rising anew

i

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


ii

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�

iii

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Foreword

iv

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v

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� ��

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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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1

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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“

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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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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�

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Hospitals in the Philippine Health System

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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

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(PHUJHQF\�DQG�2XWSDWLHQW�6HUYLFHV

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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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Reducing Risk from Extreme Weather Events

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Hospitals Safe from Disasters – From Campaign to Action

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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

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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

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PhilHealth accredited: YesEstimated cost of damage

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26

TACLOBAN CITY HOSPITAL

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Estimated population served: ��Catchment areas: 7DFOREDQ�&LW\�DQG�QHDUE\�WRZQV�RI�/H\WH�DQG�6DPDUServices:

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30

LEYTE PROVINCIAL HOSPITAL

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

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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+�

31 5

/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

��

35

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


Equipment: 3+3��Infrastructure:�3+3��

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


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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3DWLHQWV�TXHXH�DW�WKH�2UPRF�'LVWULFW�+RVSLWDO

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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:


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��


*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�

��

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

��

,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


$EX\RJ��/H\WH��·��µ�N��·��µ�E



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

�� 5

��

What remains of the medical records of Abuyog District Hospital

6LWH�RI�WKH�WR�EH�FRQVWUXFWHG�$EX\RJ�'LVWULFW�+RVSLWDO

At the Emergency Room of Abuyog District Hospital

��

X-ray machine repaired and ready to be used again

��

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

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

50

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:


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




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

(Albino M. Duran Memorial Hospital)

51 5

$0'0�6WDII

52

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

hospital is yet be repaired.

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55

$0'0�PHGLFDO�UHFRUGV�destroyed

([WHQW�RI�GDPDJH�WR�WKH�KRVSLWDO

��

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:


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

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


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



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

63

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

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

66

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



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


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

�� 5

3DWLHQWV�FRQVXOW�DW�WKH�WHQW�FOLQLF�VHW�XS�ZKLOH�WKH�KRVSLWDO�

LV�EHLQJ�UHSDLUHG�

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

being repaired

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%DVH\�'LVWULFW�+RVSLWDO�6WDII

��

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2Q�JRLQJ�UHSDLUV

��

,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:


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

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


*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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)DFDGH�RI�,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDO

��

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:


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�

�� 5

7UDFHV�RI�GDPDJH�WR�WKH�'LYLQH�:RUG�+RVSLWDO�IDFDGH�DUH�QR�ORQJHU�YLVLEOH�

7KH�R[\JHQ�JHQHUDWRU�LV�QRZ�KRXVHG�LQ�DQ�HOHYDWHG�VWUXFWXUH�

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

��

��

'LYLQH�:RUG�+RVSLWDO·V�UHKDELOLWDWLRQ�FOLQLF�VLWV�EHVLGH�D�FUHHN��ZKLFK�RYHUÁRZHG�ZKHQ�WKH�W\SKRRQ�KLW�

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\


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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%HWKDQ\�+RVSLWDO�IDFDGH

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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:


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


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�

�� 5

0RWKHU�RI�0HUF\�+RVSLWDO

Finishing repairs to the ceiling

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7KH�KRVSLWDO�LV�EHVLGH�D�FUHHN��ZKLFK�FRXOG�RYHUÁRZ�ZKHQ�UDLQV�DUH�KHDY\�DQG�VWHDG\�

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�

7KH�'2+�5HJLRQDO�+HDOWK�7UDLQLQJ�&HQWHU��3DOR��/H\WH�LV�D�FHQWUDO�KXE�IRU�WUDLQLQJ�LQ�WKH�(DVWHUQ�9LVD\DV�UHJLRQ��%\�WUDLQLQJ�VWDII�RQ�KHDOWK�HPHUJHQF\�UHVSRQVH�RSHUDWLRQV��WKLV�FHQWHU�LV�VHW�WR�SOD\�D�NH\�UROH�LQ�WKH�UHJLRQ�

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�

��&KDSWHU��6XUYLYLQJ�7\SKRRQ�<RODQGD�DQG�5LVLQJ�$QHZ

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

used as classrooms for the displaced students of UPM SHS.

��

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

��

7KH�830�6+6�FDPSXV�LQ�3DOR��/H\WH

,QWHULRU�RI�830�6+6�EXLOGLQJV

100

&RXUW\DUG�RI�830�6+6

101

Stairs leading to UPM SHS building

102

Interior of UPM SHS building

��

REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATION7KH�5HPHGLRV�7��5RPXDOGH]�0HGLFDO�)RXQGDWLRQ��5750)��UXQV�WKH�VFKRRO�DQG�KRVSLWDO�RI�WKH�VDPH�QDPH�LQ�/H\WH��,W�LV�RQH�RI�WKH�ODUJHVW�SULYDWH�HGXFDWLRQDO�LQVWLWXWLRQV�GHGLFDWHG�WR�WKH�HGXFDWLRQ�RI�KHDOWK�ZRUNHUV��,W�SURGXFHV�JUDGXDWHV�RI�PHGLFLQH�DQG�DOOLHG�PHGLFDO�SURIHVVLRQV�ZKR�HYHQWXDOO\�MRLQ�WKH�KHDOWK�ZRUNIRUFH�LQ�WKH�UHJLRQ��)RXQGHG�LQ��WKH�WKUXVW�RI�WKH�FROOHJH�LV�´WR�WUDLQ�VWXGHQWV�WR�D�KLJK�OHYHO�RI�FRPSHWHQFH�DV�SULPDU\�FDUH�SK\VLFLDQVµ�

