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Primary Medical Care Progress Report

Primary Medical Care Progress Report

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.

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Happy to have water without going far to get it

Happy to have water without going far to get it

This new "Picture of the Day" shows you a 12-year-old kid named Yaspan. He was born in a tiny village in East Sumba where Fair Future and Kawan Baik have worked for over four years. We built a new school for him a few years ago, #sdmbinudita, and now he and his family have clean water reaching his house, which was not the case before. Yaspan and all his friends from the Village of Mbinudita are lucky because children struggle to get water everywhere else. They have to find it very far on foot; to do this, they miss school, get injured, and fall ill.

There's something inexplicably satisfying about the heavy rains in ultra-rural East Sumba, especially when you live in a water-scarce area: The sound of raindrops hitting the roof is soothing, and the smell of wet earth is refreshing; plus, you feel good because you know that this rain will help the family. When it rains a lot, kids and families here can't help but be happy knowing that their water tanks will be filled and they won't have to worry about running out of water for a moment.

"-It's a small blessing for which I am grateful, and I always make sure to take advantage of the rain while it lasts…" a friend from the village told me last month.

Heavy rains like the ones we experienced last month in one of the ultra-rural villages in East Sumba, where we work with Fair Future and Kawan Baik Indonesia foundations, are also an opportunity to celebrate as these kids wade through the water. They are the first to be happy because they won't have to walk for hours to fetch water far from home.

With those heavy rains comes plenty of water and the relief of much-needed hydration. The floods will provide much-needed food for crops, wash livestock and provide villagers with general water and sanitation assistance. With the bonus of increased economic activity and improved social well-being from the new abundance of water, these small floods are becoming the opportunity of a lifetime for the villages of Sumba. With increased water storage, a healthier environment and better living conditions, small floods caused by heavy rains are the perfect way to improve the lives of villagers in these areas where water is absent.

It's interesting to consider that what may be a challenge for many of us is a helpful solution for these families.

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Kullup is a hole in the rock to collect rainwater

Kullup is a hole in the rock to collect rainwater

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.

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Helping ultra-rural families to have a healthier life

Helping ultra-rural families to have a healthier life

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.

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Primary medical care dedicated to children

Primary medical care dedicated to children

This "Picture of the Day"  shows children who, thanks to the "Primary Medical Care" programme, learn to protect themselves against illness and injury through simple gestures and habits. Children in these regions do not have access to health centres, and no doctors are present in these villages (apart from those from the Fair Future and/or Kawan baik Indonesia foundations). It makes prevention an essential component of their health and well-being. Children in ultra-rural areas can significantly reduce their risk of illness or injury by incorporating simple habits and actions into their daily routines. In addition, it is essential to make children and parents aware of the importance of these habits and gestures so that they become part of their daily lives.

Giving primary medical care is not insignificant. It usually is doctors and nurses who do this. This is what makes this program unique in terms of innovation. Those who provide care, life-saving drugs and cures for Malaria, for example, are the teachers of this isolated village in eastern Indonesia. Therefore, for us here on site, it is essential to assess the impact and effectiveness of this program regularly. We carry out surveys, and we meet to collect medical data. We, therefore, highlight the areas where we can make the necessary changes. If this primary medical care program is a huge success, it is because it involves the communities in the various planning and implementation processes.

Teachers and parents of ill or injured children provide us with essential information. This 100% medical emergency program is in the process of success. It requires multiple collaborations, adequate ongoing training, sharing of supported cases and regular evaluation to ensure its safety, effectiveness and sustainability.

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A 9-year-old child needs surgery quickly

A 9-year-old child needs surgery quickly

This little boy’s name is Assaria, he’s nine years old. He has severe 3rd-degree burns to over 24% of his body and requires surgical attention. He is not well, and we have to find a solution together. He can barely walk because of terrible burns to his legs and back. The consequences while growing up are significant circulatory and neurological problems. If nothing is done, he risks a double amputation. Let’s help him get surgery for severe burns on both legs before his health deteriorates.

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A Word from Alex – Fair Future Foundation

A Word from Alex – Fair Future Foundation

On this page, Alex shares his reflections on his life experiences and his ideas about the foundation’s efforts, future plans, and the communities we serve. Each post invites you to engage with us to appreciate the spirit of humanity that fuels our mission.

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