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The #ZeroMalariaSumbaTimur program has been successfully implemented

The #ZeroMalariaSumbaTimur program has been successfully implemented

In a concerted effort to fight the endemic scourge of malaria, the Swiss Fair Future Foundation has embarked on an extraordinary mission – the #ZeroMalariaSumbaTimur program. This groundbreaking initiative is taking place in the heart of Southeast Asia, specifically in the remote and underserved eastern expanse of Indonesia known as East Sumba.

Having already screened and treated 2500 individuals across three severely malaria-affected villages in East Sumba, our undertaking is underscored by a tangible impact. This formidable feat, orchestrated through the synergy of committed individuals such as Alandio, Ino, Elthon, Alex, Ayu, Annisa or Ayu, resonates as a testament to unwavering dedication. Over seventy staunch contributors, bolstered by fifty fervent volunteers from diverse corners of Indonesia, assemble with a shared sense of purpose.

Collectively, we have curated a multi-disciplinary team of skilled nurses, physicians, and laboratory specialists, amplifying our medical outreach. This coalition is complemented by clever logistics and data management, facilitated by an innovative application collaboratively developed by the Fair Future and Kawan Baik Foundations.

The core of our effort extends beyond the simple detection of malaria; our priority lies in education and prevention. Empowering communities with knowledge and awareness is our ultimate goal. We disseminate vital information about this dangerous disease through immersive workshops and interactive sessions. Armed with this understanding, individuals cannotntify the symptoms of malaria but also take quick and informed action to avoid potential complications and even death, safeguarding their well-being and others—their relatives.

The tangible impact of this initiative ripples through the lives we touch. Early identification and effective malaria management have resulted in life savings. Additionally, our efforts extend to enlightening local healthcare providers, equipping them with the essential tools and resources for a decisive battle against this relentless disease.

Yet our journey is not free of challenges. Negotiating the region's labyrinthine topography, working with limited resources, and transcending language barriers requires inventive methodologies and a deep sensitivity to indigenous cultures. Establishing a foundation of trust within our communities is an indispensable facet, fostering the adoption of preventive measures and a tendency to seek prompt medical intervention when needed.

We invite you to join our collective effort in the fight against malaria. Hand in hand, we can create a transformative impact, save lives and shape a radiant tapestry of possibility for everyone.

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Awesome! The first loaded truck arrives at Laindatang

Awesome! The first loaded truck arrives at Laindatang

This new "Picture of the Day" shows you the truck climbing the steep slope that leads to the village of Laindatang, which is ultra isolated, where a hundred families live without electricity, water, and very little food. This first truck transports construction materials and healthy sanitary facilities, which our teams have manufactured at the Rumah Kambera base camp.

We're excited to announce a significant milestone in our mission to create a positive impact! Despite facing difficult conditions and encountering broken promises, our unwavering dedication to improving the lives of impoverished villagers has prevailed. After days of arduous road repairs, we are proud to share that a truck laden with essential construction materials has finally reached the remote village of Laindatang. This remarkable achievement, made possible through the unwavering support and resilience of the villagers, marks a crucial step in providing vital resources and support to a community lacking necessities.

The road to the village presented numerous challenges, with its treacherous slopes and slippery terrain. Our team, armed with determination and their bare hands, overcame these obstacles with unwavering resolve. Though we encountered setbacks, including a failed attempt and broken bolts, our determination never wavered.

Two months ago, we were promised assistance by the department responsible for road infrastructure, but regrettably, their support never materialized. Nevertheless, we refused to be deterred from our mission of bringing essential resources and support to the impoverished villagers, who live in extreme poverty, deprived of electricity, clean water, and sanitation facilities – Ref: Water Connections Program here.

Yesterday, as the truck conquered the treacherous slopes, an overwhelming sense of joy and accomplishment washed over us. It was a moment that infused hope and happiness into the previously isolated village of Laindatang. I was moved to tears, knowing that I had dedicated nearly a year of my life to bringing this project to fruition.

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Together, we are joining forces in a powerful effort to combat malaria

A collective initiative against malaria is currently underway in East Sumba, Indonesia. Fair Future, kawan baik, and Sumba Volunteers have joined forces with over 100 volunteers, including doctors, nurses, laboratory technicians, water experts, builders, and government officials. Their primary objective is to eradicate malaria entirely within a practical period, focusing on prevention, diagnosis, and treatment methods.

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The #WaterConnections project in Laindatang has started!

The #WaterConnections project in Laindatang has started!

In this new "Picture of the Day", we witness the difficulties faced by young children in East Sumba as they search for clean water. These children must travel quite a distance from their homes to reach the kullups (small stone basins dug directly into the rocky terrain by villagers to collect and hold rainwater in rural areas). Unfortunately, it is unlikely to rain for the next nine months, and the children must walk over ten kilometres to obtain just a few litres of water to sustain themselves; kullups are dry now.

