West Papua Information Kit |
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| 1961 Report to United Nations under UN Charter Aricle 73e | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Part of West Papua's history which the Jakarta Lobby tries to keep hidden from the public.
A major function of the United Nations is to end all colonization. Article 73e of the United Nations Charter requires every UN member to submit regular reports on their colonies to confirm the colony's swift progress towards independence or "Self-Determination" without delay. 1961 Report to United Nations under UN Charter Article 73eREPORT
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NUMBER OF REGISTERED WORKERS |
1957 |
1958 |
1959 |
1960 |
1961 |
|
in the urban centres |
11,715 |
11,567 |
11,100 |
10,221 |
12,968 |
|
outised the urban centres |
4,186 |
4,319 |
5,646 |
5,689 |
6,018 |
|
Total |
15,901 |
15,886 |
16,746 |
15,910 |
18,986 |
|
|
|
|
|
|
|
|
INDEX FIGURES (1955 = 100) |
1957 |
1958 |
1959 |
1960 |
1961 |
|
in the urban centres |
105 |
103 |
99 |
91 |
116 |
|
outside the urban centres |
100 |
103 |
135 |
136 |
144 |
|
Total |
104 |
103 |
109 |
104 |
124 |
A considerable number of the workers are employed in the building trade. Over the last five years the breakdown has been as follows.
year
building trades
other trades
1957
4,139 (26%)
11,767 (74%)
1958
3,832 (24%)
12,054 (76%)
1959
5,020 (30%)
11,726 (70%)
1960
5,256 (33%)
10,654 (67%)
1961
6,065 (32%)
12,921 (68%)
A breakdown of the registered workers into single, married who have left their families behind in the villages, and married living with their families in the town gives the following picture for the above towns:
|
|
Single |
Married |
||||
|
Urban centres |
|
|
without family |
with family |
||
|
|
from |
from |
from |
from |
from |
from |
|
Hollandia |
587 |
1420 |
44 |
242 |
503 |
878 |
|
Biak |
1426 |
282 |
314 |
17 |
1364 |
212 |
|
Manokwari |
368 |
1082 |
60 |
158 |
231 |
1048 |
|
Sorong |
165 |
675 |
11 |
76 |
38 |
392 |
|
Merauke |
423 |
529 |
33 |
23 |
201 |
139 |
Of the total Papuan labour force registered in the entire Territory during the year under review, 10,099 persons were single (55%) and 8,887 (45%) married; of the latter 7,363 were living with their families at their place of work.
2. ORGANIZATION
The Government's unction withregard to labour matters is entrusted to the Labour Affairs Branch of the Department of Social Affairs and Justice. This branch is headed by a jurist, with a mechanical engineer on his staff.
Under the Labour Affairs Branch come the Labour Inspectorate and the Industrial Safety Superision Service. The Labour Inspectorate deals with the social and legal aspects of labour problems, whilst the duties of the Industrial Safety Supervision Service are evident from the service's name.
For the purpose of the Labour Inspectorate, Netherlands New Guinea is subdivided into two inspection districts. The territory of the Safety Supervision Service covers the whole of Netherlands New Guinea.
In order to make consultation possible between the authorities, employers and employees a committee was set up in 1961 which was given the name of Labour Affairs Committee. This tripartite committee consists of representatives of the Government, employers and employees. This committee has a dual function with regard to labour problems which are directly or indirectly related to the concept “labour”. It can make suggestions or give advice to both the Governor and business of its own volition or upon request.
3. CATEGORIES OF WAGE-EARNERS
The distribution of the Papuan labour force among various branches of trade and industry gives the following picture:
|
Group No. |
Nature of business |
Number of Papuan employees (1961) |
|
0 |
Agriculture, stock-breeding. forestry, timber-fellimg, hunting, fishing, etc. |
2,321 |
|
1 |
Mining above ground or below ground of coal, oil, gas, nickel, cobalt, karang, gravel, sand, etc. |
199 |
|
2/3 |
Bakeries, shoe-making and sail-making firms, sawmills, furniture factories, stonebreakers, repair shops, shipyards, installation businesses, etc. |
1,189 |
|
4 |
Firms in which construction work is done, such as the building, roads, bridges, dams, hydro-electric power stations, etc. |
6,086 |
|
5 |
Public utility concerns, such as gas, electricity and water works, refuse-colleting and street cleaning services, etc. |
406 |
|
6 |
Trade, shops, banks and insurance |
631 |
|
7 |
Undertakings transporting persons and goods, warehousing concerns, firms storing goods and firms for communications, such as telegraph, telephone, etc. |
1,604 |
|
8 |
Education, pub;ic health, administration, judicature, police, fire services, legal profession, hotels, restaurants and cafes, laundries, hairdressers, photographic dealers, cunemas, etc. |
4,574 |
|
|
Domestic servants |
715 |
|
9 |
Businesses which cannot be placed under one of the categories 0 to 8 |
1,261 |
|
|
Grand total |
18,986 |
Of the Papuan labour force, 10,549 persons were in Government service and 8437 worked for private employers. In 1960 these figures were 9093 and 6817 respectively. In 1961 the sum of about 25,000,000 guilders was spent on wages, food and housing for Papuan wokers. This is about 5,000,000 guilders more than in 1960. See also Appendix XXVIII.
4. THE LABOUR MARKET
The facility of registering for work with the Labour Affairs Branch was first offered in 1958. However, as the number of persons availing themselves of this opportunity has steadily grown, a labour exchange was opened in Hollandia in mid September 1961.
Whereas in 1958 most of those registering for work were Europeans, the Papuans forming a small minority, the stress has now completely shifted. Partly through the departure of the locally hired Dutchmen, the majority of those registered are now Papuans. In Hollandia 921 registered for work during the year under review. Of these, about 25% could be found work.
