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Dr. Anna Sarah Kugler (19 April 1856 – 26 July 1930) was the first medical missionary of the
Evangelical Lutheran General Synod of the United States of North America The Evangelical Lutheran General Synod of the United States of America, commonly known as the General Synod, was a historical Lutheran denomination in the United States. Established in 1820, it was the first national Lutheran body to be formed in ...
. She served in India for 47 years. She founded a
hospital A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
in
Guntur Guntur () is a city and the administrative headquarters of Guntur district in the Indian state of Andhra Pradesh. Guntur is spread across 168.49 km square and is the third-largest city in the state. It is situated to the west of the Ba ...
which was later named for her.


Early life and education

She was born in Ardmore, Montgomery County,
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
, on April 19, 1856, to Charles Kugler and Harriet S. Sheaff. She attended a private school in Bryn Mawr and graduated from Friends' Central High School in
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Sinc ...
. She then attended the
Woman's Medical College of Pennsylvania The Woman's Medical College of Pennsylvania (WMCP) was founded in 1850, and was the second medical institution in the world established to train women in medicine to earn the M.D. degree. The New England Female Medical College had been established ...
, graduating in 1879. She interned for two years in the Women's Department of the
Norristown State Hospital Norristown State Hospital, originally known as the ''State Lunatic Hospital at Norristown'', is an active state-funded psychiatric hospital located outside the city of Philadelphia in suburban Norristown, Pennsylvania, Norristown, Pennsylvania. It ...
.


Medical career

In 1882 she received a letter from the Reverend Adam D. Rowe, a Lutheran missionary serving in India, suggesting that India urgently needed medical missionaries to serve women. She decided to apply for sponsorship to the Woman's Home and Foreign Missionary Society of the
General Synod The General Synod is the title of the governing body of some church organizations. Anglican Communion The General Synod of the Church of England, which was established in 1970 replacing the Church Assembly (Church of England), Church Assembly, is t ...
of the Lutheran Church in America. The Synod board said it was "not yet ready to undertake work of this kind" (i.e., medical mission) but was willing to send her to India as a teacher for Muslim women living in harems. She accepted the assignment because she was sure she could eventually convince the board to establish medical work in India, and she wanted to be in at the beginning. On August 25, 1883, she sailed for India, arriving on November 29, 1883. She was assigned to Guntur in the state of
Andhra Pradesh Andhra Pradesh (, abbr. AP) is a state in the south-eastern coastal region of India. It is the seventh-largest state by area covering an area of and tenth-most populous state with 49,386,799 inhabitants. It is bordered by Telangana to the ...
. In addition to her teaching duties, she practised medicine for the local women, who had previously received only primitive medical care. Her work was hampered by limitations of caste and race - as a white woman she was regarded as "unclean" by high-caste Hindus - but she said, "it was all in the way of opening up the path for those who came later." Despite the restrictions, during her first year in Guntur she treated 185 patients at their homes, and 276 at the Zenana Home where she lived. Her motto was "Ourselves Your Servants for Jesus' Sake." She continued her teaching and was placed in charge of the Hindu Girls School and the Girls Boarding School. In December 1885 she was finally appointed a medical missionary. She immediately began planning for a hospital and a dispensary. From 1889 to 1891 she was back in the United States on furlough; she used the time to complete her postgraduate work and study hospital-building and equipment. When she returned to India she was able to purchase an 18-acre plot of land with the donations generated by the goodwill she had earned and also with help from her fellow missionaries who collected money for her. A dispensary was opened on the land in February 1893, and later that year the cornerstone for the American Evangelical Lutheran Mission Hospital was laid. The hospital itself opened on June 23, 1897. It was a 50-bed hospital and was regarded as one of the best in India. Bhuyanga Rao Bahadur of Ellore, a local
Raja ''Raja'' (; from , IAST ') is a royal title used for South Asian monarchs. The title is equivalent to king or princely ruler in South Asia and Southeast Asia. The title has a long history in South Asia and Southeast Asia, being attested f ...
, became a supporter of Dr. Kugler's work after she treated his wife and delivered their son, and he donated the "Rao Chinnamagari Satram" as a rest-house opposite the hospital, where Hindu families could stay while their relatives were being treated. In 1895 she was finally released from other mission duties and was able to devote herself full-time to medical work. In addition to her duties at the dispensary and hospital, she worked to open dispensaries in other villages throughout South India; raised funds for a children's ward, maternity ward and operating room in the hospital; and did medical work in
Rentachintala Rentachintala is a village in Palnadu district of the Indian state of Andhra Pradesh. It is located in Rentachintala mandal of Gurazala revenue division. Etymology The name Rentachintala or Reattachment is said to have originated from ''Rendu ...
. While on furlough in the United States in 1928, she wrote ''Guntur Mission Hospital'', an autobiography intended as a guide to future medical missionaries.


Recognition

In recognition of her work she was twice (1905 and 1917) awarded the
Kaisar-i-Hind Medal The Kaisar-i-Hind Medal for Public Service in India was a medal awarded by the Emperor/Empress of India between 1900 and 1947, to "any person without distinction of race, occupation, position, or sex ... who shall have distinguished himself (o ...
, an award of distinction bestowed on civilians of any nationality who rendered services to the
British Raj The British Raj (; from Hindi ''rāj'': kingdom, realm, state, or empire) was the rule of the British Crown on the Indian subcontinent; * * it is also called Crown rule in India, * * * * or Direct rule in India, * Quote: "Mill, who was himsel ...
. She fell ill from exhaustion in 1925 and returned to the United States for two years to recuperate. She then returned to India to carry on her work despite having
pernicious anemia Pernicious anemia is a type of vitamin B12 deficiency anemia, a disease in which not enough red blood cells are produced due to the malabsorption of vitamin B12. Malabsorption in pernicious anemia results from the lack or loss of intrinsic fa ...
. She died at her own hospital in Guntur on July 26, 1930. She was buried in Guntur though there is a memorial to her in the Saint Paul's Lutheran Cemetery in
Ardmore, Pennsylvania Ardmore is an unincorporated community and census-designated place (CDP) spanning the border between Delaware and Montgomery counties in the U.S. state of Pennsylvania. The population was 12,455 at the 2010 census and had risen to 13,566 in the ...
. Shortly before her death she is reported to have said to Dr. Ida Scudder, her colleague and close associate, "I would like to get well and work longer, for I would like to feel I had served India for fifty years, and I have served only forty-seven." After her death the hospital she had founded was renamed Kugler Hospital in her honor.


References


Further reading

* * {{DEFAULTSORT:Kugler, Anna Sarah Female Christian missionaries Christian medical missionaries American women physicians Lutheran missionaries in India American Lutheran missionaries Recipients of the Kaisar-i-Hind Medal 1856 births 1930 deaths Woman's Medical College of Pennsylvania alumni American expatriates in India