Indonesia was different for me from other countries where I had worked, and different also because in Indonesia I was in my empty-nest years, no longer a mother and wife keeping house and managing an active family social life while teaching part-time at the university or engaged in a research project. This had been my lifestyle in the U.S., in Somalia for two years , in Turkey for four years — mother, sometime home-school teacher, wife, housewife and part-time professional working in the environment that was also our home. In India I did not keep house but we did stay for extended periods of time in the homes of Ravi’s extended family; things Indian were woven into our lives. Then the children were off to school and I went to Indonesia as a full-time consultant, a place and culture unconnected in any way to my past or present. For thirteen years, from 1978 to 1991, I did consultancies there for health care programs, each time with a different international organization. Flying in from Ravi’s and my Paris apartment, I arrived in the Jakarta airport (clove scented cigarette smoke in the air) to be officially met and driven to the organization’s office that would be my base and from where I would go to meet my Indonesian colleagues, the persons who shaped much of what I saw and learned about their people and their land.
Fortunately, I liked my colleagues, enjoyed being with them, and will write about that, but first must make sense of the hundred or so photographs of Indonesia scattered over my desk. I rarely carried a camera when traveling; Ravi did that for us, but for my six months long consultancy across Java, Madura, Bali, Sulawesi (known also as Celebes) and Sumatra, probably because Ravi insisted on it, in the Singapore airport stopover I bought a camera and film. It also happened that my interpreter/assistant, Loung Ie, liked taking pictures and I went along with it. He took on the responsibility of getting the film developed for us. Unfortunately, I failed to write information on the back of most of the photographs, so now sit here, going through them, some of me sitting with people in a meeting, others standing with people at a vehicle, others walking with people along a road, trying to remember who they are, where we are. I’ll figure it out, even though I spent only two or three days in each village, then had to move on. I have my fieldnotes and the report I wrote and am matching photos to activities. These were fine people and we were doing good work together, which is the reason I wanted a photo memento of each occasion.
Usually, to get to a particular village I was scheduled to visit Loung Ie and I stayed in the District town hotel or government facility and commuted by government vehicle. On occasion, however, a village family could host us, and such a time was where we took these photos. It was in South Sulawesi, north of Makassar, in the rural area of what had been the Makassar Kingdom and other urban centers the Dutch encountered and also photographed. The village headman and his family took us into their home for two nights and helped me during the daytime with my interviewing.
I have to remind myself that the international organization and/or the Ministry of Health sent me into a village to observe its health care program, not to analyze the people’s social system and economy. Nevertheless, knowing a little background information helps. As the street scene indicates, this village was relatively prosperous. In other villages, houses were built with more bamboo and less wood, and as I have in other photographs, not many villages had so many houses so neatly surrounded with a fence. I talked with the teachers, so knew the village had a primary school, and I heard that besides rice the villagers grew a cash crop, tobacco. Like villages generally in Indonesia in those years, it did not have electricity. Water was from traditional shallow wells.
I did not walk out into the fields around the houses but think these photographs of rice farming taken in Madura, off Java, but would be similar to the way the people of Sulawesi farmed.
I can attest to the house being a pleasant space for spending time and for sleeping. The gentleman is relaxing under his house in the morning. The girl is sitting on a ramp that leads to the kitchen area attached to the rectangular of the house itself. The entire structure rests on pillars and can be, and on occasion is, picked up and moved elsewhere by as many men as there are pillars. The form and traditional materials of the structure are in a graceful balance, ideal for the climate. The use of wood and glass presents an updated version of the traditional house.
