The Mississippi unit of the Sir Knights and Daughters of the Tabor was established in 1889 for the purpose of providing insurance–burial, life, and health care (Hodding Carter, Saturday Evening Post, February 23, 1946). Membership in 1946 had increased to 40,000 and the director, P. M. Smith, began the task of raising $100,000 in order to build a hospital in Mound Bayou.
At that time, there was little in the way of hospitalization for African Americans in Mississippi. If they were admitted at all to white facilities, it was usually in a basement and care was substandard (David T. Beito, 1999). The Taborian Hospital officially opened February 12, 1942. (See Malvaney’s post on the Taborian for additional information).
Dr. Phillip Moise George, a Mound Bayou physician, was recruited as medical director and internist for the Taborian Hospital, and Dr. T.R.M. Howard was selected as Chief Surgeon (Dr. Matthew Walker of Meharry Medical School, 1973). Mrs. Katherine Dandridge was the director of nursing. Other personnel were hired from the community or nearby area and trained for the position. Dr. Howard not only treated patients’ disease, he cared for their nutrition and social needs as well. Among the things he helped engender for the community was the Good Will Park, with its tennis courts, swimming pool, and zoo. Dr. Howard asserted “This little town has a symbolism for many…without restraints imposed because of race” (Carter, 1946). This symbolism was recently validated by Dr. D. J. Moore, originally from Tupelo, who said of it, “Growing up, it was like this mythical place to us. We heard stories about it.”
Dr. Howard owned a private clinic across the street from the Taborian, and this caused friction between Howard and the Knights and Daughters of Tabor (Beito). Howard was dismissed, the Knights and Daughters of Tabor split, and Dr. Howard became chief of surgery at Friendship Clinic, founded by the United Order of Friendship of America in 1948. Some reports (Dr. Walker, 1973) indicated the clinic was later named Sarah Brown Hospital. It was built across the street from the Taborian. Fraternal hospitals were the original self-help and mutual aid model in the segregated south. (During those years, there were many self-help programs in black communities, one of the most well-known being Lt. Lawrence Oxley’s work in child welfare in North Carolina). Both hospitals merged into the federally funded Mound Bayou Community Hospital in 1967 with the establishment of the Delta Health Center (Beito). The hospital finally closed in 1983, in large part due to loss of federal funding.
The Delta Health Center also had a significant role in both providing quality health care, and holistic environmental change. The Delta Health Center was grounded in a belief that (1) health care could be a point for social change, (2) health care was a right, not a privilege, and (3) it could promote empowerment by giving community members control of services (Dr. Jack Geiger, one of the founders of DHC). Geiger first learned these principles while studying community-oriented primary health care in South Africa. Dr. Sydney Kark served impoverished black communities by focusing on primary care, preventive medicine and health promotion. In addition to medical services for disease, the South African model focused on the environment: sanitation and nutrition. Geiger implemented these methods in Mound Bayou, and the health center was as likely to drill wells for access to clean water or build sanitary privies as they were to dispense medication and treatment.
It is interesting to note that at about the same time Dr. Geiger was in South Africa studying Kark’s model for community-oriented health care, Dr. Howard and the Taborian Hospital, in conjunction with support from Meharry Medical College, were implementing a similar approach in Mound Bayou. At least part of the decline of the fraternal hospitals resulted from the infusion of federal monies and the inability of fraternal hospitals to compete due to loss of membership base and increased cost of technology. With the loss of federal dollars during the cutbacks of the Reagan years and later, but no longer with the self-help mutual aid that had been part of the foundation of the community, what is next?