'HVSLWH�WKH�GDPDJHV�WR�WKH�URRIV��HOHYDWRUV�DQG�HTXLSPHQW�WKH�KRVSLWDO�FRQWLQXHG�WR�RSHUDWH�GXULQJ�DQG�DIWHU�WKH�W\SKRRQ��,W�also served as a temporary lodging site for IRUHLJQ�PHGLFDO�WHDPV��7KH�VWXGHQWV�ZKR�ZHUH�GLVSODFHG�DQG�ZKRVH�GRUPLWRULHV�ZHUH�destroyed also sought and were given shelter DW�WKH�KRVSLWDO�

5HKDELOLWDWLRQ�RI�WKH�VFKRRO�DQG�KRVSLWDO�LV�EHLQJ�FRPSOHWHG��7KH�IRXQGDWLRQ�KDV�VSHQW�PRUH�WKDQ�3+3��PLOOLRQ�WR�UHKDELOLWDWH�WKH�GDPDJHG�DUHDV��LQFRUSRUDWLQJ�PRUH�UHVLOLHQW�GHVLJQ�DQG�FRQVWUXFWLRQ�PDWHULDOV�LQ�WKH�SURFHVV�

105&KDSWHU��6XUYLYLQJ�7\SKRRQ�<RODQGD�DQG�5LVLQJ�$QHZ

Facade of RTRMF Hospital

��&KDSWHU��6XUYLYLQJ�7\SKRRQ�<RODQGD�DQG�5LVLQJ�$QHZ

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

��

The rehabilitated physical therapy and rehabilitation clinic

of RTRMF

��

3DWLHQWV�DW�WKH�GLDO\VLV�FHQWHU�RI�WKH�KRVSLWDO�EHQHÀWLQJ�IURP�WKH�GLDO\VLV�PDFKLQHV�GRQDWHG�

to the hospital

110

REGIONAL HEALTH TRAINING CENTER, PALO, LEYTE

7KH�'2+�5HJLRQDO�+HDOWK�7UDLQLQJ�&HQWHU�suffered some damages in the typhoon that DIIHFWHG�LWV�IXQFWLRQDOLW\��:KLOH�WKH�VWUXFWXUH�RI�WKH�EXLOGLQJ�LV�LQWDFW��LW�VXIIHUHG�GDPDJHV�WR�LWV�URRI��FHLOLQJ�DQG�ÁRRU��ZLQGRZV�DQG�GRRUV�ZHUH�GDPDJHG�RU�GHVWUR\HG��DQG�HOHFWULFDO�DQG�SOXPELQJ�ZRUNV�ZHUH�GLVUXSWHG��

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Repairs on-going

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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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Table 1 Standard Space Requirements for a Hospital

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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 ��


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


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�


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�


�� 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�


�� 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)


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)

(FFL

+65

0mm

)

RAMP UP

UP

(FFL

+65

0mm

)

RAMP UP

UP

UP

STAIR & RAMPLOBBY

RAMP UP

UP

RAMPDOWN

RAMP UP

UP

(FFL

+65

0mm

)(F

FL +

650m

m)

TEL.BOOTH

I

H

G

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9 10 11 12

6125

2600

6200

6000

6000

6200

2600

6125

4185

0

6350 6000 6000 3000 6000 6000 6350 3125 2500 260050425

2500

6350 6000 6000 3000 6000 6000 6350 3125 2500 2600 2500

50425

6125

2600

6200

6000

6000

6200

2600

6125

4185

0

1SP 1 SCALE

GROUND FLOOR PLAN1: 200 M

GRAPHICAL SCALE

43210 5 876 METERS10 9

50 - BED MODEL LEVEL 2 HOSPITAL

Two-Storey, 25-Bed Hospital level One

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

��+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV

DOWN

OPEN TO BELOWOVERLOOKING

LANDSCAPEGARDEN

2600mm CLEAR WIDTH CORRIDOR 2600mm CLEAR WIDTH CORRIDOR

CO

RR

IDO

R

RAMP DN.(1:12 GRADIENT)

ELECTRICALROOM

STAIR & RAMPLOBBY

DOWN

5-BEDWARD

5-BEDWARD

5-BEDWARD

SCRUB-UPAREA

SUB-STERILE

SCRUB-UPAREA

SUB-STERILE

FDR

CLO.

MDR

CLO.

