Alexandre Wettstein

10/05/2026

At the future Rumah Kambera 2.0 site in East Sumba, the Fair Future Foundation and Kawan Baik Indonesia teams have completed the first deep drilling work. Two days of physical work, machines, heat, mud and patience. Water was found quickly, clean and fresh enough to make life and construction possible on the land.

This is not a symbolic step. In rural health, water is infrastructure. It protects hygiene, supports construction, allows teams to live and work on site, and will later help us receive patients in safer conditions. Without water, there is no clinic. Without a fixed base, medical supplies remain dispersed, training becomes improvised, and field missions lose time before reaching remote villages.

Rumah Kambera 2.0 will become a socio-medical base with a small medical centre dedicated to the Primary Medical Care program, secure pharmacy, laboratory, training spaces, logistics areas, housing for staff and volunteers, and community spaces. Built with Swiss precision and 16 years of field experience in Indonesia, it is designed for real work, not appearances. It is a base for care, prevention, water, logistics and dignity.

Read more here https://fairfuturefoundation.org/rumah-kambera-drilling-water

- Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - World Health Organization (WHO) - UNICEF - Rotary International - Rotary Club Beaulieu Côte d'Azur - Protokol Sumba Timur

Start Rumah Kambera 2.0 drilling with fresh water found on the land, enabling field teams to prepare construction, live on site, and later care for patients safely in East Sumba now.

07/05/2026

In May 2026, Fair Future Foundation and Kawan Baik Indonesia will launch the East Sumba Sepsis Study, a field-based public health initiative designed to understand why severe infections still become fatal in ultra-rural East Indonesia.

Today, we are also making the two raw PDF questionnaires available for public information. These are the paper versions prepared before translation into Bahasa Indonesia and before integration into the digital tools used in the field. Anyone can read them and understand the depth of the study, the questions asked, and the real pathways we want to document.

The household survey will explore how infections begin, how families react, why care is delayed, what barriers prevent referral, and what happens before a patient reaches formal care. The healthcare worker questionnaire will document how severe infections are recognised and managed in hospitals, Puskesmas, village health posts and outreach settings.

This work is not only about data. It is about understanding why a wound, fever, diarrhoea, pneumonia, childbirth complication or post-operative infection can become fatal when transport, medicines, oxygen, staff or time are missing.

After 18 years of Swiss field-based humanitarian and medical work, we know that health data must come from real homes, real patients and real health workers.

Read more about the East Sumba Sepsis Study and access the two raw PDF questionnaires prepared before translation and digital field use https://fairfuturefoundation.org/sepsis-rural-indonesia-study/

- World Health Organization (WHO) - UNICEF - International Committee of the Red Cross - CDC Global - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - United Nations Development Programme - UNDP - Promkes Dinkes Prov Ntt

Follow the East Sumba Sepsis Study as field teams document infection pathways, delayed care, referral barriers and fragile health systems in ultra-rural East Indonesia.

04/05/2026

𝗜𝗻 𝗻𝘂𝗺𝗲𝗿𝗼𝘂𝘀 𝘂𝗹𝘁𝗿𝗮-𝗿𝘂𝗿𝗮𝗹 𝘃𝗶𝗹𝗹𝗮𝗴𝗲𝘀, 𝘀𝘂𝗳𝗳𝗲𝗿𝗶𝗻𝗴 𝗵𝗮𝘀 𝗰𝗲𝗮𝘀𝗲𝗱 𝘁𝗼 𝗯𝗲 𝗹𝗮𝗯𝗲𝗹𝗹𝗲𝗱 𝗮𝗻 𝗲𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆.

A child endures with a festering wound. Fevers remain unaddressed. Women confront pregnancy complications without access to professional care nearby. Pain becomes a part of daily life while malnutrition takes its toll on the body before any infection sets in.

This is not typical and certainly not inevitable; it occurs when healthcare systems fail to extend their reach into the village.

For 16 years, Fair Future Foundation and Kawan Baik Indonesia have been actively working in areas where roads are damaged or nonexistent, clean water is limited, medical supplies arrive slowly, and families frequently lack the essential information to identify warning signs.

