Contrary to the popular vision, most practitioners of Western medicine
in Africa during the colonial period were non-Europeans, usually Afri
can medical auxiliaries with varying amounts of training. This paper s
eeks to refine views of 'colonial medicine' by investigating the train
ing and work of one such group of medical personnel. The Midwifery Tra
ining School(MTS), opened in Omdurman, Sudan in 1921, created a class
of modern trained Sudanese midwives out of, and in rivalry to, an entr
enched class of traditional midwives. The interaction between Western
and traditional medicine and between British and Sudanese societies in
the context of midwifery training and practice was highly complex and
constantly being negotiated. In their construction of respectability
in potential pupils, their choice of language in lectures, their strat
egies for licensing traditional and trained midwives, and their approa
ch to female circumcision, the British women who ran the MTS, Mabel an
d Gertrude Wolff, were constantly negotiating with Sudanese culture an
d encountering the limits of British colonial (medical) power. While m
idwifery training and practice incorporated the Wolff sisters and Suda
nese midwives into the work of the colonial state, they remained margi
nalized within that state, denied authority, status and remuneration,
on account of their gender, class and occupation. A discussion of the
Sudan government's position on female circumcision supports these argu
ments, highlighting the Wolffs' simultaneous willingness to accommodat
e and modify Sudanese custom, as well as the marginalization of both m
edicine and midwifery within government.