A study of rural and urban food habits in Papua
Transcription
A study of rural and urban food habits in Papua
To the memory of the late Eben Hipsley Printed and Published in Australia at The Australian National University , Centre for Re s ource and Environmental Studie s , UNESCO , 1 9 7 9 . © Dougal for Je f fries This Book i s copyright . Apart from any fair dealing for the purpose o f private study , res earch , criticism , o r review , a s permitted under the Copyright Act , n o part may be reproduced by any proce s s without written permis s ion Printed at : Central Printery Australian National University Distributed for UNESCO by : Dr Ken Newcombe , Centre for Resource and Environmental Studie s , Australian National University , Canberra 2 60 0 . National Library of Australia Card N o . and I SBN v PREFACE TO REPORT No. 1 , Papua New Guinea Human Ecology Programm e Thi s i s the first in a s eries of reports to be publ ished on the Papua New Guinea Human Ecology Programm e 1 Hinterland 1 • ( PNGHEP) , ' Lae and its The Programm e is being conducted by members of the Human Ecology Group of the Centre for Resource and Environmental S tudies , Australian National University , in co-operation with national and local governmental and academic organizat ions in Papua New Guinea. The Programm e itse l f is a contr ibution to the Man and the B io sphere Programme , Proj ect 1 1 : Integrated Ecological Studi e s on Human Settlements , which is j ointly sponsored by Une s co and the United Nations Environmental Programme ( UNEP). The Papua New Guinea Human E co logy Programme has been de s igned in two s tages which are equivalent to Pha s e 2 and Pha s e 3 activities in the guid e lines for MAB Pro j ect 1 1 s tudies. The first stage con s i s t s of a s e ries of demonstration pro j ects , each involving a n eco logical evaluation o f selected problems of development in the rapidly expanding industrial c ity of Lae and its hint er land. This pre l iminary s tudy of twelve months duration i s intended to demonstrate the value of ecological analy s i s in the perception and management o f key problems. The second s tage , to fo l low the evaluation of the succes s of the first stage , has been planned as a longer term more comprehens ive ecological s tudy , aimed at analysing the interrelationships between changes in the socio- cultural and phys ical environment and the health and we ll-be ing of the human population of Papua New Guinea. Whi le a full integrative ec ologi cal understanding of the dynami c s and e f fects of change in Lae in re lation to i ts hinter land is not pos s ibl e without the second stage of the Papua New Guinea Human Eco logy Programm e , thi s stage is des i gned to make a use ful contribution to the theory of human ecosystems and to the practical aspect s of ecosystem management. Already it is c lear that the f indings in each research pro j ect have important impl ications for the analy s i s in other s , 1 The report was also submitted in September 1 9 78 as part of Dougal Jeffries' Ph.D. the s i s at the Australian National Univers i ty. The fu l l thes is , entitled ' The Ecology of Food Habits in Contrasting Environments', include s s ome comparative material relating to food habi t s in Australia. Copies of the the s i s wil l be lodged with libraries in the Australian National University and the University of Papua New Guinea. vi and that the integration of the separate findings is enriching and as si sting the poli cy-makers process. There are four pro j e ct areas , all heart of contemporary human ecology ; with problems at the food and nutri t ion , nutrient cyc ling and ene rgy flows , cash flows and social change. In the area of food and nutrition , Dougal Je ffries has studied food habits and be liefs amongst the Fore people of the Eastern Highlands , their rural and their urban environment s. in both The other three pr o j ects con s i s t of a study of the ecology of consumer behaviour , focus ing on cash f l ows stimulated by coffee-cropping in the Chimbu Province , and urban cash employment of Chimbu people in Lae ; an analy s i s of the impact of urban izat ion on roles and s oc ial re lationship s among st the Chimbu ; and an examination of energy use and waste d ispo s al with regard to alternative energy s trategi e s , and nutrient cyc l ing through intens ive urban food production systems. Une sco has made it a condition o f contract that re search be oriented to practical policy conclu s ions and that the dec i s i on-makers and community repres entat ive s of the country concerned by informed about , and where possible involved in , the research progr amme . Indeed , in Papua New Guinea , interaction with local and national government in the proc e s s of research has been fruitful for both and implementation programm e s arising from research are even proceeding in advance of the documentation of research f ind ings. Turning now to this proj ect on food habits and bel i e f s i t mus t first be appreciated that t h e s c ience o f nutrition i s fac ing many chal lenge s On the analytical leve l , there are such ques t ions as the connect ions between nutritional status , growth rate s , the e f fects of preventive and curative medicine , and morbidity and mortality ( e specially i n children) , which are complex and at pre s ent not clearly understood. Thi s rai s e s doubts as to the validity of compar ing growth curve s acros s populations as a measure of nutritional well-be ing . On the practical leve l , there are difficulties relating to the crudity of twenty- four hour recall or even weighed food intake as a measure of diet . There are the expens e s and hazards of fie ldwork purporting to maintain an accurate measure of the s e parameter s in a community over an adequate period . Surveys based on questionnaire s vii which are not followed up tend to be superficial and misleading and clinical s urveys are expensive and remain limited in scope. Dougal Je ffries therefore decided that the most appropriate method to adopt would be an in-depth ecological study of a group of manageable size , yielding lengthy interview data verified by obs ervation. Such a study can contribute a rich basis for understand ing the nature of change and its implications for well-being in a volatile period of cultural transition. In this Report , the critical determinants of the diet of rural village dwelle r s , both agronomic and cultural , are defined , observed and described in terms of their response to the powerful influences of Western culture and the market economy influences which become more significant as urbanization proceeds. This is the first study , to our knowledge , of the ecology of food habits and beliefs for membe rs of the s ame group in both their rural and urban s etting , and the study reveals the importance of such factors as perception and beliefs on diet and nutritional state. status of foods from the rural to the urban environment The changing as well as attesting to the importance of socio-cultural factors in nutrition points the way towards policies concerning food and nutrition which may be appropriate and bene ficial in the dynamic circumstances of change from rural to urban living. The author draws conclusions which in many case s reinforce the directions of policy-making in P apua New Guinea , and this s hould prove heartening for the government policy-makers. Generally , however , the ecological approach described here provides a useful methodology for examining problems of nutrition caused by rapid economic developments in the Third World. Ken Newcombe , Centre for Re source and Environmental Studies , Australian National University , Canberra , A. C.T. and Energy Planning Unit , Department of Minerals and Energy , Konedobu , Papua New Guinea. viii Note This is the f i rs t in a series of reports to be pub l ished on the Papua New Guinea Human E cology Progranune (PNGHEP) , 1 ' Lae and i ts Hinterlan d 1 • The P ro gramme is being conducted by members o f the Human Eco logy Group of the Centre for Re source and Environme n ta l S tudie s , Aus tral ian National Unive rs i ty , in co-operation with n ational and loc a l governmental and academic organizations in P apua New Guine a . The P rogramme i tse l f is a con tribution to the Man and the B io sphere P rogramme , P ro j e c t 1 1 : I n tegra ted E c o logical S tudies on Human S ettlements , which is j o in tly spons ored by Une s co and the United Na tions Environmen tal P ro gramme (UNEP). ' From K.aukau to Coke ' PNGHEP Report No 1 . Prin ted with financial as s i s tance from Une s co/UNEP . Pub l i shed and dis tributed for Une s co by : Centre for Re so urce and Environmental Studi e s , Aus tralian National Unive r s i ty , Box 4 , P . O . , Canberra, ACT 26001 Aus tralia . lThe report was also submi tted in September 1 9 78 as part of my Ph . D . the sis at the Australian National Unive r s ity . The full the s i s , entitled ' The Ecology of Food Habits in Contras ting Environmen ts ' , inc lude s some comparative material relating to food habits in Austra l ia . Copie s of the the s i s wi l l be lodged with libraries in the Aus tral ian National Univers ity and the Univers ity o f Papua New Guinea . • . • by a middle-aged man from the vi ll age : "Nambawa:n kaikai bi Zong yumi., o Zsem., nambawan kaikai bi Zong yumi tru., em kaukau. Em i nambawan kaikai bi Zong y umi tru. Kaikai i no ken pinis Zong yumi . Yumi no inap so tim., so t Zong kaukau. Yumi mas senisim., senisim. Sapos yumi no senisim kaukau hariap hariap., bai y umi s tap nating. u 11our bes t foo d , i t' s like this , our very b e s t food o f all i s swe e t potato . I t' s truly our b e s t foo d . W e can' t s top eating i t . We mus tn' t go short of i t , sho r t of sweet potato . We mus t keep replanting i t . I f we don' t replant it quickl y , we• 1 1 be l e f t with no thing . " • . and by a young male migrant in Lae : "Long taun, mi save bairn o Zgeta kaikai., na mi kaikai . Taso Z mi Zaikim mi t pai na Coke, rza samting biZong kukim: rais., pis wa:n taim., o sa.mpe Za taim frisa mi t. Em taso Z . Na sips., wa:n taim Mi Zaikim dispe Za kaikai . " " In town , I buy a l l kinds o f food to eat . But I l ike meat pie and Coke , and things to cook : rice wi th fi sh , o r sometimes meat from the free zer . That' s a l l . And fish and chip s . I l ike the s e foo d s . 11 x My fami ly and I owe our greate s t debt to the Fore people among whom we l ived and worked during our six months ' fieldwork in Papua New Guinea. To a l l the villagers of Awande , and to the Fore r e sidents o f Lae , we extent warm grati tude , operation and kindne s s . for their hospital i ty , to lerance , co Timothy Nigi a , my full time field as s i s tant , who c he e r fully trudged many mi les with us and shared many burdens ( from swee t potatoes to our son) , and P i la s , who ably as s i s ted my wife with her i nterview s , were both good companions and helpful guide s ; we owe spe c i al thanks . As always , individuals as one would l ike , to them it is impo s s ible to mention as many but from the we must particularly thank Maki s and al l the i nhabitants o f S eve'agori haml e t , and from the town Emo , Wayama and Orame. As a family , we also owe many thanks to Michael and Wendy Alpers and their chi l dren for continual encouragement, help throughout stay ; hospitality Rudi Sakudh of the Awande Vocational S c hool his good neighbourline s s s trawberrie s More formal acknowledgement i s due t o Michael Alpers his as Director o f the Papua New Guinea Insti tute o f Medical Re s earch i n Goroka , and to al l the s taff of t h e I ns titute , f o r their s upport faci l i tie s ; to Tony Chappelle and the Univers i ty of Technology in Lae for help with duplica ting ; to Dr . John Conroy , of the I n s ti tute of Applied Social and E conomic Research , for lending us a vehi c le ; Tau Mane ga , F i e ld Manager of the A . N . U . Joint Research S choo l s , and to for arranging accommodation and transport on several occasion s . Among the many individuals who provided me with use ful information and advic e are Julian Lambert , now National Nutrition P lanne r ; H i le s , Provinc ial Nutrition i s t in the Eastern H i ghland s ; Area Nutr i tioni s t in Morobe Province ; Okapa Hospi ta l , a n d hi s nurs ing s taff ; at Okapa ; S he ila Marian Cas t , Kimb Tai , Officer-in-Charge a t Trevor B ui s ing , Di strict Officer and in Australi a , Colin Binns and Peter S innett . S teve Mil lar and Beve rley Hewi tt kindly collected s ome use ful additional data for me , while they were working on a separate pro j e c t in Awande in early 1 9 78 , under the auspi c e s of the Institute of Medical Research . is al s o made to Kumul Bakery Acknowledgement (Lae) P ty . Ltd . for l ending me copi e s of the adverti s ements reproduced in P l ate 9 . xi The work de sc ribed in this report was undertaken as part of my doctoral research during the tenure of an Australian National University Ph.D. S cholarship in the Centre for Resource and Environmental S tudies ( CRES ) . I t also formed a demonstration pro j e c t o f the P apua New Guinea Human E cology P rogramme, itse l f part of the Man and the Biosphere Programme sponsored by UNES CO/UNEP . Due acknowledgement i s made t o a l l the se bodie s f o r their financial support, and I should l ike t o thank Hugh Li ttlewood, the Centre Secre tary at CRES, for administering a rather complicated budget. I am mos t grateful to my supervisor, Dr. S tephen Boyden, the Head of the Human Ecology Group within CRES, and to a l l my colleagues in the Group, for their encouragement, c riticism and companionship. Ken Newcombe, as Director o f the PNG Human E cology Programm e , provided valuable s timulation and l eadership in its execution. For and commenting on various drafts of the entire manuscript I should like to thank Frances B arne s, S tephen Boyden Je ffries and Ken Newcombe ; Frank Fenner, B ryan Furnas s , E luned and for commenting on parts of i t, Marion Chris tie and Cheryl Tychsen. Between them they managed to find a daunting tho s e that remain are number of errors, omiss ions and other my own responsibility . For typing and re typing the s e pages, I should like to thank warmly Fay Goddard, upon who se e f ficiency and good humour I have been entirely and confidently reliant throughout. My wife, E luned, participated in the work from s tart to finish. Her concrete c ontributions are to be found in Chapter 6 of the report, and in some of the photographs, including the frontispie ce ; tangible contributions were s til l greater. her l e s s T o h e r and t o Evan, my other companion, I o f fe r due acknowledgement, thanks and love. xii Frontispie ce : Vil lage mother and child iY Pre face v Acknowledgements x PART I : I NTRODUCTION Chap ter 1 Background , PART I I s cope and methods o f s tudy 2 ENVI RONMENTS I POPULATIONS AND FOOD RESOURCES Chapter 2 The rural sample 13 Chapter 3 The urban sample 33 Food re source s in the i r e co lo gi cal s e tting 45 Chapter 4 PART I I I : FOOD BELIEFS AND PREFERENCES Chapter 5 Men 1 s food beliefs and pre fe rence s in Awande and Lae Chapter 6 Women ' s atti tude s and belie f s regarding in fant feeding 80 in Awande and Lae Chapter 7 Food be lie f s and pre ference s in the i r e cological setting PART I V 54 93 FOOD CONSUMPTION Chapte r 8 General obse rvations on food consumption in Awande and Lae 1 02 Chapter 9 Dietary recall surveys in Awande and Lae 112 Chapter 1 0 A weighed in take survey in Awande 133 Chapter 1 1 A househol d expendi ture survey in Lae 148 Chap te r 1 2 Food cons umption i n i t s e cologi c al s e tting 1 72 PART V : HEALTH AND WELL-BEING Chap te r 13 Wei gh t s for age , morbidi ty and mortal i ty in children in Awande and Lae Chapter 1 4 Nutrition , health and we ll-being i n thei r eco logical 179 s e ttin g 197 S ummary and recommendatio n s 2 11 Glos sary o f Melane s ian P idgin terms as us ed in text 225 Appendix A Trade s to re s in Awande 227 Appendix B Lae F ood P ric e s Survey 233 Chapter 1 5 Reference s 238 xiii Tables 1. Main food p l an ts used at Awande , with notes on their oc currence and use . 23 2. Households and individuals by sex and age group in diet ary recall surveys , Awande and Lae 1 97 7 . 114 3. consumption rates of main food i tems by individua l s 5 years and ove r , morning . Awande and Lae . 117 4. Consumption rates o f main food items by individuals 5 years and ove r , midday . Awande and Lae . 118 5. Consumption rates o f main food i tems by individuals 5 years and ove r , evening . Awande and L ae . 119 6. Consumption rates o f main food items by 0-4- ye ar- olds , morning . Awande and Lae . 124 7. Consumption rates o f main food items by 0 - 4-year-olds , midday . Awande and Lae . 125 8. Consumption rates o f main food items by 0- 4-year-olds , evenin g . Awande and Lae . 126 9. Number o f in fan ts consuming various i tems o f food and drink on previous day , Awande and Lae . 128 Househo l d composition and theoretical energy and p ro te in requirements of househo l ds in weighed die tary intake surve y , Awande . 135 10 11 . Total food intake o f three Awande households ove r one week . 1 3 9 12 . Compari son o f 1 9 5 7 Moke diet with 1 9 7 7 Awande diet . 1 42 13 . Cash income and expenditure over one fortnight in eigh t Fore househo l ds in Lae . 153 14. Dis tribution o f under- five s i n s tandard weight- for-age cate go ri e s , Awande and Lae . 182 15 . Comparison o f mean weights o f unde r- five s by one year age group s , Awande and Lae . 183 16 . MCH clinic attendance o f under- five s by one year age 17. Breas t- feeding o f under- five s by one year age group s , Awande and Lae . 187 18 . Food and drink sales at main Awande trades tore : weeks in May , Jul y , Oc tober 1 9 7 7 , Jan/Feb 1 9 7 8 . 229 19 . Average costs , and relative c o s ts of energy and protein contents , of maj o r food i tems in Lae s tore s and markets , October 1 9 7 7 . groups , Awande and Lae . sample 185 234 xiv 1. A conceptual model for the analysis o f the food habits of a localised population . 2. Consumption rate s o f major food catego ri e s by individuals 5 years and o ve r , a ll meals . Awande and Lae . 120 3. Consumption rates o f major food cate gories by 1-4-yearo l ds , a l l meal s . Awande and Lae . 127 4. Ma in s ourc e s o f energy and pro tein in Awande di et . 141 5. 'Ibtal food expenditure over one fortnight in e ight Fore hous ehol ds in Lae . 154 6. B re akdown o f total food and drink expenditure o f e ight househol ds combined . 1 65 7. Weights by age o f under- five s in Awande and Lae , in relation to 1 0 0 % , 80% and 6 0 % of the Harvard S tandard weights for age . 182 8. Retai l food and drink sale s at main Awande trades tore . 228 9. Comparative cos ts o f energy and protein from various foods , Lae , O ctober 1 9 7 7 . 235 1. Location o f Fore in re lation to Lae and the Highlands Highway . 9 2 Lae , showing settl ements and o ther feature s mentioned in tex t . 34 Between ppl00- 101 1. Awande : the s etting 2. Awande food re sources : gardens 3. Awande foo d re source s : trades tore domestic animals 4. A mumu in an Awande hamle t 5. Food consumption in Awande 6. Fore dwe l l ings in Lae 7. Foo d re sourc e s in Lae 1 bush and 8. Mate rnal and Chi l d Health clinics i n Awande and Lae 9. Adverti sing in the daily pre s s : 10 . an example The 'He alth Book ' i s sued to unde r- five s at MCH c linics 8 xv DPH Department of Public Health DPI Department of P rimary I ndustry FAO Food and Agriculture Organi zation MCH Maternal and Child Health NPO Nati onal P l anning O ffice NPU Net P ro te in Utilization PNG P apua New Guinea S DA Seventh Day Adventist WHO World Health Organi zation PART I INTRODUCTION 2 CHAPTER 1 Nutrition has long been recognis e d as an importan t f ac tor in This in te re s t be gan the n ational development o f Papua New Guinea . with the firs t maj o r nutrition survey in 1 9 4 7 ( H ip sl ey and C lements , 195 0 ) , and has re cently been given extra emphas i s by the appointment in October 1 9 7 7 of a nutrition planne r to the National Planning Office , and the subsequent preparation an d imp lementation o f a National Food and Nutrition ( NPO , 1 9 78a) • Reviews of the nutritional s tate of the population o f Papua New Guine a 1973 Wookey , 19 73 a} a re bound to conside r the rural and urban sectors separate l y , be cause of the great contras ts in environment, food supplie s , population charac teris tics and l i fe s tyles which exi s t between them. There h ave b een numerous s tudi e s dif fe rent rural is A s cope inte re s t S tudie s even the p re sent b e i denti fied. reviewed by have P apua of the coun try. of mo s t Guine a populations o n a small number o f starchy s taple s , o r s ingle staple c rop The main s taples are s ago and banana in the lowlan ds , and swee t pota to , taro and yan1 in the highlands These sub s i s tence p atte rn s have nutri tional consequences which are locally variable but three fac to rs are c ri ti c al Firs t is the pro tein c on tent of the main s taple , in re lati on to i ts energy content and phy s i c a l bulk . S econd is the avail abil i ty of concentrated supplementary sources o f energy , p ro tein and o ther nutrients , and o f source s of c ash income for their purchase , i f necessary . Third is the population facto r : the age and s ex s tructure and the growth rate of the population , in re lation to po tential food supp l i es and the labour requirements and land re so urc e s nec e s s ary for the i r pro duc tion . i i ) S tudi e s o f :..:.:�::..=.::::.:.:..::_�;:._!::!;�::.:;a..L.::!!.:::�:.:::. in rel ation to requirements h ave produced s ome surprising res ul ts for energy and protei n intakes . These h ave o ften been found to be exceptionally low 3 by inte rnational s tandards , but al so to be ac companie d by h igh leve ls o f physical fitnes s , and low leve ls o f overt malnutri tion ( e . g . Hip sley and Kirk , 1 9 6 5 ; Norgan e t a l . , 1 9 74 ; Ferro-Lu zzi e t al., 1 9 75 ) . Notwiths tanding the pos s ibility o f peculiar physiolog i c al adaptations to these low protein , low energy die ts ( Oomen and Corden , 19 70 ; Hips ley , 1 9 6 9 ) , and the pos sibili ty that international s tandards are set too high for thes e populations , i t is l ik ely that in many parts of P apua New Guinea pro tein-energy malnutrition i s a real risk for vulnerable groups such as pres chool chi l dre n , p regnant and l ac tating women , and the e lde rly . With the exception of anaemia , aggravated by inte stin al para s i te s , and go i tre and endemi c c re tinism in cer tain highland are as ( a problem rel atively easily treated by iodized oil in j e c tions ) , there seem to be few speci fic de ficienci e s o f vi tamins or minerals . Th is i s no t s ince mos t rural populations enjoy a die t large ly made up of fre s h , unpro ce s s e d , and conservatively cooked vegetable foods . P apua New Guinea ( e .g . B inns , 19 76a ; two general conclusion s : Malcolm , 1 9 74 ) seem to agree on that the growth rates of children in this country fall well below the widely us ed Harvard S tandards , e special ly af te r the firs t s ix months of li fe ; and that this shortfall i s primarily due t o the bulkines s o f the normal die t which renders i t de ficient in energy There is disagreement however on the imp li cations o f the s lower growth rate and low weights- fo r- age for morbidity and mortality and for ultimate fitnes s and body s i ze B inns favours direc t nutritional intervention a s the bes t way o f reducing mort al i ty and morbidi ty r ate s , at least in sweet po tato eating Enga childre n , whil e Malcolm argues that " simple and inexpensive health p rogrammes " may in themse lves be more e f fective than nutrition programmes . of these approaches might be the bes t solution ; A combination in the meantime , the use of wei ght- for-age chart s , using the 80 percent Harvard S tandard as the criterion for defining malnutrition , continue s to be the major diagnos tic and monitoring tool use d by the Department o f Heal th in iv:Ia.ternal and Chi ld Hea l th ( MCH ) Clinic s throughout the country . General ly , s tu dies in rural areas emphas i s e the continuing importance of s ub s i s tence production of foods tu ffs , but the trend towards increased consumption of store foods , e special l y ri ce and 4 tinned f i sh , has been noted by seve ral obs e rve rs . ( op . cit . ) Norgan et al . report , for the survey population of Lufa in the E a s tern Highlands : " a shift away from almos t, complete re liance on the swee t potato towards o ther source s - notably , though s till relative ly smal l in importance , to foods bought from a lo cal s to re . " Wadde l l , in an e cological s tudy of the Raiapu E nga sweet po tato cultivators , repo rts a s imi lar change in food i n take : " Th e s ituation has been modi fied in recent years through the p ractice of ' making busine s s ' with p i g meat , bee f , and o ther foods , and as a re sult o f the widespre ad ava i l ability o f tinned foods in the s to re s . " ( Wadde ll , 1 9 7 2 , p . 128) . In contras t , Lambert ( 19 75a) found that l e s s s tore food was be ing consumed in a Ch imb� vil lage in 1 9 75 than had been the case in the same vil l age twenty years be fore ; he foun d a general dec line in nutrition , and a ttribute s it partly to increas ing popula ti on , and partly to shortage o f manpower because o f migration of young men to the town s . Clearly , the die tary pattern in rural a reas i s changing unde r such influe nces , and the re lationship between vil l age and town , in terms of the movement o f peop le , goods , and information i s a c ri ti cal fac to r in the p ro ce s s . b . Nutrition in urban areas . Urban nutrition has so far received l ittle a ttention in P apua New Guinea , and there have been few quantita tive studie s of food intake . In a s tudy o f the Rab i a Camp migrant settlement in Port More sby , Hitchcock reports intakes of e ne rgy whi ch she de s c ribes as " the lowes t ye t recorded in Papua New Guinea" (Hitchcock and Oram, 1 96 7 , p . 1 0 5 ) . The energy intake was dominated by white rice , re fine d flour and i t s products , and re fined s ugar , with traditional starchy vegetables supplying on ly about 1 0% of the total . Pro tein intake was also dominated by re fine d cereal products , with tinned fish and tinned meat supplying about 2 5 % and fre s h meat and fish abo ut 14 % o f the total . Fruits and leafy vegetables were consumed in ve ry small quanti ties . I n his work on the economic and social wel fare o f Hanuabada in 1 9 5 0- 5 1 , Bel shaw used a semi-quantitative me thod to de s c ribe the food pre ferenc e s of this urban communi ty near Port Moresby ( Belshaw , 195 7 ) . He found that bread , swee t tea , and rice were the main source s of e nergy , 5 whi le t inned mea t and tinned fish contributed signi ficantly to the protein intake ; roo t vegetable s and bananas were wide ly us ed, e special ly when the gardens were in their mo st productive s eason . Spinks ( 19 6 3 ) compared food con s umption and expenditure in Hanuabada and in Koke , a canoe s ettlement on another part of the Port Moresby coas tline , near the ma jor fruit and vegetable marke t . In both settlements , importe d s tarches were consumed in larger quanti ties than local s taple s , and tinned fish and tinned meat in larger quantiti e s than lo cal fish and meat. These p re fere nce s were economi c ally rational , in that the i :m;ported foods provided more energy and protein for the same amount of money than did the local foods . More re cently , Malcolm ( 19 73 ) found that a sample o f lower-paid public s e rvants ' households in Lae were consuming a die t in which 1 2 % o f calories came from protein ( 38 % o f this fro� animal source s } , 7 7% from carbohydrate s , and 11% from fats. He concluded that thi s die t , c ompared t o the typi cal rural die t , improved prospec ts for phy s i cal growth and development , and increased res i s tance to mos t infe ctious di seases ; howeve r , i t carried r i sks o f more dental caries , hypertension , e levated s erum chole s terol and obe s i ty. Wookey ( 19 73b) give s a general a ccount of nutri tion in urban are as , but c oncentrate s on Port Moresby . He empha s i s e s the poor availabi lity of cheap fresh fruit and vegetab le s , due to the c limate and geographical location o f the capital , and the h igh cos t to the nation o f importing foo ds tu ffs , l argely for expatri ates . He a l so draws attention to the growing populari ty of s nack foods such as biscuits and aerated drink s . No c lear pic ture , then , emerges from thes e i so lated s tudies . Mo s t o f them have bee n made in Port Mo re sby , but the nutritional s i tuation may be more favourable in towns with more productive hinterlands , s uch as Lae and Rabaul. A further confusing facto r , as Whi teman ( 19 6 6 ) discove red in a s tudy o f bel i efs and atti tudes towards food i n a lowcost housing settlement in Port Moresby , is the cul tural he tero geneity of the urban population , which is large ly made up o f firs t generation migrants from a dive rs i ty of rural backgrounds . With th e urban popul ation of Papua New Guinea currently increasing at over 5% per annum , mo s t o f this being due to in-migration from rural areas to the larger urban centre s , the problem o f feeding 6 thi s population is becoming e ve r mo re acute . There i s a corresponding nee d for mo re information about how people 1s food habits are influenced by , and adap t to , new condi tions , especially on moving from rural to urban environmen ts , but al so as food resource s change in the rural environments thems e lve s . My own research focuss e s on these que s ti on s , and the re s t o f this chapter s ummaris e s the s cope and conceptual approach used in the s tudy , and the sample popul ations chosen for inve stiga tion . S cope and conceptual approach The aims of the pro je c t des cribed in thi s report can be s ummari se d as follows : i ) to make a comparative s tudy of food habits and beliefs in cultura l l y related urban and rural populations ; i i ) to iden ti fy the main envi ronmental fac tors which influence , and may be influenced by thes e habits and be l i e fs ; i i i ) to inves ti gate in simple terms the impl ication s o f these habits and beli e fs for the heal th and well-being o f the populations ; and iv) to relate the at the leve l of the two lo cali s ed environments to fac to rs at the national leve l , such as urbanisation , h ealth and education pol i ci e s . The p ro j e c t was planned and executed as part of the Papua New Guinea Human E cology Programme , which is concerned with the sociocu l tural and environme ntal e ffects o f urbanisation , using Lae and i ts hinterland as a case study . Human e c o lo gy i s de fined in bare s t terms as the s tudy o f man in re la tion to his environme nt . Among i ts e s se ntial features are its recognition of the importance of the interactions o f biological , socio cultura l , and physic al environmental variables ; i ts emphasi s on relationships exis ting w ithin and between what might be termed a hierarchy of envi ronmental levels , from the individual in his direc tly expe rienced local environment , through regional and national environ ment s , to the leve l of the biosphere , or global environment; and final ly , i ts ins i s te nce on human health and w el l -b e ing as its ul t imate 7 c oncern 1• My approach to the s tudy of food habits therefore focus ses on interrel ationship s be tween certain aspe cts o f human behaviour , and be tween this behaviour and the environments in which it takes p lace This approach is summarised in the conceptual mo de l shown in Fi gure 1 . The b as i c as s umption i s that the food resourc e s available to a p articular population , and the food beliefs and pre fe re nces o f that population, form two s ets o f inte rrel ated variab le s , each s e t influenced by the o the r , and by factors in the lo cal environment . The lo cal environment is itse l f in flue nced by factors in the wide r environment . In combination , the food resources , and food beliefs and pre ferences of a population largely de te rmine i ts ac tual food cons umption , al though compe ting needs and values may intervene to prevent consump tion of the ideally p re fe rred diet . Food c onsumption i s one fac to r among many influencing the total health and well-being o f the population . 'I'he mode l exhibits the three e s se ntial features o f human ecology as I have des c ribed i t . The mos t important feature o f the model i ts e l f i s that it can be used in the study o f populations in s trongly contra s ting environments because the which it di spl ays are generally The mode l i s n o t ne ce s s ari ly comp lete , i n that i t applicabl e one s emphasises one-way causal relationships where reciprocal inf luence s may exi s t , and i t omi ts s ome of nutri e nt requirements acc ount o f the sub j ec t . fac tors s uch as the nature which would be inc luded in a comprehensive I ts use fulness lies in a logical struc ture for the co l lec tion , analysi s and interpretation o f da ta , rather than in expre s sing theore tical principles . 'I'his s tructure i s re f lec te d i n the s truc ture o f this report, whi ch wil l b e outlined after the survey locations have been des cribed 2 am here offe ring my own interpretation of the human eco lo gi cal approach as it has been developed by the Human Ecology Group at the Aus tralian National University , under the leade rship of Dr. S tephen Boyden In fac t , human e c ology has almo s t as many de fini tions as it has e xponents ( see B ayl i s s-Smith and Feache m, 1 9 7 7 , for a s e lec ti on of Pac i fi c s tudi e s i n human e co logy ) 2 Another c oncep tual mo de l , aimed at identi fying 11the maj or de terminants o f nutritional s tatus and their interactions i n a s e l f- contained subs i s tence communi ty " is de s cribed by S inne tt ( 19 7 7 , pp . 6 3- 6 4 ) ; he s ta te s that , " I t i s only b y e s tab li s hing an appropriate conceptual mo de l to serve as a bas i s for research and welfare programmes that speci ali s t expertise can be co-·ordinated into a uni fied plan of action . 11 ( ibid., p . 85 ) . • N A T I 0 N A L E NV I R 0 N M E N T A L F A C T 0 R S ,,,..----Domestic marketing -...... ;" / & transport systems Agricultural pol ic ies Demographic variables - � / � \ � Food import/expo mass media --.... Land Population \ Transport " ---....,../ I .....,.\ Personal mobil ity _., FIGURE 1 • A \ _,.,,,, , cash economy ) Social isation Advertising I Competing needs/values Schools I & li festyle I Clinics Other c onsumers \ \ ' ....... --- - - - - -- -- -- --- -- -- -- -- ---- ---- -- CONCEPTUAL MODEL FOR THE ANALYSIS OF THE FOOD HABITS OF (Arrows indic a t e d ir ection of m a i n causal r e l a t i onships) \ I I I I I I I I I Other __. Education Health policies ' F A C T O R S Technology / pol ic ies E NVI R O N M E N T A L Climate pol ic ies Conununications & L 0 C A L A LOCALISED POPULATION ___ ../ I I J 00 9 Survey loc aliti e s The populations chosen for inve s ti gation be long to the Fore language group of the Easte rn Highl ands . The rural popul ation was that of the vil lage o f Awande , five kilometre s north-we st of Okapa, in the Eas te rn Highlands Province ( see Map 1) • The urban population con s i s te d of Fore migrants living in Lae , Morobe P rovince . s i te was chosen for three rea sons . The rural Fir s t , considerable research had already bee n done amongst the Fore , mo s tly in re lation to the neuro logica l di sease , kuru , but inc luding s ome s tudy of food habits and nutrition ( Sorensen and Ga j dusek , 1969 ; Reid and Ga j dusek , 1 9 6 9 ) ; secondly , personal contact and residence in the vi llage was conveniently arranged through the Directo r of the P NG Medical Research I n s titute in Goroka , who was known to the population because o f his participation in the kuru research ; third , many Fore have found work and settle d , semipermane ntly at leas t , in the rapidly expanding town o f Lae , whi ch i s easily reached vi a the nearby Highl ands Highway . Further des cription of the environments and survey populations wil l be found i n the next c hapte r . MAP 1. LOCATION OF THE FORE ( SHADED AREA) IN RELATION TO LAE AND THE HI GHLANDS HI GHWAY scale 0 1<rns. 10 Fieldwork was carrie d out from April to Oc tober 1 9 7 7 : April 1 7 th to Apri l 2 6 th was spent in P ort Moresby , Lae , and Gorok a , and included contacts with nutritionis ts and other authorities . April 2 7th to July 2 4th was spent in Awande ; Augus t l s t to S ep tembe r 3 0th in Lae ; and a further three week s , O c tobe r l st to Oc tober 2 ls t , in a return vis i t to Awande . My wi fe was with me in the fie ld for all but the l as t three weeks , and a s s i s te d with data collec tion a nd analysis througho ut . Timoti Nigia , a young man from Awande , worked with us as a ful l- time field assi s tant in both the vil l age and the town, and c asual a s s i s tance was also give n by a number of o ther Fore in each place . Mos t of the data analys i s was done at the Aus trali an National Univers i ty in 1 9 7 8 . With the exception o f mos t o f Chap te r 6 whi ch was written b y my wi fe and based on her own data , thi s repor t is enti re ly my responsib i l i ty . Fol lowing this introduction I des c ribe , in Part I I , the survey environments and populations , and the i r food resource s . The rural and urban samp le s are de s cribed separately in Chapter s 2 and 3 respec tively , and in Chapte r 4 comparisons are made between their food res ource s , in rel a tion to di f fe ring environmental influence s on these in the two loc a li ties . Part I I I describes the food beliefs and pre fere nc e s in e ach sample . Men's beliefs and pre ferences are dea l t with in Chap ter 5 , and women 's atti tudes and beliefs regarding infant feeding in Chapter 6 . Findings from the rural and urban s amples are presented i n turn in each chap te r , and in Chap te r 7 they are rel ated to environmental influences ; in addition , the importance o f the relationship between the vil lage and town population s is e mphasi se d . Ac tual food consumption i s dis cussed in Part IV . A b ri e f summary o f me a l patterns and cooking techniques i s give n in Chap ter 8 , and i s followed by the k e y chapte r o f Part IV, des cribing die tary recall surveys in Awande and Lae . Chap ters 1 0 and 1 1 provide some supplement ary data on food consumption , based respec tively on a short weighed intake survey in Awande , and a household e xpendi ture s urvey in Lae . In Chapte r 12 the food consumption patterns in the two populations are c ompared and relate d to o ther factors in their environments . 11 Part V turns to the impl ications o f the observed food habits for health and wel l-being . Surveys of one quantitative mea sure of nutritional statu s , namely c hild weight for age , are described in Chapter 1 3 , and their results are related to child morbidity and mortality patterns in the rural and urban environments . In Chapter 1 4 , wider a spects of health and well-being are di scus s ed , for adults a s well as children , i n relation not only t o the food habits described earlier in the report , but a l so to other ecological and economic factor s . Chapter 15 pres ents a summary of the overall finding s , draws some conclusions of general relevanc e , and offers some suggestions relating to national and local nutrition pol ic y . 12 PART II ENVIRONMENTS, POPULATIONS AND FOOD RESOURCES 13 CHAPTER 2 THE RURAL SAMPLE Fore environment and soc ie ty The Fore and kUX'u The Fore people have been the sub j ect o f con s i de rable medical , genetic and anthropological res earch since the identi fication in the mid-1 9 50 ' s of the neurologic al disease , kUX'u� The diseas e , which i s invariably fatal , reached epidemic proportions a t that time , and was res tricted to the Fore and thei r c losest n eighbours . E lucidation o f the aetiology o f the disease took many years , b u t i t i s now known to be cause d by a s low-acting virus , which l e ads to progre s s i ve degeneration of the c entral nervous system. Transmi s si on of the disease was through the consumption of the fle s h , viscera and , e speci ally the brain , o f deceased victims o f the dis e as e by thei r relative s . The attitudes and policies of mis s ions and the Adminis tration led to the dis appearance o f cannibali sm through the 1 9 50 ' s , and s ince then deaths from kuru have gradual ly decreased . Because of the long incubation period of the virus , a few deaths are occurring even now , two decades after the last c onsump tion o f human flesh ; indeed , a middle-aged man died o f kuru in Awande a few days afte r our arrival in the village . The dis e as e was c ontrac ted by about four times as many females as mal e s , b ecause the l atter when adult rare ly took p art in mortuary feasts , and s ti l l more rarely did they c onsume brain tis s ue ; dependent chi ldre n . it was mainly e aten by women and their This sex differenti al l e d to s evere dis to rtions o f the usual s ex ratio a t all age s , and thi s in turn h a d many rami fications i n marriage patterns , sexual division of labour , and o ther aspec ts of soci al l i fe ( S . Gl as s e , 1 96 2 ) . Further information on the Fore region , Fore e thnography , and the epidemiology and aetiology of kuru can be is a cause the conversion s trong i n Fore word which re fers to the type of s orcery thought to disease ; de spite widespread mis si onary activi ty and apparent to various s ects of Chris tianity , s orcery bel i e fs are s ti l l the area . 14 found i n the collecti on o f e s s ays edited b y Hornabrook ( 19 76 a ) . comprehens i ve A has been compiled by Alpers , Gaj dusek and Ono ( 19 75 ) . A monograph on the subsis tence e conomy and other facets o f s ocioecologi c a l change i n the Fore was recently publi shed by S orensen ( 19 76 ) . Much of the background information in this s e ction i s derived from S orensen ' s accoun t , and from papers in Hornabrook ( op . ci t . ) . The Fore language group number some 1 6 , 000 , dwel l ing in an area bounded roughly by the Lamari River to the E as t , and the Yani Rive r to the Wes t , occ upying roughly 1 0 0 0 sq . kms . the S outh , higher i n the Central these region s being dis tingui shed Population den s i ty is lowes t and highe s t in the Northern region , dialect dif fe rences ( Sc o tt , 1 9 6 3 ) . sea l eve l , mo s t common i s c l e ared from old garden s i te s , fences are domes tic pigs , harve s te d late r . c rops i s planted and garden is finally abandoned seve ral years the have several gardens in us e at one time , Mos t households clear s uccession s i te s e ach year , sometimes within already fenced but not use d gardens . sweet potato is the s taple crop , but to Sorensen it h as s uc ceede d taro in this respect only in the las t century or so . Th ere are s ti l l large s tands of virgin rainfore s t throughout the Fore region, in the south . In the mo re dense ly populated areas tracts of kwiai 2 gras s land are a lso found , the for 1 9 75 , total 2 49 0mm . , and 1 9 76 , total 2 2 92mm. Rainfall in other parts of the region is influenced by local topography . 2 some Melanes ian Pidgin words wil l be used in the text ; they are in i talic s , and are l i s te d in a glos s ary appended to the report (p.22 5 ) . 15 consequence The fore s t is o f ove r- intensive cultivation o f the tuberous s taples. an additional source o f food , in the form o f bird s , such as the cas sowary and the bush turkey; cuscus , and tree kangaroos ; s treams ; eel s and fish in i ts l arger r ive r s and and a rich flora o f edible fungi . marsupi als , including po s sums , tree s , shrub s , herb s , and I t is also a maj or source of fibre s , medicinal p lants , and timber for fencing , house building , i mplement making , and firewood; the latter i s also provided by the ubiquitous Casuarina trees {yar in Pidgin) , p l an ted on old garden si te s and in coffee gardens , where they provide shade and their properties contribute to soil fertil i ty. Coffe e was introduced to the Fore in the e arly 1 9 60 ' s and i s now by far the mo s t important source o f cash income to the are a . As in much of the highlands , cof fee-growing and road-buil ding have been the two mos t importan t , and mutually reinforcing, factors in opening up the region to economic development and outside i n f luenc e s o f all sorts . Other tha n c o f fee sel ling ( and buying by a few indi vi duals ) , sources o f income for the Fore include employment on Government o r Mis sion s tations , s a le s o f garden foods at l ocal markets and employment o utside the area , in towns such as Lae and Moresby , on p l an ta ti ons , or in Government servic e throughout the country . In the twenty-odd years s i nce European contact , the Fore e conomy has changed from a purely sub s i s tence one with negligible e xternal trade rel ationship s , to a mixed s ub s i s tence, cash cropping , and wage earning e conomy , in which even mos t of the e l de rly , and certainly everyone of middle age and under is familiar with the us e of money and with many o f the goods and s e rvic e s which i t c an buy. Trades tores sel ling foo d , clothes and hardware are found in mo s t vil lages , and journeys throughout the area are easily made by means of coffee- trucks and pub l i c mo to r vehicles ( P MVs) . At the time of firs t European contact , in 1 9 4 7 , Fore was greatly affected by warfare , and competition for s tatus through physi cal s trength and fighting p rowes s was a maj or preoccupation o f males ( Berndt , 1 96 2 ) . Sexual antagonism was reinforce d by s ep arate res idence of men and women. Howeve r , the Pax Aus traiiana , the influence 16 o f mis sionaries , and the relative s carcity o f women because o f kuru a l l s erved to inc rease female status , and corre spondingly to reduce the opp ortunitie s for male s to achieve pos i tions of great powe r ( R. M. Glas se , 1 9 62 ) . Conmunal men ' s hous e s are no l onger found , and husbands usually s leep with their wives and children . The ' Big Man ' ideology which s ti l l prevails in Chimbu and the Wes tern Highlands seems to be l e s s dominan t among the Fore . A few individuals have a chieved local prominence in recent years through entrepreneurial and pol i ti cal activity , but they are exceptional ; competition for pre s ti ge is not an obvious feature of day-to-day village l i fe . Sorensen wri te s , o f traditional Fore soci e ty : 11 I n s tead of a formal hierarchy to govern social and pol i tical acti vi ty , the Fore had developed a sys tem based on inter personal compatabi l i ty and co-operation among close associate s . S o ci a l cohe s ion was based on rapport , not princ iple . " ( op . cit . , p . 1 35 ) . A patri linea l principle operate s in the formation of small local l ineage s , and c ertain respect is accorded to the persons and opinions of the i r s enior members ; the conventions but there i s grea t flexibi l i ty in residence , marriage , and The brother- s i s te r bond is a strong one , and remains so afte r marriage Marriage is commonly with a cros s -cousin , but s uch a relationship may we l l be fictive , and according to R . M. Glas se , the 11So-called ' preference 1 i s no mo re than the expectation of marriage aris ing in a rec iprocal relationship entai ling long term property exchanges in both directions . " { R . M. Gla s se , 1 9 6 9 ) Those who behave to e ach other i n a reciproca l , positive manner may b e regarded a s kin . I have included the s e observations because they may have some bearing on the p revai ling attitudes to rules governing food cons umption , in fant care and so on . We o ften found the answers to our ques tions about what is o r should be done i n a given circumstance inc luded the P idgin phrase "em i foik 11 ( i t 1 s up to him/her " } or i ts variants . This imprec i sion probably res ul ts partly from the inadequacy o f Pidgin as a medium of communication , but it may also be a function of the relative ly easy-go in g , undogmatic s e t of beliefs and values c ommon to the Fore That beli e fs in the power of sorcery , nature spirits and ances tral gho s ts ( Lindenbaum, 1 9 7 6 ) apparently co-exi s t with be l ie f s derived from Chr i s ti ani ty , i s further evidence o f con s i de rabl e cultural flexibili ty . 17 Th e settlement pattern o f the Fore h a s been s tabi lised since the Adminis tration put an end to the endemic warfare and raiding which exi s te d be fore European contact . Mos t people l ive in compact haml e ts , which are fenced nowadays to keep out pigs rather than enemy warriors , and which contain up to a couple of dozen houses arranged sometimes l ineal ly and sometimes mo re randomly . However , those who p refer to l i ve in smaller groups are free to do so , and hamle ts containing one or a few households are s cattered between the larger units . Hamlets are l inked together by l ineage tie s , and above this leve l into village s , whose identity has grown up under Government influence in the form o f census - taking . spatial boundarie s ; Vil l ages have no obvious Sorensen use s the term ' population clus te r s ' to des c ribe them , while Gl asse and Lindenbaum refer to 1pari shes 1• Location and environment ( see P late 1 ) Awande i s a village situated s ome 6 kms . north we s t o f Okapa , j us t to the north o f the boundary between the North and South Fore cen s us dis tric ts , and s haring a boundary with Keiagana speaker s to the We s t ; Awande people speak the central Fore di ale ct but mo s t unders tand s ome Keiagana too . I e s timate the land owned by the various Awande l ineage s to cove r an are a o f approximate ly 40 sq . kms ; o f this , the maj ority consi s ts of secondary bush and currently worked gardens , but there are s ti l l large a reas of fore s t on the hil l s ides bounding Awande to the north and south . The altitude varies from about 1 5 0 0m . to 2 00 0m . , with mo s t of the hamlets towards the uppe r e nd of thi s range . There are no large rivers in the area , but several permanent s treams which provide water for drinking and washing . Awande was the s ite of the Lutheran Kuru Hospital , built in the early 1 9 6 01s for the s tudy and treatment of kuru victims and for the care of young c hildren whose mo thers had die d of the diseas e . hospital i s now The , and part o f the building is us ed as a small Lutheran p rimary s chool with two c l as s e s and one teache r ; my wife and l okapa Hosp i tal is 6kms . away ; docto r but 8 it h as no orderlies and 3 nurse s provide basi c treatment and inpatient care , as we l l a s running MCH c linic s throughout the Dis tri c t . 18 I live d i n another wing o f the b uilding during our fieldwork . The hospital res i dences were taken over by the Government seve ra l years ago , and are now used by the Awande Boys ' Vocational Centre , which currently has one Australian and one Papua New Guinean member of staff and about pupi l s . There is a small Lutheran church in the centre of the village , with a res i den t local pas to r . An al l-weather road goe s through Awande , linking the Dis trict Headquarters at Okapa with the Gimi ( another language group ) to the s outh-we s t , and the Keiagana to the north-we s t . Thus Awande is relatively acce s s ib le , mo re so than much o f South Fore , and has had close con tact wi th the Administration and with Mis s ions for near ly two de cade s . Apart from the Lutherans , nearby Seventh Day Adven ti s t churche s have made some converts in the e as te rn , lower-lying hamlets o f Awande. K2 0 0 wil l pay for a one-way PMV trip to Kainantu, about two hours away , and KS . DO for a trip to Lae , five hours away . In May 1 9 .7 7 , I made a population count which gave the following approximate figures for those currently resident Adult males 115 Adult female s 112 Children 3 30 Total 557 I n addition , 4 7 young adult male s were abs ent , mo s tly working i n towns or on plan tation s , 1 1 of them with Awande wive s . abs ent at boarding s choo l s . Five male youths were Mos t of those abs ent were expected to return to the village to l ive at some time in the future . Taking absente e s into a ccount , the total adult sex ratio was about l� 3 :1 , which to the records of ku:rru deaths held by the I n s ti tute of Medical Res earch , Goroka, 49 people died of the dis ease i n Awande from 1 9 5 7 to 1977 : 39 of these were female , and 10 male , the highe s t incidence being in women o f child-bearing age Although the figure s I have given for current population show s ome imbalance o f the adult sex ratio ( 16 5 male s 12 3 female s ) , mo s t of the imbalance i s in younger age group s , rather than in the 40+ age group as would be expected from the age di s tribution o f ku:rru death s . I counted 9 widowers an d 6 widows in the present population ; furthermo re , 7 men each had two wive s . The explanation for this anomaly may lie in an influx o f women from other areas ; there were certainly seve ral Kei agana wive s , but I have no de tai le d data on thi s . 19 the village reduce s the manpower available for heavy tasks s uc h as fenc ing and clearing new garden s ite s , but I n ever heard thi s s tated as a problem o r complai n t . I t may be that the expecta tion o f cas h and goods from wage-earning ma le relatives o ffse ts any resentment at the abs ence o f th ei r labo ur . ( I t is also l ik ely that women at least would not readi ly have voiced s uch complaints to me . ) The res i dent population was di s tributed among twenty- five hamlets , ranging in s i ze from a s ingle househo ld ( in five haml e ts ) fi f teen household s . to A household usually consi s te d of a married couple with the i r dependent c hildren ; men sometimes s l ept alone in a nearby hous e , but communal men ' s house s are no longer found in Awande . Average household s i ze was 4 . 5 . The typi ca l hous e i s round, about three metres acro s s , with double walls of woven (a non-edible k ind o f wil d gra s s with bamboo- like s tems ) be tween h eavy wooden s take s , and a roo f of kunai gras s . In the centre o f the f loor i s the hearth , encirc led b y stone s . A low s l eeping p l atform o f woven floorspace . s ti lts c ove rs mo s t of the remaining A few house s in Awande were re ctangular and rai sed in the fashion introduced by the Europeans , but s uch houses were said to be too co ld . The floor level of the usual house is s l i ghtly below that of the ground, and the house s are warm, but smoky . In addition to the normal living house s every hamle t had at least one mens trual hut ( haus b Zud or ZikZik haus in P idgin ) , where mens truating women had to remain with thei r infants , and where women gave birth. Mos t house s had their own pit latrine nearby , concealed by a small pitpi t and kunai she lter . The use o f latrine s i s traditiona l , a consequence o f sorcery beliefs which regard bodi ly excretions a s potent materials in working P igs , which used to be kept in the wome n ' s house s at ni gh t , and to have free run inside the hamle ts s turdy fenc e around the haml et. are nowadays usual ly excluded by a Dog s , chickens and a few cats are kept and pick for s craps inside and outside the hous e s . Th e local e conomy fits into the general outline given for the Fore as a whole . S ub si s tence gardening and pig husbandry are s ti l l the 20 mainstay o f the e conomy . .Mo s t fencing i s done b y men , and mo s t p lanting , weeding and harves ting b y women . Howeve r , nei ther sex shows any shame in per forming the tasks mo s t o ften the o ther . of the This f lexibil i ty extends to o ther domes tic activi tie s , such as carrying infants , and cooking ; dis ruptions cause d by k?A.Pu . it may be one consequence of the But while women are expected to go to wo rk in the i r gardens every day , excepting ve ry we t weather , and Sundays , whe n they may go only to collect food• for the e vening and the next mo rnin g , men may do l it tle p roductive work for days on end , pre ferring to p l ay cards for small cash s take s , or s i t , talk , and lie in the s un . Women rarely, if ever, play cards , unl ike in s ome areas o f the Easte rn H i gh lands where the i r parti cipation , as well a s that of men , i s held to pos e a threat to the nutrition o f young childre n , and t o vil lage li fe in general ( PNG Post-courier , 4 July , 1 9 7 7 ) . Co f fe e is primarily a male re sponsibil i ty , but women o f te n help in pickin g , cleanin g , drying and s el l ing the beans . Mos t men have at least one coffee garden , with anything from 50 to 3 00 trees altogether . In a sample of twenty-four men questioned as to their total earnings from cof fee in the 1 9 7 7 season ( which was practically over when the f igures were collected in October ) an average o f the range was from Kl 5 to Kl3 0 , with Mos t cof fee i s sold , at the parchment s tage , to travelling coffee-buyer s ; sometimes it i s sold, at higher price s , direct to the local cof fee-factory , an hour ' s walk away from the centre of Awande I ncome from wage-earning in the District was l imited to e l even individuals at the time of our arrival : one hospital orderly and two council drivers , all u sually resident at Okapa ; Department road men ; one PMV driver ; labourer in the Vocational S chool ; teacher ; and the pastor . two Public Works one carpenter ; a part-time the ful l -time storekeeper ; the ( The storekeeper was a Finschafen man , and the teacher was from Henganofi , an adj oining Di strict to Okapa) . A few hous eholds sold smal l quantities of food at the Okapa market , to government employees . monetary data in this report are in Kina . At the t ime of the research , the exchange rate was approximately Kl . 00 Aust . $1 . 15 . = 21 I have no data on the amount of c a sh which i s brought into the village by wage-earners returning from further afield , but it must be qu ite substantial , as are the material goods , such as radio s and sewing machines , which they bring home as gifts or for their own use . Cash which enter s the village is c i rculated or expended through three main channe l s . F irst , it may be used in ceremonial-type payment s , such as brideprice , or gifts to kandere (members of the mother ' s brother ' s l ineage ) at funeral s . Secondly , it may be reinvested in the form of goods to be sold to other villagers through smal l , individually-owned trade s to re s , or in the form of l ives tock such as cows ( there was one cow in Awande when we were there , but two larger co-operative pro j e cts were planned ) , pigs and pou ltry . These animals may later be u s ed in ceremonial payment s , sold to other villager s , or u s ed for home consump tion . F inally , and mo st importantly , cash i s u s ed in the purchase o f goods and servic e s : mainly food , c lothing , too l s such as axes and bush knive s , and travel . Ma j or items include r adios and tape recorders , sewing machines ( themselves a form o f investment when used for sewing c lothes for s al e to other vi llagers ) , and coffee-pulping machines . The latter are important labour saving devices , and there were s ix in the vi llage . Each cost over KlOO , and was bought and owned j o intly by a number of related households . Through thes e three main channel s , the c ash economy include s the whole population of the village , though partic ipation in it i s unequal . D i ssat i sfaction i s often expres sed by the villagers at the lack of ' development ' , which is s een in terms of maj or pro j ec t s , suc h a s schoo l s , water supply and busine s s e s ; but there are insu f f i cient skil l s , l eader ship and c ommunal initiative to reali s e these aims . The result is an economy where ceremonial payments tend to inf l ate , and expenditure i s mostly on non-productive consumable good s . Food resource s ( see Plates 2 and 3 ) Sorensen and Gaj dusek ( 19 6 9 ) give a general description of gardening , food handling , and diet in the Fore , based on a much longer period of f i eldwork than mine . My own account is restricted to what I was able to observe and record during three months in Awande , and on statements from informants regarding c ertain seasonal food s . 22 Gardens are by far the mos t important source o f food in Awande . They are planted in c learings in the primary forest , and on old garden sites where secondary bush has grown up after a period of fal l ow ; small plots are found ins ide most hamlet fenc e s . some Thu s a garden may be anything from a few minutes ' to an hour ' s walk away ; the system of land rights l eads to fragmented holdings by any one individual who u sually has s everal gardens in varying stages of maturity at one time . The main garden crop s , and a few wild plant food s , are l i st ed in Table The table includes their botanical , Eng l i sh , and local l ( be low) names , with brief notes on their production , occurrence and u s e It is fetched from the g ardens Sweet potato i s the paramount crop . daily and is planted throughout the year , while the other main starchy yam , taro tubers Chines e taro and wing bean root - are s ea sonal ; Pandanus nuts are bananas are spor adically available all the year . another important seasonal re sourc e , gathered from palms planted somein garden s , and the bush or fore st . garden foods are sugarcane ,. The three other (Setaria highland evi type of in daily . gathered and garden foods available is probably greater important introductions over the include corn , peanut , Chinese taro , some varieties cormnon and Chinese cabbages , and green onion s . introduced crops , Chinese taro All the s e are grown partly for sale at the Okapa market , but they are al so popul ar in Awande . According to my informants , there i s no r egular seasonal shortage of food in Awande . Sometimes a household may go short of food inefficient planning , prolonged illne s s because garden , but a relative . a hou sehold c an expec t help or a pig spoi ling a the form of food from Older men however s ay that fighting used to interfere with gardening " When we were fighting with our enemies we wouldn ' t think of our gardens , and we d go short of food . . . The women would be afraid of men from another lain arriving and shooting them , and they wouldn ' t think about the gardens they ' d j ust stay in the village . " l Garden work was hard�r in the days befor e steel axe s : 1 Quotations are from recorded interviews unless otherwi se stated . 23 "We would keep on cutting tree s - our bone s would be all loos e and painful . We ' d go and s leep , tos s and turn , s leep . Get up and get our stone axes , go back to work on the fenc e s , keep working , cutting down trees , and making gardens . . . Now the young men don ' t t hink of working in t he gardens ; t hey sit around and play card s , t hat ' s all . We our s elves had hard work in the gardens . " In summary , gardens today provide a pl entiful and varied source of food the year round . Their creation and maintenance is the focus of daily ac t ivity , involving constant work by t he women , and seasonal exertions by t he men when new fenc e s and gardens are TABLE 1 MAIN FOOD PLANTS USED AT AWANDE , WITH NOTES ON THE I R OCCURRENCE AND USE 1 ( see footnote s at end of table ) Common name 2 Botanical name Banana Musa Beans Kidney & lima types Phaseo lus spp. Arikoko Yara S ev eral dwarf and climbing varieties of bean widely planted , some avai lable throughout year . Harvested at mature green stage ; cooked in bamboo tubes or steamed in earth oven . Leaves a l so e aten . Named var ieties said to be traditional , but 1 ar ikoko 1 may be derived from 'har icot Soya bean Glycine max Soi ( PJ I ntroduced ; planted in a few gardens . Eaten a s other green bean s . Local Note s At least 8 named varieties, some c ooking , some sweet . Cooking var i eties may be cooked in skins on f ire , boi led , or steamed in earth oven , whole or grated . Suckers planted near hous e s and in gardens . and Gaj du s ek ( 19 6 9 ) emphasise t he soc ial and cultural importance o f gardening in the following , rather fulsome , terms " During t he day , hamlets are virtually deserted as the women and t he ir husbands , together with the unmarried gir l s and young c hi ldren , go to the gardens where they mingl e their soc ial , family and erotic pursuits with their garden work in a salutary and emotionally fil led gestalt of garden life . " 24 Conunon name Botanical name Local name Wing bean Psophocarpus tetragono Zobus Piga S eed s own annually by every household . Flowers , leaves , green beans , and f inally roots available in succe s s ion . Root s always steamed in bunches in earth oven, forming maj or item of many mumu feast s . Artocarpus sp. Ta 'ua Wid e spread on old garden s ites , self-sown. Only young leaves eaten , e spec ially with pig . Fru it s and s eed s inedible . (Asbin) Breadfruit , wild (Kapiak) Note s Cabbag e , conunon Brassica o Zeraaea Cabbage , Chines e B. sinensis cassava Mani hot uti Zissima Tapiok ( P ) I ntroduced ; widely grown , but in smal l numbers . Boiled , cooked in fire , grated and cooked in bamboo tube , or steamed in earth oven . Not highly prized , but use ful stand-by in times of shortage. Chinese taro Xanthosoma sagittifo Zium Taro kongkong ( P ) Introduced ; widely grown , but in smaller numbers than taro tru. Smal l auxiliary corms eaten boiled and steamed , main corm thrown away . corn Zea mays Patari Probably introduced 2 or 3 generations ago. Popular s easonal crop ; harvested at inunature stage ; cooked on ember s , boiled in saucepan , or steamed in earth oven . Not stored , except for seed . cucumber Cuaumis spp . Kimi Several var ietie s , sown in new garden s ; seasonal . Thirst quenching , eaten raw only . (Taro kongkong) ) ) ) Kebis ( P ) ) ) I ntroduced ; grown for sale at market , and for home consumption . Propagated from D . P . I . seed s , or replanted bas e of stem . Boiled in saucepan , or steamed whole in earth oven . 