Naturally, I met with the doctor and staff at the District Health Center and recalling all this has me thinking again of how difficult, with even the best practices and intentions, it is to remain healthy in the tropics without the aid of modern technologies. The continual heat allows insects and other disease vectors to breed and grow at rates unimaginable in a temperate climate where a winter freeze keeps much of that in check. And water – In the rather rainy U.S. state where I live, the average rainfall for most months is between 80 and 90mm, 10mm or so higher in March and in August. In Makassar monthly rainfall is near or over 200mm, a bit below 150mm in Sept and Oct. Think of the consequences for malaria and for water carrying parasites. Sanitation is a continual problem. People defecate on the soil where they also walk barefooted, being exposed to intestinal parasites and diarrheal infections. In cold climates people wears shoes, and have since at least the Iron Age, more than three millennia ago. For Indonesia’s preventive health program volunteers promoted the digging and lining of a pit called comberan for disposing of household trash and the digging and construction of pit toilets for sanitation. In America, when I was a child, many, maybe most, rural households had an outhouse, a deep pit under a small one room structure built of wood with toilet seats and a door to close for privacy. As for household trash, before the era of plastics, it was thrown somewhere away from the house and composted into the soil. In the Indonesian villages, floods or heavy rain frequently destroyed the comberan and backed up the pit toilets. Another concern for the health program was hygiene; people washed themselves but soap was expensive and not generally used. (On a later consultancy I saw women using a harsh detergent for laundry, and also for washing themselves, which I thought had to be hard on the skin.)
The headman and the teachers actively set examples for others in the village by adopting the preventive health program’s recommendations, one of which affected my stay with them. The headman had built, attached to the house, a small enclosure over a pit toilet with an important innovation: a floor level pan set in a cement slab over the pit. The pan was made of light plastic and shaped for a water seal called a gooseneck that prevented gases from rising into the enclosure. In this private space, a container of water was included for cleaning oneself and for flushing the toilet. If the price of cement is not too high, if the pit can be maintained and if water is readily available, this is an appropriate technology for a household. From what I read, it is used in parts of rural Indonesia but I find no mention of it in any other country.
Sanitation remains a huge problem in much of the world. The villagers I knew in India and Indonesia were much healthier then than they had previously been and certainly healthier than previous generations. Smallpox was eradicated and the incidence of tuberculosis, leprosy and malaria had gone down. Antibiotics were hugely important for treating infections. Access to modern medications through rural health clinics and doctors with private practices made a difference, as had, in Indonesia, the widespread acceptance of boiling the drinking water, but several basic causes of preventable diseases were still not being addressed. I once repeated to a village headman what the District Health Center doctor had told me, that 90% or more of the children had intestinal parasites, and asked him why it did not worry people enough for them to take serious action to protect the children, such as wearing sandals, installing pit toilets and insisting on everyone using the toilets. And antihelminth medications were not expensive. The headman responded that formerly a child was a head and a big round belly with arms and legs like sticks, and now children look normal.
In two little boys I noticed the extended belly I was told is a sign of intestinal parasites but said nothing about it to anyone; it would have been inappropriate on my part, so I simply took this photograph to add to my fieldnotes. How very sad. I read that in Indonesia 37% of people in urban areas and 43% in rural areas still practice open defecation. I describe here my experience with this problem in India and wrote here of its devastating effects in India. For solutions to the problem here. For Indonesia here and here.
I close with a photograph I took this week of my ani-ani, my one souvenir from the villages. I had seen the small tool lying discarded in a corner of the house and remarked on it, calling it by name. I am not certain how I recognized it and knew its name, maybe from having read, decades before I ever dreamed of being in Indonesia, a famous study (famous among anthropologists) of Indonesian culture. Whether from there or elsewhere, for some odd reason I knew that women harvested rice by carefully cutting the grain off the stalk with a knife called the ani-ani. My host family explained that with the new strains of rice the yield was more abundant and people were harvesting with the sickle, freeing women from their slow, frugal salvaging of every single grain. He and the family were so amused by my recognizing the ani-ani that they gave it to me. — And nostalgia has me adding a second photo. The people I met and worked with in Indonesia were so kind and hospitable. This is a family I stayed with in Sulawesi.
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