5. WORKERS ORGANIZATIONS
There are two national trade unions, viz. The Christian Workers Union of Netherlands New Guinea (the CWNG/Persekding) and the General Catholic Officials Association (the ARKA), a regional division of the Dutch association of that name. At then end of 1961 the CWNG/Persekding had about 3000 members (1960: 3000) and the ARKA about 1300 members (1960: 1100).
During the year under review a number of private Catholic Papuan workers founded their own union in Merauke. Only Papuans can join this union, which has been given the name of “PERKABUKA” (Perkumpulan Kaura Buruh Katholiek). The PERKABUKA now has about 800 members.
6. SETTLEMENT OF LABOUR DISPUTES
During the year under review the intermediary of the Labour Inspectorate was requested with regard to 117 labour disputes. In most cases a quick and satisfactory solution could be arrived at by consultation between the workers and employers concerned under the auspices of the Labour Inspectorate.
The number of man-days lost during the year under review was about 960.
The Government attends to the provision of building sites, prepares these sites for building, constructs roads, and lays drains and water mains.
Private persons can enter into an agreement with the Department of Public Health for medical attention; the contribution is 4% of their gross annual income.
The impecunions receive free medical aid.
Civil servants and their families are given medical care against a contribution of 1% of the civil servant's gross salary.
The medical care of Papuan workers is covered by the labour legislation, which includes the obligation of the employer to grant free medical aid, including medicaments, also in the event of injuries not incurred in his service.
As a part of after-care needy recuperating TB patients are given financial assistance to enable them to convalesce at home for a few months after the conclusion of hospital treatment. The Social Welfare Branch of the Department of Social Affairs and Justice is responsible for the implementation of this scheme. In the year under review f. 41,441 was paid out to convalescing TB patients under this scheme.
In collaboration with the patient's doctor the above-mentioned branch also looks after the families left behind when a leprosy patient enters a leprosery. In all f. 20,975.55 was paid out during the year under review on this.
b. Unemployment
See under D. 4, The Labour Market.
c. Accidents and sickness
During the year under review 87 industralia accidents were reported to the Labour Affairs Branch, three more than in 1960. A survey covering the yers 1955 to 1961 follows:
|
year |
Number of accidents |
Minor injuries |
Serious injuries |
Fatal injuries |
|
1955 |
106 |
72 |
22 |
12 |
|
1956 |
102 |
90 |
6 |
6 |
|
1957 |
62 |
48 |
7 |
7 |
|
1958 |
94 |
80 |
8 |
6 |
|
1959 |
67 |
56 |
7 |
4 |
|
1960 |
84 |
58 |
21 |
5 |
|
1961 |
87 |
66 |
13 |
8 |
d. Old age and physical infirmity
There is as yet no general scheme for old-age pensions.
The “Konijnenburg” shipyard at Manokwari is making preparations to set up a provident fund for its workers as a forerunner of a pension fund.
Those in need of assistance are given relief by the Social Welfare Branch of the Department of Social Affairs and Justice, in close collaboration with the church organizations. At Hollandia, Manokwari and Merauke there are special committees which are responsible for granting social relief; for the other places aid is given under the supervision of the Heads of Local Administration.
Elderly and disabled Europeans without means and in need of care are sent to the Netherlands at Government expense.
Under the General War Injuries Regulations relief was paid during the year under review to disable war victims. Also under under these regulations payments were made to next-of-kin of war victims, including widows, mothers and children. During the year under review the number of persons receiving relief were 55, made up of 40 widows, 2 mothers of war victims, 8 children and 5 disabled persons.
e. Care of infants and expectant mothers
See Section J, “Public Health”.
2. ORGANIZATION OF SOCIAL WELFARE
The establishment of the Socoal Welfare Branch of the Department of Social Affairs and Justice consists of the head of the branch, four officers for social work and a small clerical staff.
For the financial year 1961 a sum of f. 795,700 (inc. f. 98,000 capital expenditure) was made available on the budget for this branch, to be used among other things for social aid, TB after-care, youth welfare, after-care of discharged prisoners, sport and recreation, social development work and libraries. For 1959 and 1960 the respective sums were f. 570,900 (including f. 22,000 capital expenditure) and f. 560,500 (including f. 45,000 for capital expenditure).
In collaboration with church and private organizations special care is being devoted to social development work among the Papuan population in the larger places. The church bodies have in their employment three social workers for social work among urban Papuans.
Also active in the field of social welfare are the Netherlands New Guinea Red Cross, the Green Cross Society and the St. Vincent Foundation.
The Netherlands New Guinea Red Cross is active in, among other things, the provision of reading matter and welfare work in hospitals.
The Green Cross Society is chiefly concerned with assisting in the nursing at home of bedridden patients. It runs well-attended consultation centres for infants at Hollandia and Manokwari.
The St. Vincent Foundation is principally engaged in alleviating the spiritual and material needs of individuals, for instance by furnishing them with food parcels or gifts of money and, in appropriate cases, by giving interest-free advances and looking after minors. The Foundation also runs a number of infant schools. The independent St. Vincent Foundation at Manokwari runs a children's home housing a number of children from unfavourable social environments.
Socio-cultural education work
In 1955 Papuan women's clubs were founded at a number of places in the Territory as a result of private initiative. Since then interest in the activities of these clubs has steadily grown. During the year under review their programma was extended. Papua women's clubs are now to be found in Hollandia and vicinity, Genjem, Kantumilena, Sarmi, Biak, Seroei, Manokwari, Sorong, Teminaboean, Inanwatan, Merauke, Mindiptanah, Mokbiran and Fak-Fak. There are 64 clubs (1960: 56), with over 1400 members in total (1960: 1189).
