[W.H.O. Diary Entries 1949-1952?]

              a midwife and a lady health visitor 4n each centre.    Miss Mortvedt    was
[ therefore  con cam ed Tcith getting some people ready for this "...program.
She'did net know about'the p*K*H*   course in Rangoon.    Asked about the
possibility of sending'some to Beirut.   ;^^.A#; "has fellowships not used.
%e is also, working, *l#j|;the.nurses  in the hospital on job definition
and on pro^M.ures*   • Told bar about what the W.H.O.  group arc doing on
procedures'.     She is coding, to Rangoon in. Feb.  end eill'see bur'nurses
Hope they will work out  something to-gether so that various groups of
Vthe Burmese nurses will have a part  in  these procedures "which are being
■prepared fox them. y ,  •   r
On Monday;;morning we left ^arl^fe^with^.fur escor^ and called a t a
T&ry colorful local bazaar ,on our way l|l|^ o*
interesting! f&i^ cqntairid.-a lot of
these along witSp'rice :,and very "littie,. sweets*    Had long wait at the airport:.
as- we'had been given wrong inf rotation  about plane times.    While waiting
had; some' delicious': Burmese food served in ,-p|^her' miestionaMe surrouniings
as far as  sanitation  was  concerned*       After1.3^fiinutei^llght arrived
fflgoMandalay where we were met by Miss Williamson, MiCs/^Ties^'^^^ftranp
Medical Superintendent of the Hospital,   and M4se4||eBaw Tin Hlaing,   the
Matron*       Taken %TBr. lyanf||-home for lunch*    He and .^iskivife are Chinese
Got a shock' when I/saw ^||ie primitive bathroom facilities and. '.realized
that these people probably think us most-unreasonable when we -ask fl||y|
those things v/hich we consider as minimum for comfort..
After lunch went first to the nurses quartealjffflof the hospital*     £he
girls  each:have a small  room.    Miss Efs  serves  also  as a dining rooia
and  an office.     They have    just acquired a kerosene  stove mid  intend  to
do  a little  cooking.     They have their own bearer '»ho  tmye  tljtii^- food -
which is   cooked  and   served  separately.     The  reminder of  the  first  floor
is; occupied;; by''-the trained!, staff. i|pt Is for'I^^Kgroup thai a(new
residence was to have been built thus releasing this space; fort'a&ore
students.   'Even by putting 3  feo a room however it wouldohly provide
for 18*    Bownstairs are  the  students rooms  and a sitting room for all
nurses.    Also; the small  class-room which will not accommodate any more
than  they have at present*   20 in  all,   9 being in the second 18 month
period and 11 In  the firsthalfi.    Sb    There tare  three  students  to  a room
but there  is  fairly .generous "space for clothing and personal articles.
We visited a few of the wards of  the hospital all;J|t which are rery
I crowded'and,patients  in  every  corridor*     There  are  335  patients  and  the
staff consists of the Matron,(rather weak and  inefficient),4  sisters,
6 staff nurses,   6 graduate nurses(those in.lpnd-;pir two years af tar. they
write, their ; exam in at Ion)'  and  the  20 s tud en ts. 1 When Miss Williamson earns
she was  told by Dio Lyan that the two most pressing problems were cleanliness
hcrfrather^fee lack, of It and poor discipline.-    Consequently instead of
being able; tostart5 on midwifery as had    been planned she set about with
a willtcHjgfe^ft-e general  side.     There were no sheets and very few towels and
face, clothes.    Now these are provided but 1 t&'-e  it the sheets are not
always laundered between patients.  The vermin were thicl&'r There has been
running" water only since the last month and even now this  is only to'.'the
door of ^tijii^isaternity ward|g|1?he labor ;room at|||fer far end has none. JlgPhere
wefer threfej-t cases - go ing on  in  this .-room-when we visited..  Babies are on  the
verandah ^ay from their mothers. \J
When! Miss Bavies  came  she took over the general  side but Miss Willlamsor
still  continues  to do a sertain amount of ward work and.wantsi^|rdo  this.
Miss  I.  new has   two'midwi fery students.     She gives  two  lectures  a week  to
these antjl they'b^Sytw lectures.    There should be 20 midwifery
studeritsiSut the prospects of getting them and also  the inereased nursing
students/ do not' seem very graet at the moment. -  This to be gonei'i&to
with    Mj/s.ffl.'.iSjiv;who does all the selection.     In addition to  thjjis Miss.  W#. r.
gives g;ke supervision-'^pp the midwives in the two maternity shelters  (about
10 bed# each)  and .to  the one clinic*     In  these, there are  three- ^idwives,
two of/ them• being lady health visiters.    One is hopeless^.M4^.Shere are
inly o^l^rined raidwives in  the  city and' Miss W.   is pi mm Ing to | contact
them vand arrange some type of -refresher course.     The incentive etc bring
them  in may be the DMICKP bags which apparently are ^erymuch needed in
ythls  country.    100 are-coming tciBurmafand^|;.beliege there has been some
simplification of them.
%B Miss Bavies started hero first P.T.S.  class  in Jan. Think there are
ly six In it and this time they came In a group.    Previously they casje