Annual report of the Medical Department / Nyasaland Protectorate.

  • Nyasaland. Medical Department.
Date:
[1953]
Catalogue details

Licence: Public Domain Mark

Credit: Annual report of the Medical Department / Nyasaland Protectorate. Source: Wellcome Collection.

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    C. Visitors 14. Dr. E. R. Cullinan, m.d., f.r.c.p., of the Nuffield Panel of Medical Visitors paid a second visit to the Protectorate, the first visit having been made three years previously. 15. Dr. N. Lloyd Rushy, m.d., m.r.c.p., also of the Nuffield Panel paid a second visit after a lapse of three years. 16. These visits have been of general benefit to the medical profession in Nyasaland and to the Medical Service. Such contacts with consultants stimulate interest, present new ideas and give valuable advice on modern trends of thought and practice. The scheme as such comes to an end in 1954, but it is ltoped that this arrangement, which has proved to be so beneficial, may be continued. 17. Lieutenant General Daubenton, c.b.e., Regional Director of the World Health Organization in Africa, Dr. T. A. Austin, c.m.g., Zonal Public Health Officer of the World Health Organization Regional Office, Miss J. McLarty, World Health Organization Nursing Consultant for Africa and Dr. R. Marti of United Nations International Childrens’ Emergency Fund, all visited the Protectorate during the year. As a result, schemes for assistance from these International Organizations are being formulated and practical help has already been given by the provision of equipment for the training schools for African auxiliaries. 18. Dr. R. M. Morris, o.b.e., Secretary for Health, Southern Rhodesia, and Dr. P. B. Robinson, Director of Medical Services of Northern Rhodesia, toured the Central and Southern Provinces during October when hospitals, training schools, health units and dispensaries were inspected. This visit was made in connection with the planning of a Federal Ministry of Health for the Federation of the Rhodesias and Nyasaland. 19. Dr. J. C. R. Buchanan, c.m.g., Principal Medical Officer of the Colonial Office, visited the Protectorate during November on a tour of inspection which covered all three Provinces. During his visit to Lilongwe Dr. Buchanan opened the Mitundu Health Unit. D. Financial 20. The estimated expenditure of the Department during 1953, exclusive of that chargeable to the Colonial Development and Welfare Fund w as 7.31 per cent, of the estimated total ordinary expenditure of the Protectorate and 6.06 per cent, of the estimated total expenditure. 21. Assistance towards health services from the Colonial Development and Welfare Fund since 1951 has been on the basis of a reimbursement from the fund of 30 per cent, of Protectorate medical expenditure over and above the 1948 level, termed development expenditure, subject to an annual maximum of £35,000. The following is an analysis of such development expenditure and reimbursement. 1951 1952 1953 Development Expenditure, £ 91,400 79,538 93,000 (estimated) C.D. & W. Reimbursement £ 31,990 27,838 32,550 Total . . £263,938 £92,378 Revenue 1952 1953 Hospital Fees Sale of Stores Pathological Fees Radiological Fees Dental Fees Ambulance Fees Yellow Fever Inoculation Fees Total £ s d £ s d 9,304 7 10 8,503 3 0 3,952 4 8 2,402 9 4 21 0 0 3 2 0 749 12 6 655 17 6 1,055 19 6 745 11 8 48 7 8 52 10 4 2 18 0 3 14 0 .. £15,134 10 2 £12,366 7 10 (Decrease of in-patients) 22. The sharp drop in revenue is accounted for by several factors. Firstly, there was a drop in the admissions to the European hospitals from 1,205 in 1952, to 1,049 in 1953. Secondty, there has been a considerable delay in the payment of fees. For example if all dental and radiological fees had been collected during the year in which they fell due, it is unlikely that there would have been any drop in revenue. Finally, it was necessary to curtail sales of drugs from Central Medical Stores to estate dispen¬ saries and Missions in order that district units could receive more adequate supplies. 23. Sales of quinine, mepacrine and paludrine at Post Offices were as follows:-— 1953 £ s d 833 19 11 747 7 2 1,282 15 4 £2,864 2 5 4 1952 Quinine Mepacrine Paludrine . . £ 1,112 509 1,185 13 2 12 d 1 4 4 OTAL £2,807