25 common name Botanical name Local name Fungi Many spp . Ugwa Many named types gathered in bush and f ore st , with various rec ogni s ed cooking and e ating qualitie s ; some e specially popular with children . May be cooked on f ire , or in bamboo tube with kwnu . Zingiber sp. Kai Popular condiment , roots and stem s eaten raw and c ooked . So Zanwn tuberoswn Katope I ntroduced ; grown by a few individual s , mainly for sale . Tubers small by European standard s . Eaten boi l ed , cooked in ashes , or steamed in earth oven . (Masrwn) Ginger (Kawawar) Irish potato ( from german ' Katopen ) 1 Leafy green s (Kwnu) inc l . sp . inc l . EiJi ' a Ne ' ne ' Aibika ( P ) Avi ' eni 'nu Naine Tarisarewa Osagi 'a etc . Not e s Numerous types of leafy greens cultivated and wild . Evi 'a mos t popular , eaten almost daily , u sually cooked in bamboo tube , often with pitpit hearts ; propagated by stem cuttings . Other types propagated veg etat ively , or by s eed . S everal wild herbs and f erns used , e specially steamed with tubers in earth oven . Some tree l eave s and shoots a l so u s ed . Onions , green A l liwn spp . Anian ( P ) At least 4 introduced var ietie s , widely grown for sale and home c on sumption , u sually boiled . Propagated by r eplanting base of stem . Pandanus , nut Pandanus sp . Ina Kabu ' ina Pai ' iani Wild and cultivated varieties . Latter planted in individually owned grove s , u sual ly near streams in forest or bush . S ea sonal . Nuts smoked and cooked in f ir e , consumed in large number s very popular . Fleshy insid e of fruit also boiled and eaten (Karuka) 26 Common name Botanical name Local name Pandanu s , red Pandanus conoideus Mana Pea Piswn sativwn Raunpe Za bin ( P ) Peanut Arachis hypogaea Pinat { P ) I ntroduced ; apparently grown l e s s now t han a few years ago . At pre s ent only planted in hamlet at lower altitude . Grown for sale at market ; al so very popul ar among c hi ldren ; raw , boiled or fried . Pineapple Ananas comusas Painapu ( P } Introduced; a_ near hou s e s in most hamlet s . Sold in market , or eaten in hct weather . Pitpit_, Setaria paZmaefo lia Pari Over 12 named varietie s ; mo st c ommon cul tivated plant after sweet potato , avail able t hroughout year . Heart of stem cooked with kumu in bamboo tubes ; or , still with outer leaves , steamed in earth oven ; more rarely cooked on f ire . Important item at nearly all mumu feast s . Pumpkin Cucurbi ta spp. Igi Traditional varieties long , and hig h in moisture ; introduced varieties round and more dense Wild pumpkin vines found in forest . All cooked on embers , boiled , or steamed in earth oven . Tend to be fed to c hildren at mumu . (Marita) highland 4 Not e s Grows most ly at lower altitud e s ; otherwis e obtained from S . Fore and Gimi area s . S e a sonal . Drupes broken up and cooked in bamboo tube ( tr adition ally} or boiled in sauce pan (more common now) . Red oil sucked off seed s , or may be used to gris vegetable s . Traditiona l ly , men ate it in sec lusion from women , but not now . I ntrodu c ed , not widespread . Eaten green , a s bean s . 27 Common name Botanical name Local name Sugarcane Saecharum officinarum Yabu Many named var ieties varying in colour size , taste and sweetnes s ; grown in gardens and near house s . Propagated from tops of cut stems ; grow to 1 2 ft . or more , tied to stake s , mainly men ' s r esponsibility . Chewed as snacks throughout day , and with meal s . Sweet potato Ipomea batatas Isa 'a Ove� twenty named varieties , varying in leaf shape , tuber skin colour , f le s h colour and texture ; c orresponding variety in cooking and eat ing qual ities . Universally planted ; most important garden crop , available throughout year . Propagated from v ine cutting s Baked in ashes boiled in saucepan and steamed in earth oven . Leaves sometimes eaten . (Kaukau) Taro (Taro tru) Yam S everal varieties Universally planted , in separate smal l plots , o ften near home s . S e asonal . Cooked in a she s , boiled in saucepan ( often or steamed with sweet potato ) in earth oven . Propagated from top of old corm . CoZocasia escu Zenta Dioscorea spp . Notes Ago Asage 'a Many varieti e s ; universally planted , usual ly within sweet potato garden s . S easonal . Propagated from o ld tuber s , o r vine s . Cooked as sweet potato . Asage 'a d iffers from others in longer growing per iod , much larger size , and denser textur e . Awande ; area in particular , it omits some wild fruits , berr i e s and nuts , whose occasional consumption i s probably not of nutritional s igni fic anc e . Re id ( 1958 ) in addition to the c ommon food crops list s over 250 d i etary items , mo stly herbs , were traditionally used by the Fore . in parentheses are Melanesian P idgin . Fore name s , unl e s s ind icated as P idgin , Monash Univer s it y . from Dr . Graham Scott , Dept . of some low-l ying areas of South Fore , the lowland pitpit3 Saecharum eduZe (Igu in Fore ) is cultivated . The inflorescence is cooked on the f ir e and the outer sheaths removed before eating . This food is known to some , but not all , Awande inhabitants . 28 A variety of leave s , shoots , nuts , berr i e s and fungi are gathered in the forest and s econdary bush , mostly by women and children . Some are included in Table 1 . O ften the collect ions are made on trips to and from gardens , but spe c ial trips are made for some purposes , as in the gathering of par ticularly valued f erns to accompany the tuber s cooked at a mumu , or of breadfruit leave s to eat with p ig . Animal foods found in bush and for e st include possum , cuscu s , flying fox , and rats of various kinds . The l arger type s are hunted , mostly on moonlit n ight s , with bow and arrow , whi l e small anima l s may be caught by hand , or in traps . are now rare ; Cassowaries , though sometime s seen , if a young one were to be caught , it would be reared in a pen in the hamlet , and kil led when mature . Small birds are shot at whenever they are s een , and hunting for them in smal l parties is a popular if unproductive pastime for men and boy s . A few bush turkey nests are found annual ly , and the individual who f inds one will repeatedly steal the eggs as they are laid ; market for 3 0t . each . they c an be sold at the Insects are another item caught in the bush , e spec ially by children , who may e ither c ook and eat them at onc e or take them back to the hamlet . Particular ly apprec iated is a large type of beetle larva , found in rotting tree trunks . Wild foods do not contribute in large quantity to the diet , except for the semi-domesticated pandanus nut , in its season , but they provide a c on stant source of variety , and irregular but s ignificant contributions of animal protein . As an old man put it : " In the bush , there ' s not true f ood , but there ' s plenty of abus , l ike possum , cassowary , wild c hickens , insects in tree s . There ' s kumu too in the bush - we get that and eat it . " The recreational value of the forest i s as its role a s .a food r esourc e . pleasure . perhaps a s s ignificant Hunting is undoubtedly engaged in for A 1 6- year-old boy d e scribed one Sunday as follows : "When I 1 d e aten , I got a towel and soap , went down to the stream and washed . I cam e and got dre s s ed , and went down to church . After church , I went up to the hou se , changed my c l othe s , got my bow , and came on top . A man said , "Let ' s We hunted rats in thi s bush , down below . go and hunt rats " . W e lay i n wait , holding our bows , we waited for the rats to come by . We lay in wai t , and the g ir l s chased the rats as we wai ted . We killed two , two rat s . We kept on hunting for more , but there weren ' t any , we gave up . I left the others , came back to the house , c ooked food , and went to sleep . We gave the rats to the husband o f this woman here . • 29 Hunting was always de scribed to m e as a n enj oyable pur suit ; likewise , the d i scovery of a treetrunk covered in an edible fungu s , of a wild pumpkin , or of a c lump of spec ial ferns was always greeted with del ight ( P late 3 . 3 ) . Every household in Awande , excepting one or two S eventh Day Adventi st one s , owned pigs . A pig count in May 1 9 7 7 gave a f igure of 4 7 2 pigs , an average of nearly four pig s per household . for by both men or women . P igs are c ared They may be owned by individual men and women , or j ointly by a married couple , depending on the or igin of the pig . They are fed r egularly twice a day , and at mu.mu feasts , on inferior sweet potatoes and scraps . they c an in the bush . shelter s . Most The r e st of the t ime they f ind what are penned at night , sleep ing in smal l They may al so b e penned for a peri od before slaughtering i f they a r e being fattened for a special occasion . P ig husbandry is not based on maximising biological productiv ity , but is c losely related to the complex system of gift exchange and ceremonial payments . Thus , two halves o f pig c an b e bought for K 3 2 . 00 from the Okapa freezer , while a vil lage p ig of equivalent whole carcase size might be valued for exchange purpo ses at K2 0 0 or so 1 • When pigs break into a garden , it is usually held to be the fault of the pig ' s owner , for not f eeding it properly . I f there i s disagreement , the matter may b e settled b y the vil l ag e c our t , a s happened in thi s unusual case : A man found a large pig had broken into his o ld , but still yielding , sweet potato garden . He shot and wounded the pig , and he and the pig ' s owner went to court . The pig ' s owner argued that the garden fence was old , and that his pig had been spec ially put aside for the forthcoming singsing. The man who shot the pig was f ined KlO , and had to return the p ig to its owner . He then killed it , butchered it and cooked it in an earth oven , and sold it piece by piece to other villager s , for a total of Kl06 . He gave K8 to the man who shot the pig . 1 I n S al i sbury ' s terms { Salisbury , 1 9 6 2 ) , the vil l age p ig would be c las s ed as a " valuable " , but the freezer pig would be a " luxury " ; the latter would rarely be use d in ceremonial payment s . 30 The actual consumption o f pig w i l l be discu s s ed i n more detail in Chapter 8 . Chickens were found in nearly all haml et s , e spec ially s ince the start of a chicken proj ec t at the Vocational Schoo l . This pro j ec t buys one -day-old cockere l s , and s e l l s them a t 2 or 3 weeks o l d , for 50 toea each , to villagers . There is a heavy loss from hawk s , dogs , and other caus e s , and thi s , combined with the l ack of quality feed make s chicken-re aring a highly ine f f i c ient proces s . There were also some hens in a few hamlets , but their eggs were either never found , or were left to hatch. Chickens are rarely eaten until s everal years old . One S eventh Day Adventi st had a number o f ducks , bought as duckl ings from Lae ; thes e were intended to be sold eventual ly , but probably many wil l die before then . Another man had a cow , which ranged freely and was not milked , and was greatly feared by the vil l agers whenever it appeared . I t s owner will slaughter it on a su itable occasion : "When the t ime comes when I want to kill it , my brothers s ister s , c hi ldren we 1 1 get together , get some kumu , heat some stone s , and everyone c an c ome . We ' ll cook it in the mumu we ' ll take it out , cut it up , and g ive it to all my fr iends or someone who ' s given me c ow to eat befor e , I 1 1 p a y him back it ' s u p to m e I c an giv e it to whom I l ike . Wantoks fri end s , s i ster s . . . if I don ' t g ive it to them , they ' ll be angry with me : they won ' t give me any food . . i t ' s the same with killing pig . 11 Two groups of kin within the village were e ach planning co operative cattle pro j ects , for which they will s eek help from the Department of Primary I ndustry . However , l ive stock husbandry in Awande i s , as I have d escribed , poorl y developed in terms o f management and production . of The potential and apparently the d e s ire , for improvement is great , but is l ikely to be real i s ed only s lowly , and with many disappoint.�ent s and s etbacks along the way . The market at Okapa was held twice weekly , from about 6 . 3 0 to 8 . 3 0am on Wedne sdays and S aturdays . There was a smal ler market at Ke ' afu , a Kei agana village some 2 kms . from the c entre of Awand e ; and larger ones were held weekly at Tarabo and Anumpa , both about 1 5 km s . d istan t . . S ome families sold food r egularly at Okapa , but the other markets were not o ften v i s ited becau s e of the l ac k of convenient transport . 31 People from Awande rarely go to a market i n order t o buy food . Sometime s , after making a sale , they may buy something , such as a cabbage , some peanut s , or another item they do not grow for themselves , but usuall y the money will be spent on store food s , or saved for l ater use . Thus , markets provide a potential food r e source for Awande which rarely needs to be u sed . Awande is the s ite of a relatively large trade stor e , run by a The private company which has branches throughout Papua New Guinea . Awande store has no freezer , but has a range of tinned and dri ed foods : rice , t inned meat and f i sh , dried milk , sugar , sal t , dripping , biscuits , tinned c ake , aerated drinks , tea , coffee , m i lo , chee s epops 1 , and chewing gum . Other trade stores in Awande inc lude a small one run by the Vocat ional School , and { in July 1 97 7 ) six four of them situated on the road s id e and hamlets . store . individually-owned kentin , two others in l e s s acces s ible All the s e stor e s c arried a smaller range of goods than the main Stor e pr ice s and sales are d escribed in more detail in Appendix A . There is a store in Okapa with a freezer , from which frozen brisket , and sometimes c hicken and halve s o f pig c an be obtained . In Kainantu , frozen mutton and various cuts of beef and pork are u sually availabl e , and may be bought for spec ial occasions . Still further away is the cattle ranch at Dumpu in the Markham Valley , where a whole fresh cow c an be bought for about K3 0 0 , and its c arcase brought back to the village by truc k . With the coming of the Australians i n the mid-1 94 0 ' s , the Fore entered a period of rapid social , cultural and economic change which continues to the pre sent day . The kuru epidemic , which at its height seemed to threaten the very survival of the cultur e , is now in its last phase , but its demographic and social effects are fel t . The c e s sation of warfare , the introduction of coffee as a cash-crop , and 1 Throughout this report , I use " chees epops " to include all brand s o f chee se-flavoured , plast i c -packed snacks . 32 the departure o f young men for wage-earning j obs i n other parts o f the country have radically altered the traditional way of l if e . S ub s istence gardening still c onstitutes by f ar the most important source of food , with sweet potato the dominant crop , complemented by a wide range of other vegetables . throughout the year . Garden food suppl ies are abundant Animal protein is available in the form of domesticated pigs , chickens and a few cattle but e ff ic i ency o f produc tion is very low . Food from the bush and forest is of minor and probably dec l ining s igni ficance in nutritional term s , as more land i s continuou sly being c leared f o r gardening and cash-cropping . Production of coffee and vegetable s for cash sale does not yet appear to threaten subsi stence food suppl ies , through d iversion of labour or land , but might do so in the future as population expand s , or if many more young men leave the villag e s to seek work elsewher e . Tradestore foods are readily ava i l able throughout the r eg ion , but cash income is g enerally too low to a llow hou seholds to replace a l arge proportion of their traditional diet with purchased foods . Some of the main environmental fac tors influenc ing food r e source s in the rural area wil l be considered further in Chapter 4 , after the Fore population in Lae has been described . 33 CHAPTER 3 THE URBAN SAMPLE Lae : the s etting Location and environment Lae is Papua New Guinea ' s second largest urban c entre , and its foremost indu strial town . In October 1 97 7 , its population was e st imated at 4 5 , 10 0 , of whom 4 , 10 0 were non-c itizen s ; the annual growth rate of the c itiz en population from 1 9 7 1 to 1977 was approximately 5 . 0% ( Bureau of S tati stic s , 1 9 7 8 a ) . These f igure s for popul ation and growth rate were both much lower than had been predicted from ear l ier f igure s ( see Conroy , 1 9 77 ) , suggesting that the rate of in-migration has slowed down , though the total number of migrants in the town must still be high . A l arge proportion of the migrant populat ion is housed in self -help s ettlements on the fringes of the town . S ituated on the Huon Gul f at the mouth of the Markham River , Lae ha s a hot and humid c limate with l ittle seasonal variat ion . Mean 0 ° monthly temperature s vary from 2 4 . B c to 2 7 . 4 c , with an overall mean ° ° of 2 6 . 3 c , and a diurnal range of about 5 . 5 c . Annual rainfall average s 4 5 6cm . , with a peak i n July and August . Relative humidity is u sually around 8 0 % 1 • Most res idential and commerc ial development in Lae is on level terrain between the Markham and Bumbu River s , out along the Markham Road to the north-west , and to the north of the Bumbu , toward s T araka { see Map 2 ) . There i s an extensive self-help settlement on the lower slope s of the Atzera Range which lies to the north-west of the town , but the danger of eros ion due to heavy rainfall and intens ive c le aring of the for e st cover for gardens and firewood makes the higher s lopes of the range unsuitable for permanent settlement . By f ir st contacting the six Awande men then l iv ing in Lae , and 1 nata from long-term records of Commonwealth Bureau of Meteorology , 1 97 0 . 34 MAP 2 . LAE , SHOWING MAIN ROADS , S ETTLEMENTS , AND PERMANENT CLI N I C A N D MARKET S I TES MENTIONED IN TEXT Approx . scal e :===--lli==:::::m--=:11-lilll!IJ kl'I. C: KEY MCH permanent Maternal and c h i ld health c l in i c s i t e Mkt. - permanent market site University o f Technology BUMBU e t c . - settlements mentioned i n text -- Atzera Range BALOB MCH Mkt . BUMBU Hu on Gu l f 35 thereafter u s ing the wantok system to build up further contacts , I was able to f ind over fifty households with Fore head s in Lae . These ' households' varied in size from s ingl e male employ ee s ' quarter s , to self-help dwelling s where three or four married couples and several s ingle re lative s shared their meal s together . Exc luding tran si ent vi s itors , the population was made up as follows : Adul t male s , Fore 80 Adul t females , Fore 32 Adul t f emales , other highland groups 12 Adult females , Markham D i strict 13 Children 87 TOTAL 224 The·re were o ther Fore households in Lae which I fai led to contac t , but j udging from my informants ' comments , they were few in number . The people I c ontacted c ame from all over the Fore are a , from Paiti in the far south , to Kagu in the north . Most o f the adult men had been in Lae for l e s s than ten years ( with a median of s ix year s ) , and most of the adult women for less than f ive ( with a median of three year s ) . All the adult women were married , mo st of them a f ew year s after their husbands had f ir st migrated t o the town . Most of the children were born in Lae , and nearly all were under ten year s old . The sample population was distributed throughout the town , including the fol lowing settlements : Boundary Road , T wo -mile ( in Haikos t } , Taraka , Bumbu , Balo b , and Po Zis baret 1 ; some people were living in hostel acc ommodation , and other s in quarters provided by their employe r s in the c entral area of town . Di ffer ent sub - sample s of the total were u sed in studies of food bel i e f s and preferences , food consumption and child weights for ·age ; further details o f the compo s it ion of the s e populations wil l be found in the relevant sections . name g iven by its inhabitants to the settlement near the Police Barracks ; presumabl y it i s a mistaken P idgin r endering of the l atter . 36 Housing c ond i tions ( see Plate 6 ) Forty-one o f the households contacted were l iving i n self help settlements , in dwe l l ings either erected by themselve s , or purchased from earlier migrant s . Thes e houses were c onstructed mostly o f scrap materials such as t imber , corrugated iron and a sbe stos sheeting , and were raised on posts above the often muddy ground . Generally they provided adequate shelter from the rain ; often with one family per room , they we re c rowded by European urban standards , but no more so than the usual village house . Cooking in the s e self help dwe llings was usually done in small shelters adj oining the house , on an open f ire or , more rarely , on kerosene stoves . F irewood could usually be obtained free , or at low cost , from various source s of scrap in the town , but it is not plenti ful . Water suppli e s have been put into most of the settlements by the local authority , which charges a small annual fee ( e . g . K6 per plot in the Two-mile settlement ) for this and other s ervice s such as road maintenance . The water supply usually consisted of one tap in the yard , or a corm:nunal tank shared by a number of dwe l l ing s . Some people had erected tin drums as rainwater tanks . Pit latrines were constructed in most house plots , but the high rainfall and r esulting heavy soils make them l e s s satisfac tory than their villag e equivalents . Only four households occupied Hous ing Cormniss ion dwe l l ing s , rented for between K7 and Kl O per fortnight . Thes e house s are generally better than s e l f-built home s , with r egard to strength and durability of materia l s , internal division into rooms , and outs id e toi let and washing facilities . Elec tric ity is provided , and used mostly for l ighting . The other hou s eholds lived in a variety of hostel and employee accommodation , often o f a poor standard . As an example , one young married couple occupied a s ingle room approximately 2m . by 2m . in a block of such units ; one electr ic l ight was provided , and the c ouple used their own primus stove . dozen household s . Water was from a tap shared by s everal For thi s accorm:nodation the husband , a barman in one of the bigge st and plushest hotel s in Lae , was charged K4 per fortnight . The great maj ority of Fore men in Lae are in ful l -time employment . For those from whom I obtained detail s , the breakdown by type of employ ment was as f ollows : 37 Hotel and restaurant workers 17 Factory hands 17 Drivers , mechanics 8 Retai l store assistant s 5 Road and wharf labourers 3 ��r 9 Unemployed 11 TOTAL 70 The concentration o f employed men in hotel s and restaurants, and in a small number of factorie s , is probably a r e sult of new arrivals s eeking j obs through an already e stablished wantok . The unemployed Fore in Lae , I believe , mostly f al l into the c ategory which Ros s Garnaut ( 19 7 2 ) c a l l s " the hopeful . . . who prefer continued urban life without a j ob , and antic ipating that formal employment would become availabl e , to returning to village l i fe " . Most of them are young , and financially dependent on the older male relatives with whom they live in Lae . Thos e wishing to return to their vill ag e would have no diff iculty in borrowing the K5-Kl0 necessary for the one-way j ourney . I found no Fore in ' white collar ' j obs ; only a f ew of thos e contacted had any secondary s chooling , and Form 2 was t h e highest educational level reached . Gros s wage s for ful l-time j obs were typic ally between K5 0 and K6 0 per fortnight , with a tax of K 3 or l e s s 1 • A taxi driver and a Highlands H ighway truck driver each earned over Kl OO per fortnight . Two women in the sample were employed , both as part-time dome stic s in expatriate homes , for wages of K3 2 and K 2 0 per fortnight . A few household s supplemented their income by s e l ling garden produce at the market , but the proceed s would not have reached KlO per week . In Chapter 11 I de scribe a smal l household expenditure survey which provide s detailed information on how money is spent . For the time being , it is suf f ic i ent to note that all the households I contacted had a relat ively s ecure c ash income through at least one full -t ime male hrhe m inimum urban wage rate at the t ime was K56 . 16 per fortnight . for adul t general labourers and K42 . 7 2 for unmarried j uniors . 38 wage-earner . The e conomy i s basically a cash economy , supplemented by some gardening for home c onsumption (discussed in the s ec tion of food resourc e s , below) . In addition to their r elatively long-term unemployed wantok , usually young men who are a s happy to look around a s t o look for a j ob , many households are vi s ited frequently by other v i llage relat ive s , including parents and unmarried s i sters . Many families make return vi sits to the village during the husband ' s annual leave , and on spec ial occasions such as funeral s ; trips are practicabl e . for people from North Fore , even weekend These two-way visits maintain social and emotional l inks between the urban migrants and their home v i l l ages . Gifts are also exchanged at such time s , the town-dwe l lers g iving c lothes and other store goods , and coastal products such as coconuts and betel nut s , and r ec e iving in return valued village foods such as sugarcane and sweet potato . Thus the town and villag e hou sehold economies are c losely interrelated , as I have already pointed out in the c a s e of Awande . I did not attempt to study Fore soc ial l if e in Lae , and the I now make are comments t ion . on c asual observation and conversathe opportunities for soc ial In other Fore interact ions more l imited in number variety , e spec i ally for women . enclaves frequency and r e s idential pattern of concentrated Fore scattered among various settlements means that contact s with other Fore are mo stly made within the household with people in a few nearby houses , or , for the men , with colleagues at work . women During the week it is common for unemployed men and childless to visit wantok in other parts of Lae ; at the weekend there are often gathering s of people from the same vi llage of orig in at the house of one of them . On weekday s , there is l ittle movement outs id e the settlements after dark ; at weekends recreational activities inc lude watching sports but rarely participating in them , going to the c inema , playing c ards occasionally beer-drinking , and simply ' go ing around ' town with family and friend s : by , and visiting snack bar s . s itting , talking , watching the world go Contacts with non-Fore seem t o b e minimal 1 1 going around ' is my translat ion of the P idgin verb 'raun ' ; Marilyn Strathern ( 1 9 7 5 ) translates it even more directly as " to 1 round 1 11 , and explains it as follows : " to wander ' around ' , to go astray , to travel with no other purpos e than to s ightsee . " . 39 except a t work and , a s i s qu ite common , when relationships with famil i e s in the Lae area have been establi shed through ( see Plate 7 ) Migrant s in Lae who wish to produce food from their own gardens face four sets o f problems . F irst , available land i s in short supply Only near Taraka and the Hai kos t s ettlements in most settlement area s . is there plenty of g arden l and . On the lower s lopes of the Atz era Range above the Boundary Road settlements the l and i s subj ect to s evere eros ion , mainly because of haphazard and over- intensive tree-fell ing and cultivation , which is extending ever further into the bush . most areas inside the town , In l and is owned and u sed by the orig inal inhabitants of the villages around which Lae was e stablished , and is rar el y ava ilable to m igrant settl er s . S econd , because of the informal system of land u s e by settler s from differ ent background s , who have l ittle if any communal ties with each other , gardens are not secure from theft and d amag e . contrast to the v illage This is in where numerous sanct ions and customary ru les operate to protect people s gardens from interference by o ther s . Third , unfamiliarity with the soil , c limate , and c rops of the coa stal r eg ion makes gardening more d i fficult for the h ighland migrant s . Frequently they complain about the e f f ects of the heat , the softnes s of the s o i l ( c au sed b y heavy rain i n poorly-drained f lat ground ) , and the prevalence of insec t pests . F inally , women are l ikely to feel par t icularly insecure in the town , with their men away at work for most of the day , and their o lder relat ives still in the village . They are therefore not keen to walk long d istanc e s to gardens in unfamiliar bush , where dangers may exi st in the form of both human stranger s , and unfr iendly local 1 spir its 1 or l compare Lucas ( 1 9 7 2 ) , writing about Lae in 1 97 1 : " For most of the indigenous population of the town , soc ial hor izons are l ikely to be bounded by the settlement in which they l ive , and more spec ific ally They wil l probably extend to 11wantoks 11 in by their own 11wantoks11 other settlements around the town and will almost c ertainly include kinsmen from the home area who v isit them from time to time " . • • • 40 ' devil s .• . De spite these problems , nineteen households in my sample d id have gardens in the bush , mos tly near the Taraka and Boundary Road sett l ement s . Al so , twenty-three households had small gardens in sid e , or adj acent to their house plots . The most commonly grown crops , in decreasing order of occurrenc e , were banana (mo stly cooking types ) , sugarcane , tar o , sweet potato , green leav e s of severa l kind s , pre dominantly aibika , and c as sava . Less common c rops included yard-long bean s , yam , pawpaw , lowland and highland pitpit , pineapple , pumpkin , peanut, c o conut, and corn . Onl y at Taraka , where many Chimbu migrants make a reasonable living out o f growing garden produce for sale at the marke ts , were gardens spoken o f with much pride or enthusiasm . On the whole , my imp re s sion was that gardening provided a usefu l supplementary source of fresh vegetable food s , but could not be depended on as a s teady or sufficient source o f s taple s . The rapid decline in s oi l fer tility , expressed in P idgin as the los s o f gris , which i s bound to accompany the present gardening technique s in Lae , was a widely recogn ised problem . Susta inable gardens wil l only be made pos sible through compos ting and o ther fert i l i s ing techniques , combined with a systematic patte rn of l an d management and crop rotation , and the e stablishment of secure l and tenure . of experimental compo s ting an d gardening pro j e ct s has A series recentl y been s tarted by the Lae City Counc i l in con j un ction with the Department o f Primary Indu s try, the Morobe Province Re search Centre , and local settlement l e ader s 1 . The hope i s that the s e experimental pro j ec ts will eventually lead to inc reased and more s table garden production in L ae ' s settlement are a s . For mo s t o f the Fore in Lae , the surrounding bush is insign i fi c ant as a food resourc e . One man who contracted to c lear bush under e le c tric power l ines told me he had caught and e aten a mumu t , o r bandicoot , as wel l as picking leaves o f wil d tulip , but thi s was l Thi s work is a lso p art of the PNG Human Eco logy P rogramme . 41 Some time s people will pick fruit from wild breadfrui t exceptional . tree s , and from unowned coconut palms and pawpaw tre e s in the town . Fishing i s another source 1 wil d 1 food . I t tends to be a weekend a c tivity , and may cons ti tute a family outing . I have no data on its frequency , and only two or three people mentioned i t . A hook and line can be used in the Bumbu Rive r , and in the permanent pool wh i ch lie s to the north o f the airs trip . Small she ll f i sh and prawns can be gathered at c ertain s i te s on the s eashore , but no one to ld me they did thi s , nor did any Fore fish from boats . Domesticate d animals Pigs cannot be kept within the town boundar ie s ; a few men who had married Morobe women c laimed part-ownership o f pigs in thei r wive s ' vil lage s . Chicken s were k ep t by seven househo ld s , only one o f which col lecte d eggs regularly . Properly husbande d , poultry might prove a valuable food re source in the urban environment , but at pre sen t , as in Awande , chickens are left to fend for themselve s , and los se s through predators and theft are heavy . The two main marke ts in Lae are the C ity Coun c i l market near the centre of town , and the Butibam market , near the Bumbu se ttlement . Both a re open 5 � days a week , and s e ll a wide range o f fre sh frui t , vegetable s , and fi sh . The council marke t attracts se l lers from all over the P ro vince , and even some from the h ighlands 1 ; and fi sh s ta ll s , and snack b ars . Kurnkum , Ch inatown and Two-mi le ; it also has mea t There are small e r marke ts at Taraka , they attract local s e llers , o f fe r ing a smaller range of frui t , vege tabl e s , coconuts , and bete l . Mo s t o f the accustomed Fore foods can b e found at the main marke t , with the no table e xceptions of the green l ea fy vegetable , e vi and highland pit;pi t , which is rare ly available . see in Chap ter 5 , Howeve r , a s we shall the qual i ty and price s o f the se foods are no t always swe e t potato hinterland extends as far as Bulolo , 7 0kms . to the south-wes t , and Kiapit , l lOkms. up the H ighlands H ighway ( McKay and Smith , 1 9 74 ) • 42 acceptable . In addition to the fami li ar foods , there are many more varieties of banana and yam , and there is sago ; coastal fruits include pawpaw , guavas , avocadoe s , watermelons , seve ral type s of c i trus , and mangoe s ; vege tables incl ude the yard-long bean , aipika , pumpkin and choko l eave s and shoots , tulip , and European introductions such as Chine se and common c abbage s , tomatoes , c ap s icums , aubergine s , c orn . and l ettuce s . green Coconuts are s old when mature ( ku Zau in pidgin} . ( drai in P i dgin) o r when s til l Other nuts inc lude peanuts grown in the Markham Val l e y , and , in se ason , gaZip and pandanus . inc lude hen and bush turkey e ggs ; uncooked prawns ; turtle ; Animal products l ive crabs and l i zard s ; fre sh and smoked f i sh of many kinds ; live chickens ; cooked and an o cca s ional and cooked and raw pork and bee f . Many Fore households use the main market only once o r twice a fortn ight , c o inciding with payday . In Taraka , the local market is used more frequently , both by women , and by men on the i r way home from work . The Lae market s , whi l e perhaps not as well-provided as Rabaul ' s , are bette r than those of Port More sby ; thanks to Lae ' s productive hinter land there i s no serious shortage of fre sh vegetable s and fruits at any time of the year , and the price s are we ll wi thin the mean s of employed town-dwellers . More information on pri ce s at the marke t , and expenditure on market items , wi l l be found in Appendix B and Chapter 1 1 re spec tive l y . S to re s Th e reta i l food outle ts i n Lae can be divided into four categories : supermarke ts , medium-s i ze s tore s , small tradestore s , . and snack bar s . The hal f- do zen supermarkets in Lae are e s s en ti al ly iden ti cal to the i r Aus tral ian counterparts . They provide a wide range o f canned, dried , frozen and fre sh products at pri ce s which tend to be l ower than thos e of their smal le r competitors . S ince they cater l argel y to the expatriate population , thei r emphasi s is on European- type foods ; they do not , for example , s to ck indigenous s taple s such as taro or sweet potato . A few Fore expre s se d some misgivings at using the se supermarkets , who se methods of operation and range of goods were unfami l i ar to them , but mo s t used them re gularly , e special ly for ' free zer meat ' ( i . e . chi lled or fro zen meat) . The medium- s i ze s tore s are o ften owned and run by Chinese , and these Saina, s tua are popular with some Fore , maybe because the i r 43 atmosphere i s l e s s intimidating than that o f the supermark e ts . They are wide ly dispersed through the town , but there is none a t Taraka . The ir s tock i s smaller i n range than the supermarke ts , e spec i ally as re gards frozen and cooled foods such as mea t and dairy produc t s . The small tradestores are similar to thei r rural equivalen ts ; they are usually owned by Papua New Guinean individua ls or groups and are found inside all the settlements . They are thus conven ient for buying smal ler quan titie s of food required at short no tice ; l ike the lo cal market s , they are often used on the way home from work , or in the evenings . They vary in size from tiny structure s sell ing across a window coun te r , to quite large e s tabli shments rival l ing the smaller Chinese store s ; thei r range o f s tock i s corre spondingly var�able , an important f ac to r being the pre sence or absence o f a free z e r . Snack bars , by which I mean milk bars , food bar s , fi sh and chip shops and so on , are found in all the main shopping centre s ; a s well , the supermarket s and l arger s to re s o f ten inc l ude a snack bar . Every type of ' snack ' is available : and Chinese dishe s ; hot meals such as fish and chips , chicken , meat pies , meat bal l s , sausage s , and hamburgers ; ice- cre ams , milk shake s , and soft drinks o f all kinds . use snack b ars for lun ch ; Many Fore men they are also popul ar with the whole family when going around town at weekends . Shopping for food , then , is part of the daily roun d for mos t Fore migrants i n Lae . separately : I t is done by men and their wive s , toge ther or there i s no clear sexual divis ion o f l abour in thi s respe c t , except when a woman i s newly arrived in the town , and the re fore unfami liar both with the goods and operation of the larger s to re s , and with the re lative ly l arge sums of money involve d . Summary The Fore living in Lae do no t form a s ingle coherent c ommunity , but belong to a number o f overl apping soci al networks spread throughout the town . They c annot be regarded as fully urban i se d , since mo s t o f them have been i n the town for s i x years or le s s , o ccupy housing o f a relative ly temporary nature , an d intend to return to thei r village s in late r life . Whether the growing numbe rs o f Fore children now be ing 44 brought up in the town wil l want to return t o thei r fathers ' vi llages is an open que stion ; it i s possible that many will remain in town to form a more truly urbanised generation . Mos t Fore men in Lae have some primary e ducation at lea s t , and mos t of them have j obs which , by rural s tandards , make them rel ative ly weal thy in terms o f cash income . Few of them pay a subs tan tial ren t , so that there i s generally sufficient money i n the househo l d t o buy enough foo d for i ts members , as well as to support a number of short and long term vi s i tors , and to send some money, or i ts e quivalent in goods , back to the vil lage from time to time . Obviousl y some individuals and thei r househo l ds are be tte r off than others , and prioritie s in cash expenditure vary ; these matters a re explored in more detail in Chapter 11 A s for food re source s themselve s , Lae i s wel l s i tuated i n thi s respe ct . The markets are we ll suppl ied throughout the year wi th vegetable s , fruits and fresh animal produ c ts , many o f which the Fore are already famil i ar with . S tores o f varying s i ze s sell a great variety o f fre s h and p ro c e s s e d foods , the l atte r mos tly importe d . However , rural migrants , when they arrive in Lae , are faced with a shortage o f good gardening l an d , and thi s has soc i al , economic and nutri tional consequences which warrant further examina tion . and i ts food p ro du cts is variable gardening and Enthusiasm for gardening even where l and i s avail able . The re cently initiated by the Lae City Counci l in conj un ction with the PNG Human Ecology P ro gramme may , i f properly moni to re d , give s ome insight into the s c ale and nature o f demand for garden ing opportun itie s i n the town . Fac to r s the nature o f the food resourc e s in both vil lage and town, and the gene ral nutri tional implic ations of the se food resourc e s , wil l be di s cu s se d in the next chapter , before turning to the beliefs and pre ferenc e s which unde rl ie the proc e s s of food s e l e c tion itse l f 45 CHAPTER 4 In comp aring the influence of various environmental factors on the avai labi l i ty and use made o f food resources in vil l age and town , it i s useful to divide the food re sources themse lve s into thos e acquired through subsist ence production incl uding hunting and gathering , and thos e acquired through purchase . The se two c ategor ie s are affected by di ffe rent se ts of external variable s , and are of differing re l ative importance in rural and urban se ttings . In the discus sion which follows , reference i s made to some o f the environmental factor s shown in the conceptual model ( Figure l , p . 8 ) and brief mention is made o f the nutri tional implication s o f the food resource s in vil l age and town , in relation to food be liefs and preference s , and food consumption . Subsis tence food resour ce s include garden produc ts , dome s ti c animals and foo d gathered consump tion . hunted in bush , fore s t o r water , for home The nature and availabili ty o f the se resources are influenced by physical environmental factors including c limate quali ty and topography ; soil by bioti c fac tors incl uding natural flora and faun a , and human population density in re lati on to available land ; and by cultural fac to r s including technology in its wide s t sen s e , meaning no t onl y te chnique s and tool s , but the skil l s , knowle dge and customs which influence thei r use While the se factors can all be seen to operate within the lo cal environment of a s ingle human s e ttlement , such a s Awande o r Lae , they are in turn influenced by factors in the wider environment . O f particular intere s t in thi s context are the a gr i cu l tural developed at the national leve l , which are intended to modify subsi s tence sys tems in certain dir e ctions . a. I n a rural Fore vi llage , such a s Awande , gardens are the mo s t s igni fi cant source o f subsi s tence foo d , followed by dome s ti c pigs and 1 wild 1 foods from the bush . The c limate and physical environment are suitable for the production of sweet potato and a number o f supplementary vege table foo ds , and for dome stic pig husbandry . 46 Population dens i ty i s s ti ll relative l y low in relation to l and resource s compared to some o ther areas o f the highlands such as Chimbu , and extensive s tands of fore s t , in addition to s econdary bush which grows up on o l d garden s i te s , still provide a use ful source of wild foods . The technology used in sub s i s tence gardening is re lative ly s imp le , using n o too l s more advanced than s tee l axe s and spade s , whos e intro duc tion seve r al de cade s ago grea tly reduce d the labour and time nece s sary for mos t gardening tasks . National agric ul tural policy has had very l it tl e dire c t impact on subsi s tence activitie s at the vi llage leve l , s ince the e f forts of the Department o f Primary Indus try have been mainl y direc te d , until recentl y a t l e as t , towards increasing the production o f cash c rop s . Some European vege table s have been introduce d , partly through info:i::m al channel s and partly through de liberate action by the D . P . I , but most o f thes e , and particul arly peanuts and common cabbage s , are grown primaril y for sale . Extension workers do not go on 1 p atrol 1 into hamlets o f f the main roads , and thei r as s i s tance is mos t l ike ly to be sought for cattle pro j ects , suc h as the two which were in preparation at Awande in 1 9 7 7 . Cattle p ro j ec ts seem to o ffer rewards i n the form o f c ash , pre sti ge , meat and perhaps exci tement . Judging by experience i n other parts o f P apua New Guine a , reality is unl ikely to unfortunatel y , l ive up to expe ctations but, 1 development 1 has tended to be promoted and thought o f in te:i::m s o f spe c ta cular pro j e cts for immediate e conom i c reward rather than gradual improvements to the traditional sub s i s te nc e system . Attempts to upgrade the nutrit iona l qual i ty of the s taple foods , to vegetable crop s , and to increase the survival and productivity o f domes ti c pigs and fowl s deserve more attention , although the i r po tential benefi ts might be l e s s e as i ly perceived by the vi llager s . In Lae , mos t Fore househo l ds grow small own consumption , but popu lation pres sure on available land s evere l y l imits the opportun i tie s for sus tained subsi s tence horticulture ; in addi tion , the climate and soi l s o f Lae are different from those of the highlands and require modified techniques . For many househo l ds , a s te ady c ash income reduce s the n ee d and the motivation for gardenin g , but there are o thers in which economic f actors or per sonal pre ference s act in the o ther dire ction . 47 One o f the recommendations o f the National Food and Nutrition Policy { NPO , 1 9 7 8a) is that urban sub s i s tence produc tion should be in crease d , and the experimental compos ting and gardening pro j e cts s tarted in Lae in 1 9 7 7 are in accordance with thi s recommendation ( see p . 40 above ) . P i g husbandry is prohibi te d within the town boundari e s , but many se ttlement dwe llers , including a few Fore , attempt to rea r chickens for the ir own consump tion ; a s s i s tance from extension o ffice r s might make thi s a more rewarding task than i t is at present, wi th i ts h igh lo sses through disease , the f t and o ther c aus es . Purchased food resour ce s Foo ds can be purchased e i ther from marke ts , whi ch sell fre sh foods p roduce d w ithin the local hinte rl an d , or from s to re s , whi ch s e ll a few locally produced fresh foods , a few i tems which have bee n pro ce ssed within P apua New Guinea , and a large variety of pro ce s se d food s imported from oversea s . The ava i l ability o f e ach type of food resource i s influenced by a number o f environmental fac tors . The s cale and nature of foods ava i l able in a lo cal market are i nfluenced by the transport sys tem, and by the l eve l of c on sumer demand , as well as by the physical and technological facto rs which affe c t local food production itse l f . Dome s ti c marke ting and transport systems are the sub j e c t o f national pol i cy , which is particularly concerned with promoting markets in urban centre s ( NPO , ibid . ) . Foods which are proce s s e d in s igni fi cant quantities within the country from local ly produced raw materials include sal ted peanuts and peanut butte r , dehydrated sweet potato chips , dried and frozen fish , frozen mea t and small goo ds , and palm o i l ; foods which are p ro ce s s e d locally from mainly importe d raw ma terials inc lude flour products such as bread and bis cui ts , beverages inc l uding beer and soft drink s , and a variety of snack foods including chee sepop s , meat pie s , and i ce - cream (Hepworth , 1 9 7 6 ) . · Among the mo s t important foods whi ch are imported in thei r fully-proce sse d s tate are tinned meat and tinned fish , fro zen mea t , sugar and rice ; al so imported . some fresh fruit and vegetable s are Dependence on imported foods and foodstuffs not only cons titute s a drai n on s carce foreign currency , but also increases the vulnerab i lity of the economy , and o f the nutri tional s tate of the population , to exte rnal factors . This i s sue wil l be dis cu ssed a t greater l ength i n Chapter 1 4 ( pp . 2 06 - 2 08 ) . 48 a . The rural environment . I n Awande and other rural vil lage s in the Fore region , loc al markets are r arely used for the purchas e o f foo d by local people with gardens o f their own ; the markets have developed primarily in response to the demand from full - time wage e arners , mos tl y i n government or mis sion employment . Trades tore s a r e found throughout the region , varying in s i ze from one-room thatched huts s ituated in remote haml e ts , to the maj o r retail outl e t in Okap a , which has a large fre e ze r and a wide range of sto ck . The s tocks o f the small e r s tore s are l imited by the l ack o f free zing or cool ing equipment, and fluctuate with the demand from the local population . The level o f demand i s largely dete rmined by c ash income from co ffee sale s . This , in turn, i s in f luen ce d b y facto rs a s remote from the local environment a s fro s ts in B razil , and the machinations of international commodi ty market s . I n Lae , the fresh food markets are c urrently b. able to meet the demand within the town , thanks mainly to the initiative o f l o cal producers within a hinterland which is adequately served by road transport. More market s i te s , and improvements to the road system are planned for the future Retai l s tore s are supplied by a sophi s ticated import and marke ting system, which is dependent upon the functioning o f the national e conomy . The l arges t supermarkets cate r mainly for a wea l thy expatriate c l ientele but are al so used by the local population in increasing numbers . Future developments in thi s s e c to r wil l there fore be influen c e d by e c onomic factors at the national leve l , including import pol icies and i ncome and pri ce l evel s , and by the changing nature of the demand for p ro ce s se d foods in the urban population , including its expatria te component . a. For the rural Fore , sub s i s te nce production i s by far the mos t important source o f food throughout the year . The purcha s ing o f food from trade s to re s is a supplementary source which i s used when c ash i s availab l e mainly in the coffee season . As a class , store foods are not a neces s i ty , but neither are they any longer an unusual luxury as they were twenty y ears ago ; they o ccupy an intermediate status as de s i rable items which are commonplace at certain time s of year , 49 rarer at o thers , but which could b e done without if neces s ary.. For amount of land and labour diverted from subsistence the time being , the to cash- cropping doe s not seem to threaten the village food supply . The uns table nature of coffee s ale price s , however, and the risk of di sease , make ma j o r expansion o f co f fee-gardens an unwise pol icy , but thi s is not appreciated at the vil l age leve l , where mo s t individual owners are keen to in crease the number of tre e s each year . Subsis tence food production is more e fficient, in terms of returns of food for an equivalent amount of labour , than is cash-cropping with the use o f pro fi ts for food purchase . Howeve r , ca sh i s used for i tems other than foo d , so that this argument canno t be used to convince rural villagers o f the need to l imit their c o f fe e p l antings . I f the ri sk o f seve re disruption o f v i l l age society and e conomy in the future i s to be minimi s e d , it may be ne ce ssa ry to introduce some form o f quota c ontrol of coffe e growing . Such a risk is at pre sent more acute in the more dense ly populated are a s of the region , and will incre ase throughout the region as population expands , and as expec tations rise with further e conomi c deve lopment . For the urban Fore , the purchas ing o f s tore b. foods i s accep te d as a normal co s t o f l iving in town , and indee d the nature o f some o f these foods is one o f the a ttrac tions o f town l ife , as we sha l l see l ate r . However , mos t people enjoy eating fre sh vegetabl e s , and do not easily accept that the se too mus t o f ten be purchased rather than home-produced ; they there fore maintain small ve getable plots i f suitable l and i s avail able , and some maintain larger gardens in outlying areas o f bush . I n the future , ri s ing price s for imported foods , combined with inc re a sing population and hence demand for foods o f al l kinds , wil l make sub s i s tence production more attractive The potential for expanding sub s i s tence production within the town is bei ng explored in a serie s of pro je cts , but population pre s sure is such that it could n ever provide more than a small proportion of the urban population ' s total needs . Mos t of the population will continue to purchase the bulk o f their foods , with home production providing a supp lementary source . I t will become more difficul t for the formall y unemployed t o find l an d t o grow all thei r food , and some migran ts wil l probably choose to re turn t o thei r vill age s , where mos t s ti l l have tradit ional rights to garden land . 50 Th e link s between the rural and urban economie s i n whi ch the Fore parti cipate were mentioned in the two previous chapter s . Gi fts of food are carri e d i n both direc tion s , while durable goods and ca sh tend to flow from the town to the vil l ages . E arli e r with proces se d foods sold in the vil lage trade s to re makes the adaptation to an urban diet easier for migran ts , s in ce the rural trade s to re foods con s ti tute a sma l l sele c tion of the wider range to be found i n the town . Converse l y , on their return to the village , urban migrants will tend to s timulate the demand for foods which they used habitually in town . Thus there i s a s e l f-reinfo rc ing tendency towards similari ty in the kinds o f p ro ce s se d foods sold in e a ch environment, sub j e c t o f c ourse to cons traints impo s ed by transport cos ts and faci l i ti e s for s torage and pre s ervati on i n the village . Even in the case o f sub s i s te nce production , there are some s ign i f i cant l inks b e tween vil l age and town . Migrants o ften experiment with new c rop s , taking coasta l varie tie s to the vill age garde ns , and traditional village varietie s to the i r urban gardens ; mee t with such attempts de gree s of succe s s , but indicate a s trong inte re s t in sub s i s tence foo d production . Lives to ck , i ncluding piglets , chickens and duckli ng s are sometimes purchased in or near Lae for rais ing in the vil lage The close relationship which exi s ts between vill age and town wi ll be s tres se d throughout this report . The s cale and frequency o f vis i ting between them has widespread social , cul tural and economic consequences for both the rural and the urban population s , and it would be misleading to conside r e ach in i sol ation from the other . Actual food consumption by the Fore population in Awande and Lae will be considered i n detail i n Part IV, but a few pre liminary observa tions on the nutri tional quality of the ava il ab l e food re source s are appropria te here . I n nei ther environment doe s there appear to be any absolute shortage of food ; more are the cho i c e s made among the various foods which are available . Sub s i s tence production in the village i s dominated by the sweet potato , whi c h has a low protein content , and is high in bulk . Both 51 facto rs make the crop nutritional ly unsuitable a s a s taple food , e spec i al l y for smal l c hi ldren who may have di f fi cul ty in consuming enough o f it to s ati s fy thei r energy requirements , let alone the ir pro te i n requirements . Howeve r , many o ther vegetable s are grown , and a fairl y wel l balanced diet including peanuts , green l e ave s , corn , banan a , pumpki n and beans i n addition to swe e t potato could eas ily b e obta i ne d from the se . Furthermo re , regular consumption of pork , tinned fish and tinned meat could provide useful supplements of pro tein and fat . Nutritionally di s advantageous trends in rural foo d re source s include the promotion by the D . P . I . of ce rtain green veg e tab le s , espe c ially c abbage s , which a re poorer in pro te in , vi tamin and mineral content than the indigenous leafy greens { a fact noted in Ham i l ton , 1 95 5 ) , and the sale o f such items as aerated drinks and che e s epops in the vil l age trade s to re s . The cri tical factor , the n , i s the set o f food beli e f s and p re fe rence s that governs the relative amounts o f each c rop which are grown and the patterns o f c onsumption o f thes e and o the r available foods . I n the town , a much wider range o f foods is availab le , and again it is obvious that a well balanced diet could be obtained in a numbe r o f ways b y choo s ing wisely from these . Howeve r , the ready availab i l i ty o f highly proce s se d foods and sweet snack foods o f all k inds , and their promotion through advertiseme nts and display make a n informed , nutrition ally rational cho i ce more di fficul t . The cheape s t s tarchy s tap le s in the urban environment are rice , and wheat flour and its products ; cooked rice is margina l l y ri cher in pro tein than sweet potato , and wheat flour markedly so , but re f ining of both cere a l s reduce s their vitamin and min e ral contents Promo tion of brown rice and whol emeal flour would be a valuable measure in this respect 1 • Fre sh vegetable s and frui ts of goo d qua l i ty can be obtained re lative ly cheap l y , and animal pro tein is available i n many forms , including f re sh , fro zen and canned meat and fish , e ggs , and milk products . As in the vil l age , then , the food beliefs and pre fe renc e s o f town dwellers are criti cal in determining the quali ty r i ce has recently become more readily available in P apua New Guinea , and is sold at a s lightly lower price than white rice . Also , the opening of a flour m i l l at Lae in 1 9 7 7 may make the manufacture of wholemeal flour p roducts more p racticable than hitherto . 52 o f thei r die t ; the l atter i s not constrained b y inadequac ies i n the quantity or qua l i ty o f the foods whi ch are ava i l able . Food beliefs and prefe rences are the sub j ec t o f Part I I I o f this report , i n which they are d iscu s se d i n re lation bo th t o the food resources des cr ibed in this and the previous chapters , and to o ther environmenta l fac tors which direc tl y infl uence them . 53 PART III F OOD BELIEFS AND PREFE RENCES 54 CHAPTER 5 Most nutri tion surveys make pas s ing . reference to people ' s food bel ie f s , l ikes and dislike s , but very f ew stud i e s in Papua New Guinea have sought detailed information of thi s kind . The most relevant to the pre sent account are those by Whiteman ( 1965 , 1 966 ) . stud i e s She reports on two o n e o f customs and beliefs relating to food , nutrition and health in the Chimbu are a , the other on food bel i e f s and attitud e s in a low=cost housing settlement in Port Moresby . In the former study beliefs about particu lar foods were l isted , and the general c onc lusion drawn that , " Whil st the Chimbus bel i eve that there are one or two foods which have the property of making strong blood , the eat may the not local more formal techn ique , unspec i f ied because c onceptions the of terms l ike food" in it i s concluded that , r e sults showed great variations in bel i e f s and t o food s t i l l exi sted , probably d u e to pract i c e s the d i fferent tribal origins and educational l evel s of the people l iving in Hohola , although the r e sults of con s i s tent health education one or two points could be seen in the some questions . In general food was taken for granted , and its r elationship to good health was not recogni s ed by the inhabitants of Hohola . " I t was partly because o f the problems of interpretation caused by cultural diversity in the urban environment that I dec ided to study an urban group which was culturally homogeneous , and to c ompare it with a related rural group . To thi s extent , at least , the pre sent study of urban and rural food beli e f s and preference s should provide c ompari sons which are more valid than those which c an be made on the bas i s of Whiteman ' s two papers . To obta in a g eneral picture of the main food beliefs and prefer enc e s in Awande and Lae , I interviewed a number of adult mal e s in each plac e . At the same time , my wife concentrated on women ' s beli e f s and 55 attitude s rel ating t o infant feeding i n the two popu lations . locat ion , the interviews , which were tape -recorded , In each fol lowed a more or l e s s consi stent pattern , but this was freely mod i f ied whenever a respondent showed inter est in talking further on any topic . There were some diff erenc e s in the approach and the qu e st ions a sked in Awande and in Lae , and the s e are mentioned in the following section s . The validity and reliabil ity of the f indings are sub j ec t to two main qualif ication s . The first relate s to our lack of famil iari ty with the Fore language and cultur e , and our cons equent use o f Melan e s ian P idgin as a medium of communication throughou t . As a result , the conclus ions c an only be expre s sed in terms of r e lativel y general concept s , who se interpretation is made more diff icu l t by the ambiguities in which P idgin abound s . of the content and o r ig in s of A deeper food beliefs would require a thorough knowledge of Fore concepts relat ing to bod ily proc e s s e s and the nature of d i sease , a s wel l a s o f the magico Some information rel ig ious mode o f thought which underlies such bel i e f s on the se matters is contained in S Hornabrook ( 1 9 7 6b ) Glasse and Sorensen ( 1 97 6 ) ; ( 1 9 63 ) , Lindenbaum ( 1 9 7 6 ) , a few re ferenc e s to the se sour c e s will be made in footnote s . The s econd qualific at i on relates to the u se which we make of the respons e s of a r el atively small number of informant s . f ir st , There i s a danger , that the sample may be unrepr e sentative , and second , that one may pay too much attention to the r e spon s e s of a particularly for c e ful or voluble individua l . Where we use direct quotation s , they wil l tend to come from the more talkative subj ec t s , but we try to u s e them to i l lu s trate common bel i e f s or attitudes which others share but expr e s s l e s s f luent l y . The general conc lu s ions are based l e s s on a counting up of r e spons e s of one kind or another (a technique inapp l ic able to the open-ended nature of the questioning ) , than on our sub j ective a s s e s sment s of the cons en su s , or of d i fference s of opinion wher e they c l early ex i st ed . The intention in us ing people ' s own words is to pre sent a picture in which the l ively and dynamic nature of be l ie f s and attitudes is not c oncealed under a glo s s of stat ic generali s ations . In the remainder of the chapter , I report on food bel i e f s and preference s in Awande and Lae , as expr e ssed by male subj ect s . The subsequent chapter , written by my wif e , dea l s with women ' s bel ie f s and attitude s regarding infant feeding . The last chapter in Part I I I compr i ses 56 a d i scu s s ion of the finding s , mo stly in terms of the influence of interacting variable s in each environment . Awande : methods and sub j ec t s I n Awande I interviewed twenty-f ive men , eighteen of them over one a youth of 1 6 , and s ix between 2 0 and 4 0 1 • 40 years old , S even of the interviews were conducted wholly in P idgin without the u s e o f an interpreter ; the others depended on translation into and from Fore by my 2 5 -year-old a s s i stant from the village , who spoke no Eng l i sh but was fluent in P idgin . Al l the taped interviews were transcr ibed soon after their compl etion , mo stly directly into Engl i s h ; made note s on ly . in s ix interviews I Nearly all the men were married with children ; a very few had been to s choo l . The form and coverage of the questions a sked evolved with my growing knowledge of the food habits and tastes in Awande , and as new topic s emerged from one interview to the n ext . were the s e : foods which are good for the body in some way ; for children ; children ; The main topic s covered the c au s e s and treatment of emac iation or the treatment of diarrhoea ; food taboo s ; food s good bun nating in and belief s and preference s relating to particular food s , and e specially to store foods a s a separate category . an hour or more . Interviews l asted from a quarter of an hour to They were o ften done in the pre sence of bystander s , and thus sample a wider range of opinion than the f igur e s given above might sugge s t . I have incorporated bystander s ' comment s , as we l l a s information f rom c a sual conver sat ion s , into m y f inding s . Awande : F indings Two adj ec t ives were u sed by all subj ects to d e s cr ibe food s . The s e were strong , and swit , both P idgin words whose meanings differ from their Eng l ish or iginal s in some respects . hard , tough , f irm etc ; l Strong or s trongpe Za can mean but it c an a l so mean su staining , f il l ing , Age s are approx imations only . 