Through the Primary Medical Care program, Kawan Sehat health workers provide treatment for fevers, wounds, and malaria in villages lacking access to doctors. They carry essential medicines, adhere to established medical protocols, and refer emergency cases promptly to prevent delays in care.



Donate

Support Care



Glossary

Medical terms



Quick News

Field updates

Stories

Field stories

We have compiled a list of articles and pages for this topic

The Fair Future Foundation in East Indonesia combats social and medical injustice and aims to ensure everyone has access to healthcare, clean water, and education. Join us in making a difference.

Home News

Support our new socio medical center for East Sumba communities

07.12.2025 | We have secured the land for Fair Future’s first permanent socio-medical centre in East Sumba. A 15 per cent deposit has already been paid. The whole presentation is now available to anyone who wishes to help us complete the purchase and begin construction in 2026.

New SolarBuddy distribution reports now available for everyone

04.12.2025 | Two key SolarBuddy reports are now online. They detail the distribution of 2,224 solar lamps for children and families without electricity in East Sumba, including logistics, fieldwork, and the real impact on daily life.

The Day Night Changed: electrifying Mbajik School in rural Indonesia

02.12.2025 | Watch The Day Night Changed, our short film about bringing electricity to Mbajik School. A remote hilltop village, children studying in the dark, and a community transformed the moment the lights came on. A simple act that changes everything.

Climate change is worsening health conditions across Indonesia

25.11.2025 | Our new page explains how climate change fuels disease, water scarcity, malnutrition and medical emergencies in rural Indonesia. Fair Future documents the impacts and outlines solutions for communities already living on the edge.

Truck of Life heads back to Sumba for vital medical fieldwork

24.11.2025 | On the 27th, the Truck of Life, Alex and Erwin leave for East Sumba to support Kawan Sehat health workers, restock essential medicines, and carry out field evaluations in villages with no medical access. A demanding mission, and we will keep you informed.

New HIV prevention posters for ultra rural East Indonesia communities

24.11.2025 | HIV cases are rising in Nusa Tenggara Timur. Fair Future and health teams launch a prevention campaign with new posters on testing, safe sex, and stigma-free care for villages that have no access to health information.

Primary Medical Care: new 2024 field report from rural Sumba

23.11.2025 | Our latest Primary Medical Care quarterly report is online. Kawan Sehat health workers treat thousands of patients in ultra-rural East Sumba and record diseases, medicines, and costs of care where there is no doctor at all.

Seeking 30 Android Phones to Equip Rural Kawan Sehat Health Workers

13.11.2025 - We urgently seek a manufacturer willing to donate 30 simple Android phones for our Kawan Sehat health workers. These devices are vital for using our medical app and caring for 1,000 patients monthly. Contact us if you can help.

One School Electrified—Over 100 Still Waiting for Light

07.11.2025 - Electrifying one school may seem small, yet it changes everything. In East Sumba, over 100 schools and villages still live without power. Together, we can bring light, opportunity, and hope to many more.

Solar Electrification Brings Power to SDN Mbajik School in East Sumba

07.11.2025 - Fair Future has powered SDN Mbajik School with solar energy—16 panels, a 14kW battery, and a hybrid inverter now supply electricity to 80 students and teachers. A first step toward sustainable energy and better education.

Fair Future Donates CHF 19,248.96 to Fund 2025/26 Primary Medical Care

07.10.2025 - Fair Future has donated CHF 19,248.96 (IDR 400M) to support the 2025/26 Primary Medical Care program. This vital funding ensures continued medical care, medicines, and support for remote Indonesian communities.

Connecting the Roof to Laindatang’s 115m³ Reservoir for First Rain

01.10.2025 - Today, we connect the roof to the 115m³ reservoir in Laindatang. After two months of drying, the structure is ready. Soon, the next rain will begin filling it. A big step toward sustainable clean water for the village.

Fair Future Allocates CHF 1,500 for Essential Medicines

30.09.2025 - We allocated nearly CHF 1,500 to purchase essential medicines, covering about two months of needs. These supplies are crucial for treating patients in remote communities with limited access to healthcare.

