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For reasons of population policy and missionary strategies, childcare was a relatively early issue of colonial medical policy and services in East Africa. The main challenge for the adaptation of biomedicine to the local situation proved to be not so much schemes for treatment or prevention, but rather the question of staffing. Education and employment of females, as well as social acceptance and keeping up professional standards of biomedically trained personnel, posed major obstacles to the implementation of governmental health policies. In addition to these obstacles, European prejudices about African disinterest in child health contributed to the feeling that limited progress had been made after 50 years of biomedical efforts to improve African child health.

«Practising hygiene and fighting the natives’ diseases». Public and child health in German East Africa and Tanganyika territory, 1900-1960