https://fairfuturefoundation.org/

Alexandre Wettstein, Gianyar (2026)

02/09/2026

𝗧𝗵𝗶𝘀 𝗽𝗵𝗼𝘁𝗼 𝘄𝗮𝘀 𝘁𝗮𝗸𝗲𝗻 𝗮𝗳𝘁𝗲𝗿 𝗮 𝗹𝗼𝗻𝗴 𝗷𝗼𝘂𝗿𝗻𝗲𝘆 𝗶𝗻𝘁𝗼 𝗮 𝗿𝗲𝗺𝗼𝘁𝗲 𝘃𝗶𝗹𝗹𝗮𝗴𝗲 𝗼𝗳 𝗘𝗮𝘀𝘁 𝗦𝘂𝗺𝗯𝗮 𝗳𝗼𝗿 𝗮 𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝘁𝘆 𝗰𝗮𝗿𝗲 𝗱𝗮𝘆 .

More than 115 patients were treated in Kampung Madutolung, Desa Kambata Bundung. We also worked on prevention using visual campaigns on nutrition, malaria, waste, hygiene and other daily health risks.

When the formal session ended, we placed the posters aside. Then something important happened. Families kept coming back to them.

In this image, a mother holds her young child and explains the poster about waste. Beside them are our food pyramid and malaria prevention materials. No health worker is leading the lesson now. The information has moved into the family.

This matters in places where packaged goods arrive faster than waste collection, recycling or public education. Burning mixed waste pollutes the air. Dumping can contaminate soil and water. Containers that retain rainwater can also create mosquito breeding sites.

For Fair Future Foundation and Kawan Baik Indonesia, prevention is part of primary healthcare. Our Swiss field experience since 2008 has taught us that a consultation treats today's problem, while understandable health information can help reduce tomorrow's risks.

Follow community health education in East Sumba as a mother uses visual posters on waste, nutrition, and malaria after a rural care day in which more than 100 patients received treatment.

01/09/2026

𝗧𝗵𝗶𝘀 𝗽𝗵𝗼𝘁𝗼𝗴𝗿𝗮𝗽𝗵 𝗱𝗲𝗽𝗶𝗰𝘁𝘀 𝗮 𝗸𝗲𝘆 𝘁𝗼𝗼𝗹 𝘂𝘀𝗲𝗱 𝗶𝗻 𝘁𝗵𝗲 𝗦𝘂𝗺𝗯𝗮 𝗦𝗲𝗽𝘀𝗶𝘀 𝗦𝘁𝘂𝗱𝘆 𝟮𝟬𝟮𝟲. An enumerator is inputting household responses directly into the mobile application we created for this study.

The field phase has been successfully concluded, with visits conducted at over 1,000 homes throughout East Sumba. Each interview involved sitting down with individuals to listen attentively, ask structured questions, and document the families' experiences during serious illnesses. We extend our gratitude to every family for their time and responses. Currently, tens of thousands of data lines are under review and analysis.

The aim is not merely to gather numbers. We are examining the progression from infection to severe illness, delays in seeking or accessing care, and identifying areas where prevention, early detection, or referrals could be enhanced.

Digital health is effective only when it stays connected to individuals. While a phone cannot substitute for an enumerator, nurse, or community health worker, it can enhance the consistency of field information and minimise transcription efforts across numerous households.

Since 2008, this initiative has been integral to fieldwork in Switzerland alongside Fair Future Foundation, the Kawan Baik Indonesia Foundation and the Rotary International. We focus on creating tools that benefit individuals and leverage data insights for improved medical decision-making.

Follow the East Sumba sepsis study from household interviews to analysis, using a custom medical app to structure field data and strengthen prevention, early recognition and rural primary care.

31/08/2026

𝗧𝗵𝗶𝘀 𝗽𝗵𝗼𝘁𝗼𝗴𝗿𝗮𝗽𝗵 𝘄𝗮𝘀 𝘁𝗮𝗸𝗲𝗻 𝗱𝘂𝗿𝗶𝗻𝗴 𝘁𝗵𝗲 𝗦𝘂𝗺𝗯𝗮 𝗦𝗲𝗽𝘀𝗶𝘀 𝗦𝘁𝘂𝗱𝘆 𝟮𝟬𝟮𝟲.

A mother holds her child as we work in a village where access to healthcare, clean water, health information, nutrition and electricity can be limited.

The image is quiet. No emergency is visible. That is exactly why it matters.

Sepsis begins with an infection and can become a life-threatening medical emergency. Preventing infection, recognising deterioration early and reaching treatment quickly are essential. But in rural East Sumba, the path to care begins long before a patient arrives at a clinic.