Presently, families in Laindatang endure arduous journeys, spanning miles and lasting over 10 hours, to obtain meagre quantities of drinking water. With a daily allocation of fewer than 2 litres per person, individuals must make profound sacrifices as this limited supply must accommodate drinking, eating, personal hygiene, and sanitation needs.

Malaria ravages the village, exacerbating the adverse effects of infectious diseases, particularly among children under five. The urgency of the health crisis necessitates immediate intervention. In collaboration with Kawan Baik and local authorities, Fair Future is committed to launching a comprehensive Water Connections project, addressing the pressing need for clean water in the village with utmost urgency.

Commencing at the end of June 2023, Fair Future embarks on an extraordinary #waterconnections project in Laindatang. This initiative heralds a transformative change and instils immense pride within our organization. 

Laindatang residents rely on rainwater collection during the rainy season to meet their clean water requirements. However, limited knowledge and resources impede this method, significantly contaminating water reservoirs. During the dry season, their options are limited to accessing water from the Kuluban artificial pool nestled within a rock formation—or purchasing tank water from a select few companies.

Regrettably, accessing water becomes increasingly challenging throughout the year, with only a handful of companies willing to deliver to the village. Transport obstacles frequently result in spilt water, further diminishing the already scarce supply upon arrival in Laindatang.

For the villagers, access to clean water is a matter of survival. They currently store rainwater in unclean, contaminated, and hazardous tanks. Though this remaining water sustains them for drinking, eating, and survival, it will be depleted within weeks as the dry season commences. Tragically, this water is tainted, infected, and carries life-threatening diseases such as Malaria, Cholera, Dengue, Typhoid fever, Hepatitis A, and Guinea worm disease. Additionally, prevalent diarrheal diseases like E. coli and rotavirus, caused by contaminated water, pose a severe risk, particularly to children, leading to dehydration and even death.

You have the power to help us realize this vital project, which is indispensable for hundreds of families. If you desire, your generous donation dedicated to the #waterconnections project in the village of Laindatang would be warmly welcomed. We extend our heartfelt gratitude and appreciation to all those willing to contribute. With your support, we can bring love, hope, and clean water to the deserving community of Laindatang.

To access information about our implementation, you can download and read the presentation in PDF format by clicking this link.

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Malaria Program – Preparing and Mobilizing Resources

Malaria Program – Preparing and Mobilizing Resources

As we mentioned in last week’s newsletter, Fair Future Foundation, Kawan Baik Indonesia, and Sumba Volunteer are joining forces to launch a crucial health and medical operation to combat malaria in the Mahu region of East Sumba, Indonesia. The “Malaria Prevention Initiative 2023 – Sumba Timur 2023” aims to prevent, detect, and treat this devastating disease in one of the most affected regions. Malaria has become endemic in this area, establishing itself and finding a conducive environment for its spread, leading to an unprecedented increase in cases in recent months.

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Sumba Malaria Prevention Program 2023

Sumba Malaria Prevention Program 2023

Discover how the East Sumba Malaria Prevention Initiative we are presently executing is combatting this destructive ailment. By implementing preventive measures like distributing mosquito nets treated with insecticides and raising awareness on eliminating mosquito breeding sites, this initiative strives to diminish the occurrence of malaria in the area. Witness the combined efforts of Fair Future and Kawan Baik, working together with local authorities and the severely impacted ultra-rural communities, to safeguard the population against this mosquito-transmitted disease.

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A healthier life thanks to the Water Connections program

A healthier life thanks to the Water Connections program

This new "Picture of the Day"  shows a delighted father who can now provide daily showers for his children, thanks to the newly installed water supply. Previously, they could only shower sporadically, sometimes only once a month. Additionally, the photo showcases the new sanitation facilities constructed in Mbinudita. The Water Connections project has successfully installed over forty reservoirs, thirty sanitary installations, three deep boreholes, and more than 15000 meters of HDPE pipes.

Water scarcity can be a significant source of stress for some regions, and various factors can cause it. Arid climates, low rainfall and prolonged droughts are just a few conditions that can contribute to water scarcity. Poor water resource management and a lack of knowledge can also exacerbate this problem, making it even more difficult for everyone to access the water they need to thrive. 
Despite these challenges, Fair Future is working hard to address water scarcity and ensure people have access to this vital resource. That is why we have developed the Water Program Connections.

Fair Future and Kawan Baik have noticed a significant improvement in the behaviour of families who have benefited from the "Water Connections" initiative. This program has enabled people to grow gardens, consume healthier food, enjoy life more, reduce stress, and boost energy levels. As a result, there has been a marked decrease in illnesses.

