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71
to settle these points and a more appropriate regime laid down for
the child if it is thus placed under skilled supervision.
The parents are assessed according to their means and up to the
present little difficulty has been found in collecting their quota of the
cost.
Systematic Home Visitation and Provision of Advice, etc.,
for Infants at Infant Welfare Centres.
During the year the Borough Council has been at great pains to
complete a scheme for Maternity and Child Welfare which would utilise
the organisations and efforts of the voluntary bodies. This has not
proved e0asy in all cases, but a scheme has at last been agreed upon
which contains the following- provisions:—
(i.) The Borough Council's Health Visitors should be responsible
for the whole of the Health Visiting. They should attend each
consultation at the Centre and shoul0d be present when the
Medical Officer of the Centre is advising0 the mothers in their
district, so that they may hear the advice given and endeavour
to0 get it carried out in the homes.
( The organization and management of the Centres should continue
in the hands of the Council of Social Welfare, who would
appoint the Medical Officers and any other Officers needed for
managing the educational classes, weighing of children, and
the general direction of the Centre.
(iii.) The Health Visitor whilst at the Centre should be under the
control of the doctor only, and should, subject to the doctor's
instructions, select the cases to be seen by the doctor.
(iv.) The Health Visitor should report to the Medical Officer of
Health on the visits paid by her to the children attending the
Centre, and such reports should be communicated to the
Council of Social Welfare.
(v.) The Maternity and Child Welfare Committee and the Medical
Officer of Health should have access to the Centres to satisfy
themselves that they are properly conducted.
(vi.) The Maternity and Child Welfare Committee should be consulted
before a Medical Officer is appointed to any of the
Centres.