LABORROOM

DELIVERYROOM

DOCTOR'SLOUNGE

OPERATINGROOM - 1

OPERATINGROOM - 2

5-BEDWARD

JC

CLEAN-UPROOM

STERILEINSTRUMENT

SUPPLYSTORAGE

AREAN

UR

SE

STA

TIO

N

ANESTHESIA OFFICEAND STORAGE

PRE-MATURE

PATHOLOGIC

BREASTFEEDINGROOM

RECOVERY ROOM (PACU)

WORKAREA

STERILECORRIDOR

ISOLATIONROOM

ISOLATIONROOM

VIE

WIN

G A

RE

A

CSSR


LANDSCAPEGARDEN

STRETCHER'S NOOK

SS

MEDICALREOCRDS

PRIVATEROOM - 1

PRIVATEROOM - 2

PRIVATEROOM - 4

PRIVATEROOM - 5

DIRTYUTILITY

CLEANLINENTREATMENT

ROOM

CLEAN UTILITY

PRIVATEROOM - 3

NURSESTATION

CHIEFNURSE

JAN.CLO.

CO

RR

IDO

R

AFFILIATESROOM

RECORDSOFFICE


I

H

G

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9 10 11 12

6125

2600

6200

6000

6000

6200

2600

6125

4185

0

6350 6000 6000 3000 6000 6000 6350 3125 2500 260050425

2500

6350 6000 6000 3000 6000 6000 6350 2500 2600 2500

50425

6125

2600

6200

6000

6200

6125

4185

0

1SP 2 SCALE

SECOND FLOOR PLAN1: 200 M


SS

GRAPHICAL SCALE

43210 5 876 METERS10 9


RA 9266 SECTION 33

3125

STRET-CHER'SNOOK

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

7R�GRZQORDG��SOHDVH�YLVLW��KWWS��EXLOGLQJEDFNEHWWHUKHDOWK�GRK�JRY�SK�GRZQORDGV

130 +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV

Figure 3 Two-Storey, 25-Bed Hospital Level One: Perspective

131+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV


One Storey, 50-Bed Hospital level One

Figure 4 One-Storey, 50-Bed Hospital Level One: Ground Floor Plan

MAIN SKYLIGHTLOBBYABOVE

SHOP

SHOP

SHOP

SHOP

OBSERVATIONROOM

(FEMALE)

TREATMENTCUBICLE(FEMALE)

TOILETFOR

DISABLED

EQUIPSTO.

ROOM

SKYLIGHTLINE OF

TOI. TOI.

CHIEFNURSEOFFICE

AO

ADMIN

OFFICE

COHOFFICE

TOI.

MEETINGROOM

BUSINESSOFFICE

CASHIER

TREATMENTCUBICLE

WAITING AREAMALE STRETCHERS

NOOK

DOCTORON

DUTYOBSERVATIONROOM(MALE)

PWD

HE SHE

COCOFFICE

NURSESTATION

SKYLIGHTABOVE

PHARMACY

FEMALESTAFFTOILET

MALESTAFFTOILET LABORATORY

PEDIA /UNDER FIVE

OB GYNE MEDICAL

CLINIC CLINIC

DENTALOFIICE

DENTALOFIICE

SKYLIGHTLINE OF

WAITING LOBBYOPD

COUNTEROPD

RECORDOPD

ROOM

SURGICALROOM

ULTRASOUNDROOMECG

ROOMX - RAY

RADIOLOGISTOFFICE

FILM FILESTO. RM.

DARKROOM

INFO /ADMITING

SKYLIGHTLINE OF

MORTUARYROOM

WAITINGAREA

TOI.

REC.RM.

SUPPLYOFFICE

CENTRALSUPPLYSTORAGE

STORAGE

TOI.

LOCKER

MAINT.RM.

OFFICE

WORK AMAINT.

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


OPERATING ROOM 2 OPERATING ROOM 1

SUBSTER.

STERILE.CORRIDOR

P. A. C. U

AUTO CLAVE AREA

C. S. S. R

STERILE.CORRIDOR

SUB

TOI.

TOI.

HE

SHE

STAFFLOUNGE

JAN

CLEAN UPROOM

SURGICALNURSE

STERILE.INST. &ANESTHESIASUPPLYSTO.

TOI.

TOI. TOI.

TOI.

MALEDRESSING

RM.FEMALEDRESSING

RM.

PATHOLOGYNURSERY

WK.ROOM

NICU

NURSESTATION

FEMALEPUBLIC

CR.

MALEPUBLICCR.

DELIVERYROOM

RECOVERYROOM

DELIVERYROOM

SEPTIC

ROOM

SEPTICLABOR

5 BED WARD

TOI.

TOI. TOI.

TOI.TOI.

TOI.

TOI. TOI.

TOI. TOI. TOI.

TOI.

5 BED WARD

5 BED WARD

5 BED WARD 5 BED WARD

5 BED WARD

5 BED WARD

MEDICALRECORDROOM

TREATMENTROOM

DIRTYLINEN

CLEANLINEN

STO.UTILITYROOM

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALE

ISOLATIONROOMMALE

ISOLATIONROOMFEMALEGARDEN

COURT

NURSE STATION

STORAGEIRONING

AREA WASHING /DRYINGAREA

TOI.

