Alexandre Wettstein

11/03/2026

Out here in East Sumba, progress rarely begins with big buildings. It begins with people sitting together around a table, sharing knowledge, solving problems, and preparing the next step for their communities.

For years, our team has been working across remote villages, training community health workers, fighting malaria, building water systems, bringing solar energy to schools, and delivering medical care where there are no doctors. But as our programs grow, one reality becomes clearer every day: our current space is no longer enough.

The and teams works in cramped rooms. Equipment is stored wherever there is space. Meetings happen wherever we can gather. And yet, the work continues because the needs are real.

Rumah Kambera is the next step.

A place where medical supplies can be organized properly.
A place where local health agents can be trained.
A place where communities can meet, learn, and plan together.
A place where logistics, medicine, and knowledge come together to serve the people of Sumba.

This new center is not just a building. It is the foundation for stronger healthcare, stronger communities, and stronger local capacity for the years ahead.

Scan the QR code to explore the full Rumah Kambera project.

Because real change is built step by step, together.

11/03/2026

Every year we publish a report. Not to fill pages, but to show what really happens in the places where we work.

In East Sumba, healthcare does not begin in hospitals. It begins on dirt roads, in villages without electricity, in schools where children still study after sunset with a small solar lamp. It begins with clean water, with prevention, with local health agents who know every family in their community.

In 2025, together with local partners, teachers, health workers and villagers, we continued building practical solutions. Medical care where none exists. Water systems in remote areas. Malaria prevention. Health education. Equipment for hospitals. Energy for schools.

Nothing spectacular. Just the slow, constant work of making life safer, healthier and more dignified.

This report is a transparent account of that work.

Scan the QR code in the last slide to download the full 2025 Annual Report.

Thank you to everyone who has been walking this road with us for nearly 18 years.

10/03/2026

𝗥𝘂𝗯𝗲𝗹𝗹𝗮 𝗶𝘀 𝗼𝗳𝘁𝗲𝗻 𝘁𝗿𝗲𝗮𝘁𝗲𝗱 𝗮𝘀 𝗮 𝗺𝗶𝗻𝗼𝗿 𝗿𝗮𝘀𝗵 𝗶𝗹𝗹𝗻𝗲𝘀𝘀. 𝗜𝗻 𝗺𝗮𝗻𝘆 𝗰𝗵𝗶𝗹𝗱𝗿𝗲𝗻, 𝘁𝗵𝗮𝘁 𝗶𝘀 𝗲𝘅𝗮𝗰𝘁𝗹𝘆 𝗵𝗼𝘄 𝗶𝘁 𝗹𝗼𝗼𝗸𝘀. 𝗧𝗵𝗮𝘁 𝗶𝘀 𝗮𝗹𝘀𝗼 𝘄𝗵𝗮𝘁 𝗺𝗮𝗸𝗲𝘀 𝗶𝘁 𝗱𝗮𝗻𝗴𝗲𝗿𝗼𝘂𝘀.

In Indonesia, the public health warning signs are already there. Official data reported 63,769 suspected measles cases, 11,094 laboratory-confirmed cases, and 69 deaths in 2025. By week 7 of 2026, another 8,224 suspected cases, 572 confirmed cases, and 4 deaths had already been recorded.

This matters for rubella, too, because the same measles-rubella vaccine gaps, the same weak surveillance, and the same missed districts also create the conditions for congenital rubella syndrome to remain unseen.

Early in pregnancy, rubella can pass to the fetus in up to 90% of cases. In rural medicine, that is not theory. That is the distance between a village and a functioning system. At Fair Future Foundation and Kawan Baik Indonesia, after 16 years of Swiss fieldwork in remote Indonesia, we know that prevention is only real when it reaches the last family, not just the last report.

