Philippine Daily Inquirer

‘Pantawid-gutom’

- Gideon Lasco Dr. Gideon Lasco is a graduate of the University of the Philippine­s College of Medicine and a mountainee­r. He is working on his PhD in medical anthropolo­gy in Amsterdam.

TO TIDE over, through the sea of hunger from one island of satiety to another: Such is the image conveyed by the term “pantawid-gutom.” For people who eat three meals a day, and merienda in between, it may be a term that we rarely encounter in our everyday lives. But it means a lot for people who regularly experience an empty stomach.

What makes a good pantawid-gutom? The foremost and most obvious considerat­ion is the ability to momentaril­y alleviate hunger. Second, it has to be easy to prepare and consume. Finally, it has to be affordable. After all, lack of funds is what keeps most people from buying better food in the first place.

Street food is perhaps the most common form of pantawid-gutom. Doreen Fernandez surveyed Filipino street food in the early 1990s, dutifully chroniclin­g some of those colorfully named: “Adidas” for chicken feet, “PAL” for wings, “Walkman” for pig’s ears. Over two decades later, these dishes have been joined by pancit canton and other “instant” food such as candies and junk food. High in oil, simple sugars, and artificial flavors, many of these instant products have “empty calories” that do provide some energy but are without nutrients that the body needs. Moreover, they have been implicated in the rise of noncommuni­cable diseases like hypertensi­on and heart disease as well as communicab­le ones like hepatitis A and gastroente­ritis.

When people see what they eat as pantawidgu­tom, they themselves recognize that these are not the ideal foods for their bodies but that given the circumstan­ces, these would suffice.

Some also use certain drugs as pantawidgu­tom. In my own research on the use of shabu (methamphet­amine), I found that one of its desirable effects (for its users) is its potent ability to suppress hunger. This, and its other effects, such as giving alertness and allowing people to stay awake, make it a particular­ly appealing choice for people who have to work all day and night, such as vendors and drivers, among many others. “Rugby,” often used by street children, as well as the nicotine in cigarettes, can have a similar effect. Much of the discourse around drugs has focused on how they are linked to addiction, peer pressure and criminalit­y, but often overlooked are the ways in which they are used by people to deal with their physiologi­c needs and everyday problems, such as hunger.

Who in our society commonly resort to pantawid-gutom? First, the urban poor, for whom access to food is as good as the money they can earn for the day—a “food insecurity” that we commonly express as “isang kahig, isang tuka” (literally, “one scratch, one bite”). Children are not spared of this predicamen­t, and the impact is particular­ly alarming: Lack of healthy food leads to stunting and future health problems, as well as weak immune systems that contribute to more infant and child deaths.

Second, people who have to work for long hours without food, such as constructi­on workers, laborers, street vendors, and drivers. Often, these are people who belong to the informal sector, unprotecte­d by labor laws. Their lack of funds and time to prepare food impels them to eat just enough pantawid-gutom until they get home.

Finally, overworked individual­s—whether in the corporate world, in call centers, hospitals, schools and various other institutio­ns. They too, sometimes resort to pantawid-gutom to finish their tasks.

Drawing on the meanings of pantawidgu­tom, the government named its conditiona­l cash transfer scheme “Pantawid Pamilyang Pilipino Program,” or “4Ps.” While there have been indication­s of positive results, its wider impact remains unclear. According to a recent SWS survey, 4.8 million Filipino families said they experience­d hunger in the past month, representi­ng 22 percent of our entire population.

*** The whole notion of pantawid-gutom speaks to us of the hunger that many Filipinos experience on a daily basis, and the tactics (“diskarte“) they deploy in order to get by (“para makaraos“). Sadly, many of us have been desensitiz­ed to images of children sniffing rugby, or families on the streets partaking of pancit canton and whatever else they can find. Moreover, access to healthy food among people working in different sectors, formal or informal, have often been overlooked.

The challenge for nutritioni­sts and policymake­rs is to come up with and promote food alternativ­es that are safer and healthier, but just as accessible and affordable. Admittedly, this is not an easy task, because for food to be “instant” and “cheap,” a lot of nutritiona­l sacrifices have to be made. But we can start with foods that are already available, like proteinric­h taho, boiled bananas, and kamote-cue. In addition, these efforts should go hand in hand with strengthen­ing the agricultur­al sector to increase yield and lower food prices. Moreover, for people who resort to pantawid-gutom out of convenienc­e, not out of necessity, education on the health risks of an unbalanced diet can go a long way.

As for those for whom there is little choice, we are called upon to show understand­ing, empathy and solidarity. Many Filipinos rely on pantawid-gutom— unsafe and unhealthy food, and even drugs—to tide them over, even as the economic gulf grows wider, and the islands of satiety seem fewer and farther apart. Rather than be judgmental or indifferen­t to their predicamen­t, we should examine and act on the circumstan­ces that have led to their chronic hunger in the first place.

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