GARBAGERM.

POTS.PANS &

WASH AREA

COOKING AREA

FOOD PREP.

FOODASSEMBLY

AREA

STAFFDININGAREA

DIETICIAN'SOFFICE

COLDSTO.

AREA

DRYSTO.

AREA

5 BED WARD

5 BED WARD

5 BED WARD5 BED WARD

TOI. TOI.

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALE

TOI. TOI.

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALETOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TREATMENTROOM

DIRTYLINEN

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

TOI.

CLEANLINEN

STO.UTILITYROOM

NURSE STATION

PARKINGAREA

A

B

C

D

EF

G

H

I

J

KL

M

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

UPUPUPUP

6000.0 3000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.06000.0 6000.0 3000.0 6000.0 6000.099000.0

2000

.060

00.0

6000

.060

00.0

3000

.060

00.0

6000

.060

00.0

6000

.060

00.0

3000

.060

00.0

6200

0.0

6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0 6000.0 15000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0

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.

COURTGARDENCOURTGARDEN

BREASTFEED.AREA

WK.ROOM

LABORROOMTOILET

NURSESUPERVISION

CLEAN

STER.

UPROOM

INST.

DOCTOR'SLOUNGE

C O R R I D O RC O R R I D O R

C O R R I D O R C O R R I D O R

C O

R R

I D

O R

SS

C O

R R

I D

O R

TOI.

RAMPUP UP

RAMP

C O R R I D O R

SUPERVISOR



MAIN SKYLIGHTLOBBYABOVE

SHOP

SHOP

SHOP

SHOP

OBSERVATIONROOM

(FEMALE)

TREATMENTCUBICLE(FEMALE)

TOILETFOR

DISABLED

EQUIPSTO.

ROOM

SKYLIGHTLINE OF

TOI. TOI.

CHIEFNURSEOFFICE

AO

ADMIN

OFFICE

COHOFFICE

TOI.

MEETINGROOM

BUSINESSOFFICE

CASHIER

TREATMENTCUBICLE

WAITING AREAMALE STRETCHERS

NOOK

DOCTORON

DUTYOBSERVATIONROOM(MALE)

PWD

HE SHE

COCOFFICE

NURSESTATION

SKYLIGHTABOVE

PHARMACY

FEMALESTAFFTOILET

MALESTAFFTOILET LABORATORY

PEDIA /UNDER FIVE

OB GYNE MEDICAL

CLINIC CLINIC

DENTALOFIICE

DENTALOFIICE

SKYLIGHTLINE OF

WAITING LOBBYOPD

COUNTEROPD

RECORDOPD

ROOM

SURGICALROOM

ULTRASOUNDROOMECG

ROOMX - RAY

RADIOLOGISTOFFICE

FILM FILESTO. RM.

DARKROOM

INFO /ADMITING

SKYLIGHTLINE OF

MORTUARYROOM

WAITINGAREA

TOI.

REC.RM.

SUPPLYOFFICE

CENTRALSUPPLYSTORAGE

STORAGE

TOI.

LOCKER

MAINT.RM.

OFFICE

WORK AMAINT.



OPERATING ROOM 2 OPERATING ROOM 1

SUBSTER.

STERILE.CORRIDOR

P. A. C. U

AUTO CLAVE AREA

C. S. S. R

STERILE.CORRIDOR

SUB

TOI.

TOI.

HE

SHE

STAFFLOUNGE

JAN

CLEAN UPROOM

SURGICALNURSE

STERILE.INST. &ANESTHESIASUPPLYSTO.

TOI.

TOI. TOI.

TOI.

MALEDRESSING

RM.FEMALEDRESSING

RM.

PATHOLOGYNURSERY

WK.ROOM

NICU

NURSESTATION

FEMALEPUBLIC

CR.

MALEPUBLICCR.

DELIVERYROOM

RECOVERYROOM

DELIVERYROOM

SEPTIC

ROOM

SEPTICLABOR

5 BED WARD

TOI.

TOI. TOI.

TOI.TOI.

TOI.

TOI. TOI.

TOI. TOI. TOI.

TOI.

5 BED WARD

5 BED WARD

5 BED WARD 5 BED WARD

5 BED WARD

5 BED WARD

MEDICALRECORDROOM

TREATMENTROOM

DIRTYLINEN

CLEANLINEN

STO.UTILITYROOM

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALE

ISOLATIONROOMMALE

ISOLATIONROOMFEMALEGARDEN

COURT

NURSE STATION

STORAGEIRONING

AREA WASHING /DRYINGAREA

TOI.

GARBAGERM.

POTS.PANS &

WASH AREA

COOKING AREA

FOOD PREP.

FOODASSEMBLY

AREA

STAFFDININGAREA

DIETICIAN'SOFFICE

COLDSTO.

AREA

DRYSTO.

AREA

5 BED WARD

5 BED WARD

5 BED WARD5 BED WARD

TOI. TOI.

