reach for children in high-burden countries like Indonesia.

In 2020, the 30 countries with a high TB burden accounted for 87% of new TB cases. Eight countries account for two-thirds of the total, led by India, followed by Indonesia, China, Philippines, Pakistan, Nigeria, Bangladesh, and South Africa.


More info: https://tbindonesia.or.id/pustaka-tbc/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/

Dengue virus (DENV) infection is a major cause of acute febrile illness in Indonesia.  And a high cause of death.

Each year, malaria kills thousands of people in Indonesia. 70% of all deaths are children under five years of age.

Malaria

Malaria is a life-threatening disease that spreads when an infected mosquito, bites a person. The mosquito transfers parasites into that person’s bloodstream. Symptoms of malaria include fever and shaking chills. Malaria is common in tropical countries such as Africa and Asia. Malaria is treatable if it’s caught early. The malaria trend in Indonesia is increasing dramatically in recent years. The disease is fairly easy to treat, but access to the most effective treatments remains insufficient. 

90% of all malaria deaths occur due to a lack of access to medical care. Mosquito nets are expensive and out of reach for many.

  • Malaria risk is present below the altitude of 2000 meters
  • High-risk months for Malaria are: January to December

The transmission of COVID-19 in Indonesia has continued unabated and has spread to malaria-endemic areas, in particular the eastern provinces of the country, such as East Nusa Tenggara (NTT) where Fair Future is working, Maluku, and Papua, forcing authorities to intensify their vigilance to avoid a double burden of disease.

According to data from the Indonesian Ministry of Health, an estimated 250,644 cases of malaria have occurred in Indonesia, 85% of which are in rural areas. The high level of malaria endemicity in some areas is a cause for concern, not least because there is no end in sight for the COVID-19 crisis. This figure should nevertheless be taken in the conditional because in a large number of regions of the country, people do not have an identity card or family record book, or people do not have access to medical care.

Plasmodium - a parasite that causes malaria in humans - can damage the immune system, which is why patients with malaria are prone to other infections, including COVID-19.

And there are no new drugs in the development pipeline, which means we may find ourselves without effective options in the future.

Read the full dedicated page here! It's really interesting.


More info: https://fairfuturefoundation.org/medical-assistance-malaria-in-indonesia-what-we-are-doing/

A real health emergency, resistance to antimicrobials. It threatens to make simple cuts & easily treatable diseases, are deadly again.

Antimicrobial resistance

Antimicrobial agents have played a vital role in reducing the burden of communicable diseases around the world. The WHO South-East Asia Region is no exception. On an Indonesian or "local" scale, antimicrobial drugs, including antibiotics, are very cheap, accessible, and very effective. It is with good reason that many have long considered them to be "miracle drugs".

The situation in Indonesia with this major health problem is absolutely catastrophic. Participating physicians prescribe antimicrobials on all counts, for infections for which any form of antimicrobial is unnecessary. Too large a proportion of sick patients simply no longer respond to the treatments they - sometimes very urgently - need.

The emergence of antimicrobial resistance (AMR) creates “superbugs” that make treatment of basic infections difficult (and in some cases impossible) and surgery risky. And while the emergence of resistance in microorganisms is an ongoing phenomenon, its amplification and spread are the results of one thing: human behavior.

The WHO South-East Asia Region is particularly affected. As the risk assessments conducted by WHO have shown, the Region is probably the most at-risk part of the world. Not only does AMR affect the health and well-being of people in Indonesia, it also has ramifications for public health and general well-being. This makes the problem of immense global importance.

 


More info: https://www.balimedicaljournal.org/index.php/bmj/article/viewFile/1386/pdf

Plastic that burns, everywhere! Air pollution is responsible for almost 50% of mortality here.

Meet the author of this post

Alex Wettstein

My Name is Alex Wettstein, CEO, President, founder of Fair Future Foundation. A Swiss and International official NGO (State Approved Foundation). I'm working as a volunteer, in the fields of health, education, access to drinking water, in South-East Asia, notably in Indonesia since 2010, I am married to Ayu Setia and we have 3 kids, Flavie, Elisa, and Atha.

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