Read more in the full article and see why a mild village rash can become lifelong disability when vaccination and surveillance fail in time. https://fairfuturefoundation.org/rubella-rural-indonesia-cases/

- World Health Organization (WHO) - UNICEF - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Rotary International - PathGlobal International Committee of the Red Cross - Protokol Sumba Timur - Promkes Dinkes Prov Ntt - Dinkes SUMBA TIMUR

Protect families through rubella in Indonesia prevention as 11,094 confirmed measles cases, 69 deaths in 2025, and weak MR2 coverage reveal ongoing...

09/03/2026

Across many parts of the world, health systems do not collapse. Hospitals operate, programs exist, and budgets are allocated. Yet somewhere between district capitals and remote villages, the system quietly stops.

This is what global health experts often describe as the "last mile" of healthcare. Policies exist. Medicines exist. But distance, weak infrastructure, lack of medical staff and governance problems prevent care from reaching the people who need it most.

In ultra-rural regions of Indonesia, some communities live hours away from the nearest health facility. Families delay seeking treatment. Simple infections can become serious illnesses. Preventable conditions escalate into emergencies.

Through the Primary Medical Care program, community health agents trained by Fair Future Foundation and Kawan Baik Indonesia provide first-line care in these villages. Equipped with essential medicines, diagnostic tools and continuous training, they form the missing layer between national health systems and isolated populations.

After sixteen years of fieldwork, one lesson remains clear. Strengthening healthcare systems does not only mean building hospitals. It means ensuring the system continues all the way to the village.

Read the full article here https://fairfuturefoundation.org/health-systems-stop-before-village/

- World Health Organization (WHO) - PathGlobal - UNICEF - Rotary Club Mandurah Districts - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Malaria Partners International - Women in Global Health - International Committee of the Red Cross - Protokol Sumba Timur

Explore how health systems stop before the village in remote regions of Indonesia. Distance, infrastructure gaps and governance failures leave millions without basic medical care.

06/03/2026

In many parts of the world, medicine does not fail because treatments are unknown. It fails because treatments never reach patients.

In rural regions like East Sumba in Indonesia, healthcare depends on something very simple: Transport. Trucks carrying medicines. Motorcycles reaching remote villages. Supply chains delivering malaria tests before the rainy season. Logistics becomes the first step of treatment.

For more than 16 years, the Swiss team of Fair Future Foundation and the Indonesian foundation Kawan Baik Indonesia have been building practical medical logistics systems to reach communities where healthcare infrastructure barely exists.

The Truck of Life, motorcycles for health agents, solar-powered equipment and supply deliveries all serve one goal: Bringing diagnostics and treatment to patients who would otherwise remain invisible to the healthcare system.

In remote medicine, logistics is medicine.

Read more about how logistics determines access to healthcare in remote regions
https://fairfuturefoundation.org/logistics-is-medicine/

- UNICEF - World Health Organization (WHO) - VillageReach - PathGlobal - Comité international de la Croix-Rouge - SolarBuddy.org - Perth Rotary - Western Australia - The Global Fund - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia

Deliver lifesaving care to remote communities. Logistics is medicine where trucks, motorcycles and supply chains determine whether diagnostics and...

05/03/2026

𝗪𝗵𝘆 𝗱𝗼 𝗵𝗲𝗮𝗹𝘁𝗵 𝘀𝘆𝘀𝘁𝗲𝗺𝘀 𝘄𝗼𝗿𝗸 𝗶𝗻 𝗰𝗮𝗽𝗶𝘁𝗮𝗹 𝗰𝗶𝘁𝗶𝗲𝘀 𝗯𝘂𝘁 𝗳𝗮𝗶𝗹 𝘁𝗼 𝗿𝗲𝗮𝗰𝗵 𝗿𝗲𝗺𝗼𝘁𝗲 𝘃𝗶𝗹𝗹𝗮𝗴𝗲𝘀?

This question lies at the heart of the last-mile problem in global health. National vaccination programs, malaria strategies, and medicine distribution systems often perform well at the national or district level. Statistics suggest progress. Coverage indicators improve.

But geography changes everything.

In many ultra-rural regions, the final villages remain hours away from the nearest road, often without electricity, clean water, or reliable transport. The health system does not collapse in these places. It simply stops before reaching them.