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALE

TOI. TOI.

ISOLATIONROOMMALE

ISOLATIONROOM

FEMALETOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TOI.

TREATMENTROOM

DIRTYLINEN

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

PRIVATEROOM

TOI.

CLEANLINEN

STO.UTILITYROOM

NURSE STATION

PARKINGAREA

A

B

C

D

EF

G

H

I

J

KL

M

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

UPUPUPUP

6000.0 3000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.06000.0 6000.0 3000.0 6000.0 6000.099000.0

2000

.060

00.0

6000

.060

00.0

3000

.060

00.0

6000

.060

00.0

6000

.060

00.0

3000

.060

00.0

6200

0.0

6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0 6000.0 15000.0 6000.0 6000.0 3000.0 6000.0 6000.0 6000.0 3000.0 6000.0

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.

COURTGARDENCOURTGARDEN

BREASTFEED.AREA

WK.ROOM

LABORROOMTOILET

NURSESUPERVISION

CLEAN

STER.

UPROOM

INST.

DOCTOR'SLOUNGE

C O R R I D O RC O R R I D O R

C O R R I D O R C O R R I D O R

C O

R R

I D

O R

SS

C O

R R

I D

O R

TOI.

RAMPUP UP

RAMP

C O R R I D O R

SUPERVISOR


Figure 5 One-Storey, 50-Bed Hospital Level One: Perspective


Two-Storey, 50-Bed Hospital level One


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

BILLINGCASHIER INFORMATION

ADMITTINGOFFICE


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


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)


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)

(FFL

+65

0mm

)

RAMP UP

UP

(FFL

+65

0mm

)

RAMP UP

UP

UP

STAIR & RAMPLOBBY

RAMP UP

UP

RAMPDOWN

RAMP UP

UP

(FFL

+65

0mm

)(F

FL +

650m

m)

TEL.BOOTH

I

H

G

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9 10 11 12

6125

2600

6200

6000

6000

6200

2600

6125

4185

0

6350 6000 6000 3000 6000 6000 6350 3125 2500 260050425

2500

6350 6000 6000 3000 6000 6000 6350 3125 2500 2600 2500

50425

6125

2600

6200

6000

6000

6200

2600

6125

4185

0

1SP 1 SCALE

GROUND FLOOR PLAN1: 200 M

GRAPHICAL SCALE

43210 5 876 METERS10 9


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


DOWN


LANDSCAPEGARDEN


CO

RR

IDO

R

RAMP DN.(1:12 GRADIENT)

ELECTRICALROOM

STAIR & RAMPLOBBY

DOWN

5-BEDWARD

5-BEDWARD

5-BEDWARD

5-BEDWARD

5-BEDWARD

5-BEDWARD

5-BEDWARD

5-BEDWARD

SCRUB-UPAREA

SUB-STERILE

SCRUB-UPAREA

SUB-STERILE

FDR

CLO.

MDR

CLO.

LABORROOM

DELIVERYROOM

DOCTOR'SLOUNGE

OPERATINGROOM - 1

OPERATINGROOM - 2

5-BEDWARD

JC

CLEAN-UPROOM

STERILEINSTRUMENT

SUPPLYSTORAGE

AREA

NURSESTATION

ANESTHESIA OFFICEAND STORAGE

PRE-MATURE

PATHOLOGIC

BREASTFEEDINGROOM

RECOVERY ROOM (PACU)

WORKAREA

STERILECORRIDOR

ISOLATIONROOM

ISOLATIONROOM

VIE

WIN

G A

RE

A

CSSR


LANDSCAPEGARDEN

STRETCHER'S NOOK

SS

MEDICALREOCRDS

PRIVATEROOM - 1

PRIVATEROOM - 2

PRIVATEROOM - 4

PRIVATEROOM - 5

DIRTYUTILITY

CLEANLINEN

CLEAN UTILITY

DIRTYUTILITY

CLEANLINENTREATMENT

ROOM

CLEAN UTILITY

PRIVATEROOM - 3

NURSESTATION

NURSESTATION

CHIEFNURSE

JAN.CLO.

CO

RR

IDO

R

AFFILIATESROOM

RECORDSOFFICE


TREATMENTROOM

I

H

G

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9 10 11 1261

2526

0062

0060

0060

0062

0026

0061

2541

850

6350 6000 6000 3000 6000 6000 6350 3125 2500 2600

50425

2500

6350 6000 6000 3000 6000 6000 6350 2500 2600 2500

50425

6125

2600

6200

6000

6200

6125

4185

0

1SP 2 SCALE

SECOND FLOOR PLAN1: 200 M


SS

GRAPHICAL SCALE

43210 5 876 METERS10 9


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



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


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


PARKING

SURGICAL WARD

T & B

FIRE ESCAPE

ANTE RM.

ENTRANCE

T & B

T & B

DEPARTMENTHEAD

CONFERENCEROOM

TREATMENTROOM

CLEANUTILITYMED. PREP.

