Each patient at the hospital has a watchman or watchmeri who looks after them. They help to bring them food, help them get outside to the bathroom, or to the sun, wash their clothes, etc. Most of the time, these are adults who look after the patients, but But there are many times, when the person watching the patient at the time is an older sibling. PNG kids tend to take on baby-sitting duties for their siblings at a much younger age than older siblings do in the US. Some are like 5 yo who are watching their 2yo sibling. These were both older - probably like 10 yos, looking after their younger siblings and doing a good job at that.