Our primary focus is medical care, but we integrate it with a broader approach. This includes Primary Medical Care, Kawan Sehat health agents, malaria prevention initiatives, clean water systems development, efficient medical logistics management, field data collection and analysis, educational posters creation and distribution as well as direct patient care—all components of our comprehensive solution.

When addressed promptly, a wound can be prevented from developing into sepsis. Early testing for a fever can stop it from escalating into severe disease. Access to clean water helps prevent illness right from the start.

Preventable suffering should never be considered normal.

Read more https://fairfuturefoundation.org/preventable-suffering-rural-health/

- World Health Organization (WHO) - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - International Committee of the Red Cross - Rotary Club Beaulieu Côte d'Azur - CDC - UN Women Indonesia - Dinkes SUMBA TIMUR

Expose preventable suffering in rural health, where untreated wounds, fever, pain, unsafe water and weak prevention turn avoidable illness into...

27/04/2026

𝗧𝗵𝗲 𝗻𝗮𝗺𝗲 𝗨𝗺𝗯𝘂 𝗶𝘀 𝗮 𝗽𝘀𝗲𝘂𝗱𝗼𝗻𝘆𝗺 𝘂𝘀𝗲𝗱 𝘁𝗼 𝗽𝗿𝗼𝘁𝗲𝗰𝘁 𝘁𝗵𝗲 𝗶𝗻𝗱𝗶𝘃𝗶𝗱𝘂𝗮𝗹'𝘀 𝗿𝗲𝗮𝗹 𝗶𝗱𝗲𝗻𝘁𝗶𝘁𝘆.

He is a 14-year-old who endured months without proper medical care after suffering severe burns that covered approximately 21% of his body. He did not receive specialised burn treatment, had no pain management plan, underwent no rehabilitation, and was offered no surgery.

Currently, there is no clear indication of an active infection. This is significant. However, it doesn't guarantee Umbu's safety.

His future is at a crucial point. His skin has become toughened, and severe contractures have immobilised his left arm against his body. Movement in his right hand is difficult, preventing ease of use. He struggles to sleep lying down due to significant discomfort associated with extreme malnutrition, weakness, and pain.

This is the impact of delayed burn care on a child. It not only leaves scars but also restricts joint movement, hinders growth, affects mental well-being, and can transform a treatable injury into a lifelong disability.

Umbu now requires a tailored medical treatment plan that includes nutrition, pain management, effective burn wound care, physiotherapy, hospital evaluations, psychological support and likely reconstructive surgery.

Partnering with Fair Future Foundation, Charis Sumba and Kawan Baik Indonesia, we are bringing his case to light because remaining silent would equate to neglect. After dedicating 16 years to Swiss medical and humanitarian efforts in rural Indonesia, one thing is clear: geographical distance should never determine a child's ability to use their body.

Read the full article and understand why Umbu now needs adapted medical care, nutrition, rehabilitation and specialised treatment to protect his future https://fairfuturefoundation.org/aldo-third-degree-burns-indonesia/

Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Charis Sumba - UNICEF Indonesia - World Health Organization (WHO) - International Committee of the Red Cross

Support third-degree burns care in Indonesia through Umbu’s case in East Sumba, where delayed treatment has left a child with chronic wounds,...

10/04/2026

𝗜𝗻 𝘂𝗹𝘁𝗿𝗮-𝗿𝘂𝗿𝗮𝗹 𝗲𝗮𝘀𝘁𝗲𝗿𝗻 𝗜𝗻𝗱𝗼𝗻𝗲𝘀𝗶𝗮, 𝗽𝗲𝗼𝗽𝗹𝗲 𝗱𝗼 𝗻𝗼𝘁 𝗺𝗲𝗲𝘁 𝗹𝗲𝗽𝘁𝗼𝘀𝗽𝗶𝗿𝗼𝘀𝗶𝘀 𝗶𝗻 𝘁𝗲𝘅𝘁𝗯𝗼𝗼𝗸𝘀. 𝗧𝗵𝗲𝘆 𝗺𝗲𝗲𝘁 𝗶𝘁 𝗶𝗻 𝗺𝘂𝗱𝗱𝘆 𝗽𝗮𝘁𝗵𝘀, 𝘀𝘁𝗮𝗴𝗻𝗮𝗻𝘁 𝘄𝗮𝘁𝗲𝗿, 𝗳𝗹𝗼𝗼𝗱𝗲𝗱 𝗴𝗿𝗼𝘂𝗻𝗱, 𝗮𝗻𝗱 𝘀𝗺𝗮𝗹𝗹, 𝘂𝗻𝘁𝗿𝗲𝗮𝘁𝗲𝗱 𝘄𝗼𝘂𝗻𝗱𝘀.

