RISING ANEW

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RISING ANEWHEALTH AT THE HEART OF HEALING

A photo book on the rehabilitation and rebuilding of Yolanda-ravaged hospitals

RISING ANEWHEALTH AT THE HEART OF HEALING

A photo book on the rehabilitation and rebuilding of Yolanda-ravaged hospitals

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This book was developed by the Department of Health with support from the World Health Organization 2IÀFH�RI�WKH�5HSUHVHQWDWLYH�LQ�WKH�3KLOLSSLQHV��7KH�FRQWULEXWLRQV�RI�WKH�IROORZLQJ�LQVWLWXWLRQV��RIÀFHV�DQG�UHVRXUFH�SHUVRQV�DUH�JUDWHIXOO\�DFNQRZOHGJHG��

Acknowledgement

Dr. Teodoro J. Herbosa8QGHUVHFUHWDU\�RI�+HDOWK1DWLRQDO�&DSLWDO�5HJLRQ�DQG�0HWUR�0DQLOD�Hospitals Operations ClusterDr. Paulyn Jean B. Rosell-Ubial$VVLVWDQW�6HFUHWDU\�RI�+HDOWKVisayas Operations ClusterAtty. Nicolas B. Lutero III$VVLVWDQW�6HFUHWDU\�RI�+HDOWK6XSSRUW�WR�6HUYLFH�'HOLYHU\�7HFKQLFDO�&OXVWHU�,,,�DQG�'LUHFWRU�,9+HDOWK�)DFLOLWLHV�DQG�6HUYLFHV�5HJXODWRU\�%XUHDXDr. Jose R. Llacuna, Jr.'LUHFWRU�,95HJLRQDO�2IÀFH�IRU�(DVWHUQ�9LVD\DV$UFK��0DULD�5HEHFFD�0��3HxDÀHO'LUHFWRU�,,,+HDOWK�)DFLOLW\�'HYHORSPHQW�%XUHDX

Dr. Lilibeth C. DavidCluster Head Designate+HDOWK�3ROLF\�)LQDQFH�DQG�5HVHDUFK�'HYHORSPHQW�&OXVWHU�DQG�'LUHFWRU�,9+HDOWK�3ROLF\�'HYHORSPHQW�DQG�3ODQQLQJ�%XUHDXDr. Roland L. Cortez$VVLVWDQW�6HFUHWDU\�RI�+HDOWK6XSSRUW�WR�6HUYLFH�'HOLYHU\�7HFKQLFDO�&OXVWHU�,�Dr. Ivanhoe C. Escartin2IÀFHU�,Q�&KDUJH��'LUHFWRU�,9+HDOWK�3URPRWLRQ�DQG�&RPPXQLFDWLRQ�6HUYLFHMs. Maylene M. Beltran'LUHFWRU�,9%XUHDX�RI�,QWHUQDWLRQDO�+HDOWK�&RRSHUDWLRQDr. Arnel Z. Rivera2IÀFHU�,Q�&KDUJH��'LUHFWRU�,,,+HDOWK�(PHUJHQF\�0DQDJHPHQW�%XUHDX

7KLV�ERRN�ZDV�SURGXFHG�ZLWK�WKH�WHFKQLFDO�DVVLVWDQFH�RI�Dr. Lester S. A. Geroy��Dr. James Salisi��Dr. Miguel Antonio Salazar and Atty. Abdel Jamal Disangcopan of the World Health Organization 3KLOLSSLQHV�&RXQWU\�2IÀFH��

3KRWRV�FRQWULEXWHG�E\�WKH�2IÀFH�RI�WKH�6HFUHWDU\�RI�+HDOWK��GRFXPHQWDU\�SKRWRV�WDNHQ�E\Mr. Roderick Lirios��ERRN�OD\RXW�GHVLJQ�DQG�LPDJH�SRVW�SURFHVVLQJ�E\�Mr. Timothy Laurie Y. Ang�

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Foreword

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Message from the DOH Secretary

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Enrique T. Ona, M.D.Secretary of the Department of Health

vii

Message from the WHO Representative to the Philippines

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Table of Contents

Acknowledgement iiForeword iiiMessage from the DOH Secretary vMessage from the WHO Representative to the Philippines viiIntroduction 1

Chapter 1 Hospitals, Disasters and Building Back Better 3Typhoon Yolanda 5+RVSLWDOV�LQ�WKH�3KLOLSSLQH�+HDOWK�6\VWHP� �5HGXFLQJ�5LVN�IURP�([WUHPH�:HDWKHU�(YHQWV� ��+RVSLWDOV�6DIH�IURP�'LVDVWHUV�²�)URP�&DPSDLJQ�WR�$FWLRQ� ��

Chapter 2 Surviving Typhoon Yolanda and Rising Anew 15*RYHUQPHQW�+RVSLWDOV� ��

(DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU� ��7DFOREDQ�&LW\�+RVSLWDO� ��/H\WH�3URYLQFLDO�+RVSLWDO� ��2UPRF�'LVWULFW�+RVSLWDO� ��3DORPSRQ�*HQHUDO�+RVSLWDO��'U��0DQXHO�%��9HORVR�0HPRULDO�+RVSLWDO�� ��$EX\RJ�'LVWULFW�+RVSLWDO� ��%DODQJLJD�'LVWULFW�+RVSLWDO��$OELQR�0��'XUDQ�0HPRULDO�+RVSLWDO�� ��)HOLSH�$EULJR�0HPRULDO�+RVSLWDO� ��%DVH\�'LVWULFW�+RVSLWDO� ��

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Chapter 3 Tools and References 115*XLGHOLQHV�LQ�WKH�3ODQQLQJ�DQG�'HVLJQ�RI�D�+RVSLWDO�DQG�2WKHU�+HDOWK�)DFLOLWLHV� ���(QVXULQJ�$FFHVVLELOLW\�RI�+RVSLWDO�%XLOGLQJV�� ���+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV� ���

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Typhoon Yolanda devastated several regions LQ�WKH�3KLOLSSLQHV�ZKHQ�LW�PDGH�ODQGIDOO�RQ���1RYHPEHU�������,W�ZDV�WKH�VWURQJHVW�HYHU�UHFRUGHG�W\SKRRQ�WR�KLW�WKH�FRXQWU\�LQ�UHFHQW�KLVWRU\��7KH�GDPDJHV�WR�OLIH�DQG�SURSHUW\�ZHUH�VWDJJHULQJ��7KH�HVWLPDWHG�GDPDJH�WR�WKH�SXEOLF�KHDOWK�VHFWRU�DORQH�FRVW�3+3������ELOOLRQ��86'����PLOOLRQ���3+3�������PLOOLRQ��86'������PLOOLRQ��RI�ZKLFK�ZHUH�LQ�LQIUDVWUXFWXUH�DQG�3+3�����PLOOLRQ��86'�����PLOOLRQ��LQ�HTXLSPHQW�ORVVHV��7KH�GDPDJH�WR�WKH�SULYDWH�KHDOWK�VHFWRU�FRVW�DQ�HVWLPDWHG�3+3������ELOOLRQ��1DWLRQDO�(FRQRPLF�'HYHORSPHQW�$JHQF\��1('$�������� 7KH�'HSDUWPHQW�RI�+HDOWK��'2+���DORQJ�ZLWK�RWKHU�QDWLRQDO�JRYHUQPHQW�DJHQFLHV��LV�ZRUNLQJ�WLUHOHVVO\�WR�DGGUHVV�WKH�QHHGV�RI�DIIHFWHG�SRSXODWLRQV��,W�KDV�EHHQ�ZRUNLQJ�ZLWK�ORFDO�DQG�LQWHUQDWLRQDO�SDUWQHUV�DQG�ORFDO�JRYHUQPHQW�XQLWV�WR�HQVXUH�WKH�IXQFWLRQDOLW\�RI�KHDOWK�IDFLOLWLHV�DQG�WR�PDNH�KHDOWK�VHUYLFHV�DFFHVVLEOH�DQG�DYDLODEOH�WR�WKH�SHRSOH�

:LWK�WKH�FROOHFWLYH�HIIRUWV�RI�WKH�JRYHUQPHQW��LQWHUQDWLRQDO�SDUWQHUV��EXVLQHVV�JURXSV�DQG�SULYDWH�VHFWRU��WKH�FRPPXQLWLHV�WKDW�KDYH�suffered and survived the typhoon are getting EDFN�RQ�WKHLU�IHHW��7HPSRUDU\�VKHOWHUV�KDYH�EHHQ�

VHW�XS�IRU�WKRVH�ZKR�KDYH�ORVW�WKHLU�KRPHV��+HOS�KDV�EHHQ�H[WHQGHG�WR�WKRVH�ZKR�QHHGHG�UHOLHI�DQG�VHUYLFHV�IRU�KHDOWK�DQG�VRFLDO�ZHOIDUH�KDYH�EHHQ�SURYLGHG�WR�HYHU\RQH��+RZHYHU��PXFK�PRUH�UHPDLQV�WR�EH�GRQH�LQ�RUGHU�WR�UHFRYHU�IXOO\�IURP�the damage wrought by Typhoon Yolanda and HPHUJH�PRUH�UHVLOLHQW�WKDQ�HYHU�EHIRUH�

:LWK�WKLV�LQ�PLQG��WKH�3KLOLSSLQH�JRYHUQPHQW�LV�steadfast in its resolve to fund and implement SURJUDPV�WR�HQVXUH�WKDW�UHFRYHU\�LV�FRPSOHWH�DFURVV�DOO�DIIHFWHG�VHFWRUV�LQ�5HJLRQV������������DQG����,Q�OLQH�ZLWK�WKLV��VHYHUDO�GRQRUV�KHUH�DQG�DEURDG�DQG�ERWK�ORFDO�DQG�LQWHUQDWLRQDO�SDUWQHU�RUJDQL]DWLRQV�KDYH�VLJQLÀFDQWO\�FRQWULEXWHG�WR�WKH�UHFRQVWUXFWLRQ�DQG�UHFRYHU\�HIIRUWV�RI�WKH�JRYHUQPHQW��7KH�JRYHUQPHQW�LQWHQGV�WR�EXLOG�EDFN�EHWWHU��LQ�RUGHU�WR�HQVXUH�WKDW�WKH�FDWDVWURSKLF�ORVVHV�DUH�QRW�UHSHDWHG�

7KH�'2+�LV�OHDGLQJ�WKH�ZD\�LQ�EXLOGLQJ�EDFN�EHWWHU�WKH�KHDOWK�VHFWRU��,Q�SDUDOOHO�ZLWK�SURYLGLQJ�YLWDO�KHDOWK�VHUYLFHV��WKH�'HSDUWPHQW�KDV�EHHQ�working tirelessly to ensure that programs and V\VWHPV�DUH�LQ�SODFH�WR�UHKDELOLWDWH�DQG�EXLOG�EDFN�WKH�GDPDJHG�KHDOWK�IDFLOLWLHV��WKDW�GLVDVWHU�SUHSDUHGQHVV�DQG�UHVLOLHQFH�DUH�SDUW�RI�DOO�KHDOWK�IDFLOLWLHV·�VWDQGDUG�RSHUDWLQJ�SURFHGXUHV�DQG�

Introduction

2

that the lessons learned from this disaster are GRFXPHQWHG�DQG�DSSOLHG�LQ�WKH�'HSDUWPHQW·V�ZRUN��7KH�'2+�LV�QRW�DORQH�LQ�FDUU\LQJ�RXW�WKLV�ZRUN��:LWK�WKH�KHOS�RI�ORFDO�DQG�LQWHUQDWLRQDO�SDUWQHUV��PDQ\�FRPPXQLWLHV�KDYH�EHHQ�KHOSHG�DQG�ORFDO�JRYHUQPHQW�XQLWV�DUH�EHQHÀWLQJ�IURP�WKHLU�DVVLVWDQFH��

$�SULPH�H[DPSOH�RI�WKLV�FRRSHUDWLRQ�LV�WKH�'2+·V�partnership with the World Health Organization (WHO) right from the beginning of the response WR�7\SKRRQ�<RODQGD�DQG�WKURXJKRXW�WKH�UHFRYHU\�SKDVH��7KH�WZR�RUJDQL]DWLRQV�KDYH�ZRUNHG�KDQG�LQ�KDQG�WR�FRRUGLQDWH�WKH�HIIRUWV�RI�DOO�FRQFHUQHG�DJHQFLHV��QRQ�JRYHUQPHQW�RUJDQL]DWLRQV�DQG�IRUHLJQ�JRYHUQPHQWV�WR�KHOS�WKH�DIIHFWHG�DUHDV��They have also worked to gather support from all VHFWRUV�RI�VRFLHW\�LQ�RUGHU�WR�PRELOL]H�UHVRXUFHV�DQG�GLUHFW�WKHP�WR�UHFRYHU\�DQG�EXLOGLQJ�EDFN�EHWWHU��7KLV�FRRSHUDWLRQ�LV�VXSSRUWHG�LQ�SDUW�E\�WKH�SXEOLFDWLRQ�RI�FRPPXQLFDWLRQ�PDWHULDOV��WR�SUHVHQW�LQ�SLFWXUHV�ZKDW�ZRUGV�FRXOG�QRW�

7KLV�SKRWR�ERRN�LV�WKH�VHFRQG�ERRN�RQ�KHDOWK�IDFLOLWLHV�WKDW�ZHUH�GDPDJHG�E\�7\SKRRQ�<RODQGD��7KH�ÀUVW�ERRN�KLJKOLJKWHG����EDGO\�GDPDJHG�&RPPXQLW\�+HDOWK�&HQWHUV��&+&V���DOVR�NQRZQ�DV�5XUDO�+HDOWK�8QLWV��5+8V���LQ�WKH�SURYLQFHV�RI�/H\WH��6DPDU�DQG�(DVWHUQ�6DPDU��DQG�FRSLHV�RI�LW�KDYH�EHHQ�ZLGHO\�GLVWULEXWHG�E\�WKH�'2+�DQG�:+2�

This hospital photo book highlights the vital role of KRVSLWDOV�LQ�FRSLQJ�ZLWK�GLVDVWHUV��WHOOV�WKH�VWRULHV�of health workers who survived the typhoon and helped out in the aftermath and presents the WRROV�IRU�EXLOGLQJ�EDFN�EHWWHU�

7KH�ERRN�LV�GLYLGHG�LQWR�WKUHH�FKDSWHUV��&KDSWHU�1 provides an overview of the role of hospitals GXULQJ�GLVDVWHUV��GHVFULEHV�WKH�GDPDJH�ZURXJKW�E\�7\SKRRQ�<RODQGD�WR�WKH�KHDOWK�IDFLOLWLHV�DQG�SUHVHQWV�WKH�FRQFHSWV�RI�VDIHU�KRVSLWDOV�DQG�EXLOGLQJ�EDFN�EHWWHU��&KDSWHU���KLJKOLJKWV�WKH�H[SHULHQFH�DQG�VWRULHV�RI�VXUYLYDO�DQG�ULVLQJ�DQHZ�RI�WKH�KHDOWK�ZRUNHUV��QLQH�JRYHUQPHQW�KRVSLWDOV��IRXU�SULYDWH�KRVSLWDOV�DQG�WKUHH�WUDLQLQJ�LQVWLWXWLRQV�LQ�5HJLRQ����,W�DOVR�GHVFULEHV�WKH�KHDOWK�VHFWRU·V�SODQV�IRU�UHFRYHU\�DQG�UHFRQVWUXFWLRQ��/DVWO\��&KDSWHU���SUHVHQWV�D�VXPPDU\�RI�XVHIXO�WRROV�RQ�KRZ�WR�EXLOG�EDFN�EHWWHU��VXFK�DV�QDWLRQDO�VWDQGDUGV�RQ�KHDOWK�IDFLOLWLHV��VDIHU�KRVSLWDOV��KHDOWK�FDUH�ZDVWH�PDQDJHPHQW�DQG�PHQWDO�KHDOWK��,W�LV�KRSHG�that this book will be useful in remembering the OHVVRQV�RI�7\SKRRQ�<RODQGD�DQG�LQ�PRYLQJ�IRUZDUG�

3

HOSPITALS, DISASTERS AND BUILDING BACK BETTER

1

In confronting the escalating effects of climate change, the resources of countries like the Philippines will be strained to the limit. Let me assure you: we know that we cannot allow ourselves to be trapped in a vicious cycle of GHVWUXFWLRQ�DQG�UHFRQVWUXFWLRQ��:H�NQRZ�WKDW�LW�LV�PRUH�HIÀFLHQW�WR�SULRULWL]H�resilience now, rather than to keep rebuilding. This is why we are going to BUILD BACK BETTER.

