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The evolution of community medicine. Part 4, Mothers and children first.

Chave, Sidney.
  • Videos

About this work


The fourth in an 8-part series of short lectures by Sidney Chave from the London School of Hygiene and Tropical Medicine. The series charts the rise of the Public Health Movement and the different ways this initial reform evolved into community medicine. This part deals with developments in maternal and child welfare.


London : University of London Audio-Visual Centre, 1984.

Physical description

1 encoded moving image (24.40 min.) : sound, color




Copyright note

University of London

Terms of use

Creative Commons Attribution-Non-Commercial 2.0 UK: England & Wales

Language note

In English

Creator/production credits

Presented by Dr Sidney Chave, London School of Hygiene and Tropical Medicine. Made by University of London Audio-Visual Centre. Produced by John Winn and Paul Wilks. Edited by David Crawford.


This video is one of around 310 titles, originally broadcast on Channel 7 of the ILEA closed-circuit television network, given to Wellcome Trust from the University of London Audio-Visual Centre shortly after it closed in the late 1980s. Although some of these programmes might now seem rather out-dated, they probably represent the largest and most diversified body of medical video produced in any British university at this time, and give a comprehensive and fascinating view of the state of medical and surgical research and practice in the 1970s and 1980s, thus constituting a contemporary medical-historical archive of great interest. The lectures mostly take place in a small and intimate studio setting and are often face-to-face. The lecturers use a wide variety of resources to illustrate their points, including film clips, slides, graphs, animated diagrams, charts and tables as well as 3-dimensional models and display boards with movable pieces. Some of the lecturers are telegenic while some are clearly less comfortable about being recorded; all are experts in their field and show great enthusiasm to share both the latest research and the historical context of their specialist areas.


Segment 1 Opening credits. Dr Chave begins this lecture by talking about events after Queen Victoria's death in 1901, including the 1902 Midwives Act. He also discusses the work of the early field sociologist Charles Booth, who investigated poverty in London. The work of Seebohm Rowntree in York is also discussed. Time start: 00:00:00:00 Time end: 00:04:47:08 Length: 00:04:47:08
Segment 2 Chave talks about the statistic that 40% of Boer War volunteers were rejected as not being fit for military service, leading to a review of national fitness by the Interdepartmental Committee on Physical Deterioration. This committee decided to try to improve the health of British children, and Chave reads some of their proposals, including the prohibition of the sale of tobacco to young children. Time start: 00:04:47:08 Time end: 00:09:59:06 Length: 00:05:11:23
Segment 3 School meals are introduced and the School Medical Service was founded in 1907. Chave discusses how this service was set up as part of the Board of Education. Time start: 00:09:59:06 Time end: 00:14:57:13 Length: 00:04:58:07
Segment 4 Dr Chave reports on the results of the new medical inspections of school children. The new health service then had to try to treat the large number of ill children. Minor Ailment Clinics were set up to treat them, which helped the poorer families. Chave points out that the development of the Maternity and Child Welfare Service under the Local Government Board was slow in comparison. He also mentions the first health visitors; members of the Salford Ladies Voluntary Sanitary Association visited working class mothers to help and instruct in infant care. Time start: 00:14:57:13 Time end: 00:20:06:09 Length: 00:05:08:21
Segment 5 Chave continues to discuss the development of the Maternity and Child Welfare Service, including the supply of cheap or free milk to nursing mothers, the School for Mothers and the Medical Clinic for Infants. End credits. Time start: 00:20:06:09 Time end: 00:24:40:14 Length: 00:04:34:05


  • English

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