Witnessing these positive changes fills us with joy and reinforces our conviction in our decisions. Fair Future and Kawan Baik Foundation have always aimed to improve individual health, and providing access to safe drinking water is a beautiful way to accomplish this objective. As a Medical Foundation, Fair Future Foundation understands clean water's significance for maintaining good health. Drinking enough clean and healthy water is crucial for various physiological processes, including body hydration, proper organ function, digestion, and elimination of toxins.

Access to clean and safe water prevents dehydration-related illnesses, such as urinary tract infections, kidney stones, and constipation. It also significantly prevents dehydration, particularly in hot areas where sweating and water loss through respiration are common. While water is necessary for maintaining good health, we understand better than anyone else that certain medical conditions may require alternative treatments.

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Behavioral Impacts on Spread of Malaria

Behavioral Impacts on Spread of Malaria

Beyond Borders: Fighting Malaria Together in Eastern Indonesia. This new "Picture of the Day"  shows a young girl from Lapinu village who appears unwell. Taken in 2020, Alex examined her and used a stethoscope to listen to her heartbeat. In April 2023, we revisited the village as part of the Primary Medical Care program. Unfortunately, the girl contracted malaria and suffered from high fever, body pains, and poor overall health. However, after receiving treatment and giving advice to her mother, the little girl has shown significant improvement after just one month.

Our organisation is dedicated to promoting public health in ultra-rural regions of Indonesia (like here in East Sumba), and we're deeply concerned about the impact of malaria on vulnerable communities, as you know already. Sadly, malaria remains a leading cause of illness and death in Indonesia, particularly in East Sumba, where we are based.

Some little history: The word "malaria" originates in Italian. It comes from the expression "mal'aria", which translates as "bad air". This term was used historically to describe the belief that disease was caused by inhaling polluted or stale air in swampy areas. The Plasmodium parasite is responsible for causing malaria, and research suggests that it has been affecting humans for at least 4,000 years.

Several human behaviours contribute irreparably to the spread or persistence of malaria. Here are some of the factors that lead to an increase in malaria cases:

Failure to prevent mosquito bites, poor waste management, inadequate housing and sanitation, deterioration of hygienic conditions, deforestation, alterations to natural habitats, movement of people, drug resistance*** and misuse, limited access to health services, higher illiteracy rates among younger populations, and lack of community involvement and awareness can all lead to an increase in malaria cases… And this, among other examples!

As a result, many people, particularly children and pregnant women, continue to suffer from this preventable and treatable disease. Our program aims to tackle these issues head-on by implementing various activities to strengthen malaria control efforts in the region. It is crucial to highlight that combatting malaria demands a unified strategy encompassing preventive and therapeutic measures. It also involves initiatives to enhance the environment and living standards of communities affected by the disease.

***The problem of self-medication and the consequent development of resistance to antimalarial drugs are two interconnected challenges that significantly hinder the effective management and control of malaria.

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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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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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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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Access to clean water is vital for human health

Access to clean water is vital for human health

This "Picture of the Day" shows young children's struggles in East Sumba. The jerry cans are heavy and sometimes more prominent than the children themselves. With limited access to drinking water sources, the kids who live there (here in these images in the villages of Kabanda, Mahu, Laindatang, and Tana Mbanas) are forced to walk long distances to fetch water. Water in rivers or wells which are also contaminated. It takes up a lot of their time and puts them at risk of injury or illness by carrying heavy loads of water. Lack of access to clean water also contributes to poor hygiene and sanitation practices, further compounding the health problems of those East Sumba communities where Kawan Baik and Fair Future work so hard. Together, we are taking action to improve access to clean water sources, in these areas where no roads lead, to ensure the health and well-being of young children and their families. In addition to the physical hardship of fetching water, and as explained in this post, children in rural areas of East Sumba are often deprived of education and other opportunities because of this task. It is widespread (like in this picture of the day) that they miss school or other activities to help collect water, which affects their academic progress and social development.

Here people mainly only have access to contaminated water. This leads to many diseases, including gastrointestinal infections, skin diseases, parasitic diseases and other infectious diseases such as Malaria, Dengue Fever, Cholera, typhoid fever, hepatitis A or diarrhoea. Children and the elderly are particularly vulnerable to illnesses caused by contaminated water, a significant cause of infant mortality here.

In conclusion, ensuring access to clean water through a program like the #waterconnections project is our top priority that cannot be overlooked. Access to clean water is essential to sustaining life and maintaining good health for everyone here. Water plays a vital role in preventing the spread of the diseases mentioned above, ensuring people can lead healthier lives. Whether for drinking, cooking or cleaning, clean water is essential for everyday life. Without access, communities in the ultra-rural areas of East Sumba suffer from a lack of sanitation and hygiene, leading to various health problems.

Therefore, we must do everything we can to ensure that clean water is available to everyone who needs it.

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