[ { "id": 205714, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1969", "page_number": 20, "title": "RAS-1969", "content_text": "14\n\nT. C. CHENG\n\nAnother advance was made in 1904 when several prominent Chinese, led by Dr. Ho Kai and Mr. Chau Siu-ki (the late father of Sir Tsun-nin Chau), collected the necessary funds, and, also with a land grant from the London Missionary Society, started the Alice Memorial Maternity Hospital, the first maternity hospital in Hong Kong.\n\nIn 1907 when the Chinese started another hospital, along the lines of the Tung Wah Hospital, in Kowloon the Kwong Wah Hospital Dr. Ho Kai was the motivating force and he became the Chairman of the first Board of Directors of the new hospital. In this important venture, he had the staunch support of the Honourable Wei Yuk, his Chinese colleague in the Legislative Council, and Lau Chu-pak, both of whom served as directors of the first Board.\n\nHaving received a western education himself, Dr. Ho Kai was very keen to spread such education among the Chinese youth. Apart from being an active member of the governing body of Queen's College, he and other Chinese leaders, including Tso Seen-wan, founded St. Stephen's Boys College in 1902. In 1901 a number of leading Chinese, including Dr. Ho Kai and Mr. Tso Seen-wan, had submitted a petition to the Governor setting forth their view that a need had arisen for a Chinese High School run on western lines. The fees were to be sufficient to keep the school without cost to the Colony. In such a school the sons of influential Chinese parents could be trained for public service and be instructed in all that was best in both British and Chinese cultures. The scheme was approved in principle and the Church Missionary Society stepped in to help and established St. Stephen's Boys College on Bonham Road. In 1928 it moved to its present site in Stanley with extensive playing fields. It has catered to Chinese children from wealthy homes and has tried to establish something of the tradition of the English public school. It has since occupied a unique and important place in Hong Kong as an exempted and independent school.\n\nIn addition, Dr. Ho Kai was a very far-sighted land developer. Just before he died, he and Au Tak,13 a prominent merchant who was a director of the Tung Wah Hospital in 1908, formed the Kai Tak Land Development Company to plan the development of the area in the neighbourhood of the present Kai Tak Airport,", "txt_file_path": "txt/dfo323lmgvd/RAS-1969.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/9g553n20d", "rank": 0 }, { "id": 213033, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 101, "title": "RAS-1993", "content_text": "81\n\nTHE LADY DOCTOR'S “WARM WELCOME\": DR ALICE SIBREE AND THE EARLY YEARS OF HONG KONG'S MATERNITY SERVICE 1903-1909\n\nJANET GEORGE\n\nYesterday the first bricks were carried up to the site of the new midwifery Hosp Commend We are thankful indeed to have really made a beginning. We have hoped so long for this place and will have a very warm welcome for Dr Sibree (Mrs. Stevens, 24 April 1903).1\n\nMaternity services for local women highlight the relationship between colonial governments and people over a matter which is bound up with culture, ritual and privacy. It is of course a matter central to the family and its maintenance. In Hong Kong the development of the maternity service is particularly interesting, because of its paradoxical quality. That is, the traditional midwives, the 'wan p'o', were increasingly regulated and legally excluded from practice by 1936, even though other traditional medical practices remain untouched. Interesting also is the pattern of development, because the lead was taken by the London Missionary Society's (LMS) Alice Memorial Hospital through the support of the Chinese subscribers, although over many years the Colonial Surgeon, Dr. Ayres had urged the Tung Wah Hospital to extend its services in this direction. The outcome was the appointment in 1903 of Hong Kong's first Lady Doctor, Dr. Alice Sibree, to the Alice Memorial Maternity Hospital (AMMH) to provide a maternity service for Chinese women and to train and supervise Chinese midwives employed by the Hong Kong Government. She completed only the first five-year contract, her resignation in 1909 following years of dissatisfaction with her role and conflict with Dr Gibson, the Medical Superintendent.\n\n2\n\nThis paper is focused on that conflict as it sheds light on the way women were perceived and their role organised in medical practice, the relationships between the Chinese elite and the LMS District Committee, and the effects of the professionalisation of medicine. The latter generated competition between the Alice and the Tung Wah Hospital for patients, as the Tung Wah gradually moved towards the incorporation of Western medicine. It also generated competition amongst doctors for appointment to the faculty of the emerging University of Hong Kong. It is argued that", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 }, { "id": 213034, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 102, "title": "RAS-1993", "content_text": "82\n\nthe breakdown in the relationship between Dr. Sibree and Dr. Gibson had significant effects on the extent, direction and control of the maternity service in the pre-World War II period.\n\nA Maternity Service for Chinese Women: the antecedents.