In these clubs, whose efforts are supported by the Government, the women are given instruction in sewing (making layettes for babies and clothes for themse;ves) and cooking; they are also taught about health and hygiene, diet, child care and budgeting housekeeping money.
Besides the promotion of self-activity considerable attention is paid to the training of Papuan women leaders. During the year under review three-monthly training courses for Papuan women leaders were held at Hollandia, Seroei, Biak and Manokwari.
Besides women's clubs there are girls' clubs, which are more along the lines of social clubs, but at which leasons in sewing and embroidery are also given.
In the month of April of the year under review, Miss Marjorie Stewart, specialist in women's club work in the employment of the South Pacific Commission, was in charge of a two weeks' course at Manokwari for women leaders of women's clubs. Participants in this course included European women leaders from Merauke, Hollandia and Sorong and a Papuan woman leader from Hollandia.
Poor Relief
During the year under review f. 175,740 was spent on poor relief, as against f. 228,000 in 1960.
Infant welfare
The Foundation for Protestant Education, the St. Vincent Foundation and the Biak Infant School Association manage institutions for infant welfare. In 1961 these organizations were paid a total of f. 48,782 in subsidies to help them meet their operating costs.
Sport and recreation
The number of registered sports clubs is 267, with a total membership of 6968.
During the year under review the sum of f. 101,000 was made available for sport and recreational purposes. Subsidies were given to help meet the cost of sporting encounters between Netherlands New Guinea and Australian New Guinea, viz. for the tennis matches and yacht races
held at Port Moresby between teams from Netherlands New Guinea and Port Moresby, for the interurban football match held at Merauke between Merauke and Daru and for the shool sports content between Wewak and Hollandia.
The Government was represented at the meeting organized in March at Noumea by the South Pacific Commission, for the purpose of starting the organization of the Pacific Games to be held every three years.
In view of the first such Pacific Games, to be held at Suva in 1963, the National Sport Federation Foundation has been set up, which functions as the coordinative territorial sports organization and prepares participation of the Territory in the games in the games in collaboration with the South Pacific Games Council.
Passages to the Netherlands for emergency social cases
During the year under review 47 persons were sent to the Netherlands at Government expense as social and socio-medical emergenies, whilst 136 persons were given an interest-free advance for the costs of a passage from Netherlands New Guinea to the Netherlands.
Prostitution
Prostitution occurs
only sporadically.
The pattern of criminality varies from region to region, depending on the one hand on the degree of administrative influence and on the other hand on the character of the original culture.
In some cultures warefare (head-hunting) occupied an important and sometimes a central place, whilst in the whole Territory the Papuans took the law into their own hands almost entirely when settling disputes.
Assault, crimes of violence and crimes of morals occupy the principal place in the statistics of crime.
However, nowhere does crime form a problem that has got out of hand.
When cases are tried the punishments are adapted to the degree to which the population have already become acquainted and familiar with the new forms and standards of justice.
Juvenile delinquency, by which is understood criminality of young persons up to and including the age of sixteen, occurs to a very limited extent only, and then mainly in the urban centres. The most common offences are theft, assault and crimes of morals, theft being the main category.
The extent of juvenile delinquency is not such that it is necessary to have special juvenile courts.
However, the law offers the possibility of a juvenile delinquent not being tried, but being placed at the disposal of the Government, which then takes measures to educate the person concerned.
For a survey of the criminal cases tried by the Government courts and by the Papuan judges during the year under review, and of the number of persons tried, see Appendices XXXII, XXXIII and XXXIV.
2. PENAL SYSTEM
a. Prison population
For this see Appendices XXXV and XXXV A.
b. Organization of prisons
The prisons are divided into two categories, viz. Central and local prisons. The general administration of the central prisons is in the hands of the Director of Internal Affairs, and that of the local prisons is the responsibility of the Residents. The requirements which these prisons must satisfy are laid down by the Director of Internal Affairs.
The same penal system, based on the Penal Institutions Regulations, applies in all prisons.
See Appendix XXXV.
c. Penal System
Imprisonment and detention are servered communally.
Discipline is maintained by the imposition of displinary punishments, viz. Solitary confirnment (for not more than fourteen days) and curtailment of privileges. Corporal punishment is forbidden.
d. Remission, work, privileges
Prisoners work both inside and outside the prisons.
In the event of good conduct various privileges are granted, including a bonus for work done.
As a reward for constant good conduct, annual remission of three months' imprisonment is given.
In Hollandia Prison two vocational courses are given, one in carpentary and one in tailoring. Furthermore, in a number of prisons elementary education in reading and arithmetic is given to the illiterates.
Reference should also be made to the possibility of provisional release on condition of good conduct.
e. After-care of discharged prisoners
The Central Board for the After-Care of Discharged Prisoners and a Local After-Care Committee are situated at Hollandia. Outside the capital administrative officials are responsible for this work.
The Central Board for the After-Care of Discharged Prisoners advises the Director of Social Affairs and Justice on provisional release and on all fundamental matters regarding after-care. The Central Board – in consultation with the Director of Social Affairs and Justice – promotes after-care of discharged prisoners in general.
The Local After-Care Committee has the task of aiding discharged prisoners, for whom it helps to find work and, if required, accommodation as far as possible. It also has the duty of sdvising the Director of Social Affairs and Justice on proposals for provisional release. On request it advises and informs the competent suthority on instances of provisional release and on the special conditions with which those released may be made to comply.