Benigno S. Aquino III President of the Philippines

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5&KDSWHU���+RVSLWDOV��'LVDVWHUV�DQG�%XLOGLQJ�%DFN�%HWWHU

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,Q�WKH�W\SKRRQ·V�ZDNH������������IDPLOLHV�ZHUH�DIIHFWHG�LQ�5HJLRQV���$����%���������������������DQG�&$5$*$��GLVSODFLQJ���������IDPLOLHV�LQ�WKH�SURFHVV��0RUH�WKDQ�D�PLOOLRQ�KRXVHV�ZHUH�GHVWUR\HG��,Q�WRWDO��LW�FDXVHG�3+3����ELOOLRQ��86'���ELOOLRQ��ZRUWK�RI�GDPDJHV�WR�LQIUDVWUXFWXUH��SURGXFWLYLW\��VRFLDO�DQG�FURVV�VHFWRUDO�DVSHFWV�RI�OLIH�LQ�WKH�DIIHFWHG�UHJLRQV��1DWLRQDO�'LVDVWHU�5LVN�5HGXFWLRQ�DQG�0DQDJHPHQW�&RXQFLO���������$V�RI���1RYHPEHU�������RQ�WKH�HYH�RI�RQH�\HDU�DIWHU�<RODQGD��WKH�JRYHUQPHQW�KDV�OLVWHG�������GHDG���������LQMXUHG�DQG�������SHRSOH�PLVVLQJ�

7KH�WRWDO�GDPDJH�WR�WKH�SXEOLF�KHDOWK�VHFWRU�LV�HVWLPDWHG�DW�3+3������ELOOLRQ��86'����PLOOLRQ���RI�ZKLFK�3+3�������PLOOLRQ��86'������PLOOLRQ��LQ�LQIUDVWUXFWXUH�DQG�3+3�����PLOOLRQ��86'�����PLOOLRQ��LQ�HTXLSPHQW�ORVVHV��'DPDJH�WR�WKH�SULYDWH�KHDOWK�VHFWRU�LV�HVWLPDWHG�DW�3+3������ELOOLRQ��1('$��������

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Table 1 Number of health facilities damaged by Typhoon Yolanda (Department of Health Health

Facility Development Bureau, 2014)

Typhoon Yolanda

Region/ Province No. of Hospitals Affected

No. of Rural Health Units/Community Health Centers

Affected

No. of Barangay Health Stations/Centers Affected

5HJLRQ�� 21 53 113/H\WH 15 �� 63(DVWHUQ�6DPDU 5 10 36Western Samar 1 2 ��

6 &KDSWHU���+RVSLWDOV��'LVDVWHUV�DQG�%XLOGLQJ�%DFN�%HWWHU

5HJLRQ�� 2 15 ��Cebu 2 15 ��5HJLRQ�� 16 �� 225Aklan 3 10 �Antique 1 5 �Capiz 5 �� ���,ORLOR � 5 ��1HJURV�2FFLGHQWDO 3 � �5HJLRQ��% 23DODZDQ 2 � �Total �� �� ���

$�WRWDO�RI����JRYHUQPHQW�KRVSLWDOV�VXVWDLQHG�VWUXFWXUDO�GDPDJHV�GXH�WR�WKH�VWURQJ�ZLQGV�DQG�RU�WKH�VWRUP�VXUJH��7KH�PDMRULW\�RI�WKHVH�KRVSLWDOV�DV�ZHOO�DV�SULYDWH�KRVSLWDOV�KDG�WR�VWRS�DGPLWWLQJ�SDWLHQWV�LQWR�WKHLU�ZDUG�DQG�KDG�WR�VFDOH�GRZQ�WKHLU�RSHUDWLRQV�WR�ÀUVW�DLG�WUHDWPHQW�DQG�HPHUJHQF\�GHOLYHULHV�LI�QRW�WRWDOO\�FHDVH�RSHUDWLRQV��7KH�IROORZLQJ�WDEOH�OLVWV�WKH�KRVSLWDOV�WKDW�ZHUH�GDPDJHG�E\�7\SKRRQ�<RODQGD�

Table 2 List of Damaged Hospitals (Department of Health Health Facility Development Bureau, 2014)

Region 8/H\WH(DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU ,VDEHO�&RPPXQLW\�+RVSLWDO/H\WH�3URYLQFLDO�+RVSLWDO 2UPRF�'LVWULFW�+RVSLWDO6FKLVWRVRPLDVLV�&RQWURO�DQG�5HVHDUFK�+RVSLWDO 3DORPSRQ�*HQHUDO�+RVSLWDO

�'U��0DQXHO�%��9HORVR�0HPRULDO�+RVSLWDO�&DULJDUD�'LVWULFW�+RVSLWDO $EX\RJ�'LVWULFW�+RVSLWDOVillaba Community Hospital :HVWHUQ�/H\WH�3URYLQFLDO�+RVSLWDO

�'U��-RVH�6LODR�0HPRULDO�+RVSLWDO�1RUWKZHVWHUQ�/H\WH�'LVWULFW�+RVSLWDO Kananga Community Hospital

�&KDSWHU���+RVSLWDOV��'LVDVWHUV�DQG�%XLOGLQJ�%DFN�%HWWHU

Tabango Community Hospital(DVWHUQ�6DPDU+RPRQKRQ�,VODQG�&RPPXQLW\�+RVSLWDO %DODQJLJD�'LVWULFW�+RVSLWDO

�$OELQR�0��'XUDQ�0HPRULDO�+RVSLWDO�Quinapondan Community Hospital )HOLSH�$EULJR�0HPRULDO�+RVSLWDO��*XLXDQ(DVWHUQ�6DPDU�3URYLQFLDO�+RVSLWDO��%RURQJDQ

Western Samar%DVH\�'LVWULFW�+RVSLWDORegion 7Cebu'DDQEDQWD\DQ�'LVWULFW�+RVSLWDO %DQWD\DQ�'LVWULFW�+RVSLWDORegion 6Aklan'U��5DIDHO�6��7XPERNRQ�0HPRULDO�'LVWULFW�+RVSLWDO 'U��5DPRQ�/HJDVSL�0HPRULDO�+RVSLWDO$OWDYDV�'LVWULFW�+RVSLWDOAntique3HGUR�/��*LQGDS�0XQLFLSDO�+RVSLWDOCapiz5R[DV�0HPRULDO�3URYLQFLDO�+RVSLWDO(old site and Outpatient Department at new site)

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0DEXVDR�'LVWULFW�+RVSLWDO 'XPDUDR�0HGLFDUH�+RVSLWDO,ORLOR-HVXV�0��&ROPHQDUHV�0HPRULDO�'LVWULFW�+RVSLWDO 6DUD�'LVWULFW�+RVSLWDO%DURWFD�9LHMR�0XQLFLSDO�+RVSLWDO Western Visayas Sanitarium1HJURV�2FFLGHQWDO7HUHVLWD�-DODQGRQL�0HPRULDO�3URYLQFLDO�+RVSLWDO 9LFHQWH�*XVWLOOR�0HPRULDO�+RVSLWDO&DGL]�'LVWULFW�+RVSLWDORegion 4B3DODZDQ&XOLRQ�6DQLWDULXP�DQG�*HQHUDO�+RVSLWDO &RURQ�'LVWULFW�+RVSLWDO

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7\SKRRQ�<RODQGD�VWUHWFKHG�WKH�FDSDFLW\�RI�KHDOWK�IDFLOLWLHV�WR�WKH�OLPLW��7KH�VWDII�ZKR�UHPDLQHG�LQ�WKH�KRVSLWDO�GXULQJ�WKH�W\SKRRQ·V�ODQGIDOO�KDG�WR�VWD\�RQ�IRU�GD\V�WR�WHQG�WR�WKH�PHGLFDO�QHHGV�RI�WKH�DGPLWWHG�SDWLHQWV�DQG�WR�KHOS�WKRVH�ZKR�FDPH�LQ�ZKHQ�WKH�ZLQG��UDLQ�DQG�VWRUP�VXUJH�VXEVLGHG��7KH�KRVSLWDO�VWDII�ZKR�ZHUH�DW�KRPH�ZKHQ�WKH�W\SKRRQ�KLW�KDG�WR�KHOS�WKHPVHOYHV�ÀUVW�EHIRUH�WKH\�FRXOG�UHSRUW�EDFN�WR�ZRUN��7KH�PDMRULW\�RI�WKH�KRVSLWDOV�LQ�WKH�DIIHFWHG�UHJLRQV�FRQWLQXHG�WR�WUHDW�LQMXUHG�SDWLHQWV�GD\V�DIWHU�WKH�W\SKRRQ�EXW�PDQ\�KDG�WR�VWRS�RSHUDWLRQV�EHFDXVH�RI�WKH�GDPDJHV�WKDW�WKH\�VXVWDLQHG��,Q�5HJLRQ���WKH�(DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU�HPHUJHG�DV�WKH�ODVW�KRVSLWDO�VWDQGLQJ��GHVSLWH�KDYLQJ�EHHQ�LQXQGDWHG�DQG�GDPDJHG�E\�WKH�W\SKRRQ�LWVHOI�

7KH�KRVSLWDOV�EHFDPH�D�UHIXJH�IRU�WKH�ZRXQGHG�DQG�VHUYHG�DV�VWDJLQJ�SRLQWV�IRU�ODUJHU�DQG�ZLGHU�UHOLHI�RSHUDWLRQV�WR�DIIHFWHG�DUHDV��0DQ\�SHRSOH�ZHUH�KHOSHG�E\�WKH�KRVSLWDOV�EXW�PDQ\�PRUH�FRXOG�KDYH�EHHQ�KHOSHG�

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Hospitals in the Philippine Health System

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10 &KDSWHU���+RVSLWDOV��'LVDVWHUV�DQG�%XLOGLQJ�%DFN�%HWWHU

Table 4 New Classification of General Hospitals

Hospitals Level 1 Level 2 Level 3&OLQLFDO�6HUYLFHV�for inpatients

&RQVXOWLQJ�6SHFLDOLVWV�LQ��0HGLFLQH��3DHGLDWULFV��2%�*<1(��6XUJHU\

/HYHO���SOXV�DOO� /HYHO���SOXV�DOO�

Departmentalized &OLQLFDO�6HUYLFHV

7HDFKLQJ�WUDLQLQJ�ZLWK�DFFUHGLWHG�UHVLGHQF\�WUDLQLQJ�SURJUDP�LQ�WKH���PDMRU�FOLQLFDO�VHUYLFHV

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Table 3 New Classification of Hospitals and Other Health Facilities

Hospitals Other Health Facilities*HQHUDO $��3ULPDU\�&DUH�)DFLOLW\/HYHO�� %��&XVWRGLDO�&DUH�)DFLOLW\/HYHO�� &��'LDJQRVWLF��7KHUDSHXWLF�)DFLOLW\/HYHO����7HDFKLQJ��7UDLQLQJ�6SHFLDOW\ '��6SHFLDOL]HG�RXWSDWLHQW�)DFLOLW\

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2QH�RI�WKH�VWUDWHJLF�WKUXVWV�RI�8QLYHUVDO�+HDOWK�&DUH�RU�Kalusugan Pangkalahatan is to aim for improved DFFHVV�WR�TXDOLW\�KRVSLWDOV�DQG�KHDOWK�FDUH�IDFLOLWLHV��,Q�OLQH�ZLWK�WKLV��WKH�'2+�VWUHQJWKHQHG�WKH�LPSOHPHQWDWLRQ�RI�WKH�+HDOWK�)DFLOLWLHV�(QKDQFHPHQW�3URJUDP��+)(3��HVWDEOLVKHG�XQGHU�'HSDUWPHQW�2UGHU�1R��������������HQWLWOHG�´Guidelines and Procedures for the Implementation of the Government Hospital Upgrading Project under the CY2008 Health Facilities Enhancement Program Funds of the DOH�µ�+)(3�DLPV�WR�LPSURYH�H[LVWLQJ�KHDOWK�IDFLOLWLHV��PDQ\�RI�ZKLFK�DUH�GHFDGHV�ROG�DQG�LQ�QHHG�RI�UHSDLU��DQG�WR�DXJPHQW�WKH�FDSDFLW\�RI�ORFDO�KHDOWK�V\VWHPV�WR�LQFUHDVH�DFFHVV�RI�WKH�SRRU�WR�TXDOLW\�KHDOWK�FDUH��7KH�PDLQ�JRDO�RI�WKH�SURJUDP�LV�WR�LPSURYH�WKH�GHOLYHU\�RI�EDVLF��HVVHQWLDO�DQG�VSHFLDOL]HG�KHDOWK�VHUYLFHV��7KURXJK�+)(3��SULPDU\�KHDOWK�FDUH�IDFLOLWLHV�ZLOO�EH�UHYLWDOL]HG�DQG�KRVSLWDOV�RI�GLIIHUHQW�OHYHOV�ZLOO�EH�UDWLRQDOL]HG�DQG�GHFRQJHVWHG��0RUH�WKDQ�3+3���ELOOLRQ�KDV�EHHQ�DOORFDWHG�IRU�WKH�LPSOHPHQWDWLRQ�RI�WKLV�SURJUDP�LQ�������'HSDUWPHQW�RI�+HDOWK��������

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Table 5 List of Government Hospitals

No. Province Municipality Hospital Name1 /H\WH 7DFOREDQ�&LW\ (DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU2 /H\WH 7DFOREDQ�&LW\ 7DFOREDQ�&LW\�+RVSLWDO3 /H\WH 3DOR /H\WH�3URYLQFLDO�+RVSLWDO� /H\WH 2UPRF 2UPRF�'LVWULFW�+RVSLWDO5 /H\WH 3DORPSRQ 3DORPSRQ�*HQHUDO�+RVSLWDO

�'U��0DQXHO�%��9HORVR�0HPRULDO�+RVSLWDO�6 /H\WH Abuyog $EX\RJ�'LVWULFW�+RVSLWDO� (DVWHUQ�6DPDU %DODQJLJD %DODQJLJD�'LVWULFW�+RVSLWDO

�$OELQR�0��'XUDQ�0HPRULDO�+RVSLWDO�� (DVWHUQ�6DPDU *XLXDQ )HOLSH�$EULJR�0HPRULDO�+RVSLWDO��*XLXDQ� Western Samar %DVH\ %DVH\�'LVWULFW�+RVSLWDO

Table 6 List of Private Hospitals

No. Province Municipality Hospital1 (DVWHUQ�6DPDU *XLXDQ� ,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDO2 /H\WH 7DFOREDQ�&LW\ Divine Word Hospital3 /H\WH 7DFOREDQ�&LW\ %HWKDQ\�+RVSLWDO� /H\WH 7DFOREDQ�&LW\ 0RWKHU�RI�0HUF\�+RVSLWDO

Table 7 List of Training Institutions

No. Province Municipality Name1 /H\WH 3DOR 83�0DQLOD�6FKRRO�RI�+HDOWK�6FLHQFHV2 /H\WH 7DFOREDQ 5HPHGLRV�7ULQLGDG�5RPXDOGH]�0HGLFDO�)RXQGDWLRQ3 /H\WH 3DOR 5HJLRQDO�+HDOWK�7UDLQLQJ�&HQWHU

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EASTERN VISAYAS REGIONAL MEDICAL CENTER

Health facility name: (DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU��(950&�Health facility short code: ����Level: ���7HDFKLQJ�DQG�WUDLQLQJ�KRVSLWDO�Bed capacity: ���Ownership: Department of HealthHealth workforce:

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(PHUJHQF\�PHGLFDO�VHUYLFHV��JHQHUDO�VXUJHU\��LQWHUQDO�PHGLFLQH��SHGLDWULFV��REVWHWULFV�DQG�J\QHFRORJ\��IDPLO\�DQG�FRPPXQLW\�PHGLFLQH��RUWKRSHGLFV��UDGLRORJ\��RSKWKDOPRORJ\��HDUV��QRVH�DQG�WKURDW��SV\FKLDWU\��UHKDELOLWDWLRQ��GHQWDO�PHGLFLQH�DQG�EORRG�EDQN�

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PhilHealth accredited: YesEstimated cost of damage

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Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

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TACLOBAN CITY HOSPITAL

Health facility name: 7DFOREDQ�&LW\�+RVSLWDOHealth facility short code: 5013Level: 1Bed capacity: 25Ownership:�&LW\�*RYHUQPHQW�RI�7DFOREDQHealth workforce:

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PhilHealth accredited: YesEstimated cost of damage

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Tacloban City Hospital

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LEYTE PROVINCIAL HOSPITAL

Health facility name: /H\WH�3URYLQFLDO�+RVSLWDOHealth facility short code: ���Level: 2Bed capacity: 100Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:

�� 'RFWRUV������� 1XUVHV�����

Estimated population served: ���������Catchment areas: 5HJLRQ��Average no. of patients (per day): ���Services:

2XWSDWLHQW�VHUYLFHV,QWHUQDO�PHGLFLQH2EVWHWULFV�DQG�J\QHFRORJ\3DHGLDWULFVSurgery

PhilHealth accredited: YesEstimated cost of damage

Equipment: No data availableInfrastructure:�3+3�����������

Availability of medicines: All the timeMedical records:�3DSHU�EDVHG

3DOR��/H\WH�����·��µ�N������·��µ�E

Plans for reconstruction:5HSDLUV�ZHUH�GRQH�E\�'2+��0HUF\�0DOD\VLD�DQG�WKH�.RUHDQ�$UP\��7KH�UHKDELOLWDWLRQ�ZLOO�EH�IXQGHG�E\�'2+�

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/H\WH�3URYLQFLDO�+RVSLWDO�DIWHU�repair by partners

4XLFN�À[�GRQH�RQ�WKH�URRI�WR�PDNH�WKH�KRVSLWDO�IXQFWLRQDO�DJDLQ

(TXLSPHQW��UHFRUGV�DQG�furniture damaged by the typhoon

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The roofs, walls and windows of one of the buildings of the

hospital need to be repaired and the surrounding debris removed.