57 energy-giving ; strong foods a r e spoken of a s strengthening the body , the stomach , the skin , and the bone s ; to do phy s ical work . as strong ; When it ha s this meaning , I write the ad j ective otherwi se I translate it into its neare st Eng l i s h equivalent . Swit c an mean sweet , as in sugar ; but more gener a l ly it r e f e r s to any to avoid c onfu s ion , I l e ave it in the P idg in food which ta ste s good ; form , they are food s which enable one 8'/iJit . Some foods are s trong and swit : bean root ar e exarnpl e s, while rice is crops ; a f ew food s are many are sweet potato , taro and wing swit but not as s trong as the root strong but not really swit , such as c a s sava ; swit but not s trong : (meat , egg s , tinned f ish etc . ) g reen vegetable s and mo st forms of abus are so regarded . Beyond the universal bel ief that the body need s s trong food s , and above a l l sweet potato , to enable it both to grow and to do work , there wa s no unanimity about what food s were g ood for i t . younger people said that kumu , bean s , pumpkin and the l ike were good for the blood , and to make the skin ' smart ' . having One or two One spoke of such foods a s gris , not i n the s ense of o i l o r fat , hut a s t h e t e rm i s u sed when referring to fertile soil , that is to say containing what might be called ' goodnes s ' . v ic e-vers a ; Strong foods then , are food s good for the body , and a l l other foods are genera l l y thought of a s adding different ta ste s and var iety to the d iet , but not as being e s sentia l . Only under the influence of school and c linic teaching are mor e spec i f ic nutritional concepts be ing introduc ed . When a sked specific ally what foods were good for chi ldren , mo st people r eplied that c hildren eat the same a s adult s , although when they are very small the food must be soft . A 4 0 -year-old man with three children summar i s ed as follows : " Fi r st he d rinks his mother ' s milk . He keeps dr inking i t , then he gets one or two teeth , we cook sweet potato in the f ire . The mother puts it in her mouth , then gives it to the child • . • Kumu , and sweet potato , that ' s a l l we g ive a l ittle c hi ld . When he grows up , he can eat the s e hard food s , like taro and yarn . " Another man , about 5 0 years old , with five children s tated : "When they are very smal l babie s , the mother give s mi lk ; when i t ' s had mi lk , a li ttle l ater it crie s , give it milk agai n • . • so it goe s until i t grows a bit bigge r . Then it can sit by i tse l f . Now we give i t food - swe e t potato . Jus t 58 sweet potato . I t goe s on like this until i t c a n walk by i tse l f , then we give i t sweet potato , yam , taro , kumu, pi t;pi t - this kind o f food . " l Chil d feeding is permi s sive rather than pre s cr iptive , in that children are given food when and if they cry for i t , but their feeding is not a matter of great inte re s t except in the case of i l lne s s , which is di s cu ssed l ate r . A few younger men have learn t , clini c s , and from obse rvation of Europeans in town s , from s choo l , from of the idea that children need special foods and attention to their diets . Kumu and other vegetab le s such as pumpki n and tomatoes , e spe cially chopped up and s e rved with ri ce as ' soup ' fish and meat are also goo d . are said to be good for children . Tinned The European fashion for giving the i r babies tinned baby foo d , and dried m i l k i n bottle s , h a d been noted b y two o r three o f t h e young men in the vil l age . The 2 8-year- o ld carpenter , educated to S tandard VI , had used a bottle : B e fore , I " Milk is good to help children - S un shine mi lk . used to give it to my son , in a bottl e , when my wife was pregnan t . 11 A man of the same age , educated to S tandard I I I , had heard i t di scus sed by the ' Radio Dokta ' : " They said this Sunshine milk i sn ' t very goo d . Mother ' s milk i s all r i gh t , i t ' s namba wan . You can ' t use this { dried) milk much. If a mother knows enough about giving thi s mi lk , she mus t was h the bottle , and was h the rubber quickly in hot water and cover it up . " A 3 0 - year- o ld man on leave from his j ob i n Port Moresby a sked me about baby foods .: He u sed to give hi s nephew tinned banana custard , on which he grew fat and big . But a Chinese woman to ld him one day that they put poisin in baby food , and he noticed some Europeans bought i t , while others didn ' t . What was true? He a l so s aid 2 that when children live at the s tesin they are f ed ice-cream and baby food s , and their skin becomes fat . When they come with thi s a ccount in S Glas s e ( 19 6 3 ) : "An infant feeds sole ly on brea s t mi lk for the first few months and then begins to eat tiny pieces of pig fat ( no t meat) . I t continues on this diet unti l the two bottom teeth appea r , when it may have sweet potato , taro and other vegetable s and premasticated sugar . Until it has tee th , no hard food must be given , o r the child wil l choke and die . By the time it walks the child wil l eat a l l kinds of foo d , even banan a . Banana is withheld unti l then because i t prevents teeth from growing we l l . 1 1 We heard no mention of the l atter belie f , nor of the e arly feeding of pig fat� which , i f i t doe s occur , i s probably o f negl igible nutritional benefit sinc e pork is consumed only once every few week s . 2stesin , originally referring to Government S tation s , i s now used as a general term for the town or c i ty . 59 back to the vil l age , their skin be comes s l ack , of sweet potato and garden foods . on the diet Opinions such as these are bound to have an increas ing influence on the cus tomary be liefs and attitudes to c hi l d feeding , a l though at the moment they are con fined to a smal l minority . Bun nating chi ldren l Frank kwashiorkor and marasmus are rare in the are a , but a degree of emac iation , a ccompanied by s lack skin , i s recogn i s ed a s a fairly coilllilo n condition , o ften following a gas trointestinal i l lne s s . Some al s o s ay it is the resu l t of adultery by one of the p arent s , while the chi l d is small 2 • The carpenter quoted above blamed bun nating on hookworm. Many people s ay that the condition can be treated by the us e of traditional medic ine s - a spec ial herb , or bark o f a c ertain tree - who s e identitie s and methods o f use are known t o only a few . A 4 5-year-ol d father o f six had sought t h e help o f such a spe c i al i s t : " On e of my children got l ike thi s , and Awaki looked at him and He looked at h im first , said he had s i ckne s s in his belly . came back from h i s house and brought some of this medic ine up on top { i . e . to the man s hamlet) . He got s ome kumu and pig too , cooked i t in a bamboo , and gave it to the boy • . . His skin he cooked thi s and g ave i t to was s lack, he was him, and now he ' s al l r ight . n Awaki , hims e l f about the same age as the man j us t quoted and with five chi l dren of his own , de s cribed the treatment from h i s point of view : "When a child is bun nating , with s l ack ski n , they bring i t h e r e and I give it some medicin e . Befor e , m y mother showed me then she died . I get this small gras thi s kind of medicine ; from the bus h , and get some kumu , and pig , and cut it up ; cook it and give it to them. Only once , for one child . It " bun nating n a s kin i s Ze k'' ; hence the adj e ctive 1 s l ack ' the skin i s des cribed as • Zus ( loos e ) . ( 1 9 7 6 , p . 2 9 ) summari s e s traditional Fore bel iefs about the aetiology of illness a s follows : " I ll ne s s e s fall into two broad c ategorie s , each def ined by bel i e f s about causation . Firstly , there are maladi e s the s e diseases resul ting from t h e malic ious ac tions o f men agains t men ; S econdly , .there are diseases are the cons e quence s of acts of sorcery . not attributable to the evil machinations o f men , but to native spi ri ts inhabiting the spirit p l ac e s a s sociated with one ' s pari s h o f r e s idence , to gho s ts of the recently dead , or to vio lations of social rul e s and expec tations among co-res idents . Calamities ascribed to s orcery involve dangerous diseases that usua l ly c ause death , di seases such as kuru , tuberculosis and yaws • • • Non - sorcery- cau s ed ailments , howeve r , involve minor affliction s and temporary illnes s among adults , and s i ckne s s and death among children . 11 P idg i n , 60 recovers , i t s skin becomes fat. I do thi s , and they pay me . " Other people did not mention any form of medi c ine , but s aid s imply that kwrru , sugarcan e , the child should be given p lenty of food , and s tore food s . A 3 0-year-old father with one chi ld , who had worked in various towns but was now living in the vill age again said : " I f a child has s l ack skin and he is bun nating , we get kwrru , and s ome abus : pig or pos sum. Now we cook this and give it to him. And good food l ike sugarcan e , kwnu , s tore foods ; rice , f i s h , meat ; buy dripping , and mix i t with kumu and give it him. And if a man has money , he ' ll buy mil k , and sugar , mix them, and give i t to the child to drink . 11 Finally , there are again tho s e who have l earnt explicit l e s son s , usua l ly from the MCH c linic or the hospital . worked in More sby is example . A 3 0 - year-old man who had Talking about bun children he s ai d : expre s sed This The equally to is to eat baked taro . but such P i dgin as Wa:l'a , is we ll- known cure, for children and adults , A few men say that the taro i s toktok i s known only to o l de r men . talked to ' firs t , Awaki exp l ained a s follows " When a child has diarrhoea , they get taro , and talk to it about a k ind o f tree that has s ap l ike milk . When you cut it , thi s s ap come s out and when i t ' s dry i t becomes strong , l i ke PK ( chewing gum) They talk about this thing to the taro then give it to the child . " An old man o f 6 0 o r 7 0 s aid : "Be fore, when there was no hospi ta}q when a child had diarrhoea, they would ge t ash from the f i re , and rub it on the child ' s s tomach . I f this didn ' t work , get some taro , give it toktok , and give it to the child . • Adults too , we ' d do the same thing . Several men re commended sago as a treatment for diarrhoea ; it could be obtained intermittently from the Purosa direction , beyond S outh Fore over the Papuan borde r . One man had hims e l f dis covered a ' medic ine ' prepared from the bark of a tree , and given with salt in cold wate r ; it caused cons tipation for two days , afte r which th e s to o l s were firm again . 61 People from other hamlets c ame to him to learn the medic ine and to receive treatment . The influence o f hospital , clinic and school is once again refle cted in the statements of some younger men . Thei r recommended treatment for d iarrhoea in chi ldren was to fee d them ' sugar water ' . The man who listened to ' Radio Dokta ' explaine d : " I f my child has diarrhoea , I follow the doctors ' idea ; they say you mus t put sal t in hot water - you c an ' t put coffee in I give him this and h e drinks it , put sugar and a l ittle sal t . When he ' s a bit better I buy rice . and he become s all right . I don ' t put too much fish in , j us t a l i ttl e . I give him s trong rice and he eats i t , he grows strong . " Three men des cribed this ' sugar wate r ' treatment , which i s recommended at heal th c l in ic s , accurate ly ; another c laimed that nurse s had told him that sugary milk was goo d , but a l so po inted out , as did s everal others , the ava ilabil i ty of hospita l treatment : " Now there ' s good medicine for c hi ldren and adults with I f we ' ve got money , we ' ll buy diarrhoea , at the hospital . milk and sugar , and if that ' s no good , we ' l l go to the hospital . 11 Some pregnant women are sub j ect to a number of food taboo s , while others e at normally ; it s eems to be a matter for the woman to dec i de , with or without pre s sure from her husband and o ther relative s . The res trictions are relaxed in pregnancies subsequent to the first suc c e s s The most common taboos mentioned were tinned mea t and tinned ful one fish, sugarcane cut with a knife ( it can be broken by hand instead) , and kumu from the e nds of a bamboo cooking tube ( kumu from the middle of the tube can be e aten ) . These three taboos are intended to ensure a s afe and e as y del ivery , through avoiding the consumption of foods which might close the mo uth of the womb , j us t as they are themse lves ' close d ' in some way ; a middle- aged man explained thus : " O lder women , who are having thei r fi fth or s ixth child , they can eat anything ; tinned mea t , fish and suchlike . But a young woman pregnant with her first c hi l d , they are taboo for her ; she can ' t give birth wel l ; she ' ll be pregnant for a long t ime ; she won ' t have the c hild quickly This t inned meat and fish is c l o se d at both e nds . They think about this , and taboo i t Tinned meat and fish hadn ' t arrived when my father died ; but they used to taboo sugar cut with a knife . " • • • . . • 62 Other taboos mentioned included large tubers , pig bone s , po s sum , and food brought from other vil l age s . As I have sugge s ted , the taboo on tinned f i s h and t inned meat is based on the same reasoning as that underlying the taboos on kumu from the ends of a bambo o ; however , this rather arbitrary advice doe s not convince most o f the younger vil l agers , l and they are l e s s l ikely to worry about the new foods . Cus tomarily , young boys were initiated in a serie s of ritual s including no s e -bleedin g , and confinement in a sweat-house f o r many d ays . A large number o f foods were taboo from initiation unt i l manhoo d : vari e tie s o f tubers and red pitpi t , red being a ritually dangerous c olour ; game o f a l l kinds , wing bean roo t , some varieties of sugar , and foods cooked at large m:umu fea st s . prepared by young women . Al so , the initiate s could not eat foods These initiation ceremonie s , and the taboos which accompany them, are now observed in a weakened form, Instead of bleeding t heir no se s , the boys ' if at a l l 2 • face s may be r itua l ly washed . The father o f two boys initiated while we were in the vil lage said : " These taboos on foods for childre n , the y were some thing our Now , you people ( i . e . Europeans ) arrived , and we think i t ' s j us t something to eat , they were dece iving us when they taboo ' d things • • • Now when we bleed thei r no se s we give them any food and they eat i t . 11 tumhuna grandparents , ance s tors ) did . The boys themse lve s , howeve r , told me that they were forbidden to eat corn , game , and some red foods . c as e , Whatever the truth i n this p articular it is probable that such taboos wil l disappear even be fore the initiation rite s with which they are a s s ociated . One or two households in Awande contain Seventh Day Adventi sts , l Agai n , compare with this account of traditional South Fore practices { S . Gl as s e , op . cit . ) : " A first pregnancy i s hedged around with myriad food taboos to ensure succ e s s ful termination . The mother will not eat rats , pos sums o r birds shot with bow and arrow o r caught i n a trap , nor sugar cut with a kni fe or tomahawk , though sugar broken by hand wil l not harm he r . S he avoids foods o f great s i ze such as l arge yams or taro or big possums or tree kangaroo s . She keeps to sma l l varie ti e s of s ugarcane , and re fus e s water which flows through a Spirit P lace or is c arried to rer in wild bamboo . The s e ' imitative ' restric tions avert the danger of a di f ficul t labour which might cause the chi l d to die in the uterus . Most res trictions apply to f ir s t pregnanci e s only . Some husbands too keep to Thi s l ast observation was not corroborated by any o f my the diet . " informants . 2Berndt ( 1962 ) de s c ribed the customary forms of initiation in the Fore and related people . Initiation is probably mo re common now in the more remote areas of S outh Fore than in the Central and Northern regions . 63 who se rel i gion place s a taboo o n pig , and game anima l s ; a r e said t o have ' stimulants ' 1 ' si n ' inside them. inc l uding alcoho l , the s e animal s They a r e also forbidden al l tea , c o f fe e , and bete l nut . S uch bel i e f s are treated with good-natured tolerance by the maj or ity . Belie fs and pre fe re nc e s regarding particular foods a . Root crops and banana s . food s . The root crops are the mos t important s trong Swe e t potato is the mo s t important of a l l and apart from a 2-year-o ld girl , who was expec ted to grow to like it soon , I c ould discover no one who did no t en j oy i t , and e at it more o r l e s s daily throughout the year . Taro is as s trong as swe e t potato , and is very popular in i ts Yam , win g bean roo t , and cooking banana are the other three season . cus tomary s t archy crops which are en j oyed by everyone . not a s Ripe banana is s trong a s cooking banana, and is e spec i a l ly popular with chi l dren . Cas sava i s another apprec ia te d . i t is not c la s se d a s a b . Nuts . s trong crop , but i t s tas te is le s s widely The I ri sh potato is an occasional i tem i n the die t , but s trong food , nor is it very swi t . Pandanus nuts are a highly valued s e asona l crop . The ' mi t ' o r ' kumu bi "longen', (the f l e sh i n which the nuts are embedded} , . i s a s trong food which may di splace even swee t potato for a few meal s . The nuts are swit but no t s trong . Red pandanus is not liked by everyone . The red fat extra c ted from the seeds by boi ling can be eaten alone , o r with s ai d that th is gris made the skin fat . kwnu. One man The redne s s o f this food has associations with b loo d , which traditionally made i t dangerous for men to eat i t in the pre sence o f women ; P e anuts are a very people grow them . this re s tric tion no longer exi s ts . swi t food which people buy in town , but few Children are e spe cially kee n on them , and one reason given for no t growing them is that they will be s tolen by young boys . Two men had heard from nurse s that peanuts are good for chi ldre n . Sugarcane i s another fairly c. and unive rs a l ly enj oyed. A s well a s be ing a swi t s nack , i t a ll ows one to c ontinue working in the garden all day long , evening to e a t . s trong food , only coming home in the It i s good for helping a l ac tating mo ther ' s mi lk supply. 64 Corn , which i s eaten on the cob and never s to re d , is quite s trong , but it could never suffice a s the main item in a me al . Too much of it can cause diarrho e a . Pumpkins are o f two kind s . wate ry , and are no t solid , and are s trong; The traditional one s a r e long and the introduced one s are round and more s trong food when eaten with swe e t potato . Bean s are chi ld ' s appetite . s trong too , and might alone be enough to sati s fy a They are very swi t cooked together with kwnu in a bamboo tube . Kwnu and pi t;pit are both popular swi t foods , n e i ther o f them s trong . The many types of kumu have di f fe rent tas te s ; eaten raw , e spec i al ly as an ac compan iment to me at. dripping are both popular with kwnu. accompaniment to Mu shrooms are another tas ty kwnu . Pineapp le s , p as s ion fru i t , by a few peopl e , and rather sour orange s are cul tivated and are appreciated in ho t weathe r . Pig meat i s a d. swi t but no t a s trong foo d . much o f it c ause s s ickne s s and diarrhoea 1 . adu l ts , p re fe r the fat to the lean ; skin fat . some may be Tinned f i sh and Mos t children , Too and some one or two men said it made the O rgans and inte s tine s are al s o eaten , and the blood mixed with green l eave s , but no one vo i ced any extra enthus i a sm for , or sugges te d any speci fic nutritional prope rtie s o� the s e . Bee f i s general l y pre ferred to pork for i ts taste . f a t , or i ts f a t i s no t s o tough , frequen tly . I t has l e s s and it doe s no t c au s e diarrhoea s o Mutton has a lot o f fat , which some like and other s do not . I t i s l e s s f ami l i ar than pork and bee f . Chicken i s very swi t ; chickens reared in the village have very l i ttle fat , but one s from the free zer have plen ty . Game such as po s s um , wil d birds , traditional abus ; not and flying fox are all s trong , but e aten with gre at en j oymen t when ava i l abl e . E ggs o f dome s ti c ated chickens o r wi ld birds are the same . i f they are no t s ol d , Usua lly, they are cooked in bamboo tube s between l ayer s of l No one expli citly mentioned pig be l , an often fatal form o f food poi soning caused by Clos tridium welchi i . This and other type s of food poi soning are encouraged by the consumption of pork which is o ften undercooked , and o ften eaten s ome days after its original cooking ; susceptibility to infe c tion is probably inc reased by the low protein i ntake typical of the highlands . 65 kwnu . A few people say that they are good for chi l dren , o thers only that chil dren like them . e . S tore foods . As a c lass , these are luxurie s or at least des irable 1 ex tras 1 e a ten for tas te , more than for sustenance . Rice is quite s trong , e specia lly with tinned meat or fish a dde d , but is not a subs ti tute for swe e t potato . I t is popular with a ll age groups and both sexe s . Flour can be bought in Okapa as a deep- fri e d batte r skon ; the vil lage , it i s mixed with water and fried with dripping ; in thes e products are s trong , more so than ric e , but again no t subs titute s for sweet po tato . Biscuits a re fairly s trong , e spec i al ly when e aten with fi z zy soft drinks ( l o li wara ) or tea . Seve ra l people said biscui ts , particu l arly swe e t biscuits , were bad for the teeth . Tinned c ake is another fairly s trong s to re foo d , but is too expensive and not to everyone ' s taste . B re ad is not a s trong foo d , but is goo d with butter or tinned meat . Chee sepops are popular with chi ldren , who c ry for them when taken in to the s to re . Adul ts eat them l e s s o f ten . they were b ad for the teeth ; Three people said o the r s denied thi s when a ske d . Tinned fish i s the namba wan store foo d , with rice . Tinned mea t is s lightly l e s s popular , being twice the pric e , a n d i ts tas te is dis l iked by some . Both are eaten mixed with rice or with kumu . Children are very k een on the o i ly fish , and are given the empty tins to lick . Dripping is a popular addition to kwnu, a fter the l atter i s c ooke d . Tea , c o f fee an d mi lo , together re.ferred to as ti , are quite s trong when swee tened with white sugar ; the same as sugarcane , the l atter is o ften s aid to be in its sustaining qualitie s . may b e added t o t i i f money i s avail abl e . Milk , usually tinned , Lo li wara too i s sustaining . Any swee tened drink together with b iscuits , bread or cake , makes a sui table snack i f one has a long walk ahead . S a l t is widely use d , on tub e rs and with ric e . Native salt is no longer ma de •1 S orensen and Gaj dusek ( op . ci t . ) for a description o f traditional salt making . Traditional salt would have contained a high percentage of potassium salts , and the changeover to sodium chloride may have significant physiologi c a l imp l i ca tions . 66 Like the food resources themselves , the food be l i e fs and p re fe rences of men in Awande are a mixture of traditional one s , long e s tablished in Fore cul ture , and modern one s , from European contact . to traditional belie f s , the body requir e s s trong foods , mos t ly s ta rchy roots and pre-eminently sweet potato , in o rder to grow and to do work ; in the body; other foods are swi t but s e rve no parti cular function taboos are impo sed on c ertain age and sex cate go ries because o f the ritual and magical associat ions o f c ertain foods ; i l lnes s e s such as bun c an be c aused by ritual transgres s ions , and c ured by herbal medicine s , some times in association with magical rec i ta tion s . Modern food bel ie fs , transmitted mainly through s chool s and the importance of vegetables and abus i n the growth children and the maintenance of health ; the relatio nship o f bun nating to poor feeding ; and the value of ho spi ta l treatment i l lne s s . Other bel iefs share aspects o f the traditional and the modern : for example , some tinned foods have been incorporated into the traditional food taboos for pregn ant wome n , and S eventh Day Adventis t teaching has added a s e t of taboos based on rel igious dogma to the traditional taboos based sympathetic magi c . Each individual has his own s e t o f bel ie f s , a b lend o f the old and the new. The young , the educate d , and the trave l le d ( three charac teris ti c s which tend to be associated) are l ikely to have adopted more modern belief s ; le ft the o l d , uneducated , and tho s e who have never vil lage are l ike ly to retain more traditional bel i e fs . same applies to some extent to food preferences The s tore foods tend to be more popular with younger people and with those who have l ived in town , than with o l de r men who a r e l e ss familiar with the new foods . Food belie f s and p re fe rences in Awande wil l continue to change under the inf luence of many fac tors : and gardens ; the changing food resource s in s tores of s chool s and c linic s ; advertis ing on the radio and in the press ; of migrants returning from town . information and and the ideas and behaviour Assuming that the latter fac to r is sign ificant, future food beliefs and pre ferences in the vil l age a re l ikely to be foreshadowed in some o f their aspects by thos e c urrent among 67 it is to these that we now turn . Fore town- dwe llers ; The in fluential environmental fac tors which have just been mentioned will be discus sed in Chapter as B as i c ally the same interviewing method was used in Awande with the d i fference s that the interviews were tape interpre ter . and al l were conducted in Pidgin without the use interviewe e s , in settlements were done a t the homes o f round th e town . individua l s ; I intervi ewed their age s had no formal and mos t were in y ears o f some e leven y e ars longe s t re sidence six jobs of overtime) gro s s wages with a median of K56 . to Kl02 Twenty-one o f to women from the Markham region ; Fore One was with hal f a dozen young now living in the Bumbu settlement . five men sixteen had children , with maximum o f thre e , and mos tl y only one or two . interviews . the j obs were also hel d from Iwaki South The other was with two re lated hous eholds , whose three male members came from Kasoru in North o f the men were married to coas tal Fore ; of sixteen , was at high s chool in Lae . the othe r , a youth To sum up , the Fore sub j ec t s in Lae di ffere d from those in Awande in three impor tant respects they were younge r , be tte r e du cate d , and mostly had much higher income s . A s i n Awande , the content o f the interviews tended to change gradually as I grew more famil i ar with the situatio n . topics covered were these chi ldren ; foods good for the body ; foods which c an harm the tee th ; the c au s e s of fatne s s ; cause s and trea tment of children who are bun nating ; bottl e -feedin g ; treatment o f diarrho e a ; attitude s to coa s ta l foods in general ; regarding particular foods . In gene r a l , the foods goo d for a tti tude s to taboos to pregnan t women ; and bel iefs and pre ference s the 68 Lae : Findings Nutritional concepts and foods good for the body The range o f nutritional concepts expre ssed was more diverse than in Awande 1 • The basic adj ec tives s tY'Ong , applied to sus ta ining foods , and swi t , applied to good- tas ting foods , were s till used . Strong foo ds inc luded the roo t crops , as in Awande , but in the town rice , which has become a s taple at least as importan t as the s e roo t crop s , a l s o tended to be regarded as s trong . Two men spoke o f swee t potato as having bun ( bone ) , which has similar connotations to s tY'Ong. Many people said that veg e table s were good for the body; more spec i fi c al l y , two said tha t they were good for the skin , to make i t ' smart ' , and two that they were good for the blood . A 16-ye ar-old boy in his s econd year at high .school summarised his views thus : " I think thi s : aibika , green leaves and things are to make the body s trong , and the blood . Things l ike taro , c as s ava , and swee t po ta to are to s trengthen the bones (s trongim bun) and banana . E ggs and kurnu make new bloo d . 11 A man with two children recalled what he had been taught at primary school ( whi ch he attended to S tandard V) as follows : "When we were at school , they tol d us this : ' When you ' ve pee le d swee t potato , cook it first , and leave the water you mus tn ' t throw it out . Drink i t with the sweet potato , your skin wil l become fat . • • When you ' ve cooked swe e t potato , and i t ' s done , go an d get onion ( i . e . green onion) and ripe tomato - get them and cut them up into the swe e t The tomato and onion are only hal f cooked ; when po ta to . That ' s what they you eat them, your skin wil l be good . ' to l d u s . " One man had h eard o f vitamins at s choo l ; he had been tol d that they were good for the skin , but too much of them would make one grow old qui ckly . He knew the y coul d be bought at the pharmacy , but did not think o f them a s con s tituents of foods . l part o f this extra dive r s i ty may have been due to idios yncrac ie s in my respondents ' use of P i dgin , as compared to the vill age where mos t o f the respons e s were translated b y o n e individual ( my in terpre ter } , into hi s personal P i dgin s tyl e and vocabulary . Furthermore , my own P i dgin improved throughout my fie ldwork . 69 The i de a that certain foods are particularly good for children is wide spread in the urban group . The mos t commonly mentioned foods were kwrru or green vege tables ( several people used the term ' grin vejtebe ls ' in their Pidgin vocabulary } , ripe banana , milk , swee t potato , e gg s , pawpaw , tinned baby food , pumpkin , peanuts , rice and A man in hi s e arly twentie s , with two children and no formal chi cke n . education , wa s not certain about what foods were goo d to make children grow, but had his own i deas : " I don ' t know - I don ' t buy him s trong ( hard , solid? ) foods . I buy pawpaw , and kwnu; cook soup and mix it w ith meat , give him that I buy chicken , take out its bones , cut i t He e a ts that . " up a n d cook it with soup . • . . Men are o f ten direc tly involve d in fee ding their c hi ldren . A 3 0-year old road worke r , speaking o f tinned baby food for his third chi l d , a boy o f 6 months , said : " I buy it 1 8 toea for a tin . I ' ve bought it four times for this child . I buy i t , cook pumpkin fir s t , then mix thi s Mysel f , I taught my wife and she makes i t and give s i t to him. I buy it on pay day . 11 • • S ome fa thers said that their c hi l dren s imply a te the s ame as themse l ve s and their wives but in smalle r quan titie s This attitude is simi lar to that whi ch prevail s in the vil lage , but the die t to which it re fers is l ikely to be l e s s bulky , and the re fore more s atisf actory for a c hi ld . O f tho se who were a sked what foods harm the tee th , hal f mentioned biscuits , and half of those blamed sweet biscuits e specially ; nearly all said they had learned this at schoo l , and s aid that binatang ( a general term for tiny animal s ) get into the tee th and make hol e s . Other foods s aid by one or two people to harm the tee th include d : the store sugar from s ugarcane , sa l t , b e te l nut , so ft drinks , ice blocks , soft foods i n general , inc luding swee t po tato , and very hot sweet potato . The l atter was a lesson told to one man by his tumbuna . Four people did not know o f any foods which might be bad for the tee th ; two o ther s said onl y t.� at o n e shoul d c l e an the teeth. Cause s o f fatnes s Ques tioning o n why many men grew fat i n the town produce d a remarkable uni fo rmity o f response , w i th n early everyone blaming bee r ; 70 a 2 5- ye ar-old father o f two put i t l ike thi s : " Beer , that ' s all . I ' ve seen them , they drink beer every day , They drink too much , and get fat b el l i e s and fat e ve ry wee k . arse s . We don ' t drink much beer , we don ' t get too f at . " Incidentally , h i s l a s t two s ta tements seem to be generally true of the Fore in Lae . Three people also blamed fatn e s s on too much food in genera l , one on too much ahus , and one on too much bread and cake . Bun nating children Bun nating was recognised to o cc ur at leas t as o ften in the town as in the vil lage , and four men said it was more prevalent in the town , though no t among their own wantok . S ixteen peopl e said it was the fault o f parents for no t looking after thei r chi ldren we ll , e ither through not giving the right foo d , or through letting dirt get into food or onto the mo the r 1 s bre as ts . For example , the roadworker who gives his own chi l d tinned baby food , said : " I think thei r parents don ' t give them good food , they j us t swee t potato , and hard bananas , and give them soli d foods : They give them only taro - things which don ' t have gris . this foo d , and they don ' t add meat , or fish , o r free zer meat , or kumu . They give thi s food and they eat i t and their skin becomes s l ack and they become all bone thi s is what we think . 11 A drive r , with one small chil d o f his own , bl ame d poor hygiene : " The i r parents don ' t cover up the child ' s foo d , so dirt gets in the food and he e ats i t . This i s what I think . I ' ve heard doc tors s ay , i f you don ' t cover up the foo d and the chi l d e ats i t , hi s bel l y wil l swel l up . 11 Other c au s e s o f bun nating are adultery by one of the c hild ' s parents ( a l so mentioned in Awande ) , and the chil d eating food prepared by hi s mother whi le she was mens truating. A sel f- employed contract labourer of about 3 0 e xp l ainedL " In the village , we think about thi s ; when the s tomach is painfu l , we say mens truating women have given food to the chi ldren . They ' ve e aten this foo d , and their bel l i e s swe ll and become painful , they become bun nating , with taut bellies . W e see this s icknes s , and women mus t not give food to us , o r to the chi ldren I n the town too . This i s what our tumbuna say . " • • In the town , when a woman is menstruating she wil l s till sleep in the house , but another woman in the househo l d , or her husband, will do the cooking • 71 Only four people o f fered no opinion on the cause of bun There was l e s s confidence in suggesting cure s , howeve r . sai d good foods sweet potato S ix people cure the foods with A 2 4-year-old s toreman Commis s ion the discouraged in P of feeding bottles and by the passage of the Baby Fee d Supply ( Control ) Act 1 97 7 . the many social e ffec ts o f kuru was to make i t nec e s s ary , and there fore cul tural l y acceptable , fo r men to take a maj o r role in rearing smal l children whos e mothers had died of the disease ( See S . Glas se , 1 9 6 2 ) • 72 .Morobe P rovince , had mixed motive s : 11 I thought , my wife isn ' t from the same p l ac e a s me . I thought s he might leave me or something - suppo s e she left me , I would look a f te r him mys e l f , with milk and he foo d . We c arried on l ike thi s , until this yea r ; s topped drinking milk , and he eats sweet potato ( The child is now 3 �) . My wife too , she said , ' I c an ' t be bo there d to look a fter him ( i . e . with bre a s t mil k ) ; sometimes I wash my breas ts , sometime s I don ' t - he might drink when they are dirty ' . ' 11 Thei r second chi ld , now fourteen months , is breas t- fe d , because the doctors disapproved of the bottle : " The y said , ' Al l the children looked after l ike this are bagarap ( harme d , damage d ) 1 When I used to take him to the hospital they were angry with me . " • Approval o f bo ttle - feeding was usually based on casual observa tion of taun-mePi , and European s . Di sapproval , however , was o f ten the resul t of hearing expli c i t warnings o f the dangers invo l ve d , and several people had given up the use o f a bottle and teat for thi s reason . The l e s sons o f the hospital nurses are sometimes absorbed in detail . A young driver with a 9-month-old son who some t imes drinks powdered milk from a cup , had this to say : " The nurse s say , ' B e fore , you used to bring up chi ldren on (mo ther s ) milk and they grew well , and you mus tn ' t do thi s ( bo ttle- fee ding ) . Whites have fridges and things in their house s , they make up the milk and put i t in there , i t ' s all righ t. But you native ( si c ) women , when you buy it you don t look after it properly , you throw i t around and dirt get s in ; you mus tn ' t use thes e gumi p Zas tik ( te a ts ) . You Give the chi ld milk from a cup , pour i t o u t and leave i t . When the chi l d is a bit sick or some thing , my wash i t . ' wi fe take s i t to the hospi tal and the nurse s talk l ike thi s . 11 The same s toreman I quoted earlier as pre ferring market and garden to s tore foods had had the les son pas se d on by a wan to k training to be a teacher : " They don ' t ge t much protein ( si c ) from thi s s to re milk . I don ' t know, but mother ' s milk has all sorts o f foods in i t , and they g e t i t dire c t from the mother , and get plenty o f goo d protein . . H e said , ' We s tudied this , and mo ther ' s milk i s better for children. 1, He told me thi s , and from the b eginning we j us t gave our children mother ' s milk . One man heard warnings agains t bottle- feeding on the radio news : one from his European employer ; and one read it in the P i dgin weekly , TWO said they had l earned about i t from doctors or nur se s ; 1 Wanto k 1 • o ther s did no t speci fy thei r sources of information . Diarrhoea TWo course s of action are equally popular for the treatment o f diarrhoea ; one i s t o e a t taro , o r sago , o r both ; the o the r , particul arly 73 for children , i s t o g o t o the hospital . The re cita l of tokto k , and rubbing a shes on the belly , bo th methods used by the twnbuna , were mentioned a few time s , as in the group discus s ion I hel d with South Fore men ; one sa i d : " There are two kinds of men . Some wil l talk , and spit on the chil d ' s be lly , and it will finish . Some will get some food , sago and taro , and give it to them, and the diarrhoea will finish In town , we j us t go to the hospi ta l . " • . . The growing reliance on hospital treatment is nicely summa rised by the high sc hool s tudent quoted earlier : " They would j us t get ash from the fire , and give thi s tok to k . This way was the custom ( sic ) I think the old men s till do it thi s way , and us , we ' re looking for a new way of l i fe (painim nupe la laip ) : we j u s t go to the hospital and get medic ine . " . • Onl y three people described the ' sugar water ' tre a tment . Hard b i s cuit was sugges te d as a cure by four people , and aibika by two . Food taboos Food taboos for pregnant women were l e s s c ormnon in L ae than in Awande . E ight o f the six teen men with c hi ldren s aid that their wive s had not followed any food taboo s in any o f their pregnanc i es . avoided tinned meat and tinned fish; wife to e at free zer meat ; Cbca-Co l a . Five had one husband had forbidden hi s one had forbidden tea and c o f fe e ; and one The l atter was the idea o f the s toreman , a S e venth Day Adventis t , (SDA) who was unusual ly intere sted in the qual i ty of foods : " I thought it ( Coca-Co l a ) was a bit s trong , l ike bee r . I think i t i s a bit sharp (pai t lik lik) , perhaps when they I just make it they put in some alcohol or something . thought so mysel f , n o o n e t o l d me , so I said , ' You don ' t drink this ' . I gave her orange to drink . " The app arent rel axation o f taboos may in some cases be a consequence of marriage to coastal women , who , as far as I could gathe r , were not accustomed t o taboo s during pregnancy . There were ten S DA ' s in the sample , nine o f them from two neighbouring vil l ag e s in North Fore . taboos li s te d e arlie r : They were all sub j e c t to the SDA pork , game , alcoho l , tea , co ffee and betel ; several o f them ignored the taboo o n coffee . Fear o f coas tal foods An unexpec te d finding which emerged in the course of the first few interviews was that many Fore migrants to Lae were a fraid o f c ertain 74 coastal foods , whi ch they believed cause d sickne s s e specially when they re turne·d to the h ighlands . These fears seemed to be of three kind s , with some over l ap be tween each. Firs t , many people be lieve d that malaria coul d be transmitted through overripe frui t , in particular pawpaw and banana ; was al so mentioned by two people ; coa s tal pitpit these foods were o ften avo ided for this re ason , and i f e aten , were selec ted carefully . The taxi-driver from Awande , e ducated to S tandard VI , had heard o f thi s theory f rom o ther men , an d had given up e ating pawpaw : " I ' m a fraid o f getting malari a . They say this mosquito l ays eggs in the pawpaw - sometimes the pawpaw i s sof t . S o I don ' t e a t i t any mo re . " Another man was a l so a£raid o f coastal pi tp i t , for s imi lar reasons : "We ' re a fraid o f getting malaria from this , because mosqui toes go inside when the pitpi t is b earin g , and leave urine (pispis ) inside , and we go back to our village and get sick Bec ause i t ' s a cold place and afterwards we ' ll get very sick , we don ' t buy thi s , or p awpaws We ' re afraid of ripe bananas too , but the nurse s say it ' s good food for children , so we buy them and give them to the children , but not too o f ten bec au s e of this s i ckne s s . 11 . • • . • • No t everyone agreed about this , and mos t people said that afte r a few A 3 0- year-old man who had years at the coas t you can eat what you l ike . been in Lae for seven and a hal f years said : " Some people say , ' You ' ll get mal aria , you mus tn ' t e a t those things . ' Some people s ay , ' It ' s as you like , i f you want to eat , you c an . ' That ' s what they s ay When I was s taying at Bulolo , I got mal aria . When I went back to my I So now, I ' m l iving staye d there and the malaria finishe d . here , I don ' t get malaria anymore . I t ' s completely finished . So I e a t whatever foods I want . " • • . The few people I asked were not familiar with malarial prophylac tics such a s chloroquine , wi th the exception of a young mother from S alamaua who said she gave tablets to her two c hildren daily . S eve ra l people , on the other hand , said that they had rec eived anti-malarial inj ections at the Angau Hospital in Lae . The se cond kind o f fear rel ated to some coas tal foods which resemble the i r village but are in some way differe n t ; yams of a ll kinds , and red pandanus (mari ta) were the commones t foods mentioned . The sickn e s s caused b y these foods was described var iously a s mal aria and shivering ( sik ma Zaria na skin guria) _, bun nating_, " j u s t s ickne s s u taso Z ) , and , in the case of yams , boils on the skin . ( sik Here is one account 75 collected during my group discuss ion with men from Iwaki ( S outh Fore ) ; comparing red pandanus from Lae with that from their own area , they said : " I t ' s the same thing , but it ' s diff erent . our place is cold , at the coast it ' s hot , so we don ' t eat it If we eat it here , then go back to the village and eat it there , at that time we ' ll get s ick , bun nating , we o ften get this kind of sickn e s s . " . • . A 3 5 -year-old man , three years in Lae , said : " We ' re afraid of yams from the coast No good we should eat it and our l eg s or our skin should swell up or something . . In the village , too , the old men c an make some s tori ( to the yam s ) and then they ' ll plant them , and do all kind s of sorcery Then if we eat them , we get big boi l s (buk) , to make them big . on the fac e , skin , legs . Then we go to the owner o f the garden who planted the yams . He ' ll spit on the boi l s and they ' ll be f ini shed . S o we ' re a fraid of these yams here - we ' re not c lear about t heir owners . " • . . • The recurrence of the theme , plac e ; ' This i s a hot place , we come from a cold if we eat foods here and then go home , we get s ick ' , may be based on the observation of visitors to the town who contract malaria there , but exhibit the symptoms only when they have gone hom e . The third kind of fear is simply fear of the unfamil iar , and in particular of the more exotic foods such as turtl e , crab , l arge fish , and l izards ; a f ew people were a fraid of eating sago . A 1 7 -ye ar-old ' s fear of eating turtle was expres s ed thu s : " I ' m afraid . I don ' t want to eat that kind o f thing . I don ' t want to get sick . Myse l f , I think it ' s no good my skin should grow short ( hunching his arms and shoulder s in i l lu stration ) . Mys e l f , I feel thi s , so I don ' t l ike to eat it . " Fear of c oastal food s , then , ranges from spe c i f ic fears bas ed on quite logical , if mistaken beliefs ( e . g . mosquito egg s -fruit-malari a ) , through an amorphous set of bel iefs which to the European observer seem le s s rational and coherent , to a general fear of pecul iar and unfamiliar foods . Two or three people expre s s ed no fears whatsoever of coasta l foods Beliefs and preferences regarding particular foods a . Root c rops , bananas , sago , breadfruit . Sweet potato is still popular in the town , but is not the indispensabl e staple which it is in the vil lage . One third of the not at all while in Lae . respondents said that they ate it rarely or S everal added that they find it d i f ficult to 76 eat for several weeks after they return to the village , because it ' sticks in the throat ' , and their ' stomachs are too small ' . Taro , both taro tru and taro kongkong , are a s popul ar a s sweet potato , be ing r eadily available at the market and easy to grow . There is no f e ar of coasta l taro . Cas sava and cooking banana are both used regular l y ; yam is l e s s popular , some people fearing it , and some c laiming its t a s t e i s infer ior to vi llage yam . S ago is a s trong food , but one which only a few people use regularly . I t i s already familiar to migrants from the extreme south of the Fore region , where it is grown . S everal men wer e introduced to it by their coastal wives and enj oy it from time to time . About half the sample had tried it and disliked it , or had never tried it . Bread fruit seeds are s trong food , l iked by some but not by others . The flesh of the varieties available at Lae is apparently not good to e at ; one man compared it unfavourably with the bre adfruit he had e aten at school on Karkar I s land , near Madang . b . Nuts . Red pandanus and pandanus nuts are eaten only if they have been brought down from the Eastern Highland s . Loca l red pandanus i s widely feare d , while local pandanus nuts a r e too tough t o eat . Peanuts are a popular snack , usually eaten r aw . The ga lip nut is a seas onal delicacy which only a few people know . Coconuts are universally liked , both in the cirai form to ' grease ' food , and as kulau , drunk to quench thirst . Eating the meat of cirai coconuts can c ause diarrhoea . Sugarcane i s much l e s s swit in Lae than c. in the village ; it grows thinner and shorter , and is tougher to chew . Neverthel e s s , it is quite a popular item . Corn i s similarly tougher in town than i n the village , because of the heat . Too much can c ause diarrhoea . Of the green l eave s , pumpkin and choko shoots are the best l iked ; aibika , and Chinese and common cabbage s are a l so popular . are an acquired taste ; many find them too bitter . Tulip leaves Green onions are popular , but some prefer the round onions which c an be bought in the supermarkets . 77 Coastal pitpit i s feared by some people , but eaten b y others , e special l y the S outh Fore to whom it is already famil iar from the village . Pumpkins are generally l iked , as are the local • yard-long ' beans ; haricot beans are not often available . Tomatoes are not o ften bought or grown . Of the fruits , pawpaw , pineapple , ripe banana , guava , mango and muli ( orange s , lemons , grapefruits e tc . ) are l iked , though there is said to be some danger from overripe fruit , as discus sed above . Some people buy expensive imported apple s and oranges from the supermarkets . d . Fre sh meat and egg s . Pork is not much l iked in town ; i t is taboo to Seventh Day Adventis ts in any cas e , and other peop le tend to prefer the other meats ; there i s some mistrust o f local pork , and some men had heard a story about someone recently being impri soned for butchering and cooking their own child , and sell ing it in the market as pig meat . ' Freez er meat 1 is mos tly beef and chicken ; mo st popular meat , though rather expens ive . bought fresh chickens at the market the latter is the One household r egular ly to cook in mumu-s tyle Fre s h and smoked fish taste good , but many people f ind their preparation too much bother . S hel l f i sh and prawns are l iked by a few peopl e , but feared by many . Two men had acquired a l iking for prawns while working in a Chinese restaurant . e . Common store foods . Ric e is an urban staple equal in importance to all the root crops combined ; it tends to be thought of as s trong , but is quite often eaten together with sweet potato or taro . Bread is a r egular breakfast food ; spreads inc lude butter , peanut butter , spaghetti , tinned meat , baked beans , tomato sauce and j am but all these are expensive , so it i s often eaten alone . Hard biscuits often substitute for bread ; with sweetened ti they make a s trong breakfast . Flour is s trong , whether bought as ready-made s kon or fried at home . f. Ti ( te a , coffee and milo ) i s always sweetened with white sugar , and o ften tinned evaporated milk is added . 78 I t makes a good breakfast with bread or bi scuits , i s a popular item during work break s , and is drunk by all the family at night . good f o r Milo i s S eventh Day Adventists , who are supposed t o take neither tea nor coffee , but tend to ignore the latter taboo . Tea itsel f is disliked by many peopl e , who f ind it bitter . Aerated soft drinks are extremely popular , Coca-cola most of all . They are drunk at the lunch break , and when going round town at weekend s . They are not really s trong , but ' de ceive the stomach ' into feel ing full for a while . Beer i s taboo to all SDAs , and of the re s t only seven men admitted to drinking it o ften or even occasionally . Many spoke of its bad e f fects , and of the problem of drunkenness among other migrant groups . Of the hot snack foods , f ish and c hips and chicken and chips are much liked , though chips at 35 toea a portion are too expensive . Such foods are they are eaten for not e specially when going around pies meat bal l s hot sausages a commonest of lunch men . I c e-c ream , ice blocks are popular snacks for the first two are good is hot . Among Fore men in Lae , the distinct ion between traditional and modern food beliefs exists as it does in Awand e , but in Lae modern beliefs are more prevalent than in the v i l l age . The c ategory of good foods for the body has expanded to include many vegetabl e s , and abus such as freezer meat ; awarenes s of the dangers of bottle-feeding and of unhygenic food preparation is more widespread ; c linics and hospita l s a r e looked to f o r advice as wel l a s treatment . However , a new set o f bel ie f s h a s emerged in relation to particular c oa stal food s : these beliefs rest partly on traditional fears o f sorcery and magic , and partly on fragments of received s c ientific knowledge , such as that relating to mosquitoes and malaria . In the town the range of readily avai lable foods is wider than in the villag e , and tastes and preferenc e s are correspondingly more varied . Ric e ranks with sweet potato and taro as one of the most 79 popular s tapl e foods , and many urban Fore have come t o pre fer its taste and texture to that o f their traditiona l stapl e . Fresh meat , and snack foods o f all sorts are universall y popular ; c ertain s tore items like spaghetti , fresh eggs , and j am are l iked by some individua l s , and ignored by or unknown to others . Some people develop a strong l iking for a number of coastal foods , such as coconut and fre sh f i sh , while other people dislike or mi strust them and maintain their accustomed preferences . All the Fore adults now l iving in Lae were brought up in the villag e environment , and many of them will probably return to it for the latter part of their live s , taking some of the ir urban habits and attitudes with them . However , tho s e who remain in the town wil l g ive rise to a new generation of Fore and part-Fore children born and raised in Lae . The food habits and preferenc e s of this new g eneration wil l probably b e influenced l e s s b y traditional Fore culture than b y factors which affect all cultural groups in the urban environment : the nature of the diver se food resourc e s , both natural and proc e s s ed ; the visible example of thousands of other urban consumers from varying socio economic and cultural backgrounds ; advertising and sales techniques ; via schools , c lini c s and the media . the pres sures of commerc ia l and the nutritional advice relayed Thes e factors wil l be considered in more detail in the di scu s s ion following the next chapter , which deal s with women ' s attitude s and b el i e f s regarding infant feeding, in Awande and Lae . 80 CHAPTER 6 1 Introduction Cultural variation in infant feeding practic e s in Papua New Guinea has been quite widely reporte d , mos t c omprehensively i n a s tudy by Oomen and Mal c o lm ( 1 95 8 ) which dea l t with s ix contrasting rural l oc ations throughout the island of New Guine a . Becroft ( 19 6 7 a and b ) s tudied child-re aring practices among highlanders a t B aiyer Rive r , giving particular attention to breast-feeding . In general , more information is available on practi ces than on underlying attitudes and belief s , and there is l i ttle data on the urban situation . Rawlinson ( 19 77 ) undertook a s tudy " to a s se s s the reception o f Child Health Record Booklets b y New Guinea Highlands women and to investigate the ir understanding of Key Nutrition and Hea lth c oncepts which underpi n the e f fe ctive use of the booklets " . She also inves ti gated the unders tanding of the booklets by a group of health worke r s . On the basis of s tandardised interviews with forty-six uneducated High land mothers attending the Family Health C linic at Goroka , she s tate s : " Many uneducated mothers do not see themse lves in an active role as a promoter of chi l d development . Although mos t had received nutrition education , child feeding s t i l l appears to be contro l le d by demand concepts rather than by need concepts which e ducation attempts to ins ti l . " I n one o f the few published s tudie s o f nutrition in an urban population in Papua New Guinea (Hitchcock and Oram, 1 96 7 ) , Hitc hcock inc ludes an appendix on infant feeding , and another on the means of improving nutritio n , among the inhabitants o f the Rabia Camp migrant settlement in Port Moresby . She found that food intake appeared to be insufficient in total quantity , and s ugge s ts that : "A rise in real income is probably the most important pre requis i te for the succ e s s of any nutrition improvement program It is difficult to find , among the usua l agencie s , one through which suc h a program could operate for the camp Any program must be aimed towards the adult women responsible for the c ooking and for making many o f the food purchase s but • • . • . l Mos t of this chapter was written by Eluned R . Jeffries , who collecte d all the d a t a o n which i t i s based . . 81 i t i s equally important that the men b e included and persuaded to give their support to the program . " ( ibid . , p . 11 7 ) . H i tc hcock does not make any direct comparisons between rural and urban conditions , and , as already stated , it is in this re spect that the current s tudy has i t s particul ar value . Twenty interviews were carried o ut with women in Awande , a l l but one of thes e through an interpreter , a teenage vil lage girl who had The interviews were learned to speak Pidgin during a s tay at the coas t . all tape recorde d . In s ome case s , men were present for part o f the interview and o ften made comments , which largely agreed with the women ' s . On the whole looking after small children i s c onside re d the woman ' s responsi bi l i ty , and children do not spend much time with their fathers until a fter they are weaned ; 4- and 5 -year-olds are o ften s ee n to spend more time w ith their fathers than with thei r mothe r s . The sample was not selected in a s tric tly random fashion , .but an attempt was made to include as many of the d ifferent hamlets as poss ible , and to c over a wide range of ages and c onditions women were own ; grandmothers Although seven of the mo s t of these s ti l l had young children of their there were very few women in the vi llage over fifty , this being the generation which was mos t severely affecte d by kuru . All the women were happy to be interviewe d , and mo s t spoke readily , though one or two of the younger women were rather shy . The format o f the interview was flexible to all ow topics to be covered if the informant rais ed them, but i t tended to follow a general pattern . topics c overed were : The suitable foods for sma l l chil dren , the introduc tion of solid foods , the treatment of diarrhoea and bun nating , taboos and special food s in pregnancy and lactation , weaning practices , and attitudes to the Maternal and Child Health Clinic . Awande : findings Good foods for children The main finding was that there is no special theory or practice of i nfant feeding . Chi ldren are not perceived to have need s that dif fer from thos e of adults , nor are they consi dered partic ularly vulnerable . 82 When asked what was good food for young children , a mother would rep ly : "When the child i s young , i t j us t drinks milk . I t goes on doing thi s , gets and bigge r , then it eats sweet potato . " The best foods for small chi ldren were s aid to be sweet potato , kumu , sugarcane and banana , with four mothers mentioning rice and fish , one mentioning p ig , and one mentioning biscuits and cheesepops There was no differentiation made between what children eat , and what they should eat . Nor were any foods mentioned that children should eat , except i n the case o f pig , where opinions were very mixed a s t o whether the l ean mea t , the fat , both , or neither should be given to smal l A few women spontaneous ly said that pig body strong , the skin fat . The and eats swe e t potato . We go sweet potato , take with us , then or sweet potato , he can have i t . Midday a fternoon , he can e at . he When the women were walking some distance t o a garden they tended to take only those childre n , up to 6 or 8 months old , who were still smal l enough to be carrie d in a bi Zum ( ne t bag) hung from the head . Thus a s lightly older child who was still dependent on breast milk for mos t of his energy intake might be l e ft in the care of o l de r children or another woman for perhaps s ix hours a t a time . 83 I n order t o see how mothers l inked their i deas of feeding and health, they were asked what they would do for a c hi ld with diarrhoea , and for a child who had s ome s ickne s s and then bec ame bun nating . For diarrhoea , the universal remedy i s taro roasted in the fire , and then peeled ; hospi tal . only three mothers s ai d they would take the chi l d to I f spe ci fically que s tioned about s tore foods as aure s , mos t mentioned e ither hard bi s cuit or ' sugar wate r ' with or without salt . The latter treatment has been learnt by many mothers , but some alaim i t a s their own i de a rather than something advocated b y th e c l inic nurses . in Awande ; This s e l f- re l i ant attitude i s very one i s not taugh t , e i ther by other women or by outsi de sources , how to look a fter chil dre n : each mo ther claims to follow her own way , and knows how to c ope . many mothers mentioned kwnu as be ing useful , To cure bun and recourse to tradi tional remedies quite " We ' ve got p lenty o f pig , the c hild will eat and helpful , plenty o f who The o l de s t was probably when she said , the re ' rice and fish , w e g e t these sweet potato , and give them to the child and becomes Before , it used to be lot of now good food has come and we can buy and cook them he e ats and hard work , but give it to them. Few women made any reference to clean lines s in food preparation or in the home genera l ly , and it was not was very prevalent i n the vi llage . to d i scove r that s c abies A s triking exception was the mother of two o f the fattes t and healthies t- looking young children in Awande She was aware of the nee d for good food and for regular feeding , and o ften i nc luded ri ce and fish in the household's diet , but she attributed the s uperior growth of her children mainly to her insi s tence on c lean line s s : " I always was h my hands before I give food to the children . And I wash my children ' s hands , and then they eat . Al l the time I do thi s , and wash my breasts , and so on . " 84 Foods in pregnancy and l actation There did no t seem to be any connec tion made between eating good foods in pregnancy and bearing a heal thy baby . A taboo on tinned fish was mention e d by al l mo thers , al though some said they did not follow the taboo themse lve s , particul arly in l ater pregnancie s . Thi s appears to b e equivalent to the o l d taboo mentioned b y a couple o f women agains t eating kwrru o r drinking water from a narrow bamboo . The tin or bamboo was likened to the woman ' s womb , in being ' closed ' or ' fas tened ' . Eating tinned food woul d , by a k in d o f imitative pro ce s s , lead to a hard labour ( see pp . 61 - 6 3 above ) . No special food i s required at the time o f birth, though the other women wi l l bring plen ty o f food to the new mother while s he remains in the Zik lik haus , and after a couple o f days a mwrru wil l be held to mark the birth . N o worries were expre s s ed about the mil k supply , but it was said to be good to chew plenty of sugarcane and to drink tea with sugar from the s to re . B reas tmilk was cons idered a drink rather than a foo d : it was important for the mo ther t o have "planti wara i s tap insai t long susu" ( "plent¥ o f ' wa ter ' in the mi lk " ) . Babies are entirel y breas tfed for the firs t few months , and whil e mos t o f thes e babie s look chubby and healthy , they do not s eem to receive much immuni ty from the ubiquitous kus ( cough and runny nos e ) . The mo ther s worry about thi s in thei r young bab ie s , and some times those only a coup le of weeks o l d are taken to hospi tal for treatment . Weaning p racti c e s B reastmilk i s s ee n a s the natural food f o r small children , and in theory i s ava i lable as o ften as the child wants i t , until he deci de s t o wean hims e l f . This 1 Zaik bi long pikinini ' however , may be abrup tly terminated when the mo ther becomes pregnant again . Traditional ly , there was a taboo on interco urse for three to four years after the birth of a child . Al though a child wil l s ti l l b e bre a s tfed for this long i f the mo ther doe s not become pregnant , permanent cohab itation o f man and wi fe has reduced the usual birth interval to two or three year s . When a woman i s pregn an t , she may wean her previous child by going away for a while , but more o f ten she will continually try to push i t away from the breast when i t trie s to drink . Mother s o ften said this was dif ficul t , 85 and some time s the birth o f the new baby i s the terminating incident : " A ch ild eats swee t potato , drinks mi lk , and then when another baby come s , he will leave the milk . He l ike s to drink , but the mother s ays , ' You go ! ' , and pushes him away . When his mother is pregnant , he fights to go on drinking , but when the new baby come s , then the b i g one i s pushed away . " On one occasion , we observed an o lder chi ld bre a st feeding whi le its 3 -month-old s i s ter was a sleep , but this practice was said to be unusua l . However , l ac tating mo thers en j oy breastfeeding the small babies o f o ther mothe rs , and we obs erved thi s quite o ften . I t i s not c on s i de red harmful to bre astfeed whi le pregnant . If a chi l d has to be weaned abruptly on the birth o f a s ibling , there i s no concern that the displaced child wil l suffe r , so long a s i t i s e ating 1 p lenty of sweet potato • Seve ral o f the mo thers regularly attended the Maternal and Chi ld Hea l th C l inic which vis i ts Awande monthly , but said they were not to ld anything by the nur se s , who j us t wei ghed the children . One husband interpo sed as fol lows : " Do you have thi s in your coun try , people who come and wei gh the children? They come here , and sometimes they bikmausim ( bo s s , shout at ) the women , and tel l them what food to give . But we know how to look a fter the children , to give them food so they grow wel l . Taro i s a goo d foo d , and we give i t to the chil dren , and they eat i t , but they ( the nur se s ) s ay the children are fee l ing hungry now . They s ay swee t potato , water, i s not eno ugh , you mus t give them l o ts o f di ffe rent kinds o f foo d or they will become bun nating . " • . . The advice o f the c l inic nurse s doe s no t s eem to be taken s eriously by many o f the mothe r s , for two main reason s . One , as we have seen , i s that women tend t o adopt a sel f-reliant attitude t o infant feeding , and do not generally we lcome the advice of outs ide r s . probably the tone in which the advic e i s given : A s econd rea son i s i t tends t o take the 1 No one mentioned the application o f repellen t subs tance s to the breasts s . Glasse ( 1 9 6 3 ) implie s that thi s was normal as a method of weaning . pra c ti ce among the S outh Fore , but S oren sen ( 19 7 6 ) c laims that i t occurred only under special circumstance s s uch as the impending b irth o f a siblin g , and even in this case a mother might pre fer feeding both children to forcibly weaning the e l der . 