Jerusha Jhirad

A doctor with laser focus on maternal health

The career path of Jerusha Jhirad (1891-1984) in obstetrics and gynaecology is a clear indication of how early influences in one’s life affect the choices one makes in later years, often subconsciously. This is the story of a physician and a pioneer of maternal health in India who forged her way at a time when deaths due to preventable causes were appallingly high. 

Jerusha Jhirad

Many firsts to her credit

Jerusha was the first recipient of a Government of India scholarship to study medicine in England. Dr. Jhirad was the first Indian to serve as Medical Officer at The Cama and Albless Hospitals for Women and Children, Mumbai from 1928 to 1947, the previous incumbents had only been British. 

Early life

Jerusha Jhirad was from the minuscule community of Bene Israel Jews in India. She was born in Shivamogga, Karnataka in 1890 in a family of six children. Her father managed his father-in-law’s coffee estate and Jerusha’s early idyllic childhood was spent there amidst nature.

She was homeschooled with her siblings by her parents but was soon on her way for higher classes to a boarding school in Pune, Huzurpaga School for Girls.

 

At home, in the meanwhile, disaster struck in the form of the insect called ‘Planter’s Pest’ that decimated the coffee estate, which had to be abandoned. Jerusha’s family moved, with her father finding employment in the Railways and her mother and siblings living in Pune. 

The silver lining in the dark cloud hovering over the family was that Jerusha’s grandfather sponsored her education while she was at school. But soon she won enough scholarships to pay her own way through her education. Jerusha’s single-minded aim ensured she was motivated to excel at school, at Grant Medical College in Mumbai and her medical studies in England.  

As a child Jerusha had vowed to herself to work as an obstetrician and gynaecologist at the Cama Hospital at Mumbai where her older sister’s life had been saved, even as her newborn twins had died. Cama Hospital for Women was also entirely staffed by women. 

Another incident that impacted Jerusha was when her brother-in-law’s sister bled to death after childbirth, because of a lack of female doctors. The patient’s mother would not admit the male doctor into the room and he could only verbally instruct the midwife and the nurse from another room, which was inadequate care. This episode brought home to Jerusha the vital need for female obstetricians and gynaecologists.

Stellar academic record and work experience

Jerusha graduated from Grant Medical College in 1912. Her superb academic record ensured she won a majority of the prizes at college that year. Jerusha had now become the first woman from the Bene-Israel community to become a doctor.

After graduation Jerusha set up private practice in Mumbai since Resident positions were not open for women. In her rented rooms her first patients were Arab women. As her practice grew because of her medical skills, so did her confidence.  

 

Her aim was to get an MD degree from London but the qualification for that was that she had to be a Medical Officer. Also scholarships for MD was only available for male students. A Tata loan scholarship for MD at the London School of Medicine for Women came to her rescue. Six months into the programme she got a scholarship from the Bombay government of 200 pounds per annum for five years, as a special case.

Jerusha was in London studying medicine as World War I raged. Due to the war there was a shortage of doctors, who had signed up and were at the war front. This opened up rare work opportunities for qualified female doctors, even if they were Indian. Jerusha worked as obstetric assistant and house surgeon at hospitals in England, gaining experience. She could now apply for MD since the condition of at least 6 months residential post could now be fulfilled.

Wider outreach than only medical help

Upon graduating she returned to India in 1920 and was felicitated by a group of Bene-Israel women for her accomplishments. 

Many of these women were living largely isolated lives in the restrictive confines of a traditional family structure with their in-laws, without avenues to explore their personalities and talents. Jerusha created a Stree Mandal, women’s association. It became a venue for informal meetings, lighthearted entertainment, daily afternoon classes of cooking, languages, needlework which led to employment opportunities for many of the women who had not studied further due to marriage or poverty. Stree Mandal was open to all women.

Unexpected stumbling block

Now she was back in India with an MD in Obstetrics and Gynaecology from the University of London, a first for an Indian woman. Jerusha applied at the one hospital in which she had always aspired to work - Cama Hospital - but was rejected. They did not hire Indians. 

Undeterred at being rejected for her nationality in her own country inspite of all her qualifications and work experience Jerusha worked at other hospitals in Mumbai, Delhi and Bengaluru. At Bengaluru she developed services for pregnant women, trained nurses and midwives. Some wealthy patients donated for a labour room and an operation theatre. Some even volunteered to work with mothers and babies. 

