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were responsible for 3,494 cases. There is no control or supervision of
the dais after training and they are invariably found to revert sooner or
later to their old superstitions and time-worn customs.

       Medical women are in charge of the Welfare centres in both Old and
New Delhi. The rural areas have practically no maternity service.

       13. In the Central Provinces and Berar there is a Government Health
School in charge of a medical woman, who is also Directress of the
Maternity and Child Welfare Centres which are managed by the Indian
Red Cross Society. The institutional midwifery service is very meagre
even in the large towns, but there are a few fairly good hospitals for
women under the Countess of Dufferin's Fund.

       14. In the North-West Frontier Province there are two centres for the
training of dais-one at Peshawar and the other at Dera Ismail Khan—
both are under Government control.

       15. In Sind the midwifery service is partly institutional and partly
domiciliary. Karachi has a fairly large Dufferin hospital and several
maternity homes, but in the whole of Sind there are only 539 beds
available.

       Health Centres have been opened in Karachi and Sukkur for the
training of dais, but the work is in its infancy. There is no registration
of nurses in this Province and in both urban and rural areas untrained
dais practise their hereditary craft uncontrolled and unsupervised.

       16. In Bihar, Baluchistan, Central India, Orissa, and Assam, mater-
nity service is almost non-existent and the tackling of the problem has
barely been started.

       17. One point which has come out clearly from the present review of
maternity welfare work is the lack of co-ordination between the work of
prevention and that of cure. In some cases there appears to be actual
antagonism. In those provinces where the welfare work is under the
control of the Director of Public Health it has been removed almost
entirely from the sphere of influence of the medical officers in charge of
Dufferin and other special hospitals for women. It would seem to be a
rational policy if the work were co-ordinated in each province by placing
it under a medical woman who would be inspecting officer of the welfare
centres and who would be also responsible for the supervision and
inspection of the hospitals for women. In this way economies would be
effected and efficiency would be increased as capable medical women in
the various hospitals could be given the responsibility for welfare schemes
which are now often in the charge of poorly trained sub-assistant surgeons
and health visitors.

2. FACILITIES FOR TRAINING.

       1. General Practitioners.—It is true that up to the present the general
practitioners of India have been responsible for very little midwifery and
therefore cannot be blamed for the high maternal mortality rate, but if