86 form o f a sharp , short le cture , rather than a dis cussion ; furthermore , it i s always given in P i dgin , which many o f the women do not unde rs tand well .: 1 The findings show that there i s consi de rabl e varie ty in women ' s atti tude s , be liefs and prac tices in in fant feedin g . S ome are more responsive than other s to new i deas and outs i de advice , and some more ready to experiment with new foods or feeding technique s . B earing in mind the e xi s tence of these individual di ffe rences , the following generalisations can be made . In spite o f the a ttempts by c linic nurse s to convince mothers of the nee d for frequent feeding and a more varied diet , traditional attitude s to infant feeding s till prevail They are based on the a s sumption that , a fter a period o f breastfeeding , children can develop a die t o f swee t potato , abus a Chee sepops of an interview not only ( tinned fi sh, in the He i t "When we go to wei gh the child , they say , is growing l ike this - i t goe s down , i t goe s up ' ( indicating growth line ) . This mark , they say , ' I f this goe s up , your child i s growing big; if it goe s down , the chi ld ' s skin i s They tel l us thi s kind of thing . a bit l o ose . 1 seems likely that thos e children who can be s t make the i r demands heard and fel t (not infrequently by displays of temper) will receive more food than those who are more placi d . Thus the chil d who is congenital l y weak , or s uf fering from a debilitating infection , i s at a double disadvantage and hi s or her chance s of survival are much reduced . 11 87 A s for the treatment o f nutriti on-re lated conditions s uch as diarrhoea or bun mos t women in Awande are very willing to use the MCH c l in i c or the Okapa Hospi tal , at the same time a s trying the tradi tional remedie s . The cl inic i s not general ly seen as a source of advice , though regul ar attenders presumably gain some sense o f rea s surance from the monthly weighing o f their chi l dren . Cle ar ly , traditional attitudes and practices are changing in Awande , under the in f luence s o f new i deas and new foods The p ro ce s s can b e e xpe cted t o continue as e ducation, h ealth s e rvic e s , and o ther con tacts with the outsi de world expan d . In Lae carried out . seven teen interviews involving twenty-three women were Two of the women were from Kainan tu , and one Hengano fi o the rs (both di s tric t s in the E a s te rn H i ghlands ) Fore and The intervi ews all but mo ther had a breas tfeeding . one family All some land , e i ther by the house or in the bush , where they grew vegetable s , and al l the husbands were emp loye d . I n these respects they were privileged than many town-dwellers . The o rder Awande which the ques tions were a sked was flexibl e , a s in but the content was fai rly uni form . good food for small childre n ; ho spital attendance ; to bottle�fee ding ; foods ; The topics covered were the introduction of foo d ; treatment of diarrhoea and bun pregnancy , l ac tation and weaning ; and atti tude s to coas tal foods . clinic and attitude s s tore and snack S ince the conten t of the inte r views was no t quite the same as in Awande , the findings are reported under s l i ghtly di fferent headings . 88 Good food s an d fee ding p rac tices for young children Good food for small children meant a mixed diet , with so ft foods firs t , then a progres s ion to an adult-type diet . Children rece ive d thei r portions o n their own plate s , and mos t a l so had the i r own cup and spoon . Ripe banana was mentioned sixteen times as a good food for small chil dre n , sweet potato ten time s , and k:urnu nine time s ; pumpkin e a ch five time s ; eggs three time s ; rice , p awpaw and and tinned baby food and tinned f i sh twice . S everal mothers said you should s tart solid food at four months , o thers at five or s ix month s ; e ruption o f teeth . o ccasionally the answer mentioned the Mo s t mo thers sai d thei r children wanted to eat three time s a day , mo rning , midday and afternoon ; a few expre ssed concern that thei r children did no t want to eat thi s o ften and were becoming thin . S ome mo thers gave detailed de scriptions o f how they prepared food for their small children . nur se s , and o ther sour ce s ; They had l earnt how to do thi s from for example : "We get pumpkin and banana , and mix it up with milk - milk like mothe r ' s milk . We get i t and pour it in , mix i t up with banana , pumpkin , eggs , give i t to the children I used to work for a European woman with four childre n , and she taught me how to make the foo d . " . • . Clin i c s and hospi tal Nine mothers s ai d they were going regularly to an MCH c l ini c , and two o ther s were taking a child regularly to the ho spi ta l . Others said that they u s ed to go , but had s topped when thei r children were a year or two o l d . A few sai d that the nurs e s j u s t weighed the babies , but mos t said that they received nutri tional advice , which put the emphasis on a mixture o f local vegetables and fru i t , and tinned fish . Asked whether the nurses s aid anything about food , one mother answered as follows : "Yes . They s ay , ' What i s he ea ting? 1 and I tell them . When he was eating swee t potato , they said , ' Give him pawpaw , and ripe banana , get tinned fish, and pour the wara ( fi s h o i l ? ) in to h is food ' , and I d i d as they s ai d . " One woman had re cently attended a mobile cooking demons tration 89 Her account by some nurse s , near her home in the Taraka S e ttlement . is worth quoting at length , because it illustrates how succe s s ful suc h education c a n b e i f it reaches those who are keen t o learn : " The nurs e s talked to us the day b efore yes terday . They came here , by the church , all we women gathered together and they taught us about cooking food for children The nur s e s tol d us women t o fetch foo d , the chil dren ' s plate s and spoons . One woman fetched sweet potato , one taro , one banana , one kumu , aibika , Chine se taro . Then we went to the home of one woman . They washed their hands , then the nurse s showed u s : they pee led the sweet potato , put water with i t , cooked i t . We s tayed watching . When it had f1nished boi ling , they shared it o ut . ( Later) I came back and s aw them getting onion s , kumu , aibika . There weren ' t all that many women . The food was cooking in a s aucepan . S ome meat and fish was mixed in with the sweet po tato , taro and banana . I t was a l l mixed till it was very so ft . They said , 1 Now you mus t give i t to the children . ' That ' s how they taught us They say ' Don ' t give j us t one kind o f food . Get kumu , swe e t potato , taro , banana if you give j us t sweet pota to , they won ' t get good bodi e s , they 1 ll get s i ck . Pumpkin too . Ge t them all , cook the m , eat them togethe r . ' When a woman knows how to look a f te r her c hi ldren , thei r weight goe s up . Some women ' s children are bun nating , their weight goe s down . " • • • . . • This degree o f in te re s t was exceptional , but there was plenty o f evidence of the inf luence of nutrition education through the c linic s . The hospi tal , which for some mother s meant quite a long j ourne y , was al so regarded as a ready source o f help and advice . Diarrhoea and bun nating Mos t mothers s ai d they would take a c hild with diarrhoea to the hospital . Nearly everyone mentioned the importance o f giving p lenty o f water t o drink , and many de s cribed how to boi l the water and mix in sa l t and sugar be fore giving it to the child . One mother , re cently ar rived from the vill age , re commended Fanta for a chi l d wi th diarrhoea . Opinion s on underweight chi ldren were in marked contras t to those in the vil lage Seve ral women ins i s te d that it was the p arents ' faul t , fo r no t c aring for the children prope rly , and g iving them the wrong food; one mo ther put i t l ike this : " The y don ' t know what food They give them taro them . that . We know how to look al l kinds o f food from the to give them or how to look a f ter or sweet potato or banana , j us t a fter our children , and give them s to re and the marke t . " 90 Four mo thers attributed b wi nating directly t o bottl e- feeding, and very few people thought bottle - feeding was good . Many under s tood the problem o f clean l ines s in its preparation , like the woman quoted e arlie r , who had hers e l f worked for a European : " Fo r European women , who have everything for mixing it and giving i t , i t ' s all right . For us kanaka 1 , we c an ' t get I f a woman c an get o ut all the dirt be fore things c lean . mixing up the milk , it ' s all right . " A couple o f women who had tried bo ttle- feeding had abandoned the practi ce af te r b eing severe ly scolded by the clinic nur se s . One had been bottl e- feeding a toddler with T . B . : " I used to do thi s , but the nurse s were c ro s s with me so I left i t . They sai d , ' You ' ve got your own milk , you mustn ' t do thi s . ' He was weaned, but the baby was drinking . Now the two drink together ; he ( the o lde r child) doe sn ' t drink in the day , j us t at night . n One woman in the s ample was c urrently bo ttl e - feeding her 10-mon th-old infan t ; the mo ther had gone into hospital t o have h e r spleen removed afte r an accident , when the child was only five months s upply had dri e d up . and her mi lk The child was now seriously underwei ght , de spite the mo the r ' s e fforts to feed him four times a day , and he frequently had diarrhoea . Another woman had partially bo ttl e - fe d her fifth child because her own mil k s upply was inadequate . The child was put onto solids e arly , and at the time o f the interview , at 1 8 months , had l e ft the bo ttle but s ti l l sucked at the bre a s t o c casionally . When p regnant , few women followed any taboos , which were thought o f as s omething for the vil l age and the older generation . woman was a sked about the taboo on tinned fish ; One she hersel f had been pregn an t in the vil lage , but said : " Th at ' s a custom o f the twnbwia ; you can ' t bel ieve thei r talk . I a te i t , and I didn ' t lis ten to their talk . I t ( tinned fi sh) is abus for me , that ' s what I said to them. They are j u s t foo l in g . " lKanaka : a term o f ten used derogatorily by urban-dwe llers to de s c ribe unsophis ticate d rural people ; here presumably being used to re fer to ' us village women in town ' . 91 A few women were S eventh Da y Adventists , a n d were never allowed to use tea or c o f fee , tobacco , be tel , pork or game . pregnant had avo ided tinned fis h , yam and sago . One woman when Yam and s ago a re two o f the c oa s tal foods that are wide ly suspec ted o f c ausing s ickness either malaria or non- spec i fi c ' swe l l ing up ' - i f eaten too soon after coming to Lae . Famil i ar foods s uc h as sweet potato , banana and taro are readi ly e aten , and mo s t people soon become very fond of c oconut , using it to ' grease ' food in the coas tal fashion . In pregnancy , many people had individual dislike s , s uc h as sweet potato o r rice , and mos t said they quickly fel t full up . said they ate p lenty of dbus , kumu and tinned fish; Seve ral people but the only person who clearly linked thi s to the s i ze and hea l th of the baby was a Kainantu woman , married to a coas tal man , who j oine d in an interview : " I f we j us t eat swee t potato , the baby doe sn ' t get gris . We e at abus, kumu , ripe banana : thi s sort of food give s gris to the baby . 11 Many mo ther s recormnended plen ty of fluids drinks , to encourage lactation ; obvious anxiety ove r thi s . espe c ially milk-based but as in the vi l l age , there was l i ttle There was no apparent trend towards earlier , whi ch in theory i s s ti l l " 'laik bi fong A c oupl e o f mo thers said that the milk i s n o longer good once the mother becomes pregnan t . These are accepted as a normal part o f the diet , and are no t the luxurie s that they are in the village . Children are given a l l kinds o f snacks when the family goe s around town a t weekends , including i ce blocks , i ce - c ream , fi sh and chip s , meat pie s , soft drink s , c hee s epop s , and biscuits . One mother said the nurses had told her not to give cheesepops and b i s cui ts bec ause they rot the teeth , so s he had s topped . Few mo the rs were que s tioned dire c tly about thi s , and only one s aid she had heard of i t . S na ck foods i n general are e n j oyed a s a part o f the outin g , and are not thought of in terms o f good or bad food . Tinned baby foo d , on the o ther hand , is cons idered good food . Only four mo thers had never tried i t , and ten said they used i t 1 But s e e Chapter 1 3 ; there i s some evidenc e o f a s l i ght tendency towards earlier we aning in the town as compared to the village . 92 regularly . Some mothers s aid one child l iked i t , another did not . Mos t people did no t know exactly what was i n the tins - one mother sugges te d sweet potato , kwnu and pig fat - and the abs ence of picture s on the tins mus t have made choos ing a haphazard proce s s . Lae : Sununary and conc lusions The Fore women in Lae repre sent a trans itional s tage be tween rural and full urban l i fe . Few have been in the town for longer than five year s , and n early all go home to the village from time to time . In town they rece ive vis i ts from wantok who bring e agerly accep ted gifts of village food . While many of the women appre c iate the advantages of town-dwe lling , and a regular c as h income , mos t of them long for the plen ti ful ' free ' vil l age foo d , and what they see as the hea l thier c l imate o f the highlands . Overa l l , there i s a s trikingly higher leve l of awarene s s of the nutritional needs o f young children than in Awande . For example , the use of tinned baby foo d , while neither an economical prac tice , ncr one encouraged by c l ini c s , doe s sugge s t that urban parents are at leas t aware of the need for del iberate attention to thei r youn g children ' s die ts . I t was o f ten s tated that i f children did not grow well they were no t being prope rly cared for , or had some si cknes s which needed treating at the hospi tal . The se l f- suffi cient attitude typical of Awande mother s h a s in mos t women b een replaced by a readines s t o absorb the teaching o f nur s e s and doc tors , whose advice was o ften repeated in some detail . A mo re varied diet for children i s encouraged no t onl y by nutrition education , but also by the wide range of foods available in Lae . Sweet potato and kwnu are s till conside red the mos t important foods , but rice , t inned fish , tinned and fres h meat , eggs , and milk are all popular . Howeve r , the indulgent attitude towards children ' s reque s ts , which was noted in the vil l age as well , leads to frequent consumption of re lativel y expens ive snack foods , who s e poor nutritional value is not general ly recogni sed by the mothers . As women grow more accus tomed to urban li fe , their attitude s to foods and child feeding practice s wil l continue to change . s cope for further education an d advice . There i s s till plenty o f 93 FOOD BELIEFS AND PREFERENCES I N THEI R E COLOGICAL SETTING Two general trends are apparent i n the findings reported above , for both vil lage and town , and for women as wel l as men . The first trend i s towards an increas ing c onsciousne s s o f the s i gni ficance of food to hea l th ; the second trend i s towards an increasing range and diversity of food p re ference s . To c onclude Part I I I , thes e trends wil l be dis cussed i n terms o f the re lationship between vil l age and town , the relationship between the sexe s , the influence o f s c hools and c lini c s , the rol e o f adve rti sing and the me di a , the nutritional imp l ic ations o f the obs e rvations , and the relationship o f food be lie fs and pre ferences to food c onsumption and food res ources . This discussion is impli citly based on the conceptual model shown in Figure 1 (p . 8 ) , re ference to which may c lari fy the main points . The relationship between vil lage and town Tha t Fore food belie fs and p re fe rences should be exhibiting s imi lar trends in both vil l age and town is a r e sult of s everal fac tors c ommon to both environments . First , the adult Fore now l iving in Lae were themse lves brought up in the village environment , and thus underwent the same proc e s s of social i s ation in their e arly years as did those who now remain in the village . The basi c set of beliefs and pre ferences i s therefore common t o both group s . Secondly , the new foods ava ilable i n the vil l age through trades tores are a sub-s e t o f the many s tore foods ava i lable in the town . Thir.dly , of tho s e men with s ome s c hool education , mos t went to Mi ssion schoo l s in the Fore are a , and even those few who went to Government s c hools e l s ewhere were taught according to a s imi lar syllabus . Fourthly , the type o f nutrition education given at MCH c l inics i s bas ically the s ame throughout the country , with minor mo di fi cations relevant to local c ondition s ; system o f nurses ' training . this re flects the relative ly centralised Finally , and perhaps mo s t important , the constant movement of wan to k between vil l age and town ensures a continuing exchange o f ideas , attitudes and belief s . The degree to which beliefs and preferences wil l in future diverge in rural and urban environments will therefore depend on the various factors influe nc ing the food resourc e s available in each 94 environment , on the extent to which government health and education policies di f fe rentiate between them , and on the opportunitie s for personal mobil i ty , in the form o f migration to and from the town . Curtailment of these opportunities , for ins tance through the introduction of o ffic i al c ontro l s as has been advocated in some quarters , would reduce the e xchange of information between village and town , and loosen the sociocultural bonds between urban migrants and thei r wan to k . As would be expected , where members of both s exes were questioned on a particular topi c , the ir answers tended to agree Thi s agreement i s due not only t o the obvious factor o f their common cultural background , also to exchanges between the sexes of i nformation derived from outside s ourc es . For examp l e , several men received from Lae quoted nutritional lesson s c l inic nurses . In the other i deas to examine briefly the resemblance between s c hool was S choo l Two years of village which teaching is done e ither in Pidgin or in the local language , would Fore men . is recalled l ater representative the s chool education of many In the Awande Lutheran B ible S c hoo l , the second year of the 'Haisin ' ( Hygi ene ) c ourse includes two or three l es s ons on nutrition , based on the i dea of three food groups l . 'Kaikai hi Zong kisim s trong ' l The summary p re s en ted here i s derived from a 1 9 7 0 Tea che r s ' Text prepared at a Lutheran teachers • training col lege , as used in Awande . 95 ( ' Foods for s trength ' ) include s tarchy s taples , sugar and f at s ; ' Kaikai bilong mekim yumi kamap bikp e la ' { �oods to make us grow ' ) include meat , f i s h , eggs , peanuts and dried b eans ; and ' Kaikai bilong paitim sik ' ( 'Foods to fight s icknes s ' ) include green vegetabl e s , tomatoe s , carrots , pawpaw and pineapple . In addition , the l e s s on s c over the importance of c l e anline s s in food preparati on , nutrient-c on s e rving cooking methods , how to prepare soft food for babies , and dental c are in re lation to food . The o fficial Government syllabus for Health Education in primary schoo l s i s a l s o based on the three food group s ; by Standard VI the groups are de scribed in terms of energy , protein , and vitamins and minerals respectively . Other lessons deal with the c aus e s of malnu trition , the use of MCH c lini c s , and the selection of foods giving nutri tional value for money . None of the intervi ewe e s referred to the three food groups as s uch ; many spoke of foods for growth , and foods to make the body s trong , the two ; without always s icknes s . no one mentioned foods to ' fight The l es s on s recalled from s c hool present an a s s ortment o f more o r l e s s accurate snippets o f knowledge , with spec i fi c advi c e , such a s to give children chopped up vegetables in soup , remembered better than instruc tion in the general principle s underlying good nutri tion . The c urrent o fficial syllabus empha s i s e s that nutr i tion education in s chool s s hould be made relevant to local conditions , and that children should carry out practi c al pro je cts , involving mothers and o ther people in the community . S uc h recommendations s eem who l ly worthwhile , but whether they are acted upon will depend l argely on the enthusiasm o f individual teachers . At the moment, there are too few Fore chi ldren o f school age in Lae t o make any comparisons between what they have l earnt , and what the i r rural counterparts have l earnt about nutrition . In Awande , nutrition education in s choo ls doe s not appear to have d i ffused through the loca l community . MCH c linics and hospita l s were o ften quoted , by men and women , as sources o f nutritional knowledge . The advice given in the s e settings is usually related to speci fi c p roblems , e specially tho s e of underweight and other malnouri shed children , and is de livered in the form of clearcut instruct ions rather than theoretical explanations . 96 I n Awande , and p re sumably in mo s t other Fore vil lage s , nutrition education for mo thers is limited to advice given at the monthly vis its of the MCH c l in ic . Our observations of the c linic in Awande sugges t that the nurs e s ' advice, which i s always well-meant but o ften i gnore d , would mee t with more respons e i f i t was delivered more sympathetically . l The nurses ' j ob would also be made easier i f a reliable interprete r could be secured a t each clinic s i te . In Lae , there are permanent MCH c lini c s at the Angau Hospital , at Butibam , and at the Haikost Community Centre ; Taraka . a mobile c l inic visits In addition , there are occasional mobi le c ooking demonstrations by s tudent nurses , a t which nutrition i s a lso di scus sed . There i s a Nutrition Ward at the hospital , where mo ther s admitted with their malnouris hed children are given nutrition education by the S i s ter-in charge . Howeve r , no Fore women mentioned this source o f information , and probably none had been admitted to the ward . Nutrition education by hospital , c l inic and Aid Pos t personnel i s based on the Department of Health Publication , New Guinea ' ( DPH , 1 9 7 5 ) . ' Nutrition for Papua The value o f thi s excellent manual wil l be further enhanced when a P i dgin version i s available ; i t might then be used by les s educated but influential people s uch as primary s c hool teachers , Vil lage Committee representative s , and Aid Pos t Orderlie s . The Department of Public Health also produces two booklets in Pidgin , 'Kaikai Bi long SkuZ ' , ( Food for S c hool } , and ' Gu-tpe Za Kaikai Bi Zong Beb i BiZong Yu ' ( Good food for your baby ) , as wel l as s everal pos ter s ; none of the s e publ ications was seen in Awande , or in any Fore households in Lae . We did no t attempt any systematic enquiry into mothers ' under s tanding of the weight c hart found in the ir children ' s He l t Buk ( Health books ) , but our impres s i ons agreed with the findings reported in the s tudy by Rawlinson which was cite d earlier . S he concluded that : " In the case of uneducated Highland women , the Health Record Booklet as a signi ficant motivator towards better nutrition appears to be limited in i ts role , f ir stly by insuffic i ent l The o fficer-in- charge at Okapa Hospita l came to the same conclus ion a fter a s e ri e s of mee tings with village women in the di s tri c t : one of their chie f c omplaints about the c lini c s was the way in which mothers were sometimes shamed and embarras sed in front of othe r s when reprimanded by t h e nurses for n o t feeding their children ( Pe rson al communication July 2 0th , 1 9 7 7 ) . properly . 97 understanding o f re l atively sophi sticated concepts contained in the " green road to health " ; s econdly by mothers ' attitudes to the booklet resul ting from attenuated understanding ; and thirdly by incomplete ins truction from Health Extens ion Workers . " ( Rawlinson , 1 9 7 7 ) • To s um up , i t seems that nutrition e ducation through c lini c s and hosp i ta l s wil l continue to influence attitude s and belie f s , b u t more slowly than might be de sirable . For the education to be more rapidly e f fe ctive , at least three conditions are neces s ary : rate , e specially among young mothers ; a higher literacy a greater degree of motivation among mo the r s , whic h can only come from changing perceptions of the nutritional needs of their children ; and a greater sensitivity i n the a ttitudes and behaviour of heal th extension workers towards local circumstanc e s . Commercial adverti s i ng o f food and drinks i s probably not yet a very s ignificant influence on food pre fe rences among the Fore , either in the vil lage or in the town . Few people read newspapers or magazine s even i n Lae , and novel snack foods have quickly become popular in rural area s in the virtual absence of adverti s ing . A s trip cartoon advertis ing a brand o f meat pies i s one of the few printed advertis ements in Pf dgi n , but it is published in the English-language national newspaper ( see Plate 9 ) . I ts mes sage , that meat pies provide s trength for heavy work , is not , as we have s een, reflected in the opinions of mos t Fore men i n Lae , despite their regular consumption o f the pie s concerned . Commercial advertising on national radio may come to exert a mo re pervasive influence in the future , but i ts introduction in 1 9 7 7 was s till too recent for i ts e ffects to be j udged while we were in the field . The National Broad casting Commis s i on has formed a Heal th Advisory Commit tee to advis e them on the des irabil i ty of adverti s eme nts , but this committee has no direc t powers . From the outset o f commercial broadc a s ting , t h e Commis sion prohibited the advertisement of infant formula and special baby foods , and in 1 9 7 8 it agreed to s top the adverti s ing of " rubbis h foods " of the cheesepops variety ; agains t the wishe s of the Department of Health Nutrition Section , it s till al lows the adverti s ing of aerated drinks or to ti wara ( J . Lambert , personal communication , 1 9 7 8 ) . l l cinemas may provide a more e ffective channel for commercial adver tising than the o ther media , but I have no information on the content o r form of cinema adve rtis ing . Cine.ma-going i s a popular pastime among many urban dweller s . 98 S everal male informants mentioned the media , both pres s and radio , as sources of parti cular items of nutritional knowledge , e specially in relation to the dangers o f Given the sma l l s i z e of the sample , thi s sugge s t s that information carried in the me di a is quite received , and that more mate rial o f thi s kind might use ful l y be produced . However , none of our informants in Lae spontaneously mentioned the series of programmes on Nutrition and Health being broadc a s t , in P idgi n , on Radio Morobe ( Lae ' s local , non-commercial s tation) whil e we were i n Lae . Assuming for the moment that s tated food be l i e f s and preferences do in fact coincide with actual behaviour , it is pos s ible to summarise the main implications of these beliefs preferences in settings . bene ficial e f fe c ts the food pork , but of l e s s nutritional bene fi t . is a nutritious one as tinned f i sh , to snacks such a s cheesepops is The replacement i n trades tores s tock o f cheesepops and lo li wara by salted peanuts and real fruit j uice would improve the nutritional e ffec ts without inter fering with the underlying cultural a ttitude i n any way. 99 I n the urban s etting , the evidence suggests that c hi ldren s hould receive a diet which i s ri cher in prote in , less bulky , and more varied than the rural one . This is partly a result of the nature o f the available food resources themse lve s , but is also encouraged by a more directive atti tude towards child feeding , which incl udes an emphasi s on mo re frequent feeding . However , chi ldren are also to be given nutritionally unde s irable snack foods and drinks which may be swe e t , s ti cky o r both , and low in vitamins ; mos t adults too expres s a l iking for s uch items , which carry risks of obe sity and dental caries . Education about the low nutritional value o f many snack foods , and the relative co sts of di fferent foods in terms of their nutritional value , should rec eive priority in the urban environment . section s , s everal sources o f influence on there spe c i fic food beli e f s remains a People considered here o ften r e j ected grounds c l ear i s have nothing whatsoever to do with be liefs regarding their value or otherwis e to health ; s uch bel ie f s later as rationalisations o f food preferences formed on o ther c ri teria . This is true of al l societies , except with other people the s ignificance as a facto r in determining food consumption has been rai s ed For example S tandis h {personal commun i c ation) states several time s . that rice is a highly prestigious food among the rural Chimbu . In a relatively short period of fieldwork it is difficult to a c l e ar picture o f the ways in which people compete for , and express pos i tions of prestige or s tatus . Among the Fore , the owner ship of pigs i s so . Al so , at related to s tatus , but pork consumption i s l e s s nrumu feasts large pres entations of food may take p l ac e , and the s tatus of the donor group is enhanced by exceptional genero s i ty in such gifts , i f they are accompanied by cash . However , and contrary to our expec ta tions , we s aw little evidence to sugge s t that partic ular foods conferred s tatus on their purchasers or consumers . 100 the mos t fanatica l ly health and nutrition-cons cious o f s ub cultures , and it should not be l o s t s ight of in any consideration of the potential value of nutri tion education . The l atter should be made as relevant a s po s s ible to the food beliefs and preference s which already exist ; hence the importance o f s tudying these . As indicated in the conceptual mode l , the interaction between the available food re sources , and the food belie f s and preference s , of a population or an individual wil l l argely determine what food is actually consumed . There are , however , certain intervening factors which may prevent the ideally pre ferred diet from b eing consumed , even when the food i s avai labl e ; in the conceptual model these are ref e rred to as ' competing needs and value s ' . For example , in the town peopl e may p re fer to spend money on a vis i t to the cinema rather than on a meal ; in the vil lage , people may decide to s tay at home in rainy weather and eat l eftovers , rather than make the long and uncomfortable trip to the garden s to fetch fresh food . Many s imilar c ircumstances can be envisage d , s o that i t s hould be n o surprise t o discover that people d o n o t always eat what thei r s ta te d bel iefs and preferences might l e ad one to expec t . This should become clearer i n Part I V o f thi s report , when I look at actual food consumption by the Fore in Awande and Lae . PLATE 1. 1 : General view of part of �wande . left background . foreground. for mumu , AWANDE : THE SETTING Small hamlet left foreground , S e condary fore s t on right . tre e s and small coffee garde ns . 1. 1. 2 : Traditional and new-style houses . Large area of primary fore s t in background . and leaves for wrapping i t . Old Kuru Hospital (now primary schoo l ) Large hamlet near centre of village , 1.4: 1. 3 : mid surrounded by Casuarina Hamlet built on ridge . Kunai gras s in Woman and chi ld returning t o hamlet with food Swee t potato i n side hamlet fence on left . PLATE 2.1: Large garden near fore s t , been ringbarked . 2. AWANDE FOOD RESOURCE S : subdivided into several plots in various s tages of development . Pandanus nut palms l e f t foreground . young sugarcane in part o f same garden. potato with digging-stick , pi tp i t in another garden , GARDENS Chine se taro , Note small children in mid-right , another part o f the garden . October . 2. 2 : 2.4: highland pitpi t , for scale . 2 . 3 : Man kwnu , Woman plantinq sweet potato , Drainaqe channe l s running downh i l l . De a d tre e s have c l imbing yarns and harve sting sweet and highland 3 . 1 : Pig haus in i:irior to cooking in earth oven ; p i t f o r hot stones on l e f t . P ig was shot a fter spo i l i ng another man ' s garden . meat will be villagers household s . and cheesepops PLATE 3. AWANDE FOOD RESOURCE S : DOMESTIC ANIMALS , BUSH AND TRADESTORE Cooked sold to other PLATE 4.1: Parcel s of pitpit , 4. A MUMU IN AN AWANDE HAMLET sweet potato and wing bean root prepared for cooking . stones for second mumu are being heated . Left foreground , o f pitpit placed on banana leaves over first pit . bean root cooked in first mu.mu; 4.4: 4.6: Men push hot stones into first mumu pi t , while Bundl e s o f wing bean root placed on top of pitp i t . pig and sweet potato cooked in second one . earth thrown on too to seal the oven . 4.2: senior male cut s up half pig bought from Okapa freezer . 4.5: 4. 3 : Bundles Only pitpit and wing Fern fronds and leaves cover f ir st p i l e of food , Water poured in to qenerate steam for cook ing . Winq bean roots cook for 2� hour s . 5.1: PLATE 5. rice and tinned f i s h . 5.2: Corn cob s , hou se s . 5.3: feast shown in Pl ate kumu , 4. C entre saucepan contains cooking over embers of a f ir e used for Wire g r id behind is u sed for cooking food i n saucepans i n side Tinned f i sh is r el i shed by young chi ldren ; Tinned f i sh mixed mumu and bamboo tubes conta1ning preparing ston e s for a mumu on andtner occasion . 5.4: FOOD CONSUMPTION IN AWANDE Food being d i s t r ibuted by the senior mal e s at the nearly empty t in s are often given to them to f i n i sh off . in with bo i led r ic e , whi l e mumu cooks in background . 6.1: S e l f -help homes in the Boundary Rd . sett lement ; married men from Awande l ive in the lower two hou se s . Beans c l imbing stakes in front of right-hand house ; banana and coconut palms nearby . 6.2: Large sel f-help dwe l l ing in Two-Mile settlement , occupied by five married coup l e s and five single men , 6. 3 : Water all South Fore . supply for house shown in P l ate 2; some water a l so col le cted in drums from roof . Housing Commi s s i on house in Taraka , occupied by North Fore couple with one chi ld , and several Bananas and pawpaws in garden . PLATE 6. FORE DWELLINGS IN L..2\E Atzera range in background . 7.1: PLATE 7 . FOOD RESOURCES IN LAE F i sh caught i n Bumbu River by young Fore boy from Taraka . sweet potato , bar s in town . taro , cucumber , choko , wild fern s , pumpkin shoot s , 7. 2: Produce in Lae Coun c i l Market . yam, red pandanus , sugarcane . 7.3: 7 . 4 : Another view of market , on quiet day . Coconuts i n centre , water melons on right . 5: 11Mit pai na Coke " - a typical midday snack for urban dwe l l er s . 7. shed in background . L. to r . : bet e l , One of many snack F i sh sold in 8.1: Weighing a child at the Awande MCH c l inic , using coffee scal e s . 8. 2 : General view of Awande c l inic . Basic medical supplies in t in patrol box. Clin i c staff and equipment are brought out by car from Okapa . 8. 3 : The MCH c l inic at Three Mile Community Centre , 8.4: Weighing a child at the Thre e-Mile c l in i c , permanent . 13 . 2 PLATE 8 . .MATERNAL AND CHILD HEALTH CLINICS IN AWANDE AND LAE Lae . which i s Ul 4-1 f1l 0 UJ .µ u QJ p.. ui rn .:i: t1i OL PIKININI I MAS KAIKAI 3-PELA TAIM LONG OLGETA DE OIPATMEN BILONG PUBUK HELT HELT BUI< l1 fit �t KAMAP STRONG WANTAIM KANTRI ��ft�s1'A. NAMBA [===:J 0 WEIGHT CHART No 0 1s 1 10.l Cover of book. Name a nd register number on front, nutrition advice on back. 1 0.2 I nside page for weight a nd treatment record. 10.3 The weight chart . key tool for mon itoring progress. Shaded area between 100 & 80 percent weight-for-age lines called the 'Road to health'. Lower line is 60 percent weight-for-age, diagnostic severe malnutrition or disease. 101 PART IV FOOD CONSUMPTION 102 CHAPTER 8 food consumption in various parts Many s tudie s have been made of Papua Guine a , mos t of them have involved quantitative measures food i ntake , l ater converted Their and nutrient figures for adequacy or has usually been through phys ical of by con s i dered the than those reported generally and protein margin for l eave women , are toddlers vulnerable . at b es t , pregnant and lactating Vitamin and mineral intak e s are generally sati s fac to ry in highland areas , where large amounts of fre sh green vegetable s are always availabl e . The l ack o f detailed nutrition surveys in urban areas was mentioned in Part I of this report, and the main f .indings of the few s tudi e s which 103 have been publ i shed were summa ri sed o n pp. 4-5 . As i s the c a se with food bel i e f s and p re ferenc e s , no s tudie s have been made which d irectly compare the food con s umption of culturally re lated populations in rural and urban environments . B e fo re one can draw any firm conc lusions about the nutr itional implications of urbanisation , such compar i son i s necess ary ; thi s was the aim and j ustific ation of my own s tudy of Fore food consumption . In comparing the food consump tion o f rural and urban Fore , my main concern was to obtain a general pic ture o f the frequency o f con sumption of di fferent i tems in each environment , rather than to make detailed measurements o f energy and nutrient intake s . The latter can only be vali d if they are made on large populations over an extended period, and with accurate and rel iable techniques and equipment . Given the l imitations on the time and re source s availab le , it seemed more sensible for me to concentrate on the general consumption patterns of a obtaining data from large number o f individua l s over a short which nutritional implicat ions might be indirectly derived . This work is de scribed in Chapter 9, where direct comparisons , based on dietary rec a l l surveys , a r e made between food consumption i n Awande and Lae . The pos s ibility of doing a sma l l weighed intake survey in Awande was at first rej ec te d , because of l ack of time , and doubts as to i ts use fu lnes s . Howeve r , the exi s te nce o f the earlier report b y Reid and Ga j dusek ( ibid) made such a survey seem worthwhile , and a short return vis i t to Awande in O c tober provided the opportunity . described i n Chapter 1 0 . This survey i s Unfortunately the time spent in Lae was too short to allow a comparable survey to be made there . In the urban environment , one of the po ints of interes t to the nutrit ion i s t i s the cos t o f foods , and their importan ce , re lative to each o ther and to non- food i tems , in the hous ehold budg e t . For thi s reason , I made a survey of expenditure over one fortnight in a sma l l number o f Fore hou seho lds in Lae . These data, analysed in Chapter 1 1 , some b as i s for ass e s si ng the budgetary cons traints o n food consumption in a group o f urban migrants . The final chapter in Part IV returns to the e co logical c ontext o f my work, and draws out some o f the interrelationships already mentioned between environmental variab l e s and a spec ts of behaviour involved in food consumption . The remainder of the present chapter consi s ts o f a general 104 description o f meal patte rns and cooking methods o f the Fore i n Awande and Lae . Awande 1 The meal pattern The typ ical day in Awande begins at about 6 a . m. , when the fire , still containing embers from the previous evenin g , i s built up to prepare the morning meal . Thi s usu�lly c on si s ts o f sweet po ta to , e ither c ooked in the hot ashe s , or, l e s s o ften , boi led in a large s aucepan ; i n the latter cas e , salt2 is o ften added , and the cooking water is drunk a fter the sweet pota toe s are removed . I f any i s avai lable in the hous e , sweetened ti ( tea , cof fee , milo or even hot water alone with white s ugar) may accompany the meal . Otherwise cold water may be drunk ; it i s col lec ted from nearby s treams i n long bamboo tubes o r i n metal o r plas tic c ontainers . The meal i s a l e is urely affai r , and people o ften move from house to house within the hamlet , sometimes being o ffered foo d , and sometime s carrying their own with them. eaten during the day ; Le ftover cooked tubers wil l be s choolchildren carry them to school ( but sometimes eat them on the way) , and mothers o ften take them to the gardens for their young children to eat. Usually the hamlet i s more or l e s s deserted during the day , and the house s are padlo cke d . However , there are many c i rcumstanc e s in which people choose to stay at home , or to return there in the middle o f the day a fter per forming some task in the morning . When this i s the cas e , a simple midday meal , u sual ly a sweet potato or two , is l ikely to be prepared . Mumu feasts are generally eaten in the early afternoon , but sometimes earlier ( see b elow) . When men and women are working in the gardens , they commonly cut a length of sugarcane in the middle of the day to drink its j ui c e . may also eat raw or pit'pit heart s , picked from the garden . They Sometimes l This acc ount may be compared with that by S orensen and Gaj dusek ( 1969 ) who describe food habits in the South Fore in the e arly 1 9 60 ' s . I ncome from co ffee in the Fore region has greatly increased s ince that time , and trades to re goods , including cooking uten s i l s as wel l as foo d , are conse quently much mo re common today . 2only salt from the trade s to re i s used ; traditional s alt-making a s de s cribed b y S o rens en and Gajdusek ( ib id . ) i s n o longer practised . 105 they w i l l prepare a f ire , or even a mumu , i n the garden and cook a smal l meal of sweet potato and leafy. vegetabl e s . Children spend a s much time i n the bush and forest as i n the garden s , and often f ind small items o f food such as wild ferns , insec t s , berrie s , or mushrooms ; if such items require cooking , a fire may be made u s ing a glowing ember from a nearby hamlet , or they may be taken home and cooked later . The tradestore i s another sourc e of daytime snacks popu lar with adults and children al ike , and if cash is to hand , for instance after a roadside coffee s ale , people wil l drop in to buy biscuit s , chewing gum , cheese pop s , soft drinks and so on . However , it i s quite common for people to have nothing to eat from when they leave the hamlet in the morning , till when they return towards dus k . The main meal i s usual ly eaten between 6 p . m . and 8 p . m . predominantly in family groups , although there i s again a good deal of movement between houses , especially by children ; they o ften stay on to sleep with the hous ehold whose meal they have shared . still the main item , but may be accompanied by Swee t potato is pitpit hearts or both , and by other vegetable items such as corn , beans mushrooms . pumpkin or Leafy vegetables are either boiled in a saucepan , or steamed in bamboo tube s , tightly stu ffed and placed on the embers . fre sh meat may a l so be cooked in this way . P ig and other These bamboo tube s last for two or three mea l s before they become too charr ed for further u s e , when new one s wil l be cut . Despite the e ffort involved in their preparation , they are u s ed s everal times a week ; this method of c ooking , which requires no addition of water , is highly conservative of both nutrients and flavour s . I f money i s availabl e , a family may buy rice and tinned f i sh or tinned meat for their evening meal , boi ling the rice in a l arge saucepan unti l the cooking water is absorbed , and then adding the meat or f i sh and perhaps kumu , green onions , or another vegetable ; hamlet will often be given portions of the food . friends within the Even when rice i s cooked i n quite l arge quant ities , i t i s normal for sweet potato to accompany the meal . Qu ite often the evening meal inc lude s leftover s from a nearby mumu feast he ld in the early afternoon , or from a more formal mumu feast held in another village , where pig meat may have been distributed . 106 The mumu ( see P l a te 4 } The mwnu i s an inte gral feature o f rural Fore s o ciety , with re spec t both to day to day social interaction within the hamle t and the vi llage , and social re lati onships with groupings in other vi l lage s . I t is the re fore pertinent to des cribe brie fly i ts main material and s ocial aspec ts . This method o f c ooking is found throughout the Papua New Guinea highl ands , with variations from place to place . The foll owing de s cription applies to what I observed in Awande . The mumu itse l f consi s ts of a p i t , up to a metre deep , dug into the ground and fil led with rounded s tones which have been heated on a l arge platform of firewood; banana l eaves are p l aced over the hot s tone s , and bundle s o f food are piled on top o f the se 1 • i s com�lete When the pile another layer o f l arge leaves i s wrapped around it, and the whole heap is covered over with earth , dug from the s urrounding Water from bamboo tubes , or metal drums , is poured into holes ground . The mumu is left in the top o r side s , generating c louds o f s team. finally sealed with more e arth , and l e ft to cook for anything from one to four hour s , depending on i ts s ize and contents . In e f fect , thi s e arth oven ac ts as a gian t pre s sure cooker , and i s another method o f cooking c on s e rve s nutrients . When the food is thought to be ready , the layers of earth and leaves are removed , and the bundle s owner s . to the mumu opened in mid-afternoon , but some- times it wi ll be as early as midday or as l ate as S p . m. feasting which fo llows foods food dis tributed In the period o f there i s a good deal o f sharing a n d exchange o f usua l ly some cooked food is taken away and eaten late r . The foods mos t commonly cooked i n the mumu are swee t potato and and the more seasonal root c rop s , s uch as wing b ean roots , yam, and taro . Cooking banana is o ften grated , mixed with herbs , and wrapped in breadfrui t leaves be fore being placed in the mumu . Other vegetable foods which c an be cooked in the mumu include corn , beans ( s til l in their pods ) , who le cabbages o f the European var ie ty , and pumpkin . When pig or other fresh meat is c ooked in the mumu it is placed in pieces on top of the vegetables ; in the case of pig, the whole skin may be p l aced over the the food is p laced in a wooden cylinder made from a hollowed out treetrunk . There were seve ral of these drums in Awande , but they are no longer made ; young men say they would not know how to make one . 107 top o f the pile , under the outer covering o f leave s and earth . There i s a c l e ar sexual divis ion of labour in the preparation and conduct of the mwnu . Men are responsible for heating the s tone s , and loading , sealing , and opening up the oven . Women are responsible for coll e cting food , and gathering leaves for tying it up into bundles . Men cut up meat , and may also prepare grated taro o r cooking banana for the mwnu . Ric e and tinned fish are o ften prepared whi le the mwnu i s c ooking , and are primari ly a male responsibility . Women may cook kwnu and pi tpi t hearts in bamboo tubes , on the embers of the fire which was used to heat the s tone s . Throughout , men and women s i t apart . The maj ori ty of feasts are shared by a sma l l number of related households in a hamlet , the dec i s ion to hold a mwnu being a communal one prompted by s uch factors as good weather , or the availab i l i ty of a particular valued garden crop . a week in mos t haml e ts . Thes e small mumu are held several times Large feas ts , attracting up to s everal hundred people , are held to mark s uch events as funerals , initiation s , marriages , and settlements o f dispute s . At the large gathering s , pigs are often kil led by the hosts , and given to the vis i tors in c eremonial payments . Between the small , i nformal feasts , and the very l arge ceremonial occasions l i e s a range of gatherings of intermediate s i ze . The following l i st of occasi on s on which pigs were cooked at mwnu fea sts over a two month period whi le we were in Awande gives an i de a o f the varie ty involve d ; all the hamlets mentioned are in Awande : May 1 5 th : at Karomarari hamlet , l pig , fol lowing the death of a relative at the N . Fore vi l l age of Anumpa 1 0 miles away . at Karomarari , 3 pigs , k i l l�d whi le marauding in a May 2 2nd nearby garden . at Umanti , � freezer pig , c elebrating return of May 2 4th young man from pris on . at S eve ' agori , 2 pigs received as g i ft s at funeral June 1 2th feast in another village on previous day re-cooked and distr ibuted among l ineage . at Aibamuti , 2 pigs and l cow ( from Dumpu ranch in June 2 0 th Ma rkham Val ley) , to c elebrate initiation o f 3 boys . at S eve ' i , small pig ' marketed ' to o ther villagers June 2 3rd for about K20 . June 2 3rd a t Agaramanti , 2 pigs and l cow , at a party for an old woman ( ? to pre-empt large funeral fea s t later) . June 2 9 th at Toborobeti , 5 village pigs and l freezer pig cooked in 4 earth oven s , for funeral o f 4 -year-old boy who died of dysentery on 2 7/ 6/ 7 7 . Over 2 0 0 people presen t ; mothe r ' s brother ' s l i n e given meat to take b ac k to their vil l age . Feasting continued for next 3 days . 108 July 3rd July 6 th July 9 th July l O th July l 3 th a t Akongai ' ari , 1 pig , k i l l e d in a garden , cooked and 1 marketed 1 to other villagers for Kl06 . at Kumeri , 2 pigs , piece of mutton , and piece o f cow ; party for a n o l d woman . at Porototi , � freeze r p i g , party for relatives from S . Fore vil lage of Kume , in connec tion with e arlier funeral feas t at Kume . at Aibamuti , l pig marketed to other villagers . at Aibamuti , � freezer pig , � freezer sheep , to celebrate girl ' s fir s t menstruation . Thi s list may not be complete . I t should also be noted that individuals and groups from Awande were invited to feas ts at other village s , probably at lea s t once a month . The s haring of food is a universal way of expre s s ing social relationsh�ps between human individuals and group s . The e s s ential feature o f the mwnu i s that it enables l arge amounts o f food to be cooked at one time . At small feasts the enj oyment of the par ti cipants is evident , not only in the consumption of food , but in the preparation of the mwnu and in the conve r sation which c ontinues throughout the proceedings . At large feas ts , the nature of the social relation ships between tho s e pre sent may make the atmosphere l e s s relaxe d , but this only underline s the s i gn i ficance o f the occ as ion . From the nutritional point of view , the mumu is a bene fici al feature of Fore food habits ; from the point of view , the mwnu is a central insti tution in hamlet , vil l age , and wider s oc ial l i fe . The large c eremonial pig feasts c ommon to mo s t area s o f the New Guinea highlands are , according to S orensen and Gaj dusek ( op . cit . ) , held at 5- to 1 5- year inte rvals in the Fore area ; the Enga, and even the Chimbu . they are smaller than among One was he ld in Awande in 1 9 7 2 , but no one could s ay when another was due . Much more common than the singsing bilong pik , is the new form of singsing which has developed in the area only over the last four or five year s , consequent on the inflow of cash from coffee s a le s . The singsing c on s i s ts of a night of dancing , s inging , eating , and drinking , i ns i de a large c i rcular enclosure , the ha.us singsing . The perimeter of the ha.us s ingsing is made up of a ring of partitioned low roofed , cane-and-thatch booths , each with a small counter from which food i s sold to the vi s i tors to the singsing . E ach booth i s used by a separate group of people from the hos t vil l age , or Zain within the 109 vi l lage , while the visitors come from vil l ages all around . They pay an entry fee , normally of 30 toea per adult , which goes to the papa bi Zong s ingsing , the man who initiated the construction of the haus singsing and organis e s the event its el f ; he also col lects K2 . 0 0 from each of the s tallholders , except his c los e s t re latives ; f inally , a s part o f a complex economic network which I d o n o t fully under stand , cash payments are made to him by groups from o ther vill age s , apparently in s e ttlement o f debt s incurred by them in the c ours e of organ i s ing previous singsing of their own . These singsing are held throughout the coffee s eason , but e specially in the drier months of Augus t and S eptember . Mos t vil lage s contain at l east one haus singsing , which needs to be l argely rebuilt each yea r . I n Awande i n 1 9 7 7 there were two completed haus singsing , and two more under c onstruction , e ac h the property of a particular Za in within the vil l age . One singsing was held in each of the completed haus One of thes e , which I attended , was held on August 1 2 th : Five pigs were k illed , and three cows bought from Dumpu at The other K245 each , to be cooked and s old to s tallholders . i tems sold included flour sko n ; cooked sweet potato , taro , yam and bananas ; plate s of rice , vegetables and tinned meat or fish ; cigarette s and tobacco ; tea and coffee with white sugar ; sugarcane ; bread sandwiches ; peanuts , coconuts and betel brought up from Lae ; c heesepops and bubble gum ; and beer . The l atter is one of the main attractions of the singsing , and b eing i llegal without a l icence , was sold ' under the counter at the high price of 6 0 t . a bottle . The singsing , attended by several hundred people from Awande and surrounding village s , continued from early afternoon to dawn of the fol lowing day , a large central fire lighting the scene The man who organised the singsing through much of the night . reported net takings of K96 0 , inc luding gate money , s tal l hire charge s , and debt payments . He s ai d the money would be used by hi s Zain when they thought of a purpos e for i t ; they did not want to waste it on consumption , but were uncertain as to how to inve s t it productively . The new form o f singsing has both economic and social s i gnificance at the l ocal leve l , as another channel for cash exchange and social inter course between Fore vill age s and group s . I t is regarded by s tallholders as a way o f making money , and by vis i tors as an enj oyable form of recreation . Nutritionally, it makes a minor contribution to varying the normal die t , mainly in the forms of fresh mea t , flour products , and beer. From the wider point o f view , the non-productive nature o f the activities 110 involved i n the singsing , and the e conomic and social implications o f high cash expenditure on large amounts o f b e e r must be regarded with some mis gi vings . In Lae , where most Fore men are in full -time emp loyme nt , the meal patterns of men and women are dif ferent , at lea s t during the working week. Men tend to rise at dawn , and drink a cup of sweet ti , o ften accompani ed by bread or plain biscuits , be fore leaving for work . At work tea and biscuits may be supplied in the mo rning , and at lunchtime working men may use e ither the work canteen , or a snack bar nearby ; many , howeve r , have nothing at midday . morning , with their young children ; Women tend to eat l ater in the whether , and what they eat in the middle of the day depends on thei r activi ties , whether they remain at home , go to a garden , or go vis i ting e l s ewhere in town . In the evening the family general ly eats togethe r , and o ften with other fami l i e s sharing the house . Cooking i s usua l ly done in a make shi ft shel te r separate from the main dwe l ling , or in the open yard i f the weather i s fine . S ome people have kerosene s to ve s , but thes e frequently break down and are not very e fficient ; fire is more common . cooking o n a n open The evening meal is variable , but gene rally includes rice , a s tarchy vegetable staple such as taro or cooking banana , or both ; abus i n the fo:rm of fresh meat or tinned fish or meat ; green vegetable . and some Tea , milo , or coffee is drunk after the meal . At weekends , the mo rning meal is l ik el y to be more substantial than on working days ; and the common activity of going around town a s a family or with fri ends means snack foods are more frequently c onsumed then . The mumu i s a rare occurrence in the town . I t i s difficult to obtain suitable s tones and s uffic ient firewood , and expensive to buy large quantities of fresh food . One fami l y I met cooked chicken and vegetables regularly at weekends in an improvi s ed mumu , con s i sting o f a lr had l e s s opportunity to observe meals and cooking practices in Lae than in Awande , so thi s section can only o f fer a general summary , based on informants ' comments and my own impre s s ion s . 111 metal drum containing a l i ttle wate r , over which the food w a s placed on a rack and sealed in with leave s and earth ; the whole drum was heated over a wood f ire , and the contents thus steam-cooked . Although small rrrumu feasts are occas ionally held , they do not consti tute a regular feature of Fore social li fe in the town 1 • At weekends , small informal gatherings of Fore from particular vil lage s are quite common , and on such occasions food , and s ometimes beer , wil l be share d . It seems unl ikely that such gatherings can provide people with a sense o f communal involvement as s uc c e s s fully a s the vi llage mwnu appears t o do , and this may c on s titute a s igni ficant cultural los s as soc i ated with urbanis ation . l I was not aware of any insti tutionalised formal ' Pa ti ' among the urban Fore , s uch as M . S trathern ( 19 7 5 ) describes for Hagen migrants in Port Moresby . I t may be that the Fore place l e s s importance on ceremonial however , exchanges than do the Hageners , with their Moka background ; my period of fie ldwork was too short to a l low inve stigation of such matters . 112 Dietary intake in Awande and Lae was a s s e ssed b y means o f a s impl e recall technique . E a c h sub j ec t was directly ques tioned a s t o what he or she had had to eat and drink on the previous day . The re spons e s were reco rded in a notebook , as items consumed in the morning , at midday ( be lo in P i dgin) , and in the a fternoon : thi s categor i sation into three distinct meal times is somewhat mis leading , bec ause some snacks , and some larger meals as wel l , may be consumed in mid-morning , mid- afternoon , and late at night . However , provided that this qua l i f ic ation i s borne in mind , the conveni ence and e as e of interpretation of the three fold categoris ati on outweigh its disadvantages . There are o ther disadvantages o f the rec a l l method . The mos t obvious i s that people will tend t o forget the detail s o f thei r previous day ' s consump t ion , and in p articular the items between the main of small s nack A related problem i s the poss ibility give a false report , by omitting i tems o f that people wil l which they think the inves tigator may disapprove , o r adding items o f which they s uppos e him t o approve Al though it i s impos s ible to be certain , I b e l ieve that the l atter problem was much l e s s s i gnificant than the former in my surveys . A l imited amount of promp ting was used when it seemed l ike ly that the re spondent might have forgotten something . The third disadvantage of the recall method i s that i t provides no data on of food consumed , and hence cannot be used in asses s ing nutrient intake . For example , the quantiti e s of pig consumed by individuals in Awande were frequently o f the order o f l OOg . or l es s , and sometime s con s i s te d entirely of fat , at other times o f l ean ; in Lae , much smal le r quantities of green leave s were cooked for a meal l water was excluded from the recall data , s ince it seemed one of the mos t l ikely i tems t o be forgotten o r mi s reported . Salt w a s excluded f o r the same reason . 113 than was the case i n Awande . Such variability in s ize and composition of portions of the same food is not re flected in the recall data , which reco rd merely whether or not a particular item was consumed . The advantages of the reca l l technique are several . It i s quick and s traightforward, so that the diets of a re latively large number o f people c an be recorded i n a short time . Because it is retrospective , it doe s not in itself dis tort eating behaviour in the way that weighed intake surveys may do . Finally, use of the technique in culturally re lated popula tions , as were the Fore groups surveyed in Awande and Lae , should yield data between which comparisons are quite valid ; this might be les s true where the populat ions to be compared are c ultural ly unrel ate d , because of the pos sibility of their having differing attitudes to the survey approac h . In both Awande and Lae , the dietary recall survey met with universal co- operation , and a good deal of inte re s t . P eople were keen to j o g e ac h other ' s memori e s where nec e ssary , mos t of the recall s being col le c te d whi le all the members o f a household were together . Re cords were only accepted directly from the individuals concerned, and from adults speaking on behalf of chi ldren too young to reply for thems e lve s . S light di fference s of approach in Awande and Lae wil l be dealt with below . Methods o f analy s i s Data collected i n t h e f i e l d were immediately tran sferred onto coding sheets , where the sex , approximate age and marital status of each respondent were recorded along with his or her consumption of food and drink items in each part of the day , as des cribed above . S ixty- five items were l isted, some l e s s speci fic than others ( for example , a l l forms o f green l eave s , including traditional kumu , common and Chine se cabbage , pumpkin s hoots and choko shoots were recorded as one item} . The data were l ater punched onto computer tape at the Aus tralian National University , and analysed on a UNIVAC 1 1 0 0/42 computer , using the S tatis ti cal Package for the Social Sciences ( SP SS ) . The analys i s con s i s ted mos tly o f s traightforward cro s stabulations o f consumption rate s for each i tem by age group s ; at a later stage , mos t items were amal gamated into mo re inclusive categories , s uch as starchy s tap l e s , 1 14 green/yellow vegetab l e s etc . , to give a more general picture o f dietary patterns . Thes e categories are fully de s cribed i n the results s ection , below . Methods and sub j ec t s in the two survey locations a . Awande . I n Awande , three separate surveys were carried out , in May , July and October 1 97 7 , in o rder to sample the diets at di fferent times of the year 1 • In each survey the same repre sentative series o f hamlets was visite d , the survey lasting one week and covering one , or sometimes two haml e t s per day , but never the same hamle t twice in the wee k . Many individua l s were therefore included in all three surveys but some were omitted on one o r two occasions . The total number of hou seholds covered , and a breakdown o f the survey sample s by s ex and age , are shown in Table 2 , whic h a l so shows the corresponding figure s for Lae . TABLE 2 HOUSEHOLDS AND INDIVIDUALS BY SEX AND AGE GROUP IN DIETARY RECALL SURVEYS , AWANDE AND LAE 1 9 7 7 LAE AWANDE May 16-22 No . o f hous eholds 1 Individua l s , b y s ex July 8-14 70 M Oct . 2 - 8 77 F M Aug . 2 8-Sept . 2 1 76 F M 84 F M F 1 5 years and over 63 65 81 81 78 74 102 81 5 - 1 4 years 59 43 57 47 56 46 16 6 0 - 4 years 31 29 42 34 43 24 39 26 Total 153 137 180 162 177 144 157 113 Total , sexe s combined 290 342 32 1 2 70 Household ' def ined as commensal unit , usuall y larger in Awande than in Lae , where the families are younger ; figure for Lae inc lude s 2 3 single mal e s counted as independent households , though they may sometime s eat in company. l A fourth survey was c arried out from January 26 to February 2 , 1 9 7 8 , by S teve Mil l ar from the Papua New Guinea Insti tute of Medical Researc h , Goroka. These results have n o t been analysed in detail , but they reveal no ma jor divergence s from the pattern common to the o ther three surveys . 