HEALTH AND MEDICINE — GENERAL 513 



native hospital, and tribal dressers are taught rural sanitation 

 methods at the health office. 



The tribal dressers, who in Tanganyika provide the staff for 

 the numerous dispensaries under the native administrations, were 

 formerly trained at a number of centres, but the teaching is now 

 being improved by centralization both in the Western and Lake 

 Provinces, the latter having a special school for tribal dressers at 

 Mwanza. At the same time an effort is being made to increase the 

 numbers to i per 1 0,000 of the population. The object is to have one- 

 third more dressers than are actually required at the dispensaries, 

 so that every tribal dresser is free from duty for one year in every 

 four in order to attend refresher courses. The training lasts eighteen 

 months and includes clinical work in the hospital, full instruction in 

 the use of the microscope and in preparing slides for diagnosis, but 

 not much theoretical study. Although literate, the tribal dressers 

 do not all speak English; their duties are to treat minor ailments, 

 administer first-aid in the larger village communities, to recognize 

 cases of illness which are beyond their power to treat and to see 

 that these attend a dispensary or hospital. (Tanganyika 1935, 

 D.R.). 



In Kenya many of the dressers who staff dispensaries in native 

 areas at present receive their training at district hospitals, but 

 plans are being made for a three- or four-year course at the African 

 Hospital, Nairobi, and in 1936 there were tv/enty-one learners in 

 training at the medical training depot. Dispensary health workers 

 are to receive practical training under European sanitary inspectors. 



In Uganda, junior nursing orderlies receive one year's training 

 at Mulago, followed by a year under a European nursing sister 

 either there or at one of the district hospitals. After passing an 

 examination the student may take the senior course, which in- 

 volves another twelve months' work. This training is open to both 

 boys and girls. The numbers are limited to twelve in the junior 

 class and six in the senior; this is less than in former years, when 

 forty nursing orderlies were produced per annum, but the standard 

 of training is higher. 



Two schools for the training of midwives are in existence, one 

 at the Lady Goryndon Maternity Training School controlled by 

 the Church Missionary Society, and one at the Nsambya Maternity 