COUNTER

CONFERENCEAREA

NURSESTATION


PARKING

TOILET

CLEANLINEN

SOILEDLINEN/DIRTY

UTLITY

4-BED WARD 4-BED WARD ISOLATION ROOM

PPE RACK


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


T & B T & B

PRIVATEROOM

PRIVATE ROOM

CLEAN UP TOILET

CLEAN LINEN


NURSESTATION

CONFERENCEROOM

TREATMENTROOM


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

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T & B T & BT & B

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

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100-BED, ONE-STOREY HOSPITAL

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


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



Two-Storey, 100-Bed Hospital level Two

(SURGERY) MINOR

OPERATING RM

OPDWAITING AREA

OPD SPILLOVER WAITING AREA

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Figure 11 Two-Storey, 100-Bed Hospital Level Two: Ground Floor Plan


STAIRS

DN.

ramp down

LINE OF STRUCTURE BELOW

SKYLIGHT SKYLIGHT

PEDIA. WARD SURGICAL WARDR O O F D E C K

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FEMALE DRESSING RM.

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Figure 12 Two-Storey, 100-Bed Hospital Level Two: Second Floor Plan



Figure 13 Two-Storey, 100-Bed Hospital Level Two: Perspective


Three-Storey, 100-Bed Hospital level Two


up upu up

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STORAGEROOM

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FREEZER

WORK AREA

SUB-LOBBY

WAITINGAREA

PASS-THRUWINDOW

CT-SCAN



STAFFPANTRY/LOUNGE

WAITING AREA

M/TOI

F/TOI


BOOTH

STAFF/CLERICALROOM

INFO/RECEPT.

UP

CONTROLBOOTH

TOILET


ROOMULTRASOUND

ROOM

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

MOBILEX-RAY

FILESROOM

SUB-LOBBY

SUPPLY ROOM

CHIEFRADIOLOGIST

RAMPUP

up

OPDSPILLOVER

WAITING AREA

Guest Elevator

Bed Elevator L o b b y

up upOPD

ADMITTINGBUDGET/FINANCE

WAITINGAREA

to X-Ray& 2nd Flr.

WAITINGAREA

Ramp Up

MINOROPERATING RM

SCRUB- UP


SUB-STERILEmedicine

C / E

OPDREGISTRATION/ADMITTINGCOUNTER

OPDRECORDS

OPDCONF.

RM.

OPDHEAD

TOI.

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

STAFFLOUNGE

T & B

NURSE STATION&

MEDICATIONAREA

Wheelchair/ Stretcher Park.

OPDWAITING AREA

(DENTAL)C / E

C / E(EYE)

(SURGERY)C / E

C / E(ENT)

C / E(OB-GYN)C / E

(PEDIA)

BILLING &CLAIMSSTAFF MALE

TOILET

STAFF FEMALETOILET

VAULTCHIEF BILLING

OFFICER

DISBURSEMENTOFFICER

CASHIERCOLLECTOR

CHIEF CASHIER

CLERK

BILLING

PHILHEALTH

CLERK

ADMITTING/INFO.

INFO.,RECEPTION&

COMMUNICATIONAREA

COUNSELLINGROOM

FILINGROOM

HEADSOFFICE

C O U N T E R

WAITINGAREA

MEDICAL SOCIALWORK

CLERK

CLERK

CLERK

EQUIPMENT STORAGE

CLEAN UTILITY

DIRTYUTILITY/

LINEN RM. NURSESTATION/RECEPTION

COUNTER

T & B

CLEAN LINEN

MEDICATION ROOM

WORKAREA

MEDICALTREATMENTOBSERVATION

SINK

PEDIATREATMENT

OBSERVATIONSINK

SURGICALTREATMENT

OBSERVATION

SINK

OB-GYNTREATMENT

OBSERVATION

SINK

MALE PATIENT TOILET

PUBLICMALE TOILET

PUBLICFEMALE TOILET

PWD TOILET

FEMALEPATIENTTOILET

S.S.S.S.

S.S.

TRIAGEWHEELCHAIR/ STRETCHER NOOK

WAITING AREA

E. R. L O B B Y

RESPIRATORYUNIT

WAITING AREA

MINOROPERATING

ROOMSUB-

STERILE

SCRUB-UP

HEAD'SOFFICE

TOILET


J.C. W/ S.S.

TOI.

DOCTORS'CALL RM.

HEALTHEMERGENCY

MANAGEMENTSUPPLY RM.