A person sentenced to imprisonment can be provisionally released when two thirds of his sentence and also at least nine months have elapsed. He is then put on probation for the given period, during which he has to satisfy certain conditions. If he does not satisfy these conditions whilst he is on probation, the provisional release may be cancelled and he may be returned to prison to serve that portion of his sentence that was outstanding when he was provisionally released.
In that case the time that has elapsed between the provisional release and the resumption of imprisonment is not deducted from the length of the sentence. During the year under review fifteen Papuans were provisionally released, whilst the provisional release of four Papuans was cancelled after some time.
Public health care is the responsibility of the Government. A number of missionary societies do medical work, for which they receive a subsidary from the authorities.
The Territory has 22 medical districts. Each medical district has a hospital or some other admission facility and a number of out-patient clinics, with a medical staff under a doctor who is directly responsible to the Director of Public Health.
Special sections of the Department of Public Health for the whole Territory are those for the control of endemic diseases (malaria, yaws, tuberculosis and leprosy), maternal and child welfare and health education. There are also section for the training of Papuan medical personnel, for dental care, pharmaceutical supplies and the care of mental defectives, together with a Central Medical Laboratory.
The heads of these sections are likewise immediately subordinate to the Dircteor.
At the Central Office the Director is assisted by the Subdirector and also by three Government doctors, who are responsible for the following:
hospitals
environmental sanitation
nutrition
international health matters
quarantine and smallpox control
documentation and statistics
matters concerning medical examinations
library.
The administrative staff of the Central Office attends to general affairs, staff matters, financial and budget affairs and technical matters.
Collaboration with other Departments takes place in, among other bodies, the National Council, made up of experts in agriculture, education, public health and administration. With regard to environmental sanitation there is close cooperation with the Department of Public Works.
The number of doctors and dentists in Government service in Netherlands New Guinea in the year under review was 66 (1960: 63). Furthermore, a number of mission doctors do work on behalf of the population.
The job breakdown of the doctors in Government service in 1961 was as follows:
A.
Central Office
:
5
B.
Preventive Sections
Malaria control
:
3
Yaws control
:
1
Tuberculosis
:
4
Leprosy control
:
2
Maternal and child welfare
:
1
Health education
:
1
Central Medical Laboratory
:
1
C.
Medical Care
Surgery
:
2
Internal medicine
:
2
Ophtalmology
:
1
General service
:
40
Dental surgery
:
4
Total
60
For a complete list of medical personnel see Appendix XXXVI and for a table showing staff directly available for the medical care of the population in the years 1954 – 1961 see Appendix XXXVI A.
The cost of medical care *) in recent years have been the following:
1953
f. 3,209,000
(index)
100
1954
f. 4,400,000
137
1955
f. 5,900,000
184
1956
f. 6,300,000
198
1957
f. 6,800,000
212
1958
f. 7,000,000
218
1959
f. 7,500,000
233
1960
f. 8,700,000
271
**)
1961
f. 10,500,000
327
*) excluding indirect costs off personnel and transport
**) budget figure.
In the year under review the sum of f. 1,485,320 was spent on capital construction on behalf of the Department of Public Health.
Private bodies were given Government subsidies totalling f. 373,200 (1960: 323,000) on behalf of the medical aid to the population.
The aid received from UNICEF during the year under review was:
for malaria control
f. 140,500
for environmental sanitation
f. 15,300
for maternal and child welfare
f. 96,400
Total
f. 252,200
(1960: f. 191,000)
4. HOSPITALS
The number of Government hospitals is 21 (1960: 19), whilst one hospital is run by the Protestant Mission; the number of Government out-patient climics is 112 (1960: 112), of which 91 (1960: 88) are rural out-patient clinics (four with admission facilities).
The total number of beds in the hospitals and out-patient clinics is now 1168 (1960: 1164). The number of nursing days in 1961 was 296,224.
The number of beds in the “Irene” psychiatric clinic is 48, and the number of nursing days was 16,646.
In the leproseries 544 patients were being nursed at the end of 1961, with 193,351 nursing days.
The number of curative treatments given at out-patient clinics, rural out-patient clinics and during tours by doctors and nurses totalled 1,051,104 in 1961 (1960: 1,033,789). For further details see Appendices XXXVII and XXXVIII.
During the year under review a start was made with the construction of a new 130-bed hospital at Biak. New wards were finished at Ajamaroe and Wasior. The final drawings for the Medical Centre at Hollandia, and also the draft plan for a new hospital at Manokwari, to be paid for out of the EEC Development Fund, were submitted. The leproseries at Seroei, Kaimana and Merauke commenced operations.
The supplying of the hospitals, out-patient clinics and the sections of the Department as regards medicine, dressings, medical instruments, insecticides and chemicals is the function of the Pharmaceutical Supplies Section, headed by a pharmaceutical chemist. The turnover during the year under review was f. 1,200,000.
A total of some 106,000 kg of medicines, etc., were sent to places outside Hollandia.
Some of the medicines are prepared in the Central Dispensary, which possesses modern equipment. The medicines are made up by three certificated Papuan junior pharmacists, under the supervision of an assistant pharmacist.
In the chemical laboratory medicines supplied both from the Netherlands and from the Central Dispensary are regularly checked. Further, regular dietary investigations are made, and drinking water is also chemically analysed.
In the Central Medical Laboratory investigations are made on behalf of the entire Territory. The available laboratory space was extended by a department for nutritional research, whilst separate departments were formed for tuberculosis research and general bacteriological research. Collaboration with research centres in the Netherlands and the USA was intensified.
There were 12,565 determinations in 1961, made up as follows:
General bacteriological examinations
1,846
Tuberculosis examinations
7,370
General serology
573
Lues serology
996
Yaws serology
1,084
Clinical examinations
579
Drinking water analyses
54
Miscellaneous
63
Total
12,565
Dental care has treatment centres at Hollandia, Biak, Manokwari, Merauke and Sorong. The smaller places are also visited regularly. The total number of treatments in 1961 was 17,974.