For Fair Future Foundation and Kawan Baik Indonesia, Primary Medical Care, Kawan Sehat community health workers, the Sumba Sepsis Study 2026 and Water Connections are part of the same health system. One brings care and referral closer to homes. One builds knowledge and data. One improves access to water for drinking, hygiene, food preparation and sanitation.

𝗪𝗼𝗿𝗹𝗱 𝗦𝗲𝗽𝘀𝗶𝘀 𝗗𝗮𝘆 𝗶𝘀 𝗼𝗻 𝟭𝟯 𝗦𝗲𝗽𝘁𝗲𝗺𝗯𝗲𝗿. Since 2008, our Swiss medical and field experience has taught us something simple. A family should not meet the health system for the first time when a child is already critically ill.

This mother and child are why we keep working closer to where people live.

Understand rural child health in East Sumba through one mother and child, linking sepsis prevention with primary care, clean water, health education, nutrition and timely access to treatment.

28/08/2026

On 1 August 2026, while many in Switzerland were marking Swiss National Day, our teams were already on the road at 4 a.m. heading to Kampung Madutolung, Desa Kambata Bundung, East Sumba. It took six difficult hours to reach the village, and six more to return.

This was not a symbolic visit. Together, Fair Future Foundation and Kawan Baik Indonesia organised a full medical outreach day with around thirty people on site, including three doctors and our field staff. From 10 a.m. to 5 p.m., we treated more than 115 patients, most of them children.

We carried out clinical consultations, blood glucose, uric acid and cholesterol testing, malaria screening by slide microscopy, and provided medicines according to need. We also spent a large part of the day on prevention, using our educational posters to speak about hygiene, nutrition, waste management, passive smoking, alcohol, and malaria.

What we saw was the reality of remote medicine in East Sumba. Malnutrition, diarrhoea, skin disease, respiratory complaints, gastric problems, musculoskeletal pain, and fatigue linked to poor diet remain common.

This is what 18 years of Swiss field experience look like when applied in practice, quietly, and in partnership with local teams who know the communities they serve.

Discover medical outreach East Sumba as Fair Future Foundation and Kawan Baik Indonesia travel six hours to deliver care, malaria screening, and prevention to 115 villagers.

26/08/2026

𝗕𝗲𝗳𝗼𝗿𝗲 𝗰𝗼𝗻𝘀𝘁𝗿𝘂𝗰𝘁𝗶𝗼𝗻 𝗮𝗱𝘃𝗮𝗻𝗰𝗲𝘀 𝗶𝗻 𝗞𝗮𝘄𝗮𝗻𝗴𝘂, 𝘄𝗲 𝗻𝗲𝗲𝗱𝗲𝗱 𝘁𝗼 𝘀𝘁𝗼𝗽 𝗮𝗻𝗱 𝗺𝗲𝗮𝘀𝘂𝗿𝗲 𝘁𝗵𝗲 𝗴𝗿𝗼𝘂𝗻𝗱 𝗽𝗿𝗼𝗽𝗲𝗿𝗹𝘆.

On 19 August, a survey team carried out a full topographic survey of the future FFF-KBI Sumba HQ site. Using a total station and GPS, they recorded elevations, contours, roads, drainage and existing site features. The measurements were then processed into a topographic plan at 1 to 1000 scale with longitudinal and cross sections. The final report was delivered on 24 August.

This is not the most visible part of a construction project, but it matters. A building, an access route or a drainage line should not be positioned from assumptions. The terrain tells us where water can move, where levels change and how the next technical drawings must respond to the actual ground.

The survey cost IDR 5 million, around CHF 230. For Fair Future Foundation and Kawan Baik Indonesia, that is a small but necessary investment before larger construction expenses begin. Our Swiss foundation has worked in Indonesia since 2008, and field experience keeps teaching us the same thing. Careful preparation prevents avoidable problems later.

Prepare construction with the Kawangu topographic survey, documenting elevations, contours, roads, drainage and existing site features so the next design decisions are based on measured ground.

25/08/2026

𝗧𝗵𝗶𝘀 𝗽𝗵𝗼𝘁𝗼𝗴𝗿𝗮𝗽𝗵 𝘀𝗵𝗼𝘄𝘀 𝗻𝗼 𝗰𝗹𝗶𝗻𝗶𝗰. 𝗔 𝗽𝗮𝘁𝗵, 𝗮 𝘃𝗶𝗹𝗹𝗮𝗴𝗲, 𝗮𝗻𝗱 𝗮 𝗞𝗮𝘄𝗮𝗻 𝗦𝗲𝗵𝗮𝘁 𝗵𝗲𝗮𝗹𝘁𝗵 𝗮𝗴𝗲𝗻𝘁 𝘄𝗮𝗹𝗸 𝘄𝗶𝘁𝗵 𝗮𝗹𝗺𝗼𝘀𝘁 𝗼𝗻𝗲 𝗵𝘂𝗻𝗱𝗿𝗲𝗱 𝗺𝗲𝗱𝗶𝗰𝗮𝗹 𝗮𝗻𝗱 𝗲𝗱𝘂𝗰𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗶𝘁𝗲𝗺𝘀 𝗼𝗻 𝗵𝗲𝗿 𝗯𝗮𝗰𝗸.