1 15 Hamle t s were vi s ited early in the morning, while nearly everyone was stil l at home . I f people had l e ft exceptionally e arly , for their gardens or on o ther bus ine s s , they were excluded from the sample unless they could be located later in the day. People were usual ly quite clear about the divi sion of their food consumption into morning , be lo , and afternoon , except sometime s in the case of mumu meal s . Mos t mumu were reported as a fternoon me als , except in October , when they were split almo s t equa l ly be tween midday and afternoon ; recogni sed as being somewhat arbitrary . the divis ion must be When food was eaten at a mumu , this fac t was recorded , giving data on the frequency o f mumu meal s . b . Lae . In Lae , diet recal l s were collected over a period of about three week s , in settlements all over the town . The Lae sample was comparable in size to the Awande sample s , but its age and s ex s tructure were di fferent in several respects . as s hown in Table 2 . I t contained many fewer children in the 5 - 1 4 years age group , a l arger number of single men , and fewer single women, than the Awande samp le s ; adu l ts in the Lae sample were under 4 0 . nearly al l the The survey sample was larger than the contac ted Fore population whose charac teris tics were de scribed in Chapter 3 (pp� 3 3-37) because it included a number of individuals whos e household a n d e c onomic circumstance s I d i d n o t inves tigate . The urban recall survey was done in the late afternoon , and at weekends , when working men were more like l y to be pres en t . Remembering the previous day ' s food intake did not s eem to po s e any p roblems , once it was clear that ' yesterday ' really meant yes terday and not today . Re sults In Tables 3 to 8 , and Figures 2 and 3, the results are expre s s ed in terms of the frequency o f consumption of different items of food and drink ; the ' consump tion rate ' of a partic ular item is de fined as the percentage of re spondents who reported consuming that i tem during the spe c i fied period on the previous day . The percentage o f respondents who had no food or drink is also reported for e ach period o f the day . The res ults wi l l be de scribed separate ly for the age groups 5 years and ove r , 1 - 4 years , and infants under l year . There was l ittle qualitative di fference in the c ompo s i tion of the diets of 5- to 1 4 -year-o lds and 116 those o f adults in Awande ; in Lae there were too few c hi ldren over five years to make any valid comparison . Re sults for the two s exes have been combine d , s ince the only s i gni ficant sex di f ference revealed on analysi s was in the con sumption of meat pies and aerated drinks at midday in Lae ; men were more l ikely to consume these i tems than were women . a. ( se e Table 3 ) . In Awande , the overriding importance o f sweet potato at the morning meal is obvious , with over 9 0 % of individual s consuming i t i n each survey period ; n o other i tem had a consumption rate of over 1 0 % , excep t for green leaves in the July survey ( 10 . 9% ) . A number o f o ther i tems were consumed by a small percentage of people , but sweet potato alone was the mos t c ommon morning meal . In Lae , hot sweet beverages were c onsumed by 6 0 % of the s ample ; they were frequently accompanied by bread { 17 . 6% ) , plain biscuits ( 1 5 6% ) , sweet potato ( 14 . 1 % ) or rice ( 12 . 2 % ) . sub s tantial number of people { 2 2 . 4 % ) in the morning . Awande ; b. Unlike those in Awande , a in Lae went without food or drink The range of items consumed in Lae was greater than in thi s was true for all meals . ( se e Table 4 ) . Nearly hal f o f each Awande s ampl e had no food or drink ( except perhaps water , which was not recorded ) at midday Of those who d i d e a t , the maj ority had sweet potato , with s ugarcane , pi tpit and green leaves the next most common items . I n the October sample , 9 . 1% ate pork at midday , a l l of it cooked at mumu gatherings ; a higher percentage of people ( 18 . 1 % ) r eported attending midday mwnu meal s l i n October than in May ( 2 . 2 % ) or July ( 9 . 0 % ) . Of the l e s s c ommon items at midday , some ( root c rops , c ooking banana , meat , rice , tinned f i s h etc . ) were c onsumed at mumu meal s , whi le other s ( bi s c uits , tea , co ffee , berrie s , orange j ui c e e tc . ) were in the nature of snack s . for percentage of sample eating at mwnu are not shown in the dis ti nc tion between midday and afternoon mwnu was not always tables ; Comb ining f i gures for midday and afternoon mwnu shows that , easily made . in a l l three Awande surveys , over one third of the sample attended a mwnu on the previous day . In other words , people in Awande , on average , attend a mwnu approximately every third day . TABLE 3 CONSUMPTION RATES OF MAIN FOOD I TEMS BY INDIVIDUALS 5 YRS AND OVER , MORNING . N AWANDE MAY 16- 2 2 AWANDE = 2 30 Sweet potato Tea/coffee/mi lo, + sugar (with mi lk , 3 . 9% ) % N AWANDE JULY 8 - 14 266 % N LAE OCT . 2 - 8 % 254 94 . 3 Swee t potato 91 . 4 Sweet potato 5.2 Green leaves 10 . 9 Tea/coffee/mi lo, + sugar 7 . 9 (with mi lk 0 . 8 % ) Pork 6.0 94 . 1 Taro No food o r drink 4.3 No food or drink 3.4 AWANDE AND LAE No food or drink 7.5 3.5 t AUG . 28-SEPT . 21 N 205 Tea/coffee/mi lo, + sugar 6 0 . 0 (with mi lk , 2 7 . 3 % Bread (wi th butter 1 5. 1 � 1 7 . 6 P lain b i s cuit 15 . 6 Sweet potato 14 . 1 Rice 12 . 2 Green leaves 8.8 Cooking banana 6.8 No food or drink sugarcane , green , rice , tinned fish , taro , , bean root , ripe banana , pork , tinned meat . rice , coffee , meat , yam , taro , corn , green b eans , beef , sugarcane , tinned fish . green leave s , sugarcane , rice , tinned fish , , pumpkin , ripe banana , corn , tinned meat , bee f , plain b i s cuit . 22 . 4 skon *� tinned meat , , taro , aerated drink , cucumber , swee t bi scuit , green beans , ripe banana , pork , eggs , bandicoot , meat pie , buns , ice cream , peanut s . *Skon : flour and water fried in dripping . t consumption rates are given as percentages of individual s ques tioned who reported morning of the previous day . See text for further detai l s !--' f--' -...) speci fied items in the CONSUMPTION RATES OF MAIN FOOD I TEMS BY INDIVIDUALS 5 YRS AND OVER , MIDDAY TABLE 4 N AWANDE MAY 1 6 - 2 2 AWANDE = 230 % AWANDE JULY 8 - 1 4 N 266 % Sweet potato 34 . 8 Sweet potato 39 . 8 S ugarcane 13.9 Sugarcane 10 . 2 Green leaves No food or drink 7. 8 49 . 6 Green leaves No food or drink 6.4 46 . 6 N LAE OCT . 2 - 8 = 2 54 % AWANDE AND LAE AUG . 2 8 -SEPT . 2 1 N = 39 . 8 Rice 18 . 0 Sugarcane 20 . 1 Aerated drink 17. 1 Pitpit 17. 3 14 . 2 Tea/coffee/mi lo , + sugar (wi th mi lk 4 . 9 % ) 13. 7 Green leaves Green leaves 11 . 7 Taro 9. 4 Pork 9.1 42 . 9 Tinned meat cooking banana , cas sava , green beans , filee f , mutton , possum , rice , tinned fish , bread , sweet bi s cuit , ice cream* , peanuts , aerated drink * , tea , coffee . *On vi s i t to wantok in Goroka . 8.8 Sugarcane 7.8 Meat pie 5.9 Sweet potato 5.4 No food or drink , corn , milo , coffee , yam , taro , cooking banana , mushroom, green beans , ginger , berri e s , beef , mutton , rice , tinned fish , skon . % 205 Sweet potato No food or drink tinned fish , meat , plain bi s cui t , tea , coffee , yam, taro , wing bean root , cooking banana , potato , pi tpi t , pumpkin , mushroom , ripe banana , insect larvae , orange , orange j uice , flying fox . t 42 . 4 tinned fish , cooked , cooked fish , buns , cake , bread , sweet biscuit , cucumber , bee f , ripe banana , cooking banana , guava , apple , kulau* , coconut mi lk , e ggs , cooked chicken , meat bal l , skon , p lain b i s cui t , i ce cream , baked beans , spaghetti . *Kulau : young green coconut . t consumption rates are given as percentages of individuals ques tioned who reported consuming speci fied i tems at around the middle of the previous day ( ' belo ' in . See text for further detai l s . I-' I-' 00 CONSUMPTION RATES OF MAIN FOOD I TEMS BY INDIVIDUALS 5 YRS AND OVER , EVENING . TABLE 5 AWANDE MAY 16- 2 2 AWANDE % N N 2 30 Sweet potato AWANDE JULY 8 - 1 4 % 266 N OCT . 2 - 8 = 254 LAE % AWANDE AND LAE t AUG . 2 8-SEPT . 2 1 N = 205 % 97 . 0 Sweet potato 89 . 1 Sweet potato 84 . 3 Green leave s 75 . 6 70. 0 Green leave s 63 . 9 Green leaves 46 . 9 Tea/coffee/milo (wi th mi lk 3 2 . 2 % ) 66 . 8 Rice 63 . 4 Tinned fi sh 36 . 1 Sweet potato 33 . 7 Tinned meat 23.9 Beef 12 . 2 Cooking banana 10 . 7 Taro 10 . 2 38 . 2 53. 0 Green leaves 65 . 2 Wing bean root 20. 0 Pork 16 . 5 Taro 23.2 Sugarcane 17 . 4 Taro 15 . 0 Sugar c ane 20 . 9 Mushroom 14 . 8 Sugar cane 14 . 7 Pork 15 . 7 Pork 12 . 6 Corn 14 . 3 B ee f 15 . 7 Tinned fish 12 . 2 Green beans 9.4 Corn 9. 1 Rice 9. 1 Mushroom 9. 0 Taro 9.1 8. 0 Cooking banana 6.5 Tea/coffee/milo (with milk 1 . 2 % ) Green beans 6.5 Yam 5.2 No food or drink 0.9 dripping green leaves ) , insect larvae , bee f , ripe banana , tinned meat , corn , potato , pineapple , flying fox , cheesepops , tea . (with green leave s ) 6. 8 Yam 5. 3 No food or drink 3.4 , rice , tinned fish , potato , ginger , cheesepop s , mutton . Dripping (with green leave s ) 7.1 Green beans 5.5 Freezer chicken 8. 8 Cooking banana 5.5 Coconut milk (with rice etc . ) 5.4 No food or drink 6.7 No food or drink 0.5 tea , coffee , 5% ginger , yam , pumpk in , mushroom, cucumber , ripe banana , coconut , possum , r i ce , tinned fish , tinned meat , plain bis cuit , peanut . Under 5 % : sugarcane , green beans , skon , cooked chi cken , aerated drink , kulau , cassava , pumpkin , carrot , ripe banana , bread , butter , chip s , plain and sweet bi s cui t , ice cream , dripping , packet soup , beer . who reported consuming specified items in tConsumption rates are given as percentages of individuals the afternoon or evening of the previous day . See text for further detai l s . f-' f-' \!) 120 E E ci ci c c c c E E 0 0 0 0 d d II � E ci c 0 0 c E d M E ci c 0 0 c II E d u...: a::i E E c 0 0 0 0 E E ci ci c c c d N <( I � 0 S2 I � 0 I.!) d uJ 121 I n Lae , as i n Awande , over 4 0 % o f the s ample had no food or For those who did have some thing , no s ingle i tem was drink at midday . outstanding ; rice { 1 8 . 0 % ) was usually accompanied by green leave s ( 11 . 7 % ) , with tinned meat ( 8 . 8 % ) or tinned fis h ; only 5 . 4% ate sweet Many snack i tems were reporte d , including aerated drinks ( 1 7 . 1% ) , potato . hot sweet beve rages ( 1 3 . 7 % ) , sugarcane ( 7 . 8% ) , meat pies ( 5 . 9 % ) , and a variety of other pre-cooked hot foods , c akes and buns , and fresh fruits . c . Evening ( see Table 5 ) . The evening or afternoon mea l in both Awande and Lae typically incl uded a wider range of i tems than did mea l s earlier in the day . In Awande , sweet potato , green leaves and pi tpi t were the main items ; the figures are not s hown in the table , but thes e three i tems eaten together and with no accompaniments cons tituted the commone s t s ingle combination at the evening mea l , being c onsumed by over 1 0 % i n each survey p eriod . Pork was quita a common i tem, mo stly e aten at afternoon mumu feas t s , which were attended by 3 2 . 6% , 2 0 . 3 % , and 1 6 . 1% of people in the May , July and October surveys respec tively ( se e footnote, previous page ) . In October , fresh bee f was eaten by 15 7% o f the sample , some of them at a mumu , and s ome buying i t at a nearby singsing . Of the root c rops , wing bean roots were s ti l l in season in May , while taro was more common in July and October ; corn also c ame i nto s eason after the May survey . The evening meal in Lae was dominated by rice ( 6 3 4 % ) , with the starchy vegetable s taples ( sweet potato , cooking banana and taro) l e s s commonly consume d . The s tarc h , whether rice , vegetabl e or both, was sometimes c ooked with coconut mi lk ( 5 . 4% ) , and usually eaten with green leaves of s ome sort ( 75 6 % ) , and tinned fish { 36 1 % ) or tinned meat ( 2 3 . 9%) ; free zer or fresh meat ( bee f , 12 2 % , and c hicken , 8 . 8 % ) was les s c ommon . The other main item c onsumed with or a fter the evening meal was a sweet hot beverage ( 66 . 8% , with 3 2 . 2 % having milk with i t ) milo and coffee being more popular than tea . Consumption of beer was reported by only two men . d. ( see Figure 2 ) . To allow general comparisons to be more easi ly made , the main food i tems were amalgamated into c ertain categories , as shown in the figure . The items included under each heading are lis ted below , with comments on the c onsumption rates o f each category . 122 A . S tarchy s taples 1 ( sweet potato , yam , taro , wing bean roo t , cooking banana , cas s ava , I r i sh potato ) . The c onsumption rates of thes e were very high at the morning and evening meals in a l l three Awande surveys ; at midday they were c onsumed by mos t of the minority who had anything at a l l to eat . In Lae the s tarchy s tap l e s were quite impor tant at the evening mea l , but the ir consumption rate was hal f that in Awande ; at other meal times they were even l e s s important . B . Rice . This was consumed by very few people in the Awande samples . In Lae it was a maj or item in the evening , but l e s s c ommon in the morning and at midday . C . S ugarcane . A popular i tem in Awande at midday and in the evening , sugarcane wa s l e s s c ommonly consumed in Lae . D . Tea/coffee/milo with white sugar . The contras t between Awande and Lae is particularly s triking in thi s case : rarely consumed in Awande a t any time , hot sweet beverages were a normal component of both the morning and the evening meal in Lae . E . Flour product s { bread , biscuits , buns , cake and s kon ) . These were common breakfas t i tems in Lae , where they were al so quite o ften In Awande they were consumed by few people , eaten as midday snacks and mostly as biscui ts during the day . F . Green/yellow vegetables ( kumu , including a wide variety of green leave s , local and European ; pitpi t , pumpkin , young corn , green bean s , c ucumber , green onions ) . These were predominantly c on sumed at the main , evening meal , and the consumption rate s were s imilar However , the nature o f the vegetable s in both Awande and eaten in e ach place was di fferen t . I n Awande , the c ategory was l arge ly made up of the main local variety of ( ebi 'a in Fore ) , and o f h ighland pi -tpi t ; while in Lae , ptunpkin and choko shoot s , and cabbage s were mo s t important , with no ebi ' a or highland pi tpi t being consume d . G . Meat/fish/eggs ( pork , beef , mutton , poultry , game , e ggs , insect larvae , cooked fish, cooked chicken , meat pie , meat bal l s e tc . ) . The consumption rates were s imilar in Awande and Lae , b eing highes t in the a fternoon o r evening , but again the i tems within the category di f fere d . In Awande , pork predominate d , mos t o f i t coming from vil l age pigs but some bought from the Okapa free ze r ; n ext in importance came beef , purchased from Okapa or further afield . In Lae , snack foods l ike meat pies were more common at midday , and frozen or fre sh bee f and chicken in the evening ; pork was not eaten at al l in the samp le p eriod . In Awande , these were c onsumed by a few people , H . Tinned meat/ f i s h . sometimes acc ompanying a mwnu , and sometimes as part of an ordinary mea l . In Lae , they were the main form o f abus used in the evening l s trictly spe ak ing , this term could include rice , which is a s taple in Lae at least ; as used here , the term re fers to s tarchy root c rops and bananas. 2 The low rate shown for Awande in the evening period in October may be partly accounted for by the s l i ghtly higher rate for midday than in the other two surveys , related to the higher incide nce of midday mwnu meals in October . 123 mea l , usual ly mixed with rice and vegetab le s ; by s igni ficant numbers at the midday meal . they were a l so used I . Other c a tegories . Fres h fruit was eaten more often in Lae than in Awande , but in neither place was i t a major i tem i n the die t . Aerated soft drinks were a c onnno n midday item in Lae , but very infrequent in the Awande s amples . Milk , mo st of it tinned evaporated milk , was added to about hal f the hot beverages drunk in Lae , but was l i ttle used in Awande . Other items consumed occa sionally in Lae but not at a l l in Awande included butte r , peanut butter , coconut, ice-cream, and cooked c hips . I tems consumed only in Awande included mushrooms , and fresh ginger . Age group 1 - 4 year s ( see Tables 6 , 7 , 8 , and Figure 3 ) The s ample s i z e s o f the 1 - 4 year age group ranged from 4 4 i n Lae , to 6 2 in the Awande July sample ; the sma l l numbers provide a poorer bas i s for comparison than was the case for the o lder age group . However, a few points emerge c learly from compari sons within the younger age group , and between it and the age group 5 years and above . In mos t respe c ts , the diets o f the two age groups were very s imilar in kind , quantity . if not in The Thi s is mos t c l e arly seen by c omparing Figures 3 and 4 . differe nc e s whi ch are of some s ignificance were as fol lows . a . Breastmilk . Thi s was an important i tem in the diets of this age group in both rural and urban samples , with no obvious d i f ferenc e s between them in consumption rate s . Between a third and a hal f of this age group breast fed at each period o f the day in every s amp le ; many fed repeatedly throughout the day , but the detail s were not recorded . b. These were drunk by over 4 0 % o f the young c hi l dren in Lae , in the morning and in the evening ; this i s a lower figure than for older children and adults in Lae , but s t i l l very much higher than the corresponding figure for Awande . c. Comparing the consumption rates o f the di f ferent meals between the younger and older age group s , i t appear s at first glance that a much higher percen tage of the young children fed at midday in both Awande and Lae . Thi s differenc e , howeve r , is a lmo s t entirely accounted for by the consump tion of breastmi l k ; the proportions of the o lder and younger age groups eating solid foods at midday are very s imilar . Lae , very few young children went without food i n the mo rning ; In their consumption rates o f rice , vegetables , and tinned meat or fish were over twice thos e of the older age group at thi s meal . CONSUMPTION RATES OF MAIN FOOD ITEMS BY 1 - 4 YEAR-OLDS , MORNING . TABLE 6 AWANDE N AWANDE MAY 1 6 - 2 2 = 50 Sweet potato % 1 00 . 0 N = JULY 8- 14 AWANDE % N 62 LAE OCT . 2 - 8 = % 52 Sweet potato 88 . 7 Sweet potato 92 . 3 46 . 8 Bre astmi lk 38. 5 B reastmilk 40 . 0 Breastmi lk Green leaves 10. 0 Green leaves 9.7 Taro 7. 7 Sugarcane 8.0 Pork 6.5 Green leaves 3.8 Tea , with milk 4.0 Ri ce 6.5 Sugarcane 3.8 Taro 4.0 Pitpit 3.2 Corn 3.2 AWANDE AND LAE No food or drink 3.8 rice , tinned f i sh , plain b i s cui t , mi lo wi th milk * . *On vis i t to Wantok in Goroka . t AUG . 2 8-SEPT . 2 1 N = 44 % Tea/coffee/mi lo, + sugar (with mi lk 2 0 . 5 % ) 40 . 9 Breas tmi lk 36 . 4 Rice 29 . 5 Sweet potato 20 . 5 Green leaves 18 . 2 Bread (with butter ) 18 . 2 Cooking banana 13 . 6 Tinned fish 11 . 4 P l ain biscuit 11 . 4 Green beans 9.1 Tinned meat 9.1 Ripe banana 4.5 Skon 4. 5 Dried milk 4.5 No food or drink 6. 8 Consumed once only : taro , tinned babyfood , bun , aerated drink . t Comparisons of percentage consumption rates should be interpreted with c aution , because of small number s in samples . I-' I:\.) .!:::> TABLE 7 CONSUMPTION RATES OF MAIN FOOD I TEMS BY 1 - 4 YEAR-OLDS , MIDDAY . AWANDE N AWANDE MAY 16- 2 2 = 50 % N = JULY 8-14 AWANDE % N 62 AWANDE AND LAE t OCT . 2 - 8 = 52 % Sweet potato 42 . 0 Breastmilk 46 . 8 Sweet potato 48 . 1 Breastmi lk 34 . 1 Breastmilk 38 . 0 Sweet potato 41 . 9 Breastmi lk 34 . 6 Rice 18 . 2 11 . 3 Sugarcane 8.0 Sugarcane 19 . 2 Ripe banana 9.1 Green leaves 8.0 Corn 4 8 Green leaves 15 . 4 9.1 Pitpit 4.0 Pork 4.8 Sugarcane 15 . 4 Tea/coffee/mile (mi lk 4 . 5 % ) Dripping (with green leave s ) 4.0 Green leaves 3.6 Taro 5.8 Green leaves 6.8 3.6 Pork 5.8 Sugarc ane 6.8 Tea/coffee ( with mi lk 1 . 0 % ) 4.0 Sweet biscui t 6.8 Aerated drink 6.8 Sweet potato 4.5 Tinned f i sh 4.5 Tinned meat 4.5 Skon 4.5 No food or drink 36 . 0 Pumpkin No food or drink 25 8 No food or drink 3 8 25 . 0 No food or drink 22 . 7 rice , meat mushroom , green beans , mutton , plain biscui t , chees epops , b lack coffee . t plain peanuts , b lack pie , plain bis cui t , i ce cream , dried mi lk . *On vi sit to wantok in Goroka Comparis on s of percentage consumption rates should be interpreted with caution , because of small numbers in s amples . I-' !\.) lTl TABLE 8 CONSUMPTION RATES OF MAIN FOOD I TEMS BY 1 - 4 YEAR-OLDS , EVENING . AWANDE N MAY 1 6 - 2 2 = 50 AWANDE % N JULY 8-14 = 62 AWANDE % N .L AWANDE AND LAE 1 LAE OCT . 2 - 8 = 52 AUG . 2 8- SEPT . 21 % N = % 44 - Sweet potato 94 . 0 Sweet potato 77. 4 Sweet potato 75 . 0 Green leave s 72 . 7 Green leaves 72 . 0 Green leaves 54 . 8 Green leaves 40 . 4 Rice 54 . 5 64 . 0 Breastmi lk 46 . 8 Breas tmi lk 40 . 4 43 . 2 Breastmilk 38 . 0 Pitpit 45 . 2 Pi tpi t 32. 7 Tea/coffee/mi lo (with mi lk 2 0 . 5 % ) Pork 24 . 0 Corn 16 . 1 Beef 19 . 2 Breas tmi lk 38 . 6 Tinned fish 31 . 8 Sweet potato 29. 5 Beef 29 . 5 Tinned meat 15 . 9 Sugarcane 18 . 0 Taro 16 . 1 Taro 17. 3 Wing bean root 16 . 0 Sugarcane 12 . 9 Pork 15 . 4 Mushroom 12 . 0 Green beans 11 . 3 Sugarcane 15 . 4 Green beans 12 . 0 Mushroom Corn 6.0 Pork 9.7 Cooking banana 6.0 Rice 6. 5 Ric e 4.0 Tinned fish 4.0 Taro 4.0 Dripping (with green leave s ) 6.5 Yam 4.8 Mutton 3.2 Tea/coffee ( black ) No food or drink r ipe beef , larvae , tinned meat , tea with milk . F-'·"�:: aJ�1-1 .L c , t 9.7 Dripping Green beans 7.7 5.8 Taro 6.8 Cooking Banana 6.8 Coconut mi lk (with r i ce etc ) 4 . 5 4.5 Dried mi lk 3.2 - 3.2 green beans , cooked with butter , a ginger , ripe , compari sons of percentage c onsumption rates should be interpreted with caution , because of small numbers in sample s . I-" N en 127 E E ci ci c 0 0 c 0 0 c c E d II � E ci II N u..: uJ 128 Because o f t h e very small numbers involved ( 10, 1 3 and 1 5 i n the Awande May , July , and October surveys respectively , and 2 0 in the Lae survey) the re sults for this age group are reported in a form d i f fe rent from that used for the o lder age groups . The results for the three Awande sample s have been amalgamated , and they are shown in Table 9 , Thi s form o f pre senta together with thos e for the s ingle Lae sample . t ion give s some indication of the order in which di f ferent foods are introduced into the die t , and at what age s this o cc urs . NUMBER OF INFANTS CONSUMING VARIOUS I TEMS OF FOOD AND DRINK ON P REVIOUS DAY, AWANDE AND LAE Age in months A . Awande No . o f obs e rvations l Breastmilk Swe e t potato Ripe banana Chee sepops Green l eaves Sugarcane 0-2 3-5 6-8 15 10 7 6 15 10 7 7 6 6 l l 4 2 3 1 1 2 l l Pitpi t Taro Wing bean root B . Lae No . of children Breas tmilk Tinned baby food Fanta orange Ripe banana Sweet potato Green leaves Dried milk ( bo ttle fed) 3 Ric e Tinned f i s h Cooking banana Bread Plain bi s c ui t Eggs Chicken Taro I r i s h potato 9-11 7 4 3 6 7 l 1 4 3 l 1 l 5 1 2 2 3 4 l 1 1 l l 1 1 1 l l Note s . 1 . Aggregate data from May , July and October surveys . 2 Fed from bottle at 2 months , by mother rec ently arrived in town . 3 Infant weaned from breast at 5 months because of mothe r ' s prol onged s tay in hospital at that time . 129 In Awande , a l l infants observed were breas t fe eding regularly i in Lae , one infant of ten months was being bottle- fed with dri ed milk , owing to i ts mother ' s prolonged stay in hospi tal after a s evere accident when i t was aged five months . Another infant in Lae , two months old , was being given Fanta orange drink from a bottl e , as we l l as breast mi lk . The range o f early foods was wider in Lae than in Awande , and included a number of store i tems not easi ly obtained in the vil lage , such as tinned baby food , bread and eggs . Sweet potato , ripe banana , and green leave s were common i tems in the infant diet i n both place s . The data are too few to draw any conclusions about the average age at which solid foods are introduced into the die t . General observations a. The results from Awande show marked seasonali ty in consumption o f wing bean roo t , which was high in May { towards the end of the season for this c rop) , but nil in the other two survey periods . and July than in May . Taro was consumed by more people in October Consumption rates for corn and green beans were highes t in the July survey . Seasonal variation in these and other c rops would be b etter revealed by a mo re continuous s urvey 2 • The highe s t c onsumption rate f o r a s ingle item b. of purchased food in Awande was for fres h bee f in the October survey , { c onsumed by 1 9 . 2 % o f the age group 1-4 years , and 1 5 . 7 % o f the age group 5 years and ove r ) . Tinned fish was consumed by 1 2 . 2 % o f the o lder age group in the May s urve y ; green leave s ; other significant items were dripping , with hot beverages ; tinned meat ; ric e ; All o f these had consumption rates of below 1 0 % . and plain bis cuits . There were no obvious di fferences between the three survey periods , despite their fal ling near the beginning , at the peak , and towards the end of the coffee seas on 3 • in agricultural production in the Lae hinterland i s presumably re f le cted in pric e s at the local markets , and there fore s ome seasonal varia in cons umption rates of the various fresh garden c rops would be expected . analysi s o f the Jan/Feb 1 9 7 8 recall survey in Awande { see footnote , p . 1 14 ) shows that wing bean root was again in s eason at that time , as were pandanus nuts (karuka) and red pandanus fruit s (mari ta ) ; taro was still being consumed at rate s comparable to those of July and October . 3 s urpr i s ingly , the Jan/Feb 1 9 7 8 survey , c arried out when c offee was not being s o ld at all , a l s o shows s imilar res ults . 130 Again , a mo r e continuous survey would b e more sensitive t o trends in s tore food c on sumption and might be expected to reveal some relationship between it, and trends in co ffee sales and other forms of cash income . c . Pos s ible errors and omi s s ion s . In Awande , the number of people who reported consuming s nack items , such as c heesepops and aerated drinks , was very smal l indeed . Casual observation sugge s t s the l ik e l ihood o f some under-reporting o f these items , perhaps bec ause they were simply not considered as proper food and were therefore easi ly forgotten ; it i s unl ik ely that people would have been reluc tant to admit to t heir consumption , since there was little i f any awarene s s o f the i r nutritional quality . Howeve r , such items do not form a sub stantial part of the diet in the vil l age , and a l though the absolute figure s for consumption rate s given here may be inaccurate , their re lative importance is very low. S imilar arguments hold for many of the snack foods c onsumed in Lae , which include hot snacks and i ce -creams , as wel l as the sispop na lo li wara common to both environments . Beer is another obvious candidate for under-reporting , but because i ts consumption is concentrated at weekends , and because it i s c ertainly avoided by many Fore households in Lae , the e rror may not be great . The delibera te omis sion o f water and sal t from the recall data is in some ways unfortunate , but consumption rate s alone for the se items would have b een of limited intere s t . I t was my impres s ion that salt was a commonly used item in both rural and urban households , while p lain cold water was much more o ften drunk in Awande than in Lae , where it was replac ed by hot beve rages and aerated drink s . Discussion The dietary recall surveys in Awande and Lae reveal maj or differ ence s in food c onsumption patterns in the two environments . In Awande , the pattern is one of heavy dependence on garden foods , e spec ial ly sweet po tato , supplemented by much l e s s frequent consumption of domes ti c pigs , foods from the bush , and a narrow range of s tore items . In Lae , the Fore migrants are dependent l argely on s tore foods , many of which are impo rted ; the se are s upplemented by vegetable s from the market and from smal l gardens . Dif ferences in c onsumption between young chi ldren on the one han d , and older children and adults o n the other , are n o t very marked i n either 131 environment , with the obvious exception o f brea s tmilk l . Infants are introduced to a wider range of foods in Lae than in Awande , but there are insufficient data to identify any s ignificant difference which might e xi s t in the time of introduction of solid foods . Compos ition of rural and urban die ts Based a s they are on a s imple counting of the frequency o f c onsumption o f di ffere nt i tems , the recall surveys cannot provide any reliable bas i s for the compari son o f nutrient and energy intake s in the rural and urban environments . However , they can give some indication of the compos ition o f the diets in terms o f different nutritional components . To c onclude thi s chapter , these wi l l be tentatively described so far as i s pos s ible given the nature o f the data . I n Awande , by far the greates t percentage o f energy a. intake is provided by s tarchy tuberous s taple s , sweet potato foremo s t among them , with taro , yam, and , in i t s season , wing bean root as other ma j or contributors . S ugarcane i s a secondary energy source , and the o f pork , and balance is made up o f green vegetab le s , sma l l purchased foods including fres h meat , dripping , tinned meat and f i s h , sugar ( in h o t drinks ) , and biscuits . In Lae , rice is the main energy source , with flour products ( bread and biscuits ) and tuberous s taples o f secondary impor tance Energy is al so provided by white sugar us ed in hot drink s , by fresh and tinned meat and f i sh , and by a variety of snack foods and drinks sweet , s tarchy , or fatty. a l l of them Energy is provided mainly by c arbohydrate s in both village and town , with fat intake extremely low in the former , and low by Aus trali an standards even in the latter . b. I n Awande , the predominance o f the sweet potato in terms of frequency o f consumption means that it mus t also provide the bulk o f the pro te i n intake , de spits its low protein content . The high l This f inding is not consistent with the s tated attitudes of urban mother s towards frequency o f c hild feeding , which sugges te d that urban children would be fed mo re frequently than their rural counterparts ( p . 88 above ) . Howeve r , the number of 1- to 4 -year-olds in the Lae s amp l e was only 4 4 , o f whom 1 0 had n o food o r drink in the middle o f the day ; a larger sample might have revealed a signi ficant di fference from the rural pattern . 132 consumption rate o f green leave s , mos t of them dark green and immature , and hence relatively rich in protein , must also contribute s i gni fican tly to the p rotein intake . In season , wing bean roots , which have a protein content of up to 1 1 % wet weight ( Claydon , 1 9 7 6 ) , pandanus nuts , and seve ra l k inds of semi -mature green beans add to the vegetable protein intake . Animal protein comes mostly from the dome s tic pig , which is eaten quite frequently ( approximate ly every fortnight on average , according t. • the re sults given above ) , but in small individual portion s ; purchased pork , beef , and mutton , small game , and tinned f i s h and meat are other s i gnificant contributors to the animal protein intake . In Lae , protein is obtained from the rice and wheat flour products which provide mo s t of the energy intake , and a l s o , in much greater than in Awande , from animal sources . Tinned meat and fish , and frozen and fres h bee f and c hi cken are the main items c oncerned , with e ggs and milk o f l ittle s igni ficance . In contra s t to Awande , mo s t Fore in Lae eat some animal protein at least once each day . The vegetable s i n Lae , whi le consumed a s often a s c. in Awande , are generally consumed in much smaller quanti tie s , a r e not a s fre s h , and probably consis t mainly of l e s s nutritious varieties than i n the vil l age . F o r these reasons , and b ecause o f the lower intake o f sweet potato , vitamins A and C are probably in s horter s upply i n the town . The white rice cons umed throughout Papua New Guinea is forti fied with vitamin B 1 1 by law, so that this should not be a problem. The die t in Lae i s much higher in refined carbohydrates , in the form of white r ic e , white flour products , and white sugar , than in Awande ; consequently, the intake o f fibre must be lower . In summary , the dietary recall data sugges t that the diet in Lae i s l e s s bulky , sweete r , more re fined , and higher in ·protein than is the diet in Awande . B efore describing the impl ications of thes e dietary di fferenc e s for individual and communal heal th and wel l-being , I s hall pre sent some further quantitative data , rel ating to weighed dietary intake in Awande , and household expenditure on food and other i tems in Lae . 133 CHAPTER 1 0 Introduction Any weighed intake diet survey fac e s a number of problems of both execution , and interpretation 1 • First , measurements of actual food intake mus t be accurate , and pos s ible omi s s ions and the need for e stimations minimi sed . S ec ond , the sample s elected for study must be representative of the group as a whole , and their intake during the survey period must in turn be repre sentative of their normal diet . Third , once the data on food intake have been collected , they mu st be converted to f igures for nutrient and energy intake s , if po s s ible through laboratory analysis of aliquots of the foods c on sume d . If chemical analys i s i s not practic abl e , a s e t of food compo s ition tables must be used , introducing a potentially serious sourc e o f error exc ept where the tables have been prepared spec if ically for the locality under study . F inally , if the intention i s to a s s e s s the adequacy of the measured dietary intakes in the abs ence of biomedical examinations , reference mus t be made to theoretical recoIILmended s tandard s , who se relevance to the specific population being s tudied may we l l be doubtfu l . I t was with such problems a s the se i n mind that I dec ided t o ba se my dietary investigations mainly on the recall techniques de scribed in the previous chapter , to which the survey de scribed in thi s chapter should be regarded as supplementary . Reid and Gaj dus ek ( 19 6 9 ) report on a weighed intake survey carried out in Moke village , some s ix kilometres from Awande , in 1 9 5 7 The survey was planned as part o f the extens ive research then beginning into the aetiology of kuru , but its f indings stand independently as a useful summary o f the nutritional compo sition of the traditional Fore diet . The survey covered only three households , measuring the dai ly intake by each household over a one week period , with one further day 1 McArthur ( 19 7 7 ) discusses these problems in the Mel anesian contex t in some detai l . Her criticisms of the nutritional work of a cultural anthro pologi s t ( Rappaport , 1 9 6 8 ) are almost enough to frighten o f f the non specialist altogether ; luckily I did not read the paper unt i l my fieldwork was completed ! 1 34 spent weighing the intake of each individual in one of the hou seholds . Food compo si tion and recommended daily allowances were calculated from table s publi shed in H ipsley and Clements ( 1 95 0 ) . Compari son was made between the Fore diet , as a s s e s sed from the three hou s eholds in the sample , and the d iets of five other New Guinean areas where the same techniques and allowances were used ; the fo llowing conc lus ions were drawn : " The Fore consumed s ignificantly more c alories and obtained more calcium than any of the other groups , and only in the Trobriand I s lands , with a diet rich in fish , did the pro tein intake exceed that o f the Fore . " I n my own surve y , I followed closely the methods u sed by Reid and Gaj dusek , except in my use of more recent food compos ition tables and theoretical requirements 1 • Direct comparisons between the methods and results u sed in the present survey and in the earl ier one are made at the end of the results s ec t ion of thi s chapter . Methods and Sub j ects Household compo sition and rec ommended allowances Three neighbouring households in one hamlet were selected for the survey which took place from October 1 0 th- 1 6th , 1 9 7 7 . Their composition , and their theoretical requirements of energy and protein are shown in Table 1 0 . Household 1 c on s isted of a middl e -aged man and two o f his chi ldren , with occasional vis itor s ; hi s wife and three other children were away visiting wantok in Goroka throughout the week o f the survey . Mos t of the garden food for this hou sehold was coll ected by the 1 2 - ye ar-old daughter , but she was sometime s a s s isted by her father . Household 2 contained a young married couple and their small child ; the husband ' s adult brother , who was unmarried ; ( separated from her husband) and her c hild . and their s ister A woman and her three young children came to j oin the evening meal on one day of the survey . Household 3 contained a married couple and their five children ; the husband was absent from the hamlet overnight on one occas ion , and his older daughter once s tayed overnight in Household l ; from Hou sehold one o f the boys 2 came to stay for one night . l I did not rep licate their one-day survey of food intake by individual s in a s ingl e household , nor calculate vita�in o r mineral intakes . 1 35 TABLE 1 0 HOUSEHOLD COMPOSI TION AND THEORETICAL ENERGY AND PROTEIN REQUIREMENTS OF HOUSEHOLDS IN WEIGHED DIETARY INTAKE SURVEY , AWANDE No . Age Sex Wei ght {kgs ) Relationship to household head Days eating in household Theoreti cal requirements * daily ( 1 ) & for week ( 2 ) MJ (1) Household No . l . (wi fe & 3 chi ldren absent) M 45 53. 2 1. Head F 2. 13 33. 2 Daughter M 12 . 7 3 2 Son M 4. ( 6 0 e st ) 35 Vis itor F 5. 8 n.k. t Vi sitor M 10 n.k. 6. Vis i tor F 17 7 7. 8 Vis i tor 6� 7 7 l 1 1 � 10. 6 10. 3 5.7 11. 5 8. 8 10 . 5 8.8 Tot al theoretical requi rement over week Household No . 2 . M 49. 5 35 1 43 2 F 25 2. M 11 8 4 3. F 30 55 0 4. M 5 14. 1 5. M 63. 6 6. 25 F 25 ( 5 5 est) 7. M 5 n.k. F k 3 9. F 10 . Head Wife Son S i s ter S i s te r ' s son Brother Vis i tor { lactating) Vi s itor Vis i tor Vis i tor ( whol ly breastfe d ) Head Wi fe ( lactating) Son Son Daughter Daughter Son (breastfeeding ) Vi s i tor Total theoreti c al requirement over week (2) {l) 68. 9 72 . 1 39. 9 11. 5 8.8 10. 5 4.4 43 45 23 49 35 43 35 (2) 279. 5 31 5 . 0 161 . 0 49. 0 35 . 0 43. 0 17 . 5 2 16 . l 7 7 7 6� 4� 5 � � � � 9 00 . 0 37 9 . 6 67. 2 32 5 52. 5 7 2 50. 29 41 9. 2 59. 8 7. 2 32. 4 29 12 . 5 6 2 . 5 52 11. 5 5 7 65 29 7.8 3.9 6 4 23 3. 2 included in mother ' requirements 3 37 . 6 Total theoretical requirement over week Household No . 3 . M 35 1. 51. 8 30 35 . 0 2. F M 12 25 . 9 3. M 19 . 5 10 4e F 17 . 7 8 5. F 10. 5 4 6 M 1 7. 3 7. M 14. 1 5 8. Protein ( g . } 5� 7 7 7 6 7 7 1 9.6 9.0 11 . 3 10. 5 8. 8 7. 0 4.9 7. 2 52. 8 63. 0 79. l 73. 5 52. 8 49 . 0 34 . 3 7.2 411. 7 259 0 2 24 0 203 0 2 66 . 5 130. 5 260 . 0 32 . 5 14 5 11 . 5 s 1401 . 5 42 50 43 43 35 29 23 29 231 . 0 350 . 0 301 0 301 . 0 2 10 . 0 203 . 0 161 . 0 29 . 0 1 7 86 . 0 * Calculated from WHO ( 19 7 3 ) , Table s 3 , 4 , 7 , 2 5 . Requirements for chi ldren not adj usted for body we ight . Protein requi rement s assume prote in s core of 7 0 % tn . k . not known . = 136 The theoretical requirements for energy and protein l were calculated from tho se li sted in the FAO/WHO publ ication , Protein Requirements 1 (WHO , 1 9 7 3 ) ; ' Energy and requirements for adults were adj usted for body weight , while those for children were not , on the grounds that their growth might have been retarded as a result of insufficient food intake . Requirement s for protein are based on an as sumed net protein utili sation value of 7 0 % , as sugges ted by the PNG Departmen� of Health , ( 1 9 7 5 ) . Requirements were summed for e ach individual over the period he or she was eating in the household , a s ingl e morning or evening meal counting one half the daily requirements towards the total . Requirements for each member of the hou sehold were then summed over the week , giving a total theoretical requirement for the week which could be compared with actual intake by that household . Daily food intake was measured with the help of my vi llage field a s s i s tant . Each day , food brought into e ac h household from the gardens was d ivided into prepared for cooking . pitpit and weighed , before being The main foods were sweet potato and l eafy green s ; the mo st important of the l atter consisted almo st entirely of ebi 'a Fore green l eafy vegetabl e s . the late afternoon ; household ' s pigs was set aside, as remainder was weighed . sugarcane Most food was any sweet potato intended for the normal before the The households were again visited early in the morning , and i f any surplus sweet potato f rom the previous night was to be given measurement . the pigs it was weighed and subtracted from the earlier Coffee scales weighing up to 2 5 kg . were u s ed for weighing quantities over 1 kg . ; u sed for smaller a kitchen scales accurate to 2 5 g . was Water intake was recorded . S tore food s , and portions of meat brought from other hamlets or villages also weighed whenever possibl e , and estimates made of any small items c onsumed away from the hamlet ; maj or meals c onsumed use the term ' theoretical requirements ' throughout this chapter , following the terminology of the FAO/WHO expert committee . It should be noted that the theoretical energy 1 requ irement s 1 l isted by the latter a�e average figure s , while the protein ' requirements are the average plus 2 standard deviations , giving what the committee refer s to as f igure s for ' safe leve l s ' o f protein intake , theoretically adequate f o r 98% o f people . (See McArthur , op . cit . pp . 10 5 - 6 for comments on thi s approach) . 137 elsewhere were ignored , and a corresponding deduct ion made from the recommended allowance s , as explained above . S everal mumu were attended by the hous eholds in the sample , and these were c arefully observed so as to minimise the errors which might have resulted from undetected exchange s o f food ; it was not pos sible to weigh every exchange made , but overall , goods g iven and rec e ived seemed to b� in approximate balance . Before energy and protein intake s could be derived from tables of food composition , the weights of raw unprepared foods had to be converted to weights of raw edible portions , and thi s nec e s sitated calculation of appropriate conver s ion factor s . Thes e were obtained by s everal repeated measurements for each item , and those u s ed were as follows : sweet potato , whole to pee l ed , 8 6 % ; ripe banana , whole to peeled , 7 1 % ; portion , 3 6 % ; taro , whole to peel ed , 7 8 % ; pitpit hearts a s picked , to edible pitpit , whole stems to edible portion from mumu , 2 0 % ; sugarcane , whole to edible portion ( i . e . j uice ) , 5 0 % . The c onvers ion factor for green bean s was taken from Reid and Gaj dusek ( op . c it . ) , who used a f ac tor of 6 0 % to convert the weight o f whol e pod s a s harvested to the weight o f the edible portion of beans . Weights of edible portions of foods were u s ed to c alculate figures for energy intake ( in megaj oule s ) and protein intake ( in gram s ) , using the food c omposition tables produced by the Western Pacific Regional Office of the World H ealth Organisation (WHO , 1 97 2 ) and reprinted in the 1 Liklik Buk ' rural development handbook for Papua New Guinea ( Melanesian Counc il of Churche s , 1 9 7 7 ) . Thes e food tables are themselves a compos ite of many previously publ ished sourc e s , and c ontain figures for mos t of the items consumed during the survey . The use made of the food table s in the case of the following items should be noted : per 1 0 0 g . edible portion , sweet potato was taken to contain 1 1 7 kcals , and l S g . prote in ; taro , 1 0 4 kcals and leafy greens ( u s ing figures for ' dark green leave s ' } , 41 kcal s . and 5 . 0 g . protein . yellow squash ; . 3 g . protein ; Pumpkin was taken to be equivalent to green bean s { fol lowing Reid and Gaj dusek) as containing hal f the energy and protein content of dr ied beans o f Phaseo lus vu lgaris ; pig a s being medium fat ; insect larvae a s equivalent to sago grubs ; tinned meat a s tinned corned beef ; and beer a s containing 3 . 0% alcoho l . 138 Mos t other items were exactly as l isted in the WHO Tabl e s . Figures for bee f , mutton , and dripping were taken from Platt { 1 962 ) , and f igures for roas ted packeted peanuts from Corden and Thomas ( 19 71 ) . A factor of 4 . 18 6 was appl ied to the kilo calorie figure s to convert them to kiloj oules . Nutrient l o s s e s through cooking and overnight s torage were ignored . Results Food , energy and protein intakes The re sults for the three households are presented in Table 11 , where the apparent adequacy of the energy and protein intake s is also shown , in terms o f the percentage s of theoretical requ ir ement s actually consumed . There are s everal quite striking difference s in the compo sition of the d ie t s in the three households . In Household 1 , energy intake was close to the theoretical requirement ( 92 3 % ) , while protein intake was 6 9 . 2 % o f the requ irement . Garden foods c ontributed over 9 5 % and 90% of the energy and protein respectively , with small of pork , mutton , r ic e , tinned meat , dripping and beer making up the balance . Of the garden foods , sweet potato was by far the mo s t important , with taro and sugarcane supplying s igni ficant additional amount s of energy , and taro a l so , with l ea fy greens , supplying sma l l amounts of protein . In Household 2 , energy and pr otein intakes were both j u s t above theoretical requirement s , at 1 07 . 8% and 1 04 . 2 % respectively . S tore foods were more s i gnificant in thi s hou seho ld , providing nearly 1 5 % o f the energy intake , mostly as white sugar and ric e , and nearly 1 8 % of the protein intake , mostly as ric e , and tinned meat and fish . S everal small portions of beef , pork and mutton accounted for 4 . 3 % of the protein intake . Sweet potato was again the largest s ingle contributor to energy and protein intake s , but leafy greens , consumed in much larger quantities than in the other two households , provided nearly 2 0% of the protein intake . In Household 3 , energy and protein intakes were both wel l below the theoretical requirements , at 5 8 . 8 % and 44 . 3 % r e spectively . foods contributed only 1% of energy , and 2 . 4% of protein intake ; S tore fresh animal protein in the form of a few insect larvae and a smal l portion TABLE 1 1 TOTAL FOOD INTAKE O F THREE AWANDE HOUSEHOLDS OVER ONE WEEK ( E xpre s s ed as uncooked w e i gh t of e dible portion , Hous e ho l d Wt . E . P . kg . Swe e t p o tato Taro MJ Househo l d l P rote in Energy e ne rgy content and protein content } % g. % Wt . E . P. kg. 2 Househol d Prote in Energy MJ t g. % % Wt . E . P. Energy MJ kg . % 3 Protein g. % 34. 5 8 169 . 5 4 85 . 0 4 49 . 6 72 . 2 5 4 . 08 2 6 5 . 12 72 . 8 70 3 . 0 48 . l 4 3 . 35 2 . 42 10 . 54 5.3 45 . 9 7.4 2 . 18 9 . 52 2.6 41. 5 2.8 3 . 12 1 3 . 60 5. 6 59 . 3 7.5 0 . 80 3 . 15 0.9 10 . 4 0.7 0 . 25 0 . 98 0.4 3. 2 0.4 Ripe banana 2 12 . 5 2 8 7 . 9 56 3 . 6 71. 3 S ugarcane 2 . 26 6. 73 3. 4 6. 8 1.1 2 . 10 6 . 25 1.7 6.3 0.4 0 . 65 1 . 94 0. 8 1. 9 0.2 Leafy greens 0. 53 0 . 90 0. 5 26 . 3 4.2 5 . 80 9 . 96 2 7 2 90 . 0 19 . 9 0 . 40 2 . 41 LO 70 . 0 8. 9 P i tp i t 0 . 88 0 . 99 0.5 4. 4 0. 7 6. 21 7 . 03 1.9 31. l 2.1 2 . 64 2 . 99 1. 2 13. 2 1. 7 cabbage 0 . 15 0 . 16 0. 1 2. 4 0. 4 1 . 05 1 . 10 0. 3 16. 8 1.2 0 . 40 0 . 42 0. 2 6. 4 0. 8 Pumpk in 0 . 82 1 . 14 0.6 10. 7 1. 7 0 . 10 0 . 14 0. 1 1. 3 0. 2 0 . 50 0.27 0. 1 4. 0 0. 3 0 . 31 2 . 20 0.9 36 . 0 4. 6 0 . 08 0 . 61 0. 3 4.9 0.6 O . lOe 1 . 53 0.6 12 . 0 1.5 0 . 05e 0 . 75 o. 3 3. 3 o". 4 Cucumber Green b eans 0 . 20 1 . 38 0. 7 22.6 3.6 0 . 30 2 . 11 0. 6 34. 7 2.4 Corn 0 . 05 0 . 18 0. 1 1.6 0.3 0 . 04 0 . 16 0.1 1.4 0.1 Beetle l a rvae"° Pork O . lOe * 1. 53 0.8 12 . 0 1.9 0 . 10 1 . 53 0. 4 12 . 0 0. 8 Mutton O . lOe 1 . 04 0.5 15 . 0 2.4 0 . 13 1 . 30 0.4 18 . 7 1. 3 0 . 20e 3 . 02 1.5 13 . 4 2.2 1 . 35 0 . 06e 0 . 56 0. 3 11 . 2 1.8 0 . 03 1 . 12 0.6 Ri ce 2 . 20 0.6 32 . 0 2.2 2 0 . 36 5.6 90 . 5 6. 2 0 . 20e 1. 8 3 0.5 36 . 3 2.5 0 . 43 5 . 59 1.5 93 . 5 6.4 0 . 06e 0 . 79 0. 3 13. 2 1. 7 7.7 0. 5 0 . 06 1 . 04 0. 4 2.6 0. 3 790 . 9 100 . 1 0 . 20e Bee f ( dry wt . ) Tinned meat Tinne d fi s h Dripping B i s cui t s 0 . 16 3. 03 0. 8 White sugar 1 . 00 16 . 2 2 4.5 Peanuts 0 . 08 1 . 82 0.5 19 . 5 1. 3 0. 2 3 . 70 5 . 43 1.5 11. l 0. 8 199 . 3 7 1 00 . 2 6 2 3 . 0 1 00 . 1 80 . 41 2 16 . l 900 . 0 ( pk t . ) 0 . 37 Bee r TOTAL INTAKE § 42 . 75 RECOMMENDED INTAKE ACTUAL/RE C . x 100 0. 3 0 . 54 1. 1 69 . 2 % 9 2 . 3% 36 3 . 9 8 1 00 . 0 1460 . 5 100 . 0 337 . 6 1 0 7 . 8% 1 40 1 . 5 52 . 57 2 4 1 . 92 4 11 . 7 58.8% 104 . 2 % tFor de tai l s o f hous ehol ds and o f c a lculations o f food composi tion and re commended intakes s e e text . *e - e s timated from verbal repor t . oo Compo s i t ion e s timated as s ago § I tems not s hown : Household 1 , grub . 30g . salt ; Househol d 2 , 5 0g . s al t , 50g . tea , 175g . ins tant c of fe e . 1 0 0. 0 1 7 86 . 0 44. 3% I-' w '° 14 0 of pork provided only 2 . 1 % of total protein intake . Sweet potato once again accounted for by far the greate st part o f total food , energy and protein intakes ; taro , l ea fy greens and green beans were the other garden item s c ontributing s ignificantly to protein intake . I n F igure 4 , results from the three households have been combined to g ive diagrammatic repres entations of the c ompos ition of the average diet in terms of energy and protein . The overwhelming importance of the s tarc1 .; staple s , and predominantly of sweet potato , i s c l ear in both . S tore foods , having a protein : energy ratio which is generally higher than that o f mos t garden foods , contribute disproportionately to prote in , as compared to energy , intake . U s ing data from the £ood compos ition t ables already c ited (WHO , 1 9 7 2 ) , the percentage of dietary energy derived from protein was calculated . For the c ombined diets of the three households , this figure was 4 . 2 5 % . Once again , the predominance of sweet potato , with only 3 . 0% of its energy as prote in , is the main determining factor . S everal di fference s in methods of measurement and analys i s render invalid a direct compari son between the r e sults o f thi s and the earlier study by Reid and Gaj dusek { op . c it . ) ; maj or dif ferenc e s in method were as follows : i ) Measurement of food intake : Reid and Gaj du s ek took no acc ount of wastage through sweet potato or taro peel ing s , and a s sumed a conver s ion factor of 5 0% for pitpit hearts as harve sted , to edible portion ( c f . 3 5 % in present survey ) . ii) Food compo sition tables : Reid and Gaj dusek used the table s compiled for the New Guinea Nutrition Survey Expedition ( H ip s l ey and Clements , 1 9 5 0 ) The se tables g ive f igures for energy and protein c ompo sition which d i ffer from those u sed in the present study for c ertain important food s . Per 1 0 0 g . edible portion , the f igure s used by Reid and Gaj dusek were as fol lows ( figure s u s ed in present study in brackets ) : g . protein Kcal s . S weet potato Taro Pitpit S ugarcane Leafy green s (117) 150 { 10 4 ) 145 38. 4 ( 2 7 ) ( 35 . 5) 58 44 (41) 0.9 1.4 4.1 0.4 4.0 (1.3) ( 1 . 9) ( 0 . 5) ( 0 . 15 ) ( 5 . 0) ( Re id and Gaj du s ek ' s f igures for pitpi t refer to the lowland specie s , Saccharum edule , not to the highland spec ies , _;,.��- palmaefol ia} . 141 FIGURE 4 . MAIN SOURCES OF ENERGY ( E ) AND PROTEIN ( P ) IN AWANDE DIET ( Percentages der ived from aggregate data from three household s ) starchy stap l e s 85 . 1 % ref ined sugar 2 . 0% sugarcane 1 . 9 % fresh meat 1 . 3 % tinned meat and f i sh 1 . 2 % other 1 . 3 % ( sweet potato 8 0 . 4 % ) 6 . 4% and f i sh 5 . 4 % fresh meat 3 . 8 % rice 3 . 7 % starchy stap l e s 65 . 3% ( sweet potato 5 9 . 7 % ) other 3 . 0% 142 i i i ) Energy and protein allowanc e s . Reid and Gaj dusek u sed the ' Suggested Dietary Al lowanc e s for New Guinea Natives ' given by Langley as part of the Nutrition Survey Expedition Report ( H ipsley and Clement s , ibid) . These allowance s are on average about 1 0% lower for energy intake s , and about 8 0 % h igher for protein intakes , than thos e u sed in the pre sent study . Compari son between the results of the two surveys can only be made if the same methods of measurement and analy s i s are u sed in both . To make such a c ompari son pos s ible , the data from the Awande survey were reanalysed using the same .methods and source s as were used by Reid and Gaj dusek for the Moke Survey 1 • The two alternative sets of re sults for the Awande Survey are compared with the re sults from the Moke Survey in Table 1 2 . COMPARIS ON OF 1 9 5 7 MOKE DIET , WITH 1 9 7 7 AWANDE DIET Percentage o f recommended allowance s ( Average of three households over one week) Survey Energy Moke , 1 9 5 7 ( Reid and Gaj du s ek , 1 96 9 ) 1 1 42 . 0 61 . 3 Awande , 1 9 7 7 , analysed by Reid and Gaj dus ek ' s 1 35 . 7 60. 3 86. 3 72 . 3 Awande , 1 9 7 7 , analysed by alternative methods 3 l Average o f re sult s shown in Table 3 of Reid and Prote in ' s paper . 2 Methods described ful ly in Reid and Gaj dus ek ( ibid ) , and summ ari s ed in thi s chapter . 3 Methods described fully in this c hapter . re sul t s in Tabl e 1 1 . Average f igur e s derived from The s e r e su l t s are intere sting in two respect s . First , the Moke and Awande resu l t s , when calculated on the same bas i s , are r emarkably s imilar . Whether this s imilarity is mainly fortuitou s , or reflects a real cons istency in the level of dietary intakes over a twenty year I some items in the Awande diet were not li sted in the food table s in Hipsley for such items , the WHO table s were used in the and Clements ( ibid) ; Figures for cal c ium , thiamine and ascorbic acid were not reanalysi s . calculated . 143 period cannot be e s tabl i shed , g iven the very small samp l e s and the brief duration of the surveys . most The compo s ition of the diets differ ed in the inc lusion of purcha s ed food s , inc luding fresh meat a s wel l a s proce s sed store food s , in the Awande diet . foods were c onsumed by the Moke sample hou seholds ; No store otherwise , in terms of garden food s , the compos it ion of the d iets was not very d ifferent in the two surveys , var iation within each being as great as var iation between them . The second intere st ing feature in Table 1 2 l ie s in the compar i son between the alternative sets of r e su l t s for the Awande survey . large differ ence in apparent adequacy of energy intake i s The accounted for by the d if f erence s in the food tabl e s u sed in each c a s e ( see above } . The dif ference in apparent adequacy of protein intake i s not so great a s for energy intake ; in my own analys i s , the effect of the muc h lower allowance s derived from the FAO/WHO rec ommendation s is partly off set by the very much lower f igure u s ed for the prote in content Two important conc lus ions c an from c ompari son the of dietary can lead to different sets Despi te the narrow scope o f the survey described in thi s chapter it is of some inter e st to c ompare the general f inding s with those of other studie s , and with the finding s of the dietary recall surveys described in the previous chapter . Hip s ley and Kirk ( 1965 ) give figures for the percentage composition 1 Both these conclusi ons were , to some exte nt , anticipated in my original dec i s i on not to use small weighed i ntake surveys as the princ ipal s ource of data ; the decis i on seems to be j usti fie d by the empirical e xercis e des c ribed i n thi s s e ction . 1 44 of the average adult diet in the Chimbu vi l lage of Pari , in 1 96 2 . Sweet potato contributed 7 7 % o f energy , and 4 1 % of protein ( cp . 8 0 . 4 % 5 9 . 7 % respectively in Awande ) . and Beans and corn were of greater importance in Pari , but at the time of the Awande survey these crops were not in their mos t productive s eason . Leafy greens contributed 2 1% o f the prote in intake at Pari , compared with 1 3 . 4 % at Awande . The main di fference between tre diets lay in the comp lete abs ence of s tore foods from the Pari diet , whi le these items contributed over 9% of the energy , and over 1 3 % of the p rotein in Awande . It is quite l ikely that by 1 9 7 7 , fi fteen years after Hipsley and Kirk ' s survey , s tore foods would have become more s igni fi c ant i n the P ari die t as wel l . In a more recent survey in another vil lage in the Chimbu are a , carrie d out in 1 9 7 5 , sweet potato contributed 8 3 . 5% of the total energy intake , whi l e s tore foods ( mostly rice , bread and tinned fis h ) contributed 8 % ( Lambert , 1 9 75 a , Table 5 ) . Another recent survey , at Lufa , an area of the E as te rn Highlands about 50 km. from Awande and in a simi lar e co logical s et ting , is reported by Norgan e t . a l . ( 19 7 4 ) . In the Lufa diet , sweet potato contributed 6 3 . 8% of the energy , and 3 7 . 2 % of the p rotein intake . contributed 5 . 3% o f energy , and 16 . 5 % of p rote i n . 1 0 . 3 % of energy , and 1 5 . 0% of prote in . Animals , mo s tly pig , S tore foods contributed Thus there was a les s e r dependence on sweet potato , and a higher i ntake o f animal and s tore foods than in Awande . Had a pig been k i l le d and eaten within the s ample hamlet during the Awande s urvey , the animal protein intake would have been greatly increased ; as it was , the small amounts of pi g , bee f and mutton that were con s umed c ame as gifts from o ther hamlets , and from a singsing at another village . In general , the n , the composition of the Awande diet as assessed in the wei ghed intake survey o f three households , i s close to that o f other Easte rn Highland an d Chimbu populations s tudied . S e as onal variation in consumption of garden crops and s tore foods , and the i rregu lar pattern of consumption of pork , are not re flected in the bri e f period over which the Awande survey was carried out ; the compos ition of the diet averaged over the whole year might therefore be quite si gn i fi cantly di f fe rent from the one des cr ibed here . Adequacy of the diet Because they were gathered on a household basi s , the results o f the s urvey cannot be used t o calculate per capita intake f igure s . Th e 14S figures given in Table 1 1 for the actual energy and protein intakes , by househo l d , as percentages of the FAO/WHO theoreti cal requirements sugges t that there i s conside rable variation between households i n the adequacy of thes e intake s . In two of the househo lds , the leve l s of energy and protein intakes were probably sati s fac tory , given the likely margin o f error in the survey . In the third household , however , the level s o f energy and p rotein intake were we ll be low the recommendations , such that clearly visible sign s of malnutrition might have been e xpec ted . S uch symptoms were not in fact obs e rved , but it may be re levant to note that the mother in thi s household , aged about thirty years , weighed only 35 kgs . whi le her 18-month- o ld s on weighed 7 . 3 kgs . , about 6 5 % of the Harvard s tandard wei ght for his age . However , the point must be made once again that the diet of a household over a s ingle week may not be representative of its usual intake . Averaged over the three househo lds , the percentages of theoretical requirements actually consumed were 86 . 3% and 7 2 . 3 % for energy and protein respective ly These figures compare favourably with those give n by Lambert ( op . ci t . ) men ts . for the Chimbu in 1 9 75 , using the s ame FAO/WHO require The Lufa survey (Norgan e t . al. , op. cit. ) uses a higher s core for the quality o f dietary protein than the 7 0 % net protein uti lizat ion rate a ssumed for Awande and Chimbu, and the prote in intake was well above the safe leve ls for all adult groups except lactating women , whose intake was 88% o f the s a fe leve l . The Lufa survey c ompared energy intake s with actual expendi ture , rather than with theoreti cal allowances , s o the results c an not be compared with thos e from Awande l . S innett ( 19 7 7 , pp . 71 - 2 ) , cit ing an e arlier WHO expert committee on p rotein requirements (WHO , 1 9 65 ) , s tate s that , " i f the protein content of the diet contributes les s than 5% of the total c alorie intake , an optimum intake of protei n cannot be achieved as appetite is sati s fied be fore protein requirements are met . " In his own s tudy among Enga sweet potato cultivators living at Murapin in the Wes te rn Highlands , Sinnett ( op . c it . ) for les s than 4% of total c alorie intake . al . found that protein accounted In the Lufa study , Norgan e t . ( op . ci t . ) give figure s o f 6 . 5 % and 7 . 2 % o f total energy intake as l The res ults for energy balance from the Lufa s urve and the associated Y, survey on Karkar I sland , were intriguing ; they revealed an apparent de ficit in energy intakes which the res e ar ch team found impo s s ible to explain s atis factor i ly on either theoreti cal or practical grounds . 1 46 protein , for adult men and adult women respective ly . In the Awande survey , the f igure of 4 . 2 5 % is intermediate between the s e , reflecting an intake o f s tore foods higher than at Murapin , and lower than at Lufa . Because of the many potential sources o f e rror , alre ady dis cussed, in the calculation of the figures for adequacy of energy and protein intakes , the Awande survey s hould be regarded only as broadly indicative of the general composi tion of the diet . Reliab l e a s s e s s ment o f the degree to which tue diet sati s fi es nutritional requirements mus t await a much more thorough s urvey , not only of nutrient and energy intake but also of physi c a l health itself . The we ighed intake survey resul ts confi rm the conc l us ions reached on the b as i s o f the recall s urvey res ul ts . Both s e ts o f resul ts i ndic ate the bulky nature o f the rural Fore die t , with its preponderance o f sweet po tato ; the low cons umption o f animal pro te i n ; and the relative ly small contribution o f s tore foods to the diet. In two o f the households covered in the weighed i ntake s urvey , l eafy greens and were consumed l e s s o ften during the week than the resul ts o f tne r ecall surveys s ugges t is typic al for Awande as a who l e ; in the c a s e o f one o f the households , this may have b een due to the abs ence of the mo ther garden . who wo uld normally have col lected thes e i tems from the In o ther respec ts there were no obviously unus ual i tems in the diets o f the three households . The cons umption o f one kilogram o f white sugar , us ed in ho t drinks , by one of the households doe s not represent a regular feature of the die t , but , rather , a luxury indulged i n from time to time by mo s t ho us eholds . Compari ng the relative merits of the two kinds o f die tary survey used in thi s s tudy , it is c lear that the recall method provides a better overall p i c ture o f the nature of the typic al die t in terms of i tems o f foods consumed , while only the wei ghed intake me thod c an provide fi gure s for ac tual nutrient or energy intakes . An alte rnative method might have been to combine features o f the two described , by a sking people to recal l not only what i tems were consumed on the previous day , but also thei r approximate quantiti e s in terms of number of tubers , length of sugarc ane e tc . The data thus obtained might then have been converted to approximate weights , derived from a s eries of s ample measurements , and s ubsequent 14 7 analysi s have been bas ed on the use of food tables and theoretical requirements , as above . However , this method would no t have provided very r el i abl e fi gures for nutr ient and e nergy intakes , for which s eriously inac curate figure s may be wors e than no f i gure s a t al l . 148 CHAPTER 1 1 F or peopl e whose food s upply i s mo s tly purcha s ed from s tores and marke: '. s , rather than produced in their own gardens , the pattern o f cash expend iture i s o f maj or s igni fi cance to the die t . Such i s the c a s e with the Fore l iving in Lae , and this chapter de scribes the findings of a small ho usehold expenditure s urvey , de s i gned to throw some light on the rel a tive value s pl aced by the urban Fore on di fferent food i tems , and on food compared to o ther ca tegori e s of expendi tur e . Several household expenditure s urveys have b een carri ed out in urban centres in Papua New Guine a , mos t of them in Port More sby . Information contained in earlier s tudies ( Be lshaw , 1 9 5 7 , on Hanuabada ; Spinks , 1 96 3 , on Hanuabada and Koke ; Camp in 1 96 3- 64 Hitchcock and Oram , 1 9 6 7 , on Rabia and Oeser , 1 96 9 , on Hohola in 1 96 2- 6 3 ) is now somewhat dated , because of the great i ncrease in real incomes over the pas t decade or so , and the sub s ti tution of cash for rations , a ma j or source of income in kind for many employees included i n the survey s . Nevertheless , it is interes ting to note that a common of all these e arly s tudies was that the urban groups s urveyed were largely dependent upon imported foodstuf fs , in parti c ular rice , for their energy intakes ; and that this choice was economically rationa l because o f the high price s of traditional s tarchy s tapl e s in the Port Moresby markets . Malcolm ( 1 9 7 3 ) us es data from a Department o f Labour i ncome and expenditure s urvey carried out in 1 9 7 0 among low income public s ervants in Lae . Malco lm ' s intere s ts are spec i fically related to nutri tion , and ne used the data to c a l c ulate figures for dietary intake in the 1 8 hous eho lds : on food and beverages was $ 1 5 . 