HEALTH AND MEDICINE — GENERAL 515 



trained in hygiene and sanitation, and his wife in maternity and 

 child welfare. It is expected, however, that an expansion of the 

 qualified medical staff will be necessary to provide sufficient super- 

 vision for these health units. A school for sanitary inspectors was 

 reopened at Accra in 1934, and the training of village overseers 

 was started in 1935 by health officers in Kumasi and Tamale, for 

 sanitary work in rural areas. 



In Sierra Leone the Connaught Hospital at Freetown is the train- 

 ing centre for nurses, midwives, and dispensers throughout the 

 territory. Some of the trained men and women engage in private 

 practice, but the majority remain in government service. Train- 

 ing courses for sanitary inspectors are also given in Freetown, and 

 recently a system of refresher courses has been introduced; a 

 maternity training centre will be included in the new maternity 

 hospital at Freetown, when it is completed (Sierra Leone 1936, 

 D.R.). 



In French West Africa, the Medical School at Dakar, in addition 

 to training the medecins auxiliaires (p. 507), provides special three- 

 year courses for dispensers and midwives, and a two-year course 

 for injirmiers, in all of which students spend a large part of their 

 time in practical duties at the Policlinique and native hospitals. 



In the Belgian Congo the principal hospitals serve as training 

 grounds for nurses, dispensers, etc., as in the British and French 

 territories, and in addition the missions and auxiliary services have 

 important functions in extending medical work to the villages 

 through the medium of trained or partly trained native men and 

 women. For example the Croix-Rouge du Congo, in its work in Uele, 

 specializes in the training of nurses and midwives, usually the 

 daughters of chiefs. 



HEALTH PROPAGANDA 



Health propaganda is carried out through many agencies, of 

 which medical departments must necessarily be the principal. The 

 subordinate African personnel, and particularly the health demon- 

 strators trained at the Jeanes Schools, are also expected to spread 

 knowledge of hygienic principles. Another means to this end is 

 the organization of exhibits and health weeks, in which the Nigerian 