This bacterial infection is still underdiagnosed, often confused with dengue, malaria, or simple fever, until jaundice, kidney injury, bleeding, or respiratory distress appear. That is what makes it dangerous.

At Fair Future Foundation and Kawan Baik Indonesia, we see how environmental neglect becomes a clinical reality. Plastic waste, poor sanitation, rodent exposure, unsafe water, and delayed access to care are not separate issues. They are on the same risk chain. This is exactly why our work connects Water Connections, Primary Medical Care, hygiene education, wound care, and early referral through trained Kawan Sehat health agents.

For 16 years, with Swiss expertise grounded in field medicine, we have worked where care arrives last or does not arrive at all. Leptospirosis is preventable, but only if prevention begins where people live.

- World Health Organization (WHO) - UNICEF - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - International Committee of the Red Cross - PATH - CDC Global - UN-Water - Protokol Sumba Timur - Gates Foundation

Read more here

Discover leptospirosis rural Indonesia through the realities of East Sumba, where unsafe water, rodent exposure, poor sanitation, and delayed treatment still drive preventable severe illness.

02/04/2026

SD Padengi Iwi.

Eighteen hours on the road, just to reach one school. No access by car. No electricity. No safety net. Only narrow tracks, rivers, mud, cliffs, and the decision to go anyway.

We rode where roads do not exist. Scooters slipping on soaked clay, crossing fragile wooden bridges, pushing through bushes, falling, getting up, moving again. Rain, wind, exhaustion. At times, we thought we would not make it. And still, we continued.

All this for 24 SolarBuddy lamps. Twenty-four children.

When we arrived, only three were at school. The others had already walked back home. So we went to them. House by house, across the hills, carrying the lamps by hand. Because here, nothing is close. Nothing is easy. And yet, this is where people live.

These lamps are simple. But here, they change everything.
They allow children to walk safely at night, to study, to read, to write.
They replace toxic kerosene lamps that burn lungs and eyes.
They reduce falls, injuries, and risks on these same paths we struggled to cross.

We do this every week. With scooters, with the Truck of Life, on foot if needed. This is not an exception. This is the work.

If it takes 18 hours to reach one school, then we take 18 hours.
Because even for one child, it matters.

02/04/2026

SD Padengi Iwi.

Eighteen hours on the road, just to reach one school. No access by car. No electricity. No safety net. Only narrow tracks, rivers, mud, cliffs, and the decision to go anyway.

We rode where roads do not exist. Scooters slipping on soaked clay, crossing fragile wooden bridges, pushing through bushes, falling, getting up, moving again. Rain, wind, exhaustion. At times, we thought we would not make it. And still, we continued.

All this for 24 SolarBuddy lamps. Twenty-four children.

When we arrived, only three were at school. The others had already walked back home. So we went to them. House by house, across the hills, carrying the lamps by hand. Because here, nothing is close. Nothing is easy. And yet, this is where people live.

These lamps are simple. But here, they change everything.
They allow children to walk safely at night, to study, to read, to write.
They replace toxic kerosene lamps that burn lungs and eyes.
They reduce falls, injuries, and risks on these same paths we struggled to cross.

We do this every week. With scooters, with the Truck of Life, on foot if needed. This is not an exception. This is the work.

If it takes 18 hours to reach one school, then we take 18 hours.
Because even for one child, it matters.