7 0 per income . Calorie s derived from protein , carbohydrate and fats were 1 2 per cent , 7 7 per cent and 1 1 O f the protein cons umed , 38 per cent per c en t was from animal sources . . . The protein intake was e s tima ted to be 68 per c en t higher than the FAO/WHO ( 196 5 ) recormnended a llowances per household and the only dietary defic i t shown was calcium. Calories derived from sugar and s ugar- containing the changeover to Kina the $ PNG was at pari ty with the $ Aus t . 149 bi s c ui ts was 2 1 per cen t , pre s umab ly a ma j or fac tor in the ( ib i d , p . 1 6 2 ) . high c aries rate obs erved in the town . 11 S tra the rn ( 1 9 7 5 ) , in a s tudy of Hagen migrants in Port Moresby in 1 9 7 0 - 7 2 i nc ludes data on the budgets of nine unskil led migrants over one for tnigh t . Their wages ranged from $ 1 5 to $ 5 6 , and their expenditure on food from $2 to $ 1 6 . 2 0 , with a further sum , reaching $ 20 in one case , s pent on beer ( ibid , Table 7 . 2 , pp . 32 2- 3 ) . one of the men was married, and he had no children . Only S trathe rn s tates that thes e budgets give " some i dea of the proportions in which migrants se e thems e "lves as spending mone y " (p . 3 2 0 , my ital ic s ) Four more budgets , b ase d on accoun t-keeping rather than no tional figures , are p re s ente d in an appendix ( ibid , pp . 4 4 1- 9 ) They show grea t variab i l i ty be tween sub j ec ts , and between pay pe riods S trathern s ummarises "it wo uld s eem that unsk i lled workers on a rela ti ve ly low wage also spend relati vely less on food and hous ehold items than higher wage-earners . The borrowing and of sma l l amounts o f money ( • spending o n soc i a l re la tionship s ) i s a l s o more frequent . Higher wage-earners may s e nd more money back home , but be less financially involved in the urban ne twork s . ( ib i d , p . 44 1 ; original parenthe se s ) . The mo s t recent data available on household expenditure ari se from the B ureau o f S tatis ti c s Household Expendi ture S urvey 1 9 7 5/ 7 6 . The s urvey was intended mainly to provide up- to- date in formation on expendi ture patterns for use in calculating the Cons umer Pric e Index, but i t also sought in formation on housing condi tions , income and househo l d compo s i tion . Preliminary res ults for Lae ( B urea u of S tati s tics 1 9 78b ) , are based on a salll]? l e o f 84 Papua New Guinean househo lds , them in low covenant 26 in sel f-help 2 0 in a variety o f other dwe l lings 38 of and the The modal income o f these hous eho l ds was K4 0 to K59 per fortn i gh t , comparable to that o f the Fore hous eho l ds con tac te d i n 1 9 7 7 . Unfortunately the hand tabulations so far avai lable do no t inc lude data on food expenditure as s uch , but inc l ude i t in the "other goods and s e rvic es " which on average accoun te d for 71 . 3% of household expendi ture . One of the findings of the preliminary analys i s is that , " Compared t o s imilar s urveys ove rseas i n both developed and developing coun tries , the proportion of expendi ture on rent i s very low and the expenditure on b eer , tobacco and c i garet te s is very high . " ( ibi d , p . 39 ) . Beer and spi r i ts accoun ted for 7 . 4 % , and tobacco and c i gare tte s for 5 . 8 % o f average ho useho ld expendi tur e . Comparab l e figures for Port Moresby 150 were 5 . 9 % and 5 . 1 % r espec tively ( Bureau o f S ta ti s tice , 1 9 7 7 ) . The B ureau o f S tati s tics survey shows the impor tance of gi ft exchange , both as c ash and in kind , among urban househo l ds , and between them and vis i ting wan tok from rural areas . I t a lso shows that home produce is an importan t source o f in come in kind for many ho useholds ( e . g . it contrib uted an average cash equi valent of Kll 47 per fortnight to hous eho l ds in sel f�he lp dwel lings in Lae ) . Ca lculations of income and expendi ture patterns are further complicate d by the p rac tice o f ' me kim Sa:nde ' , whereby several wage-earners f o rm a money- sharing pool to which each con tributes every fortni ght , the pooled sum going to each con tributor in turn . 1 Al l these fac tors emphasise that urban budgeting behavio ur in Papua New Guinea cannot be s tudied without givin g due a ttention to c ul tural norms and a tti tudes which contras t marke dly with tho se prevailing in indus trialised Wes tern countries . Methods My own s urvey of in come an d expendi ture o f Fore hous.eho lds in Lae was small in scope , and serve s to i l l us trate the variability which exis ts in a small number of budge ts , particul arly as re gards food expendi ture , rather than to provide a s ta ti s tically rel iable s ummary for the urban Fore population as a whole E i ght separate households were selec te d , each of them s a tis fying three condi tions : firs t , they con taine d at l eas t one l iterate a dul t ; second , they were will ing to co-operate ; and thir d , thei r loca tions were s uch that e ach ho us ehold co uld be vi s i te d at least e very second day for checking its e xpendi ture records . De tails of househol d compos i tion , employmen t , and ho us ing conditions are included i n the re s ul ts sec tion , below , where each household is treate d as a s eparate c ase s tudy . In each hous ehold , those adul ts who could read and write Pidgin , which in practice meant the adult males , were asked to record de tai l s o f daily income and e xpe ndi ture on prepared s hee ts . As well a s l i s ting e very i tem purchased by themselve s or their dependants , i ts price and l This s cheme is a lternatively known as going 1 kampani 1 , or • bung wantaim ' ( co llec t togethe r ) ; see S trathern ( 1 9 7 5 ) for e xamples from Hageners in Por t Mo re sby . 1 51 where i t was bough t , the respondents were al so asked to record de tai ls o f the fo l lowin g : any foods brought from their own garden ; of food from o uts ide the hous eho ld ; plac e o f work ; any gi fts any food or drink provided at their any wages receive d , incl uding overtime ; their dependants had so ld any food at the marke t ; whether they or and how many men , women and c hi l dren ate in their ho use that morning and evenin g . 1 The pro cedure was given a tri al run over one or two days in each househo ld , and then c ontinued over a ful l fortnight with record sheets being c he cked e ve ry two , or at mo s t three , days . S eventeen individual s ( fi fteen adul t male s and two s choo lboys ) were i s s ue d with record s heets . One man le f t Lae to vi s i t his home vi l l age for a funeral four days after tne s tart of the s urvey , and did no t re turn until the survey period was ove r ; a l l o ther respondents were pre sent a t the s tart and the end o f the ful l s urvey period , though with some temporary abs e nc e s . The que s tion on daily expendi ture was answered , as far as can be j udged , quite ful ly and accurately , as was the que s tion on income from wage s . The remainder o f the ques tions were answered l e s s reliably , in particular those concernin g the quan ti ty o f food co l l e c te d from gardens or given to the ho usehold by o uts iders , and the number of people eating in the househol d each morni ng and e vening . For this reason , the resul ts have no t been analyse d in terms o f food expendi ture p er c ap i ta or in terms o f total food i ntake . Both would be mis leading given the uncert aintie s regarding the value of foods received as gi fts , or coll e cte d from gardens , an d re garding n umb ers o f people present at main mea ls . Re s ul ts The budgets o f the e i ght househo l ds in the sample are s ummarised in Table 1 3 , arranged in de creasing order of househo l d incomes from wages . I t sho uld be no te d that ' c ash in han d ' at the beginning and end o f the s urvey period was no t recorde d , and some s avings bank transac tion s and informal cash loans and gi f ts may a lso have b een mis sed . Thus the 1 No attempt was made to include data on expendi ture ove r a longer period on ma jor i tems , or rec urrent expenditures s uch as s choo l fee s ( c f . Bureau of S ta ti s ti c s , 1 9 7 8b , p . 36 ) . Thus the resul ts re fer to ac tual expe nditure by the household ove r a particular fortn i ght, no t to the e s timated average fortnightly expendi ture by that househo l d . 152 fi gures for the apparent cash balance over the fortnight do not neces sarily imp ly indebtednes s on the one hand , or spare cash on the o the r . A b re akdown o f total food and drink expendi ture for each house hold is shown in Fi gure 5 , with the households arranged in the same order as in Table 1 3 . The income and expendi ture patterns show considerab le variation between households , thi s bei ng a s so ciated with variation in s uch fac tors as household s i ze and s tructure , number o f vis i tor s , and individuals ' priori tie s i n how they spend thei r money . Be fore dis cuss ing the re s ul ts in mo re general te rms , the resul ts will be di s cussed s eparately for each househo ld , in relation to i ts particul ar c i rc ums tanc e s . This hous ehold consi s ted o f seven people : to a coas tal woman , as yet without any chi ldre n ; D . , a Fore man married D ' s cous in K . , al so married to a c oas tal woman , with two young son s , one 2 � years , the other 12 months old; and another co usin about 16 year s o ld , attending S tandard V in a Lae primary s choo l . The household o c c upied a s e l f-bui l t two- room wooden house in the Boundary Road se ttlement. Usually the whole house hold shared thei r meals , but there was some mutual vi s i ting and sharing of meal s between this household and Househo ld 4 , which was nearby and whose male members were from the same vil lage of Kagu , in North Fore . D . worke d as a cook in a res taurant in Lae , for a bas ic gros s K. worke d in a match factory for K60/ fortni ght . wage o f KS K ' s wife had a part- time j ob as a dome s tic , for K32/fortni ght . the ground rent of Kl 2/year to the municipal authori ty . D. paid The household shared a garden in the foothi lls above the settlement from whi ch they coll e c te d swee t po tato n early every day o f the s urvey , and cas sava , taro and high land pi tpit l e s s frequently ; from a small plot ins i de their yard they regularly picked aibika . In the s econd week o f the s urvey p eriod , D . went to a funeral party in his home vil lage Thursday . l eaving on the Tue sday and returning on the On the way he bought s even chickens in Kainantu for Kl6 and l some fi gure s have b een rounded for convenience , or where accurate data were no t availabl e . TABLE 13. CASH I NCOME AND EXPENDITURE OVER ONE Household 1 FORTNIGHT I N E I GHT FORE HOUSEHOLDS I N LAE Household Household 3 Household 4 Household 5 Household 6 Household 7 Household 8 Mean for e i gh t households Fu l l - t ime wage earners 1 l l:i K. K. INCOME 1 30 . 5 0 ( a fter tax) loans , cash g i fts 9 3 . 10 K. 89. 91 K. 78. 10 K. 78. 01 K. 71 . 7 2 K. K. 61. 3 3 7 1 . 30 2 K. 84 . 25 8 . 64 2 5 . 00 4 Other 1 21 . 1 0 230. TOTAL INCOME 12 . 47 11 4 . 9 1 7 8 . 10 94 . 1 1 71. 72 7 1 . 30 61. 33 105. 35 6 . 63 3. 75 3 . 60 19.96 2 . 16 7. 33 7. 9 5 1. 2 5 l. 9 7 0. 12 2.45 2 . 62 2. 5 1 . 27 1. 55 1 . 24 1. 2 1. 06 o. 3 7 o. 5 0 o. 5 EXPENDITURE Food tota l Drink 10. 74 Rice 4 . 57 4 . 01 1. 02 5 . 60 White 2 . 01 1. 3 8 1. 3 5 0 . 91 Butter, o. o . 70 Flour , bread, biscuits spreads & 82 1. 48 1 . 08 % expenditure 15. 04 2 0 . 04 56. 39 3 . 90 4 . 66 5. 25 14. 57 3 . 19 4 . 69 3 . 09 2 . 41 0 . 44 5. 21 6. 0 5 Tinned meat 5. 35 1 . 30 3.44 2 . 99 2. 8 Tinned 8. 2 9 3 . 85 4. 96 2 . 52 2 . 01 i . 08 4 . 17 4 . 40 4 . 66 4.4 0.4 1. 95 0 . 87 o.39 0. 20 0 . 40 1. 3 8 Freezer fresh meat f i sh 3. 09 13. 8 2. 73 1 . 40 0. 65 0 . 60 starchy vegetab l e s 1. 80 2. 60 3 . 70 2 . 35 Other vegetables 3 . 43 2 . 30 7 . 12 2 . 33 3 . 00 1 . 10 1. 00 3. 20 1. 9 . 40 1 . 43 1. 2 0 1 . 10 0 . 40 0. 3 0 2 . 28 2. 2 8. 4 2 8. 99 1 . 60 1 . 41 2 . 96 5 . 97 5. 7 10. 84 6 . 34 2. 8 8 3 . 06 2. 3 6 6. 22 5. 9 2 . 90 1 .45 1 . 00 0 . 60 1. 58 o. 20 o. 90 0. 9 1. 35 mi l o , tea , coffee "ncrar,-,rirtP 17. 76 6 . 65 16. 73 s. 84 1. 74 1 . 76 2 . 74 2. 5 4 0 . 20 5 . 00 12 . 45 0 . 17 o. 40 9 4 . 98 7 3 . 08 111. 79 6 . 00 9. 20 1. 06 Beer Other food SUB-TOTAL : Other FOOD & DRINK 0 . 47 50. 5 9 4 4 . 99 9 . 80 so. 95 1 . 16 2 . 54 1 0 . 00 o. 20 1 . 28 1. 1 1. 3 2. 4 1. 2 3. 43 3. 2 0 . 16 0.2 2 3 . 58 3 1 . 88 60. 23 57. 0 2 . 83 2. 7 5 . 70 2 . 40 0 . 60 4 . 93 4. 7 9. 00 7. 9 0 8 . 70 8. 2 o. 30 0. 50 1 . 38 1 . 67 4 . 80 20. 70 28. 58 34. 26 expenditure Rent 7 . 40 Transport 1 0 . 90 1. 80 1. 60 6 . 60 Clothes 17. 60 16. 50 9 . 60 9. 00 Tobacco 8. 29 9 . 05 1. 49 Kerosene o . 90 1 . 00 1. 80 3 . 76 3 . 18 1. 50 Cleaning materials Other goods & loan s , SUB-TOTAL: services cash g i f t s 2 OTHER TOTAL EXPENDITURE APPARENT BALANCE OVER FORTNIGHT Notes 1 . 05 1. Part-time 6 6 . 00 57. 00 1 0 8 . 67 96 . 61 25. 50 44 . 61 5 12. 00 2 3 . 59 3. 94 3. 7 o. 53 0. 5 1 . 55 1. 5 6 . 07 5. 7 16. 87 16. 0 1. 55 4 5 . 42 43 . 0 135. 38 7 6 . 09 8 9 . 60 79. 53 5 7 . 84 3 3 . 43 105. 65 - 20 . 4 7 + 2 . 01 +4. 51 - 7 . 81 +13 . 46 +2 7 . 9 0 -0. 30 loans , 4. Bank withdrawa l s . 5. Includes K2 0 . 00 f o r rad i o . expenditure 10. 60 o. 75 1 6 9 . 69 g i ft s !:i. see text . tax refund. total 7. 82 o. 2 0 1. 09 - 4 8 . 59 Income of 0 . 80 1. 38 203 . 6 5 3. 6. 1 1 . 41 o . 70 + 26 . 5 7 counted as 2. 1. 70 - whole samp l e . s 7. 5 ( 100 . 0 ) I-' Ul w FIGURE 5 • ·fOTAL FOOD EXPENDITURE OVER ONE FORTNIGHT IN LAE (Derived from f igures in Table 1 3 ) Kl 2 0 KEY Other Beer Cold snacks : aerated K80 drinks, buns, i ce cream etc . Hot ' cooked meat p i e s etc . foods f i sh & chip3, I-' U1 .i:::. Expenditure Fruit, vegetab l e s , nuts Tinned meat/fish K4 0 Freezer & fresh meat, eggs White sugar, fat s , spreads Flour, bread, b i s cuits Rice 3 4 Household number 5 ( see text ) 6 7 8 1 55. contributed K 3 0 towards the purchase o f a cow from a c attle ranch at Dumpu. This expendi ture i s included under ' gi fts ' in Table 1 3 . received only KS in wages for thi s week . He His income for the previous week , howeve r , was boo s te d by an income tax re fund of K44 . 72 . He al so received K2 0 from hi s sande partne rs in the fir s t w eek , but did not contribute in the s econd . K ' s incomings and o utgoings were l e s s compl i cated ; he received K6 0 . 7 0 in ne t wage s with overtime , contributed K20 to his sande pool in the firs t week , and rece ived K35 from it in the second . His wi fe receive d Kl6 . 90 ne t wage s e ach week . Turning now to actual expenditure on goods and servi ce s , nearly K95 o f the total household expenditure ( including gi fts ) of K2 04 went on food and dri nk . In th is food budget , the mo s t notable feature was the very h i gh expenditure on ho t ' takeaway ' foods , and cold snack foods and drink s , espec i al ly aerate d drinks ; K 39 . the s e c ate gorie s accounted for nearly The o ther main i tems o f food e xpenditure were fre sh and free zer meat , tinned fish (wi th smaller quanti tie s of tinne d meat ) , and rice . Fre sh vegetables , fruits and nuts added up to only KB . 4 3 ; only Kl . 80 was spent on s tarchy s taples , a l l of it on bananas , refl e c ting the s upply of swee t po tato and taro from the househ0 ld ' s own garden . Excl uding sande contribution s , and contributions by D . to the funeral party in h i s vi ll age , c lo thes and tobacco were the main non- food i tems in the budget . The fi gure o f Kl0 . 9 0 for transport incl uded Kl 0 . 00 spen t by D . to ge t to and from the village . The e xpe nditure pattern of this househo ld is i l l us trative o f several common features i n urban Fore budge ts : firs t , the enduring importance of the relationship to the home vil lage , expres s ed in D ' s trip home , which involved him in considerabl e expense ; 1 s e cond , the high expenditure on snack i tems whi ch , from a nutri tional po int of view , are highly uneconomic ; and thir d , the s i gnifi c ance of the food garden in provi ding s tarchy s taples , though the data are inadequate to quanti fy i ts con tribution in kind to the budget . The househo ld , with one part time and two ful l- time wage-earners , was re lative ly a f fl uent , and wel l 1 1 did no t enquire a s to whether K . had any share i n thes e expens e s ; he di d no t indicate any s uch e xpendi ture on his daily record , but thi s may have been an oversight; alternatively , his relationship to the de ceased in the vi l lage may not have placed any obligations on him. 1 56 able to s upport i ts dependent chi ldren , including the teenage s choolboy . Household 2 : This household cons i s te d o f o . , a 25-year-old man from Awande , with his Kei agana wi fe , and hi s 1 2-year-old niece who was l ivin g wi th them in town on a semi-permanent basi s . o . worked as a taxi dri ver , for a bas ic gro s s wage o f K95/fortni gh t . Th e househo ld o c c upied one room on the s econ d floor of a block owned by the taxi company , at a rent o f K6/fortni gh t . They use d the communal latrines and k erosene cooking s toves provide d on the ground floor , and had electric l i ght in their quarters . They had no garden . During the s urvey fortni ght, O . was vi s i te d by his fathe r 1 s brother wi th h i s w i fe and thre e c hildren , from Awande . They s tayed in Lae for a week , s taying wi th 0 . on some nights , and with o ther wantok on o ther nigh ts . 0 . was also vis i te d by hi s b rother ' s wi fe and her two children , who were on hol i day from Port Moresby , where his brother worked in the De fence Force . Thes e vis i tors put cons ide rable s train on the househo ld ' s budge t , as well as on its living spac e . O . had to borrow KB from hi s employe r , and wi thdrew K20 from his savings bank . As wel l as providing food for h i s vis i tors , o n their departure h e gave the party from Awande K4 9 in cas h . He recei ve d some re turn i n the form o f food donated by his vi s i ting wanto k . They brought taro , banana , sweet po tato , kwnu and pandanus nuts from the vi llage , and contr ibute d K4 . 1 0 ' s worth of foo d purc hase d in Lae . His s is ter-in- law from Moresby bought K9 . 5 8 ' s worth o f food , and a wan to k from Awande employed i n Lae gave him food worth anothe r KS . 5 1 . Thi s total o f K22 . 40 ' s worth o f purcha s e d food is no t i nc l uded in the budget in Table 1 3 . Food and drink acco un te d for K 7 3 o f the househo ld ' s total expenditure o f Kl 7 0 . Jus t over K20 wen t on fresh and free zer meat , nearly al l of it on poul try ( KS . 00 for a fresh chicken from the market , Kl2 . 5 9 on frozen chicken ) . Rice , tinned meat , tinned fish , aerated drinks and ho t takeaway foods were a lso major i tems o f expendi ture . 0 . frequently consumed Coca Col a and meat pies during his work , and he and his wi fe often gave snac k s s uc h as chee sepops and i ce-creams to the vi s i ting children . The e xpendi ture o f K6 . 1 0 on vegetables , frui ts , and n uts included K2 . 60 on s tarchy vegetable s , which , given the re lative cos ts per uni t of energy , provided much less of the energy in take of the household than did rice . 1 o. spent K5 . 00 on ten Appendix B , i n which relative cos ts of energy and various fresh and proc e s se d foods are l i s te d . contents o f bo ttles o f beer , immediately a fter the departure o f his wanto k . Of non- food expendi ture , clothe s , rent and tobacco were the maj o r items , other than the c ash gi fts alrea dy des cribe d . Overal l , o • s budget showed a n apparent de fic i t o f nearly K4 9 ove r the fortn i ght , despi te hi s loan and bank wi thdrawal s . It is po s s ible that he rec eived some help in the form of unreco rded cash gi fts or loan s from his employe d wanto k , in Lae , but it is clear that the vis i tors from the vil lage were a major c ause o f hi s high expendi ture , a poin t which 0 . emphasised himse l f in conve rsation with me . Thi s hou s eho l d con sisted o f J . wi fe from the same vi llage ; from Kasoru i n North Fore ; their 1-year-old daughter ; his his s i s ter ' s son , 1 9 years old and wi th a full- time j ob in Lae , and two younger chi l dren , 15 and 10 y ears o l d , from his wi fe ' s lain . e lec trician in a maj o r radio repairs business K95 Sl/fo rtnigh t . a f ter KS . SO tax . J. worked as an a t a basic gro s s wage o f Hi s n e t income in the s urvey fortn i ght was K89 . 91 , Unfortunately I di d no t obtain de tai l s o f his s i s ter s son s income or e xpe nditure , but according to J . , he rare l y contributed 1 food to the househo l d , though he o ften a te with them. The hous eho ld lived in a Ho using Commi s s ion ho us e in Taraka ( se e P late 6 . 4 ) with two bedrooms and a k i tchen/living room (with two e lec tric rings for cooking) and an outside laundry and latrine . Sometimes they cooke d on an open fire o uts ide . for tnigh t . Their rent was K9 . 60/ They had a few swee t potato e s left in an old garden near Boundary Road , and in their yard they grew some bananas and pawpaws , but no home-produc e d food was harves te d during the survey period . For the whole o f the survey period, two young women from Kasoru were s taying in the househo l d , and on the fir s t day of the survey ( a S aturday } , seve ral wantok arrive d fo r the weekend , bringing some swee t po tato , corn , and c abbage with them as gi fts . There were other vis i tors for mea l s throughout the fortnigh t , b ut I found it impo s s ible to record the e xac t details . Of J ' s total expenditure o f Kl 3 S , nearly Kll 2 was spent on food and drink . Of the Kll 2 , one hal f was spent on fre sh and fre ezer meat , bee f and chicken accoun ting for about equal propo rtion s . K 3 . 70 was spent on fre sh e ggs , for which J . and his family expre s se d a particular l iking . Ove r Kl2 was spen t on beer , mos t of it drunk by J . and 158 his wantok from the village on the first day o f the s urvey . ( Hi s wi fe was a Seventh Day Adventi s t , b ut J 1 s membership o f the church had lapsed s i nce leaving his S DA primary school ) . Tne household spent over K20 on vegetables , fruits and nuts : K4 . 5 0 on s tarchy vegetab l es , K7 . 1 2 on greens and tomatoes , K4 . 30 on pineapples and pawpaws , K2 . 00 on peanuts , and K2 . 10 on s ugarcane . Rice , tinned meat, tinned fi sh , and s nack foods and dri nk s made up the balance o f food expendi ture . Of non- food e xpendi ture , rent accounted for K9 . 20 , clothes for K9 . 60 , and transport , tobacco and household cleaning materials for the remaining K4 . 7 9 . The departing vi l la ge wantok received no gi fts of c as h . J ' s budge t , t o s ummari se , was dis tingui shed b y very hi gh expendi ture on fresh foods , espe c i al ly meat , and relatively low expend iture on s nack foods and drinks , and on non- food i tems . De sp i te with drawing K25 from his bank ac count , J. ended the fortnight with an apparent de fic i t of K20 . 4 7 I t would be interes ting to know whether his rather extravagant p attern of expendi ture on fresh meat would be s us tained over the long term , or whether the survey period was unrepres entative in this respe c t . 4 As h as been mentioned , the men o f this household were related to those of Household 1 , coming from the s ame vil lage , Kagu , in North Fore . The household c ons i s te d of E . and his wi fe , who c ame from S.alamaua, south of Lae ; E ' s p atril inea l c ous i n A . , whose wi fe and two chi ldren were s till living in Kagu; another cousin R . , 17 year s o ld and in Form I at a hign s chool in Lae ; and L . , E ' s wi fe ' s brother , in S tandard IV at a Lae primary s choo l . Tney occ upied a house in the Boundary Road s e ttle men t , s e l f-bui l t to a higher s tandard than i s common . The hous e was on a con cre te b as e , with fibro walls and a corrugated iron roo f , with two rooms and a she l tered front verandah . Cooking was mo s tly done on a kerosene s tove , but sometimes on an open fire . In the yard was a small garden plo t , containing taro , s ugarcane , aibika , be ans and banana . Two do zen taro tubers were harve s ted during the fortnight of the s urvey . further a field. The household did not culti vate any land 159 E . worke d in a brewery for a gro s s bas ic wage of K5 6/ fortnigh t , b ut ac tual ly receive d K78 . 1 0 ne t , with overti me , i n the s urvey period . His wi fe worked as a part- time dome s ti c in an e xpa triate home for Kl O/ week . A . worked as a packer for K54 / fortnigh t , but di d not receive any wage s in the s urvey period be cause he left for the vi l lage on the fourth day and di d no t re turn . E . went to the vi l lage for two days in the second w eek of the s urvey , for the s ame funera l as D . , from Household 1 . He did not , in contras t to D . , contr ibute cash towards the funeral party . He brought b ack three c a s sava tubers and three c abbages from the vil l age , giving two o f the c abbages away to his wantok i n Lae . The two s choolboys in the hous eho l d , R. and L . , were given cash gi fts of K4 . 4 0 and K2 . 00 re spec tive ly , by E . and wantok in o ther househo l ds ; they also re ceived some food at mi dday a t their schoo l s . The househo ld ' s to ta l recorde d expenditure o f K76 inc l uded K5 9 spent on food and drink . The large s t expenditure on a s ingle category was Kl0 . 84 on aera te d drinks , the two boys accounting for K�. 3 3 o f thi s . The next hi ghes t expendi ture was KS . 42 on ho t takeaway foods , o f which mea t pie s were the mai n i tem. ice-creams , mi lk s hake s e tc . A further K4 . 2 5 wen t on cold snack foods , Thus we ll ove r one- third o f to tal food and drink expendi ture was made up of hot and co l d snacks . The hous ehold spen t KS . 6 0 on flo ur produc ts ( excluding buns and c akes which are inc l ude d unde r snack foo ds ) , mo s t o f it on p lain b i s c ui ts , some on bread, and the remainder on flour , cooke d into skon at home . Ve ge tab l e s , frui ts and n uts a cco un te d for a further K6 . ll , and the bal ance was spen t on rice , fre sh mea t , tinned fi sh , tinned mea t and mis c e l l aneo us i tems s uch as tinne d mi lk , butte r , dripping and s ugar . Expenditure on non- foo d i tems amounted to K25 . 5 0 , clothe.s accounting for K9 . 0 0 of thi s , and transpo rt for K6 . 6 0 ( inc luding K4 contribute d by E . for pe trol fo r the j ourney to and from the vi l lage , made in a wantok ' s PMV) . The balance was spen t on c leaning materials , enter tainment ( so c cer and snooke r game s ) , s ta tionery , ke ro sene , and bete l nut { o f which 6 0 toea ' s worth was bough t ) . Household 4 ' s expenditure , then , was dominated by nutritional ly wasteful items of food and drink , but no money was spent on tobacco or beer ( A . and R. were f irm Seventh Day Adventi sts ; hearted , allowing himself the occ a s ional beer ; j ob , thi s i s hardl y surpr i s ing ! }. E . was more half g iven the nature of his E ' s visit home c au sed l ittle d isturbance to the budget , but the effect of A ' s absence on h i s individual budget 160 and that o f t h e c ommunal household could not b e a s s e ssed. Over the fort night , ignoring A ' s income and expenditure while abs ent from Lae , the hous ehold ' s budget appeared to be roughly in balance ; through l e s s extravagance i n the form of snack foods and drink s , savings c ou ld eas ily have been made . Thi s household was occupied by E . A . , a young man from Awande , with his wife who came from Salamaua , their 3 -month-old son , and E . A . ' s brother S . , 1 7 years old . Boundary Road s ettlement They l ived in a self-built home in the { see Plate 6 . 1 , l eft-hand house ) , with iron wall s and roo f , and a wooden rais ed on posts . Cooking was done on an open fire in a small kitchen built of wood and s i tuated behind the house . The household grew a few vegetables near the house , including sweet potato , taro , sugarcane , banana , and snake beans . During the survey period the only food harvested was a hand of r j pe bananas . On one occasion E . A . ' s wife picked a few leaves of tulip f�om a wild tree growing nearby . E . A . worked in a bi scuit factory for gro s s wage s o f but received K2 9 in overtime i n the survey period . S . was unemployed , and spent a good deal of his time going around town visiting his many wantok . On these visits he was o ften food , and sometimes money ; the cash gifts he received account for the f igure of K6 . 1 0 in �able 1 3 , but thi s does not inc lude K2 . 00 from E . A . During the survey the household was v i sited by two wantok who had been home to Awande , and returned with gifts of a variety of foods including swe e t potato , taro , banana , sugarcane . pitpit , pandanus nut s and There was also mutual visiting and meal- sharing between their household , Household 2 ( the taxi driver s ) , and another Awande couple living in Lae but not included in the survey . Such v i s it s are commonplace but were made more frequent by the arrival of the party consisting o f the taxi driver ' s uncle and his family , recounted above . The hou sehold spent a total of K90 , hal f of which went on food and drink . Beer was the biggest s ingl e item of thi s expenditure , consisting of a carton of two dozen bottle s bought for Kl 2 on the black market (a wantok from Lae contributed K2 towards thi s ) The next largest expenditure was K8 . 99 on hot takeaway foods ( fi sh and c hips , chicken and meat pies ) , fol lowed by K6 . 34 on aerated soft drink s . Freezer meat , 161 rice , green vegetables ( mostly European cabbage ) , fruit s and nut s , and tinned fish accounted for over K2 eac h , the balance being spent on biscui ts , bread , cof fe e , tea , ice-cream, milk shakes and tinned mea t . Non- food expenditure included cash gi fts of K5 to E A . ' s s i s te r , l iving i n Lae with a Fore man , and K 7 to E . A . 1 s father- in- l aw . A further Kll . 4 1 went on cigare ttes and tob acco , both E . A . and s . smoking quite heavi ly . K9 . 80 on transport was used by E . A . to get to and from work , Other and by the whole household on their numerous trips around town . items included K 7 . 5 0 for a bi Z wn bought at Lae market by E . A . ' s wi fe , K 3 . 00 for c i nema tickets , and KO . SO for kerosene . This househo ld, like Household 4 , spent a remarkably high proportion of i ts income on snack foods and drink s ; spent further large amounts on beer and tobacco . in addition , it Whil e mos t of thi s money was spent by the wage-earner in the househo l d , h i s young unemp lo yed wan to k spent about a quarter o f i t . The fac t that emp loyed peop le are prepared to s upport their wanto k in this fashion tes ti fies to the s trength of the kinship bonds which pers i s t in the urban environme n t . As f a r a s I c ould tel l from the day-to-day atmosphere i n the household, the s i tuation c aused ne ither re sentment on the one hand, nor embarras sment on the othe r . This household cons i s te d o f H . , from Amusa i n North Fore ; wi fe , from Kainantu; wife ' s 1 8-year-o ld s i s te r ; his and his adopted 1 0- year- o l d ' brother ' , treated a s one o f h i s own chi ldren . Day Adventi s ts his their 2 -year-old son and 2 -month-o ld daughter ; H . and h i s wife were firm Seventh They live d in a Housing Commis sion house in Tarak a , simi lar t o that o f Household 3 , and only a couple o f hundred yards from the latte r . Cooking was done on an open fire under a polythene-roo fed she lter in the front yard , s ince the kerosene s tove in the kitchen was broken . H . worked as a s toreman in a chemicals company , for a gro s s wage of K72/fortni ght , which inc luded a housing allowance of K7 40 equivalent to three-quarters o f the fortnightly rent . Perhaps bec ause of the nature of his j ob 1 and his comp le tion of s ix year s of primary s choo l , H . kept neater records than did mos t of the sample ; h i s budget was a lso l e s s c ompli cated than many b y vis i tors and communal household arrangements . H . and h i s wife tended two gardens in the bush , where they grew 162 sweet potato , taro , c a ssava , banana , corn , sugarcane and kumu ; in the house yard they grew pineapple , pumpkin , snake beans and banana . During the survey period they harves ted two large bags of sweet potato ( about 15 kg . each) , two sticks of sugarcane , and two meal s ' serving:; o f beans . They were al so given a bag of sweet potato by a friend in Taraka , and a whole frozen chicken by another friend . For the whole of the second week , H . provided ho spital ity to a male wantok from his village ; another wantok accompanying him on the trip to Lae stayed for one night with H . , then moved on to a different wantok in Taraka . Of H ' s expenditure of K9 . 00 on c lothe s , K8 . 2 0 was spent on c lothes for his brother in the village , to whom he a l so sent a teapot c osting K4 . 80 . O f H ' s total expenditure o f nearly K80 , food and drink accounted for K51 . The high expenditure of Kl9 . 96 on ric e included a 25 kg . sack costing K9 . 50 , bought two days before the end o f the survey period . The other maj or i tems were fresh meat , tinned meat and t inned f i sh , adding up to Kl7 . 64 . H ' s regular midday meal was a meat pie and a bottl e o f Coca Cola , together accounting for most o f the K4 . 48 spent on hot and cold snacks . The remainder of the food and drink expenditure was fairly evenly d ivided among flour products ; and vegetable s , fruit s and nut s . white sugar , tinned milk and milo ; Other expenditure was on r ent , the c lothes and teapot for H ' s brother in the village and transport ; c leaning material s , the l atter cost K5 . 7 0 , and included trips into town by the whole household at the weekend . H ' s food expenditure shows a more rational use of resource s , from the nutritional point of view at l east , than the high expenditure on fresh meat and on snack foods described for other households in the sample . The complete absence of beer and tobacco from the budget , characteristic of S eventh Day Adventist hou seholds but rarely found in other s , i s a l so beneficial to heal th and nutrition , whatever its other merits or drawback s . Hous ehold 7 : Thi s hous ehold occupied a hou s e next door to Household 5 , on the same plot of l and in the Boundary Road settlement ( see Plate 6 . 1 , right hand hou se ) . It c onsi sted of W . , from Awande , and his Keiagana wife ; I . , a 2 0-year-old mal e wantok from Awande who had been with them for several months , and W ' s 7 -year-old brother , also a long term res ident in the household . 163 w . worked i n the same biscuit factory a s E . A . , basic gros s wage of K56/fortnight ; for the same hi s net pay for the survey period , a fter KS . 74 tax , was K71 . 30 , which included overtime . I . was unemployed but spent much l e s s time going around town than did his wantok s . in in stead , I . was more l ikely to ' stap nating ' Househo ld 5 ; around , doing nothing ) or to s leep during the day . ( sitting O . gave him KS during the fortnight , which he spent mostly on soft drinks , c igarette s and a shirt . The househo ld cul tivated a small plot near their house , and during the survey harve sted sweet potato , sugarcane , aibika and bean leave s . The hous ehold ' s overall expenditure of nearly K58 included K2 3 . 58 spent on food and drink . Of the l atter , fresh and freezer meat was the biggest item , at K6 . 0S , and tinned f is h next at K4 . 1 7 . The low figure of K2 . 16 for r ic e is misleading , bec ause the household had 15 kg . K7 ' s worth) in stock at the start of the survey . ( about Aerated dr inks and milk shakes together accounted for K4 . 64 , and hot takeaway foods for another Kl . 41 . Only Kl . 4 0 was spent on vegetables , fruits and nuts , Kl . 3 0 on tinned meat , and the remaining K2 . 3 3 on margarine , dripping , white sugar and a packet of plain biscuits . Mos t of the non-food expenditure of K34 , 2 6 went on a radio , costing K2 0 . 00 . transport Clothes accounted for K7 90 , c ig arette s for K2 . 4 0 , and keros ene , c leaning material s , a mosquito coil , one metal hinge , and a ball of wool for the remainder . W ' s food budget was a modest one , with a fairly even apportionment between snack food s , animal protein and c arbohydrates W . was a more retic ent per sonal ity than most of the Fore I had c ontact with in Lae . He had been there for only a year and , despite h i s s ix year s ' primary school ing , did not feel himsel f to be a ' town man ' . He was apparently much l e s s involved with the vi sitors from Awande , although a few week s earlier he had himse lf been providing hospitality to several men from the vil l ag e . Household 8 : . The last ' household ' in the sample in fact refers to T . , a single young man , l iving with a married couple and their child in a self-help area in Taraka . It had been the intention to include the s e wantok in the survey , but the head of the household departed for h i s villag e on 164 two week s ' l eave soon a fter the start of the survey . usually eating with some wantok l iving next door . T. stayed on , I t was impo s s ible to a s s e s s from his expend iture sheets whether he provided all his own food on the s e occasions , or whether he was given food by his wantok ; probably the sharing of food was mutual . T . had a j ob as a motor mechanic , for a basic gros s wage of K5 6/fortnight , added to by overtime to give a net income after K3 . 99 tax of K6 1 . 3 3 over the survey fortnight . His expenditure over the same period was only K3 3 . 4 3 , near l y all of which went on food and drink . He spent K7 . 3 3 on r ic e , KS . 2 5 on frozen chicken , K4 4 0 on tinned f ish , K3 . 44 on tinned meat , and K2 . 4 5 on bread . Another ' meat pie and coke ' man , he spent K2 . 96 and K2 . 3 6 on the s e two items r e spect ively . The balance was spent on white sugar , a small amount of vegetable s , fruit s and nut s , margarine , t inned mi lk , m i l o and ice-cream . Transport , soap , and one packet of tobacco were his only non-food expen s e s . Becau s e of the abs ence of hi s commensal wantok , T ' s expenditure pattern may have been atypical over the survey period . It does pre sent evidenc e , however , of the c ons iderable opportunity which employed single men have for saving money , should they so wish . The last two columns in Table 13 show the mean income and expenditure per household , and the mean expenditure on different categories as a percentage of the sample ' s total expenditure . 1 Figure 6 shows the breakdown in percentage terms of the total food and dr ink expenditure by the whole sample . In the of res ults for individual househo ld s , attention has been drawn to the great variation between them in their income and expenditure patterns . This should be borne in mind when consi�ering the r e sult s in general terms . For instanc e , cash g ifts were a feature of expenditure in only three out of the e ight hou seholds ; thu s , although 1 6 % of total expenditure was spent as c ash gifts , this might not be a typical f igure . S imilar ly , only three hous eholds paid any rent , that this figure is dif ferent from that which would have been obtained by calculating the mean of the percentage s for each household ; in effect , it is weighted according to the total expenditure of each household . 1 65 FI GURE 6 B REAKDOWN OF TOTAL FOOD AND DRINK E XPENDI TURE OF E I GHT HOUSEHOLDS COMBINED tinned fish 0 . 6% tinned meat 9 . 0% rice 13 . 2 other 0 . 3 % mi lk , milo , coffee , tea flour , bread biscuits , 4 . 4 1. 9% sugar , fats , spreads 2 . 9 % vegetable s 7 . 5 !'� hot takeaway foods 9 . 9% snack foods aerated 3 . 6% drinks 10 . 3 % and in only three hou seho l ds was any beer reported to have been bought . Overall food and drink accounted for shown in F igure ( 24 . 8% 6, of total expenditure . As of total food and drink expenditur e ) , but snack foods and drinks were c l o s e behind Cereal products , mo stly r ic e , with sugar and ( 2 3 . 8% ) . fats were next in importance ( 12 . 7% ) , ( 20 . 5 % ) followed by t inned meat and f i sh fresh vegetables , fru its and nuts Other i terns , final 57% fresh meat and eggs was the bigg e st maj or category 2 . 2% (10. 4%) , and beer (5. 7%) . milk , coffee , milo etc . acc ounted for the of food and drink expenditure . Of the other expenditure , apart from c ash g ifts , c lothe s were the maj or item (8. 2% of total expenditur e ) , followed by transport (4 . 7%) and 166 tobacc o ( 3 . 7% ) . Rent , cleaning material s , and a variety of item s including entertainment and miscel laneous goods and service s made up the remainder . Kerosene accounted for only 0 . 5% of the total expenditure . On average , the household budget s were in debit by K0 . 3 0 ( le s s than 0 . 3 % of mean total income ) . The f igure has l ittle s ignif i c ance in absolute term s , but it doe s sugge st that there i s l ittle inclination toward s substantial savings in thi s sample . Di scus sion Limitations of the survey The households in the sample were probably s l ightly better off financ ial l y , and their mal e member s sl ightly better educated ( though none had been to secondary school ) than would be typical of Fore house The two households occupying Hous ing Commis s ion hou s e s holds in Lae . represent t h e upper end of the range o f hou s ing c onditions experienced by Fore migrants , while those occupying self-bui lt homes in the Boundary Road settlement are more typical . As was pointed out earlier , the re s ul t s from this survey refer to income and expenditure over a s ingle fortnight , and not to budgets averaged out over a longer period . A survey of longer duration would be particularly valuable in indicat ing the overa l l s igni f ic ance of visits from wantok , both temporary v i s itors from the village who make heavy short-term d emands on the budget , and long-term ' vi s itor s ' who constitute a chronic drain on re source s , at least for a s long a s they remain unemployed . A longer survey would also reveal the inc id enc e of maj or purchases ( radio s , bicyc l e s etc . ) , school f ee s , payments for ground rent and housing r epair s and so on . F inally , it would give more r e liable data relating to the use of savings banks and the transfer of money back to the village . A more detailed analys i s of gift exchanges , in c ash and kind , between urban households would be another valuable exerc ise . Other potential topic s might inc lude the div i s ion of expend iture within households , and e spec i ally between husband and wife ; and the use made of var ious retail outle t s where food may be on sale at varying pric e s ( i . e . supermarket s , intermediate store s , small trade store s , and markets ) . Unfortunatel y , however , the more detailed a survey of thi s kind become s , 167 and the longer i t lasts , the greater the burden i t plac e s upon the sub j ects concerned , and the more difficult it become s to execute . a. S everal o f the budgets de scribed above inc luded payments of cash gifts to v i siting vil lage wantok , to wantok within Lae , and to dependants within the hou seho ld but not of the immediate family . In addition , there were frequent g ifts of food between urban household s , sometimes in the form of spe c ific contributions to help out when v illage v i s itors had to be entertained , sometim e s s imply in the form of meal- sharing in each other ' s home s . F inally , c a sual consumption of snack food s and dr inks , and beer , would often have been in c ompany with fr iend s , at home town . or met by c hanc e in Probably a more extensive survey would a l so have identif ied long term loans between migrants , and contr ibutions to j o int enterpri s e s such as the purc hase of a vehic l e , as described for the Hagener s in Port Moresby by Strathern ( op . c it . , pp . 3 28 Only two men in my sample involved in mekim sande soc ia l r elationship s . e t seq . } . both belonging to Hou s ehold 1 , were which Strathern r egards as expend iture on Conversat ion with other Fore in Lae suggests that many people r egard the practice as inconvenient when a man has a family to support , because he may well f ind himself short of money , and therefore food , towards the end of the per iod when he has contr ibuted to but not r e c e iv ed from the pool . Although d if f icult to quant ify prec isely , it is c lear that gift g iving within the urban migrant community , and between it and the rural community , i s an important feature in urban expenditure patterns . As Oeser ( op . c it . , p . 7 7 ) puts it : " The European class ification made in budgeting l iterature of e s s ential and non-es s ential needs cannot be appl ied without c on s iderable modifications in Papua New Guinea . For example , gifts need to be r egarded as e s sential and perhaps head this c ategory , rather than be c l a s s if ied as non-es sent ia l extras , a s in European budget systems . " b. Consumer durable s , whose acqu i sition i s such a maj or preoccupat ion in mo st Austral ian households , do not seem to r ec e ive high pr ior ity among the urban Fore , with the exception of c lothe s . A rad io was the only maj or item purchased during the survey , but doubt l e s s over a longer per iod more 1 68 items would have featured in the budgets . Tobacco was r egularly purchased by most of the hou s eholds ; its complete absenc e from two o f the budgets was a consequenc e o f S eventh Day Adventi st influence in the rural areas from which these hous eholds originated . Expenditure main c 2 r egor i es : by urban migrants on transport fal l s into three travel to and from work ( which for many employe e s i s free , on company-owned truck s ) ; travel around the urban area , mainly at weekend s , which can be regarded as r ecreational ; and travel to and from the home v i llage , which can o ften be regarded a s e s s en t ial expenditure on maintaining social relat ionship s . In monetary t erm s , the last category i s most important , but in terms of frequency , the f irst two are far more so . Cleaning mater ial s (most ly soap) and kerosene , for l ighting a s wel l as cooking, a r e r egular i t em s of urban expenditure , but neither takes up a significant proportion o f the total . The amounts sp ent on miscell aneous items , including entertainments such a s the c inema , or snooker s e ssion s , are a l s o r elatively small in most hou s ehold s . A s far a s I could ascertain , c ard-playing was not a regular pastime in any of the households in the sample , despite its popu larity in rural ar ea s , and in many urban migrant groups ( see Strather n , op . c it . , pp . 21 6 -2 2 5 ; Oeser , op . cit . , p . 7 2 ) ; and I occasionally observed games in progre s s in other Fore households in Lae . c . Food and dr ink . Food and drink expenditure comprised 5 7 % of total expenditure in the s amp l e , and if the problematic al item of expenditure on g ifts were exc luded , this f igure would be about 6 8 % . The most str iking feature of the food and dr ink expend iture in thi s sample is the high proportion which was spent on items whic h , from a nutritional point of view , are at wo r st u sele s s or even harmful ( e . g . sweet aerated dr ink s ) and at bes t very uneconomical { e . g . cooked chicken and chips ) . The expenditure on beer , however , wa s lower at 3 . 2 % of total expenditure than that reported in other surveys . For instanc e , the Lae Household Expenditure survey by the Bureau o f Statistic s ( op . c it . ) g iv e s f igur e s for expenditure on beer and spir its of 7 . 3 % of total hous ehold purchases in sel f-help hous ing , and 9 . 5 % in low covenant housing ; and Christi e , in a prel iminary analys i s of r e sults from a household expenditure survey in twelve low-income Chimbu househo ld s in Lae , g ives a comparable f igure 169 of 1 6 . 3% (personal c ommunication ) . 1 Expenditure on relatively expensive forms o f animal protein suc h as fro z en c hicken was a l so hig h , and in one household in the sample expenditure on fre sh and frozen meat reache d the extraordinari ly h igh figure of K56 . 39 in a fortnight . In c ontrast to thes e ' luxuries ' , the bas ic urban staple s of r ic e , tinned f ish and tinned meat , and starchy vegetable s together accounted for only about one -third o f food and drink expenditure . Strathern reports that Hagen migrants ' expend i ture on subs ist ence foods is kept to a minimum so that they will have money left over for spending on soc ial relat ionship s , whic h includes c ommunal beer-dr inking as well as c ash gifts , loan s , etc . ( op . c it . , pp . 3 2 0- 6 , f f . ) . The Fore migrants seem to dif fer in that a large proportion of non- subsistence food expenditure is spent on food s and dr inks enj oyed for the ir own sake , albeit sometimes in a social c ontext . There are no maj or discr epanc ies between the results of the urban d ietary reca ll survey reported in Chapter 11 , and tho s e of the household expenditure survey reported in this chapter . Comparison suggests that there may indeed have been some under-reporting of c on sump t io n of certain snack food s and drinks in the r ec a l l survey , but this is impos s ible to determine . It is worth noting , too , that the high c onsumption rates reported in Chapter 11 for hot swe etened beverages , green and yell ow vegetable s , and t inned meat and f i sh are c on s i stent with r e l at ively low expendi ture on thes e items , serving s o f which are all relat ively cheap . Conver sely , the high expenditure on fresh and fro z en meat is c on s istent with its reported c onsumption r ate s , g iven the expens e of the s e i tem s . On the basi s of the data presented in thi s chapter , it is not pos s ible to des crib e the quantitative c ompos ition of the typic al urban Fore diet , as was done for the rura l diet in the previous chapter ; still l es s is it pos s ible to assess accurately the adequacy of thi s diet . It i s however , pos s ible to confirm the f indings o f the dietary recall survey , in stating that the urban diet is more r e f ined , sweeter , l e s s bulky , and l Resul t s to be r eported in the Consumer Behaviour Pro j ec t of the Papua New Guinea Human Ecology Programme ( Chr i st i e , in preparati on ) . 1 70 richer i n protein than the rural one . This is evident from the nature of the food s purchased in the town , as compared to those produced in the village . This c onclusion agrees with that o f Malcolm ( op . ci t . ) , whose quantitative finding s were quoted in the introduction to this chapter . Malcoln1 c oncluded for his sample that : " The f igure s are s ignific ant in that they indicat e a dietary intake in what may be regarded as the average urban dwel ler , .ii.ich is substantially better , particular l y as regards protein , than that of the village . " Although Malco lm ' s 1 9 7 0 sample con s isted o f lower paid publ ic s ervants , whom he supposed to have an income almost twice that of unskilled worker s , relative r i se s in incomes and pr ices in the intervening period in fact make the average unskilled worker of 1 9 7 7 better off in real terms than the lower paid public servant of 1 97 0 . l The que st ion as to whe ther the high expenditure on r e l at ivel y non-nutritiou s items , characteri stic of the urban migrants , actually threatens the adequacy of the diet c annot be fully answered without doing a detailed we ighed intake survey , but it is worth c on s idering . are two dang er s : There one is that thos e who c ontrol food expenditure ( ultimatel y the wage -earner s , who are usual l y the men ) may d ivert money from the r e st of the household 1 s need s to their own wants ; the second is that the whole household may consume so much of the l e s s nutritious foods that the quality of their d iet is seriously reduced . On the evidence available from the survey data I suspec t that the l atter danger is more real than the former , but that neither constitute s a serious problem at pres ent . In Appendix B (p 2 3 3 ) , the results of a food price survey carried out in Lae soon aft er my expenditure survey are pre sented , and the c onclusion i s drawn that a marr ied man with four children could provide a wel l balanced diet for his f amily for approximately K3 2 per fortnight . Thi s d i et would consi st of rice , margarine , t inned f i sh , green leave s and sweet banana , but obv iously many substitutions c ould be made . Regardl e s s of what they actually bought , and although the numbers of consumers in e ach household could not be a cc urate l y a s cer tained , i t seems c lear that none o f the households in the sample would have been e conomic a l ly unable to provide a die t of this standard . What is more , several of the households harvested s ignif icant amounts of f ood ! unpubli shed Dept . of Labour s tatis ti c s show that the minimum urban wage rate for labourers rose by nearly 3 0 0 % between 1 9 7 1 and 1 9 7 7 , whi l e the consumer pri ce index (Bureau of S tatistic s , 1 9 7 8 c ) rose by onl y 180% over the same p eriod. 171 from thei r own garden s , thereby an amount of cash which could have been use d in the purchase o f nutritious foods . is an advantage generally denied to house ho ld s This in company quarters , or in s ettlement areas where land is in particularly short supply , s uch a s the Bumbu S ettlement . I n c onc lusion , the n , the household expenditure data do not unequivoc al as s ertions about the adequacy of the urban d ie t . They do , howe ve r , indicate that mo s t households can easily s atisfy their nutritional needs without s eriousl y curtailing the satis faction o f other needs . 1 72 CHAPTER 1 2 In this chapter I return t o the conceptual model summari s ed in Figure 1 ( p . 8 ) , and discuss some of the interrelationship s between food co�sumption and other components of the system outl ined in that In particular , I r e fe r back to the main f indings in Part I I model . ( on food resourc e s ) and i n Part I I I ( on food bel iefs and pref erenc e s ) and examine the c onsi stency between them and the f indings pre sented in the la st three chapter s , on food c on sumption itsel f . Some o f the po ints made in this discussion have already been rais ed in Chapter s 4 and 7 on the bas i s of evidence relating to food re sourc e s , and to stated food belie f s and preference s r e spectivel y ; they are re-emphas i s ed here with the added support o f the evidence from the surveys of actual food consumption . The implic ations of the observed patterns of food consumption for health wel l-being wil l be d i scussed in P art v . Before discussing food c on sumption separately for the village and the town onc e again the close relationships it is which exi s t between them . foodstuffs between the their wantok material terms , there i s a two-way flow of and urban environments . town usually often r eturn Vil l agers visiting gifts o f g arden food with them , and few c oa stal items , e specially coconuts and betel to share with other Urban dwellers on visits home take coastal items with them , and return to Lae with village produce which sugarcane i s e spec ially valued . the form o f rice among There i s a l so a trans f er of foods consisting of cartons of tinned sacks of sugar and s imilar items , bought at whole sale price s in Lae for retail sale in vil l age trade stores or Sometimes villager s with my return to Awande in October I shared a vehic le with four villagers returning from a vis i t to Lae , and four live ducklings and a l arge hen which they had bought in the town . At the head of the Markham val ley we bought c oc onuts , bananas and bete l nuts ; unfortunate ly we had no room for a KlO sack of fresh peanuts , welcome though they would certainly have been in Awand e . 2 see A for a de scription of trade stores in Awand e . 173 suffic ient cash wil l go to the town ( not nece ssarily Lae , but also nearer urban c entr e s such as Kainantu or Goroka) to f etch such goods ; sometimes men l iving in town take the goods thems elves , or send them with their wantok , for sale in trade stores which they own , or in which they at least have a share . As well a s the flow of food itsel f , there is a c on stant flow o f ideas and habits between the town and the village . In terms o f actual food consumption , thi s might mean a young man on leave i n the vil l ag e for a couple of weeks who f inds d i ff iculty in read j u st ing quickly to the sweet potato diet , and who ther efore per s i sts in his urban r i c e- and- f ish habit . In the other direction , it might mean an older vil l ager visiting the town and f inding his urban wantok ' s diet unpalatable , and ins i sting that he should buy some sweet po tato from the market . Conversely , a vi siting urban wantok may well b e treated to a l arge mumu feast r eplete with garden produc e , in the same way as he himself will entertain his rural v i s itors in style , with frozen chicken , ice-cream and perhaps beer . The food c onsumption of the rural Fore is largely d etermined by the nature o f their subsistenc e activit i e s , with the availability o f store items a secondary factor . The food consumption data from Awande ( Chapters 9 and 1 0 ) c on firm the general description ( Chapter 2 ) of the rural food r e sources , in showing the populat ion s high degree of dependence on garden food s , e specially sweet potato ; the seasonal availabil ity of some of those food s , suc h as wing bean root ; the s ignificant but irregular c ontribution of the domestic pig to the diet ; the sporadic con sumption of bush foods such as mushrooms and small gam e ; and the use of store foods from time to time . Although it was expected that consumption of store foods would be higher during the coffee season when more cash was in c irculat ion in the village economy , thi s was not borne out by the dietary recall surveys . This may have been because the surveys were too small in scope and too short in duration to detect s ignificant fluc tuations in what is , at most , a small component of the diet . There i s no evidence to suggest that ser ious food shortage s occur regularly in the annual subsistence cyc l e , in Awande at least . If nutritional problems d o exi st i n the area , a s will b e argued l ater , 174 they are l ikely to b e due to the nutritional quality o f the foods ava i l able , c ombined with the selective use made of them , rather than to any quantitative defic iency in food re sourc e s . For the Fore in Lae , food consumption is inf luenc ed to some extent by subsistence production in urban gardens , but it i s the nature of the foods offered for sale in store s and markets which is more importc �1t . From the c onsumer ' s point of view the ava il abil ity of these foods is a function o f their phy sical ava ilabil ity and their pr ice . Physical ava i l abil ity is rarely a problem in Lae , with its wel l -developed publi c transport and shopping fac ilities , and its steady supply o f food s imported both from the local hinterland and from overseas . Fre sh food markets , however , are l e s s acc e s s ible , in terms of time and money , to some are a s than to o ther s . Pri c e f luctuations have some effect in the fresh food markets , and longer term effects in the c a s e of proce s sed foods . However , data from the household expenditure survey ( Chapter 1 1 ) sugge s t that most households with full -time employe e s , and without too many unemployed dependents , are well able to pu rc ha s e amounts of food adequate for their nutritional needs . In practic e , many people seem to spend large amounts of money on snack foods and dr inks whos e r eady ava i l ability in numerous snack bars and store s throughout the town is a con stant temptation . I f more urban land were available for gardening , it seems l ikely that the Fore , in common with other inhabitants of the low c ovenant and s ettlement housing areas , would make u se of i t . The consequence s in terms of food consumption would probably be an increase in the quantity and frequency in the diet of fresh green vegetables and fruit , and perhaps of starchy vegetable s as wel l . Urban gardening on a su stainable basi s wil l require change s to pre s ent systems of land tenure and cultivation , and wi ll need careful supervis ion and monitoring by extension officers . To influence food consumption habits by modifying the food resource s available is a policy option with d i fferent impl ications in rural and urban environments . In the former , where the people are responsible for producing most of thei r own food , it would mean trying to persuade them to a l te r long-accustomed subsistence practic e s . In the urban environment , where most food is purchased , it might mean direct intervention through pricing and marketing po l i c i e s . The f ir st approach 175 could face maj or problems of cultural resi stance 1 , and the second might meet with oppos ition both from vested f inanc ial interests , and from the urban publi c at l arge . The complementary po l icy of trying to influence consumption through modifying people ' s bel ie f s and preference s , for instance through nutrition education , will be d iscus s ed in the next section . Food c onsumption and food bel i e f s and preferenc e s In Part I I I , the food be l ie f s and preferenc e s in Awande and i n L a e were compared , and the conc lus ion drawn that in both plac e s there was a growing awarene s s of the s igni f icance of food to health , and an increase in the range and d iversity o f food tastes and pref erenc e s ; both trends were more pronounc ed in the town . The food c onsumption data are congruent with these generali sat ion s , insofar a s the urban diet i s r icher i n protein and c oncentrated energy sourc e s , and is more var iable , than the rural die t . Also , the rural d iet of today appears to be more varied than that of twenty year s ago ( see Chapter 1 0 ) . However , it i s d i f f icult to d istinguish the effec ts of growing nutr itional awarenes s , changing t aste s and preferenc e s , and the increas ing availabil ity of di fferent food s . Despite the apparently greater awarene s s among the urban mothers of the needs of young children , thos e in Lae do not seem to be fed much more often in the middle of the day than tho s e in Awande . I n both plac e s , about one-quarter of those in the recall surveys had nothing to eat or drink at midday . On the other hand , the urban toddlers wer e given a more varied diet an d more frequent serv ings of animal protein . The use of t inned baby foods by urban mother s , although not a practice encouraged by the health authoritie s , suggests that these mothers do indee d recogni s e that young children may have spec ial nutritional need s . The avoidance o f bottle-feeding b y most o f the urban mother s is another s ign of their acting in accordance with nutritional advic e . 2 The maj or d ifference s between vil l age and town in the diets of older children and adults s eem to result less from differences in nutrit ional bel ie f s , than from the greater range o f foods available to 1 Thi s does not apply so much to the introduction o f c ash-cropping activitie s , where mater ial benef it s are immediately obviou s , in c ontrast to the hypothetical long term nutr it ional benefits of mod i f ied sub s i st ence activities . 2 The sale o f baby feeding bottles was actually made i l le ga l early in 1 9 78 . 1 76 S ome o f people in the town , and their greater disposable c ash income . the food bel i e f s prevalent among the urban Fore , suc h a s those a s soc i at ing c ertain coastal foods with s ic kne s s , are in fact r estrict ive rather than permiss ive . The same can be said of the food taboos which are more prevalent in the rural environment , such as those on the consumption of tinned f i sh and tinned meat during a f ir st pregnancy . Unfortunately the fo�a c onsu.