14.8
MAJORITY REPORT.
entitled to free attendance by a doctor or certified mid-
wife. No mistake of the medical adviser in estimating
the date of confinement shall preclude a woman from
receiving these benefits from the date of the medical
certificate up to the date on which the confinement
actually takes place.
““ (dy Shall in any case, if she is nursing her child,
be allowed half an hour twice a day during her working
hours for this purpose.’
333. The witnesses urged that this Convention should serve
as a model in considering the provision to be made for maternity
in this country. We would point out, however, that the Con-
vention is confined to women who are themselves engaged in
industrial or commercial employment, while under the Health
Insurance Scheme we have to consider not only these women
but also those in domestic employment, and the vastly greater
number of women who are not themselves employed but are the
wives of insured men. As we shall show, our problem is an
essentially different one from that which was before the framers
of the Washington Convention.
CHARACTER OF MATERNITY BENEFIT.
334. Both the Washington Convention and the Maternity and
Child Welfare Schemes suggest to us that maternity benefit
must in the present state of thought be considered in close con-
nexion with the wider question of the provision to be made for
women immediately before, during, and immediately after child-
birth. It is not so much the money payment that is of
importance as the question of taking steps to secure that every
woman receives proper attention from doctor or midwife in suit-
able surroundings during a reasonable period centred on the con-
finement. In other words the character of the benefit should
change from * cash’’ to *‘ health’ and it should be linked up
with the other related health services. This is not to say that
there should be no cash payment at the time of confinement.
Such a payment is undoubtedly of value and will be utilised
wisely by most mothers; but other elements must. we think,
eventually be introduced.
335. The existence side by side of the maternity benefit under
the Insurance Scheme, the arrangements made under the
Maternity and Child Welfare Schemes, and the provision under
the Poor Taw illustrates the variety which characterises the
existing National Health arrangements to which we have
adverted elsewhere. In this instance we have three inde-
pendent authorties administering in the same area schemes
governed by different social and financial principles, but
all attempting to solve the same problem—the assistance of the