02/04/2026

𝗣𝗮𝗶𝗻 𝗶𝘀 𝗻𝗼𝘁 𝘂𝗻𝗰𝗼𝗺𝗺𝗼𝗻 𝗶𝗻 𝘂𝗹𝘁𝗿𝗮-𝗿𝘂𝗿𝗮𝗹 𝗿𝗲𝗴𝗶𝗼𝗻𝘀. 𝗜𝘁 𝗶𝘀 𝗽𝗮𝗿𝘁 𝗼𝗳 𝗱𝗮𝗶𝗹𝘆 𝗹𝗶𝗳𝗲.

We see wounds left untreated for days, fractures stabilised with wood, and infections worsening without relief. People do not wait by choice; they wait because there is nowhere to go.

No transport. No money. No information. No one to tell them what to do, where to go, or how to act.

Health centres are often hours away, sometimes closed or empty—no nurse, no medicines.

So, people stay. They endure. They do what they can. Sometimes, harmful substances are used on wounds, not out of ignorance, but out of lack of resources.

Pain becomes normal.

For 17 years, Fair Future Foundation and Kawan Baik Indonesia have been working in these conditions. Through Primary Medical Care, local health agents bring basic treatment directly to villages. They clean wounds, relieve pain, and prevent complications.

This is not advanced medicine; this is the minimum that should exist everywhere.

The reality is simple: care still does not reach those who need it most.

Read the full article https://fairfuturefoundation.org/untreated-pain-rural-medicine/

- World Health Organization (WHO) - UNICEF - International Committee of the Red Cross - United Nations Development Programme - UNDP - PALANG MERAH INDONESIA - Protokol Sumba Timur - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - UNFPA - Perth Rotary - Western Australia

Reveal how untreated pain rural medicine worsens infections, malnutrition, and outcomes in remote villages where access to care, medicines, and trained staff remains critically limited.

01/04/2026

𝗘𝘃𝗲𝗿𝘆 𝘆𝗲𝗮𝗿, 𝗯𝗶𝗹𝗹𝗶𝗼𝗻𝘀 𝗮𝗿𝗲 𝗶𝗻𝘃𝗲𝘀𝘁𝗲𝗱 𝗶𝗻 𝗴𝗹𝗼𝗯𝗮𝗹 𝗵𝗲𝗮𝗹𝘁𝗵. 𝗢𝗻 𝗽𝗮𝗽𝗲𝗿, 𝘁𝗵𝗲 𝗺𝗼𝗻𝗲𝘆 𝗲𝘅𝗶𝘀𝘁𝘀. 𝗜𝗻 𝘂𝗹𝘁𝗿𝗮-𝗿𝘂𝗿𝗮𝗹 𝗘𝗮𝘀𝘁𝗲𝗿𝗻 𝗜𝗻𝗱𝗼𝗻𝗲𝘀𝗶𝗮, 𝘁𝗵𝗲 𝗿𝗲𝘀𝘂𝗹𝘁𝘀 𝗼𝗳𝘁𝗲𝗻 𝗱𝗼 𝗻𝗼𝘁.

Patients still die from treatable conditions because care arrives too late, referral systems fail, essential medicines are missing, and primary care remains too weak or too distant.

This article examines a reality that is rarely described clearly. The problem is not only underfunding. It is also leakage, corruption, inflated administrative costs, excessive transport claims, costly supervision structures, and layers of bureaucracy that absorb resources before they ever reach a village, a household, or a patient.

For 17 years, Fair Future Foundation and Kawan Baik Indonesia have worked in places where distance replaces triage, and travel replaces treatment. What we see is simple. Effective care does not begin with reports. It begins where people live, with community health agents, continuity, early detection, prevention, and practical systems that function under real conditions.

Global health outcomes will not improve if money remains trapped in institutions, vehicles, allowances, and decision-making chains. It must reach patients directly, early, and locally.

Read more here https://fairfuturefoundation.org/global-health-funding-corruption/

- World Health Organization (WHO) - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - PATH - The Global Fund - International Committee of the Red Cross - Protokol Sumba Timur - UNFPA - UNDPIndonesia - PALANG MERAH INDONESIA

Understand global health funding corruption in ultra-rural Eastern Indonesia, where leakage, bureaucracy, and inflated field costs prevent care, medicines, referral, and survival.