Final Report on the Construction of Eight Ferrocement Tanks in Hambarita

13.09.2025 - The final report on Hambarita’s eight ferrocement reservoirs is now online. These 4,400–5,300L tanks provide vital clean water for 151 residents. Read the full document and see how this project strengthens resilience

Explore Fair Future’s Interactive Map of East Sumba Projects

05.09.25 — Discover our detailed East Sumba map, showing schools, villages, and communities without electricity or clean water. Learn where Fair Future works daily to bring healthcare, water, and light to remote populations.

2024 Accounts Approved: 16 Years of Transparency and Excellence

19.05.25 - Our 2024 accounts are officially approved by our certified Swiss auditor, without remarks, for the 16th year. Please read the full audit report on our documentation page. Accountability is our commitment.

Breaking Menstrual Taboos: Dignity and Health for Every Girl

13.05.25 - Menstruation is not shameful—it’s natural. Yet in ultra-rural Indonesia, girls lack access to hygiene, education, and support. Fair Future works to restore dignity and health. Please read our full article to understand and act.

Creativity

Encouraging creative solutions and ideas to address challenges in healthcare, education, and water access.

Water and sanitation are crucial in the fight against malaria

by Alex | Jun 5, 2023 | Kawan Against Malaria, Laindatang 23/25, Picture of the day

Check out the latest addition to our "Photo of the Day" collection featuring our colleague Kawean Essi. In the village of Mbinudita (East Sumba), Kawan Essi teaches a hundred villagers of all ages, including children, about the importance of clean and safe water and how it can lead to a healthier life. The "Water Connections" program is a practical approach to fight against various infectious diseases, such as malaria.

In the fight against malaria, it's essential to acknowledge the progress made. However, we must also recognize the crucial role of hygiene, clean water, and sanitation in eliminating this disease. This is why the Water Connections program exists – to provide access to these necessities.

At Fair Future, we understand that improving these fundamental aspects of daily life can significantly prevent malaria transmission and ultimately save lives. Addressing issues such as hygiene, water, and sanitation is crucial in the fight against malaria because they directly impact mosquito breeding, access to clean water, hygiene practices, and vector management.

We prioritize these issues in all our activities, particularly in implementing the "Malaria Prevention Initiative Sumba Timur 2023" program, which we aim to start as soon as possible as part of the PMC, Primary Medical Care program.

Together, we can dramatically reduce malaria transmission and improve the health and well-being of affected communities. We must prioritize these efforts to save lives, prevent unnecessary suffering, and move towards a significant decrease in malaria cases, especially here in Sumba, where we currently are.

Empowering Health and Transforming Lives of Children

by Alex | Jun 4, 2023 | Child Health, Kawan Against Malaria, Picture of the day

This new "Picture of the Day" displays a gathering of children in one of the homes in the remote village of Mbatapuhu, East Sumba. Our dedicated socio-medical team educates them on the importance of self-care, utilizing the "Kawan Sehat" guidebook. This village is situated in a challenging location with no access to electricity, clean water, or sanitation facilities. The nearest medical centre is over two hours away by motorbike or a gruelling six-hour walk. The villagers rely on nature for their restroom needs. Unfortunately, due to poor hygiene practices, malaria has become a significant issue. Additionally, malnutrition is a primary concern in this impoverished and rural community.

In the remote villages of East Sumba, the Fair Future Foundation conducts information sessions for children under the "Kawan Sehat" program during every visit. We collaborate with members of these rural communities to disseminate crucial information on maintaining good health, accessing better healthcare, and protecting oneself from diseases like malaria and dengue fever. These sessions, which are both informative and fun, equip children with the knowledge they need to lead healthier, more promising lives.

Malaria and dengue fever are grave illnesses that frequently afflict the rural areas of East Sumba. Through these sessions, we educate children on preventive measures such as using insecticide-treated bed nets, eliminating stagnant water and seeking medical assistance immediately upon experiencing symptoms. Through promoting this knowledge, we hope to significantly reduce the incidence of these diseases and safeguard children's health. The "Malaria Prevention Initiative Sumba Timur 2023" program was launched to combat malaria.

These sessions are not limited to specific illnesses but also cover topics such as personal hygiene, balanced nutrition, and healthy lifestyles. Children are encouraged to adopt positive habits like handwashing, consuming nutritious foods, and exercising. By incorporating such practices into their daily lives, they can develop more robust, healthier, and resilient bodies.

