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John Iliffe's 1998 book is a history of the African medical profession in Uganda, Kenya and Tanzania from the earliest training of modern medical staff in the 1870s to the present day. Based on extensive research, and dealing exclusively with African doctors, it offers an understanding of professionalisation in the Third World. It describes the recruitment and education of doctors, their understanding and practice of modern medicine, the struggle for international recognition of their qualifications and efforts to develop East African medical systems after independence, and their experiences during a period of political and economic difficulty. The book ends with an account of the significant work of East African doctors in the study and control of AIDS. This is a major contribution to the social history of Africa and to the social history of medicine more broadly.
Dr. Rees tells of the Flying Doctors of East Africa, the largest indigenous international health development and non-governmental organization in sub-Sahara Africa operating in nine African countries with a full-time staff of over 600, which was started in 1957 by three plastic surgeons.
This ground-breaking book offers unique insights into the careers of Indian doctors in colonial Kenya during the height of British colonialism, between 1895 and 1940. The story of these important Indian professionals presents a rare social history of an important political minority.
Missing from the abundant literature on the history of British East Africa had been an evaluation of the British medical administration and its relation to the conduct of East African colonial governments. Beck's account of the modernization and development of scientific health services in Kenya, Uganda, and Tanganyika during the first half of the twentieth century not only filled that void, it also provided additional insight into the political, social, economic, and cultural aspects of the colonies. Included in her study of this complex system of colonial medical services are discussions of the changing and conflicting objectives of the colonial personnel, other influences on medical policy such as tribal traditions and varieties of climates within the region, disease control, and public health education of the Africans. She also considers the impact of World War I on the medical administration and presents her general observations on medical services in developing countries.
The role of the Colonial Medical Service - the organisation responsible for healthcare in British overseas territories - goes to the heart of the British Colonial project. Practising Colonial Medicine is a unique study based on original sources and research into the work of doctors who served in East Africa. It shows the formulation of a distinct colonial identity based on factors of race, class, background, training and Colonial Service traditions, buttressed by professional skills and practice. Recruitment to the Medical Service bound its members to the Colonial Service ethos exemplified by the principles of the legendary Sir Ralph Furse, head of Colonial Office recruitment to the Service. Thus the Service was to be a corps d'élite consisting of Furse's 'good men' - self-reliant, practical, conscientious, professionally qualified people whose personalities were 'such as to command the respect and trust of the native inhabitants of the colony'. Professsional qualifications were important but 'secondary to character'. Anna Crozier analyses all aspects of recruitment, qualifications, training as well as the vital personal factors that shaped the Service's character - religion, a sense of adventure, professional interest, ideas of imperial service, family traditions, professional ties, perceptions of service to humanity and the building up of a common service mentality among colonial medical staff. This is the first comprehensive history of the Colonial Medical Service and makes an important contribution to our understanding of the social and cultural aspects of medical history.
This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.