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B-95 TransitionalHealth Posts
Concept and Design:Ar. Padmendra ShresthaEr. Rajan Maskey
Structural Engineer:Er. Prabin Bajracharya
Civil EngineerEr. Bikash Malla
Healthpost coordination and implementationDr. Kiran Raj Awasthi
Marketing and PublicityMr. Ajaya K Shrestha
Problem to Idea
DURABILITYUse of circular/square iron pipes (at every 4') for the main structure and purlins to connect the circular/square iron pipes will provide rigidity to the structure. Use of thin ply wood, insulation material and flex as a cover is expected to last for about 1- 2 years.
LIVABILITY
� Thermal protection: Thermal insulation ensures mild temperature inside shelter during summer and winter, unlike corrugated sheets.
� Lighting and ventilation: Doors and windows in the two ends of the shelter provide adequate lighting and cross-ventilation.
� Protection from water/ hail: Flex material is water proof and will
protect the structure from rain.
� Sound insulation: Roofing material soft enough for rain drops to land without making loud noise, unlike in corrugated sheets.
Major Features
� Reusable: Structure connected by nuts-bolts and can easily be dismantled and relocated after reconstruction of proper health posts. Can also be used as a training hall or storage room of the health post.
� Extendable/ Flexible: Structure can be extended using some additional materials depending on needs of health posts.
� Protection form Disasters: Design and materials used ensures safety from mega earthquakes as well as damage from strong winds.
� Privacy: The use of plywood and insulation material will provide visual and sound privacy.
Major Features
Installation Mechanism:� Fabricated structure transported to site for
installation. Local volunteers required to carry materials to site. The structure can be built by one qualified technician with help from local volunteers.
� Fabrication can easily be done by metal workshops in Kathmandu and other districts. Installation technique can also be learnt for site installation.
� Scaling up production is possible.
Advantages of Flex: � Easily available compared to other materials like zinc
sheet that are in high demand
� Easy to repair using adhesives and can be done by the health post staff
� Easy to transport as it can be folded and carried in a bag
Heat, Rain & Cold:� Use of flex, insulation material and ply wood provides a
good solution for all three situations.� Flex is waterproof. Meant for outside use.� Shelters provide moderate temperatures further aided by
cross ventilation provided by window & door.
Local ownership: � Floor and side walls to be built by locals
Use of local resources:
� Design flexible in terms of use of locally available materials. Bamboo strips can be used instead of iron pipes for structure.
� Plywood can be substituted by bamboo mats for roofing. Thatch or earth on steel mesh can also be used as a substitute for insulation.
� Flex cover over door and window frame can be replaced by bamboo strips or mat or any other locally available material.
Health Posts: Conceptual Design
Why Health post?
� Social perception of health� White Color - Cleanliness� Finishing – smoothness� Privacy� Psychological comfort
Post Earthquake Reality:� 12 Primary Health Care Centers and 417 Health Posts completely damaged� 100s more partially damaged according to a report on Post Disaster Needs
Assessment and Recovery Plan of Health and Population Sector� UNICEF South Asia claims 70% of birthing centers in 14 affected districted
damaged or destroyed
State of Health Posts
Key Features:
� SIZE: 10' X 13‘-6” (interior room); 10' X 16' (exterior structure)
� STRUCTURE: Iron pipes connected by nuts & bolts. Strong & Sturdy
� ROOFING: 3 layers. Flex. Insulation material. Ply Wood.
� DURABLE: Metal structure will last for years. Roofing of flex, insulation material and ply wood to last at least 1-2 years. Easily repairable.
� FINISHING: Clean white surface and warm interior finishing. Suitable for health post.
� CONSTRUCTION TIME: 1 day
� COST: ~ NPR 45,000 (excluding transport)
Institutional Mechanism:� Need assessment conducted in coordination with
District Health Offices (DHO)
� Transport, where possible, provided by Health Posts, DHO and/or partnering NGOs
� Partnerships with NGOs with strong presence in Districts
� Training of technical staff of partner NGOs for installation of multiple Health Posts and Birthing Centers in Districts
� Field visits carried out by DHO to assess performance and suitability of shelters
So Far we have reached out to � 14625 Households and 58601 population across four
districts through 18 health shelters : Lalitpur, Bhaktapur, Kathmandu and Dhading
� Future plans to meet in the next 20 days: we will have setup a further 25 healthposts in Dhading, Tanahun, Sindhupalchowk, and Nuwakot catering service to 30991 plus households and a population of 130724 plus.
� Next Step: Our trial for temporary learning centres have received a great feedback and we are at present happy to say that we have already sent out 19 shelters for installation out of which 8 have already been installed and the remaining 11 will be installed within the next week for primary schools and early childhood development centres
For more enquiries please contact:
� Dr. Kiran Raj Awasthi
Email: [email protected]
Phone: +977-98510-63678
� Rajan Maskey
Email: [email protected]
Phone: +977-98010-86746
