The Role Baby Welfare Leagues played in the
provision of maternal and child health
By Adrian
Bellamy, HIST 3030 The Evolution of Social Policy in Barbados
During the nineteenth and early twentieth centuries, women
gave birth at home in the British Caribbean. They were assisted by traditional
midwives. These were mostly African or Asian traditional midwives were also
referred to as “grannies”. The colonial powers often referred to these grannies
as ‘savage, uncivilized, ignorant, superstitious, and possessed of devilish
obeah practices’. They blamed midwives for the high infant mortality. This led
to the emergence of maternity wards, midwifery hospitals and lying-in wards,
where medical care and education could be had. Almshouses also fulfilled this
function. Accommodation was provided for all socio-economic groups of women. These
establishments also provided training for midwives and birth attendants in an
effort to curb the high infant mortality rate.
It
is interesting to note that Bridgetown was the only large urban area that did
not have a public hospital. The colonial hospital was state subsidized, but
privately owned. Within the first two decades of the twentieth century, a
number of infant and maternal welfare initiatives emerged. This was due to the interest
in population growth by imperial and colonial officials. Both privileged White
and Black women played important roles within these organisations. Physicians,
trained midwives, governments, church groups and social elites also supported
these baby saving groups.
The earliest health-oriented organizations in Barbados included
the Ladies Association for the Relief of the Indigent, Sick and Infirm in 1820.
It was established by privileged White women and their target group were
respectable women, who were often White. During the period of slavery the
organization focused on poor whites, but by the 1830s it was mandated to serve
poor Afro-Barbadians. However, by the early twentieth century it had fallen on
to hard times.
There were a number of reasons that lead to the formation of
baby saving leagues, these include:
● Population anxieties of the late
nineteenth and early twentieth centuries.
● Growing attention of governments to
the health of the young.
● Colonial pressure.
● Contemporary gender norms that
represented women as nurturing and maternal aspects.
There
was an international conference held in London in 1913 that was the driving
force in the establishment of Baby Saving Leagues in the British colonies.
Following this in 1921, Baby Saving Leagues were formed in Barbados. For the
first decade, these Baby Saving Leagues were mostly located in urban areas,
with their activities limited to the main urban areas such as Bridgetown in St.
Michael. There was an attempt in 1923 to establish an infant welfare clinic in
St. Peter, but it suffered from lack of financial support from estate owners.
The aim of these Baby Saving Leagues was to educate mothers on infant
healthcare and to save young lives by providing health care for theses mother
that may otherwise be unavailable.
Baby Saving Leagues had some support from colonial governments and local colonies. In Barbados, parish authorities in St. Michael, for example, gave £50 (because of colonial pressure). The colonial legislature also supplied a grant of £150. There were also a number of individuals outside of the government who played a vital role in the emergence of baby saving leagues. Among these were:
Baby Saving Leagues had some support from colonial governments and local colonies. In Barbados, parish authorities in St. Michael, for example, gave £50 (because of colonial pressure). The colonial legislature also supplied a grant of £150. There were also a number of individuals outside of the government who played a vital role in the emergence of baby saving leagues. Among these were:
● Florence Sinclair - A druggist who in the early stages used
her home as the clinic for the Infant Welfare association until the early 1930s
when the organization got its own.
● John Beckles - Opened the Children’s
Goodwill League in Constitution Road in Bridgetown, St. Michael. Here he
accommodated 26 children daily while their mothers went to work.
● Elizabeth Elise Ifill-Barrow - In
1937, she also started the Baby Welfare League at Oistins, supplying the babies
of poor mothers with milk and barley.
A branch was established at Dayrells Road and in November 1940 a Day
Nursery was added. She was also responsible for establishing the Danbury Court
Day Nursery and The St. John’s Baby Welfare League in 1950.
The annual Report of the department of medical Services for
1944-1945 reported that three private organizations which had established
clinics, were instrumental in increasing the life expectancy in Barbados for
women and children (also men).
These were: the Children’s Goodwill League; the Baby Welfare League and the
Christ Church Baby Welfare League.
There were a number of benefits to be had for poor women and
their children, as clinics spaces provided a space for:
● Health care - Poor mothers could
bring their ill children and receive medical care.
● Maternal education - Mothers received
advice on child care and feeding and also sometimes acquired milk and food.
● Social welfare assistance
These clinics had a few paid staff members, with most of the staff being volunteers. In 1924, a network of ‘enquiry officers’ was formed. This was small group of female volunteers who undertook home visits. These women allowed for individuals to receive the benefits that the associations had to offer. These volunteers also aided in bastard cases, where they used bastard laws to provide access to the poor law system. This was part of an initiative to compel men to support their children, in an effort to save them from an early death caused by maternal poverty.
In conclusion, it can be stated that Baby Saving/ Welfare
Leagues were essential in providing both health care and education for mothers
in Barbados. The expansion of these efforts by the 1960s led to an overall
reduction in the child mortality, and increased child survival.
Sources
Chamberlain, M.
(2010). Empire and Nation-building in the
Caribbean: Barbados, 1937-66. New York: Manchester University press.
De Barros, J. (2014). Reproducing the British Caribbean: Sex, Gender, and Population Politics After Slavery. Chapel Hill : The University of Carolina Press.
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