One day last fall I stood in the middle of the meunasah, or community meeting hall, in a remote Indonesian village trying to explain who I am and what I was doing there. A few dozen people sat on straw mats sipping bottled water and snacking on fried plantain strips, watching me expectantly. The village leader, a thin man with intense brown eyes and bushy mustache, had asked me to address them, and in an act of hospitality, or perhaps sensing a comedic opportunity, he’d given me a smoked duck egg to eat while I spoke.
Through a translator, I told them I was a journalist from America, and that I was working on an article about the community mental health program that began here in Aceh province after the 2004 earthquake and tsunami. The idea of this program, which I describe in more detail in today’s issue of Science, is to shift much of the work traditionally done by psychiatrists to less specialized health workers: general practitioners, nurses, and even ordinary villagers. Continue reading