HEALTH AND MEDICINE — GENERAL 5II 



meet special requirements. It has been pointed out that the needs, 

 especially in native areas, are common to nearly all the continent, 

 and that there should be opportunity for co-operation between 

 adjacent territories in providing training facilities. This perhaps 

 has special application to Eastern Africa, where Northern Rho- 

 desia and Nyasaland, for example, are at present unable to 

 establish adequate centres individually, A medical and sanitary 

 training centre, supported by two or three adjacent territories, 

 would provide the most economical and effective way of ensuring 

 a permanent supply of staff. The following notes concerning 

 existing systems for the training of subordinate staff are arranged 

 territory by territory in the usual order. 



In the South African Protectorates training has been started with 

 the aid of a grant of ;£"i 0,000, which the gold mining industry 

 made to the three territories in May 1934. In Bechuanaland, a 

 scheme for the training of a few natives of both sexes each year 

 as nurse-aids and dispensers is in operation at Serowe and Lobatsi 

 Hospitals. Two of the women pass on every year for maternity 

 and welfare training at Serowe, while the others proceed to out- 

 lying dispensaries, where their work is supervised by visiting medi- 

 cal officers. The idea is that they should give simple medical 

 treatment and instruction on hygiene in the neighbouring 

 villages. 



In Southern Rhodesia the training of native medical orderlies at 

 schools attached to the Salisbury and Bulawayo hospitals has been 

 developed in recent years in connection with the extension of the 

 medical services to rural areas. These orderlies are posted to the 

 native medical units, where they take charge of the sub-hospitals 

 or dispensaries. Schemes for the training of native women have 

 been prepared, including the establishment of a training school 

 for midwives in connection with the Bulawayo hospital. 



In Northern Rhodesia the training of African personnel is hampered 

 by lack of financial resources. In 1936, however, proposals were 

 made for the opening of a temporary training school, and the 

 initiation of systematic training for native sanitary inspectors. The 

 principles of hygiene are taught in all schools, the Jeanes Schools 

 being a centre for such teaching. 



In Nyasaland hospital assistants receive a three-year training 