(HEMS)

PWD TOILET

PUBLICFEMALETOILET

PUBLICMALE

TOILET

CHIEFPHARMACIST'S

OFFICE


DISPENSINGAREA

BOOKSHELVES

STAFFPANTRY/LOUNGE

PLASTICPALLETTE

PLASTICPALLETTE

SHELVES

SHELVESBULK STORAGE

WORK AREA

WCPU

TOI.

upupup RAMP UPRAMP UPRAMP UP

RAMP UP

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

RAMP UP

BIODEGRADABLE

MERCURYCONTAINING

DEVICES/LAMPS

E L

E V

A T

E D

L

O A

D I

N G

P

L A

T F

O R

M

NON-BIODEGRADABLE/RECYCLABLE

WASTE

HAZARDOUSWASTE

WORK AREA

CO

RR

ID

OR

LABORATORY

RADIOLOGY/ IMAGING DEPARTMENT

3000 27000 6003 3499 2501 6000 3000 5996 6001 3003

66003

6000

9000

6003

2997

6000

3000

6000

30000

1200

0

600020002000

30001500

4500300030002000

4000

300015001500

2996 3000 3000 3000 300030000

8996 90003000

6000

1200

0

2400

3600

3000 3000 3000 3000 3000 9000 3000 3000 3000 3000 30003000

6000 6002 2998 3000 6000 3000 6000 3000 6000 3000 6000 900036000 21000 45000

GROUND FLOOR PLAN100-BED, THREE-STOREY HOSPITAL

Figure 14 Three-Storey, 100-Bed Hospital Level Two: Ground Floor Plan


upu

LINEN & LAUNDRY

COMPLETIONROOM

GLA

SS

WIN

DO

W

FILING ROOM

HEAD'SOFFICE

SHELVES

GLASS WINDOW

GLA

SS

WIN

DO

W RECEIVING/RELEASING

AREA


FILES)

(FOR ACTIVEFILES)

WORK AREA

TOILET

FT MT

FEMALELOCKERS



RECEIVING/SORTINGAND

DISINFECTINGAREA

WASHING /DRYING IRONING/

PRESSINGRELEASING &RECORDING

AREA

MALELOCKERS

LAUNDRY TUBS

WORK COUNTER

dryingmachine

washingmachine

dryingmachine

dryingmachine

washingmachine

washingmachine

flatworkironer

presser

ironingboard


BAKING /COOKING AREA


AREA

DRYSTORAGE

COLDSTORAGENUTRITION

CLINIC

DISH WASHINGAREA

FOOD CONVEYOR

PARKING

SERVING AREA

TOILET

CHIEFNUTRITIONIST/

DIETITIAN'SOFFICEBLENDERIZED

ANDTUBEFEEDING

AREA

WASTE HOLDINGAREA

POTS AND PANSWASHING &STORAGE

STORAGE FORUTENSILS &

SILVERWARES

SERVING ANDFOOD ASSEMBLY

AREA

F. E.

THERAPEUTICDIET AREACASHIER

STAFFDINING AREA


AREA

up

up

FT &LOCKERS

MT &LOCKERS

TOILET GANG CHAIRS

upup

RECEIVING/INSPECTION

AREA

DN.


STERILE INST. &

SUPPLY ROOM

MALE DRESSING RM.

T&B

FEMALE DRESSING RM.

ENTRANCE

DELIVERYROOM

RECOVERYROOM

LABORROOM


LOUNGE

WHEELEDSTRETCHER'S

AREA

CLEAN UTILITY

SCRUB-UP



CLEAN-UP

TOILET & BATH

JANITOR'S CLOSET S S

LO

CK

ER

S

LO

CK

ER

S


WORK AREAw/ Sink

TREATMENT AREA

N I C U


NURSE STA.

SUSPECT/PATHOLOGIC

NURSE STATION BREASTFEEDING

ROOM T&B

D. R. SUITE

up

MAJOR O. R. SCRUB-UP


SUB-STERILE ROOM

LOUNGE

CLEAN-UP

ANESTHESIA OFFICE

FIRE EXIT

ENTRANCE TRANSFER AND RECEPTION AREA

NURSE STATION/WORK AREA

FEMALEDRESSING ROOM

TOILET TOILET

MALEDRESSING ROOM

WHEELEDSTRETCHER'S AREA

PRE-OPERATIVEROOM

SS

JAN. CLO. NURSE STA.

SERVICE CORRIDOR


MAJOR O. R. MAJOR O. R.

SERVICECORRIDOR


ANESTHESIA STORAGE

TOILET

CLEANUTLITY

CLEANLINEN

DIRTYLINEN

STERILE INST. &SUPPLY

STORAGE ROOM

up up

EXECUTIVE ADMIN. PRIVATE ROOMS

RELEASING& DIST. COUNTER

WORK AREA

Receiving Area

Storage Rm.

AUTOCLAVE ROOM

Packing

Inventory

Washing

VISITORS' DRESSING RM.

1 3 4

5

62

OFFICE PATIENT TOILET SOILED

UTILITY/ LINEN

NURSE STATION

FAMILYCOUNSELLING ROOM

STAFF LOCKER T & B

FEMALE STAFFTOILET

CLO.

