“…In the second stage, a physician was required to perform a medical procedure, and in the third, final stage, counseling would be able to focus on education, which had to be masked in earlier stages by more immediately desirable services. 61 The activities of counseling bureaux for mothers and children addressed improving and adjusting the social, health, and living conditions of families, based on general hygiene principles, thus setting standards of health, child welfare, and family behavior. Organizing public health care that would minimize the mortality rate, together with the betterment of social conditions for families without causing a fear of social decline was seen as the best way to prevent a real population decline.…”