Inside the bag are medicines, a blood-pressure monitor, basic equipment, and prevention materials. But the value of this work is not measured by what fits in a backpack. It is measured by what happens when trained care reaches a household before a problem becomes an emergency.

Our 27 Kawan Sehat agents work where access to formal healthcare is often difficult or absent. They provide basic first-contact care within their scope, check simple clinical parameters, explain treatments, discuss malaria, hygiene, nutrition, and other health risks, and recognise danger signs that require referral.

Community health workers do not replace nurses, doctors, or hospitals. They shorten the distance between a person and the health system.

This is Primary Medical Care developed by Fair Future Foundation with Kawan Baik Indonesia. Our Swiss medical organisation has worked in the field since 2008. The method remains simple. Train locally, equip properly, supervise, document, prevent, treat safely, and refer when higher-level care is needed.

Follow a community health worker in East Sumba carrying medicines, basic equipment and prevention tools on foot, bringing first-contact care, health education and referral closer to remote families.

20/08/2026

Nineteen-year-old Rambu Fratika is pictured here sitting next to a wooden house in East Sumba, focused intently on her phone. She's not engaged in chatting with friends or browsing social media; instead, the device serves as an essential tool for her fieldwork activities.

Rambu is a recently trained Kawan Sehat health agent from this year. Additionally, she served as an enumerator for the Sumba Sepsis Study 2026, which concluded its three-month field phase on August 14th, 2026.

Her role is hands-on and involves collecting organized information, communicating with families, aiding in sepsis prevention efforts, and alerting medical personnel to situations that might need attention. While the application assists in organizing data and knowledge, it cannot substitute for clinical evaluations, treatments, or referrals.

What I appreciate most about her is her focus and eagerness to learn. At 19, she has decided to contribute in areas where healthcare access is limited and mobile connectivity frequently lacks. Building local capacity plays a crucial role; recognising issues early on and reporting them sooner can reduce delays when an infection escalates.

Since 2008, Fair Future Foundation and Kawan Baik Indonesia have been blending Swiss medical expertise with local insights, training, and accountability in East Indonesia.

Follow sepsis prevention in Sumba with Rambu Fratika, 19, a Kawan Sehat health agent and study enumerator using field data and digital tools to support earlier recognition and referral.

18/08/2026

𝗢𝗻 𝗦𝘄𝗶𝘁𝘇𝗲𝗿𝗹𝗮𝗻𝗱'𝘀 𝗡𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗗𝗮𝘆, 𝟭 𝗔𝘂𝗴𝘂𝘀𝘁 𝟮𝟬𝟮𝟲, 𝗼𝘂𝗿 𝗺𝗲𝗱𝗶𝗰𝗮𝗹 𝘁𝗲𝗮𝗺 𝘄𝗮𝘀 𝗽𝗿𝗲𝘀𝗲𝗻𝘁 𝗶𝗻 𝗞𝗮𝗺𝗽𝘂𝗻𝗴 𝗠𝗮𝗱𝘂𝘁𝗼𝗹𝘂𝗻𝗴, 𝗘𝗮𝘀𝘁 𝗦𝘂𝗺𝗯𝗮.

Over 110 individuals received care through medicines and blood tests. However, this photograph captures another important part of that day.

Outside of the clinical setting, we conducted prevention sessions. During these sessions, one team member discussed the dangers of secondhand to***co smoke while another displayed an educational poster. Smoke affects more than just the smoker; it contaminates the air shared by children, pregnant women, older adults, and family members with chronic illnesses.

We also covered nutrition, the dangers of alcohol misuse, how to identify malaria symptoms, ways to minimise mosquito exposure at home, and the food pyramid we developed for local health education.

Treatment becomes essential when a person falls ill, while prevention comes first. Prevention helps families identify risks, understand symptoms, and make timely decisions about testing or seeking medical care.

Here's a rewritten version: This is the approach that Fair Future Foundation and Kawan Baik Indonesia take in their fieldwork. Since its inception in 2008, our Swiss foundation has been committed not only to treating illnesses but also to empowering individuals with practical knowledge they can apply at home immediately.