36

ORMOC DISTRICT HOSPITAL

Health facility name: 2UPRF�'LVWULFW�+RVSLWDOHealth facility short code: ����Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:

�� 'RFWRUV������� 1XUVHV������� 0LGZLYHV������Dentists (0)�� $X[LOOLDU\�VWDII�����

Estimated population served: �������Catchment areas: 2UPRF�&LW\��0DWDJ�RE��0HUL�GD��.DQDQJD��$OEXHUDAverage no. of patients (per day): �������Services:

(PHUJHQF\�FDUH�VHUYLFHVAdmissions2XWSDWLHQW�FOLQLFV�/DERUDWRU\�GLDJQRVWLF�VHUYLFHV

PhilHealth accredited: YesEstimated cost of damage

Equipment: 3+3����������Infrastructure:�3+3����������

/LOLD�$YHQXH��2UPRF�&LW\��/H\WH����·��µ�N�������·��µ�E

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

5HKDELOLWDWLRQ�RI�WKH�LQWHUQDO�PHGLFLQH�ZDUGV�ZDV�FRPSOHWHG�ZLWK�VXSSRUW�IURP�0HUF\�0DOD\VLD��$OO�RWKHU�UHKDELOLWDWLRQ�DQG�UHFRQVWUXFWLRQ�ZLOO�EH�IXQGHG�E\�'2+�

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Repairs starting to take shape

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$QRWKHU�SDWLHQW�FDOPO\�waiting for his turn

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PALOMPON GENERAL HOSPITAL (Dr. Manuel B. Veloso Memorial Hospital)

Health facility name: 3DORPSRQ�*HQHUDO�+RVSLWDO��'U��0DQXHO�%��9HORVR�0HPRULDO�Hospital)Health facility short code: ���Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:

�� 'RFWRUV������Nurses (23)�� 0LGZLYHV�������Dentists (2)

Estimated population served: �������Catchment areas: ,VDEHO��3DORPSRQ�7DEDQJR��VillabaAverage no. of patients (per day): ������Services:

(PHUJHQF\�FDUH�VHUYLFHVAdmissions2XWSDWLHQW�FOLQLFV�/DERUDWRU\�GLDJQRVWLF�VHUYLFHV

PhilHealth accredited: Yes

0DELQL�6WUHHW����·��µ�N�������·��µ�E

Estimated cost of damage Equipment: 3+3����������Infrastructure:�3+3����������

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

*LIW�RI�WKH�*LYHUV�6RXWK�$IULFD�UHSDLUHG�WKH�GDPDJHG�ZDUGV�DQG�URRÀQJ�RI�WKH�KRVSLWDO��6DYH�WKH�&KLOGUHQ�FRQVWUXFWHG�D�WUDQVLWLRQDO�SHGLDWULFV�ZDUG��7KH�3URYLQFLDO�*RYHUQPHQW�RI�/H\WH�LV�JRLQJ�WR�EXLOG�D�QHZ�KRVSLWDO�

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6WRFNV�RI�VXSSOLHV�GRQDWHG�WR�3DORPSRQ�*HQHUDO�Hospital

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,QWHULRU�RI�UHSDLUHG�ZDUG�DW�3DORPSRQ�*HQHUDO�+RVSLWDO�with new beds from donors

6DYH�WKH�&KLOGUHQ�FRQVWUXFWHG�D�ZDUG�IRU�FKLOGUHQ�

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ABUYOG DISTRICT HOSPITAL

Health facility name: $EX\RJ�'LVWULFW�+RVSLWDOName of Respondent/ Designation:

'U��)HOLFLGDG�'��6DOHV2IÀFHU�,Q�&KDUJH��&KLHI�RI�+RVSLWDO

Health facility short code: ���Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:

�� 'RFWRUV������ 1XUVHV������� 0LGZLYHV������Dentist (1)�� $X[LOOLDU\�VWDII������ 3KDUPDFLVW������ 0HGLFDO�WHFKQRORJLVW����

Estimated population served: �������Catchment areas: $EX\RJ��0D\RUJD��0F$UWKXU��-DYLHUServices:

2XWSDWLHQW�VHUYLFHV(PHUJHQF\�FDUH

PhilHealth accredited: Yes

$EX\RJ��/H\WH�����·��µ�N������·��µ�E

Estimated cost of damage Equipment: 3+3��������Infrastructure:�3+3����������

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

5HFRQVWUXFWLRQ�DQG�UHKDELOLWDWLRQ�ZLOO�EH�IXQGHG�E\�'2+�

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What remains of the medical records of Abuyog District Hospital

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At the Emergency Room of Abuyog District Hospital

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X-ray machine repaired and ready to be used again

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5RRIV��ZDOOV�DQG�FHLOLQJV�ZHUH�UHSDLUHG�E\�ORFDO�DQG�IRUHLJQ�

teams with materials donated E\�WKH�SHRSOH�RI�$EX\RJ�

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BALANGIGA DISTRICT HOSPITAL

Health facility name: $OELQR�0��'XUDQ�0HPRULDO�+RVSLWDOName of Respondent/ Designation:

'U��%HQHGLFWR�2��*DUFLDChief of Hospital

Health facility short code: ���Level: :LWK�WHPSRUDU\�/LFHQVH�WR�2SHUDWH�DV�,QÀUPDU\�IRU�������&XUUHQWO\�IRU�XSJUDGLQJ�WR�/HYHO���+RVSLWDOBed capacity: 25Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�(DVWHUQ�SamarHealth workforce:

�� 'RFWRUV������ 1XUVHV������ 0LGZLYHV������Dentists (2)�� $X[LOOLDU\�VWDII�����

Estimated population served: ������Catchment areas: %DODQJLJD��/DZDDQ��*LSRUORV��4XLQDSRQGDQServices:

2XWSDWLHQW�VHUYLFHV(PHUJHQF\�FDUH

%DODQJLJD��(DVWHUQ�6DPDU����·��µ�N�������·��µ�E

1DWLRQDO�7XEHUFXORVLV�3URJUDP([SDQGHG�3URJUDP�RQ�,PPXQL]DWLRQ$QLPDO�%LWH�&HQWHU

PhilHealth accredited: YesEstimated cost of damage

Equipment: 3+3����������Infrastructure:�3+3�����������

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

5HFRQVWUXFWLRQ�ZLOO�EH�MRLQWO\�GRQH�E\�WKH�,QWHUQDWLRQDO�&RPPLWWHH�RI�WKH�5HG�&URVV��,&5&��DQG�WKH�'2+�

(Albino M. Duran Memorial Hospital)

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$0'0�6WDII

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Tent and clinic in a can from ICRC are used as temporary clinics while the

hospital is yet be repaired.

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$0'0�PHGLFDO�UHFRUGV�destroyed

([WHQW�RI�GDPDJH�WR�WKH�KRVSLWDO

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FELIPE ABRIGO MEMORIAL HOSPITAL

Health facility name: )HOLSH�$EULJR�0HPRULDO�HospitalName of Respondent/ Designation:

'U��/LOLD�'��'DJXLQRGChief of Hospital

Health facility short code: ����Level: 1Bed capacity: 50Ownership:�3URYLQFLDO�*RYHUQPHQWHealth workforce:

�� 'RFWRUV������ 1XUVHV������� 0LGZLYHV������Dentists (0)�� $X[LOOLDU\�VWDII�����

Estimated population served: �������Catchment areas: +HUQDQL��0DF$UWKXU��*XLXDQ��6DOFHGR��0HUFHGHVServices:

,QWHUQDO�PHGLFLQH*HQHUDO�VXUJHU\2EVWHWULFV�DQG�J\QHFRORJ\3DHGLDWULFV

PhilHealth accredited: Yes

*XLXDQ��(DVWHUQ�6DPDU����·�µ�N�������·�µ�E (transitional site)

Estimated cost of damage Equipment: 3+3����������Infrastructure:�3+3�����������

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

A transitional hospital was made possible WKURXJK�WKH�VXSSRUW�RI�0pGHFLQV�6DQV�)URQWLqUHV��06)��%HOJLXP��06)�FRPSOHWHG�handover of the transitional hospital to the 3URYLQFLDO�*RYHUQPHQW�RQ�-XO\�����������7KH�.RUHDQ�,QWHUQDWLRQDO�&RRSHUDWLRQ�$JHQF\��.2,&$��LV�FRPPLWWHG�WR�UHFRQVWUXFWLQJ�WKH�QHZ�SHUPDQHQW�KRVSLWDO�

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Signage for the transitional hospital

60

Interior of transitional hospital ER

Covered walkways connecting the different wards and offices of the transitional hospital

constructed with the assistance of MSF Belgium

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([WHQW�RI�GDPDJH�WR�WKH�old hospital building

([WHQW�RI�GDPDJH�WR�WKH�old hospital building

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BASEY DISTRICT HOSPITAL

Health facility name: %DVH\�'LVWULFW�+RVSLWDOName of Respondent/ Designation:

$OPD�$��0DUDQJD$FWLQJ�$GPLQLVWUDWLYH�2IÀFHU

Health facility short code: ����Level: ,QÀUPDU\Bed capacity: 25Ownership:�3URYLQFLDO�*RYHUQPHQWHealth workforce:

�� 3HUPDQHQW�UHVLGHQW�SK\VLFLDQV������ 9LVLWLQJ�FRQVXOWDQWV����

Estimated population served: �������Catchment areas: 0DUDEXW��6WD�5LWD�DQG�%DVH\Services:

2XWSDWLHQW�VHUYLFHV,QWHUQDO�PHGLFLQHSurgery2EVWHWULFV�DQG�J\QHFRORJ\%DVLF�GLDJQRVWLF�ODERUDWRU\�VHUYLFHV

PhilHealth accredited: YesEstimated cost of damage

Equipment: 3+3��������Infrastructure:�3+3����������

6DQ�0LJXHO�6WUHHW��%DVH\��:HVWHUQ�6DPDU�����·��µ�N������·��µ�E

Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

5HKDELOLWDWLRQ�ZLOO�EH�GRQH�E\�,&5&�DQG�'2+�

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LV�EHLQJ�UHSDLUHG�

7HPSRUDU\�FOLQLFV�KHOG�LQ�tents while the hospital is

being repaired

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,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDODivine Word Hospital%HWKDQ\�+RVSLWDO0RWKHU�RI�0HUF\�+RVSLWDO

PRIvATE HOSPITAlS

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IMMACULATE CONCEPTION CLINIC AND HOSPITAL

Health facility name: ,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDOName of Respondent/ Designation:

'U��$OIUHGR�3HUH]Health facility short code: No data availableLevel: 1Bed capacity: 15Ownership:�3ULYDWHHealth workforce:

�� 'RFWRUV������Nurses (22)�� 0LGZLYHV������Dentists (0)

Estimated population served: �������Catchment areas: +HUQDQL��0DF$UWKXU��*XLXDQ��6DOFHGR��0HUFHGHVServices:

2XWSDWLHQW�VHUYLFHV,QWHUQDO�PHGLFLQHSurgery2EVWHWULFV�DQG�J\QHFRORJ\%DVLF�GLDJQRVWLF�ODERUDWRU\�VHUYLFHV

PhilHealth accredited: Yes

*XLXDQ��(DVWHUQ�6DPDU����·��µ�N�������·��µ�E

Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

7KH�KRVSLWDO�LV�IXOO\�IXQFWLRQDO�DIWHU�UHSDLUV�have been done but the equipment that ZDV�ORVW�PD\�WDNH�WLPH�WR�EH�UHSODFHG��The hospital has applied for the interim UHLPEXUVHPHQW�VFKHPH�IURP�3KLO+HDOWK��ZKLFK�LV�D�VFKHPH�IRU�KRVSLWDOV�DQG�UXUDO�KHDOWK�XQLWV��5+8V��WR�DYDLO�RI�DV�WKH\�ZHUH�EDGO\�GDPDJHG�E\�7\SKRRQ�<RODQGD��,W�LV�DQ�DGYDQFH�SD\PHQW�VFKHPH�IRU�KRVSLWDOV�GRZQ�WR�5+8V�RU�FOLQLFV�WKDW�DUH�EHLQJ�XWLOL]HG�IRU�ELUWKLQJ�

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DIVINE WORD HOSPITAL

Health facility name: Divine Word HospitalName of Respondent/ Designation:

6LVWHU�$PDGHD�'RUQDGLOOD��26%�²�Administrator6LVWHU�$QD�0DULD�5DFD��26%�²�)LQDQFH�'LUHFWRU0V��%DUEHWWH�6��&RVWHOR�²�$VVW��'LUHFWRU�RI�Nursing

Health facility short code: No data availableLevel: 3Bed capacity: �����DV�SHU�/LFHQVH�WR�2SHUDWH�DV�RI������Ownership:�3ULYDWH��PLVVLRQ�Health workforce:

�� 'RFWRUV��������Nurses (152)�� 0LGZLYHV�������Dentists (3)

Estimated population served: ���������Catchment areas: 5HJLRQ��Services:

Tertiary7HDFKLQJ�7UDLQLQJ��SHGLDWULFV�DQG�LQWHUQDO�PHGLFLQH�

$YHQLGD�9HWHUDQRV��7DFOREDQ�&LW\�����·��µ�N������·��µ�E

PhilHealth accredited: Yes �&HQWHU�RI�([FHOOHQFH�Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:

5HSDLUV�DUH�EHLQJ�FRPSOHWHG��7KH�KRVSLWDO�KDV�UHFHLYHG�GRQDWLRQV�WKDW�KDYH�HQDEOHG�LW�WR�SURFXUH�HTXLSPHQW�DQG�IXQG�WKH�UHFRQVWUXFWLRQ�RI�WKH�KRVSLWDO�

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WR�GHFUHDVH�ULVN�RI�GDPDJH�IURP�ÁRRGV�

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1HZ�PHGLFDO�DQG�GLDJQRVWLF�HTXLSPHQW�LV�QRZ�SODFHG�RQ�

WKH�VHFRQG�ÁRRU��D�OHVVRQ�WKH\�learnt from the typhoon when all equipment were inundated

EHFDXVH�WKH\�ZHUH�RQ�WKH�JURXQG�ÁRRU�

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The emergency room is now completely rehabilitated and

functional.

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BETHANY HOSPITAL

Health facility name: %HWKDQ\�+RVSLWDOName of Respondent/ Designation:

0DULIH�*DUÀQ&KLHI�1XUVH��3URJUDP�&RRUGLQDWRU

Health facility short code: No data availableLevel: 3Bed capacity: 125Ownership:�3ULYDWHHealth workforce:

�� 'RFWRUV������ » 5HVLGHQWV�LQ�WUDLQLQJ����� » Consultants (100)

�� 1XUVHV�������� 0LGZLYHV������Dentists (2)�� $X[LOOLDU\�VWDII������

Estimated population served: ���������Catchment areas: 5HJLRQ��Services:

Tertiary�'�HFKR&7�VFDQ(QGRVFRS\

PhilHealth accredited: Yes

5HDO�6WUHHW��7DFOREDQ�&LW\�����·��µ�N������·��µ�E

Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�(OHFWURQLFPlans for reconstruction:

5HSDLUV�DUH�SXW�RQ�KROG�XQWLO�WKH�SHQGLQJ�labor dispute involving the hospital is UHVROYHG�

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MOTHER OF MERCY HOSPITAL

Health facility name: 0RWKHU�RI�0HUF\�+RVSLWDOName of Respondent/ Designation:

6LVWHU�0D��/RXUGHV�*��$PDVFXDO��560Hospital Administrator*LQD�/XLVLWD�%��&DGDOHV�0RUDOORVChief Nurse

Health facility short code: No data availableLevel: 2Bed capacity: 50Ownership:�3ULYDWHHealth workforce:

�� 'RFWRUV������� 1XUVHV������� 0LGZLYHV������Dentists (1)�� $X[LOOLDU\�VWDII�����

Estimated population served: No data availableCatchment areas: 6DPDU�DQG�/H\WH�3URYLQFHVServices: /HYHO���VHUYLFHVPhilHealth accredited: Yes (Center of Quality)Estimated cost of damage

Equipment: 3+3����������Infrastructure:�3+3����������

Availability of medicines: All the time

%��$TXLQR�$YH���%UJ\�����%�<RXQJÀHOG��7DFOREDQ�&LW\�����·��µ�N�������·��µ�E

Medical records:�3DSHU�EDVHGPlans for reconstruction:

+XPHGLFD�,QWHUQDWLRQDO�IXQGHG�WKH�UHFRQVWUXFWLRQ�RI�WKH�KRVSLWDO��,W�DOVR�DXJPHQWHG�WKH�FDSDFLW\�RI�WKH�KRVSLWDO�LQ�WHUPV�RI�KXPDQ�UHVRXUFHV�DQG�RSHUDWLRQV�IRU�VL[�PRQWKV�DIWHU�WKH�W\SKRRQ�

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Finishing repairs to the ceiling

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7KH�WUDLQLQJ�LQVWLWXWLRQV�LQFOXGHG�LQ�WKLV�VHFWLRQ�KDYH�VXSSOLHG�WKH�ORFDO�KHDOWK�V\VWHP�ZLWK�PXFK�QHHGHG�KHDOWK�ZRUNIRUFH��7KH�8QLYHUVLW\�RI�WKH�3KLOLSSLQHV�0DQLOD�6FKRRO�RI�+HDOWK�6FLHQFHV�LQ�3DOR��/H\WH�KDV�D�XQLTXH�SURJUDP�GHGLFDWHG�WR�WKH�HGXFDWLRQ�RI�VFKRODUV�IURP�UXUDO�FRPPXQLWLHV��ZKR�DUH�VSRQVRUHG�E\�WKHLU�ORFDO�JRYHUQPHQW�XQLWV�WR�SXUVXH�PLGZLIHU\��QXUVLQJ�DQG�HYHQWXDOO\�PHGLFLQH��,Q�UHWXUQ��WKH\�JR�EDFN�WR�WKHLU�FRPPXQLWLHV�WR�VHUYH�ZKHQ�WKH\�ÀQLVK�D�FRXUVH�EHIRUH�WKH\�FDQ�PRYH�RQ�WR�WKH�QH[W�LQ�WKH�ODGGHUL]HG�FXUULFXOXP�

7KH�5HPHGLRV�7��5RPXDOGH]�0HGLFDO�)RXQGDWLRQ�LV�D�SULYDWHO\�RZQHG�WUDLQLQJ�LQVWLWXWLRQ�IRU�PHGLFLQH�DQG�DOOLHG�PHGLFDO�SURIHVVLRQV��,W�DFFHSWV�VWXGHQWV�IURP�DOO�RYHU�5HJLRQ���ZKR�ZDQW�WR�SXUVXH�FDUHHUV�LQ�WKH�KHDOWK�VHFWRU��7KH�foundation owns one of the biggest hospitals in the region and is training JURXQG�IRU�WKH�VWXGHQWV�RI�WKH�VFKRRO�

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TRAInInG InSTITuTIOnS

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UNIVERSITY OF THE PHILIPPINES MANILA SCHOOL OF HEALTH SCIENCES

7KH�8QLYHUVLW\�RI�WKH�3KLOLSSLQHV�0DQLOD�6FKRRO�RI�+HDOWK�6FLHQFHV��830�6+6��ZDV�IRXQGHG�LQ������LQ�UHVSRQVH�WR�WKH�SUREOHP�of brain drain and maldistribution of health ZRUNHUV�LQ�WKH�FRXQWU\��,W�SLRQHHUHG�D�VWHS�ODGGHU�FXUULFXOXP�WR�WUDLQ�VWXGHQWV�WR�SURJUHVV�IURP�EHFRPLQJ�EDUDQJD\��FRPPXQLW\��KHDOWK�ZRUNHUV��WR�PLGZLYHV��WR�QXUVHV�DQG�ÀQDOO\�SK\VLFLDQV��*UDGXDWHV�DUH�UHTXLUHG�WR�UHQGHU�VHUYLFH�WR�WKHLU�FRPPXQLWLHV�LQ�EHWZHHQ�HDFK�WUDLQLQJ�SURJUDP��7KH�VFKRRO�KDV�HGXFDWHG�PRUH�WKDQ�������VFKRODUV�ZKR�KDYH�UHPDLQHG�and served in the most remote areas in the FRXQWU\��

7KH�FDPSXV�LQ�3DOR��/H\WH�ZDV�FRPSOHWHO\�damaged and all of the buildings were FRPSOHWHO\�VWULSSHG�RI�WKHLU�URRIV��7KH�DGPLQLVWUDWLRQ�RI�83�0DQLOD�KDV�VWDUWHG�SODQQLQJ�IRU�WKH�UHFRQVWUXFWLRQ��,Q�WKH�PHDQWLPH��VWXGHQWV�DQG�IDFXOW\�DUH�KRVWHG�DW�WKH�83�FDPSXV�LQ�7DFOREDQ��LQ�WHQWV�GRQDWHG�E\�WKH�%XGGKLVW�7]X�&KL�)RXQGDWLRQ�

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Temporary shelter, donated by Taiwan Buddhist Tzu Chi Foundation, is

used as classrooms for the displaced students of UPM SHS.