�ption data are too l imited to allow any j udgement of how closely these beli e fs and taboos are followed . Fore food bel iefs and preferences are changing , and will continue to change , unde r the influence of many fac tors , as d iscus s ed in Chapter 7 . The consumption data suggest that any del iberate attempts by the authorities to modify the s e beliefs and preferences should , in the rural environment , conc entrate on the needs of small children for a l e ss bulky diet and more frequent feeding 1 in the urban environment they should concentrate on the f requency of feeding and the dangers o f consuming too many sweet snack foods and drink s . two forms . Such attempts c an take The first is expli c it nutri tion education , and the s econd i s the promotion , on o ther ground s s uc h a s taste , e a s e of cultivation o r preparation and so on , o f foods which a r e al so nutritiou s . B oth approache s stand more c hance of suc c e s s i f they are aimed at gradual modi fications to the current d ietary pattern , rather than at maj or changes . In the village , thi s might mean encouraging in creased c onsumption of the nutritious foods which are already eaten in small quantit i e s , beans , peanuts and dripping ; such as in the town , it m ight mean trying to persuade mother s to re stric t snack foods to a minimum, rather than to deny them altogether to their children . I f people do not always eat what they s ay they would l ike to be e at ing , it may be because the preferred d ie t is simply not avai l able from the l ocal food r esourc e s , or it may be becau s e of other needs �nd values which compete with those relat ing to food c onsumption . In the rural environment , the food resourc e s a lr e ady avai lable c ould provide a l arger and more r egular supply of pork to the d ie t . However , pigs a re valued not only for their dietary c ontribution , but also as symbol s of wealth and prestige , and as a form of inv estment for future sale , debt repayment or c eremonial presentat ion . The u se made of cash income i s another indicator of competing needs and valu e s : many 177 families spend much o f their cash on clothe s , visits t o relatives in town , and other good and service s , rather than on store foods , popular though they are . for Of the money which is spent on foods , it is c ommon to spend large amounts on a s ingle occasion of drinking , and c e lebrat ion ( such as a singsing , or an initiation c eremony) rather than spending it on a s teady supply of purchased foods . In Lae , hous ehold expenditure data provide similar evidence relating to the scale o f needs and values in which food c onsumption is but one i tem . In practice , it appears to rank quite h igh in the scale , accounting for the greater part of c ash expenditure . I n the short term , such as the sudden need to return to the village to t ake part in a soc ial event , food may be relegated to a lower po s i t ion on the scal e , while during a visit to the town by villag e r elativ e s , it may become still more highly valued than usual . In the sub s i s tence sec tor , many more Fore would probably cultivate small gardens and hence eat more fresh vegetab le s , i f l and were more readil y available , and cultivable on a A s i t i s , they prefer t o spend thei r time and sustainable b as i s . energies in o ther ways . The food consumption data alone cannot be used to draw firm conclusions about the health and wel l -being of the rural and urban populations stud ied . The evidence suggests that the rural diet i s exce s s ively bulky , and l o w in prote in , while the urban d i e t i s more satisfac tory in these respects , but i s highly refined and c onta ins many sweet i tems . Thus the diets have di ffe rent nutrit ional imp l i c at ions in the two environments , and the s e wil l be c onsi dered further in Part v . I have a l so tried t o place food c onsumption i n the c ontext o f other needs and value s ; in Part V I shall emphasise that , j ust a s f ood consumption is only one aspect of behaviour c omponent o f total health and wel l -being so nutrition is only one 1 78 PART V HEAL'IH AND WELL-BEING 179 CHAP TE R 1 3 This chapte r des cr ibes s urveys o f wei gh ts o f unde r- five s in Awande and Lae , which were c arried out in order to obtain a s imple index of the nutri tional s ta tus o f what is probably the mo s t vulnerable age group in thes e popula ti ons . Be cause this index is no t an e asy one to interpre t , the latter part of the chapter inc lude s some dis cus sion of the inte rre l ationships be tween growth rate s , nutri tion , and morbidity and mortali ty p attern s in young chi l dren . The chap te r c onc ludes with some � ugges tions for appropri ate pol i cy measures which might be adopted in the rural and urban Fore popul ations According to Je lli ffe ( 1966 , p 74 ) , " I n deve loping region s , the prevalence of protein- calorie malnutri tion appears be best indicate d by de ficiency age- group s and by growth fai lure in i s the key anthropometric measurement . childre n . Monthly we i ghing o f infan ts ( under 1 y ea r) and toddlers ( years ) is the c orners tone o f the Papua New Guinea Health Departme nt ' s nutri tion surve i llance policy . I t is faci li tated by the p rovi sion of free He lt Buk , or h ealth rec ord book MCH ( se e P late 1 0 ) . for e ach child attending an This booklet is given to the mother and brought to the c linic e ach month . I t carries a record o f the child s date of bi rth , c linic attendan c e s , de tail s o f any medical treatment receive d , imm.unis ations , and wei gh t at each clinic attendance . The wei ght i s recorded on a char t in the middle of the booklet , on which l ines for 1 00 % 8 0 % and 60% of the Harvard S tandard weigh ts for age are di sp l ayed . A child whose wei ght falls below the 80% l ine i s de fine d , fo r s tati s tical reporting purpos e s , a s malnourished , and his or her mother w il l be told that the child 1 s weight i s too low ; i f the wei gh t falls below 60% of the s tandard , the child w i l l usually be admitted to hospital for treatment . l The booklets were first introduc e d in 1 9 7 5 , to replace the varie ty of record cards or books previous ly in use , and should be available throughout the country in the near future . 1 80 The use o f the H arvard S tandards ( Je l li f fe op . ci t . , p . 2 2 1) may not be s trictly approp riate for popul ations in P apua New Guinea , but loca l l y derive d standards are no t ye t ava i l able For purpose s o f compari son , the use o f a uni fo rm s e t o f s tandards i s e s s enti a l , and the Harvard S tandards are wide ly used throughout the wor l d . to the Nutri tion S e ction of the Department of Health , Acc ording " e vi dence from we ll �ed population groups within the country indic ates that many e thni c groups h ere h ave the potential to equal i f no t excee d these s tandards . " ( Pe rsonal commun i cation , 12 th July , 1 9 7 7 ) . Further c on s i de ra tion w i l l be given to the use of the Harvard S tandards in the discus s ion sec tion of this chapter . I had original ly intended to make use o f the data contained in the health bookle ts of Awande children to make some a s s e s sment of nutri tiona l s tatus I t soon be came apparent that an independent weight� for-age survey would be more toddlers Firs t , c linic for main reasons a ttended the c li ni c ; s econd , children whose age s had been the ac curacy o f s uch e s timates co uld charts had be a s s e s s e d . c l inics an my In both al so necess ary places I colle cte d some supplementary data breas t- feedin g , and a ttendance and a general impre ssion o f the main hea l th problems Only chil dren under five years old whose age s could be re liab ly determined i nc luded in the wei ght s urveys In Awande birthdate s we re accepte d from hea l th record booklets i f they were recorded to the day , and no t j us t the mon th ; o therwis e they were taken from Baptism certi fic ate s i s s ued by the local Lutheran pas tor , or in a few c as e s , from s l ips o f paper kept by the child s p arents on which the date of birth had been wri tten by a l i te ra te 1 vi ll age census patro l s are no longe r a regular fea ture o f adminis tra I t i s also worth no ting that tion activi ty in the Okapa Di s tri c t . the Lutheran Church denies B apti sm to chi ldre n of polygamous marriages , thus inci dentally depriving them, and out s i de rs , o f a re l i able record of the i r birthdate and parentage . 181 I n L ae , whe re the e du cationa l and literacy leve ls were h ighe r , nea r ly . all fathers knew thei r young chil dren ' s birth dates from memo ry ; sometimes refere nc e was made to h eal th records , Baptism cer ti fi cate s , or p ersonally wzitten s l ips as in Awande . By thes e methods , pre sumably accurate age s were obtained for 85 out o f roughly 1 0 5 unde r- five s in Awande , and for 6 5 out o f 6 7 under-fives in the Fore population contacted in Lae . In Awande , children were wei ghed on a s e t o f ba throom- type platform spring scale s ; the i r lb . , and later converted to kg . were re corded t o the nea re s t In Lae , children unfortunately had to be wei ghed on a di fferent set of me tri c bathroom s ca le s , whi ch were c ros s-ca libra ted w ith those used in Awande and found to agree to within 0 . 5 kg . ; wei ghts were recorded to the neare s t 0 . 5 k g . In both p l ac e s , smaller infants and l e s s co-operative toddlers were w ei ghed in the arms of an adu l t , usua lly thei r mother , whose wei ght was subsequently subtrac ted ; be fore wei ghing . removed from the i r bi lum babies required to remove the i r c lo thing , Chi ldren con s i s ted o f both Awande and Lae this loinclo th , a light skirt o r In Awande p a i r o f shorts all parents health record booklets , a a sked to show thei r children s ch ildren were rec orded as regula r a ttenders if they had a ttended the Awande clin i c at l e a s t twi ce w ithin the previous six months . In Lae where h ealth record book l e ts had not yet been provide d , pare nts were s imply asked if they took their children to th e c l ini c to be wei ghed this p rocedure may have res ulted in an ove re stimate o f regula r attende rs . In both places parents were asked whether the c hi l d was s ti l l breastfeeding ; no di stinction was made be tween chil dren fee ding many times a day , and those fee ding only once every day or two . The wei ghts by age o f all the chi l dren included in the Awande and Lae surveys are plotted on the upper and lower graphs of Figure 7 , in relation to the curves repres enting 1 00 % , of the Harvard S tandards ( Je ll i ffe , op . c i t . , p . 2 2 1 } . 80% and 6 0 % In T ab l e 14 , the absolute numbers and percentages o f e ach sample falling into four 182 F I G U R E 7 : WEIGHTS B Y A G E OF U NDER-FIVES I N AWANDE A N D I N RELATION T O 1 00%, 80%, AND 60% O F H ARVARD STANDARD WEIGHTS FOR • = o = not 1 00% 5 2 3 Age (years) 4 5 TABLE 1 4 S TANDARD WEI GHT-FO R-AGE CATEGORIES , AWANDE AND DIS TRIBUTION OF UNDER- FIVES LAE AWANDE Weight in re lation to s tandard for age in relation to s tandard for age 80-99% 6 0- 7 9 % Under 6 0 % 100% + 8 0- 9 9 % 60-79% Under 6 0 % 10 0 % + -- Age group Months n n (%) N n (%) 0 - 11 19 3 ( 16 ) 2 ( 11 ) 10 ( 53) 12-23 18 0 ( O) 11 ( 61 ) 7 ( 39 ) 24-35 19 (%) n 0 N n ( %) n ( %) ( 2 1) 22 0 (0) 3 ( 14 ) 8 ( 36 ) 11 ( 50) ( 0) 18 1 (6} 2 ( 11 ) 13 .( 72 ) 2 ( 11 ) ( 10) ( %) n (%) n (%) 1 ( 5) 10 ( 53) 7 ( 37) 1 10 0 ( 0) 2 ( 20) 7 ( 70 ) 1 6 ( 46 ) 7 ( 54) 0 (0) 8 0 ( 0) 2 (25) 5 (63) 1 ( 12) 7 (44) 9 ( 56 ) 0 ( O) 7 0 ( O) 4 ( 57) 3 ( 43 ) 0 {O) 5 (5 9) 65 36-47 13 0 ( O) 48-59 16 0 ( O) TOTAL 85 4 ( 4 7) 36 ( 42 . 4 ) 40(47. 1 (1 . 5) 13 (20. 0) 3 6 ( 55 . 4 ) 15 ( 2 3 . 1 ) based on Harvard S tandards ( see Jel li f fe 1 96 6 , p . 2 2 1 ) as used by Dept . o f Health , PNG . I-' 00 w 184 weight- for-age cate go ries are tabulated by one-year a ge group s . Using the DPH criterion for malnutri tion , that is the percentage of children fal ling below 8 0 % of the s tandard weight- for-age , the malnutri tion rate was 4 7 % in Awande , and 2 1 . 5 % in Lae . I n Awande , three infan ts ( the younges t o f whom die d at the age of 3 months ) and one toddl e r w ere be low 6 0 % of the s tandard weigh� for age , and five infants and one toddle r were above 1 0 0 % ; in Lae the corre sponding figure s were one toddler be low 60% , and e leven infants and four toddlers above 1 0 0 % . These figure s are too small to e s tablish di fference s , but are sugge s tive o f b etter growth rates in Lae . The mean wei gh ts in the two s ample s by one-year age groups are c ompared , and the s i gni ficance of the di f fe re nce s tes te d , in Table 1 5 . In a l l five age groups the mean weight was higher in Lae than in Awande , but only in the s ec ond and fourth year was the difference s i gn i f i cant , at the 5 % probabi l i ty leve l on a two- tailed t - te s t . Numbe rs were sma l l , and there i s a pos s ibility that di f fer entially skewed age di s tributions within the age groups might have however , they too are at l e a s t affected the s tati s tical results ; sugge s tive o f improved wei ghts for a g e i n the urban children . There were no con s i s tent or s i gni ficant di fferences between the wei gh ts o f the sexes in e i ther s ample . COMPARISON OF MEAN WEI GHTS OF UNDE R- FI VES BY ONE YEAR AGE GROUPS , AwANDE AND LAE LAE AWANDE Mean Age grOUJ? 0-11 1 2- 2 3 2 4- 3 5 36-4 7 48- 5 9 19 18 19 13 16 6 05 8 . 71 1 0 . 73 1 1 . 63 1 3 85 Di f f . o f Mean 0 . 369 0 . 281 0 . 3 38 0 . 524 0 . 418 22 18 10 8 7 7 . 02 9. 75 11 75 1 3 . 75 14 . 07 0 . 485 0 . 3 51 0 . 554 0 . 443 0 . 79 8 0 . 97 1 . 04 1 . 02 2 . 12 0 . 22 1 . 55 n . s . 2 . 3 3p<0 . 05 1 .67 n.s. 2 . 80p< 0 . 05 0 .27 n.s. Data on c lini c attendance include , in addi tion to the children whos e exa c t age s were known , nine teen children in Awande and two in Lae whose age s coul d on ly be e stimated . In Awande , fi fteen of these chi l dren were aged 3 or 4 , and on ly three of the nine teen were c li ni c 185 In L ae , the two children were 2 and 4 years o l d , and attende rs . neithe r a ttended the c l inic . Attendance in the two samples i s compared i n Table 16 . TABLE 16 MCH CLINIC ATTENDANCE OF UNDER-FIVES BY ONE YEAR AGE GROUPS , AWANDE AND LAE 1 LAE 3 AWANDE 2 attender s n ( %) Age group (months ) N 0-11 12-23 24-35 3 6-47 48-59 20 19 21 20 24 13 13 12 5 9 ( 65 ) ( 68 ) ( 57 ) (25) (37 ) TOTAL 104 52 ( 5 0 . 0) non-attenders n (%) 7 6 9 15 15 (35) {32) (43 ) (75) ( 63 ) 5 2 ( SO . 0 ) N attender s n (%) 22 18 11 8 8 20 11 8 3 2 67 4 4 ( 65 . 7 ) non-attender s n (%) 2 7 3 5 6 ( 91 ) ( 61 ) (73) (3 7 ) (25) 23 ( 9) ( 3 9) (27) ( 63 ) (75) (34 . 3 ) 1 Attender s at Awande defined a s t ho s e with regular attendance recorded in their Health Books ; at Lae , def ined as those whos e parents claim t o take them regu lar ly to c l inic . F igur e s for the two groups are there fore not strictly comparable . 2 Includ e s 1 9 children whose ages were estimated ( c f . Table s 1 4 and 1 5 ) 3 Inc ludes 2 c hildren whose age s were e st imated . In both group s , there was a marked reversal after the third year in the proport ions attending and not attending . In the f ir st three year s , wel l over hal f of the c hildren were attender s , while in the third and fourth year s attendance rates f ell to below 4 0% . overall the attendance rat e s were 50% in Awande and 66% in Lae ; however , a s mentioned earl ier , the data from Awande are more r eliable than tho s e from Lae , be ing based on inspection of health books rather than on verbal repor t s . For Awande , c l inic attendance data were a l so analysed in relation to the d istance that mother s and children had to travel from their hamlets to the c linic s it e . The attendance rates for hamlets at varying d i stance s from the road s ide c l in ic s ite were a s fol lows : - 1 86 Approx . walking t ime from hamlet to c linic Cl inic attendance rate of under- f ives 10 mins . or l e s s ( 6 hamlets) 1 1 - 2 0 m ins . ( 5 hamlets ) 2 1 - 3 0 m ins . ( 5 hamle t s ) more than 3 0 minutes ( 4 hamlets ) 34 9 6 3 TOTAL out out out out of of of of 38 28 19 19 ( 89 % ) ( 3 2% ) (32%) (16%) 5 2 out o f 1 04 ( 5 0 % } Thes e f igure s show a strong negative a s sociation between c l inic attendance and d i stance from the c linic s it e . The nineteen children whose ages could not be accurately d etermined wer e mo stly in the older age group s ; their inclu sion in the sample lowers the overall c l inic attendance f igure for Awande from 5 8 % to 5 0 % In Lae , including the two c hi ldren whos e age s were not accurately known , the attendance f igure s for d iffer ent hous ing areas were as fol lows : Area of r e sidence Cl inic attendance rate of under-f iv e s and Pa lis Baret Two-mile Bumbu/Balob Boundary Road Taraka 8 9 6 15 TOTAL and Bumbu/Balob are close to Road of of of of of 9 11 27 27 12 (89%) ( 82 % ) ( 56 % ) ( 56%) ( 50 % ) 4 4 out of 67 ( 66 % ) c l inic a t the Three-mile Community Centre , Two -mile has its Taraka out out out out out Butibam Clinic c linic served by also permanent . P eopl e from Boundary Pa lis Baret and within the town u s e the c linic at the Angau Memor ial Hospital . The acc e ssibil ity of c linic s i s a function of d i stance , travel c o st s and frequ ently of c l inic s e s s ions ; combined with the low numbers and the po s s ibility of over-reporting of attendance in the Lae sample , these factor s make interpretation of the above f igure s uncertain . In the graph in F igur e 7 breast-feeding children are distingui shed from those no longer breast-feed ing . I n Table 1 7 , the numbers and proportions breast-feeding in each sample are shown , by 18.7 age group . TABLE 1 7 BREAST-FEEDING OF UNDER-FIVES BY ONE YEAR AGE GROUPS , AWANDE AND LAE LAE AWANDE Breastfeeding Age group N Months Brea stfeed ing Non-breastfeed ing N n { %) n (%) ( 95 ) ( 83 ) ( 40) (25) (0) 1 3 6 6 7 ( 5) ( 17 ) ( 60 ) (75) ( 100} Non-breastfeed ing n (%} ( 100) 0 0 ( 10 0 ) ( 74 ) 5 (15) 11 ( 19 ) 13 ( 0) ( O) (26) (85) ( 81 ) 22 18 10 8 7 21 15 4 (34 1) 65 4 2 ( 64 . 6 ) 2 3 ( 3 5 . 4 ) (%) n 0-11 12-23 2 4 -3 5 3 6 -4 7 48-59 19 18 19 13 16 19 18 14 2 3 TOTAL 85 5 6 { 65 . 9 ) 2 9 2 0 There appear s to be some tendency towards ear l i er weaning in the urban group , but even in the l atter only one c hild under e ight een months was not breast -feeding ; the milk supply of this child ' s mother had dried up when she underwent a splenectomy in the child ' s f ifth month , after which she began bottle-feeding it under nur s e s In both Awande and Lae , the maj or ity of c hi ldren are apparently weaned sometime during the third year The sample s are too small to c ompare the weights of breast-feeding and non-breast-feed ing c hildren at the same age , but the smal l contr ibut ion of breastmilk to the total d i et after the second year would make the detect ion of a s igni f ic ant differenc e unlikely even in a larger samp l e . Inspect ion o f the health record booklets showed that scabies and o ther skin infections , r espiratory tract infect i ons ( generally referred to a s k u s in P idg in , and an almost univer sal condition in young c hi ldren ) and diarrhoeal di s ease were c ommon c au s e s of morbid ity . When incidents of d iarrhoea were r ecorded in the health booklets by the c l inic staff , the note was u sually added , " advi sed to give sugar water " ; when weight l os s e s were recorded the note was u sually added , " nutr itional adv i c e g iv en " . I nspection of the booklets a l so revealed 188 that three children had been admitted to the Okapa hospital within the previou s year for treatment of gastro-intes tinal infections or malnutr ition . In each case their weight was below 6 0 % of the standard at the time of admission : Case 1 . A girl was admitted with s evere gastro-ente ritis at 9 months ; four months later she wa s back to 8 0 % of the standard weight for her age . Case 2 . A girl was admitted at 7 months , but four months later was still below 6 0 % of standard . Her mother had never attended the mobile MCH c l inic ( she took the child d irect to the hosp ital when it was i l l ) , claiming that she never knew when it was held and that anyway it was too far to go ( almost l hour ' s walking uphill and in the oppos ite d irection to the woman ' s gardens ) . Case 3 . This child , another g irl , spent several weeks in admitted with ho spital at about 3 years old , after marasmu s , with a weight apparently only 5 0 % of st andard ( her exact age , however , was not known ) . A year l ater she was around the 6 0 % level . Thi s child was the seventh in a family with e ight l iving c hildren . The c linic nur s e s severely c r it i c i s ed the mother both for fail ing to take her child ' s low weight s eriou sl y , and for having too many children . Two c hi ldren d ied in the v illag e between Apr il and S eptember 1977 . One was 4 months o ld ; he had been under 6 0 % of the standard weight for his age at 3 weeks { al though he may ha.ve been born prematurely) , and had failed to thrive thereafter . The other was about 4 years o ld at the time of his d eath , which was attributed to pekpek b Zud (literall y , bloody stoo l s ; Some supplementary data u sual ly translated as dysentery ) . to the age inc idenc e of d eath _ amQ�g infants and toddl er s in Awande wer e obtained in a survey carried out in early 1 they had had in which all mother s were asked how many children and how many had died and at what age . method i s c learly subj ect to errors mortal ity pattern . ( inc luding 4 twins) Thi s recall but g ives some ind ic at ion of the 8 2 mother s reported a total of 3 64 l iv e births 5 sti l l births and 71 subsequent deaths . Of the se death s , 15 ( 21 % ) had occurred in the ZikZik haus , i . e . within a week of the birth ; 2 5 ( 3 5 % ) before the child c ould walk ; 18 ( 25%) when the child was walking but still breast-feeding , i . e . under 4 or 5 year s ; 3 ( 4 % ) in l.ater childhood ; 4 ( 3 % ) in adulthood ; the 1 By Steve M il l ar and Bev Hewitt , attached to the PNG I nstitute of Medical Resear c h , Goroka . 18 9 rema ining 6 d eaths ( 8 % ) occurred at unspecified age s . Bec au se these are retro spective data relating to a series of bir th cohorts , they cannot be u s ed to calcu late conventional v ital statist ic s . b. I di d no t obtain any detai led data o n morbidi ty and mortality among Fore c hi ldren in Lae . Malari a is endemic in the town , but I di d not reco gnis e any cases of i t . On the whole , the children in town s eeme d to be c leane r , and hence less s ub j ec t to s ore s , than thei r vi l lage coun terparts . One severely underwei ght child of 1 8 months (below 5 5 % o f the s tandard wei ght f o r h e r age ) repor te dly s uf fered from a congeni tal hear t de fec t and was under regular hospital observation . Her i l lnes s was s ai d by her father and hi s kinsmen to be c ause d by p oisin worked on her by her mother ' s Zain , a Morobe group who dis approved o f the mother ' s marriage to a Fore man . o f 2 3 months Another child , s uf fered from tuberculosi s , but was j us t o ver 80 % of the s tandard wei ght for his age ; he was breast- feeding , on ho sp i tal advice once a day , while his i nfant brother breastfed continually . The 10-month-old chi ld who had been bottle- fed from 5 months was 7 0 % o f the s tandard wei ght f o r his age The results of the wei ght for age surveys of under-fives in Awande and Lae , though b ased on small number s and on weighing technique s which were not i deal , are sugges tive of a signi ficantly higher growth rate in the urban as c ompared to the rural popul ation . Thi s finding i s cons istent with comparable data from othe r group s , and with the dietary data presented e arlier in this report ( Part IV) l . , de fined as the percentage o f unde r- five s whose wei ghts fall below 8 0 % o f the Harvard s tandard , i s of limited value in comparing populations . S ince many group s o f Papua New Guinean children follow growth curves which are quite close to the 1 1 3 o f the 6 5 Lae children had coastal mo thers , and all had Fore fathers . Thus , the e ffec ts on growth o f genetic di fferenc e s between the rural and urban s amples are unlike ly to have been s igni ficant , and the genetic fac to r i s not c onsi dered further . 1 90 8 0 % s tandard curve , small di fference s between populations can l ead to l arge di f ferences in the reported malnutri tion rate s ; the s i gni fic ance of the di f fe rences in growth patterns can only be a s s e s se d by using s ome measure of d ispersion about the mean , in narrow age group s . Where such data are available , the ' malnutrition rate ' is superfluous as an indic ator of nutritional s tatus . Furthermore , the malnutri tion rates repo�ted by the Department of Public Health ( e . g . NPO , 1 9 78b) rel ate only to MCH c linic attenders . The rate which I obs erved in Awande included some non- c li ni c attenders , and , at 4 8 % , compare s with a l9 7 7 rate among c l inic attenders in the Okapa Dis trict as a whole of 3 1 % ( unpubli s he d records ) , and wi th a 1 9 7 8 rate for the Eas tern H i ghlands Province of 3 2 % . Non-attenders tend to be in o lder age groups , to live in mo re remote areas , and to receive l e s s medi cal treatment than attende rs ; on al l three counts they are mo re likely to be underwe i gh t . Turning to mo re detailed , age-speci fic data on wei ght f o r age , higher wei ghts have been reported for children in Kundiawa as compared to surrounding rural areas of Chimbu (Bailey , 1 96 3 , Figure l ; Lambert, l 9 7 5b , Table 7) and for children and urban Lae as compared to those of high l and populations in Bundi and in the Asai Valley ( Malcolm, 1 9 7 3 , 1 9 7 4 ) . For the hi ghland c hildre n , Malc o lm conc l udes that , " to tal food i ntake i s inadequate and is a maj or factor in determining insufficient protein intake and consequently impaired growth" ( Malcolm , 1 9 7 4 ) . He mentions the bulky nature of the s taple foods , and " the rel uc tance of mo thers to actively encourage the i r chi ldren t o e a t food a t any age " , as two reasons f o r the inadequate total food intake . In a s imi lar vei n , Hipsley ( 19 6 4 ) c onsiders that intake o f die tary fat , and frequency of feeding , are the two critical factors influe nc ing i nfant and toddler nutrition i n P apua New Guine a , and he advocates greater us e in infant and toddler die ts o f locally produced fat-rich foods , such as peanuts i n the highland s , and c oconut cream in the lowlands . The importance of bulk as a l imiting factor in total food intake has been experimentally demons trated among Enga children by B inns ( 1 9 76b) , who also achieved encouraging re sults in a p ilot nutrition intervention programme us ing red palm o i l as a dietary 191 s upplement (Binns , 1 9 76 c ) 1 • The Fore urban s taple of white rice is not , when cooke d , much di ffe rent in energy content per uni t wei ght or volume from the rural s tapl e of swe e t pota to though it is marginal ly higher in protein c on tent . It is probably o ther i tems in the urban and rural diets , and particularly those ri ch in fats , which are cri tical in causing the apparent di fference s i n growth rate s . In the Awande recall surveys, the main s ources of fat were pig , tinned fish and tinned dripping , al l c onsume d infrequentl y ; pandanus nuts a n d red pandanus o i l were season ally available in small quanti tie s , and a few families grew peanuts , which they mo stly sold at the local marke t . In Lae , the recall survey revealed frequent consumption o f tinned fis h , tinned , fresh , and frozen mea t , and fatty spreads ( butte r , margarine and peanut butter ) ; dripping and coconut cream were quite o ften use d in cooking ; and children were sometimes given i ce- creams and o ther swee ts or fatty snack food s . I t s eems like l y , the n , that ove ra l l the Lae diet is more concentrated in terms of energy and pro tein , and that this would largely accoun t for the obse rved di f fe renc e s i n weights for age 2 . Rei d and Gad j us ek ( 196 9 ) and Hornabrook ( 19 76b ) both report a 3 very low occurrence of ove rt malnutrition among the rural Fore during the 1 96 0 ' s , when exte nsive medic al and biologi cal re search was being conduc ted i n the area in re lation to kurru . During the fir s t seven 1 A palm oil trial on a much larger s cale during 1 9 7 7 inc l uded sale o f the oi l i n local trade s tores , combined with publicity emphasi s ing i ts use as a children 1 s food . The palm o i l was w idely accepted , but pre liminary analy s i s of the data sugge s ts that the l arge r trial had l e s s impres sive re sults in terms o f child growth than the pi lo t tri al ; a pos s ible re ason for this might be dive rsion o f the palm o i l away from inf:ants and young c hildren , towards general househo l d cons umption ( Binn s , p ersonal communication , 1 9 7 8 ) . 2 The s ame conc l us ion was reached by Mal c olm ( 1 9 7 3 ) : " . . . . the Papua New Guinean chi ld has a po tential for growth whi ch is being realised in the town but not in the vi l l age . This di f ference may be l arge ly attributed to the gene ra l ly higher pro tein intake a chieved in the urban die t . . . as wel l as a probably lower rate o f morbidity " . 3 This applied both to children and to adults . 192 months o f 1 9 7 7 , only one case o f frank malnutrition was admi tted to Okapa Hospi ta l ; according to hospi tal s taff , such cases are rarely seen, and are u sual ly the re sult of the death o f the mother a t chi ld bi rth , leading to inadequate feeding and care of the newborn i n fan t . The Fore may suffe r l e s s overt malnutrition than s ome o ther highland groups such as the Chimbu , but the general pattern of infant and chi ld mo rbidi ty and mortali ty is probably simi lar to that obs erved throughout the highlands . In the highlands as a whole , respiratory and gas tro inte stinal infe c tions are the l eading c auses of death , infant mor tal i ty rates range from 5 0 to 1 5 0 per 1 0 0 0 births , and toddle r ( 1- 4 years ) mortali ty ra te s average about 14 per 1 0 0 0 per year (Bel l , 1 9 7 3 ) . Data on mortal i ty and morbidi ty in Lae a re given by Malcolm 19 7 3 ) who calculated mortal i ty rate of 36 per 1 00 0 ( 2 2 per third 1000 of them attributed to neces s ari ly i tsel f , The Guzman 196 8 ) and in the Pun j ab ( Waterlow / The relative c ontributions made to reducing infection by medical and ( 19 7 0 a and b , 1 9 74 ) and Hipsley ( 19 76 ) have argued that to a low-protein die t , sub-maximal growth may be a use ful and that i t may b e partly genetically determined . The dis tin c tion be tween 1 re spons e 1 and ' adaptation ' i s not a c lear one , but there is certainly no reason to believe that the maximal growth rate , any more than the maximum adu l t body s i ze , is the optimal one . 193 nutritional p rogramme s respec tive ly are di fficult to disentangle , but where infec tious dis ease s are highly p revalent both can be expec te d to achieve pos i tive re sul ts . In P apua New Guinea the inte rac tion o f nutrition and di arrhoeal infection has b ee n discussed by B iddulph ( 19 7 3 ) ; ' weanling diarrhoea • is o ften he emphasi se s that by a combination of two factor s , the contamination o f foo d by infe ctious pathogens , and the introduc tion o f the c hild to a high- bulk , low-pro tein die t . The ini tial inc i dence of disease can precipi tate a vi cious cycle o f infe c tion-malnutri tion-reduced res i s tance-more s evere infe ction , often ending in death . Whi le there is wide spread of the interactive nature o f nutri tion and infec tion , there i s les s agreement on how be s t to tackle the h igh mo rbidity and mortal i ty rates which Oppos ing poi n ts o f view are preva i l in much of Papua New Guine a . nic e ly repre s e nted by two autho ri ties who have both made intensive s tudi e s o f the problems Malco lm ( 19 7 4 ) toddler mortality rate , di ffe rent parts o f the on a dramatic 1 96 0 50 to 1 0 per 1 0 0 0 conc lude s tha t : 11De spi te the se dramatic changes child heal th rec or ds o f wei gh ts showed no s i gni ficant increase there was no economic development to p ermi t change s tradi tional food consump tion the changing prevalence disease could be l argely attributable to the provi sion a s impl e preventive and trea tment s ervice . . • In c on tra s t , Binns ( 19 76 a) • . • stre s se s the rol e o f nutri tion the h ea lth s tatus o f Enga children at Wapenamanda improving He found s ta ti s ti cally s igni fican t re lationships between wei ght- for -age s tatus and subsequent in cidence of pneumoni a and diarrhoeal disea s e , and c onc ludes as fo l lows "Al though MCH Clinics have proven thei r worth , there is a need for inve s tiga tion o f further nutri tion intervention in order to overcome the limi tations imposed by the sweet po tato die t . There seems li ttle doubt that improving the nutrition of the Enga children would substanti al ly reduce rates . " their mortali ty and The palm oil supplementation programme de s cribed earlier in thi s discus s ion w a s o f c o urse a n outcome o f thes e observation s , b u t i ts 1 94 e ffec ts on mortal i ty and mo rbidi ty have yet to be e va luated 1 • The dif fering emphas e s o f Mal colm and Binns may be due to real dif ference s in the needs of the particular groups in que s ti on , who o ccupy di f ferent environments and are gene tically di stinct . I t may als o be relevant that the toddler mo rtali ty rate among the Bundi was 50 per 1 00 0 at the s tart o f the heal th care prograrrune , compared to a rate o f 12 per 1 00 0 �t Wapenamanda during B inns ' s tudy . Thus , while the hea l th servi c e s were clearly e ffe ctive in reducing the Bundi rate from i ts ini tial high leve l , a further reduction might have been a chieved by adding a nutri tional component to the programme ; 1 0 per 1 0 0 0 is s ti l l a n unacceptably h igh mortality leve l . Fina l l y , it s houl d be pointed out that the Department o f Pub l ic Health e s timates that : "Although only 7% o f hospital deaths 2 o f c hildren under 5 are dire ctly caused by malnutri tion , a further 7 2 % o f chi l d hospital deaths may have malnutrition o f the chi ld or mother as a re lated cause . 11 (NPO , 1 9 7 8 c) . Preve ntive and c urative medi cine , nutrition and health education , and nutrition inte rvention prograrrune s are all nec e s s ary and complementary approaches to the go al o f reducing infant and child mortal i ty . The emphas i s given to each s hould vary ac cording to the spec i fi c needs o f a p articular population ; it wil l al s o depend upon economic and organisational cons traints . I n fants and small children in the Fore region l Another s tudy , of les s di re c t re levance in that i t concentrates on nutrient intakes and re fe rs only indirec tly to indicators o f They nutritional s tatus , i s that by Ferro-Luzzi et al . ( 1 9 75 ) . s tudied ch ildre n on Kar Kar I sland and at Lufa in the Eas tern Highland s , and found that energy and protein intakes were generally Re -evaluating the res ul ts on an age satis fac to ry on a wei ght basi s . b as i s , they conc lude that , " • • . the high proportion o f nutri tionally inadequate die ts , a s s e s s e d on an age bas i s using materi ally favoured Caucasian populations as s tandards , do not match with phy s iologi cal or c linic al s igns and symptoms of malnutrition in these New Guinea chi ldren . " They do not comment on mortali ty and morbidi ty rate s . 2 s tati s ti c s for death s outs ide hospi ta l s do no t exi s t . These figures p re sumably give a rough indica tion at lea s t of the general s ituation throughout the country . 195 experi ence growth and morbidi ty and mortal i ty patterns which are s imil ar to thos e in most parts o f the h ighlands o f New Guinea . These patterns are in fluenced partly by a total food intake which is re s tri cted both by the bulky nature o f the di e t , and by the cultural convention s of in fant and ch il d feeding ; the patterns are al so influe nced by the l eve l o f preventive and curative medical s e rvices available in the region . In order to improve infant and chi l d heal th , the e ffo rts o f the authorities might mo st use fully be channe lled in two dire c tion s . One aim should be to ensure that as many infants and todd lers as pos sible are enrol led , and therea fter seen regula rly by the MCH c l inic s taff . In the long term, full rea l i s ation of this aim wil l depend upon incre a s ing the level o f mo tivation among parents , but in the short term some progres s might be made by giving more publicity to the aims o f the c linic s , by developing better communica tions betwee n clinic organisers and influenti al vil l agers , and by e ncouraging a more sympathetic a tti tude among clini c s taff towards mothers o f underweight childre n . The second a im should be to spread the i de a that energy-ri ch foods such as pandanus nuts and peanuts , red pandanus oil , tinned fish and tinned dripping are e special ly good foods for sma l l chi ld:Pe n1 , and s ho uld be given to them, with the i r normal die ts , in small quanti ties but o ften ; this me s s age could be publi ci s e d through clini c s , Aid Pos ts , lo cal counci l lors , s choo ls and trade s tores . b . The urban Fore . The di e t o f the urban Fore is app arently ri cher i n energy and pro tein than i s the rural die t , a n d suppor ts a fas te r growth rate ; it i s highly probable that chil d morbidity and morta l i ty rate s a r e lower than i n the rural are a . As in the latter , the a ims should be pursued of maximi s ing clinic attendan ce , and further encouraging the the consumption by small children o f ene rgy- and protein-rich foods ; coconut o i l in parti cular should be s tressed as a goo d supplement to children ' s diets . Additional nutritional mes sage s emphasising the importance o f fresh vege tables and frui t , and the dangers o f exce s sively re fined and swe e t foods , might al so be given a tten tion . With regard to infe c tious di seas e , the importance of using clean wate r ( which in the settlements o ften means boiled water ) , and o f preventive measures agains t malaria should be 1 The availability of increasing the consumption of animal f at by adults is of c ourse much more dubious . 196 given pri ori ty . The risk that the ri cher urban die t might lead to new heal th problems , s uc h as obe s i ty and dental cari e s , wil l be consi dered i n the next chapte r , in which the disc us sion wi l l be expanded to incl ude o lder age gro up s , and wider aspec ts of health and we l l-be ing . 1 9 .7 CHAP TE R 1 4 In the preceding chapte r , the rel ationships be tween nutri tion , growth , and morb i di ty and mo rtali ty in young childre n were di s cussed in s ome deta i l , in the context of the observed weight- for-age dis tributions in the Awande and Lae s amples . For adults , no data were co lle c ted on nutri tional s tatus or morbidi ty and mortal i ty , and this c hapter wil l nece ssari ly be of a somewhat more general and Once again , extensive reference will be made to speculative nature . relate d s tudies in Papua New Guinea . After c on s i de ring nutri tional s ta tus and general phys ical heal th in a du l ts in the rural and urban environments , I s hall discuss the concept of ove rall health and well being in i ts social contex t , and the pl ace w ithin it of foo d and nutri tion . Final ly , I shall re turn to the conceptual mo de l outlin�d at the beginning o f this repor t , and comment on some o f i ts s treng ths and weaknes s e s in the l i ght o f the use made of i t in the res t o f the report . Casua l observation o f people in Awande s ugges te d that a weights , heights and subcutaneous fat leve l s tended to be lower than current Aus tralian s tandards , at all age s and for both sexes . Weight and fat leve ls appeared to dec rease with age a fter the third o r fourth decade, particularly in women . Maximum leve l s were probably reached be tween the age s of fi fteen and twenty- fi ve y ears . These observations are con s i s tent with accurate measurements made in o ther areas of the highlands ( e g . Bailey , 1 96 3 ; Vines , 1 9 7 0 ; S innett , 1 9 7 3 and 1 9 7 7 ; Norgan e t al 1974) . Th ese generally reveal a gradual dec line in weights , hei ghts , wei gh t : hei ght ratios and skinfo ld thicknes s e s through late r adulthood , beginning at an earlier age in women than in men . The sex di f fe rence was attribute d by B ailey ( op . ci t . ) to the chronic s tres s 198 imposed o n women by their s trenuous physi cal exerti on i n garden work , rather than to the e ffec ts o f repeated cycles o f p regn anc y , chil dbirth and lac tation . Bailey, and S innett ( op . ci t . ) both conclude that the anthropometric c hange s are i ndicati ve o f s ub-optimal nutri tional s tatus , but S inne tt emphasi s e s that such a conclusion can be reache d . " •. • only i n the ligh t o f o ur knowledge o f the morbidi ty and mortality patterns o f the community and our e val uation o f their accep tabi l i ty . " ( Sinne t t , 1 9 7 7 , pp . 84 - 5 ) . Norgan et a l . ( 19 74 ) be lieve that the progre s s i ve reduction in hei ghts and mas se s in o lder a ge groups may represent the "proper " physiological proc e s se s , as opposed to the European norm of a s teady i nc reas e in body fat with ageing . b. The Fore adu l t population con tac te d i n Lae included very few men over about thirty- five years , and few women o ve r thirty ; e lderly Fore in Lae were vis i tors from the vil lage . could be made about changes with age . the only Thus no observations The s tature and body bui l d o f the adults i n town did not appear to di ffer markedly from thos e o f the i r vi llage contemporarie s . No one was obviously obes e by Australian s tandard s , but skin fo l d measurements might well have revealed s i gni ficant dif fe rence s b etween town and vi llage , give n the nature o f the urban die t . Vine s (Op .ci t. ) s tudied inhabitants o f s everal "highly urbanised village s " in the course of his 1 96 4 - 6 6 baseline epidemiologi cal surve y , and c omments : "A very s igni fi c an t con s i s tent observation was the a s s o ciation of urbanis ation . . with greate r skinfo l d thi ckne s s , h i gher s erum cho le s te ro l levels , highe r s erum albumin leve l s , lower s e rum globulin leve ls , and lower height-weight ratios than the vil lager s or overal l s ample . The explanation o f this phenomenon mus t l i e partly in the bread , rice , tinned fish and tinned meat which cons ti tute a large proportion of the diet o f urbanised people . " ( ibid, p . 2 72 ) . I t mus t be remembe red that very few o f the Fore in Lae had been there , o r in any urban centre , for as long as a decade . It would b e in te re sting to observe the future phy s i ca l development o f long term urban res i dents , e specially thos e born in town 1 • 1 Mo s t o f the a dult Fore now living in town expec t to return to their vi l l ages e ve n tua l ly , but it is no t clear what will happen to the i r children : many ado le scen ts would probably find the pro spect o f moving to the vil la ge l e s s attractive than that o f s taying on in the town , the envi ronment in which they were brought up . 1 99 Phys i ca l fitne s s a . Awande . Adult me n and women i n Awande appea re d to be physic ally much mo re fi t , a s j udged by their abili ty to p er form arduous and energetic physical work , than would be expe c te d for a typical urban Aus tral i an population . Women walked to thei r gardens almo s t daily , o ften ove r distance s o f up to 4 or 5 km . from their h amle ts , spending the day in garden tasks and re turning home wi th loads of up to 20 o r 3 0 kg . of food on their backs . Men ' s daily physi cal activi ty was more variable , but qui te often included s uch e nerge tic tasks as tree fe lling , cons truction a n d erec tion o f fence po s ts , c learing o f sec ondary bush , a n d carrying timber . Both sexes were able to walk up and down very s teep and o ften slippery paths wi th apparent eas e , e ven while carrying heavy loads . Agai n , these casua l observations are supported by measurements o f physical fitnes s in o ther highland groups { Hipsley and Kirk , 1 96 5 ; S inne tt and Solomon , 1 9 6 8 ) , which have shown level s as goo d as or better than thos e of Australian serviceme n . Norgan e t al . { op . c i t . ) , in the mos t de tai l e d s tudy yet made o f e ne rgy expendi ture by P apua New Guineans , s howed that, both at Lufa and on Kar Kar I s l and, mos t daily ac tiviti e s invo lved only ' light ' o r 1 modera te 1 e nergy expenditure s ; thi s appl i ed eve n to gardening tasks . The ir e vi de nc e s uppo r ts Hipsley and Kirk ' s asse rtion that the h igh leve l s o f physical fi tnes s which they observed were due not to a high total energy expendi tu re , but to frequent burst s o f highly energetic activi ty ( such as carrying a heavy load uphil l) i nterspersed with longer p eriods o f lower a c tivi ty ; this pattern increas e s muscular and cardiovascula r e fficiency . b . Lae . I n Lae , the l evel of e nergy expenditure by bo th s exes i s almo s t certainly lower than in the rural environment . S ome women and a few men cultiva te re latively smal l garden s , and a few men have e ne rge tic j ob s s uc h as road-mending or wharf-labouring . On the who l e, though , s ub s i s tence and work activities use less energy than in the vi l lage , few people take part in active physical recreation , and there is rather l e s s walking from place to plac e , because of bo th the oppr e s s ive climate , and the availabil i ty o f public transpor t . Finall y , the h igher ambient temperatures in Lae may result in a lower bas al metabo lic rate , a lthough the FAD/WHO committee on energy and protein 200 requirements was unwil ling to quanti fy this rel ationship (WHO , 1 9 7 3 ) . a . The rural Fore . General information on di sease o cc urrence among the rural Fore in the 1 96 0 ' s was collec ted in connec ti on with investigations into kuru , and i s s ummarised by Hornabrook ( 19 76b), as follows : " The people are cha racterised by a freedom from the degenerative a rterios cl e rotic diseases o f diabe te s and o f gout . Apart from kuru ( now almo s t dis appe ared) there is a high inc idence of chronic re spiratory di sease which is a s e rious problem in the middle- aged . In contra s t to the p i c ture in a wes te rn s ociety more people suffer from anaemia , but this doe s not s eem to be incommo din g . Alimentary par as i te s , whi l s t ubiquitous , do no t apparently cause any physiologica l emb arra ssment to the hos t . Leprosy is uncommon and malari a i s only o f lo cal and occasional impor tan ce . 11 ( ibid . p . 65 , my parentheses ) . Although chroni c under- or mal -nutri tion have some e f fe c t in reducing res i stance to mos t i n fec tions ( S crimshaw, Taylor and Gordon , 1 9 6 8 ) , c hronic resp i ra tory disease is probably no t greatly influenced by poor nutrition ; environmen ta l facto rs , s uc h as the smoke- filled house s with poor ventilation , a n d the use o f both home-grown and c ommercial ly prepared tobacco , are probably more importan t . Helminthi c and p ro to zo al parasi ti sm , and associa te d anaemia , tend to be exacerb ated by a die t low in protein ( ibid) , s o that the high prevalence o f the se di seases may be par tl y due to the nature of the ru ral Fore di e t . Hornabrook { op . c i t . , p . 6 1 ) s tates that , "An unexpec ted observation in thes e vil l ages was the exis tence of a high prevalence of dental carie s " , but he give s no de tails . Venkatachalam ( 1 9 62 ) , Hip s le y and Kirk ( op . ci t . ) , and Vines (op . cit) all note the relatively in P apua New high pre valenc e o f dental carie s in highland Guinea , as compared to co as tal populations but no satis fac tory explanation has been give n for this di f fere nce Minera l , and in f luorine intake s may be of s ome s i gni ficance . The observed rate s were lower than those prevalent in Australia and New Zealand . b. There are no publi shed data on morb i di ty rates among highland migrants in Lae , but i t is po ss ible to infe r , from environmental and dietary fac to rs , what the main di f fe re nces from the rural s i tuation might be . The mo s t important di f fe rence is almo s t certainly the high 201 incidence of ma l aria i n the coastal regi on , i t being a disease to which few adult h ighl anders have acquired any immuni ty be fo re coming to the town ; seve ral Fore men in Lae tol d me they had had treatment fo r sik ma laria , but none took prophyl ac tics . Sani tation and water s upp l i es in the s ettlements in Lae are far from sati s fac tory , so tha t gas tro- inte s tinal di sease may be quite c ommon . On the other hand , the absenc e of pigs and the l ow numbers of other domes ti c animals may reduce the inci dence o f para s i tic infe c ti ons , and the practice o f c ooking out o f doors or on kerosene s tove s , combined with the lack of any need fo r heating at night , may have some bene fic ial e ffec t on respiratory ailments The die tary data s trongly sugges t that dental carie s sho uld be more preva lent i n Lae than i n the rura l area s , because of the high consumption o f re fined cereals , and re fine d s ugar in drinks and snac k foods . Turning now to the degenerative di sease s , the finding by Vines ( op . cit ) o f h igher choles terol leve l s among urbanised villagers has already been mentioned ; the Fore die t in Lae i s l ikely to l ead to this res u l t , among o thers . higher age groups Degenerative diseases tend to a f fe c t the so that much dire c t evide nce of the i r o ccurrence among urbanis e d Fore would not yet be expe c ted . Sinnett and Buck ( 19 7 4 ) , in an artic le focussing on the probable future incidence o f coronary h eart disease i n P apua New Guinea conclude , for the coun try as a whole , that : " . . social and economic development is l ikely to re sult not simp ly in a replacement of infe c tious di sease by chronic degenerative diseas e , but rather in an increas e in the total spectrum o f disease in which vas cular disease , di abe te s , hypertens ion , and cance r wil l be added to the problems of in fe c tious disease . " I n a ffluent countri e s , where the c hronic de generative di seases mentioned are highly prevalent , over-re fine d , swe e t and fat-rich diets have been implicate d in the ir aetiology Such die ts are becoming the norm in urban a reas in P apua New Guinea . Furthermore , i nc reased cash income in the towns i s o ften a s sociate d with i ncreas e d use of tobacco thus l eading to a h igher r i sk o f chronic bronchi tis , lung cancer , and coronary heart disease . The re lations h ip s between die t o n the one hand , and parameters of physical h ealth such as growth rate s , anthropometri c s tatus , a nd 2 02 infec tious and non-infec tious di seas e s tatus on the other , have been summarised in re lation to children in the previous chapter , and in rel a tion to adults in the foregoing sec tions of this chapter . The various parameter s o f physi c al hea l th have b ee n shown to be inextric ably linked with each o ther and with nutri tion in a number of ways , and the main features o f the rural and urban s ituation s can be summar i s e d as fol lows : a . 'Ihe rural s ituation . Among the rural Fore , the mo s t signi fi cant consequences for h ealth of the high-bulk , low-protein , low- fat di et are a s low growth rate , smal l adult body s i ze , and a dec line in body fa t and wei gh t : hei ght ra tio s in late r adulthood. The low energy and low pro tein c ontents of the diet are probably ind i rectly respon s ible for a large part o f the high in fant and toddler morb i di ty and mortality from infectious gastro -inte s tinal and resp i ra tory disease s . The di et, howeve r , s uppor ts h i gh leve l s o f phy s ical fi tnes s in adul ts , and i s not conducive to the development o f die t- related degenera tive diseases such as diabete s , hypertension , or coronary h eart di sease . b . Ti1e urban s ituation . Among the urban Fore , the die t is re lative ly richer in e nergy , total p ro tein and animal pro tein , fats , and s ugar . On th e one hand , thes e fac tors probably res ul t in increased growth rates in chi l dren , a s sociated with incre ased res i s tance to i n fe c tious diseases and hence lowered morb i di ty and mortali ty ; on the othe r , they are l ikely to l ead eventually to incre asing incidence o f dental carie s and obesity a t a ll age s , and c hronic degenerative diseases i n l a ter l i fe . 3e cause the population i s s ti l l young and only rec ently urbanised , the latter conditions are not ye t h ighly prevalent . The po s s ibil i ty o f speci fic nutritional de fic iencies , s uch as hypovi tamino ses , res ulting from the not be overconsumption o f highly re fined foods , should overl ooked , but s eems unl ikely on the present di e t . Overall , then , i t i s a somewhat s ub j e c tive j udgement a s to whe ther the rural o r the urban diet i s the ' h eal thie r ' . On the rural diet , fewer children wil l survive the vulnerable early years to reach adulthood , but those that do survive will be fi tter , and le s s prone to degenerative disea s e s in later l ife , than their urban wanto k . If a slow rate o f growth l eading to small adult s ize is indee d a valuable 2 03 adaptation to a low-protein diet , as Malcolm ( 19 7 0 a and b , 1 9 7 4 ) and H ip s ley ( 1 9 76 ) argue , then the faster growing and l arger children brought up on the urban diet might find it di fficult to adapt later to the rural die t , if and when they move to the vil l age l . Other aspects of h ealth and well-being Food and nutrition in relation to other needs S o far I have considered nutrition as i t affects certain aspects o f physical health . However , an ecological view o f health and well-being, even at the individual leve l , must adopt a wider perspective . ( ibid) quo te s a def in ition o f health given b y Dubos ( 19 5 9 ) : H ip s le y health i s " the c ondi tion bes t s uited t o reach goals that e ach individual formulates for himse l f " . These goals may include a sense o f phy s ical wel l- be ing and vigour , but some people would place higher values on alternative goal s , be they mate rial , sensual , intel lectual or spiritual . two points to be made here . There are The first is that some of thes e alternative goals may be real i s ed through food consumption , regardle s s of i t s nutritional imp l ication s ; the s econd and related point i s that other go al s , unrelated to foo d consumption , may be emphasised by s ome individual s to the detriment of thei r nutritional s tatus , but to the benefit o f thei r total s ense of well-be ing . With regard to the first poin t , the many functions of food have been discussed by Lee ( 19 5 7 ) , and a l so by Whiteman ( 1 96 6 ) ; they both use i llustrations from western societies and from s everal areas of Papua New Guinea . Among the functions Whiteman lists are the role of food in conferring s ta tus , food as currency , food as an exchange medium in cementing social relation s , aes thetic and creative s ati s faction in food production and preparation , food as a s ource of religious satisfaction or symbol i c sig�i ficance , food as medic ine , food consumption as recre ation , and l egal functions o f food. Examp l e s o f mos t o f these can be found in Fore soc ie ty , and some have been mentioned in l A s imi l ar argument would apply to pos s ible metabol i c adap tations to low protein intakes , i f they were partly or wholly determined by early devel opment. Two s uch adaptations whi ch have been pos tulate d , but not yet proven , to exi s t in sweet potato eaters in PNG are nitrogen f ixation by intes tinal flora ( Oomen and Corden , 1 9 7 0 ) , and recycling of urea ni trogen ( Hips ley , 1 9 7 6 ) . Norgan et al , ( 19 7 4 ) seem to doubt the exi s tence of such adaptations . 2 04 earlier chapte rs . confers s tatus ; For example : ownership and s laughter o f a l arge pig garden and s tore foods are used on c eremonia l occasions s uch a s the payment o f b ri de pri ce and funerary se ttlements ; the mwnu combines elements o f aes the ti c and creative s atis fac tion , rec reatio n , and expre s s ion of s oc i al re lationships ; some food taboos are based on the tradi tional beli e f in sympa the ti c magi c , and others on the tea ching of a newly-introduced rel i gious s ec t ( Se venth Day Adventism ) , bo th of which use foods as symbol s of other forc e s ; and certain foods , inc luding pig mea t and w il d he rb s , are used in the treatment o f s ickne s s of var ious kinds . In urban Fore s oc i e ty , some o f the s e functions of food have been c ur tailed, or the i r fonn o f expre s sion modi fied . The recrea tional aspe c t o f food consump tion , for insta nce , i s exempli fied by the high expenditure on snack foods and drink s , and on beer . Turning t o the s econd point , the p lace o f food and nutri tion in rel ation to o ther needs ha s als o been dis cussed ear li e r , under th e h eadi ng ' c ompe ting needs a n d val ue s ' { 19 6 4b) devo ted a paper to this top ic , using :New Guinea as his example Beyond the individual s obvious needs for inge stion , exc re tion and avoidance o f harmful s timuli he l i s ted the need to belong , to love and b e love d , the need t o understand , and the need t o expre s s sel f through action , de s cribed as " se lf-ac tuali zation - the need to pursue rewarding goals " Afte r discus s ing the contras ting ways i n whi ch , and the degree s to which thes e nee ds a re satis fied in rural Papua New Guinean s oc i e ties as compared to we s te rn societie s , he conclude s there may be a tendency today to p lace too much emphas i s on the need for food at the expense o f other basic needs . I t i s of c ourse desi rable to provide the best p o s s ible die t , but this die t i s to be cons idered as no more important than any other bas i c need . " The source o f H ipsley 1 s conce rn appears to be that emphasi s on the provi sion of more , and special foods , particular ly for infan ts , may lead to incre a s ing dependenc e on outside s ources and on cash income , a s socia ted with a de creasing interes t in s ub s i s tence p ro du ction and self-re lianc e , which , he believe s , tradi tionally sati s fi e d all the basic nee ds o f individua l s . Thi s i s sue is discus sed bel ow under the heading ' Food dependency ' . The individual, then, uses food for purpo s e s other than the satis faction of appeti te and of nutritional requirements ; indeed these may not be among hi s or her p rimary values in l i fe . The role o f the authoriti e s 2 05 concerned with food and nutrition i s twofold : f ir st , to ensure a s far as pos s ible that a n adequate and nutritious food supply i s readily avai labl e to every individual , and .second , to ensure that every individual has the nece ssary knowledge to make an informed choice from the range of foods available . One can be reasonably hopeful that wel l -informed parents will make a nutritionally sound choice o f food f o r their smal l children ; but experience i n affluent countries suggests that even wel l -informed adults will not nece s sari ly do so for themselve s . Whi l e it is true that an individual ' s hea lth c an only be j udged in relat ion to h i s or her own goal s , the se goals are more or l e s s dependent on the prevail ing cultural norms , expec tations and values . As the s e change of their own health change . so will people ' s In the case of growth rate s f o r example a whol e generation of Papua New Guineans is now being taught , through the use of standardised weight charts parents to r egard as generat ion r at e s retarded , the as normal . S im ilarly , high among infants and toddlers been acc epted the though not of the e ffect of medical treat.�ent and these rates hence to rais e people s improved the connec tions between better rates and decreased morbidity and mortality are firmly e stabli shed , and into the c onsciousnes s of parents the prospects for rais ing overall nutrition and heal th standards wi l l be greatly improved . The nec e s s ary changes in perception can be expected to o ccur not only through the o f fi c ial channels of hea lth education c lini c s and the media but al so schoo l s and as importantly , through the v i s ible example o f chi ldren in better- fed famil i e s In Awande , f o r instance the family of the carpenter , who earned a ful l-time wage and had had s ix year s ' primary education , regularly added rice and tinned meat and f ish to their diet ; the three young c hi ldren and their mother were s tr ikingly sturdier in appearance than average . The c on s tant f low of people to and from the towns also provides the opportunity for v illagers to observe the growth of children fed on the richer urban diet , and for urban migrants to reflect on the better growth of their 2 06 own children . If perceptions do in fact continue to change in this direction , the l ong term consequence s are debatabl e . There i s l ittle doubt that regularly supplementing the rural diet with energy rich food s , e spec ially tinned f i sh with its high oil and protein content , will improve toddlers ' growth and increase their resi stance to infection . Ho�ever , there are two obvious danger s associated with increased use o f store foods . The f irst i s that people will not l earn to di scrimin ate between the good and the bad store foods , or between moderate and exces sive u s e of them : the result might be inc reasing incidenc e , in the vil lage as well a s the town , of the chronic degenerative diseases di scussed earlier . The s econd danger is that of increasing dependence on outs ide s ys tems of food production and supply , and on cash income to purchase the s e foods . Dependency and self-reliance The i ss ue o f food dependency has been d iscus sed in the Pacific context by McGee ( 19 7 5 ) , who uses the term ' dietary c oloni alism ' to denote " the subj ect of d ietary changes initiated by colonial c ontact and control " . He shows that among the Pac ific I s land s , food imports as a percentage o f total imports in 1 9 7 0 - 7 3 varied from 1 5 . 7 % ( Guarn and Norfolk I sland) to 3 8 . 5 % { Niue I s land ) ; Papua New Guinea in 1 9 7 1 - 7 2 was 2 0 . 1 % . the f igure quoted for By 1 9 7 3 - 7 4 , food and beverage imports to Papua New Guinea had risen to K 5 9 . 5 mil lion , or 2 6 . 0% of the total import bill of K2 2 8 . 9 mil lion ( Bureau of S tatisti c s , 1 9 7 6 ) 1 . They were made up as follows : K million Cereal grains and preparations Meat and meat preparations Fi sh and f is h preparat ions Sugar , honey etc . Fru it and vegetables Dairy products and eggs B everages Co ffee , tea , c ocoa , spice s etc . Animal feedstu f f s Mi scellaneous 14 . 7 14 . 5 10. l 5.7 3.8 3.4 2.1 1.3 1.3 2.6 TOTAL 59. 5 l pigures are ' free on board ' value s o f goods, i. e. they exclude freight and handl ing c o st s , hence underestimating the total cost of the imports . In 1 9 7 5/6 food imports made up only 2 1 % o f total imports by value , but the general pattern o f imports was s imilar to that described here (NPO , 1 978a) . · 207 Al though much o f the importe d food i s des tined for urban consump tion , not only by P apua New Guineans but also by the very a ffluent and nutr itionally c onservative expatriate c ommuni ty , tra de s tores through out the rural areas of the country also s e l l s i gnificant quantities . Food dependency carrie s a number of dangers , among which are the fo l lowing ( adapted from McGee , op . ci t . ) : a c hronic drain on forei gn c urrency res e rve s , and/or dependence on fore i gn aid ; pos s ible nutr itional problems c aused by the nature of the i mporte d foods ; of traditional ski lls used in food produc tion ; traditional foods ; los s dec lining tas te for and a general , uncr i tical de s ire for imported goods , fashions and technique s , which may be as harmful to the c ul ture as the cos t o f food i mports i s to the e conomy , and the quali ty o f some o f them is to nutrition . These dangers are wel l recognised by the national p l anning author i tie s , and are taken into account in the new National Food and Nutrition Po licy ( NPO , 1 9 7 3 a) . One of the l atter ' s main targets is to e ncourage dome s ti c production to reach a leve l which wil l a t l ea s t avo i d th e nece s s i ty for any i ncrease i n the tota l volume o f food imports over the next ten year s . Dangers whic h apply at the national leve l can also be i denti fied a t the l o ca l leve l . The mixed sub s i s tence/cash�cropping e conomy of the rural Fore , for example , shows parallels to the national economy in that , at p re s e n t , mos t food i s home-produc e d , but cash from the s ale o f cof fee i s use d l argely for imported foods . I f dependence on im�orte d foods were to increas e beyond a certain leve l , a s lump in the international coffee market , or a l ocal epidemic o f c o f fe e dis ease , coul d have disas trous nutritional and social e ffec ts . The departure of many young men for the town , at the age when they would o therwise be s tarting to practise s ubs i s tence skills learnt from the i r fathers ' generation , poses another threat to the long term re silie nce of the subsi s tence mode of production . In ecological terms , the Fore have a lready departed markedly from the s tate which Clarke ( 19 7 7 ) has call e d ' paleotechnic permanenc e ' , in whi ch shi f ti ng c ul tivation was c arri e d out i n a s e l f- s us taining ecosys tem , and was dependent only upon local and renewable energy and material resourc e s . B ut they are s ti l l far from the s ta te o f ' neotechnic impermanence ' repres en te d b y fully 208 mechanised agricul tural systems , dependent upon c omplex techno logy and c ontinuous inputs of fos s i l fue l s and inorganic ferti l i s e rs . Urban migrants in P apua New Guinea , s uch as the Fore l iving in Lae , are lar gely dependent on impor ted foods purchased w ith cash earned in the urban economy , but there is s ti l l s ome flexibi l i ty in thei r pos i ti on . Mo s t of them s ti l l have rights of use on vi llage land ar .i. could, if the urban economy were severely di srupted , return to . take up thei r tradi ti onal role s in vi llage society . Even within the urban environment, there may s ti ll be some potential for increasing s ubsi s tence gardening on a sus tainable b as i s , which could pro te c t permanent urban dwellers from the wor s t e f fects o f a n inte rruvtion o r reduction in i mported food s upplie s , however caus e d . The l on g term dangers of food dependency are l e s s eas i ly percei ve d than a re the immediate material bene fi ts o f economic growth . In a paper en titled 1 The Di lemma o f Development ' , C l arke ( 19 7 3 ) i s conce rned with the long term ecologic al implications o f economic developmen t : " �vhen a rgued now , the case for deve lopment - ' but that s what the people want ' - is unethical , for it i s certainly no t the obligation of a government to acknowledge and encourage the de s i re for deve l opment while no t informing o f the c onsequence s of that development . Of course people want things , but they should know what they will have to then the choice they make c an be f ree . pay for them; ( ib i d . p . 