See community health prevention in East Sumba, where a rural care day combines medical treatment with education on secondhand smoke, nutrition, alcohol risks and malaria recognition.

18/08/2026

𝗧𝗵𝗶𝘀 𝗽𝗵𝗼𝘁𝗼𝗴𝗿𝗮𝗽𝗵 𝗶𝘀 𝘀𝗶𝗺𝗽𝗹𝗲. 𝗔 𝘁𝗮𝗽 𝗶𝘀 𝗼𝗽𝗲𝗻, 𝘄𝗮𝘁𝗲𝗿 𝗳𝗮𝗹𝗹𝘀 𝗶𝗻𝘁𝗼 𝗮 𝗯𝘂𝗰𝗸𝗲𝘁, 𝗮𝗻𝗱 𝘁𝘄𝗼 𝘄𝗼𝗺𝗲𝗻 𝗮𝗻𝗱 𝘁𝘄𝗼 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻 𝘀𝗶𝘁 𝗯𝗲𝘀𝗶𝗱𝗲 𝗶𝘁.

The water has travelled from a new 5,300-litre reservoir higher on the hill, through around 200 metres of pipe, using gravity alone.

Several houses below can now be supplied. Here, two families, around fifteen people, collect water where they live.

That changes much more than convenience. Water at home supports hydration, food preparation, handwashing, bathing, cleaning utensils and caring for children. When the water is safe and properly stored, it also reduces exposure to diarrhoeal and other waterborne infections. Repeated diarrhoea can damage nutritional status, especially in children.

A household water connection does not prevent malaria by itself. But good storage, drainage and avoiding standing water around taps and tanks are part of responsible vector control.

For Fair Future Foundation and Kawan Baik Indonesia, the Water Connections program is public health infrastructure. Swiss medical and field experience since 2008 has taught us that prevention often begins before anyone reaches a clinic.

Clean water is the least expensive medicine because it acts before illness starts.

See clean water at home reach two families through a 5,300-litre reservoir and 200 metres of pipe, improving daily hygiene, hydration, food preparation and prevention in rural East Sumba.

18/08/2026

𝗟𝗮𝘀𝘁 𝗙𝗿𝗶𝗱𝗮𝘆, 𝘁𝗵𝗲 𝗳𝗶𝗲𝗹𝗱 𝗽𝗵𝗮𝘀𝗲 𝗼𝗳 𝘁𝗵𝗲 𝗘𝗮𝘀𝘁 𝗦𝘂𝗺𝗯𝗮 𝗦𝗲𝗽𝘀𝗶𝘀 𝗦𝘁𝘂𝗱𝘆 𝗰𝗮𝗺𝗲 𝘁𝗼 𝗮𝗻 𝗲𝗻𝗱 𝗮𝗳𝘁𝗲𝗿 𝗺𝗼𝗿𝗲 𝘁𝗵𝗮𝗻 𝘁𝗵𝗿𝗲𝗲 𝗺𝗼𝗻𝘁𝗵𝘀 𝗼𝗻 𝘁𝗵𝗲 𝗿𝗼𝗮𝗱 𝗮𝗻𝗱 𝗼𝗻 𝗳𝗼𝗼𝘁 𝗮𝗰𝗿𝗼𝘀𝘀 𝘀𝗼𝗺𝗲 𝗼𝗳 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗶𝘀𝗼𝗹𝗮𝘁𝗲𝗱 𝘃𝗶𝗹𝗹𝗮𝗴𝗲𝘀 𝗼𝗳 𝗘𝗮𝘀𝘁 𝗦𝘂𝗺𝗯𝗮.

More than 20 enumerators, health professionals and other team members visited people living in more than 1,000 households. The sticker in this photo was placed after a household had been surveyed. It is a small trace of a much greater effort that required long travel, difficult access, repeated training, and careful data collection.

Two questionnaires are now entering the analysis phase. One records what communities know, experience and do when facing infection and signs of severe illness. The second was completed with NAKES health professionals and looks at the clinical and health-system perspective.

For Fair Future Foundation and Kawan Baik Indonesia, this study is not an abstract exercise. Since 2008, our Swiss fieldwork has been built around what people actually face when access to care is late, distant or incomplete. Reliable local data are essential to improve prevention and referral pathways.

The first global results will be published on 13 September for World Sepsis Day.

Review the East Sumba sepsis study after more than three months of fieldwork, 20+ enumerators and 1,000+ household surveys, with two datasets now being analysed for World Sepsis Day.

Alexandre Wettstein

02/09/2026

01/09/2026

31/08/2026

28/08/2026

26/08/2026

25/08/2026

20/08/2026

18/08/2026

18/08/2026

18/08/2026

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