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Health and Nationalist Reconstruction: Rural Health in Nationalist China, 1928–1937

Published online by Cambridge University Press:  28 November 2008

Ka-Che Yip
Ka-Che Yip
Affiliation:
University of Maryland, Baltimore County
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Extract

In 1928, the newly established Nationalist government faced the formidable task of rebuilding the country after years of political disintegration. The central concern was national strengthening and modernization, and the government embarked on various programs of political, social and economic reconstruction. Medical modernization was part of this process. A study of the Nationalist efforts in this area is crucial to our understanding of the complexity of health developments in modern China since the Nationalist decade of 1928–1937 was the only period in pre-1949 China when a central government was able to assert some measure of control over the nation and preside over the construction of a modern health system. This process would include not only the initiation of new programs but also the consolidation and coordination of efforts on the part of individual reformers and groups. The examination of the evolution of such a system will illuminate a much neglected but important aspect of social and institutional developments in the Republican period. It will also lend historical perspective to the understanding of health developments after 1949. This essay focuses on the development and implementation of rural health programs in the Nationalist decade as well as the factors affecting the establishment of a viable health care system in the countryside.

Type
Articles
Information
Modern Asian Studies , Volume 26 , Issue 2 , May 1992 , pp. 395 - 415
Copyright
Copyright © Cambridge University Press 1992

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References

1 Although the Communists were also developing their own system of health care in areas under their control, their activities, however, are beyond the scope of this essay.

2 Zhipin, Ding, Zhongguo jin qishi nian lai jiaoyu jishi [A Record of Educational Events in the Last 70 Years] (Taipei, 1970 reprint), p. 106.Google Scholar

3 For a discussion of the Council's activities, see Yip, Ka-che, ‘Health and Society in China: Public Health Education for the Community, 1912–1937’, Social Science and Medicine 16 (1982), pp. 1198–200.CrossRefGoogle Scholar

4 Tingan, Li, Zhongguo xiangcun weisheng wenti [The Problem of Rural Health in China] (Shanghai, 1935), p. 24;Google Scholar and Yang, Marion, ‘Midwifery Training in China’, The Chinese Medical Journal 42 (1928), p. 769. It should be pointed out that these figures were generally accepted by advocates of modern medicine, who tended to stress the dismal aspects of China's health conditions.Google Scholar

5 New Life Centers in Rural Kiangsi (Nanchang, 1936), p. 18.Google Scholar

6 Nathan, Carl, Plague Prevention and Politics in Manchuria, 1910–1931 (Cambridge: East Asian Research Center, Harvard University, 1967), p. 61.CrossRefGoogle Scholar

7 Balme, Harold, China and Modern Medicine. A Study in Medical Missionary Development (London: United Council for Missionary Education, 1921), p. 66.Google Scholar

8 Chu, Hsi-ju and Lai, Daniel G., ‘Distribution of Modern-trained Physicians in China’, Chinese Medical Journal 49 (1935), pp. 544–5.Google Scholar

9 Chen, C. C., ‘A Proposed Basic Medical Curriculum’, Chinese Medical Journal 49 (1935), p. 862;Google Scholar and Weisheng banyue kan 2, 4 (Feb. 28, 1935), p. 12.Google Scholar

10 The mandate can be found in Tyau, Min-ch'ien T. Z., Two Years of Nationalist China (Shanghai, 1930), p. 263.Google Scholar

11 Sungshan, Wu, ‘Weisheng yundong ti yi-yi yu zhungyao’ [The Meaning and Importance of the Health Movement], Zhongyang ribao. Yixue Zhoukan [The Central Daily, Medical Weekly Supplement] 134 (February 16, 1936);Google Scholar and Dingan, Wu, ‘Difang weisheng xingzheng fan lun’ [A General Discussion of Local Health Administration], Jian guo yuekan [Reconstruction Monthly] 3, 3 (07 1930), p. 47.Google Scholar

12 Chen, C. C., Medicine in Rural China. A Personal Account (Berkeley: University of California Press, 1989), p. 55.Google Scholar

13 Tingan, Li, Zhongguo xiangcun, p. 1 (preface).Google Scholar

14 Zhongyang dong wu yuekan [Central Party Monthly] 5 (Dec. 1928) and 8 (March 1929).Google Scholar

15 Ibid., 10 (May 1929).

16 Lim, R. K. S. and Chen, C. C., ‘State Medicine’, Chinese Medical Journal 51 (06 1937), p. 784;Google ScholarChen, C. C., Medicine in Rural China, p. 53.Google Scholar