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Students of UPM SHS were among the first responders to give first aid to injured survivors in the aftermath of the typhoon.

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,QWHULRU�RI�830�6+6�EXLOGLQJV

100

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Stairs leading to UPM SHS building

102

Interior of UPM SHS building

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Facade of RTRMF Hospital

106

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Remaining damage to the hospital that needs

to be repaired

One of the private rooms for patients converted into a temporary

dormitory for the students of RTRMF

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The rehabilitated physical therapy and rehabilitation clinic

of RTRMF

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to the hospital

110

REGIONAL HEALTH TRAINING CENTER, PALO, LEYTE

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Repairs on-going

112

Repairs on-going

113

After repairs – “Built back better”

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TOOLS AND REFERENCES3

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Guidelines in the Planning and Design of a Hospital and Other Health Facilities

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����� 7KH�QXUVLQJ�VHUYLFH�VKDOO�EH�VHJUHJDWHG�IURP�SXEOLF�DUHDV��7KH�QXUVH�VWDWLRQ�VKDOO�EH�ORFDWHG�WR�SHUPLW�YLVXDO�REVHUYDWLRQ�RI�SDWLHQWV��1XUVH�VWDWLRQV�VKDOO�EH�SURYLGHG�LQ�DOO�LQSDWLHQW�XQLWV�RI�WKH�KRVSLWDO�ZLWK�D�UDWLR�RI�DW�OHDVW�RQH�����QXUVH�VWDWLRQ�IRU�HYHU\�WKLUW\�ÀYH������EHGV��5RRPV�DQG�ZDUGV�VKDOO�EH�RI�VXIÀFLHQW�VL]H�WR�DOORZ�IRU�ZRUNÁRZ�DQG�SDWLHQW�PRYHPHQW��7RLOHWV�VKDOO�EH�LPPHGLDWHO\�DFFHVVLEOH�IURP�URRPV�DQG�ZDUGV�

����� 7KH�GLHWDU\�VHUYLFH�VKDOO�EH�DZD\�IURP�WKH�PRUJXH�ZLWK�DW�OHDVW����PHWHU�GLVWDQFH������ 7KH�ZDUGV�VKDOO�REVHUYH�VHJUHJDWLRQ�RI�VH[HV��6HSDUDWH�WRLOHWV�VKDOO�EH�PDLQWDLQHG�IRU�

SDWLHQWV�DQG�SHUVRQQHO��PDOH�DQG�IHPDOH��ZLWK�D�UDWLR�RI�RQH�����WRLOHW�IRU�HYHU\�HLJKW�����SDWLHQWV�RU�SHUVRQQHO�

����Space: $GHTXDWH�DUHD�VKDOO�EH�SURYLGHG�IRU�SHRSOH��DFWLYLWLHV��IXUQLWXUH��HTXLSPHQW�DQG�XWLOLWLHV�

Table 1 Standard Space Requirements for a Hospital

Space Area in sqm$GPLQLVWUDWLYH�6HUYLFH/REE\

Waiting Area �����SHUVRQ,QIRUPDWLRQ�DQG�5HFHSWLRQ �����VWDIIToilet ����

%XVLQHVV�2IÀFH �����VWDII

0HGLFDO�5HFRUGV �����VWDII&KLHI�RI�+RVSLWDO�2IÀFH �����VWDII/DXQGU\�DQG�/LQHQ�$UHD �����VWDII0DLQWHQDQFH�DQG�Housekeeping Area

�����VWDII

3DUNLQJ�$UHD�IRU�7UDQVSRUW�9HKLFOH ����6XSSO\�5RRP �����VWDII

121&KDSWHU���7RROV�DQG�5HIHUHQFHV

:DVWH�+ROGLQJ�5RRP ����Dietary

'LHWLWLDQ�2IÀFH �����VWDII6XSSO\�5HFHLYLQJ�$UHD ����Cold and Dry Storage Area ����)RRG�3UHSDUDWLRQ�$UHD ����&RRNLQJ�DQG�%DNLQJ�$UHD ����Serving and Food Assembly Area

����

Washing Area ����*DUEDJH�'LVSRVDO�$UHD ����Dining Area �����SHUVRQToilet ����

&DGDYHU�+ROGLQJ�5RRP �����EHG&OLQLFDO�6HUYLFH(PHUJHQF\�5RRP

Waiting Area �����SHUVRQToilet ����Nurse Station �����VWDII6XSSO\�5HFHLYLQJ�$UHD ����([DPLQDWLRQ�DQG�7UHDWPHQW�$UHD�ZLWK�/DYDWRU\�6LQN

�����EHG

Observation Area �����EHG(TXLSPHQW�DQG�6XSSO\�Storage Area

����

:KHHOHG�6WUHWFKHU�$UHD �����VWUHWFKHUOutpatient Department

Waiting Area �����SHUVRQToilet ����$GPLWWLQJ�DQG�5HFRUGV�$UHD �����VWDII

([DPLQDWLRQ�DQG�7UHDWPHQW�$UHD�ZLWK�/DYDWRU\�6LQN

�����EHG

Consultation Area �����VWDII6XUJLFDO�DQG�2EVWHWULFDO�6HUYLFH

0DMRU�2SHUDWLQJ�5RRP �����'HOLYHU\�5RRP �����6XE�VWHULOL]LQJ�$UHD ����6WHULOH�,QVWUXPHQW��6XSSO\�and Storage Area

����

6FUXE�XS�$UHD ����&OHDQ�XS�$UHD ����'UHVVLQJ�5RRP ����Toilet ����Nurse Station �����VWDII:KHHOHG�6WUHWFKHU�$UHD �����VWUHWFKHU-DQLWRU·V�&ORVHW ����

Nursing Unit6HPL�SULYDWH�5RRP�Z��7RLOHW �����EHG3ULYDWH�5RRP �����EHGToilet ����,VRODWLRQ�5RRP�ZLWK�7RLOHW ����Nurse Station �����VWDII7UHDWPHQW�DQG�0HGLFDWLRQ�$UHD�ZLWK�/DYDWRU\�6LQN

����

&HQWUDO�6WHULOL]LQJ�DQG�6XSSO\�5RRP5HFHLYLQJ�DQG�5HOHDVLQJ�Area

�����VWDII

Work Area �����VWDII6WHULOL]LQJ�5RRP ����Sterile Supply Storage Area ����

122 &KDSWHU���7RROV�DQG�5HIHUHQFHV

1XUVLQJ�6HUYLFH&KLHI�1XUVH�2IÀFH �����VWDII$QFLOODU\�6HUYLFH3ULPDU\�&OLQLFDO�/DERUDWRU\

&OLQLFDO�:RUN�$UHD�ZLWK�/DYDWRU\�6LQN

�����

3DWKRORJLVW�$UHD �����VWDIIToilet ����

5DGLRORJ\;�UD\�5RRP�ZLWK�&RQWURO�%RRWK��'UHVVLQJ�$UHD�DQG�Toilet

�����

'DUN�5RRP ����Film File and Storage Area ����5DGLRORJLVW�$UHD �����VWDII

3KDUPDF\ �����

Notes:��� �����SHUVRQ�²�8QLW�DUHD�SHU�SHUVRQ�RFFXS\LQJ�WKH�VSDFH�DW�RQH�WLPH��� �����VWDII�²�:RUN�DUHD�SHU�VWDII�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����GHVN�DQG�RQH�����FKDLU�VSDFH�IRU�

RFFDVLRQDO�YLVLWRU�DQG�VSDFH�IRU�DLVOH��� �����SHUVRQ�²�8QLW�DUHD�SHU�SHUVRQ�RFFXS\LQJ�WKH�VSDFH�DW�RQH�WLPH��� �����EHG�²�&OHDU�ÁRRU�DUHD�SHU�EHG�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����EHG��VSDFH�IRU�RFFDVLRQDO�YLVLWRU�

DQG�VSDFH�IRU�SDVVDJH�RI�HTXLSPHQW��� �����VWUHWFKHU�²�&OHDU�ÁRRU�DUHD�SHU�VWUHWFKHU�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����VWUHWFKHU

123&KDSWHU���7RROV�DQG�5HIHUHQFHV

Ensuring Accessibility of Hospital Buildings

7KH�$FFHVVLELOLW\�/DZ�RU�%DWDV�3DPEDQVD�����SURYLGHV�IRU�PLQLPXP�UHTXLUHPHQWV�DQG�VWDQGDUGV�RQ�KRZ�WR�PDNH�EXLOGLQJV�DQG�IDFLOLWLHV�IRU�SXEOLF�XVH�DFFHVVLEOH�IRU�SHUVRQV�ZLWK�GLVDELOLWLHV��3:'V���7KLV�ODZ�DLPV�WR�HQKDQFH�WKH�PRELOLW\�RI�3:'V�E\�UHTXLULQJ�FHUWDLQ�EXLOGLQJV��LQVWLWXWLRQV�DQG�SXEOLF�XWLOLWLHV�WR�LQVWDOO�IDFLOLWLHV�DQG�RWKHU�GHYLFHV��1DWLRQDO�&RXQFLO�RQ�'LVDELOLW\�$IIDLUV��������

,Q�WKH�DIWHUPDWK�RI�D�GLVDVWHU�DQG�LQ�UHEXLOGLQJ�WKH�VWUXFWXUHV�WKDW�ZHUH�GHVWUR\HG��WKLV�ODZ�VKRXOG�EH�WDNHQ�LQWR�DFFRXQW��7KH�ULVH�LQ�GLVDELOLWLHV�IURP�LQMXULHV�VXIIHUHG�GXULQJ�D�GLVDVWHU�OLNH�7\SKRRQ�<RODQGD�VKRXOG�SURPSW�EXLOGHUV�WR�HQVXUH�WKDW�JXLGHOLQHV�VHW�E\�WKH�$FFHVVLELOLW\�/DZ�DUH�DGKHUHG�WR��7KH�GHVLJQ�RI�KRVSLWDOV�DQG�RWKHU�KHDOWK�IDFLOLWLHV�PXVW�FRQVLGHU�DFFHVVLELOLW\�IRU�DOO��LQFOXGLQJ�WKRVH�ZLWK�PRELOLW\��YLVXDO��KHDULQJ��VSHHFK��PHQWDO�DQG�LQWHOOHFWXDO�LPSDLUPHQWV�

7KH�$FFHVVLELOLW\�/DZ�GHÀQHV�VL[�EDVLF�SK\VLFDO�SODQQLQJ�UHTXLUHPHQWV��5XOH�,,��6HFWLRQ�������QDPHO\���� $FFHVVLELOLW\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�VR�WKDW�LW�VKDOO�EH�DFFHVVLEOH�WR�DOO�SHRSOH��

7KLV�PHDQV�WKDW�QR�FULWHULD�VKDOO�LPSHGH�WKH�XVH�RI�IDFLOLWLHV�E\�HLWKHU�WKH�3:'�RU�QRQ�3:'�FLWL]HQV���� 5HDFKDELOLW\�²�3URYLVLRQV�VKDOO�EH�DGDSWHG�DQG�LQWURGXFHG�WR�WKH�SK\VLFDO�HQYLURQPHQW�VR�WKDW�DV�

PDQ\�SODFHV�RU�EXLOGLQJV�DV�SRVVLEOH�FDQ�EH�UHDFKHG�E\�DOO���� 8VDELOLW\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�VR�WKDW�DOO�SHUVRQV��ZKHWKHU�KDYLQJ�GLVDELOLWLHV�RU�

QRW��PD\�XVH�DQG�HQMR\�LW���� 2ULHQWDWLRQ�²�)LQGLQJ�D�SHUVRQ·V�ZD\�LQVLGH�DQG�RXWVLGH�RI�D�EXLOGLQJ�RU�RSHQ�VSDFH�VKDOO�EH�PDGH�

HDV\�IRU�HYHU\RQH���� 6DIHW\�²�'HVLJQLQJ�IRU�VDIHW\�LQVXUHV�WKDW�SHRSOH�VKDOO�EH�DEOH�WR�PRYH�DERXW�ZLWK�OHVV�KD]DUGV�WR�OLIH�

DQG�KHDOWK���� :RUN�$ELOLW\�DQG�(IÀFLHQF\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�WR�DOORZ�3:'V�WR�SDUWLFLSDWH�

DQG�FRQWULEXWH�WR�GHYHORSPHQW�JRDOV�

��� &KDSWHU���7RROV�DQG�5HIHUHQFHV

7KH�IROORZLQJ�WDEOH�GHVFULEHV�WKH�PLQLPXP�UHTXLUHPHQWV�IRU�DFFHVVLELOLW\�IRU�SXEOLF�EXLOGLQJV�DQG�IDFLOLWLHV�WDNHQ�IURP�$FFHVVLELOLW\�LQ�3RVW�<RODQGD�3KLOLSSLQHV��*XLGDQFH�1RWH�LQ�$SSO\LQJ�/DZ�DQG�6WDQGDUGV�LQ�<RODQGD�DIIHFWHG�$UHDV�

Table 2 Minimum Requirements for Accessibility for Public Buildings and Facilities

Accessibility Feature Planning Principle$��2XWVLGH�DQG�$URXQG�%XLOGLQJV��� Dropped Curbs �� &KDQJHV�LQ�OHYHO�ZDONZD\V�VKRXOG�EH�E\�D�GURSSHG�FXUE�

�� 'URSSHG�FXUEV�VKRXOG�EH�SURYLGHG�DW�SHGHVWULDQ�FURVVLQJV�DQG�DW�WKH�HQG�RI�ZDONZD\V�RI�D�SULYDWH�VWUHHW�RU�DFFHVV�URDG�

��� &XUE�&XW�RXWV

��� Walkways and 3DVVDJHZD\V

�� :DONZD\V�VKRXOG�EH�NHSW�DV�OHYHO�DV�SRVVLEOH�DQG�SURYLGHG�ZLWK�VOLS�UHVLVWDQW�PDWHULDO�

�� :DONZD\V�VKRXOG�SURYLGH�FOHDU��REVWUXFWLRQ�IUHH��OHYHO��FRQWLQXRXV�DQG�ZLGH�SDWKZD\V�IRU�WKH�FRQYHQLHQFH�RI�DOO�XVHUV��HVSHFLDOO\�EOLQG�SHRSOH�DQG�SHRSOH�ZLWK�PRELOLW\�SUREOHPV�

��� Handrails �� Handrails should be installed at both sides of ramps and stairs at the RXWHU�HGJHV�RI�GURSSHG�FXUEV�WR�DYRLG�ULVNV�RI�IDOO�

�� +DQGUDLOV�DW�GURSSHG�FXUEV�VKRXOG�QRW�EH�LQVWDOOHG�EH\RQG�WKH�ZLGWK�RI�DQ\�FURVVLQJ�VR�DV�QRW�WR�REVWUXFW�SHGHVWULDQ�ÁRZ�

�� +DQGUDLOV�PXVW�EH�HDV\�WR�JULS���� 2SHQ�6SDFHV �� :KHUH�RSHQ�VSDFHV�DUH�SURYLGHG��SHRSOH�ZLWK�YLVLRQ�LPSDLUPHQWV�FDQ�

EHFRPH�SDUWLFXODUO\�GLVRULHQWHG��7KHUHIRUH��LW�LV�H[WUHPHO\�KHOSIXO�LI�DQ\�ZDONZD\�RU�SDWKV�FDQ�EH�JLYHQ�GHÀQHG�HGJHV�HLWKHU�E\�WKH�XVH�D�RI�SODQWHU�ZLWK�ORZ�KHLJKW�ZDOOV�RU�D�JUDVV�YHUJH�RU�VLPLODU��ZKLFK�SURYLGHV�D�WH[WXUH�GLIIHUHQW�IURP�WKH�SDWK�

125&KDSWHU���7RROV�DQG�5HIHUHQFHV

��� Signage �� 'LUHFWLRQDO�DQG�LQIRUPDWLRQDO�VLJQV�VKRXOG�EH�ORFDWHG�DW�SRLQWV�FRQYHQLHQWO\�VHHQ�HYHQ�E\�D�SHUVRQ�LQ�D�ZKHHOFKDLU�DQG�WKRVH�ZLWK�YLVXDO�LPSDLUPHQWV�

�� 6LJQV�VKRXOG�EH�NHSW�VLPSOH�DQG�HDV\�WR�XQGHUVWDQG��� 6LJQDJH�VKRXOG�EH�PDGH�RI�FRQWUDVWLQJ�FRORUV�DQG�FRQWUDVWLQJ�JUD\�

PDWWHU�WR�PDNH�GHWHFWLRQ�DQG�UHDGLQJ�HDV\�

��� Crossings �� )DFLOLWDWH�WKH�VDIH�DQG�LQGHSHQGHQW�FURVVLQJ�RI�SHGHVWULDQV��HVSHFLDOO\�WKRVH�ZLWK�UHGXFHG�PRELOLW\�DQG�YLVXDO�LPSDLUPHQW�

��� 3DUNLQJ �� 3URYLGH�DFFHVVLEOH�SDUNLQJ�IDFLOLWLHV�DV�FORVH�DV�SRVVLEOH�WR�WKH�SRLQW�RI�GHVWLQDWLRQ�

%��,QVLGH�3XEOLF�%XLOGLQJV�DQG�6WUXFWXUHV��� (QWUDQFHV �� (QWUDQFHV�VKRXOG�EH�DFFHVVLEOH�IURP�DUULYDO�DQG�GHSDUWXUH�SRLQWV�WR�

WKH�LQWHULRU�OREE\���� 5DPSV �� &KDQJHV�LQ�OHYHO�UHTXLUH�D�UDPS��H[FHSW�ZKHQ�VHUYHG�E\�D�GURSSHG�

FXUE��DQ�HOHYDWRU�RU�RWKHU�PHFKDQLFDO�GHYLFH��� 5DPSV�VKDOO�KDYH�D�PLQLPXP�FOHDU�ZLGWK�RI������P��� 7KH�PD[LPXP�JUDGLHQW�VKDOO�EH������

��� Doors �� )DFLOLWDWH�WKH�SDVVDJH�RI�DOO�SHRSOH�DQG�HVSHFLDOO\�ZKHHOFKDLU�XVHUV�WKURXJK�GRRUV�

��� Thresholds �� 7KUHVKROGV�VKDOO�EH�NHSW�WR�D�PLQLPXP��:KHQHYHU�QHFHVVDU\��WKUHVKROGV�DQG�VOLGLQJ�GRRU�WUDFNV�VKDOO�KDYH�D�PD[LPXP�KHLJKW�RI����PP�DQG�SUHIHUDEO\�EH�UDPSHG�

��� 6ZLWFKHV �� 3URYLGH�GLIIHUHQW�RSHUDWLQJ�PHFKDQLVPV�DQG�À[HG�IHDWXUHV�IRU�WKH�XVH�RI�WKH�SXEOLF�LQ�UHDFKDEOH�]RQHV�

��� Signage �� 6DPH�DV�RXWVLGH�DQG�DURXQG�EXLOGLQJV���� Corridors �� 3URYLGH�ZLGH�FRUULGRUV�ZLWKRXW�GLIIHUHQFH�LQ�OHYHO�DQG�REVWUXFWLRQV�WR�

IDFLOLWDWH�WKH�SDVVDJH�RI�DOO�XVHUV�DQG�WKH�PDQHXYHULQJ�RI�ZKHHOFKDLU�XVHUV�

126 &KDSWHU���7RROV�DQG�5HIHUHQFHV

��� Washrooms and Toilets

�� &RPPXQDO�DQG�VKDUHG�WRLOHWV�PXVW�DOVR�FRPSO\�ZLWK�WKH�$FFHVVLELOLW\�/DZ��7KHUH�PXVW�EH�VXIÀFLHQW�DFFHVVLEOH�VSDFH�LQVLGH�WRLOHW�IDFLOLWLHV��ZLWK�DOO�À[WXUHV�DQG�ÀWWLQJV�EHLQJ�ZLWKLQ�HDV\�UHDFK�

�� :DVK�EDVLQV�QHHG�WR�EH�LQVWDOOHG�DW�D�KHLJKW�WKDW�FDQ�EH�UHDFKHG�E\�ZKHHOFKDLU�XVHUV�ZLWK�VSDFH�EHORZ�WR�DFFRPPRGDWH�WKH�NQHHV�

��� Stairs �� 3URYLGH�VDIH�DQG�ZHOO�GLPHQVLRQHG�VWDLUFDVHV�IRU�WKH�FRPIRUW�RI�SHRSOH�ZLWK�UHGXFHG�PRELOLW\�DQG�WKRVH�ZLWK�YLVXDO�LPSDLUPHQW�

7KH�IROORZLQJ�LOOXVWUDWLRQV�DUH�PRGHO�SODQV�DQG�SHUVSHFWLYHV�IRU�KRVSLWDOV�RI�YDU\LQJ�EHG�FDSDFLWLHV��7KH�+HDOWK�)DFLOLW\�'HYHORSPHQW�%XUHDX�GHYHORSHG�WKHVH�GHVLJQV�DV�PRGHOV�IRU�WKH�FRQVWUXFWLRQ�RI�KRVSLWDOV�LQ�WKH�3KLOLSSLQHV��,QFOXGHG�KHUH�DUH�SODQV�DQG�SHUVSHFWLYHV�IRU�����������DQG�����EHG�FDSDFLW\�KRVSLWDOV�

7KHVH�PRGHO�SODQV�DQG�SHUVSHFWLYHV�DUH�DOVR�DYDLODEOH�IRU�GRZQORDG�DW�WKH�%XLOGLQJ�%DFN�%HWWHU�:HEVLWH�ZLWK�WKH�IROORZLQJ�OLQN��KWWS���EXLOGLQJEDFNEHWWHUKHDOWK�GRK�JRY�SK�GRZQORDGV�

HOSPITAl PlAnS AnD PERSPECTIvES

��� +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV

�������'UDZLQJV�DQG�VSHFLILFDWLRQV�DQGRWKHU�FRQWUDFW�GRFXPHQWV�GXO\�VLJQHG�VWDPSHG�RU�VHDOHG��DV�LQVWUXPHQWV�RIVHUYLFH��DUH�WKH�LQWHOOHFWXDO�SURSHUW\DQG�GRFXPHQWV�RI�WKH�DUFKLWHFW�ZKHWKHU�WKH�REMHFW�IRU�ZKLFK�WKH\�DUHPDGH�LV�H[HFXWHG�RU�QRW��,W�VKDOO�EHXQODZIXO�IRU�DQ\�SHUVRQ�WR�GXSOLFDWHRU�PDNH�FRSLHV�RI�VDLG�GRFXPHQWV�IRUXVH�LQ�WKH�UHSHWLWLRQ�RI�DQG�IRU�RWKHUSURMHFWV�RU�EXLOGLQJV��ZKHWKHUH[HFXWHG�SDUWO\�RU�LQ�ZKROH��ZLWKRXWWKH�ZULWWHQ�FRQVHQW�RI�WKH�DUFKLWHFW�RUDXWKRU�RI�VDLG�GRFXPHQWV�

RA 9266 SECTION 33

UP

LANDSCAPEGARDENWAITING

AREA

PATHOLOGISTOFFICE

LABORATORY

BULKSTORAGE

DISPENSING AREA

PHARMACY

CENTRAL SUPPLYSTORAGE ROOM SUPPLY

OFFICE

IRONINGAREA

LINENOFFICE

ANTE - ROOM

MORGUE

STORAGEROOM

MAINTENANCEWORK AREA

2 - VEHICLEGARAGE

(FFL + 550mm)

STAFFROOM

UP

LANDSCAPEGARDEN

WASHINGAREA

DRYINGAREA

SORTINGAREA

X-RAY ROOM

CONTROLBOOTH

DRESSBOOTH

DARKROOM

FILMFILE

STORAGERADIOLOGISTOFFICE AND

VIEWING/READINGROOM

MALETOILET

FEMALETOILET

MINORO.R.

DOCTOR'SON DUTY

SCRUB-UPAREA

STORAGE

NURSESTATION

E.R.WAITING

AREA

STRETCHER'SWHEELCHAIR

NOOK

EXAMINATIONTREATMENT &OBSERVATION

AREA

E.R.LOBBY

2600mm CLEAR WIDTH CORRIDOR (FFL + 700mm) 2600mm CLEAR WIDTH CORRIDOR (FFL + 700mm)

CHIEF OFHOSPITAL

CHIEFOF CLINICS

RECEP.

HOSPITALMAIN LOBBY

(FFL +700mm)

PHILHEALTH

BILLING

CASHIERINFORMATION

ADMITTINGOFFICE

2500mm CLEAR WIDTH CORRIDOR (FFL + 700mm)

OPDULTRA SOUND

OPDCLINIC

DENTAL

OPDCLINIC

SURGERY

OPDCLINIC

MEDICINE

OPDINFO. &

ADMITTING

OPDRECORDS

2600

mm

CLE

AR

WID

TH C

OR

RID

OR

(FFL

+ 7

00m

m)

OUT PATIENT DEPARTMENT EMERGENCY ROOM

HA

LL W

AY

(FFL

+ 7

00m

m)

OPDCLINIC

OB-GYNE

OPDCLINICPEDIA

COLDSTO.

DRYSTO.

DISHWASH

FOODASSEM-

BLY

DIETITIANSOFFICE

FOODPREP.AREA

COOKING AREA

UPDIETARY

STAFF DINING /CONFERENCE ROOM

RAMP UP(1:12 GRADIENT)

ELECTRICALROOM

HE SHE

STAFFTOILET

OPD WAITING AREA

MALETOILET

FEMALETOILET

CONFERENCEROOM

ADMINISTRATIVE OFFICES

6000mm WIDTH ROADWAY(FFL +650mm)

DR

IVE

WA

Y R

AM

P U

P(1

:12

GR

AD

IEN

T)

DR

IVE

WA

Y R

AM

P U

P(1

:12

GR

AD

IEN

T)

HA

LL W

AY

(FFL

+ 7

00m

m)

2500mm CLEAR WIDTH CORRIDOR (FFL + 700mm)

DR

IVE

WA

Y R

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6200

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2600

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6125

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1SP 1 SCALE

GROUND FLOOR PLAN1: 200 M

GRAPHICAL SCALE

43210 5 876 METERS10 9

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Figure 1 Two-Storey, 25-Bed Hospital Level One: Ground Floor Plan

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4185

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1SP 2 SCALE

SECOND FLOOR PLAN1: 200 M

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SS

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43210 5 876 METERS10 9

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RA 9266 SECTION 33

3125

STRET-CHER'SNOOK

Figure 2 Two-Storey, 25-Bed Hospital Level One: Second Floor Plan

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One Storey, 50-Bed Hospital level One

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MAIN SKYLIGHTLOBBYABOVE

SHOP

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SHOP

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OBSERVATIONROOM

(FEMALE)

TREATMENTCUBICLE(FEMALE)

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MALEDRESSING

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TOI. TOI. TOI.

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5 BED WARD

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5 BED WARD 5 BED WARD

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MEDICALRECORDROOM

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TOI. TOI.

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TOI.

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TOI.

TOI.

TOI.

TREATMENTROOM

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6001.0 3000.0 6000.0 6000.0 3000.0 6000.0 4812.0 3000.0 4188.0 6000.0 3000.0 6000.0 6000.0 3000.0 6000.0

GROUND FLOOR PLAN

TOI.

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WK.ROOM

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F U T U R E E X P A N S I O NWARDS

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RA 9266 SECTION 33

UP

LANDSCAPEGARDENWAITING

AREA

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1SP 1 SCALE

GROUND FLOOR PLAN1: 200 M

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43210 5 876 METERS10 9

50 - BED MODEL LEVEL 2 HOSPITAL

Figure 6 Two-Storey, 50-Bed Hospital Level One: Ground Floor Plan

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6200

6000

6200

6125

4185

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1SP 2 SCALE

SECOND FLOOR PLAN1: 200 M

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GRAPHICAL SCALE

43210 5 876 METERS10 9

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RA 9266 SECTION 33

3125

STRET-CHER'SNOOK

STRET-CHER'SNOOK

6000

2600

Figure 7 Two-Storey, 50-Bed Hospital Level One: Second Floor Plan

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Figure 8 Two-Storey, 50-Bed Hospital Level One: Perspective

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One-Storey, 100-Bed Hospital level Two

UPRAMP UP RAMP UPRAMP UP

P A R K I N G A R E A P A R K I N G A R E A

MAIN LOBBY Waiting Area

RA

MP

UP

BIODEGRADABLEMERCURY CONTAININGDEVICES/LAMPS

NON-BIODEGRADABLE/RECYCLABLE WASTE HAZARDOUS WASTE

WORK AREA

ramp u

p

up

up

ramp up

Male Doctors

ER HEAD

TOI.

V A W C

Female Doctors

Ramp Up

Up

AMBULANCEPARKING

RESUSCITATIONAREA

MALEPATIENT TOILET

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

FEMALEPATIENT TOILET

S.S

.S

.S.

S.S

.

OB-GYNTREATMENT /

OBSERVATION

DECONTAMINATION ROOM

J.C. W/ S.S.

TRIAGE

WHEELCHAIR/STRETCHERNOOK

WAITING AREA

RESPIRATORYUNIT

WAITING AREA

HEAD'SOFFICE

TOILET

MINOROPERATING

ROOM

SUB-STERILE

SCRUB-UP

EQUIPMENT

STORAGE

CLEANUTILITY

DIRTYUTILITY/

LINEN RM.

NURSESTATION/RECEPTION

COUNTER

T & B

CLEANLINEN

MEDICATION ROOM

WORK AREA

TOI.

PEDIATREATMENT /

OBSERVATION

SINK

PEDIATREATMENT /

OBSERVATION

SIN

K

PEDIATREATMENT /

OBSERVATION

SIN

K

Doctors ON DUTY

FAMILY WAITINGAREA

NURSING OFFICE

COA

TOI.

CHIEF NURSE

STO.

TOI.

JC

NURSESTATION

RELEASING& DIST. COUNTER

WORK AREA

Receiving Area

StorageRm.

AUTOCLAVE ROOM

Packing

Inventory

Washing

34

34

5

6

FAMILY CONFERENCEROOM

FAMILY WAITINGAREA

CT-SCAN

RADIOGRAPHIC X-RAY Rm.

RAD-FLUORO X-RAY Rm.

STAFFPANTRY/LOUNGE

WAITING AREA

M/TOI

F/TOI

CONTROL andELECTRICALEQUIPMENT

BOOTH

STAFF/CLERICALROOM

INFO/RECEPT.

CONTROLBOOTH

TOILET

INTERPRETATION/CONFERENCE

ROOM

ULTRASOUNDROOM

DRESSINGAREA

DRESSINGAREA

DARK ROOM/STORAGE

DRESSINGAREA

TOI.

WHEEL CHAIRS/STRETCHER'S AREA

C O R R I D O R

MOBILE X-RAY

FILES ROOM

SUB-LOBBY

SUPPLY ROOM

CHIEFRADIOLOGIST PUBLIC

FEMALE TOILET

PUBLICMALE TOILET

J.CRECEIVING/RELEASING

AREA&

CLERICAL ROOM

MICROSCOPY

SERO./IMMU. HEMA.

HISTOPATH.

CHEMISTRY

BLOODBANK

MICROBIOLOGY/BACTERIOLOGY

JAN.CLO.

STAFFTOILET &LOCKERS

GENERALSTORAGE ROOM

DONING ROOM

EXAMINATIONAREA

SCREENING AREA

WAITINGAREA

EXTRACTIONAREA

SNACK BAR

CLINIC

EXTRACTIONAREA

WAITINGAREA

CONFERENCEROOM

PATHOLOGIST'SOFFICE

BO

OK

SH

ELV

ES

STEELFILE CAB.

LABORATORYENTRANCE

DONOR'S ENTRANCE

FIRE ESCAPE/SERVICE DOOR

FREEZER

REFRIGERATOR

FREEZER

WORK AREA

SUB-LOBBY

WAITINGAREA

PASS-THRUWINDOW

WO

RK

ING

CO

UN

TER PUBLIC

FEMALE TOILET

TOILET

GLASS WASHINGAND

STORAGE ROOMSTAFFPANTRY

MALEFEMALE TOILET

OPD HEAD

LOUNGE

C/E

T & B

OPD CONF. RM.

TOI.

(SURGERY)C / E

C / E(ENT)

C / E(OB-GYN)

C / E(EYE)

(DENTAL)

C / E(MEDICINE)

C / E(PEDIA)

OFFICE

TB - DOTS C/E

WAITINGAREA

LABORATORY

Female Patient Toilet

Male Patient Toilet

M/F PATIENT TOILET

MINOROPERATING RM

SCRUB- UP

PATIENTDRESSING AREA

SUB-STERILE

TRIAGE AREA

Wheelchair/ Stretcher

Park.

OPDWAITING AREA

NURSE STATION &MEDICATION AREA

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

OPDREGISTRATION/

ADMITTINGCOUNTER

OPD RECORDS

T & B

FIRE ESCAPE

ANTE RM.

ENTRANCE

T & B

T & B

DEPARTMENTHEAD

CONFERENCEROOM

TREATMENTROOM

CLEANUTILITY

MED. PREP.COUNTER

CONFERENCEAREA

NURSE STATION

STRETCHER/WHEELCHAIR

PARKING

TOILET

CLEANLINEN

SOILEDLINEN/DIRTY

UTLITY

4-BED WARD 4-BED WARD ISOLATIONROOM

PPE RACK

4-BED WARD 4-BED WARD 4-BED WARD4-BED WARDPRIVATE

ROOMPRIVATE

ROOM

OB-GYN WARD

ANTE RM.T & B

ISOLATION ROOM

PPE RACK

4-BED WARD 4-BED WARD

4-BED WARD4-BED WARD4-BED WARD

ANTE RM.T & B

ISOLATIONROOM

PPE RACK

ANTE RM. T & B

ISOLATIONROOM

PPE RACK

T & BT & B

PRIVATEROOM

PRIVATEROOM

T & BT & B

PRIVATEROOM

PRIVATEROOM

CLEAN UPTOILET

CLEAN LINEN

SOILED LINEN/DIRTY UTLITY

NURSE STATION

CONFERENCEROOM

TREATMENTROOM

STRETCHER/WHEELCHAIR

PARKING

SURGICAL WARD

T & B

FIRE ESCAPE

ANTE RM.