For more than 16 years, the Swiss humanitarian organisation Fair Future Foundation has worked in remote regions of Indonesia alongside Kawan Baik Indonesia to close this gap. Through community health workers, field logistics, medical training, and prevention programs, healthcare can finally reach the populations that statistics often overlook.

The last mile is not only a geographic challenge. It is a structural challenge for global health systems.

And solving it requires hybrid models that connect national health policies with local community action.

Read the full article https://fairfuturefoundation.org/last-mile-global-health/

- UNICEF - World Health Organization (WHO) - The Global Fund - PATH - Malaria Partners International - Perth Rotary - Western Australia - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia

Explore the last mile global health challenge. Learn why national health programs stop before remote villages and how community-based care connects...

04/03/2026

In many parts of the world, medicine is imagined as a doctor, a clinic, a prescription.
But in remote regions, survival often begins long before a patient meets a clinician.

Clean water systems reduce diarrheal disease.
Mosquito nets prevent malaria infections.
Trained community health agents detect pneumonia or infected wounds before they become fatal.

Public health calls these the determinants of health. On the ground, they are simply the difference between illness and survival.

For more than 16 years, Swiss-based Fair Future Foundation has worked with local teams and volunteers to build these foundations of health in rural Indonesia. Together with Kawan Baik Indonesia and all our partners, our programs combine water infrastructure, malaria prevention, primary medical care and education.

Seen from the outside, these may look like separate projects. In reality, they form a single preventive system that protects communities before patients ever arrive at a clinic.

Because in many forgotten regions of the world, medicine does not start with a stethoscope.
It starts with clean water, light, and someone trained to listen.

Read the full article here https://fairfuturefoundation.org/health-built-before-patients-arrive/

- CDC - UNICEF - World Health Organization (WHO) - Rotary International - SolarBuddy.org - Malaria Partners International - International Committee of the Red Cross - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Gates Foundation

Discover how health built before patients arrive changes survival in rural regions. Clean water, malaria prevention, trained community agents and...

03/03/2026

Health systems rely on numbers. But what happens when entire villages generate none?

In East Sumba, ultra-rural communities rarely appear in national datasets. Without measurement, disease remains invisible. Through our Primary Medical Care program, Fair Future Foundation and Kawan Baik Indonesia document every consultation. Fever cases, malaria tests, maternal anemia, respiratory infections, and wound infections. All recorded through field-developed medical applications such as the Kawan Sehat App.

After four years, we can observe real epidemiological trends at the village level. We can compare malaria clusters across hamlets. We can track seasonal respiratory spikes. We can quantify maternal risk factors. This is community-based epidemiology built from daily clinical work.

We are not only treating patients. We are producing structured health intelligence from regions where official data is sparse. With Swiss precision and 16 years of field experience, small datasets become powerful tools for equity.

Read more here https://fairfuturefoundation.org/health-data-where-no-data-exists/

- World Health Organization (WHO) - UNICEF - International Committee of the Red Cross - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Gates Foundation - Perth Rotary - Western Australia - Institute for Health Metrics and Evaluation (IHME)

Document health data where no data exists in remote East Sumba villages to reveal real disease burdens and guide targeted primary medical care...

02/03/2026

In rural-areas, like here in East Sumba, a disease rarely becomes fatal immediately. It becomes fatal when care is delayed.

The Hidden Cost of Delay in Rural Medicine is measurable. Time between symptoms and first consultation. Distance to referral centres. Economic cost of transport. These variables transform mild diarrhea into severe dehydration, a small wound into extensive cellulitis, a simple fever into complicated malaria.

For 16 years, Fair Future Foundation and Kawan Baik Indonesia have worked to reduce this delay through Primary Medical Care and Kawan Sehat health agents. Swiss expertise applied to ultra-rural Indonesia means decentralising first contact and bringing early treatment directly to villages.

𝗥𝘂𝗿𝗮𝗹 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲 𝗶𝘀 𝗮 𝗳𝗶𝗴𝗵𝘁 𝗮𝗴𝗮𝗶𝗻𝘀𝘁 𝘁𝗶𝗺𝗲.