\n\nThe view of Western doctors that traditional midwifery in Hong Kong was problematic is abundantly clear in the reports of government medical officers in the late nineteenth century. Horrific tales were told of the septic interventions of traditional midwives in difficult confinements, and reports of the cases of puerperal fever with high maternal mortality attended at the Civil Hospital. As well, there were concerns about the high infant death rates at the French and Italian Orphanages, the subject of an enquiry in 1887, and the practice of abandoning dead infants on hillsides, a public health threat, especially in years of plague. That is, the involvement of government was driven by both humanitarian and pragmatic concerns at a time when concern about infant health was high in England itself and the Colonial Office was demanding attention to the problem in Hong Kong.\n\nBy the turn of the century, there were already several developments that made attention to maternal health viable. On the one hand there were steps to the professionalisation of medicine, and on the other to the recognition of the need for specialised services for women. The practice of Western medicine was becoming more scientific and doctors were better trained. That training required hospital beds and patients. The Medical Registration Ordinance of 1884 that licensed Western doctors and the establishment of the Alice Memorial Hospital with the Hongkong College of Medicine for Chinese in 1887 acknowledged these changing needs. Nursing also was becoming professional, a vocation for ladies. The first English women nurses sent to the Civil Hospital in 1890 were well received as replacements for the untrained and uncivil wardsmasters, many of whom had been dismissed for theft and alcoholism.\n\nAt the time of Queen Victoria's Jubilee in 1897 a hospital for women was supported by public subscription, resulting in the Victoria Hospital for Women and Children and a Training Institute for Nurses. Although this hospital was to be available to women of ‘all ranks, classes, creeds and races', its location in Barker Road made it inaccessible to poor women, and it is clear that the Training Institute was to produce midwives for European mothers. Morbidity amongst Chinese women led to the", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 }, { "id": 213036, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 104, "title": "RAS-1993", "content_text": "84\n\nthe accuracy of the registration.7\n\nIt is consistent with a climate of insufficient funds and a well-established colonial principle of subsidy to voluntary agencies to provide services that fee payment was resisted by government. Mr. May, the Acting Governor, proposed instead that the money should be spent on a maternity charity, viz. the Training School of Chinese Midwives at the newly completed AMMH, which subsequently enrolled the two trainees from the Civil Hospital.\n\nSetting Up: the LMS and the Chinese subscribers.\n\nDr. Ho Kai is largely credited with the initiative in promoting Western medicine for the Chinese people in Hong Kong, building on the LMS' interest in missionary medicine and funding the Alice Memorial Hospital and the College of Medicine for Chinese. From its inception, the Alice Hospital, by now comprising the Alice Memorial Hospital and the Nethersole Hospital, had been dependent on the wealth and goodwill of the Chinese elite, amongst whom Dr. Ho Kai was a leader. After just six years of operation, the 1893 Annual Report of the Finance Committee noted that subscriptions from the European community were down by $1,000, although the expenses of a growing hospital were higher. At the same time, subscriptions from the Chinese had increased from $1,708 to $3,131 between 1891 and 1892. Indeed, the Report suggested that the example of the Tung Wah should be followed, and representatives of the Chinese guilds be invited to join the hospital finance committee, to increase Chinese participation.\n\nThis proposition was not implemented, and in 1908, Dr. Gibson opposed any increase in Chinese membership of the AMMH's Management Committee, because of likely friction and consequent reduction in trust which Chinese people had in the LMS organisation. At the same time he noted that the subscribers gave little to the Alice compared with their donations to Chinese institutions, such as the Tung Wah and District Dispensaries.9 Chinese finance was crucial for the expansion of the hospital; indeed, for the establishment of the maternity hospital proposed in 1901, support from the rich Chinese was essential.\n\nWhen the Chinese benefactors moved, mobilisation was rapid. To correspondence from Dr. Ho Kai to Dr. Gibson on 3 March, 1902,", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 }, { "id": 213054, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 122, "title": "RAS-1993", "content_text": "102\n\ngovernment midwives. The Civil Hospital improved its standards as it was required to provide the clinical training facilities for the University. The Chinese subscribers, who had so generously supported the development of the LMS hospitals, gained and strengthened their power on its committees, but were involved also in these secular developments. The death of Dr. Ho Kai in 1914 coincided with staff shortages and restricted finance for the hospital, as war clouds gathered, making it harder to regain the lead. On the resignation of Dr. Sibree, the impetus for leadership and innovation was lost by the AMMH, although demand grew. It was not restored until the arrival in 1925 of Dr. Annie Sydenham, who, as a long term incumbent, was in a position to introduce preventive and outreach programmes. By this time, the initiative and future form of the service had passed into secular hands, those of the Chinese Public Dispensaries and the Hong Kong Government.