Chapter 2
Dental hygiene and livelihoods:
a case of chewing sticks in Ghana
Dominic Blay^1
ABSTRACT
This chapter provides an overview of the chewing stick trade in Ghana. Chewing
sticks are one of the most important non-timber forest products of the Western
Region (Falconer 1990; Falconer 1992) and have provided the primary form of
dental care for millennia. The production, trading and marketing of chewing
sticks also provides the main source of income for many men and women in
rural communities, many of whom are economically marginal. The trade in
chewing sticks also contributes significantly to the local, regional and national
economies (Tabi-Gyansah 2001). However, as with other resources, the Garcinia
spp. exploited for chewing sticks are becoming increasingly scarce, particularly
outside of forest reserves (Wong 1997).
INTRODUCTION
The excellent condition of people’s teeth in West Africa is common knowledge
(Isawumi 1978). Many authors claim that chewing sticks, which many West
Africans (Isawumi 1978) and as many as 90% of the people of southern Ghana
utilise, are the major contributory factor for the good condition of people’s
teeth (Adu-Tutu et al. 1979; Abbiw 1990). Because of the long and widespread
use of chewing sticks in the region, there is a wide trade network, which
involves a large number of people, both from rural and urban settings. It is
estimated there is an average of 250 women in the two main markets in Kumasi
alone involved in processing of chewing sticks (Falconer 1992).
The contribution made by chewing sticks to the economy of the Ashanti
region of Ghana is estimated at around US$203,000 (Blay unpublished notes).
Thus, in addition to the provision of dental care, chewing sticks contribute to
Common names Part of the Management Degree of Scale of Geographic
resource used transformation trade range
Tweapeah, Stem Wild Low International Medium
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