17 Chen, C. C., in Weisheng gongbao 2, 2 (02 1, 1930), p. 188.Google Scholar

18 See, for example, Tingan, Li, Zhongguo xiangcun, pp. 121–2;Google ScholarChen, C. C. in Weisheng Gongbao, Feb. 1, 1930, p. 188;Google Scholar and Lim, R. K. S. and Chen, C. C. in Chinese Medical Journal, 06 1937, p. 780.Google Scholar

19 Liu, J. Heng, ‘The Ministry of Health’, in Rockefeller Archive Center, Record Group 1, Series 600, Box 4, Folder 43, p. 14.Google Scholar

20 Weisheng tongji [Health Statistics] (Zhongqing, 1938), p. 18.Google Scholar

21 Seipp, C. (ed.), Health Care for the Community, Selected Papers of Dr. John B. Grant (Baltimore: Johns Hopkins University Press, 1963), p. 94.Google Scholar

22 For discussions of the station, see Grant, John, ‘Department of Public Health and Preventive Medicine, Peking Union Medical College’, in Methods and Problems of Medical Education (New York: The Rockefeller Foundation, 1929).Google Scholar See also Yip, Ka-che in Social Science and Medicine 16 (1983), pp. 1200–1.Google Scholar

23 Tingan, Li, ‘Summary Report on Rural Public Health Practice in China’, The Chinese Medical Journal 48 (1934), pp. 1086–90; and his Zhongguo xiangcun, pp. 96–104.Google Scholar

24 See Yao, Hsun-yuan, ‘The Second Year of the Rural Health Experiment in Ting Hsien, China’, Milbank Memorial Fund Quarterly Bulletin, X (01 1932), pp. 56–7.Google Scholar

25 Chen, C. C., ‘The Rural Public Health Experiment in Ting Hsien, China’Google Scholar, ibid., XIV (January 1936), pp. 67–70; see also Li Tingan, Zhongguo xiangcun, pp. 104–114.

26 Chen, C. C., ‘Public Health in Rural Reconstruction at Ting Hsien’, Milbank Memorial Fund Quarterly Bulletin XII (1934), pp. 371, 374.Google Scholar

27 Letter from Yen, James to DrStampar, , May 18, 1932, p. 3. In Rockefeller Archives Center: CMB Inc., Box 85, No. 600.1.Google Scholar

28 Shiyi, Jia, Minguo xu caizheng shi [Supplement to the Fiscal History of the Republic], vol. 1 (Shanghai, 1932), pp. 46–53;Google ScholarWong, K. Chimin and Lien-teh, Wu, History of Chinese Medicine (Shanghai, 1936), pp. 735–7;Google Scholar and Sze, Szeming, China's Health Problems (Washington, D.C.: Chinese Medical Association, 1943), p. 15.Google Scholar

29 See Proposals of the National Government of the Republic of China for Collaboration with the League of Nations on Health Matters (Geneva, 1930).Google Scholar

30 Tingan, Li, Zhongguo xiangcun, pp. 81–5.Google Scholar

31 Liu, J. Heng, ‘National Health Organization’, The Chinese Christian Yearbook, 1937, pp. 339, 351–2.Google Scholar See also Chen, Lawrence M., Public Health in National Reconstruction (Nanjing: Council of International Affairs, 1937), pp. 79–81;Google Scholar and Weiyuanhui, Quan Guo Jingji compiled, Weisheng Shiyan Chu gongzuo baogao [Report of the Work of the Central Field Health Station] (n.p., 1935), pp. 33–4.Google Scholar

32 Liu, J. Heng, ‘Some Phases of Public Health Work in China’, The Chinese Medical Journal 48 (1934), p. 73.Google Scholar

33 Ibid.; also, Fang, I. C., ‘Public Health’, The Chinese Christian Yearbook, 1932–1933, pp. 438–9;Google Scholar and Weisheng tongji, 1938, p. 18.Google Scholar

34 Weisheng tongji, 1938, p. 18;Google ScholarWeisheng Shiyan Chu gongzuo baogao, 1935, pp. 33–4;Google Scholar and Liu, J. Heng, ‘San nian lai Zhongyang weisheng sheshi kaikuang’ [An Overview of Health Programs of the Central Government in the Last Three Years], Weisheng banyue kan 2, 1 (01 15, 1935), p. 5.Google Scholar See also, Liu, J. Heng, ‘National Health Organziation’, Chinese Christian Yearbook, 1937, p. 351.Google Scholar

35 Lucas, AnElissa, Chinese Medical Modernization. Comparative Policy Continuities, 1930s–1980s (Praeger, 1982), pp. 71–6.Google ScholarInterview with Dr. C. C. Chen, June 3, 1985, at Berkeley.Google Scholar See also Liu, J. Heng, ‘Health and medicine’, Chinese Yearbook, 1935–1936, p. 1577.Google Scholar

