Although the conventional image of the colonial medical encounter
in
Africa depicts a white, male, European doctor treating a black African
patient, most of the actual deliverers of Western medicine in Africa during
the colonial period were non-Europeans. In the Anglo-Egyptian Sudan,
British doctors formed only a small minority of Western medical practitioners.
Most often, it was Syrian, Egyptian and Sudanese doctors, and
Sudanese assistant medical officers, mosquito men, nurses, sanitary officers
and midwives who delivered sanitary and medical services on behalf of the
colonial state. Understanding the cultural exchanges, technology transfer
and power relations involved in the operation of colonial medicine clearly
requires careful study of the training, the role and the experiences of
these
non-European practitioners of Western medicine.
In this paper, one such group of medical practitioners is examined through
a study of the Midwifery Training School or MTS, opened in Omdurman,
Sudan in 1921. The MTS sought to create a class of modern, trained
Sudanese midwives, out of, and in rivalry to, an entrenched class of
traditional midwives, known as dayas. The analysis relies heavily
on the
papers of Mabel E. Wolff, founding matron of the MTS and her sister,
Gertrude L. Wolff, who first arrived in Sudan to train nurses. Throughout
the discussion, the name ‘Wolff’ alone designates Mabel, whose
voice
dominates their collective papers.