The Fair Future and Kawan Baik teams empower children and strengthen entire communities by providing vital information on disease prevention and healthy habits.

Primary Medical Care Progress Report

by Alex | May 17, 2023 | Primary Medical Care, Project Update, We are the Future

The Primary Medical Care (PMC) program has made a remarkable difference in the rural communities of East Sumba, providing over a thousand treatments that offer critical medical assistance to those in need. Through their unwavering dedication and hard work, the women of the region have been empowered to take control of the health and welfare of their ultra-rural communities. By providing them with the essential knowledge, resources and tools, we have successfully equipped them to face all the socio-medical challenges that come their way. Over nearly five months, Fair Future and Kawan Baik, our partners, all participants, and teams collaborated to go above and beyond in reaching the most challenging areas and evaluating the impact of the field program. The results are awe-inspiring, leaving no doubt that the Primary Medical Care program is the definitive solution to ensure everyone can access emergency medical assistance.

Malaria in East Sumba: All villages turned Red!

by Alex | May 15, 2023 | Kawan Against Malaria, Picture of the day, Vital problems

This new "Picture of the Day" shows you a brave but sad mom who asks for care for her little boy. She is a courageous but sad mother who seeks care for her little boy, who suffers from Malaria. With pain and more than 40 fever, He is the example of the "typical patient" here: Under five years old, this family lives in an ultra-rural and marginalized area. She is poor, and they don't have access to medical care or enough food and clean water; They don't have toilets either. Moreover, the whole village does not have access to electricity.

The medical staff of Kawan Baik and Fair Future Foundation bring him relief and medicine to lower his fever and get better as soon as possible. We also talk to the mother and give her good advice.

Let me re-explain to you what malaria is and why this disease is hazardous, and the categories of people it affects in the first place:

Malaria is caused by parasites transmitted by the bites of infected mosquitoes. Although anyone can get malaria, specific categories of people are more susceptible to severe illness and complications. We find that the impact of malaria varies by geographic region and local health infrastructure. Our efforts to fight malaria focus on prevention through measures such as the establishment of the Primary Medical Care Program (PMC), mosquito nets, spraying in villages (fogging), and learning to wash with an "ani-malaria or disinfectant" soap, among others.

1. First, children under five: This is because young children have a weaker immune system and have not yet developed immunity to disease. They are more likely to have serious symptoms and complications, including severe anaemia and cerebral malaria, which can be life-threatening. This is the case here: Infant mortality is very high in ultra-rural areas and marginalized populations of East Sumba.

2. But also pregnant women: Of course, malaria can have adverse effects on both the mother and the unborn child. Pregnant women are at an increased risk of developing severe malaria, leading to complications such as maternal anaemia, spontaneous abortion, stillbirth or low birth weight infants. I spoke to you about a similar case in Kabanda, right?

Public health interventions to provide vital advice to the most affected populations via the #kawansehat program are essential. You have to be close to people if you want to advise them on the best way to have a healthier life.

3. Ultra-rural and marginalized populations: Communities living in rural and remote areas, often with limited access to health care, such as here in East Sumba, are disproportionately affected by malaria. Factors such as poverty, lack of knowledge about preventive measures and limited access to health services contribute to malaria's higher prevalence and impact in these communities.

4. Immunocompromised people: People with weakened immune systems, such as those living with HIV/AIDS, are more likely to contract severe malaria. We are also talking about people with chronic illnesses. Malaria can also aggravate the progression of HIV infection. And concerning the rate of HIV-positive people here is also very high, even with very few tests being conducted.

Kullup is a hole in the rock to collect rainwater

by Alex | May 10, 2023 | Laindatang 23/25, Picture of the day, Water Connections

This new "Picture of the Day" shows you kids from the village of Laidatang, who fetch water far from home in the "Kullup" of the village. Elthon, responsible for documentation (with the black t-shirt), and Alex, from the medical staff, are also present in this photo. With the kids and one or two adults accompanying us, we walk more than an hour to reach this place in the middle of a high hill. You must descend a steep path to access these hand-dug holes in the rock. In 30 minutes, we will have to go up the hill and walk back. But this time, loaded with several jerrycans filled to the brim.