36 Bullock, Mary B., An Amercian Transplant. The Rockefeller Foundation and Peking Union Medical Colleges (Berkeley: University of California Press, 1980), p. 166.Google Scholar

37 New Life Centers in Rural Kiangsi. See also Wei, William, Counterrevolution in China. The Nationalists in Jiangxi during the Soviet Period (Ann Arbor: The University of Michigan Press, 1985), pp. 144–6.Google Scholar

38 Ibid., pp. 16–19.

39 Shuwen, Zou, Xin shenghuo yu ciangcun jianshe [New Life and Rural Reconstruction] (Nanjing, 1934), pp. 57–61.Google Scholar

40 Weisheng Shiyan Chu gongzuo baogao, pp. 23–38.Google Scholar

41 Letter from Yen, James to DrStampar, , May 18, 1932, pp. 6–7, in Rockefeller Archives Center: CMB Inc., Box 85, No. 600.1.Google Scholar

42 Thomson, James C., While China Faced West; American Reformers in China, 1928–1937 (Cambridge: Harvard University Press, 1969), pp. 137–42.Google Scholar

43 Liu, J. Heng, ‘National Health Organization’, Chinese Christian Yearbook, 1937, p. 351;Google Scholar and Tingan, Li, ‘Summary Report on Rural Public Health’ The Chinese Medical Journal 48 (1934), pp. 1086–90.Google Scholar

44 Wei, William, Counterrevolution in China, p. 146.Google Scholar

45 H. S. Houghton: interview with John Grant, April 11, 1927, in Rockefeller Archives Center, CMB Inc., Record Group IV, 2B9, Box 75, No. 529.Google Scholar

46 Liu, J. Heng to Greene, Roger S., Nov. 22, 1930. In Roger Greene Papers.Google Scholar

47 Grant, John to Greene, Roger S., Aug. 29, 1933. In Rockefeller Archives Center: CMB Inc., Record Group IV, 2B9, Box 75, No. 530; and Greene to Heiser, Oct. 7, 1933, CMB Inc., Record Group IV, 2B9, Box 95, No. 682.Google Scholar

48 Grant, to Liu, , Dec. 3, 1929, in Roger S. Greene Papers.Google Scholar

49 Weisheng tongji, 1938, pp. 25–6.Google Scholar

50 Thomson, James C., While China Faced West, p. 117.Google Scholar

51 See e.g., ‘Yixue jiaoyu ti wenti’ [The Problem of Medical Education], Zhongyang ribao. Yixue zhoukan 136 (March 1, 1936); and ‘Zhongguo xin yixue jianshe zhi zhangai’ [Obstacles to the Development of New Medicine in China], Dagong bao (April 10, 1931).Google Scholar

52 Initial Year of the Medical Education Program. In Rockefeller Archives Center: Record Group 1, Series 601, Box 3, Folder 27, p. 5.Google Scholar

53 Ibid., pp. 29–41.

54 See e.g., New Life Centers, pp. 17–19;Google Scholar and Dingan, Wu, Xian weisheng xingzheng (Zhongqing, 1941), p. 2.Google Scholar

55 Jianwu, Xue, Zhongguo xiangcun weisheng xingzheng [Chinese Village Health Administration] (Shanghai 1937), pp. 184–266 has most of the regulations issued by the ministry on the practice of medicine.Google Scholar

56 For a discussion of the debate, see Crozier, Ralph, Traditional Medicine in Modern China (Cambridge: Harvard University Press, 1968).CrossRefGoogle Scholar

57 ‘Lun weishengbu ji yi zhuzhong yishi buxi xiaoyu’ [The Ministry of Health Should Stress Supplementary Medical Education], Zhongxi yixue bao [Journal of Chinese and Western Medicine] 10, 1 (July 1929), pp. 1–3.Google Scholar

58 Guofu, Chen, Yi zheng man tan [‘Random Jottings on Medical Administration’] (Zhongqing, 1941), p. 52;Google Scholar and ‘Hangkong jiao guo yu yiyao jiao guo’ [Saving the Country through Aviation and Saving the Country through Medicine], Shenbao. Yiyao zhou kan 13 and 14 (March 27, 1933 and March 30, 1933).Google Scholar

59 Tingan, Li, Zhongguo xiangcun weisheng, p. 113.Google Scholar

60 Stampar, A., ‘Observations of a Rural Health Worker’, The New England Journal of Medicine 218, 24 (06 16, 1938), p. 994.CrossRefGoogle Scholar