ENTRANCE

T & B

T & B

DEPARTMENTHEAD

CONFERENCEROOM

TREATMENTROOM

CLEANUTILITYMED. PREP.

COUNTER

CONFERENCEAREA

NURSESTATION

STRETCHER/WHEELCHAIR

PARKING

TOILET

CLEANLINEN

SOILEDLINEN/DIRTY

UTLITY

4-BED WARD 4-BED WARD ISOLATION ROOM

PPE RACK

4-BED WARD 4-BED WARD 4-BED WARD4-BED WARDPRIVATE

ROOMPRIVATE

ROOM

ANTE RM. T & B

ISOLATION ROOM

PPE RACK

MTLOCKERS

WORK AREA

FILING ROOM

STORAGE ROOM(FOR INACTIVE

FILES)

(FOR ACTIVEFILES)

COMPLETION ROOM

HEAD'SOFFICE

GLASS WINDOW

WO

RK

CO

UN

TER

WASHING / DRYING

dryingmachine

washingmachine

dryingmachine

washingmachine

washingmachine

flatworkironer

ironingboard

presser

CENTRAL LINEN STORAGE

LINEN OFFICE/ WORK ROOM

RELEASING &RECORDING AREA

dryingmachine

DepartmentHead

PEDIA. WARD

4-BED WARD 4-BED WARD 4-BED WARD

4-BED WARD4-BED WARD4-BED WARD

T & B T & B

PRIVATEROOM

PRIVATE ROOM

CLEAN UP TOILET

CLEAN LINEN

SOILED LINEN/DIRTY UTLITY

NURSESTATION

CONFERENCEROOM

TREATMENTROOM

STRETCHER/WHEELCHAIR

PARKING

T & B

PRIVATEROOM

T & BT & B T & B T & B

T & BT & BT & B

CAESARIANDELIVERY ROOM

STERILE INST. &

SUPPLYROOM

MALE DRESSING RM.

T&B

FEMALE DRESSING RM.

FIRE EXIT

ENTRANCE

DELIVERY ROOM RECOVERYROOM

LABOR ROOM

NURSE STATION/ WORK AREA

LOUNGE

WHEELEDSTRETCHER'S

AREA

CLEAN UTILITY

SCRUB-UP

SUB-STERILIZING ROOM

HIGH RISKPREGNANCY UNIT

CLEAN-UP

TOILET & BATH

JANITOR'S CLOSET S S

LO

CK

ER

S

LO

CK

ER

S

S T E R I L E C O R R I D O R

WORK AREAw/ Sink

VIEWING AREA

TREATMENT AREA

N I C U

NURSE STA.

VIEWING AREA

SUSPECT/PATHOLOGIC

NURSE STATION

BREASTFEEDING ROOM

T&B

T & B

PRIVATE ROOM

SISR CLEAN- UP

NURSE SUPERVISOR

NURSES' DRESSING

Sub-Sterile JC TRANSFER AREA DOCTORS'

LOUNGE

O. R. SUITE

POSTANAESTHETIC CARE UNIT

NURSE STA.

MAJOR O. R.MAJOR O. R.

MAJOR O. R.

SCRUB-UP

SS

FEMALEDRESSING

ROOM

TOILET TOILET

MALEDRESSING

ROOM WHEELEDSTRETCHER'S

AREA

ANESTHESIA STORAGE

TOILET

C O

R R

I D O

R

PANTRY

screen

A U D I T O R I U M ( 2 0 0 S E A T S )

A U D I T O R I U ML O B B Y

MALE TOILET FEMALE TOILET

BEDROOM

BEDROOM

SHO.

TOI.

TOI.

TOI.

T & B

T & B

LIVING / DINING AREA

BEDROOM

BEDROOM

BEDROOM

BEDROOM

BEDROOM

BEDROOM

BEDROOM

BEDROOM

D O R M I T O R Y

ELECTRICAL ROOM

SHO.

TOI.

SHO.

TOI.

SHO.

TOI.

SHO.

SHO.

TOI.

SHO.

T & B

T & B

P A R K I N G A R E A

3000 3000

STAFFOFFICE

W O R K A R E A

HOUSEKEEPING

ELECTRICAL&

MECHANICALWORKSHOP

CONFERENCE ROOM

T & B

MALEQUARTERS

SECURITY OFFICE

CARPENTRYWORKSHOP

HEAD'S OFFICE

RAMP UP

RA

MP

U

P

RA

MP

U

P

POWERHOUSE

PUMPROOM

S T P

RA

MP

U

P

RA

MP

U

P3000

P A R K I N G A R E A

M/T F/T

J.C.

DRIVERS' LOUNGE

PANTRY

STORAGE ROOM

BIOMED WORKSHOP

STORAGE

RAMP

UP

FEMALELOCKERS/

TOILETS

STAFFPANTRY

J.C.

HEAD'SOFFICE

STAFFAREA

MALE LOCKERS/

TOILETS

SHELVES

S.S.

WAITINGAREA

SHELVESSHELVES

SHELVESSHELVES

SHELVESSHELVES

PLASTICPALLETTE

PLASTICPALLETTE

PLASTICPALLETTE

PLASTICPALLETTE

PLASTICPALLETTE

PLASTICPALLETTE

RECEIVING AREA

PLASTICPALLETTE

PLASTICPALLETTE

M O R T U A R Y

RAMP

UP

RAMP

UP

RAMP

UP

MORGUEPrayer/Wait'g

Area

LOBBY

Toi. Staff Area

A U T O P S YR O O M

LOCKERRM.

CONFERENCE ROOM 1

Chief of Clinics

CONFERENCEROOM 2

FINANCE

PANTRY

T & B

RESTROOM

PERSONNEL

ADMIN.OFFICER

TOI.

CHIEF NURSE &NURSING OFFICE

FILINGROOM

FINANCE

FILINGROOM

P A R K I N G A R E A

GROUND FLOOR PLANLOT AREA : 30,000 SQ.MTS.FLOOR AREA : 6,200 SQ.MTS.

MEDICAL WARD

LABORATORY

D. R. SUITE

RADIOLOGY

E. R. DEPARTMENT

CENTRAL STERILIZING ROOM

I.C.U.

ENGINEERING AND MOTORPOOL

CENTRAL SUPPLY STORAGE

WASTE MANAGEMENT

C O

R R

I D O

R

HOSP.STAFFDINING ROOM

BAKING / COOKINGAREA

MEAT/FISHPREPARATION

AREA

DRYSTORAGE

COLD STORAGE

NUTRITIONCLINIC

DISH WASHING AREA

FOOD CONVEYOR

PARKING

SERVINGAREA

TOILE

T

CHIEFNUTRITIONIST/

DIETITIAN'SOFFICE

BLENDERIZED ANDTUBEFEEDING

AREA

RECEIVING/INSPECTION AREA

WASTE HOLDINGAREA

POTS AND PANSWASHING &STORAGESTORAGE FOR

UTENSILS &SILVERWARES SERVING AND

FOOD ASSEMBLYAREA

THERAPEUTIC DIET AREA

CASHIER

STAFFDINING AREA

VEGETABLEPREPARATION

AREA

up

up

FT & LOCKERS

MT & LOCKERS

TOILET

GANG CHAIRS

C O

R R

I D O

RSTAFF

DINING AREA

DIETARY

CHIEFPHARMACIST'S

OFFICE

RECEIVING/BREAKOUT/INSPECTION

DISPENSINGAREA

ER & WARDREPLACEMENT

COUNTER

STAFFPANTRY/LOUNGE

PLASTICPALLETTE

PLASTICPALLETTE

SHELVES

SHELVESBULK STORAGE

FLAMMABLES

COUNSELINGAREA

PHARMACY

ADMITTING/INFO.

INFO.,RECEPTION&

COMMUNICATIONAREA

BILLING & CLAIMSSTAFF MALETOILET

STAFF FEMALETOILET

COUNSELLINGROOM

FILING ROOM

HEADS OFFICEVAULT

C O U N T E R

WAITING AREA

CHIEF BILLINGOFFICER

DISBURSEMENTOFFICER

CASHIERCOLLECTOR

CHIEF CASHIER

CLERK

BILLING

PHILHEALTH

CLERK

MEDICAL SOCIALWORK

CLERK

CLERK

CLERK

COUNSELLINGROOM

FILING ROOM

HEADS OFFICE

MEDICAL SOCIALWORK

CLERK

CLERK

CLERK

6000

3000 3000

3000

6000 6000 3000 3000 3000350025002500

6000

3000

6000

3000

6000

30003000

3000

6000

300030006000300030003000

17.93

46295

2997 2997 6004

3000

3000

3000

9000

30001600

6000

30003000

40005000

3000

3000

3000

1200

030002000 4000

9000

4500

15001400

3000

3000

3000

3000

3000 3000

6000 2500 6000

6000

6000

6000

6000

6000

6000

3000

3000

2100

030

00

6000 2500 6000

3000

3000

6000

6000

6000

3000

3000

6000

3000

3000

2100

030

00

2000

4000

6000

3600

3000 3000 3000 3000 300015000

9000

6000

6000

3000

6000

9000

6000 8500

60001500

4500

1500

1500

1500

1500

6000

12000

2500

2500

6000

4000

70005000

6001

3000

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1499

1499

5000

3005

6000 6000

6000

5000

2998

3000

2500

3501

3000

3000

3000

6000

6000

3000

3000

3000

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15001500

30000

3500

2500

6000

1200

0

3000

60002000200030001500

4500300030002000

7000 4800 2200 4000 6000

4000

3000 3000 3000 3000 6000 6000 6000

6000

2500

6000

3000 3000 6000 6000 3000 3000

30000

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6000

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6000

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3000 3000 6000 6000 3000 3000 3000 3000

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6000

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3002

2998

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2500

LANDSCAPE

LANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPE

LANDSCAPE

LANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPE

LANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPELANDSCAPE

LANDSCAPE

LANDSCAPE

OPD

STANDARD TEXT

T & B T & B T & B T & B

T & BT & B

T & B T & B

T & B T & BT & B

T & B T & B T & B T & B

T & B T & B

100-BED, ONE-STOREY HOSPITAL

Figure 9 One-Storey, 100-Bed Hospital Level Two: Floor Plan

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Figure 10 One-Storey, 100-Bed Hospital Level Two: Perspective

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Two-Storey, 100-Bed Hospital level Two

(SURGERY) MINOR

OPERATING RM

OPDWAITING AREA

OPD SPILLOVER WAITING AREA

TO LAB. TO OPD WAITING AREA

C / E

OPD HEAD

SCRUB- UP

PATIENTDRESSING AREA

OFFICETB - DOTS

C/EWAITING

AREA

F.E.

UP

STAIRS

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

LABORATORY Female Patient Toilet

(DENTAL)C / E

C / E(ENT) C / E

(MEDICINE)

STAFFLOUNGE

Male Patient Toilet M/F PATIENT

TOILET

SUB-STERILE

OPD LOBBY

TRIAGE AREA

Wheelchair/ Stretcher Park.

WAITING AREA

OPDREGISTRATION/

ADMITTINGCOUNTER

OPDRECORDS

OPDCONF. RM.

C / E(OB-GYN)

C / E(PEDIA)

TO BILLING & CLAIMS

OPD MAIN ENTRANCETB-DOTS MAIN ENTRANCE

F.E.

TOI. T & B

DN

C / E(EYE)

NURSE STATION &MEDICATION AREA

ADMITTING/INFO.

INFO.,RECEPTION&

COMMUNICATIONAREA

BILLING & CLAIMSSTAFF MALETOILET

STAFF FEMALETOILET

MAIN ENTRANCE

TO DIAGNOSTICSERVICES &

NURSING WARDS

COUNSELLINGROOM

FILING ROOM

HEADS OFFICE

VAULT

WAITING AREA WAITING AREA

C O U N T E R

WAITINGAREA

M A I N L O B B Y

CHIEF BILLINGOFFICER

DISBURSEMENTOFFICER

CASHIERCOLLECTOR

CHIEF CASHIER

CLERK

BILLING

PHILHEALTH

CLERK

MEDICAL SOCIALWORK

CLERK

CLERK

CLERK

EQUIPMENT STORAGE

To X-ray & 2nd Floor

SURGICALTREATMENT /

OBSERVATION

TRIAGEWHEELCHAIR/ STRETCHER NOOK

WAITING AREA ANTE- RM

ISOLATION

EXAMINATIONRM.

HOLDINGRM./

ISOLATIONRM.

MEDICALTREATMENT /

OBSERVATION

RESUSCITATION ROOM

CLEAN UTILITY

DIRTYUTILITY/

LINEN RM.

NURSESTATION/RECEPTION

COUNTER

WCPU

SINK

PEDIATREATMENT /

OBSERVATION

TOI.

DECONTAMINATION ROOM

E. R. L O BB Y

MALE PATIENT TOILET

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

RESPIRATORYUNIT

WAITING AREA

C O R R I D O R

FEMALE PATIENT TOILET

J.C. W/S.S.

T & B

CLEAN LINEN

MEDICATION ROOM

WORK AREA

TO MAIN LOBBYPATIENT INAMBULANCEENTRANCE

E.R. MAIN ENTRANCE

SINK

SINK

PPE rack

T & B

S.S. S.S.

S.S.

UP

F.E.

DN

MINOROPERATING

ROOM

SUB-STERILE

SCRUB-UP

OB-GYNTREATMENT /

OBSERVATION

TOI.

DOCTORS'CALL RM.

HEALTHEMERGENCY

MANAGEMENTSUPPLY RM.

(HEMS)

HEAD'SOFFICE

TOILET

CONFERENCE ROOMPWD

TOILET

PUBLICFEMALETOILET

PUBLICMALE

TOILET

RAMPUP

CT-SCAN

RADIOGRAPHIC X-RAY Rm.

RAD-FLUORO X-RAY Rm.

STAFFPANTRY/LOUNGE

WAITING AREA

M/TOI

F/TOI

CONTROL andELECTRICALEQUIPMENT

BOOTH

STAFF/CLERICALROOM

INFO/RECEPT.

UP

CONTROLBOOTH

TOILET

INTERPRETATION/CONFERENCE

ROOM

ULTRASOUNDROOM

DRESSINGAREA

DRESSINGAREA

DARK ROOM/STORAGE

DRESSINGAREA

TOI.

J.C.

M/TOI.F/TOI.

WHEEL CHAIRS/STRETCHER'S

AREA

C O R R I D O R

MOBILE X-RAY

FILESROOM

SUB-LOBBY

FIRE EXIT

SUPPLYROOM

CHIEFRADIOLOGIST

up

RECEIVING/RELEASING

AREA&

CLERICAL ROOM

MICROSCOPY

SERO./IMMU. HEMA.

HISTOPATH.

CHEMISTRY

BLOODBANK

MICROBIOLOGY/BACTERIOLOGY

JAN.CLO.

GLASS WASHINGAND

STORAGE ROOM

STAFFTOILET &LOCKERS

STORAGEROOM

GENERALSTORAGE ROOM

DONING ROOMEXAMINATION

AREA

SCREENING AREA

WAITINGAREAAUTOCLAVE

TOILET

STAFFPANTRY

SNACK BAR

CLINIC

EXTRACTION AREA

WAITING AREACONFERENCE

ROOM

PATHOLOGIST'SOFFICE

LABORATORYENTRANCE

DONOR'SENTRANCE

FIRE ESCAPE/SERVICE DOOR

FIRE ESCAPE

SUB-LOBBY

WAITINGAREA

up

TOI.

ELECTRICALROOM

ss

F. E. ENTRANCE

ss

AUDITINGINTEGRATED

HOSPITALOPERATIONS &MANAGEMENT

PROGRAM (IHOMP)

WAITING AREA

CHIEF OFHOSPITAL

CONFERENCEROOM

FEMALE STAFFTOILET

MALE STAFFTOILET

PANTRY

FILING ROOM

HUMAN RESOURCEDEVELOPMENT

BUDGET &FINANCE

ACCOUNTING

ADMINISTRATIVEOFFICER

CHIEF OF CLINICS

CHIEF NURSE &NURSING OFFICESTAFF

LOUNGE

RAMPUP

up

COMPLETION ROOM

FILING ROOM

HEAD'S OFFICE

SHELVES

GLASS WINDOW

RECEIVING/RELEASING

AREA

STORAGE ROOM(FOR INACTIVE

FILES)

(FOR ACTIVEFILES)

WORK AREATOILET

WAITING AREA

FT MT

FEMALELOCKERS

CENTRAL LINEN STORAGE

LINEN OFFICE/ WORK ROOM

RECEIVING/SORTINGAND

DISINFECTINGAREA

WASHING / DRYING

IRONING/PRESSING

RELEASING &RECORDING AREA

To ExteriorDrying Area

MALELOCKERS

LAUNDRYTUBS

WORK COUNTER

dryingmachine

washingmachine

dryingmachine

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ANTE RM.