\n\nNOTES\n\n1LMS Eastern, South China Box 15, 1903, No 274 Mrs Stevens, (Matron of the Alice Memorial Hospital) to Mr Cousins, 24 April 1903\n\n2Hong Kong Sessional Papers 1884 29/84, Par 39-42 Dr Ayres' opinion could be seen as either to support the policy of separation of medical services for the Chinese, or, by suggesting the attendance of Western doctors, to be promoting increased influence over the Tung Wah Hospital. At the same time, the Civil Hospital was a general hospital, with no separate maternity area, and its role was to provide primarily for the non-Chinese community. The relationship between the Tung Wah Hospital and the Hong Kong Government is analysed in Elizabeth Sinn, Power and Charity: The Early History of the Tung Wah Hospital, Hong Kong (Hong Kong: Oxford University Press, 1989)\n\n3Daily Press, 27 April, 1897\n\n4Mrs Steven's Report 1891-99\n\n5LMS South China Box 15, 1901 No 263 Dr Gibson to Mr Cousins, 1 February, 1901\n\n6Mrs Steven's Report 1901 Alice Hospital Archives Copy\n\n7May to Lyttelton, 21 July, 1904, #291 CO129/323\n\n8LMS Box 12, 1892 No 212 Report of the Annual Meeting of the Finance Committee, enclosed with a letter from Dr. Burton, 19 April, 1893\n\n9LMS 1908 Box 17, 1908 Memorandum from Dr Gibson to LMS Directors, 26 March, 1908", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 }, { "id": 213059, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 127, "title": "RAS-1993", "content_text": "107\n\n74 See LMS Box 18, 1909 No 311 Minutes of the HKDC Annual Meeting, 2-3 February, 1909, Box 18, 1909 No 314 Minutes of the HKDC Meeting, 22 June, 1909, and LMS Box 18, 1909 No 315 Mi Pearce to Rev G Currie Martin, Joint Foreign Secretary It is not clear why Dr Sibree did not resume her position. An amount of $1600 paid to her as Supervisor of Government Midwives was in dispute as to whether it should be deducted from the guarantors' payment at $10,000 (LMS Box 18, 1909 No 313 Mi Wells to Mr Cousins, 27 May, 1909), as well, the guarantors had declined to pay Dr. Sibree's rent (LMS Box 18, 1909 No 312. Mi Wells to Mr Cousins, 17 March, 1909) Thus, paradoxically, material matters may have been the last straw'\n\n75 LMS Box 18, 1909 No 315 Personal letter from Mr Pearce to Mi Currie Martin, 13 September, 1909\n\n76 The final evidence produced by Dr Sibree was the wording of Clause 4 of the 1910 Midwives Ordinance, which legislated his position that is, the Midwives Board was to comprise the Medical Superintendent of the Alice Memorial Hospital and the Lady Doctor attached to it, (plus three others). This indicates that the lady doctor was not the medical superintendent of the hospital of which she had charge See endnote 79\n\n77 LMS Box 18, 1910 No. 319. Dr Sibree to Dr. Thompson, 26 September, 1910\n\n78 LMS Box 18A, 1911 No 320 Dr Gibson to Mr. Martin, 17 December, 1910\n\n79 ibid, Dr. Gibson to Mr Martin. 7 December, 1910\n\n80 The agreement between the Hong Kong Government and the Alice Memorial Maternity Hospital, 31 December, 1904, stated that, on graduation, the midwives trained at the AMMH would be at the disposal of Government for three years, salaried and providing free services to Chinese women in labour under the supervision of the Lady Doctor The Lady Doctor, at that time the only one, was later taken to refer to the AMMH lady doctor Quoted in LMS Box 17, 1908 'Memorandum to Hongkong DC' from Dr. Gibson, attached to Mr. Pearce to Mr Cousins, 17 August, 1908\n\nWith the introduction of the 'Midwives Ordinance' in 1910, the composition of the Midwives Board was specified as 'The Principal Civil Medical Officer, the Superintendent of the Alice Memorial Maternity Hospital and the Lady Doctor attached to the same', plus three persons appointed by the Governor for a three-year term See An Ordinance to secure the better training of Midwives and to regulate their practice' No 22 of 1910, clause 4. Hongkong Government Gazette, September 2, 1910, p 395\n\n81 LMS Box 18A, 1911 No 323 Mr Clayson to Rev Currie Martin, 25 February, 1911\n\n82 The Hong Kong Daily Press, 24 September, 1928\n\n83 Blue Books 1918, 1926 Her title was in 1928 changed to 'Assistant Visiting Medical Officer to Chinese Hospitals and Dispensaries See Blue Book, 1928\n\n84. The China Mail, 22 September, 1928, The Hong Kong Daily Press, 24 September, 1928", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 }, { "id": 213061, "series_id": 26, "series_slug": "histsyn-rashkb-journal-engine", "series_title": "RASHKB Journal 皇家亞洲學會香港分會學刊", "series_use_hku_proxy": false, "document_key": "RAS-1993", "page_number": 129, "title": "RAS-1993", "content_text": "109\n\n94 LMS Box 19, 1913 No 340 Di Gibson to Mi Lenwood, 18 June, 1913 Enclosure - Maternity Hospital Statistics, 1912\n\n95\n\nIn her Annual Report of 1940, Matron Ward reported 'girls taken their turn at male nursing so naturally that we almost forget we ever worked in any other way' Report of the Alice Memorial and Affiliated Hospitals for the year 1940, p 9\n\n96. It is interesting that this principle underlay the use of \"barefoot doctors\" in China's recent history, and is a direction endorsed by the Alma-Ata recommendations of the World Health Organization in 1978 It can be argued that this policy direction reflects not race, but a rational and appropriate use of scarce resources.", "txt_file_path": "txt/dfo323lmgvd/RAS-1993.txt", "external_url": "https://digitalrepository.lib.hku.hk/catalog/66833t302", "rank": 0 } ]