Jerusha reapplied at Cama Hospital in 1925. This time, her stellar reputation at work saw her being accepted. Three years later she was Medical Officer at Cama Hospital. Medical officers are senior physicians who manage all aspects related to patient care within their departments.  

Her life’s work - at Cama Hospital and elsewhere

Dr. Jhirad was at Cama for nearly 20 years. In addition to her regular duties at the hospital, Jerusha was deeply involved in improving medical facilities in slums to lower infant mortality. In 1937 and 1938 she published a study on maternal mortality in Mumbai. She had lived through the daily experiences of a young female medical student, so Jerusha was instrumental in improving hostel facilities for them so they would be encouraged to pursue their medical studies in Mumbai. She was among the first in India to insist upon international safety regulations in hospitals here.

Dr. Jhirad advocated for training traditional midwives and dais in modern medicine for the safety of the mother and child. These women were an asset in rural areas where medical facilities were non-existent. She was against blindly following the practices of western medicine and felt methods had to be evolved to accommodate Indian ways.

On her 80th birthday, a post-graduate library was established at Cama in her name. This was befitting since she had always been particular about doctors and nurses at Cama being up to date with the latest medical information. She had also persuaded the government to give grants for subscriptions to journals and books.

 

In 1934 Dr. Jhirad provided medical assistance during the earthquake in Bihar which was among the worst in Indian history. Of the magnitude of 8.0 on the Richter Scale it flattened entire towns in Bihar and Nepal. She was contacted by Dr. Rajendra Prasad, later President of India, to help women in purdah. Dr. Jhirad and her team spent a month in Bihar.

Dr. Jhirad was fond of teaching so held special classes on weekday evenings and the weekends. She was on the medical faculty of the universities of Mumbai, Vadodara and Pune. She was an examiner for MBBS and MD exams at Mumbai, Chennai and Pune universities. 

Even after retirement, and living with her sister Leah in Dahisar in Mumbai, Dr. Jhirad continued to consult a few days in a week. Her concerns and work for maternal health, childcare centres, maternity leave, rescue homes and child aid societies continued unabated.

Dr. Jhirad’s published on topics close to her heart - maternal mortality, obstetrics, gynaecology and careers in medicine for Indian women.

Dr. Jerusha Jhirad's contemporaries mentioned that high standards of professional work, tact, sympathy, administrative ability and surgical skill were her hallmarks.

Much-deserved recognition

Dr. Jerusha Jhirad was founding member and elected president of Bombay Obstetric and Gynaecological Society, president of the Federation of Obstetric and Gynaecological Societies of India (FOGSI), and from 1947 to 1957 president of the Association of Medical Women in India (AMWI). In 1947, she was elected a Fellow of the Royal College of Obstetricians and Gynaecologists. In 1950 she presided at the 6th All India Obstetric and Gynaecological Congress, held in Chennai. 

She was awarded Padma Shri (civilian award of the Republic of India) for her services to society and MBE (a British honour given by their monarch for a particular achievement).

Interests apart from medicine

Dr. Jhirad was a pioneer of Progressive Judaism in India, having learnt about it when she was in England. This was Judaism adapted to modern times in which women could participate more than in traditional Judaism. She founded a religious congregation and a reform synogogue with her sister Leah in Mumbai, and organised activities for Jewish teenagers. 

Dr Jhirad passed away at the grand old age of 93 in 1984 after a lifetime of breaking barriers of race and gender, and creating a path for young Indian women doctors after her.

And here’s something unique befitting a pioneer such as Dr. Jerusha Jhirad. The International Astronomical Union, the worldwide union of astronomers names astronomical bodies after women who have made significant contributions in their fields. Venus now has a crater 50 kilometers wide named Jhirad.

Ref:

1. Women Scientists in India: Lives, Struggles and Achievements - Anjana Chattopadhyay

2. Fabulous Female Physicians - Sharon L. Krish

3. Unstoppable - Gayathri Ponvannan

4. https://nbtindia.gov.in/writereaddata/freebooks/pdf/Women.pdf

5. Ramanna M. A pioneer of maternal health: Jerusha Jhirad, 1890–1983. Natl Med J India 2019;32:243-246