The Fair Future and Kawan Baik teams spend two days with the families of the ultra-rural and isolated village of Laindatang to get to know them even better. In this village, we have the project to create a #WaterConnections project. I let you read here the articles related to this project and here to see what your want to do to save their lives,

In Laindatang, families only have access to rainwater. It's for everything: eating, drinking, cooking, bathing, washing clothes, drinking water, caring for children, sick people or watering animals. Therefore, one of the ways for women and young girls to have water at home to live on is to walk several kilometres to find the "Kullup".

Kullup, what is it? These are small stone basins, directly dug into the rock by the villagers, used to collect and store rainwater in rural areas. When it rains, the water seeps into the ground at the top of the hill and then is filtered through the earth and the basements. It flows drop by drop in these stone basins, the "Kullup". Then the villagers come to fill their jerrycans with five or ten litres.

The "Kuluk" are an essential water source for the local communities. But the quality of stored water can be affected by bacterial contamination, chemicals, animal waste or debris. Therefore, regularly cleaning these small holes in the rock is essential to maintain water quality. It is important to note that the "kuluk" is only a temporary solution to the water crisis in areas with limited access to drinking water. Indeed, the "kuluks" cannot fill up correctly without rain. They dry out about ten days after the last rains and remain dry for almost nine months. To find water, young girls, women and children, sometimes under five, will have to walk even further and longer.

Our two organizations work with local communities to implement longer-term solutions, such as constructing water supply networks using deep boreholes and sealed and healthy rainwater cisterns. The Water Connections program offers innovative and sustainable solutions. It includes promoting water conservation practices with “Kawan Sehat” and self-sustaining access to Primary Medical Care through the PMC program.

Helping ultra-rural families to have a healthier life

by Alex | May 9, 2023 | Education & Social, Health and medicine, Picture of the day

This new "Picture of the Day" features Kawan Ino, one of the Fair Future team members in Sumba (Rumah Kambera Leader), talking to health workers and the village community of Kabanda. To do this, he uses the "Kawan Sehat" book we produced at the end of 2022 for children in these regions. This book is an integral part of the program of access to primary medical care for children in ultra-rural areas.

We spend two days here, and you can read what we have done in Kabanda. This village 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. Kawan Ino explains how to have a healthier life thanks to implementing specific things in everyday life. This includes physical and mental health, body and home hygiene, daily habits and women empowerment.

Thanks to the Kawan Sehat program, we see a significant improvement in the health and well-being of rural populations. It is truly heartening to see healthy habits being encouraged and access to health care increasing. It is vital that everyone has access to quality health care, and we are happy that this program allows more people to receive the care they need.

Here, when a person is sick or injured while a woman is due to give birth, one of the only ways for her to receive medical attention is to carry her on people's backs for several hours or even a whole day until the nearest health centre. This person also does not know if he will arrive in time at the medical centre, called "Puskesmas or Pustu", as we have seen on several occasions.

This is why this book is necessary: “Kawan Sehat” is intended for schools and teachers. It's an amazing teaching aid for them, and kids love it. Nothing is done here to give children the means to learn from an early age how to wash themselves, eat healthier, use soap, and learn not to pollute or brush their teeth etc… In the classrooms here in East Sumba, the book“Kawan Sehat” is the only one available for children; there are no others.

Inventing toys when you don’t have any

by Alex | Mar 27, 2023 | Child Health, Learning, Picture of the day

This "Picture of the Day" shows two children from Tanah Mbanas, Sumba Tengah, who have created a kitchen with waste from the plastic they found around their houses made of earth and bamboo. They are playing cooking. Here, families do not have access to water and even less to clean water.

Here in Sumba, in these ultra-rural villages, it is not uncommon for children of all ages to invent toys and games from natural materials or objects from waste or old. In these areas, children rely on their creativity and ingenuity to find new forms of play and have fun.

For example, children can make their toys from natural materials such as sticks, pebbles and leaves. They can use these materials to create games like building forts or playing "tag" with modified rules. Likewise, old items like cans, tires, or ropes can be repurposed to create new toys, like a toy truck, makeshift soccer ball, or swing.

These types of imaginative play experiences are very beneficial for the development of children. They encourage creativity, problem-solving and social interaction as children work together to develop new ideas and adapt the rules of their games. Additionally, playing in nature can provide opportunities for physical activity and exploration, positively affecting physical and mental health.

The Zero Malaria Spot Radio

Interactive East Sumba map