5. TRAINING AND EDUCATION
The following courses are given for medical personeel in Netherlands New Guinea:
1. Nursing School:
5 years2. Course for male or female orderly
Trains nurses, Netherlands New Guinea diploma, in three categories, viz.:
male or female hospital nurse
Public Health nurse
Midwife.
Entrance requirement: continuation school diploma.
Number of pupils at end of 1961: 149.
(formerly auxiliary nurse)3. Course for female maternal and child welfare nurse
2 years
Trains hospital orderlies.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 160.
(formerly infant welfare nurse)4. Course for male or female mental orderly
2 years
Trains on behalf of the Maternal and Child Welfare Section. Work at village level.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 72.
(formaly male or female mental nurse)5. Course for laboratory technician
2 years
Trains orderlies for the psychiatric clinic.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 9.
(formerly laboratory assistant)6. Course for malaria control assistant
3 years
Trains independently working staff for the hospital laboratories.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 6.
3 years7. Course for junior pharmacist
Trains independently working laboratory staff for the Malaria Control Section.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 10
3 years8. Course for female dentist's assistant
Trains independently working personnel for hospital dispensaries.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 9.
2 years
Trains dentist's assistants with limited task.
Entrance requirement: continuation school diploma.
Number of pupils at the end of 1961: 2.
male or female nurse, Netherlands New Guinea diploma, three categories
194
male or female orderly
177
female maternal and child welfare nurse
166
male or female mental orderly
18
laboratory technician
23
malaria control assistant
15
junior pharmacist
22
female dentist's assistant
--
A Papuan pupil with the diploma of the intermediate secondary school was admitted to the course for auxiliary doctor at the Medical School of Port Moresby. The total number of Papuan pupils studying in Port Moresby has thus increased to eight.
Three pupils with the intemediate secondary school diploma left for Suva to begin their studies at the School for Auxiliary Dentists, thus bringing the total studying there to five.
The following were sent to the Netherlands:
two junior pharmacists for further training as assistant pharmacists;
two laboratory technicians for further training as analysts;
one young man to be trained as a dental mechanic.
The year 1961 was an important year for the training of nurses, Netherlands New Guinea diploma. In September 1961 the Nursing School was opened as part of the Central Hospital at Hollandia.
The training system was completely transformed and adapted to modern views with regard to course in general and course for nursing personnel in particular. Three Dutch nurses with Netherlands diploma were attached to this course as full-time instructors. Two of them are graduates with the Diploma of Nursing (Certificate of Teaching in Schools of Nursing), New Zealand.
The course for public health nurse was improved. For further details of the courses see Appendix XLII.
6. DEMOGRAPHIC DATA
See what is said about this in Chapter 1, section C, Population.
7. ENDEMIC DISEASES
Malaria and filariasis
The malaria control project was continued with support from the WHO and the UNICEF.
The progress that has been made – in various regions transmission has been interrupted – led to the institution of malaria case detection and supervisory measures in several regions, comprising over 80,000 persons by the end of 1961. These measures have proved of importance in the tracing of the remaining transmission foci. It is the intention to introduced these measures in other areas in 1962.
In 1961 the campaign was extended according to plan. By the end of 1961 a total of 250,000 persons were under the protection of insecticides, whether or not combined with mass treatment.
In consultation with the Regional Bureau of the WHO at Manila it was decided to propose that the existing campaign to converted into a pre-eradication programme. A draft plan of operations for 1962/1963 was submitted for this purpose.
The medicated salt project was continued in the districts of Arso, Waris and Upper Tor, whilst a start was made with the distribution of medicated salt in the East Coast district (Sarmi). These projects have made an important contribution to assessment of the method. For the time being the value of the method for the conditions prevalent in Netherlands New Guinea seems limited.
The entomological research project, for which a grant was received from the WHO, got going. The first data have meanwhile become available. Routine examinations made regular progress.
Special stress was laid on the training of Papuan personnel.
A number of Papuan squad leaders were appointed. The laboratory technicians were given continued in-service training in connection with their future task in the direction of the supervisory measures.
In August the Second Interterritorial Malaria Conference for the South-West Pacific was held at Hollandia. This was attended by representatives of Australian New Guinea and the British Solomon Islands, whilst the Regional Bureau of the WHO at Manila also sent a delegate. Besides the many common technical and operational problems, collaboration along the frontiers was discussed.
A malaria control assistant from Australian New Guinea is attending a continued malaria course at the Department in Hollandia.
In the field of filariasis control the extremely favourable result of the project at Inanwaran led to the implementation of a similar control project in the Kokoda area.
Yaws
By mid 1961 the contractual agreement with WHO/UNICEF, under which 400,000 persons had to be treated in the intial mass campaign, had been fully complied with. By the end of 1961 this number was 401,778 persons.
Further expansion of the mass campaign is meeting with practical difficulties, through the inaccessibility of the Territory and the difficulty of getting at the population. In the Central Highlands, too, it was not possible to start a mass campaign. In these areas, too, it is proving that systematic treatment at out-patient clinics is gradually reducing the number of suffers from yaws. In 1961 2570 yaws patients were treated in the Central Highlands (1960: 3605 patients).
Yaws in the areas reached by the mass campaign is now only sporadically observed. Districts from the subdivisions of Hollandia, Nimboran, Keerom and Merauke were added to the consolidated areas.
A population of some 130,000 persons now live in areas where yaws has been almost entirely eradicated. In the remaining areas annual resurveys are still being performed. In all 164,000 persons were contracted, of whom 139,591 were examined, 357 cases of infectious yaws (1/4%) being found.