T & B

T & B

DEPARTMENTHEAD

CONFERENCEROOM

TREATMENTROOM

CLEAN UTILITYMED. PREP.COUNTER

CONFERENCEAREA

NURSE STATION

STRETCHER/WHEELCHAIR

PARKING

TOILET

CLEAN LINEN

SOILED LINEN/DIRTY UTLITY

4-BED WARD4-BED WARDISOLATION ROOM

PPE RACK

4-BED WARD4-BED WARD4-BED WARD 4-BED WARDPRIVATE

ROOMPRIVATE

ROOM

MEDICAL WARD PEDIA. WARD

4-BED WARD 4-BED WARD

4-BED WARD4-BED WARD4-BED WARD

T & B T & B

PRIVATEROOM

PRIVATE ROOM

CLEAN UPTOILET

CLEAN LINEN

SOILED LINEN/DIRTY UTLITY

NURSE STATION

CONFERENCEROOM

TREATMENTROOM

STRETCHER/WHEELCHAIR

PARKING

T & B

DepartmentHead

ANTE RM.T & B

ISOLATIONROOM

PPE RACK

dn.

dn. Guest Elevator

Bed Elevator L o b b y

dn. dn.

PEDIA DEPT.OFFICE

OB-GYN DEPT.OFFICE

4-BED 4-BED

4-BED 4-BED 4-BED

OB-GYNE WARD SURGICAL WARD

TREATMENTROOM

CLEAN UTILITY

MED. PREP.COUNTER

CONFERENCEAREA

NURSE STATIONSTRETCHER/WHEELCHAIR

PARKING

TOILET

CLEANLINEN

SOILED LINEN/DIRTY UTLITY

DEPARTMENTHEAD

CONFERENCEROOM

4-BED WARD4-BED WARD 4-BED WARD4-BED WARD

4-BED WARD 4-BED WARD4-BED WARD

T & B

ISOLATION ROOM

ANTE RM. T & B

ISOLATION ROOM

PPE RACK

ANTE RM.

PPE RACK

PEDIA DEPT.OFFICE

OB-GYN DEPT.OFFICE

4-BED WARD 4-BED WARD

4-BED

4-BED WARD

T & B

ISOLATIONROOM

ANTE RM. T & B

ISOLATIONROOM

PPE RACK

ANTE RM.

PPE RACK

TREATMENTROOM

CLEAN UTILITY

MED. PREP.COUNTER

CONFERENCEAREA

NURSE STATION

STRETCHER/WHEELCHAIR

PARKING

TOILET

CLEANLINEN

SOILED LINEN/DIRTY UTLITY

DEPARTMENTHEAD

CONFERENCEROOM

4-BED 4-BED

THIRD FLOOR PLAN

3000 3000 6000 6000 6000 3000 3000

6000

3000

6000

2997 3000 21000 3003

6000

3000

6000

3000 3000 6000 6000 2501 3499 3000 3000

6000

3000

6000

300003000 3000 3000 3000 6000 6000 3000 3000

3000 3000 3000 6000 6000 6000 6000 6000

6000

3000

6000

6000

3000

6000

3000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 3000

T&B. T&B. T&B. T&B.

T&B.T&B.T&B.T&B.T&B.T&B.

T & B T & BT & BT & B

T & B T & B

T & B T & B T & B

T & BT & B

T & B T & B T & B T & B T & B

T & BT & BT & BT & B

T & B T & B T & B T & B T & B

T & BT & BT & BT & B

100-BED, THREE-STOREY HOSPITAL

Figure 16 Three-Storey, 100-Bed Hospital Level Two: Third Floor Plan

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150 +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV

Figure 17 Three-Storey, 100-Bed Hospital Level Two: Perspective

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STAnDARDS FOR HEAlTH HuMAn RESOuRCE In GOvERnMEnT HOSPITAlS

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��� Hospital Operations and Patient Support Service (formerly Administrative Service)�²�SURYLVLRQ�RI�DGPLQLVWUDWLYH�VHUYLFHV�UHODWLQJ�WR�SHUVRQQHO�PDQDJHPHQW��DGPLQLVWUDWLYH�UHFRUGV�PDQDJHPHQW��SURSHUW\�DQG�VXSSO\�PDQDJHPHQW��JHQHUDO�VHUYLFHV��HQJLQHHULQJ�DQG�VHFXULW\�

��� Finance Service�²�UHVSRQVLEOH�IRU�WKH�SURYLVLRQ�RI�ÀQDQFLDO�VHUYLFHV�UHODWLQJ�WR�EXGJHWLQJ��DFFRXQWLQJ��FDVK�RSHUDWLRQV��ELOOLQJ�DQG�FODLPV�

156 &KDSWHU���7RROV�DQG�5HIHUHQFHV

Model Organizational Structure for Government Hospitals

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Table 3 Model Organizational Structure for Level 1 Hospital (25 to 75-Bed Capacity)

Organizational UnitNumber of Positions

Bed Capacity25 50 75

$��&KLHI�RI�+RVSLWDO�2IÀFH 3 3 3%��0HGLFDO�6HUYLFH 52 64 75��� Outpatient 5 5 5��� (PHUJHQF\�5RRP 5 � 12��� &OLQLFDO�8QLWV 11 �� 16��� &OLQLFDO�/DERUDWRU\ 5 6 �

D�� %ORRG�6WDWLRQ 3 3 3��� 5DGLRORJ\ � 5 ���� Dental 2 2 2��� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 3 3 3

D�� $GPLWWLQJ�,QIRUPDWLRQ � � ���� 1XWULWLRQ�DQG�'LHWHWLFV � 5 6��� 3KDUPDF\ � 5 6����0HGLDO�6RFLDO�:RUN 2 3 �&��1XUVLQJ�6HUYLFH 39 51 61��� 1XUVH�6XSHUYLVRU�2IÀFH 1 1 1��� &OLQLFDO�1XUVLQJ�8QLWV 13 �� ����� 2SHUDWLQJ�5RRP 6 6 6��� 5HFRYHU\�5RRP 6 6 6��� ,VRODWLRQ�5RRP � � ���� 'HOLYHU\�5RRP � 10 10

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'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�6HUYLFH 19 26 28

��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 2 2 2��� +XPDQ�5HVRXUFH�0DQDJHPHQW 2 2 2��� 3URFXUHPHQW��3URSHUW\�DQG�6XSSO\ 2 2 2��� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW 5 � 11��� +RXVHNHHSLQJ�/DXQGU\ 2 3 3��� $FFRXQWLQJ 2 3 3

D�� %LOOLQJ�DQG�&ODLPV 2 2 2��� Cash Operations 2 3 3��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXWTotal Number of Positions 113 144 166

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Table 4 Model Organizational Structure for Level 2 Hospital (100 to 200-Bed Capacity)

Organizational UnitNumber of Positions

Bed Capacity100 150 200

$��&KLHI�RI�+RVSLWDO�2IÀFH 4 4 5��� 2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI 2 2 2

��� ,QWHJUDWHG�+RVSLWDO�2SHUDWLRQV�DQG�0DQDJHPHQW�3URJUDP 2 2 3

%��0HGLFDO�6HUYLFH 122 161 192��� 2IÀFH�RI�WKH�&KLHI�RI�0HGLFDO�3URIHVVLRQDO�6WDII 2 2 2

��� Outpatient Department � 11 12

��� (PHUJHQF\�0HGLFLQH�'HSDUWPHQW �� 26 31��� &OLQLFDO�'HSDUWPHQWV 26 35 ����� 6SHFLDO�&DUH�$UHDV � 6 6��� 'HSDUWPHQW�RI�3DWKRORJ\ 2 2 2

D�� %ORRG�%DQN 6 � �E�� $QDWRPLF�DQG�&OLQLFDO�/DERUDWRU\ 13 �� 20

��� 'HSDUWPHQW�RI�5DGLRORJ\ � 11 11��� Dental 3 3 ���� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 5 � �

D�� $GPLWWLQJ�,QIRUPDWLRQ 5 6 ����� 1XWULWLRQ�DQG�'LHWHWLFV � 13 15

���� 3KDUPDF\ � � 10

����0HGLFDO�6RFLDO�:RUN � 5 6&��1XUVLQJ�6HUYLFH� 122 180 227��� 2IÀFH�RI�WKH�&KLHI�1XUVH � � ���� &OLQLFDO�1XUVLQJ�8QLWV 55 �� ������ 2SHUDWLQJ�5RRP �� 21 26��� 'HOLYHU\�5RRP 11 �� 21

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��� 6SHFLDO�&DUH�$UHDVD�� 3RVW�$QHVWKHVLD�&DUH�8QLW � 10 11E�� ,QWHQVLYH�&DUH�8QLW 6 � 10F�� 1HRQDWDO�,QWHQVLYH�&DUH�8QLW �� 21 ��G�� 3XOPRQDU\�5HVSLUDWRU\�8QLW 6 � 11

'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�'HSDUWPHQW 44 59 69��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 2 2 2��� +XPDQ�5HVRXUFH�0DQDJHPHQW � 5 6��� 3URFXUHPHQW � 5 5��� 0DWHULDOV�0DQDJHPHQW 5 6 ���� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW � 13 15

D�� +RXVHNHHSLQJ�/DXQGU\ 3 5 5��� %XGJHW 3 3 3

��� $FFRXQWLQJ 5 6 �D�� %LOOLQJ�DQG�&ODLPV 5 � �

��� Cash and Operations 5 � 10��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXWTotal Number of Positions 292 404 493

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Table 5 Model Organizational Structure for Level 3 Hospital (200 to 500-Bed Capacity)

Organizational UnitNumber of Positions

Bed Capacity200 300 400 500

$��2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI 12 14 14 14��� 2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI � � � �

��� 3URIHVVLRQDO�(GXFDWLRQ�DQG�7UDLQLQJ 5 5 5 5

��� ,QWHJUDWHG�+RVSLWDO�2SHUDWLRQV�DQG�0DQDJHPHQW�3ODQ 3 5 5 5%��0HGLFDO�6HUYLFH 306 455 592 727��� 2IÀFH�RI�WKH�&KLHI�RI�0HGLFDO�3URIHVVLRQDO�6WDII 2 2 2 2��� Outpatient Department �� �� 22 25��� (PHUJHQF\�0HGLFLQH�'HSDUWPHQW �� �� �� ����� &OLQLFDO�'HSDUWPHQWV �� ��� 231 311��� 6SHFLDO�&DUH�$UHDV 15 �� �� 21��� 'HSDUWPHQW�RI�3DWKRORJ\

D�� %ORRG�%DQN 12 �� 21 ��E�� $QDWRPLF�DQG�&OLQLFDO�/DERUDWRU\ �� 51 63 ��

��� 'HSDUWPHQW�RI�5DGLRORJ\ 20 26 33 ����� Dental 5 � � ���� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 16 �� 22 25

D�� $GPLWWLQJ�,QIRUPDWLRQ � 12 15 ��

���� 1XWULWLRQ�DQG�'LHWHWLFV 23 26 �� ������ 3KDUPDF\ 20 32 42 54����0HGLFDO�6RFLDO�:RUN � 12 16 20&��1XUVLQJ�6HUYLFH 211 299 389 469��� 2IÀFH�RI�WKH�&KLHI�1XUVH 5 5 5 5��� &OLQLFDO�1XUVLQJ�8QLWV �� 125 165 205��� 2SHUDWLQJ�5RRP 32 �� �� ��

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��� 6SHFLDO�&DUH�$UHDV 31 �� �� ����� 3XOPRQDU\�5HVSLUDWRU\�8QLW 11 �� �� 21��� 2EVWHWULFV�&RPSOH[ 5 � � �

D�� /DERU�5RRP 5 � 10 12E�� 'HOLYHU\�5RRP 16 21 26 31F�� 2EVWHWULFDO�2SHUDWLQJ�5RRP

L�� &DHVDULDQ�6HFWLRQ�2SHUDWLQJ�5RRP � 12 16 ��LL�� /LJDWLRQ�5RRP 2 2 3 3

G�� 5HFRYHU\�5RRP 5 � 10 12��� Central Supply and Sterilization � � 12 ��'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�6HUYLFH 44 58 72 76��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 3 3 3 3��� +XPDQ�5HVRXUFH�0DQDJHPHQW � � 11 11��� 3URFXUHPHQW 5 � � ���� 0DWHULDOV�0DQDJHPHQW 5 � � ���� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW �� 25 32 35

D�� +RXVHNHHSLQJ�/DXQGU\ 5 � 10 11��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXW(��)LQDQFH�6HUYLFH 36 44 55 63��� 2IÀFH�RI�WKH�)LQDQFH�2IÀFHU 2 2 2 2��� %XGJHW 3 � � ���� $FFRXQWLQJ � 10 12 13

D�� %LOOLQJ�DQG�&ODLPV 13 15 20 ����� Cash Operations 10 13 �� 20Total Number of Positions 609 869 1,122 1,349

162 &KDSWHU���7RROV�DQG�5HIHUHQFHV

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1. Medical Staff*HQHUDO�SUDFWLWLRQHUV�DQG�VSHFLDOLVWV�VXFK�DV�VXUJHRQV��LQWHUQLVWV�DQG�REVWHWULFLDQV�PDNH�XS�WKH�PHGLFDO�VWDII��7KH�QXPEHU�RI�JHQHUDO�SUDFWLWLRQHUV�QHHGHG�IRU�HDFK�KRVSLWDO�LV�EDVHG�RQ�WKH�UDWLR�RI�RQH�JHQHUDO�SUDFWLWLRQHU�IRU�HYHU\�������SDWLHQWV��7KH�QXPEHU�DQG�W\SH�RI�VSHFLDOLVWV�GHSHQG�RQ�WKH�VHUYLFHV�RIIHUHG�DQG�WKH�VSHFLDOWLHV�DQG�VXE�VSHFLDOWLHV�

A. Medical Staff Positions7KH�VWDQGDUG�XVHG�E\�WKH�'2+�IRU�PHGLFDO�VWDIÀQJ�LV�EDVHG�RQ�WKH�6KDQQRQ�IRUPXOD��ZKLFK�LV�WKH�UHVXOW�RI�D�VWXG\�RQ�'HYHORSLQJ�0HWULFV�IRU�+RVSLWDO�0HGLFDO�:RUNIRUFH�$OORFDWLRQ��6KDQQRQ��HW�DO����������7KLV�IRUPXOD�FRQVLGHUV�WKH�ODVW�DYHUDJH�LQFUHDVH�LQ�LQSDWLHQW�GLVFKDUJHV�DQG�RXWSDWLHQW�YLVLWV�IRU�HDFK�OHYHO�WR�GHWHUPLQH�WKH�QHHGHG�VWDII�SHU�OHYHO�DQG�EHG�FDSDFLW\�RI�WKH�KRVSLWDOV�LQ�WKH�ODVW�WKUHH�\HDUV��7KH�IRUPXOD�LV�DV�IROORZV�D�� &RPSXWDWLRQ�RI�WKH�UHTXLUHG�QXPEHU�RI�PHGLFDO�VSHFLDOLVWV

�$YHUDJH�,QSDWLHQWV�[�����������������$YHUDJH�2XWSDWLHQWV�[�������������E�� &RPSXWDWLRQ�RI�WKH�UHTXLUHG�QXPEHU�RI�PHGLFDO�RIÀFHUV

�$YHUDJH�,QSDWLHQWV�[�����������������$YHUDJH�2XWSDWLHQWV�[�������������

B. Computation of Additional Medical Staff for Teaching and Training Hospitals7KH�OHYHO�RI�FDUH��QXPEHU�RI�LQSDWLHQWV�DQG�RXWSDWLHQWV��DXWKRUL]HG�DQG�LPSOHPHQWLQJ�EHG�FDSDFLW\��VSHFLDOW\�VHUYLFHV��FDSDELOLW\�RI�WKH�KRVSLWDO�EDVHG�RQ�WKH�SK\VLFDO�VWUXFWXUH��DYDLODELOLW\�RI�HTXLSPHQW��DQG�WKH�SUHVHQFH�RI�DQ�DFFUHGLWHG�UHVLGHQF\�SURJUDP�DUH�DOO�FRQVLGHUHG�LQ�GHWHUPLQLQJ�WKH�QXPEHU�DQG�W\SHV�RI�PHGLFDO�VSHFLDOLVWV��,Q�JHQHUDO��WKH�VWDQGDUG�UDWLR�RI�RQH�VXUJHRQ�IRU�HYHU\����EHGV�LV�DSSOLHG�

163&KDSWHU���7RROV�DQG�5HIHUHQFHV

7KH�VSHFLDOW\�UHTXLUHPHQWV�IRU�WUDLQLQJ�DUH�

Table 6 Specialty Training and Required Staff

Specialty Ratio��� 3HGLDWULFV ��FRQVXOWDQW1�����UHVLGHQW2�SK\VLFLDQV

��� Surgery��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQminimum of 3 fellows3�IRU���RU�IHZHU�UHVLGHQWVa fellow is added for every 2 additional residents

��� Neurology

��WUDLQLQJ�QHXURORJLVWV�����UHVLGHQW�SK\VLFLDQV��IDFXOW\�PHPEHU�UHVSRQVLEOH�IRU�HDFK�RI�WKH�IROORZLQJ��QHXURDQDWRP\��SV\FKLDWU\�DQG�EHKDYLRUDO�VFLHQFHV��LQWHUQDO�PHGLFLQH��SHGLDWULF�VFLHQFHV��QHXURORJ\��QHXURSDWKRORJ\��QHXURLPDJLQJ

��� Dermatology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV

��� 1XFOHDU�0HGLFLQHDW�OHDVW���QXFOHDU�PHGLFLQH�IXOO�WLPH�SK\VLFLDQV��GLSORPDWH�VWDWXV�IRU�HYHU\�JDPPD�PDFKLQH��DQG�DW�OHDVW���WUDLQLQJ�UHVLGHQWV�IRU�HYHU\�DFFUHGLWHG�QXFOHDU�PHGLFLQH�UHVLGHQF\�WUDLQLQJ�IDFLOLW\

��� Anesthesiology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV

��� 5DGLDWLRQ�2QFRORJ\ ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV��� 2EVWHWULFV�DQG�

*\QHFRORJ\��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV

��� Urology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQ����Otolaryngology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQ

2. Nursing Staff7KH�IDFWRUV�GHWHUPLQLQJ�QXUVLQJ�VWDIÀQJ�QHHGV�LQFOXGH�SDWLHQWV·�DFXLW\�RI�LOOQHVV��VSHFLDO�WUHDWPHQW�DQG�SURFHGXUHV��W\SH�RI�KRVSLWDO��UDWLR�RI�SURIHVVLRQDO�WR�QRQ�SURIHVVLRQDO�QXUVLQJ�SHUVRQQHO��WXUQRYHU�RI�SDWLHQWV�DQG�QXUVLQJ�SHUVRQQHO��KRVSLWDO�SROLF\�DQG�SDWLHQW�FDUH�FODVVLÀFDWLRQ�V\VWHPV��

��&RQVXOWDQWV�UHIHU�WR�WKRVH�RFFXS\LQJ�PHGLFDO�VSHFLDOLVW�SRVLWLRQV��7KHVH�SK\VLFLDQV�DUH�DFFUHGLWHG�E\�WKHLU�UHVSHFWLYH�VSHFLDOW\�VRFLHWLHV�DQG�DUH�H[SHUWV�LQ�WKHLU�PHGLFDO�VSHFLDOWLHV��7KH\�DFW�DV�WUDLQLQJ�VXSHUYLVRUV�WR�UHVLGHQWV���5HVLGHQWV�UHIHU�WR�PHGLFDO�RIÀFHU�SRVLWLRQV�WKDW�XQGHUJR�VSHFLDOW\�WUDLQLQJ�SURJUDPV�XQGHU�WKH�VXSHUYLVLRQ�RI�WKH�FRQVXOWDQWV���)HOORZV�UHIHU�WR�SK\VLFLDQV�ZKR�HQWHU�D�WUDLQLQJ�SURJUDP�LQ�D�PHGLFDO�VSHFLDOW\�DIWHU�FRPSOHWLQJ�UHVLGHQF\��ERDUG�TXDOLÀHG�VSHFLDOLVW�SXUVXLQJ�VXEVSHFLDOW\�WUDLQLQJ�

��� &KDSWHU���7RROV�DQG�5HIHUHQFHV

7KH�QXUVLQJ�VHUYLFH�VWDIÀQJ�UHTXLUHPHQW�VKRXOG�DGKHUH�WR�WKH�IROORZLQJ�VWDII�SDWLHQW�EHG�UDWLR�

Table 7 Nurse to Staff Ratio

Unit Nurse to Staff Ratio��� Ward ��VXSHUYLVLQJ�QXUVH��QXUVH�LLL�������VWDII�QXUVHV

��KHDG�QXUVH��QXUVH�LL�������VWDII�QXUVHV��VWDII�QXUVH��QXUVH�L�������EHGV�SHU�VKLIW��QXUVLQJ�DWWHQGDQW������EHGV�SHU�VKLIW

��� &ULWLFDO�&DUH ��VXSHUYLVLQJ�QXUVH��QXUVH�LLL�������VWDII�QXUVHV��KHDG�QXUVH��QXUVH�LL�������VWDII�QXUVHV��VWDII�QXUVH��QXUVH�LL������EHGV�SHU�VKLIW��QXUVLQJ�DWWHQGDQW������EHGV�SHU�VKLIW

3. Other Hospital Professional Personnel in Indirect Patient Care Services$�PLQLPXP�RI�ÀYH�SHUVRQQHO�LV�UHTXLUHG�IRU�XQLWV�RU�VHFWLRQV�ZLWK����KRXUV�VHUYLFHV�WR�ÀOO�WKH����KRXUV�VHYHQ�GD\V�D�ZHHN�VFKHGXOH��7KXV��WKH�HPHUJHQF\�URRP��RSHUDWLQJ�URRP��GHOLYHU\�URRP��[�UD\��ODERUDWRU\�DQG�SKDUPDF\�VWDII�UHTXLUHPHQWV�ZLOO�KDYH�WR�EH�FDOFXODWHG�DFFRUGLQJO\��,Q�WKH�GLVSHQVLQJ�SKDUPDF\��WKH�UDWLR�RI�SKDUPDFLVW�WR�DGPLQLVWUDWLYH�DVVLVWDQW��SKDUPDF\�DVVLVWDQW��LV�RQH�SKDUPDFLVW�WR�WZR�DGPLQLVWUDWLYH�DVVLVWDQWV��7KH�UDWLRV�RI�VWDII�WR�EHG�FDSDFLW\�LQ�RWKHU�XQLWV�DUH�OLVWHG�LQ�WKH�EHORZ�WDEOH�

Table 8 Ratio of Other Personnel in Indirect Patient Care Services to Bed Capacity

Unit Ratio of Staff to Bed Capacity3KDUPDF\ ����1XWULWLRQLVW�'LHWHWLFV ����0HGLFDO�6RFLDO�:RUN ����+HDOWK�,QIRUPDWLRQ�0DQDJHPHQW��IRUPHUO\�0HGLFDO�5HFRUGV� ����

)RU�WKH�VWDIÀQJ�SDWWHUQ�IRU�HDFK�OHYHO�RI�KRVSLWDO�DQG�WKHLU�UHVSHFWLYH�EHG�FDSDFLW\��UHIHU�WR�WKH�5HYLVHG�2UJDQL]DWLRQDO�6WUXFWXUH�DQG�6WDIÀQJ�6WDQGDUGV�IRU�*RYHUQPHQW�+RVSLWDOV�&<������(GLWLRQ�DYDLODEOH�DW�WKH�'2+�+HDOWK�+XPDQ�5HVRXUFH�'HYHORSPHQW�%XUHDX�

165&KDSWHU���7RROV�DQG�5HIHUHQFHV

Hospital Waste Management

+HDOWK�FDUH�IDFLOLWLHV�JHQHUDWH�ZDVWH�WKDW�PD\�EH�KDUPIXO�WR�KXPDQV�DQG�DQLPDOV��+HDOWK�FDUH�ZDVWH�LQFOXGHV�DOO�VROLG�DQG�OLTXLG�ZDVWH�JHQHUDWHG�DV�D�UHVXOW�RI�DQ\�RI�WKH�IROORZLQJ�

�� GLDJQRVLV��WUHDWPHQW�RU�LPPXQL]DWLRQ�RI�KXPDQ�EHLQJV��� UHVHDUFK�SHUWDLQLQJ�WR�WKH�DERYH�DFWLYLWLHV��� UHVHDUFK�XVLQJ�ODERUDWRU\�DQLPDOV�IRU�WKH�LPSURYHPHQW�RI�KXPDQ�KHDOWK��� SURGXFWLRQ�RU�WHVWLQJ�RI�ELRORJLFDO�DJHQWV��RU�� RWKHU�DFWLYLWLHV�SHUIRUPHG�E\�KHDOWK�FDUH�IDFLOLWLHV�

7KH�GLIIHUHQW�FDWHJRULHV�RI�KHDOWK�FDUH�ZDVWH�LQFOXGH��� LQIHFWLRXV���� VKDUSV��� SDWKRORJLFDO�DQG�DQDWRPLFDO��� SKDUPDFHXWLFDO�ZDVWH��� FKHPLFDO�ZDVWH��� UDGLRDFWLYH�ZDVWH��DQG�� QRQ�KD]DUGRXV�RU�JHQHUDO�ZDVWH�

$V�JHQHUDWRUV�RI�KHDOWK�FDUH�ZDVWH��KHDOWK�IDFLOLWLHV�VXFK�DV�KRVSLWDOV�DUH�UHVSRQVLEOH�IRU�WKH�FROOHFWLRQ��KDQGOLQJ��VHJUHJDWLRQ��WUDQVSRUW��WUHDWPHQW�DQG�GLVSRVDO�RI�WKH�ZDVWH�WKDW�WKH\�SURGXFH��,QWHUQDWLRQDO�DJUHHPHQWV�DQG�QDWLRQDO�ODZV�DQG�SROLFLHV�JRYHUQ�WKH�PDQDJHPHQW�RI�KHDOWK�FDUH�ZDVWH�²�WKH\�DUH�OLVWHG�LQ�WKH�IROORZLQJ�WDEOH�

Table 9 International Agreements, Laws and Policies on Health Care Waste Management

PoliciesInternational Agreements��� 7KH�0RQWUHDO�3URWRFRO�RQ�6XEVWDQFHV�WKDW�'HSOHWH�WKH�2]RQH�/D\HU���������� 7KH�%DVHO�&RQYHQWLRQ�RQ�WKH�&RQWURO�RI�7UDQVERXQGDU\�0RYHPHQWV�RI�+D]DUGRXV�:DVWHV�DQG�WKHLU�

'LVSRVDO���������� 7KH�8QLWHG�1DWLRQV�)UDPHZRUN�&RQYHQWLRQ�RQ�&OLPDWH�&KDQJH�������

166 &KDSWHU���7RROV�DQG�5HIHUHQFHV

��� 7KH�.\RWR�3URWRFRO�WR�WKH�8QLWHG�1DWLRQV�)UDPHZRUN�&RQYHQWLRQ�RQ�&OLPDWH�&KDQJH���������� 7KH�6WRFNKROP�&RQYHQWLRQ�RQ�3HUVLVWHQW�2UJDQLF�3ROOXWDQWV�������National Laws and Policies5HSXEOLF�$FWV��� 5HSXEOLF�$FW������²�+RVSLWDO�/LFHQVXUH�$FW���������� 5HSXEOLF�$FW������²�$Q�$FW�WR�&RQWURO�7R[LF�6XEVWDQFHV�DQG�+D]DUGRXV�DQG�1XFOHDU�:DVWHV���������� 5HSXEOLF�$FW������²�7KH�3KLOLSSLQH�&OHDQ�$LU�$FW���������� 5HSXEOLF�$FW������²�(FRORJLFDO�6ROLG�:DVWH�0DQDJHPHQW�$FW���������� 5HSXEOLF�$FW������²�7KH�3KLOLSSLQH�&OHDQ�:DWHU�$FW�������3UHVLGHQWLDO�'HFUHHV��� 3UHVLGHQWLDO�'HFUHH�����²�7KH�&RGH�RI�6DQLWDWLRQ�RI�WKH�3KLOLSSLQHV�²�&KDSWHU�;9,,�RQ�6HZDJH�

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WKH�/DJXQD�'HYHORSPHQW�$XWKRULW\�������([HFXWLYH�2UGHUV��� ([HFXWLYH�2UGHU�����²�(VWDEOLVKLQJ�D�*UHHQ�3URFXUHPHQW�3URJUDP�IRU�DOO�'HSDUWPHQWV��%XUHDXV��

2IÀFHV�DQG�$JHQFLHV�RI�WKH�([HFXWLYH�%UDQFK�RI�WKH�*RYHUQPHQWAdministrative Orders��� 'HSDUWPHQW�RI�(QYLURQPHQW�DQG�1DWXUDO�5HVRXUFHV��'(15��$GPLQLVWUDWLYH�2UGHU���������²�

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Infection Control

7KH�'2+�VWURQJO\�DGYRFDWHV�IRU�PHDVXUHV�WR�FRQWURO�LQIHFWLRQ�LQ�KHDOWK�FDUH�VHWWLQJV��7KH�EXLOW�HQYLURQPHQW�LV�RQH�RI�WKH�NH\�DUHDV�ZKHUH�VWUDWHJLHV�WR�FRQWURO�WKH�VSUHDG�RI�LQIHFWLRQ�LQ�KHDOWK�FDUH�IDFLOLWLHV�FDQ�EH�DSSOLHG��,QIHFWLRQ�FRQWURO�SURJUDPV�PXVW�WDNH�LQWR�DFFRXQW�KRZ�WKH�EXLOW�HQYLURQPHQW�FDQ�KHOS�WKH�KHDOWK�FDUH�ZRUNHUV�LQ�FRQWUROOLQJ�WKH�VSUHDG�RI�LQIHFWLRQ�IURP�SDWLHQW�WR�SDWLHQW�DQG�IURP�KHDOWK�ZRUNHUV�WR�SDWLHQW�DQG�YLFH�YHUVD��6SHFLÀF�DUHDV�LQ�WKH�KRVSLWDOV�PD\�KDYH�GLIIHUHQW�WHFKQLFDO�VSHFLÀFDWLRQV�WR�SUHYHQW�LQIHFWLRQ�IURP�VSUHDGLQJ��)RU�LQVWDQFH��WKH�GHVLJQ�RI�ZDUGV�ZLWK�VHYHUDO�SDWLHQWV�ZLOO�KDYH�GLIIHUHQW�UHTXLUHPHQWV�DV�FRPSDUHG�WR�WKH�GHVLJQ�RI�FULWLFDO�FDUH�XQLWV��+RZHYHU��LQ�JHQHUDO��WKHUH�DUH�SULQFLSOHV�WKDW�VKRXOG�EH�WDNHQ�LQWR�FRQVLGHUDWLRQ�LQ�WKH�SODQQLQJ�VWDJHV��&LWHG�EHORZ�DUH�H[DPSOHV�RI�GHVLJQ�SULQFLSOHV�JLYHQ�E\�WKH�8QLWHG�.LQJGRP�'HSDUWPHQW�RI�+HDOWK�LQ�WKH�+HDOWK�%XLOGLQJ�1RWH��������,QIHFWLRQ�FRQWURO�LQ�WKH�EXLOW�HQYLURQPHQW��'+��(VWDWHV�DQG�IDFLOLWLHV��8.��������

Table 10 Design Parameters for Infection Control in the Built Enviroment

Design to facilitate cleanliness & cleaning�� 8VH�ÀQLVKHV�WKDW�DUH�LPSHUYLRXV��VPRRWK�DQG�VHDPOHVV��DV�IDU�DV�SUDFWLFDEOH��� 5XQ�KDUG�ÁRRULQJ�XS�WKH�ZDOOV�IRU�D�VKRUW�GLVWDQFH�WR�SURYLGH�DQ�HDV\�WR�FOHDQ�FRYLQJ��� (OLPLQDWH�RU�PLQLPL]H�GHDG�OHJV�DQG�EOLQG�HQGV�LQ�ZDWHU�V\VWHPV��ERWK�LQ�WKH�RULJLQDO�GHVLJQ�

DQG�DV�WKH�V\VWHPV�DUH�PRGLÀHG��� &RQVLGHU�KDQGV�IUHH�RSHUDWLRQ�RI�XWLOLWLHV��IRU�H[DPSOH�VHQVRU�WDSV��DXWRPDWLF�OLJKWV��PRYHPHQW�

VHQVRUV�IRU�WRLOHW�ÁXVKHV�HWF���� &RQVLGHU�KDQGV�IUHH�RSHUDWLRQ�RI�RWKHU�IDFLOLWLHV��IRU�H[DPSOH�DXWRPDWLF�GRRUV��SUR[LPLW\�

VHQVRUV�HWF���� &RQVLGHU�LQWHJUDO�EOLQGV�DV�DQ�DOWHUQDWLYH�WR�FXUWDLQV�DW�LQWHUQDO�ZLQGRZV�

��� &KDSWHU���7RROV�DQG�5HIHUHQFHV

Encourage desired behavior (for example tidiness and hand hygiene)�� 3URYLGH�VXIÀFLHQW�VSDFH�IRU�DFWLYLWLHV�WR�WDNH�SODFH�DQG�WR�DYRLG�FURVV�FRQWDPLQDWLRQ�EHWZHHQ�

DGMDFHQW�EHG�VSDFHV��� 3URYLGH�VXIÀFLHQW�VWRUDJH�IRU�SDWLHQWV·�SRVVHVVLRQV�DQG�IRU�DOO�VXSSOLHV�WR�GLVFRXUDJH�FOXWWHU��� (QVXUH�SURSHU�VHJUHJDWLRQ�DQG�PDQDJHPHQW�RI�ZDVWH��LQFOXGLQJ�FOLQLFDO�ZDVWH�DQG�OLQHQ��� 3URYLGH�VXIÀFLHQW�GRPHVWLF�ZDVWH�UHFHSWDFOHV��� 3URYLGH�EHGVLGH�ZDVWH�FROOHFWLRQ�IDFLOLWLHV�IRU�SDWLHQW�XVH��� $YRLG�XQQHFHVVDU\�KRUL]RQWDO�VXUIDFH��IRU�H[DPSOH�ZLQGRZ�VLOOV��LQ�RUGHU�WR�GLVFRXUDJH�FOXWWHU��� 3URYLGH�HQRXJK�ZDVK�KDQG�EDVLQV�DQG�DQWLPLFURELDO�KDQG�UXE�GLVSHQVHUV��� 3ODQ�IRU�VHSDUDWLRQ�RI�FOHDQ�DQG�GLUW\�DFWLYLWLHV��� 3URYLGH�VXIÀFLHQW�VSDFH�IRU�VWRUDJH�DQG�SUHSDUDWLRQ�RI�FOHDQLQJ�HTXLSPHQW�DQG�PDWHULDOV��� 3URYLGH�VXLWDEOH�IDFLOLWLHV�IRU�FOHDQLQJ�RI�HTXLSPHQW�

Design for easy cleaning�� 0DLQWDLQ�D�YLVLEO\�FOHDQ�HQYLURQPHQW�WKDW�LV�IUHH�IURP�GXVW�DQG�VRLODJH�DQG�DFFHSWDEOH�WR�

SDWLHQWV��WKHLU�YLVLWRU�DQG�VWDII��� *RRG�GHVLJQ�FDQ�PDNH�FOHDQLQJ�LPPHDVXUDEO\�HDVLHU��IRU�H[DPSOH�

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References

'HSDUWPHQW�RI�+HDOWK�+HDOWK�)DFLOLW\�'HYHORSPHQW�%XUHDX��������Summary of Typhoon Yolanda Damage Report on Health Facilities (as of January 29, 2014)��0DQLOD��V�Q�

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'HSDUWPHQW�RI�+HDOWK��������Administrative Order No. 2013-0014 Policies and Guidelines on Hospitals Safe from Disasters.�0DQLOD��'HSDUWPHQW�RI�+HDOWK�

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HEALTH AT THE HEART OF HEALING

A photo book on the rehabilitation and rebuilding of Yolanda-ravaged hospitals