Early in the twentieth century, a growing child welfare movement led to the establishment of the first federal agency in the world, the U.S. Children's Bureau, designated to investigate and report on the circumstances of children. Appointed in 1912, the agency's first director, Julia Lathrop, focused on infant mortality, beginning with a year's study in Johnstown, Pennsylvania. The work stimulated a national effort to “save babies.” The Bureau's efforts led to the Sheppard-Towner Act of 1921, which funded educational and diagnostic work to lower the nation's high infant mortality rate. But this type of effort was short-lived. The article describes the course of the agency's work in the Progressive Era and evaluates its effect on current child welfare policy, a key area in the ongoing controversy over “welfare reform” and the role of the federal government in the provision of human services.
