Two models of infant welfare in the first half of the twentieth century: New Zealand and the USA

In New Zealand, as elsewhere in the Western world in the early twentieth century, maternal and infant health became a national concern and the task of organising health services was taken up by women in a voluntary capacity. In the USA this culminated in the Sheppard-Towner (Maternity and Infancy) Act of 1921. However, within a decade American paediatricians had assumed control of the services. By contrast, the services in New Zealand remained in the hands of a female-run voluntary organisation, the Plunket Society. From the foundation of the Society in 1907, health services for mothers and their infants became the site of territorial disputes between various health providers – the Health Department, the Plunket Society and paediatricians. This article explores why and how the Plunket Society managed to retain control of this important area of public health in the face of challenges by these other health providers. It will be argued that the reasons relate to the tenacity with which the ‘maternalists’ claimed the territory as their own, their informal access to channels of power, their public support, and their success in maintaining medical respectability through their own honorary and paid professional staff.