Tuberculosis
During 1961 the central detection team were able to examine 23,356 persons out of 25,274 persons who could be reached. Of these, 19,430 were old enough for photofluoroscopy.
The number of chest clinics is now nine, all with full-time personnel.
The facilities for X-ray examination scattered throughout the country were extended from 13 to 19.
By the end of 1961 a total of 2680 ptients were receiving out-patient treatment. With a total capacity of 180 beds, 450 patients were able to undergo clinical treatment.
In the central register, in which only bacteriologically checked cases appear, 522 cases were recorded: 474 Papuans and 48 non-Papuans; this brought the total of registered cases to 2601 Papuans and 370 non-Papuans.
In the fourth quarter of 1960 a pilot campaign was performed for a comparative study with thermolabile liquid vaccine and thermostable freeze-dried glutamate vaccine.
The progress of the conversion of those vaccinated in the area concerned was closely followed for a year. The results of the investigation are now known: it has been decided to start using freeze-dried glutamate BCG for the who;e country in 1962. This makes it possible to include in the mass BCG cmpaigns areas which so far have been inaccessible to the thermolabile wet vaccine.
The situation of the revaccination campaigns may be given as follows:
Tested
Vaccinated
1st vaccination campaign
691
369
2nd vaccination campaign
16,167
5,808
3rd vaccination campaign
4,820
1,367
4th vaccination campaign
11,587
3,321
5th vaccination campaign
6,835
1,894
Total
40,100
12,759
Leprosy
In the last five years a general inventory has been taken of leprosy, in which the two doctors working in the Leprosy Control Section, in cooperation with the local Government doctors, examined the Territory village by village and house by house.
It has been found from this that the greater part of the coastal strip is infected, whilst the Central Highlands may still be described as free from leprosy.
The total number of leprosy cases at the end of 1961 was 5246 (of which 852 were lepromatous cases). The equivalent figures for the end of 1960 were 4685 and 761 respectively.
There are two foms of treatment: the tuberculoid (“non-infectious”) cases in out-patient clinics and the lepromatous (“infectious”) cases in treatment centres (leproseries).
Owing to the fact that all Papuan student nurses and already certified Papuan nurses are gradually having a tour of duty in one of the leproseries, the number of places where DDS treatment can be given is growing each year, until ultimately all the rural out-patient clinics will have such facilities.
Moreover, Papuan nurses are centrally stationed in six large leprosy centres. These nurses exercise general supervision of diagnosis, treatment and registration of the patients in hospital and rural out-patient climics, and pay special attention to patients discharged from leproseries.
The total number of
tuberculoid cases receiving out-patient treatment in Netherlands New
Guinea rose from 8 in 1952 to 791 at the end of 1961 (1960: 630).
The lepromatous cases are treated in the five treatment centres (leproseries) at Sorong, Wasior, Serei, Kaimana and Merauke. The total number patients admitted at the end of 1961 was 544 (1960: 482).
The total number of nursing days in the leproseries was 193,351 (1960: 163,405); the number of nursing days in the hospitals in the leproseries was 13,794 (in 1960: 10,612).
In 1961 136 patients were discharged from the leproseries, thus increasing the total of patients receiving after-care as at 1 January, 1962, to 351.
The return to the community nowhere created difficulties.
The leproseries at Kaimana and Merauke were officially opened during the year under review, and the Seroei leprosery was completed. All the leproseries are occupied and are in full use.
Much support was received from charity, including gifts of 10 houses for patients, 3 tuberculosis pavilions, 1 boarding establishment for children and 1 out-patient clinic.
In the Sorong, Wasior and Merauke leproseries there are village schools. Moreover, during the year under review a continuation school was opened in Sorong. In all 85 children are attending these schools.
Much attention is being paid to sport and recreation.
In all leproseries it is now possible to do paid work, with which a start was made in 1960 in the Sorong leprosery. All patients are incorporated in this, except the children. The principal forms of work are farming, fishing and stock-breeding, together with home industries. Besides free accommodation, food clothing and treatment the patients receive a monthly payment varying from 10 to 30 guilders.
The families left behind by patients admitted to the leproseries qualify where necessary for social assistance from the Government. To support these social measures the assistance of a Social Work official was obtained.
The second doctor of the Leprosy Section left for a 3-month WHO fellowship in the Philippines, Thailand, Malaya, Singapore, Hongkong and India.
At Sorong a leprosy conference was held, an annual opportunity for contact between the two section doctors and the five heads of leproseries.
Smallpox
During the year under review there were no cases of smallpox. The existing vaccination situation was kept at the same level. The internationally approved RIV smallpox vaccine replaced the Bandung vaccine. The number of vaccinations was 62,657, of which 14,059 were for the first time.
Other infectious diseases
This year, too, no cases of quarantinable diseases occured.
The following diseases occurred in epidemic form:
influenza
2436 cases reported
measles
2326 cases reported
mumps (parotitis epidemica)
1286 cases reported
Whooping cough
1405 cases reported
Influenza or influenza-like diseases occurred this year in epidemic form, but on the whole mildly. This was also true of the measles epidemic. The mumps epidemic of 1960 ened in 1961.
A serious whooping cough epidemic with a large number of fatal cases afflicted the population of South New Guinea. Mass whoping cough vaccination prevented the disease from spreading further.