31/03/2026

𝗜𝗻 𝘂𝗹𝘁𝗿𝗮-𝗿𝘂𝗿𝗮𝗹 𝗮𝗿𝗲𝗮𝘀, 𝘀𝘂𝗰𝗵 𝗮𝘀 𝘄𝗵𝗲𝗿𝗲 𝘄𝗲 𝘄𝗼𝗿𝗸 𝗶𝗻 𝗘𝗮𝘀𝘁 𝗦𝘂𝗺𝗯𝗮, 𝘀𝗲𝗽𝘀𝗶𝘀 𝗶𝘀 𝗿𝗮𝗿𝗲𝗹𝘆 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗲𝗱, 𝗯𝘂𝘁 𝗶𝘁𝘀 𝗰𝗼𝗻𝘀𝗲𝗾𝘂𝗲𝗻𝗰𝗲𝘀 𝗮𝗿𝗲 𝗲𝘃𝗲𝗿𝘆𝘄𝗵𝗲𝗿𝗲.

An untreated wound. A child with pneumonia who breathes faster at night. An undiagnosed postpartum infection. A newborn who stops feeding. A case of malaria or dengue fever that worsens due to a lack of monitoring.

What we are currently preparing is not just an article. It is a field study aimed at understanding how these infections become deadly when families face remoteness, a lack of transportation and triage, limited access to antibiotics and oxygen, and delays in patient referral. We want to document the real journey, from the first symptom to probable sepsis, household by household.

This is exactly where Fair Future Foundation and Kawan Baik Indonesia have been working for 16 years, with Swiss precision, practical medicine, and community-based solutions. Thanks to our primary healthcare programme, Kawan Sehat health workers are often on the front lines, providing screening, counselling, wound care, and emergency referrals.

Most deaths from sepsis in rural areas are preventable. To reduce them, we need to understand them clearly, clinically, and honestly.

Read more here https://fairfuturefoundation.org/sepsis-rural-indonesia-study/

- World Health Organization (WHO) - UNICEF - CDC - PATH - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - The Global Fund - Protokol Sumba Timur - International Committee of the Red Cross

Explore sepsis in rural Indonesia through Fair Future’s East Sumba study, examining how common infections worsen, why care is delayed, and how community detection can save lives.

26/03/2026

𝗦𝗲𝘅𝘂𝗮𝗹𝗹𝘆 𝘁𝗿𝗮𝗻𝘀𝗺𝗶𝘁𝘁𝗲𝗱 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝗻𝘀 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗿𝗮𝗿𝗲 𝗶𝗻 𝗿𝘂𝗿𝗮𝗹 𝗜𝗻𝗱𝗼𝗻𝗲𝘀𝗶𝗮. 𝗧𝗵𝗲𝘆 𝗮𝗿𝗲 𝘀𝗶𝗺𝗽𝗹𝘆 𝗶𝗻𝘃𝗶𝘀𝗶𝗯𝗹𝗲.

In the communities where Fair Future Foundation and Kawan Baik Indonesia work, infections like syphilis, gonorrhea, and chlamydia often go undiagnosed for months or years. Not because people ignore them, but because testing, education, and confidential care do not exist.

Untreated, these infections lead to infertility, chronic pain, pregnancy complications, and congenital disease. These are not exceptional cases. They are predictable outcomes of delayed diagnosis and weak health systems.

For over 16 years, our Swiss-led teams and Kawan Sehat health agents have been working directly in villages, bringing education, early detection, and basic care where no system effectively reaches.

This is what public health looks like at the last mile.

Read more about this reality on the ground and how we respond every day
https://fairfuturefoundation.org/sexually-transmitted-infections-rural-indonesia/

- Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - World Health Organization (WHO) - UNICEF - PATH - CDC - UNFPA - Rotary Club Mandurah Districts - Protokol Sumba Timur - International Committee of the Red Cross

Explore sexually transmitted infections in rural Indonesia, where lack of testing, stigma, and weak health systems lead to preventable infertility,...