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Beyond Borders, Fighting Malaria Together in Eastern Indonesia

Beyond Borders, Fighting Malaria Together in Eastern Indonesia

Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day"  shows three kids between 8 and 12 years old. Children are among the most vulnerable malaria victims in Indonesia, especially in the east of the country and of course here, where we work with Fair Future, Kawan Baik foundations and all our partners and friends.

The health and well-being of children in eastern Indonesia are threatened by malaria, which hinders their growth, development, and quality of life. Our organizations have a deep understanding of the urgency to address this issue, and we are working hard on our disease control program, which is of utmost importance. We have a strong track record of working in these regions where the epidemic affects about 80% of children. Collaborative efforts are underway to combat malaria and prioritize the welfare of children in these areas.

Young children are at a higher risk of contracting malaria due to their underdeveloped immune systems. Living in rural and poor areas with limited access to preventive measures only exacerbates the severity of symptoms if infected. A contributing factor is that young children typically haven't been exposed to the malaria parasite enough times to build up immunity* against it.

It can be challenging for young children in our regions to communicate or identify the symptoms of malaria, and their parents may not be familiar with them either. As a result, affected children may display non-specific symptoms like fever, tiredness, loss of appetite, irritability, and vomiting, which could easily be mistaken for other common childhood illnesses like drinking contaminated water. Consequently, this can cause delays in diagnosing and treating malaria accurately

*Some additional explanation: People living in malaria-endemic areas gradually develop acquired immunity, which reduces their susceptibility to severe infections in the future.

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Malaria in East Sumba: All villages turned Red!

Malaria in East Sumba: All villages turned Red!

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.

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Let’s prevent malaria rather than cure it!

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

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