Report of the Royal Commission on Labour in India

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Monograph

Identifikator:: 1850495947

URN:: urn:nbn:de:zbw-retromon-233603

Document type:: Monograph

Title:: Report of the Royal Commission on Labour in India

Place of publication:: London

Publisher:: His Majesty's Stationery Off.

Year of publication:: 1931

Scope:: xviii, 580 S.; graph. Darst., Kt.

Digitisation:: 2022

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Chapter XXI. - Wages on planatations

Collection:: Economics Books

HEALTH AND WELFARE IN PLANTATIONS. 411 place of the medical officer, the dispensary contains a minimum of drugs, whilst the so-called hospital accommodation is uninviting. Indeed our nspections lead us to believe that in some cases it ig in fact never used. In certain other gardens no medical provision of any kind is made. Central Hospitals. We believe that, given a certain amount of organisation, these disparities should disappear. It is more economical and more advanta- geous to the sick to concentrate treatment in a large hospital than to provide on individual gardens a series of smaller institutions. For a group of plantations there are great advantages in having a large central- ly situated hospital of the type we saw in the Labac district of the Surma Valley, which serves a group of 18 gardens under different managements. This hospital has a nursing staff, separate wards for men, and for women and children, an infectious diseases block, an operating theatre and a sentral store for the issue of supplies to the outlying dispensaries. These dispensaries deal with all sick persons in the first place, but the organi- sation provides for the speedy transfer to the hospital of all serious cases. Attached to the hospital is a laboratory where all routine laboratory examinations are made under the guidance and control of the chief medical officer, whose residence is in close proximity to the hospital. There are many features in this scheme which we believe are capable of adoption elsewhere. Similar organisations have also proved successful In the Anamalais plantations. Need of Co-ordination. Where no central hospital exists, the medical officer of a group has to travel long distances in Visiting serious cases of illness, and their sreatment must frequently be a cause for anxiety in the absence of a trained nursing staff and suitable nursing facilities. In a central hospital both would be available. In every plantation area in India ample scope exists for a wide extension of this medical group organisation, and we believe that the improved facilities which are so necessary in the smaller and less developed plantations, andin areas like the Nilgiris, will only be obtained by co-ordinated effort of this kind. We propose later machi- nery by which this co-ordination should be secured. } Women Doctors. Owing to the general reluctance of Indian women to consult a male doctor, the women on the plantations have made less use than the men of the available medical facilities and have so far failed to receive all the medical attention that is desirable. The employment of women doctors seems to us to be the most satisfactory method of correcting this deficiency, especially as the women and children constitute a large pro- portion of the population in these areas. If the medical group organisa- bion we have suggested employed a woman doctor, her services would be of the greatest value in the management of all confinements in hospital and for the training and supervision of midwives and dais working in

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