The following diseases are endemic:
amoebic dysentry
543 cases reported
bacillary dysentry
758 cases reported
infectious dysentry
5629 cases reported
chickenpox
951 cases reported
The following diseases occurred only sporadically:
diphtheria
0 cases
paratyphus
25 cases
encephalitis
9 cases
poliomyelitis
1 case
gonorrhoea
12 cases
syphilis
0 cases
hepatitis infectiosa
148 cases
scrub typhus
18 cases
meningitis
10 cases
enteric fever
23 cases
The most important nutritional problem is the shortage of potein in the population's daily diet.
During the year under review particular attention was devoted to this deficiency. Analyses were made of the most common foodstuffs. Further, the eating of food rich in protein was greatly publicized. In particular the importance of using the good and inexpensive skimmed milk powder was stressed. A considerable increase in the consumption of legumes was perceptible; the population were given advice and information on how to incorporate legumes into their diet.
The staple diet changed to some extent in that in the urban centres in practicular the population are already spending about 14% of their income on rice. The imported rice is vitaminized.
On behalf of the sago staple diet a baking mould was designed and tested. Since this mould was completely accepted by the population, it will be possible to put them on the market at a low price. Tests were also made with sago grinders to replace the tiring sago-beating.
Since the sweet potato is the main item of diet in the Central Highlands, an investigation was made into the protein content and the amino acid composition of the tubers and the leaves, which are eaten as a vegetable. In South New Guinea the cultivation of the root crop Dioscorea aculeata (kembili) was particularly promoted.
In order to allow the population to have more animal protein, sheep and poultry were issued, fish fry was distributed after ponds had been laid out, and information was given on the keeping of pigs.
Publicity for the planting of nut-trees and other fruit-trees was intensified. The first harbest of cashew nuts took place.
Since the nutritional situation of the population is not only determinated by the daily diet, but also by diseases, such as malaria and the parasitical intestinal diseases, stress was laid among other things on the maintenance of the general health and hygienic measures.
An illustrated guide was issued among housewives.
Diet investigations at continuation schools and in other training institutes, police barracks and the like took place.
In December 1961 a start was made with the goitre investigation in the Central Highlands.
9. PRINCIPAL CAUSES OF DEATH
Premature birth, malnutrition and dieases of the intestinal and respiratory system still prove to be the principal causes of infant mortality. Among the other age groups pneumonia, intestinal complaints and malignant growths play an important part.
10. ENVIRONMENTAL SANITATION
The village hygiene project prepared in previous years, a pilot and demonstration project for environmental sanitation, was put into effect during the year under review.
For this purpose the WHO made available a sanitary engineer, previsionally for a period of two years. UNICEFF gave materials to the value of $16,500. The Government supplied supplementary material and made a senior official available as counterpart for the WHO engineer. Four Papuan junior technical school graduates started training as junior sanitary officers.
The pilot project comprises 16 villages on the Schouten Islands with a total population of some 6000. The preparatory technical investigation in these villages was concluded in the year under review with the aid of the local population, whilst a start was made with the construction work proper.
The most important work task relates to the provision of water of reliable quality and in sufficient quantities. The investigation has shown that the laying of water mains in many cases need not be more expensive than the digging of water wells. Other items on the programme are the construction of latrines for a reliable removal of faeces, the provision of bathing and washing facilities and the removal of domestic refuse by the construction of compost pits.
The Biak-Noemfoor regional community is closely concerned with this project. The Regional Council made the sum of f. 30,000 available for 1962 for the procurement of materials on behalf of other villages on the Schouten Islands which have not been included in the WHO pilot project.
11. MATERNAL AND CHILD WELFARE
As in pass years, the improvement of the health of mothers and children was entrusted to the Maternal and Chld Welfare Section.
At the beginning of the year under review the pedologist made available by the WHO, Dr. H. M. C. Poortman, arrived. He will assist the Section for a year as adviser. The matron who went to the United States in 1959 on a WHO fellowship resumed her work during the year under review.
The activities of the Maternal and Child Welfare Section were further expanded during the year under review. At the end of 1961 103 maternal and child welfare nurses and 3 midwives, Netherlands New Guinea diploma, were active.
The activities of the Section during the year under review (with the achievements of prvious years between brackets) were as follows:
|
|
1961 |
1960 |
1959 |
1958 |
1957 |
1956 |
|
Consultations regarding |
|
|
|
|
|
|
|
infants |
77,811 |
( 68,142) |
(59,777) |
(52,364) |
(42,077) |
(25,078) |
|
toddlers |
106,612 |
(105,347) |
(88,317) |
(47,422) |
(37,055) |
(22,807) |
|
expectant mothers |
22,745 |
( 17,912) |
(16,693) |
(12,367) |
(11,821) |
( 5,229) |
|
Deliveries |
2,521 |
( 1,901) |
( 1,710) |
( 1,397) |
( 1,374) |
( 1,146) |
|
Home visits |
78,405 |
( 63,105) |
(48,142) |
(24,000) |
(12,000) |
( 4,782) |
|
Population covered by |
|
|
|
|
|
|
|
section |
80,000 |
( 57,000) |
(55,000) |
(50,000) |
(44,300) |
(41,000) |
During the year under review an investigation was instituted in those areas where the Section is continuously active into the mortality rate among infants. The following data were obtained for the period October 1960 – September 1961:
(in the following statistics the terminology used by the WHO is followed)
| 1961 | 1960 | 1959 | 1958 | 1957 | 1956 | |
| Consultations regarding | ||||||
| infants | 77,811 | (68,142) | (59,777) | (52,364) | (42,077) | (25,078) |
| toddlers | 106,612 | (105,347) | ( 88,317) | ( 47,422) | ( 37,055) | ( 22,807) |
| expectant mothers | 22,745 | (17,912) | (16,693) | (12,367) | (11,821) | ( 5,229) |
| Deliveries | 2,521 | (1,901) | (1,710) | (1,397) | (1,374) | (1,146) |
| Home visits | 78,405 | (63,105) | (48,142) | (24,000) | (12,000) | ( 4,782) |
| Population covered by section |
80,000 | (57,000) | (55,000) | (50,000) | (44,300) | (41,000) |
During the year under review an investigation was instituted in those areas
where the Section is continuously active into the mortality rate among infants.
