Mrs. Pennypacker, as president of The Federation of Women's Clubs, now brought to Bok's attention the conditions under which the average rural school-teacher lived; the suffering often entailed on her in having to walk miles to the schoolhouse in wintry weather; the discomfort she had to put up with in the farm-houses where she was compelled to live, with the natural result, under those conditions, that it was almost impossible to secure the services of capable teachers, or to have good teaching even where efficient teachers were obtained.
Mrs. Pennypacker suggested that Bok undertake the creation of a public sentiment for a residence for the teacher in connection with the schoolhouse. The parson was given a parsonage; why not the teacher a "teacherage"? The Journal co-operated with Mrs. Pennypacker and she began the agitation of the subject in the magazine. She also spoke on the subject wherever she went, and induced women's clubs all over the country to join the magazine in its advocacy of the "teacherage."
By personal effort, several "teacherages" were established in connection with new schoolhouses; photographs of these were published and sent personally to school-boards all over the country; the members of women's clubs saw to it that the articles were brought to the attention of members of their local school-boards; and the now-generally accepted idea that a "teacherage" must accompany a new schoolhouse was well on its way to national recognition.
It only remains now for communities to install a visiting nurse in each of these "teacherages" so that the teacher need not live in solitary isolation, and that the health of the children at school can be looked after at first hand. Then the nurse shall be at the call of every small American community—particularly to be available in cases of childbirth, since in these thinly settled districts it is too often impossible to obtain the services of a physician, with the result of a high percentage of fatalities to mothers that should not be tolerated by a wealthy and progressive people. No American mother, at childbirth, should be denied the assistance of professional skill, no matter how far she may live from a physician. And here is where a visiting nurse in every community can become an institution of inestimable value.
Just about this time a group of Philadelphia physicians, headed by Doctor Samuel McClintock Hamill, which had formed itself into a hygienic committee for babies, waited upon Bok to ask him to join them in the creation of a permanent organization devoted to the welfare of babies and children. Bok found that he was dealing with a company of representative physicians, and helped to organize "The Child Federation," an organization "to do good on a business basis."
It was to go to the heart of the problem of the baby in the congested districts of Philadelphia, and do a piece of intensive work in the ward having the highest infant mortality, establishing the first health centre in the United States actively managed by competent physicians and nurses. This centre was to demonstrate to the city authorities that the fearful mortality among babies, particularly in summer, could be reduced.
Meanwhile, there was created a "Baby Saving Show," a set of graphic pictures conveying to the eye methods of sanitation and other too often disregarded essentials of the wise care and feeding of babies; and this travelled, like a theatrical attraction, to different parts of the city. "Little Mothers' Leagues" were organized to teach the little girl of ten or twelve, so often left in charge of a family of children when the mother is at work during the day, and demonstrations were given in various parts of the city.
The Child Federation now undertook one activity after the other. Under its auspices, the first municipal Christmas tree ever erected in Philadelphia was shown in the historic Independence Square, and with two bands of music giving concerts every day from Christmas to New Year's Day, attracted over two hundred thousand persons. A pavilion was erected in City Hall Square, the most central spot in the city, and the "Baby Saving Show" was permanently placed there and visited by over one hundred thousand visitors from every part of the country on their way to and from the Pennsylvania Station at Broad Street.
A searching investigation of the Day Nurseries of Philadelphia—probably one of the most admirable pieces of research work ever made in a city—changed the methods in vogue and became a standard guide for similar institutions throughout the country. So successful were the Little Mothers' Leagues that they were introduced into the public schools of Philadelphia, and are to-day a regular part of the curriculum. The Health Centre, its success being proved, was taken over by the city Board of Health, and three others were established.
To-day The Child Federation is recognized as one of the most practically conducted child welfare agencies in Philadelphia, and its methods have been followed by similar organizations all over the country. It is now rapidly becoming the central medium through which the other agencies in Philadelphia are working, thus avoiding the duplication of infant welfare work in the city. Broadening its scope, it is not unlikely to become one of the greatest indirect influences in the welfare work of Philadelphia and the vicinity, through which other organizations will be able to work.