Health in Papua New Guinea: a Decline in Development

Papua New Guinea has experienced the start of an epidemiological transition in health status from infectious towards non-communicable diseases, though the latter were absent until the post-war years. This transition is particularly marked in urban and coastal areas, where life expectancies are higher and mortality rates lower. Tropical diseases remain significant, malaria has worsened and new mobility has increased the severity of epidemics of influenza and measles. Indigenous medical systems have increasingly given way to modern medical systems, though disease aetiology is usually perceived through traditional cognitive models. Modern medical systems were mainly developed in the 1960s and 1970s, on either side of independence, but despite an official focus on primary health care, have had much reduced effectiveness since the 1980s. Rural health centres have been poorly maintained and serviced, and health workers have limited skills and access to resources. The health budget has been increasingly concentrated in urban areas, though the bulk of the population and of the health problems are in rural areas, resulting in a worsening ‘inverse care law’, that is particularly significant for women. Overall health status has declined in the past decade despite overseas advocacy of new policies and the prospects for improvement are poor.     

Fenced In: Intimacy and Mobility in Highlands Papua New Guinea

This paper is organised around the analysis of an ‘event’; a truck trip from Kwima, a Maring speaking settlement in the Western Highlands of Papua New Guinea, to Banz in the Wahgi Valley and an evening spent on the road. The event forms a standpoint from which to assess the impact of the decline of civic space, and faltering legacy of colonial governmentality, in the Jimi since 1980. I describe the emergence of new forms of mobility based around the nexus between local forms of business and trucks. In particular I focus on new and anxious forms of masculine inside relationships, understood as a transformation of a habitus of intimacy, round which such mobility is built. I argue that this transformation should be understood in terms of the dialectical relationship between business as an expansive profit oriented project on the one hand, and its anchoring in clan defined space on the other. At the same time the event provides a vantage point to reflect on the nature of long‐term fieldwork, the methodological significance of the subjectivity of the ethnographer, and the nature of ethnographic error.     

Migration,myth and magic in Papua New Guinea

The author examines some of the assumptions, classifications, and techniques that affect the study of migration in specific countries. Using migration in Papua New Guinea as an example, he critically reviews the conventional approaches to the study of migration     

Enga Social Life and Identity in a Papua New Guinea Mining Town1

The process of modernisation coupled with division of labour and leisure have had an enormous impact on tribal people. This group of people have responded to the bewildering environment with the consolidation of their existing network on ethnic and tribal solidarity. This paper looks at one group of people, the Enga people of Papua New Guinea (PNG) while they sought employment in the now abandoned Bougainville copper mine. The paper explains that the Enga workers maintained their own identity through utilisation of leisure activities amid the diverse presence of other workers in the mining town. It concludes that if ethnic and tribal solidarity were to be superseded by other forms of social alliance, would the latter eventually perform the role of protecting, recruiting, and reciprocating not only in Bougainville but in other PNG town settings? These are some of the questions that need to be addressed in the context of socioeconomic development and change in PNG and in other similiar developing countries.