28 9 ) The importation o f foods from o verseas i s one aspect o f development ' a s i t has gene ral ly bee n interprete d , and Clarke s argument app l i es as forc ib ly to the spe cific as to the general cas e . Like drug addi ction , food dependency can no t only cause heal th problems while i t pe rsi s ts , but i t can als o cause wi thdrawal symptoms when i t i s broken ; but to extend the analogy , j us t as w ith drugs , the selective and moderate use of nutr i tious imported foods may o f fer real benef i ts as in the use of tinned fi sh as a die tary s upplement for highland chil dren . The government may be forced to limi t s upplies o f s ome imported foods for economic reason s ; it mus t also try to influence demand for these foods in dire c t i�ns which are both economically and nutr i tionally acceptable . 2 09 Thi s chapter h as b ee n conce rned mainly with the s e t o f variables shown i n the ' To tal Health and Nel l -being ' c ompartment o f the conceptual mode l ( Fi gure 1 , p . 8 ) and w ith their re lationship to ' other a spects o f e nvironment and l i fe s tyle ' and to foo d consumption i tse l f . I have re ferre d as we ll to the food resources and food beliefs and pre ferences of the populations unde r discuss ion , and to environ mental i nfluences on the s e . In the course of discuss ing total health and well-be ing , the n , i t has b een e s sential to recogn i s e the inter active nature of a wide range of variables , thus emphasis ing the need for a multi - di s c iplinary approach to the study o f nutr i tion . S uch an approach i s made more e as i ly and more logi c ally through the use of a conceptual mode l sui te d to the purpos e . In my own mode l , all the caus al l inks ( except that be tween food resourc e s and foo d be lie fs and pre feren ce s ) are shown as one-way re lationships . This simpli fication was convenient for relating the findings o f particular loca l surveys to outs i de influence s but there are of c ourse causal influences in the other di rec tion , s ome o f which have b een i denti fie d in the cours e of di s cus s ion . nutrition and disease s t.atus For example , no t only influe nced by but themse lves influence the quantity and qual i ty o f food con s ump ti on . S imi larly , belie fs and pre ference s regarding parti c ul ar foods are o f ten formed only after their con s umption , again a revers al o f the main caus al relationship shown in the diagram . Finally , and mos t critical l y , government policies are , or at least should be not only re sponsible for , but also respon sive foods to people s ' needs for information , for nutri tious and for heal th care . In s tudying the way things are in a local s i tuation , it i s mo s t use ful to focus on how national factors influence l o cal fac to rs in formulating alte rnatives for the future , one mus t ask how local fac tor s can use fully influence national pol i c ie s in such a way that thei r app l i c at ion becomes more to local need s . In c onclus ion , i t i s perhap s worth empha s i s in g that the conceptual mo de l i s no more than i t claims to be : a theoretical model for the analysi s o f the e nvironmental influence s on , and the heal th implications o f, the food habi ts of localised populations . It is not much help in understanding the relationshi,ps between separate loc al i sed populations , 210 and in partic ular , i t does not repre s ent the interactive relati onships between rural and urban Fore populations , which have been s tre s sed throughout this repo rt . Perhaps i ts mos t important feature i s its appli c ability to both o f these populations , and its potential app li cability to the s tudy o f food habits in other populations in Papua New Guinea and e l s ewhere . 2 11 CHAPTER 1 5 SUMMARY AND RE COMMENDATIONS In this final c hap te r , I pre sen t a general summa r y of the main findings de s cribed in earlier chapters of the report ; the findings are summa ri sed separately in re lation to the rural Fore population , the urban Fore population in Lae , and rural -urban relationship s . Following the summary , I l i s t a number o f recommendations re l ating to national and l ocal food and nutrition policie s , based on the evidence presente d e arl i e r . of) Anyone turning to thi s chapter before ( or ins tead reading the bulk of the report is urged to re fer to the relevant chapters for detai l s of the sample populations and their environments , the re search aims and metho ds , and the substantive evidence on which the summary and re commendations are base d . a. i ) S ubsis tence gardening i s by far the mo s t important source o f foo d ; the dominant c rop i s sweet potato , but a wide variety of o ther starchy s taples and green vegetables is cultivate d ; some crops a re sea so na l , but there i s no annual period o f s carcity . ii ) Animal husbandry , mainly o f pigs but including some poultry and c attl e , provi de s an irregular supply o f animal protein , but meat production is of secondary concern compared to the pursuit of wea l th and s tatus . iii) Hunting and gathering of small game , fungi , nuts , fruits and herbs add variety to the die t , but the re creation al and ae s thetic associations of thes e a c tivi tie s are of more s i gni ficance than their nutritional implica tion s . iv) Purchase of foods f mainly from lo cal trade s to re s but occasionally from markets and from dis tant urban centre s , is made pos sible by cash earnings from coffee sale s and , in some cases , from s ales of garden produce , and from wage labour ; but i t is not a maj or source o f food except for those in full time paid employment . 212 v) Overal l , there i s no absolute shortage o f foo d , but the present pattern of c rop production and animal husbandry doe s no t provide an optimum balance o f nutrients ; in particular , the emphasi s on sweet potato in the gardens leads to a die t low in protein and high in bulk . b. i ) The mo s t importan t bel i e f i s that the body ' s needs are fully met by swe e t �otato , de s c ribed as a ' s tron g • food ; s tarchy garden crop s , and sugarcan e ; o ther 1 stron g ' foo d s are green vegetable s , meat and mos t s to re foods are general ly regarded as good t o e a t for thei r taste , but not as being ne ce s s ary or parti cularly bene ficial to heal th . i i ) Small children are not thought to require any spe c i al foods ; they s tart eating s olids by about six months , and are expec ted to eat much the s ame diet as adults by the age of two or three ; they are bre astfed for at lea s t two years and sometimes for four or five . iii) Diarrhoea i s known to be related to the c onsumption o f certain foods , such as an exce s s o f pork ; emaciation in children is s aid to be caused by mens trual po l lution or parental adul tery; cure s for both conditions are sought in a combination of c linic or hospital treatment , and admini s tration o f tradition al herbal and die tary remedi e s . iv) Certain food taboo s based on ideas o f sympathetic magic are impos ed on pregnant women and young male initiates , and pork , game and all s timulants a re forbidden to Seventh Day Adventi s ts , o f whom there are many in certain areas o f the region ; only the S DA taboo on pork is o f much nutri tional s i gni ficance v) Food be lie f s and preference s are changing under the infl uence o f s choo l s , c lini c s and hospi tal s , mi s s ions new food resourc e s and ideas brought back to the vil lage from the urban environment; the o l de r and l e s s educated vil lagers tend to b e more the beliefs o f traditional ' than those of the young and e duc ate d , who are als o more likely to have c�.µ�: L J"ci1�•=u urban l i fe . c . Food consumption . i } The die t o f adults and chi ldren is dominated by sweet potato , which is eaten a t l e a s t twice a day ; at breakfast it is usually eaten alone , 213 and at the main e vening meal it i s usually accompanied by green leafy vegetable s , pi tpi t or both , and some time s by green bean s , corn , mushrooms , meat and o ther i tems . i i ) Pork i s consumed i rregularly , on average once or twice a month , usua l ly on importan t social or ceremonial o ccas ions ; the consumption of meat is inc rea se d by the purchase of frozen bee f , pork and mutton from l arge s tore s in the region , and by hunting small game . i i i ) The mos t common s to re foods are white rice and tinned fish , but on average these would be consumed only about once every two or three weeks ; o ther s to re foods consumed occasionally include sal t , b i s cui ts , tinned meat , aerated soft drinks and cheesepops ; beer i s drunk mainly at singsing fe s ti vals hel d during the co ffee season . iv) Overa l l , the dominance of sweet potato make s the diet high in un refined carbohydrate , low in protein , low in fat and high in physic a l bulk ; such a diet i s poorly sui ted to the needs o f small children , who find i t di fficult to e at sufficient quantities to sat i s fy e i ther the ir energy or the i r protein requirements , e specia l ly s ince mos t of them eat only two meals a day . d. i ) The average growth rate o f pre - s chool chi ldren i s wel l below the Harvard S tandard , and approximately hal f thes e children are 1 malnourished1 j udged by the cri te rion used by the Papua New Guinea Department o f Health ( i . e . below 8 0 % of the Harvard S tandard weight for age ) ; gastro- intestinal and re spirato ry infection s are highly prevalent , and c hi ld morbidity and mortal i ty rates a re probably above the national average . ii ) Individual s surviving to adulthood achieve a smaller body s i ze , but a much higher leve l o f physi c al fitnes s than would be typical o f the Aus tralian population ; respiratory d is ea s e i s the cm:imone s t cause o f death , whi le degenerative diseases such a s coronary heart di s ea se , diabetes and cancer are virtually abs en t . i i i } Bas i c survival needs , a n d higher leve l , culturally· der ived needs are s ti ll s atis fied mainly through sub s i s tence activities which depend 2 14 on the use o f lo cally available , renewable re sourc e s ; howeve r , population growth , and growing material aspirations encourage d b y cash income from co ffee , a re tending to make compl ete sel f-re l iance l e s s attractive , l e s s nece s sary and a t the same time l e s s fea s ible than be fore . The urban population a . Food re source s . i ) Subs i s tenc e gardening makes a minor but nutritionally s i gnificant contribution to the food resource s of mos t Fore households in Lae ; syitable gardening l and is in short s upply and a sus tainable system o f garden management and tenure i s n o t y e t e s tabl ishe d ; pig husbandry is no t permitted in the town , but a few hou se ho l ds keep poultry . i i ) S tores and shops , varying in s i ze from smal l trades to re s and snack bars to large supermarke ts , cons ti tute the main source o f foo d ; they carry a wide range o f foo ds , mos t of them importe d , but some produce d locally; the i tems n aturally vary greatly i n their nutri tional value and ret ai l p ri ce . iii ) S everal fresh foo d markets in Lae provide a good source of fre sh fruit , vege tab l e s and some animal products all the year roun d , but s tarchy tuberous s tap l e s are more expensive per unit of food energy provided than rice bought from s to re s . iv) Overal l , th e food re sources available in Lae are capable o f providing a wel l balan c e d diet made up of a combination of fre sh and p roce s se d foods ; mos t consumer s mus t purchase the greater part of their diet , and may the re fore need guidance in the s e lec tion o f suitable foods from the great diver s i ty o ffered for sale . b . Food belief s and p re fe renc e s . i ) Awarene s s of nutritional n ee ds is s omewhat more deve loped in the town than in the vil l age , p artly because the migrant popul ation i s younger and b ette r e ducate d ; the wider range of foods avail able has led to a corre spon dingly greate r range and diversity in food prefe rence s . 2 15 i i ) As wel l as the ' s trong ' foods , which in town are s aid to include rice as well as s tarchy root crop s , vegetables and mea t are generally known to be good for the body . i i i ) Smal l chi ldren are believed to require spe c i a l attention to their die ts , in the form of the provis ion o f a mixed die t , e spec ially prepared mashed foods , and , in some cases , tinned baby foods ; wide ly known to b e a dangerous p rac t i ce ; bottle - feeding i s the poor nutritional quality of swee t , s ticky foods and their rol e in causing dental decay are l e s s w e l l known . iv) C linics and the hospi tal are routinely used for treatment and advice , and the importance of c leanlines s in food preparation is generally recognised; emaciation of chi ldren is attributed to poor feeding practic e s . v) Tradi tional food taboos are rare ly followed, but there i s a number of Seventh Day Adve n ti s ts in the urban population who adhere more or les s s trictly to their church ' s prohibi tions ; there i s widespread fear of certain coas tal foods , re lated to sorcery belie f s , and to a belief that malaria can be caused by eating overripe fruit. c. i ) The main s taple in the town i s white ric e , but swee t potato and taro are con s ume d only s l i gh tly l e s s frequently ; thes e cooked s tarches are usually eaten at the main evening mea l , accompanied by small amounts o f green vegetable s , and meat o r fish . i i ) Animal prote in is consumed almo s t every day , as tinned meat , tinned fish , fre s h or frozen bee f or chicken , and occasional ly eggs ; pork and fresh fish a re rare ly e a ten . i i i ) Break f as t mo s t o f ten c on s i s ts o f white bread or plain b i scui ts with or without butter and other spreads , accompanie d by a hot sweetened beverage , usually c o f fee or Milo , sometime s with mi lk ; hot sweetened beverages are a l so very popular with or after the evening meal . iv) Working me n o ften consume meat p ie s and aerated soft drinks at midday , and thes e items as well as i ce - c reams , bun s , ho t chicken and 2 16 chip s , and fried batte re d fish are popular with all a ge group s , e specially on weekend trips around town . v) I ncomes o f mo s t househo l ds are easi ly sufficient to s e c ure a we l l balanced die t , but a disproportionate amoun t o f the taken up b y snack foods ; budget i s beer i s not a maj or item o f expenditure i n mo s t households . vi ) Overall , the urban die t is much ri cher in protein , particularl y animal prote in , than the rural die t; and higher i n fat , i t i s also · more re fined , swee ter , and therefore les s bulky and probably lower i n some vitamins and mine rals . i) P re - school chi ldren grow fas te r than thei r rural counterparts , proportion of imately one - f i fth , to 1 malnouri she d 1 children les s than hal f the higher protein energy prevalence of mo s t pathogens thi s rate ; and group is approx is attributable in the town , and partly ( except for malarial agen ts ) and service s . ii) sugge s t heart di s e as e , diabetes and dwe l le r s c arie s , hype rtens ion , likely to develop i n have live d i n the urban environment for too short a time for such trends yet to be apparent . iii) The urban population i s l arge ly dependent for i ts food o n cash income , and much of the food which i s purchased is imported from overseas ; both facto r s render the the n ational and i n tern ational e conomy ; vulnerab l e to f luc tuations in the lack o f opportunities for se l f- re li an t , s ub s i s tence production may also have de l e te rious social and cu l tural consequen ce s , e specially for women , but thi s top i c was no t inve s tigated in any depth . l i) The continuous flow of people of a l l ages from vi l l a ge to town and back te s tifies to , and en s ure s the continuance o f , the s trong another component pro j e ct o f the P apua New Guinea Human E co logy P rogramme # Dalton ( in preparation) found evidence of s uch consequen c e s among Chimbu women in Lae . 217 soc i ocu l tural and e conomic l inks between the rural and urban populations ; these are relevant to i s sues o f food and as follows . i i ) Gi f ts o f food a re carried by vis i tors in both direction s : vi l l age produce to the town , and s to re and coastal items to the some food crops are a l so transplanted from one environment to the other . i i i ) Food bel i e f s and preferenc e s are c arried in both dire ctions : migrants initially arrive in town with thei r traditional beliefs and preference s which were learnt in the vill age ; they mo d i fy thes e in the l ight of the i r urban experience , and on thei r return to the vi llage exert a rec iprocal influence ; in particu lar , it i s l ikely that perceptions o f the l ink between diet and physical heal th w i l l be modified through observation of improved growth in urban children . iv) Actual f oo d consumption in village and town i s in f luence d dire ctly by the behaviour of visitors from one to the other, and indirectly by the tran s fe r o f b e li e fs and preferences j u s t re ferred to . v) From the poin t o f view o f overall the villagers tend to benefit e conomically from the inflow o f cash and goods from urban migrants, o f knowing that they can while the l atter bene fit from the return to village s oc i e ty to take up sub s i s tence gardening ( an d cash c ropping) if they want to , or are forced to by c i rcumstances in the town . The general obj e c ti ve s of n ational and loc a l foo d and nutri tion pol ic ie s should be thre e fo l d : i) to ensure that a n adequate a n d nutritious foo d supply i s ava ilabl e t o al l , and that thi s food supply i s produced, s o far a s is pos s ible f from local re sources ; ii) to ensure that people have the motivation and knowledge nece s s ary to s e le c t from this food s upply a well balanced diet for them se lves and thei r dependants ; and i i i ) to ensure that preventive and c urative medical s e rvic e s are 2 18 ava i l able to al l nutritionally vulnerable group s , e specially young chil dren and pregnant and l ac tating wome n . These obj ec ti ve s c an onl y b e real i sed through t h e development o f a comprehens i ve food and nutri tion p ol i cy which encourage s in tegration of the activi tie s of the various national and l o cal governme n t agencies involved . The recommendations li s te d below are derive d only from c on s i de ration of the findings of the re search de s cribed in this repor t , and are not i n tended to cover the en tire range of i s sue s relating to food and nutrition in P apua New Guinea . General and spe c i fi c recomme ndat io n s wil l be l i s te d under four headin g s , rel a ting respec tive l y to the n a ture of the food supply , the s e l e c tion of a nutrit ious d i et , medical s e rvi c e s and rural-urban rel a tionships . To promote the uni versal availab i l i ty o f a nutritious food suppl y , i t i s gen e ra l ly recommended that : - the Departmen t of Primary Indus try and o ther organisations should pursue research into the nutri tional va Zue and produc tivi ty of comnon indigenous crops, especia Z Zy taro, swee t po ta to and Zegumes - the government sho uld consider the imposi tion of saZes tazes and/or import duties on non-nutri tious items such as aera ted soft d:einks, che esepops and sweet biscuits - the government s ho uld encourage the Zoca Z production and sa Ze of more nutri tious substitutes for popular items, such as frui t juices for aerated soft d:einks, packe te d peanuts for cheesepops, re d paZm oi Z for dripping, and brown rice for white rice . In the rural Fore environmen t it i s speci fically recommended tha t : D. P. I. extension officers s hould acquaint themse lves with the nutritiona l prob lems and the subsis tence techniques of the Zoca Z popula tion, by undertaking 'patro ls ' through hamle ts and vi Z Zages off the main roads _ - extension o fficers s hould encourage the cul tivation of new varieti es of peanuts, beans, corn and dark green vege tab les, 219 and e nsur-e that where less nutritious crops such a s corronon cabbages are grown for cas h sale, they do no t disp lace tradi tional greens from the househo l d di e t - extension o fficers s ho uld de vote more time t o ass is ting vi l lagers w i th productive pig and pou l try husbandry, and le s s time to ca ttle proje c ts . In the urban environment o f Lae , i t i s speci fically re commended tha t : - efforts now und.erway s us tainabi li ty to increase t h e sca le and ens ur-e the of subsis tence and rrarke t gard.ening proje c ts s ho u l d con tinue to receive assis tance from the lo ca l council and government agencie s concerned, and tha t the performance of the s e projec ts s hould be carefu U y monitored ove1• the next few y ears - loca l fresh food marke ts s hould be expand.ed and their number a dd.e d to as s upp ly and demand for fre s h foo ds tuffs increases se t tlemen t d»Je l l ers s hould be give n technica l ass i s tance with smaU chicken projec ts , and the nutritional vaZ.ue of eggs particularly to smal l chi ldren s hould be emphasised. diet Even where a nutri tious food supply i s readily available , the se lection o f a we l l bal anced diet depends on two condi tions , namely suf fici en t nutritional knowledge , and a sufficient degree o f motivation to appl y thi s knowledge . It i s there fore generally re commended that : - nutrition education s hould no t only concentrate on teaching the components of a we U b alanced die t, but s ho u Z.d emphasise the va l ue o f such a diet to the phy sica l and men ta l capabi l i ti e s of t h e individua l - a l l those dire c t ly invo lved in nutrition e duca tion s hould a cquaint themse lves with the di e tary practices, foo d be l i efs and prefe re nces and nutri tiona l s tatus o f the population among whom they work 220 - advertising o f non-nutritious i tems o f foo d and drink should be reduce d, and s imp le nutrition e ducation mes sages trans mit ted to the p ub lic through ava i lable channe ls; these inolude schools, c linics, churches, marke ts, trades tores, cinemas, radio, newspapers and foo d labe ls . In the rural environment , in view o f the bulky nature and the low piote in content o f the sweet potato s taple , i t is spe ci fically recommended that : - paren ts sho ul d be encouraged to feed their chi ldre n at l eas t thre e times a day, and to mix high-energy foods such as red pandanus oi l, dripping and tinned fis h oi l with their normal die ts (re d palm oi l should be made avai lab le for this purpose if it is e conomica l ly feasib le) - paren ts should a lso be enco urage d to fee d their chi ldren high-pro tein foo ds such as e ggs from wi ld and dome s tic fowl, peanuts, b eans, J"resh mea t and tinned fish a ttention parents should be drawn, through c linic and schoo l activi ties, to the associa tions between die t and rates, and growth ra tes and hea l th s tatus, using the better-nourished children in the corrmunity for i l lus tra tion . In the urban environment , i t is spe cifically recommended that : - newly arrived rura l migran ts, bo th chi l dren and a du l ts, should be explici tly taught about any coas tal foods with which they are unfami liar, such as coconuts, fres h fis h, sago, pawpaw and o ther frui ts and vege tab les; schoo ls, c linics and women ' s groups could participate in this work - parents shou l d (as in the rura l environment) be encouraged to fee d their chi ldren a t leas t three times a day, and to mix high-energy foods such as coconut cream, dripping, butter, margarine and peanut but ter with their normal die ts - parents and schoo lchi ldren should be w arne d of the dangers to their tee th from swee t and s ticky foods, and of the poor nutritional va lue o f many snack foods and drinks; fres h 221 and packe ted peanuts, boi led eggs and fresh frui ts s hou ld be promo ted in p l ace of cheesepops, swee t bis cuits and ice-blocks . S upe rvis ion and treatmen t o f pre - s chool children and pregnant and lactating women is bes t achieved through the Maternal and Chi ld Health Clini c sys tem; it i s the re fore gene rally recommended that : - every effort s hould be made to extend the geographica l coverage of MCH c linics, and to increase enro lment and a ttendance where c linics a lready operate; an adequate s upp ly of hea l th record boo k l e ts is an essentia l condi tion for succes s - c linic s taff shou ld acquaint themse lves a s thoroughly as possib le with the food resources, die tary pa tterns and food be liefs and preferences of the loca l populations with w hom they work, with particular reference to infant and chi l d fee ding, and prac tice s re lating to fe eding in pregnancy and lactation . In the rural envirorur�nt it i s speci fical ly recommended that : - the loca tion and date on which MCH clinics are he l d shou ld be be t ter pub licised through the he lp influentia l members of the community such as teachers, commi t te e and counci l memb ers, and church leaders - an interpre ter from the vi l lage s hould be regularly avai lab le at e very c linic - where they do no t a lready exis t, covere d she l ters providing adequate privacy should be ere c te d antenatal examinations; at e very c l inic site for these s tructures s hould be bui l t an d maintained by vi l lagers with assis tance from the loca l council - c linic s taff sho u ld adop t a more sympathetic approach to the mothers of underweight children, offering he lp rri ther than reprimands, and should avoid dis couraging attendance by reprimanding mo thers who fai l to enro l their childre n as soon as they are born 222 - c linic s taff shou ld s e t a goo d examp le in their own eating hahi ts J by no t ea ting snacks of low nutri tiona l value in the presence of clinic a ttenders - mobi le nutrition education disp lays shou ld be carried with the MCH c linic team_, for the intere s t of mothers awaiting their turn_, and of fa thers and young chi ldren who may be present. In the urban environment , i t i s speci fically recommended that : - the loca tion and times of a l l MCH clinics sho u ld be we l l pub l icised through se ttlement commi t tees_, churches_, loca l radio and pub lic no tices - c linic s taff should take note of the area of origin of migrant mothers_, and try to ada,pt their advice according ly . - highland mothers s hould have the causes_, da,ngers and me thods of prevention of malaria exp lained to them in s imple terms; the irre levance of frui t consumption to the dis ease shou ld be s tressed - c linics shoul d be made as attractive as possib le to mo thers a:nd chi ldren_, for instance through the provision of p lay areas and fruit and vegetab le s ta lls . Rural-urban relation ships In view of the importance of rural-urban mobi l i ty in maintaining so cial , cul tural and e conomic links between vil lage and town popul ati on s , and in enco uraging the spread of new food habi ts , beliefs and pre ference s ; and in view o f the inequi tie s which would re sult from any further segregation o f urban and rural population s , it i s generally recommended that : - no measures should be taken to reduce the opportuni tie s for short- or long- term migration be tween vi l lages and towns . General c ommen ts The re commendations l i s te d above are expres sed in ideal terms , and because of e conomic c on s traints , cultural factors and l imited 223 manpower , some might b e more easily implemented than o the rs . There are many matters o f national policy , s uch as the s tructure and function o f the e ducational system, import and export policie s , pric e s and income s pol icie s , and the position of women , which have some bearing on food and nutrition po l ic y f but which I have not mentioned . Final l y , I should point out that such matters , as we ll as mos t o f the recommenda tions whi ch I have l i s ted , are explicitly or impli c i tly re ferred to in the National Foo d and Nutrition Policy , drawn up recently by the National P lanning o ffice ( NPO , 1 9 7 8a ) . That documen t give s a much more sub s tan ti al and comprehensive picture of the requirements and problems than I have attempted to give , and should be consul ted for a broader view of national policy . 224 GLOSSARY , APPENDICES AND REFERENCES 225 ahus - animal food f meat , fish, e ggs . aibika - Abe lmoschus man iho t . Common cultiva te d shrub throughout P . N . G .; many varie tie s d i ffering in leaf shape , colour e tc . eaten boi led or fried ; he lo - midday , n oon ; Youn g leave s high i n pro te in . ( from the be l l s i gnal l ing midday break at work ) . bi l um - ne t bag used to carry babie s , food and o ther i tems . Made of l o ca l ly pro ce s sed fibre s , or wool bought from trade s to re s . binatang - smal l creature , ins e c t . bun ( o f food) - same connotations as s trong ( q . v . ) ; e . g . f o r the highlande rs , swe e t potato has bun . bun nating - nothing but bone ; emaciated ; d:rai (kokonas) - mature coconut; skin and bone s . flesh is grated and sque e zed to produce coconut c re am for oiling other foods ( see grisim ) . g2-vis - grease , o i l , fat ; also , fertility in soi l ; ' goodne s s ' in foo d . grisim ( o f food) - t o add grease , o i l , fat t o o ther foods ; dripping, coconut cream and pandanus oil are example s o f fats used in thi s way . kago - cargo , goods ; e . g . case lo ts of manufactured foods bought for retail sale in trades to re s . ken tin - small village tradestore usually owned by one individual kulau - young green coconut; its milk is drunk to quench thir s t ; its sweet , soft flesh can be e aten. kumu - leafy green vege tables of a l l kinds . kunai kus - cough , cold, runny no se . Zain - lineage , kinship group ; o f varying inclus ivene s s depending on c on te xt . Z o li wara - s o ft drink , usually aerate d . mumu - earth oven , i n which food i s s te ame d over hot s tones . nambawan - exce l lent , the best ; general superl ative term. pekpek wara - watery s too l s , diarrhoe a . pi tpi t - a s wel l as e dible plan ts ( hi ghl and p i tpit) ( lowland p i tpit) , inc lude s wild gras ses whose s tems are used in weaving wal l s , mats , small fences e tc . 1 For s ome terms , re ference has been made to F . Mihal i c ' s " Di c tionary and Grammar o f Melanes ian P idgin" ( Jacaranda P re s s , 1 97 1 ) ; o ther terms have been tran s lated by me to give the spe c i fic sense in whi c h they are used in this repo r t . 226 poisin - sorc e ry raun - to roam aroun d , as in raun Zong taun at weekends . sande , mekim sande - to poo l wages ; each member o f the pool contributes a part o f his wages eve ry payday , and e ach receive s the total poo l i n turn . singsing - dancing , s ingin g , any fes tival where these activitie s take pl ace . sispop - packeted snack products such as chee sepops , twi s tie s , chee seties .etc . skon - deep- fried batte re d scone , some time s containing meat , fis h , onions e tc . , sold in food bars ; also home-made scones o f plain white flour mixed with water and frie d in drippin g . s tesin - government or mi s s i on s tation , o f ten u s e d a s genera l term for town or c i ty . s trong , s trongpe la ( of food) - sustaining , powerful , energy-giving ; also solid , firm , hard . swit , swi tpe la - tas ty , de licious ; sweet . taun-meri - town women, but not Europeans . ti - tea , c o f fee , mi lo etc . toktok ( as part of cure for i l lne s s ) - magical rec itation . tulip - l i t . ' two leave s ' : leave s ; a tree , Gne tum gnemon , with paired edible grows wild in c oas ta l areas . twrib una - ance s tors , grandparents , great- grandparents . wan tok - s tric tly , pe rson from s ame l anguage group; nei ghbour , al l y , compatrio t etc . loos e l y , friend , 227 APPENDIX A TRADESTORES IN AWANDE There were several kinds of trades tore in Awande in 1 9 7 7 , each of whi ch wil l be de scribed brie f ly in order to give a general pic ture of their p lace and function in the lo cal e conomy , and of s tore food pre fe rence s in the are a . a . The Namasu s to re { see Plate 3 .;4 ) . Namasu i s the bigge s t national ly owned trading company in Papua New Guinea , and has branches throughout the country ; in Okapa Dis tric t there are bran che s at Okapa , Awande and Tarabo , about 2 0 kms . from Awande . The Awande s to re i s in the centre o f the vi llage , o n the road which leads t o the Gimi a n d Ke i agana. regions to the s o uth and we s t . It i s re s to cked regularly from Okapa and Kainantu, and con tains s everal thousand kina t s worth o f goods at any one time . The l evel o f s tocks varie s with as se s sment o f local demand through the yea r , reaching a peak with the annual c o f fee flush from May to Augus t . The majority o f s a le s are made t o drive r s and passenge r s o f PMVs and coffee trucks pas s ing through Awande , but there is a s teady trickle o f cus tomers arriving o n foo t from Awande and neighbouring area s , and vil lagers o f ten s top to pas s the time of day within , or in the vi cinity of , the s to re . The re is some re sen tment o f its apparent succe s s among men from the n earby hamlets , and they to ld me that they were intending to make a submis s ion to the lo cal counci l to have the s to re turned ove r to vi l l age ownership and management . At pre s en t Narnasu employs s tore keepe rs from outside the area ( there were three in succes s ion during 1 9 7 7 } , who are supe rvised by an itinerant expatriate reg ional manage r ; the company itse l f i s owned and adminis tere d b y the national Lutheran Church . Apart from food s , the s tore sells clothe s , material , hardware , cleaning materi al s , tobacco and , sometimes , ke rosene ; re frigerato r . it has no S ome food is sold in wholesale lots , s uch as 2 5 kg . bags of rice , or 4 8- tin cartons o f fish , usual ly for re s al e by one purchase r in his own smal l tradestore ( see under c . , below) . P rice s are higher than in the town s , usually by a facto r o f between 5 and 1 5 % , which i s governed cos ts into acco un t . by re tail price legislation which take s transport Aerated s o ft drinks were so ld a t 2 7 toea a bottle , 5 0 % above the Lae price . 228 Food and dri nk s al e s were recorded for four sample weeks o f the yea r , through the e fficient and generous co-ope ration o f the various s torekeepers . The re sul ts are shown in Table 18 and Figure 8 . As has been mentioned , mo s t purchases were made by people from outsi de Awande , F if'.TJRE 8 . RETAIL FOOD AND DRINK SALES AT MAIN AWANDE TRADESTORE ( Percentage of total retai l sales over four sample weeks . Data from Table l8 . ) tinned fish 32 . 3% �=====::J salt 0 . 6% mi lo , te a , coffee 1 . 6 % milk 1 . 7 % rice 20 5 % cheesepops 2 8 % 3 . 3% bi scuits and cake 10 . 4 % but the resul ts give a general indication o f the nature o f demand for the various i tems by a wide market which include s Gimi , Ke i agana and Fore peopl e . A number o f items were bought as who l e s al e lo ts in the July and October sample weeks , but none in the other two periods ; reta i l s ales were highe s t in the May sample period , when income from cof fee typically TABLE 18 FOOD AND DRINK SALES AT MAIN AWANDE TRADES TORE : May 16- 2 1 1 9 7 7 I tem Retai l K. July 1 1- 1 6 1 9 7 7 Retai l Who les ale K. K. SAMPLE WEEKS IN MAY , JULY , OCT , 19 7 7 , JAN/FEB , 1 9 7 8 1 Oc t . 3 - 8 1 9 7 7 Re tai l Who lesale K. K. Jan 2 6 -Feb 1 1 9 7 8 Retai l only 2 K. Ave rage weekly Re tai l s ale s K. % - Tinned fish 3 8 2 . 47 Tinned 48 . 41 Ri ce 79 . 00 Bi s cui ts/cake 5 2 3 . 55 24 . 78 Aerated drinks 2 3 75 Whi te s ugar Dripping 1 04 . 2 6 1 9 . 20 3 4 . 20 32 10 39 . 68 12 . 55 32 . 40 1 04 . 5 0 2 4 . 00 6 . 50 8 . 80 9 . 99 4 . 86 8 . 16 8 . 80 11 . 12 9 . 84 1 7 . 64 3 2 . 14 63. 27 32 . 3 9 . 59 10 . 26 25 . 83 13. 2 2 8 . 50 2 5 . 20 40 . 1 5 20. 5 6 . 05 2 3 . 89 20 . 25 10 . 4 5 . 30 1 1 . 18 12 . 45 6.4 3 . 06 5 . 61 6 . 41 3. 3 2 28 11 . 27 8. 63 4. 4 1. 80 2 . 04 5. 43 2.8 Chee s epops e tc . 17. 90 Chewing gum 11 . 6 0 6. 20 2 . 07 2 . 75 5 . 65 2.9 Mi lk , tinned/drie d 4 . 27 38 1 . 84 2 . 55 3 . 26 1. 7 Mi lo/tea/coffee 4. 57 10 3 . 59 3 . 07 1. 6 Salt 2 10 1 . 61 1 . 04 1 . 25 0. 6 F lour * 316 . 90 0. 23 * 40 2 3 8 . 46 201 . 28 9 5 . 69 6 7 . 08 * 131. 52 Data for Jan/Feb 1 9 7 8 collected b y S teve Mi llar , Institute o f Medi cal Re search , Goroka . 2 N o wholes ale s ales in May 19 7 7 o r Jan/Feb 1 9 7 8 sample weeks . 3 Mostly mackere l , some s ardine s . 4 Mos tly corned meat loaf. 5 Mos tly packe ted bis cuits , some tinne d cake . * Out of s tock . 195 . 6 5 1 00 . 1 N N \.0 230 c limbs sharply 1 , but the data are not continuous enough to reveal a c lear trend wi th the pas sage o f the c offee season . Tinned fi s h , tinned meat and rice were the mos t popular items o f foo d and drin k , accounting f o r over 5 0 % o f re tail sal e s in e ach s ample period . Interruptions in the supply o f c e rtain i tems , such as cheesepop s , led to ma jo r variation s in their sales in di fferent periods . b . The Voc ational S choo l s to re . S ituated about 1 0 0 m. up the road from the Namasu s to re i s a sma l l s to re owned and run by the Awande Boys Vocational S ch oo l . The s to re i s intended bo th a s a source o f income for the s choo l , whi c h is supposed by government policy to be economic ally sel f- sufficient 2 , and as a p ractic al means of ins truc ting pup i l s in the me thods o f s to rekeeping . S tocks are purchased from wholesale merchants in Goroka and cover a much smal ler range of items than are carried in the Namasu s to re . Where the s ame items are c arried , pric e s are s imilar in both s to re s , but the manager of the Vocational School tends to carry sl ightly di fferent l ine s where pos s ibl e ; thus , tinned orange j ui ce , packeted salte d peanuts , and tinned curried rabb i t were popular i tems , unobtainable from Namasu but usually available at the schoo l s tore in 1977 . Mo s t s ales were to people from Awande , and the b e s t- se l l ing i tems o f food and drink were the same as tho s e from Namas u , viz . tinned meat and fish , ri ce and biscui ts A rec ord of dai l y sal e s i s kept by the school , but because the s tore ' s s tock was gradua l ly bui l t up through the year , and the s to re was c lo se d during school hol i day s , seasonal variation in s a le s did no t bear a close relationship to the co f fee s eason . We.ekly s al e s from February to October 1 9 7 7 varied from K2 5 . 82 to K22 8 . 2 6 , wi th an average o f K 9 2 . 2 6 . Mos t o f the K 3 3 00 spent at the s tore over this period was spen t by villagers from Awande i ts el f . c . Individua l ly owned trades to re s . A s wel l a s the two permanent and re lative ly well s to cked s to re s j us t des c ribed, there is in Awande a number of small trade s tore s owned and run by individual villagers , or l see Howle tt e t al . ( 1 9 7 6 , p . 2 31 ) for figure s on the co ffee production in the Chimbu region . 2 Thi s directive has also led the school to engage in s trawberry and cabbage cultivation , and the rearing which are profi table but not particularly sui ted to annual cyc l e of a ctiviti e s such a s o f day o l d cockere l s , local needs . 231 partnership s . Such s tore s , or kentin as they are often c al led , are bui l t o f bush material s , and are hence vulnerable to theft and pe sts . They are s tocked when money is available ; whether or not the s to ck i s replen i s he d depends o n the succe s s o r o therwis e o f the venture , and the subsequent aims of the owner . Be fore a s tore can legal l y be ope rated , a " li cence to trade with nati ve s " { as the wording s till has it) mus t be obtained from the local council for a fee o f K 6 . 00 , renewable annually. Pri c e control s are generally i gnored , and high pro fi t margins are set . In practic e , the u s e o f s tore goods for the owner s ' own famil ie s and friends , together with lo s s through the ft and pe s ts markedly reduce the actual prof i ts made . In May 1 9 7 7 there were only two indiv idually owned trade s tore s operating in Awande , both o f them on the main road wi thin a kilometre o f the Namasu and Vocational S choo l s tore s . By the end of July four more had opene d , two o f them on the roadside , the other two in hamle ts away from the road , and three more were under cons truction . A brief survey at that time provided the following information : were operating earlier in the year were self- financing , with extra capital provided by thei r owners ' co ffee sale s . Another s tore was s to cked with goods s en t from Lae by a younger man employed there as a barman ; the s tore was run by hi s father and brothers . Another s tore was owned by the lo cal ly employed c arpen ter , and hi s brother . A fifth s to re was opened by a young man re cently re turned from working in Lae , and the sixth by a pupil at the Vocational S choo l . O f the three s tores s ti l l under construction , two were being bui lt by men with labouring j ob s in Awande ( as roadman and school groundsman re spective ly) , and one by a man who had worked part time on a l abouring j ob for some week s previousl y . s tores contained a s imi lar range o f goods , some purchased from the local Namasu s to re in wholesal e lots , o thers from further afie l d . 'l'he mo s t common items were ric e , sugar , c igarette s , tinned fi s h , t inne d meat , biscu i ts , tobacco , ke ro sene and wool ( for making Tota l reta i l value o f the s to ck ranged from K 4 6 i n the schoolboy ' s s tore , to K2 3 0 in the bigge s t s to re , which had be.en running since S eptember 1 9 7 6 . Prices varied from s to re to s to re , and from time to time , with a mark-up on the usua l Namas u re tail price s o f be tween 10 and 1 0 0 per cen t . For example , a t in of f i sh cos ting 40 toea at Namasu and 4 5 t . at the Vocational S choo l w a s p r i c e d at 5 0 t . i n five small trade s tore s , and 5 5 t . in the o the r . Chee sepops were s o ld for l O t . at the Vocational S chool , 1 2 t . at Namasu, 1 5t . in three small s tore s , and 2 0t . in two s to re s . At the l atter price , chee s epops were retail ing for three t imes the wholes a le pric e paid by the s to rekeeper . 232 From the point o f view o f their owners , the s e smal l trades tore s provide a means by which income e arned in o ther ways can , they believe , be inve sted profitably . H owever , the degree o f competition i s high , and the leve l o f en trepreneuria l skil l s is low , with the re sult that few of the smal l s to re s can survive for long . The fac t that o ther vil lagers , with low cash incomes , are willing to buy i tems from the s� ; ll trade s to re s at all , at prices whi ch they know are far higher than those in the b igger s to re s , indicate s that economic rational i ty i s not their prime concern and that o ther factors are operating . advan tages in u s ing the smaller s tore s can be sugge s ted : Three they are o ften more convenient in location and opening times ( us ually they wi ll be opened on reques t) than the larger s to re s ; it i s easier , e speciall y for t he uneducated , t o buy items from a fe llow vill ager than from an outsider { this advantage i s shared by the Vocational S c hool s tore ) ; and it is reasonable to expect that the s tore s owner will sometimes use his goods as gi fts within the lo cal community , and contribute s to re foods to communal mea ls . 2 33 APPENDIX B A survey o f food prices in Lae was carried out on 1 2 th October 1 9 7 7 by 4 th year chemica l technology s tudents from the Universi ty of Technology at Lae , under the supervis ion of the Area Nutrition i s t , Marian cas t . I a m grate ful t o them f o r supplying m e with a copy o f the survey re s u l ts , which I analyse brie fly i n this appendix . Thirty-four s tores in four areas o f town were visi te d , and the pri ce s o f a varie ty o f items were re corded in every s to re where they were availab le ; in addition , sample s of fresh foods were weighed and pri ced at the main Lae market . In mos t cases , pri c e s were recorded for the same size o f container , package , e tc . , so that it is not pos s ible to c alculate whe ther money might be saved by buying in larger o r smaller Ther e was considerable variation in the pric e s o f the s ame item bought at di ffe rent s tore s , but l it tl e c ons i s tency in which s tore s of fered the lowe s t pric e s for the same items . As would be expected, the smal l trade s tore s tended to sell at higher pric e s than the maj o r supermarket s In Table 1 9 , the re su l ts a re e xpre s s e d i n terms o f the average cos t o f l OOg o f the food ; food ; the cos t per MJ o f energy from that The re sults for the twenty and the cos t per gram of protein . cheape s t source s o f energy and prote in re spectively are shown in the upper and lower bar charts in Figure 9 . E nergy and pro te in costs were c alculated using WHO W es tern Paci fic Food Compos it ion Table s (WHO , 1 9 7 2 ), which a l so include f igure s for the e dible portion as a perc en tage o f the portion a s purcha se d . This correction for wastage is importan t in the case of mos t fre sh vegetable s . In interpreting the figures for the c o s ts of energy from di f fe rent source s , it is e s sen tial to b ear in mind that some of the c heapes t source s a re very low in pro tein , and some are very bulky; both qualitie s reduce their value as s taple foods ( see Chapter 1 3 ) . For the se reason s , white rice , with 6 . 7 % of its energy derive d from protein (WHO , 1 9 7 2 ) crop s . is a more nutri tious s taple than the s tarchy root Dripping and sugar a re cheap source s of energy but supply no o ther nutrients in sign i fican t quantitie s . 2 34 TABLE 1 9 AVERAGE COSTS , AND RELATIVE COSTS OF ENE RGY AND P ROTEIN CONTENTS , OF MAJOR FOOD I TEMS IN LAE S TORES AND MARKETS I tem A . S tore i tems White rice White bre ad White sugar Full- fat milk powder Evaporated mi lk Dried pe as Dried beans Fre sh eggs Boi led e ggs Peanut Margarine Butter Tinned corned bee f Tinned mackerel Peanuts (pkt ) 6 Cost per lOOg . o f food A . P. ( toea) 4. 2 s 3 4. 6 19 . 7 8 0 10 . 9 12 3 23.0 33 3 23. 2 16 . 2 16 . 0 16 . 8 15 . 8 23 8 8.9 16 9 E.P as % o f A.P . 100 100 100 100 100 100 100 89 89 100 100 100 100 100 100 100 100 B. Market items 82 82 Cas sava Eng l i sh banana 71 91 69 68 66 Energy p e r l O O g. E.P. (MJ) 1. so 1 . 06 1 . 62 2 . 12 0.57 1 . 42 1 . 41 0 . 68 0 . 68 2 37 3 . 01 2 99 3 . 73 1 . 10 0 . 94 2 28 Cost per M..T o f energy ( toea ) 2 . 80 5 . 00 2 . 84 9 29 14. 04 7 . 68 8 . 72 3 8 . 00 5 S . 02 9 . 79 5 . 38 S . 3S 4.SO 1 4 . 36 2 S 32 6 . 79 41 OCTOBER 1 9 7 7 . 1 , 2 P rotein Cos t per per lOOg. gram of protein E.P. (g. ) ( toea) 6. 7 6. 7 26. 0 7. 0 2 3. 8 23.1 12 . 4 12 . 4 26. 2 0. 6 o . 76 1 . 14 0 . 46 0 . 53 2 . 08 3 . 02 0 . 89 2 7 . 00 26. 67 16. 0 18. 6 22. 25.6 0 . 99 28 0 . 40 0 . 66 o. 3 . 05 lS 2 . 70 03 S4 66 51 97 99 10. 07 so 0 . 63 o . 79 2.4 2 1. 2 1 . 77 .o 25.6 s 0 2.4 6 1. 3 Pacif i c Regional O f f i c e Food except where indicated . A . P . = As portion . Purchased . o f Australian Foods ( Thomas & Corden , 1 9 7 0 ) 3 . Tables o f 4 0 Tables o f Foods in Tropical Countries ( P l att , 1 9 62 ) . 5 . Taken as bee f , f re sh , from P latt , ( 1962 ) . 6 Thomas & Corden ( 19 70 ) . 7 . s eparate compos i ti on data for Xanthosoma not available ; taken as - Co loeas ia . 235 F IGURE 9 . COMPARATIVE COSTS OF ENERGY AND P ROTEIN FROM VARIOUS FOODS , A. LAE , OCTOBER 1 9 7 7 . ( Data from Tab le .) ENERGY rice Cooking banana (packet ) Dried peas f!'.B����Bf8:8����0::: ·Dried beans ull-fat mi lk powder anut butter Fresh peanuts i;;.;:.;;:;.:;.:.;:;;;;.;;;:;.:;.:.;:;��.;;;�;;..;;;.;'*'�;.;.;..;.;.;;.;.;.;.;.��� 5 10 Cost per MJ B. Pumpkin ( toe a ) PROTEIN mackerel White rice S al t ed peanuts (packet ) Full-fat milk powder Peanut butter Chine s e taro Pumpk in Evaporated milk beef banana Fresh eggs 1.0 Co st per gram ( toea ) 2.0 2 36 Fourteen o f the twenty cheapes t pro tein sourc e s are vegetable However the protein quality has not been taken into ac count products . in the se c al cu lation s ; dependence on a single plan t protein source i s nutritional ly unwise , but a complementary combination o f plan t pro tein sources c an be of equa l bio logical value to a s ingle animal prote in source . Dark green l eave s , although they may contain up to 5 % pro tein , dv no t provide much energy , and could the re fore not form a l arge proportion of the die t . Tinned fi s h , dried puls es , rice and bread , pe anuts and milk powder are al l goo d , re l ative ly cheap prote in sourc e s ( skim mi lk powder was not inc l uded i n th e surve y , but would be c heaper than ful l - fat milk powder as well as being richer in protein ) . Minc e d bee f wa s the onl y fre sh meat included in the surve y , a n d provide s pro tein at a co s t of 0 . 99 toea per gram; data from the December 1 9 7 7 Con sumer P rice Index ( Bureau of S tatisti c s , l 9 7 8 c } gives the price of frozen chicken in Lae as K 2 . 2 8/kg . , which works out at 1 8 5 toea per gram o f prote in Eggs are an expensive source of pro tein , but the l a tter is o f very high quality . A comparable food price survey wa s carried out in Port Moresby in Oc tober 1 9 74 ( M . Lamber t , 1 9 74 ) the c o s t of and the re sults used to c al culate " the cheape s t balanced die t in Port Moresby , suff i c i ent to sati s fy an adul t ' s dai l y requirements for energy , growth and foods " . This diet , i ts 1 9 74 cos t in Port More sby , and its equivalent cos t in Lae in 1 9 77 were as follows ( no te that the n ew toea was exactly equivalen t to the o l d cent at the changeover in currency units) : Moresby 1 974 Cas s ava Dripping Tinned fi sh Pumpkin Swee t banana 1400 50 110 150 300 g g g g g 1 4 . 89 6 . 09 8 . 79 2 . 69 4 . 99 12 . 6t 8 . 4t 9 . 8t l . 5t 6 . 0t 3 7 . 09 38. 3t An alternative diet would have cos t th e following : Rice Margarine Tinned Fish Green leave s Swee t banana 450 50 1 10 120 300 g g g g g 1 7 . 49 7 . 29 8 . 79 3 . 29 4 . 99 18 . 9t 8 . lt 9 . 8t 2 . 0t 6 . 0t 4 1 . 49 44 . 8t 2 37 The report on the Port Moresby survey calculated the cost o f feeding a family o f two adu l ts and four children at six time s the c o s t o f fee ding a s ingle man , and thus arrived at the figure o f j us t over $15 for the weekly co s t of providing a well-balanced diet for the whole For Lae in 1 9 7 7 , the equivalent figure for the first diet fami ly . l i s te d above would have been K16 . 09 , and for the second Kl8 . 82 Many sub s ti tutions could o f cour s e be made in the diets suggeste d , to provide varie ty without sacrificing nutritional quality or inc rea s ing the cost markedly . At the time of the Port Moresby survey , the urban minimum wage was $4 0 per fortnigh t . At the time o f the Lae survey the urban minimum wage was K5 8 . 12 , a rise of 4 7 % . Over the same period, the con sumer price index for food ros e 1 5 % in Lae and 1 6% in Port Moresby , and the ove rall CPI ros e by 2 3% in Lae , and 2 5 % in Port More sby . Thus , in 1 9 7 7 the urban wage - e arne r was cons iderably better off in real terms 1 9 74 than he was The re sults p re sente d here re fer to one town on a s in gle application to other be mis l eading , P apua New Guinea , a t other as regards fre sh the market a re cheaper in Port f rom thi s 1 9 7 7 Consumer P r i ce Index ( Bureau o f S tatistic s the op . c i t . ) ) . 2 38 REFERENCES Alpers , M . P . , Ga j dusek , D . C . and Ono , S . G . , 1 9 7 5 . B ibliography of Kuru . National I n s ti tutes o f Health , Be the sda . Bailey , K . V . , 1 96 3 . Nutrition in New Guinea . Fd . Nutr . Notes Rev . , 20 : 8 9 - 1 1 5 . Bayli ss -Smi th , T . P . and Feachem , R . G . (Editor s ) , 1 9 7 7 . S urvival : Rural E cology in the Pac i fi c . Becroft , T . C . , 1 96 7a . S ubsi s tence and Academic P re s s , London . Child-rearing prac tic e s in the highlands o f New Guinea : a longi tudinal s tudy of breas tfeeding. Med . J . Aus tralia , 2 : 5 98-6 0 1 . Becroft , T . C . , 196 7b . Chi l d- rearing practices in the highlands of New Guinea : general feature s . Bell , c . o . , 1 9 7 3 . Med . J . Austral i a , 2 : 8 1 0- 8 1 3 . The Diseases and Health S e rvic e s o f P apua New Guinea . Department of Public Health , Port Moresby . Belshaw , C . S . , 1 95 7 . The Grea t Vil lage : the e c onomic and social we l fa re o f Hanuabada , an urban c ommuni ty in Papua . Routledge and Kegan Paul London . B erndt , R. , 1 962 . Exce s s and Re straint Guinea mountain people . Biddulph , J . , 1 97 3 . Social control among a New Uni v . of Chicago P re s s , Chic ago . Diarrhoeal disease in young children . In C. O. Bell ( Editor) , The Disease s and Heal th S e rvices o f Papua New Guinea . Department of Pub lic Health , Port More sby , pp . 1 9 1 - 1 9 5 . B inn s , C . W . 1 9 76a . Foo d , s ickne ss and death in chi l dren of the high lands of Papua New Guinea . Binns c.w. , 1 9 76b . Environmental Chi ld Heal th , 22 Food volume , a limiting fac tor in nutrient intake in the Papua New Guinea highlands . (Edi tors ) : 2-11 . In : K . Wil son and R . M . B ourke 1 9 75 PNG Food Crops Con ference P roceedi ngs . Department o f Primary Indus try, P ort More sby , pp . 45 - 52 . B inn s , c . w . , 1 9 76 c Palm oil intervention programme . a pilo t study of i ts use in a nutrition P roc . XI Vth Annual Sympos ium of the Papua New Guinea Medical Society . Bureau o f S ta ti s ti c s , 1 9 76 . S tati s ti c s 1 9 7 3 / 74 . P apua New Guinea I n te rnational Trade Bureau of S ta ti s ti c s , Port Moresby . B ureau of S tati s tic s , 1 97 7 . Papua New Guinea Household Expenditure S urvey 1 9 7 5/76 , Bulletin No . l : P re liminary Results for Port More sby . Bureau o f S ta ti s ti c s , Port Moresby . Bureau of S tatis tics , 1 97 8a . Re cent urban population e s timate s , 1 9 76- 1 9 78 . PNG S ta ti stical Bulletin , 2 8 th April 19 7 8 , Port More sby . 239 Bureau o f S tatisti cs , 1 9 7 8b . Papua New Guinea Household Expenditure S urvey 19 7 5 / 76 , Bulle tin No . 2 : P re l iminary Results for Lae . Bureau of S tatis tic s , P ort Moresby . Bure au of S ta ti s ti cs , 1 9 7 8c . 1977 . Consumer price index , December quarter P NG S tati s tical Bulletin , 1 7 th February 1 9 7 8 , Port More sby . Clarke , W . C . , 1 9 7 3 . The dilemma o f deve lopment . ( E di tor) , The Pacific in Transition . In : H . Brookfield Aus tralian National University P re s s , Canberr a , pp . 2 75 - 2 98 . C l arke , w . c . , 1 9 7 7 . The s tructure of permanence : The re levance o f s e l f- s ubsi s tence commun i ties f o r world e cosystem management . In T . P . Baylis s-Smith and R . G . Feachem (Edito rs ) , S ubsistence and Survival : Rura l Ecology in the �acific . Academic Pre s s , London . Corden , M. W . and Thomas , S . , 1 9 70 . Aus tralian Foods . pp . 3 63- 384 . Table s of Composition o f Australian Govt . Publishing S e rvic e s , Canberra . Departmen t o f Public Heal th , 1 975 . Nutrition for Papua New Guinea . Nutrition S ection , Department o f Pub l i c Health , Port Moresby . 18 7pp . Dubos , R . , 195 9 . The Mirage o f Health . Harper and B ro the r s , New York . Ferro-Luzzi , A . , Norgan , N . G . and Durnin , J . V . G . A. , 1 9 7 5 . Food intake , i ts re la tionship to body weight and age , and i ts apparent adequacy in New Guinean chi ldren . Garnaut , R . , 1 9 72 . Am. J . Clin . Nutr . , 28 : 1 4 4 3 - 1 45 3 . Problems o f ine quality . Glas se , R . M . , 1 962 . New Guine a , 7 : 52-63 . S outh Fore soc i e ty , a preliminary report . Mime o , Department o f Public Health , Port More sby . 18pp . Glass e , R . M . , 1 96 9 . Marriage in S outh Fore . In : R . M . Gla s s e and M . J . Meggi tt (Editors ) , P igs , Pearlshe l l s and Women : Marriage in the New Guinea Highlands . Gl asse , s . , 1 9 6 2 . P renti ce-Hal l , New Jersey , pp . 16- 3 7 . The social e ffects o f kuru . Publi c Heal th , Port Moresby . Glasse , S . , 1 96 3 . Mime o , Department o f 2 2pp . The social l i fe of women in the S outh Fore . Department o f Public Health , Port More sby . Hami l ton , L . , 1 95 5 . vil lage dietary . Hepworth , H . , 1 9 7 6 . Mimeo , 1 3pp . Indigenous versus introduced vege tab l e s in the P apua New Guinea Agricultural Journal , 10 : 54- 5 7 . The p re sent s tate o f the food proce s s ing industry in Papua New Guinea . In : 1 97 5 Papua New Guinea Food Crops Conference P roceedings , Department of Primary Industry , Port More sby , pp . 33 3- 33 7 . H ip s l e y , E . H . , 1 964 a . Importance of die tary fat and frequency of fee ding in the weaning period . Fd . Nutr . Notes Rev . , 2 1 : 5 7- 68 . 240 Hips ley , E . H . , 1 964b . Food i n re l ation t o o ther needs o f man - the example of New Guinea . Hips ley , E . H . 1 96 9 . Fd . Nutr . Note s Re v . , 22 : 9 1 -1 0 1 . Metabolic S tudie s in New Guineans Oxygen uptake and carbon dioxide excre tion during fas ting-re s ting and exercising condition s . S outh Pacific Commis s ion Tec h . P aper No . 162 H ip s le y , E . H , 197 3 . Noume a . The nutri tional s tate o f the population o f Papua In : c . o . Bell (Edito r ) , The Diseases and Health New Guinea - 1 . S e rvi c e s of P apua New Guinea . Department of Public Heal th , Port More sby , pp . 8 7 - 9 5 . Hips ley , E . H . , 1 9 76 Con ce rning the adaptation o f P apua New Guineans to low protein die ts . Fd Nutr . Note s Rev . , H ipsley , E . H . and Clements , F . W . , (Edi to rs ) , 1 95 0 . Guin e a Nutrition S urvey Expedi tion 194 7 . Te rri to ri e s 33 3 7- 4 3 . Report the New Dept . o f E xternal Canb erra . E N.S 1 96 5 . S tudies o f Expenditure o f Commi s sion Canberra . E di sease . ( Edito r ) Howle tt , D . 1 9 76 E s s ay s on H i de , Mon og . No . 4 . Je l l i f fe pp . 5 3- 82 H . and Kaman , Devel opment S tudies Centre Australian National Unive rsi ty , Canberra . THe Assessment o f th e Nutritional S tatus o f the World Health Organ i s ation Monog . S e r . 5 3 , Geneva . Lambert , J . , 1 9 75 a . 195 6 - 1 9 75 . Arba , i s sues in deve lopment . D . B . , 1 96 6 Commun i ty . In Clas se y Ltd . and Chimbu Classey Trends in foo d consumption patte rn s in Chimbu Mimeo , Department of Public Hea l th , P ort Moresby . Lamb e rt , J . 1 9 7 5b . A Study o f Nutritional S tatus and E conomic De ve lop ment in the Chimbu Dis trict , P apua New Guinea from 1 9 5 6 to 1 9 7 5 . M . S c . The s i s , Univ. of London ( Unpublished) . Lambert , M . , 1 9 74 . Food Price s S urve y . Nutri tion S e ction , Department of Pub l i c Heal th , P ort Moresby , 5pp . Lee , D . , 1 95 7 . 5 : 1 6 6- 1 70 . cultural factors in dietary cho ice . Am. J . Clin . Nutr . , 241 Lindenbaum , S . 1 1 9 76 . E s s ays o n Kuru . Lucas , J . Kuru sor ce ry . E .W . Clas sey Ltd . , Faringdon , pp . 2 8- 3 7 . Lae 1972 In : R . W . Hornabrook {Edi to r ) O ceania , 4 2 a town in tran s ition . 2 60- 2 75 . Growth and development o f the Bundi child o f Ma lcolm , L . A. , 1 9 7 0 a . the New Guinea highlands . Malco lm , L . A . , 1 9 70b . Hum. Biol . , 4 2 : 2 9 3- 32 8 . Growth , malnutrition , and mortality o f the infant and toddle r in the Asai valley of the New Guinea highlands . 1 090-95 . Clin . Nutr . , 2 8 Mal co lm , L . A . , 1 9 7 3 . urban Lae . Ma lcolm, L . A. Nee d and demand for hea l th and medical care in Papua New Guinea Medi cal Journal , 1 6 1974 1 5 7 - 16 7 . E co logical factors influencing growth and nutritional s tatus o f the pre-school child . Medical Journal , 1 7 Melane sian Counci l Am. J . Papau New Guinea 1 9 1- 195 . Liklik Buk : Churches , A rural development P re s s Geographical P ro ceedings o f Geographical Society , P almerston Conference pp . 1 45 - 1 5 1 . National P l anning O ffice 1 9 78 a . P apua A Food and Nutrition Policy New Guinea ( Report and re commendation s of a working group ) . P lanning Office , Port Moresby . Nationa l P lanning O ffice , 1 9 78b . National Nutrition S urve y . National P l anning O f fi ce , Port More sby . National P l anning O f fi c e , 1 9 78 c . the current s i tuation . Port Mo re sby . Mimeo 8pp . Nutrition policy in Papua New Guinea , National P lanning O ffice background paper , 1 5pp . Norgan , N . G . , Ferro-Luzzi , A . and Durnin , J . V . G . A . , 1 9 74 . The energy and nutrie n t intake and the energy expenditure o f 2 0 4 New Guinean adults . Phil . Tran s . R. S oc . Lond . B , 2 68 : 3 0 9- 3 48 . 242 Oe ser , L . , 1 96 9 . Hohola : the signi ficance o f socia l networks i n urban New Guinea Re se arch Bull e tin No . 2 9 , P ort adaptation of women . Moresby and Canberra . Oomen , H . A. P . C . , 1 9 71 . E cology o f Human Nutrition in New Guinea . E co l . Food Nutr . , 1 : 1 -1 6 . Oomen , H . A . P . C . an d Corden , M . W . , 1 9 70 . Metabo l i c S tudi e s i n New Guinean s : Ni trogen metabolism in swe e t pota to e aters . S ou th Paci fic Commis s ion Tech . Pape r No . 1 6 3 , Noumea . Oomen , H . A. P . C . and Malcolm, s . , 1 95 8 . Nutrition and the Papuan Chil d . S outh Paci fi c Commis s ion Tech . Paper No . 118 , Noume a . P l att, B . S . , 1 96 2 . Tables o f repre sentative values o f foods commonly used in tropical countries . S e rie s No . 2 5 3 . Me d . Res . Coun c i l Special Report HMSO , London . Rappaport , R. W . , 1 96 8 . P igs for the Anc e s tors . Yale University Pre s s , New Haven . Rawlinson , R. 19 7 7 . Nutrition c oncepts amongst uneducated Highland women and Papua New Guinean health workers . P sy cho logical S e rvices Report P ape rs No . 2 1 8 , Department o f Public S e rvi ce s Commis sion , Goroka . Re i d , L . H . , 1 9 5 8 . i n 1 9 5 7 - 1 95 8 . Li s t o f Fore dietary i tems coll e c te d and compile d Mime o , Nationa l Ins titutes o f Health , B e the sda . Reid , L . H . and Gaj dusek , D . C . , 196 9 . Nutrition in the Kuru Re gion 2 . A nutri tional evaluation o f traditional Fore die t in Moke vill age in 195 7 . Acta Trop i c a , 2 6 S alisbury , R . F . , 1 96 2 . 3 31 - 345 . From S tone to S te e l a technological change i n N e w Guine a . economic consequence s o f Me lbourne Univ . P re s s , Melbourne . S cott, G . K . , 1 96 3 . The dialec ts o f Fore . Oceai.i ia , 3 3 : 2 8 0- 2 86 . S c rimshaw , N . S . , Guzman , M . A . , Flore s , M. and Gordon , J . E . , 1 968 . Nutrition and infe c tion fie ld s tudy in Guatemalan vil l age s , 1 9 5 91964 , v Disease inc i dence among p re - s chool chil dren . Arch . environ� Heal th , 16 : 2 2 3- 2 3 4 . S crimshaw , N . S . , Taylor , C . E . and Gordon , J . E . , 1 968 . Interactions o f Nutrition and I n fe c tion . World Health Organis ation Monog . S e r . 5 7 , Geneva . S inne tt , P . F . , 1 97 3 . Nutrition and age- re l ated changes in the body build o f adults : S tudie s in a New Guinea highl and commun i ty . O ce ani a , 2 : 5 0- 62 . Hum. Biol . 243 S inne tt, P . F . r 19 7 7 . Nutritional adaptation among the Enga . In : T . P . Bayl i s s-Smith and R . G . Feachem ( Editors ) , Subsi s tence and S urvival : Rural E co logy in the Paci fi c . Academic P re s s , London , pp . 63 -90 . S inne t t , P . F . and Buck , L . , 1 9 7 4 0 Coronary heart disease in Papua New Papua New Guinea Me di c al Journal , Guinea : pre sent and future . 17 : 242-47 . S innet t , P . F . and S o lomon , A . , 1968 . highland population . S o rensen , E . R. , 1 9 76 . Physical fitne s s in a New Guinea Papua New Guinea Medical Journal , 11 : 56-60 . The Edge of the Fore s t . Land, Childhood and change in a New Guinea protoagricu l tural society . Smithsonian I n s t i tute P re s s , Washington D . C . Soren sen , E . R. and Gaj dusek , D . C . , 196 9 . Nutrition in the Kuru Region l . Gardenin g , food handling and die t o f the Fore peop le . Acta Tropic a , 2 6 : 2 8 1 - 32 9 . Spink s , G . R. , 1 9 6 3 . A pilot survey o f food consumption and expenditure patte rn s - two settlements in Port More sby . P apua New Guinea Agricultural Journal , 16 : 2 1- 36 . S trathe rn , M . , 1 9 75 . Moresby . No Money on Our Skins : Hagen migrants in Port New Guinea Re search Bulle tin No . 6 1 , Port Moresby and Canberra . Venkatachalam , P . S . , 1962 . A s tudy o f the diet , nutrition and health o f the people o f the Chimbu are a . Department o f Pub l i c Health , Monograph No . 4 , Port More sby . Vine s , A . P . , 1 97 0 . An epidemio logical sample survey o f the highlands , mainland and i s l ands region s o f the Territo ry o f P apua New Guinea . Department o f Pub l i c Health , P ort More sby . Wadde l l , E . , 1 9 72 . The Mound Builders . Univ . of Washington Pre ss , Seattle . Wate r low , J . C . , 1 9 7 5 . Nutrition and in fe ction . B r i ti sh Nutr . Foundation Bull . , 3 : 98-. Whiteman , J . , 1965 . Cus toms and belie fs re l ating to food , nutrition and hea l th in the Chimbu area . Whi teman , J . , 1 96 6 . Trop . geogr . Med . , 1 7 : 3 0 1- 3 16 . A s tudy of beliefs and atti tude s towards food in a New Guinea low- co s t housing se ttlement . Trop . geog r . Med . , 18 1 5 7,,.,166 . Wookey , S . J . , 1 9 7 3a . New Guinea - 2 . The nutritional s tate o f the population o f Papua In : c . o . B e l l (Edito r ) , The Disea s e s and Health S e rvi ce s o f P apua New Guinea . Department o f Public Health , Port 244 Moresby , pp . 96 - 1 3 0 . Wookey , S . J . 1 19 73b . Urbanization nutrition . In : C . O . Bell The Diseases and Heal th S e rvices o f P apua New Guinea . ( Edi to r ) , Department of Public Health , Port Moresby , pp . 4 10 - 4 1 5 . World Health Organization , 196 5 . Prote in requirements . WHO Tec hnical Report S erie s No . 301 , Geneva . h orld Health Organ i s ation , 1 9 72 . Nutri tion . The H eal th Aspects o f Food and WHO Wes tern Pacifi c Re gional O f fi ce , Man il a . World Heal th O rgan i sation , 1 9 7 3 . Energy and protein requirements . Te chnic al Report S erie s No . 5 2 2 , Geneva . WHO