The following data were obtained for the period October 1960 - September 1961:
(in the following statistics ther terminology used by the WHO is followed)
| Centre | Attended deliv. |
Unattended deliv. |
Twins | Maternal death |
Still- birth |
| Hollandia-town | 374 | 49 | 7 | - | 13 |
| Sentani-distr. | 273 | 84 | 13 | - | 8 |
| Nimboran-distr. | 45 | 83 | 5 | - | 2 |
| Depapre-distr. | 48 | 42 | 1 | 1 | 1 |
| Demta-distr. | 25 | 44 | 1 | 2 | 2 |
| Schouten-Island | 391 | 249 | 8 | 1 | 18 |
| Japen-Island | 277 | 215 | 4 | 2 | 17 |
| Manokwari-town | 283 | 91 | 8 | - | 10 |
| Merauke-town | 201 | 20 | 1 | 1 | 6 |
| Okaba-distr. | 104 | 61 | 2 | 2 | 7 |
| Moeting-distr. | 22 | 8 | - | - | - |
| Kimaan-distr. | 43 | 98 | 3 | 2 | 5 |
| Fak Fak-town and district | 36 | 110 | 3 | 3 | 6 |
| Teminaboean-town and distr. | 36 | 69 | 1 | 1 | 2 |
| Total | 2108 | 1223 | 57 | 15 | 97 |
Death 0 - 1 day |
Neon. 1 day- 1 month |
Post neon 1 - 12 months |
Infant mortality in 0/00 |
1959- 1960 |
|
| Hollandia-town | 3 | 6 | 12 | 50 | 54 |
| Sentani-distr. | 2 | 11 | 22 | 111 | 124 |
| Nimboran-distr. | 1 | 5 | 5 | 84 | 62 |
| Depapre-distr. | 1 | 1 | 6 | 89 | 74 |
| Demta-distr. | - | 5 | 5 | 147 | 200 |
| Schouten-Island | 5 | 24 | 30 | 93 | 63 |
| Japen-Island | 7 | 11 | 13 | 64 | 94 |
| Manokwari-town | 4 | 7 | 12 | 62 | 49 |
| Okaba-distr. | 2 | 4 | 6 | 73 | 153 |
| Moeting-distr. | 1 | 1 | 2 | 133 | 170 |
| Kimaan-distr. | 4 | 3 | 12 | 136 | 140 |
| 86 | |||||
| Death 0 - 1 day |
Neon. 1 day- 1 month |
Post neon 1-12 months |
Infant mortality in 0/00 |
1959- 1960 |
|
| Fak Fak-town and distr. | 1 | 2 | 14 | 119 | - |
| Teminaboean-town and distr. | 3 | 1 | 10 | 133 | - |
| Total | 35 | 84 | 157 | 64 | 86 |
The training of midwives, which started in 1960, first in Iananwatan, for the time being
as an experiment, and later in the districts of Sentani and Demta (subdivision of Hollandia)
was continued in the year under review.
Courses were given at Netar (Sentani) and at Seroei.
In all over 100 mid-wives have now been trained.
For the supervision of the maternal and child welfare nurses a start has been made
with using Papuan nurses.
A start has also been made with a post-graduate course of one year for the
best maternal and child welfare nurses.
From 17 to 23 March, 1961, the second national conference for maternal
and child welfare nurses was held at Merauke. This coincided with the conference
of regional doctors for South New Guinea.
The distribution of milk was considerably extended. At present UNICEF powered milk
is being issued to more than 12,000 consumers.
Besides the skimmed milk further material assistance was received from UNICEF in 1961, too.
Community development is a method of approach forming part of development policy,
in which efforts are made to improve the standard of living of not only the individual
but also a whole community through self-activitiy.
In this social and economic measures are applied, coordinated with
education in the widest sense of the word.
It is in essence training for independence and the fostering of a feeling of
solidarity by further changes in the population's ideas and actions in such a
sense that the Papuans themselves come to play an active part in promoting
their own interests.
In Netherlands New Guinea efforts are being made in a variety of ways to put
this idea into practice. Needless to say, an important part in this has to be
played by education and the popular information service.
Furthermore, the various departments give specific information in the fields
of cooperatives, agriculture, fisheries, stock-breeding and public health.
There is no separate organization for community development.
Community development is as it were incorporated in the existing machinery
of government. The general coordination of the various activities in the
field of community development is performed centrally by a planning committee
and is exercised at regional level by the resident and the subdivisional head.
Both the New Guinea Council and the regional councils and
informal local advisory bodies have a say in outlining the policy of
community development.
Separate aspects which relate to community development are the development
of local autonomy at village and regional level,
the foundation of social centres and clubs in urbanized places,
cooperatives and agricultural regional projects, which are dealt with elsewhere
in this Report.
Particulary promising results have been obtained with the agricultural
regional projects, in which, especially in the initial stages, stress
is laid on the economic aspect, in particular agricultural development,
as a basis for progress in other fields (see Chapter II, section B. 11,
"Agricultural Regional Projects").
As a necesaary complement of stressing the economic aspect of community
development, very great attention is paid to the creation of a Papua cadre
and a Papuan elite.
Within the framework of Dutch Australian administrative cooperation,
an administrative official and Government ethnologist took part in a
seminar devoted to community development which was organized during
the year under review by the Australian School of Pacific Administration
at Sydney.
87