Read more about how time shapes survival in rural medicine
https://fairfuturefoundation.org/hidden-cost-delay-rural-medicine/ - World Health Organization (WHO) - UNICEF - International Committee of the Red Cross - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Malaria Partners International - SolarBuddy.org - Perth Rotary - Western Australia

Explore the Hidden Cost of Delay in Rural Medicine in East Sumba and see how distance, cost and time to first care transform mild disease into...

27/02/2026

Community Health Brokers are not assistants in remote territories. They are the health system itself.

In East Sumba, our Primary Medical Care program records hundreds of consultations every month through trained local agents. Around 80 per cent of cases are managed at the community level under standardised protocols and medical supervision. Severe cases are referred early and safely.

This is not improvisation. It is architecture. With 16 years of Swiss field expertise, Fair Future Foundation, together with Kawan Baik Indonesia, has developed a reproducible, decentralised model that shortens the time to care and reduces preventable hospitalisations.

Health systems are not only buildings. They are trained humans operating inside disciplined frameworks.

Read more https://fairfuturefoundation.org/community-health-brokers-health-system/

- World Health Organization (WHO) - UNICEF - Living Goods - Partners In Health - Malaria Partners International - Perth Rotary - Western Australia - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - International Committee of the Red Cross- BRAC

Understand how Community Health Brokers operate as a structured health system in ultra rural Indonesia, managing 80 percent of cases locally and strengthening Primary Medical Care.

26/02/2026

Where we are working in Eastern Indonesia, especially in East Sumba, one child out of three lives with some form of malnutrition. This is not simply about food shortage. It is about immune function.

Undernutrition reduces cellular immunity, weakens mucosal barriers, and increases the severity of infections. A mild pneumonia becomes critical. A simple diarrheal episode becomes life-threatening dehydration. Repeated malaria accelerates weight loss and anaemia.

After 16 years of Swiss field expertise, Fair Future Foundation and Kawan Baik Indonesia see this daily. Nutrition, water access, malaria prevention, and primary medical care are biologically inseparable.

We do not treat infections in isolation. We restore immune resilience.

Read the full clinical analysis here https://fairfuturefoundation.org/malnutrition-infection-multiplier

- Food and Agriculture Organization of the United Nations (FAO) - UNICEF - World Health Organization South-East Asia Region - WHO SEARO - The Lancet - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - Promkes Dinkes Prov Ntt - Dinkes SUMBA TIMUR - Food and Agriculture Organization of the United Nations (FAO)

Discover why malnutrition is an infection multiplier in ultra-rural Indonesia and how weakened immunity drives severe infections and child mortality.

25/02/2026

What does antibiotic stewardship mean where there is no laboratory, no culture, no antibiogram?

In East Sumba, our teams treat dozens of infections every month under the Primary Medical Care program. Severe pneumonia in malnourished children. Infected wounds. Postpartum infections. Every decision is empirical, based on clinical examination and 17 years of field epidemiology.

Antibiotics without laboratories are not improvisation. It is structured medicine under constraint. Strict protocols. Weight-adjusted dosing. Clear first-line choices. Continuous reassessment.

At Fair Future Foundation and Kawan Baik Indonesia, we balance urgency and global responsibility. Antimicrobial resistance is real. So is an untreated infection.

Read more on our website and understand how empirical medicine is practised responsibly in ultra-rural Indonesia. https://fairfuturefoundation.org/antibiotics-without-laboratories/

- World Health Organization (WHO) - UNICEF - Swiss Development & Cooperation - Embassy of Switzerland in Indonesia - PNG Fleming Fund AMR One Health Collaboration - ReAct - Action on Antibiotic Resistance - CDC - International Committee of the Red Cross - Promkes Dinkes Prov Ntt - Dinkes SUMBA TIMUR

Treat severe infections in remote Indonesia where no lab exists. Antibiotics without laboratories require strict protocols, surveillance, and...