TREATMENTROOM

CLEAN UTILITY

MED. PREP.COUNTER

CONFERENCEAREA

NURSE STATION

STRETCHER/ WHEELCHAIRPARKING

TOILET

CLEAN LINEN


T & BT & B

PRIVATEROOM

PRIVATEROOM

T & BT & B

PRIVATEROOM

PRIVATEROOM

T & B

PRIVATEROOM

T & BT & B

PRIVATEROOM

PRIVATEROOM

T & B T & BT & BT & B

TOI.

ss ss

AUDITINGINTEGRATED HOSPITAL

OPERATIONS &MANAGEMENT PROGRAM

(IHOMP)WAITING AREA

CHIEF OF HOSPITALCONFERENCE

ROOM

FEMALE STAFFTOILET

MALE STAFFTOILET

PANTRY

ELECTRICALROOM

FILING ROOM

HUMAN RESOURCEDEVELOPMENT

BUDGET & FINANCE

ACCOUNTINGADMINISTRATIVE

OFFICER

CHIEF OFCLINICSCHIEF NURSE &

NURSING OFFICE

STAFFLOUNGE

RAMPUP

RAMPUP

up

Guest Elevator


OPERATING ROOM COMPLEX

NUTRITION and DIETETICS

INTENSIVE CARE UNIT

CENTRAL STERILIZING & SUPPLY ROOM

SECOND FLOOR PLAN

3000 3000 6000 9000 3000 6000

6000

6000

3000

6000 3000 3000 6000 4000 5000 3000

6000

1500

4500

3000 6000 4300 2912 6786 3496 3506

6000

3000

6000

6074 6000 4500 4000 2000 2000 2500 3003

6000

2500

4000

6001

3000

6000

3000 3001 3000 6002 8997 4499 3000 12000 3000 3000 3000 3000 6001 3000 5999 3000 3000 3000

6000

3000

6000PRIVATE

ROOMPRIVATE

ROOMPRIVATE

ROOMPRIVATE

ROOM

100-BED, THREE-STOREY HOSPITALFigure 15 Three-Storey, 100-Bed Hospital Level Two: Second Floor Plan



DORMITORY

dn.dn.

FEMALE TOI.

AUDITORIUM LOBBY

A U D I T O R I U M

screen

PANTRY MALE TOI.

( 200 SEATS )

BEDROOM

LIVING / DININGAREA

BEDROOM BEDROOM BEDROOM BEDROOM BEDROOM

D O R M IT O R Y

BEDROOM BEDROOM BEDROOM BEDROOM

RAMPDN.

dn.

up

T & B

ANTE RM.

T & B

T & B

DEPARTMENTHEAD

CONFERENCEROOM

TREATMENTROOM

CLEAN UTILITYMED. PREP.COUNTER

CONFERENCEAREA

NURSE STATION


PARKING

TOILET

CLEAN LINEN


4-BED WARD4-BED WARDISOLATION ROOM

PPE RACK

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

ROOMPRIVATE

ROOM

MEDICAL WARD PEDIA. WARD



T & B T & B

PRIVATEROOM

PRIVATE ROOM

CLEAN UPTOILET

CLEAN LINEN


NURSE STATION

CONFERENCEROOM

TREATMENTROOM


PARKING

T & B

DepartmentHead

ANTE RM.T & B

ISOLATIONROOM

PPE RACK

dn.

dn. Guest Elevator


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


DEPARTMENTHEAD

CONFERENCEROOM

4-BED WARD4-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

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


PARKING

TOILET

CLEANLINEN


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


100-BED, THREE-STOREY HOSPITAL

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



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

STAnDARDS FOR HEAlTH HuMAn RESOuRCE In GOvERnMEnT HOSPITAlS


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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


'��+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




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


�� 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




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 ��


�� 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


6WDQGDUG�6WDIÀQJ�3DWWHUQ

7KH�DVVLJQHG�FODVVLÀFDWLRQ��EHG�FDSDFLW\�DQG�RUJDQL]DWLRQDO�VWUXFWXUH�RI�WKH�KRVSLWDO�GHWHUPLQHV�LWV�VWDIÀQJ�SDWWHUQ��,Q�JHQHUDO��WKH�VWDIÀQJ�SDWWHUQ�LQFOXGHV�WKH�PHGLFDO�VWDII��WKH�QXUVLQJ�VWDII�DQG�RWKHU�KRVSLWDO�SURIHVVLRQDO�SHUVRQQHO�LQ�LQGLUHFW�SDWLHQW�FDUH�VHUYLFHV��

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�


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�


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�


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��


�� 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�

&ROOHFWLRQ�DQG�([FUHWD�'LVSRVDO�� 3UHVLGHQWLDO�'HFUHH��²�3URYLGLQJ�IRU�WKH�5HYLVLRQ�RI�5HSXEOLF�$FW��FRPPRQO\�NQRZQ�DV�

WKH�3ROOXWLRQ�&RQWURO�/DZ��DQG�IRU�2WKHU�3XUSRVHV�� 3UHVLGHQWLDO�'HFUHH��²�(QYLURQPHQWDO�,PSDFW�6WDWHPHQW�6\VWHP�� 3UHVLGHQWLDO�'HFUHH��([HFXWLYH�2UGHU��²�)XUWKHU�'HÀQLQJ�&HUWDLQ�)XQFWLRQV�DQG�3RZHUV�RI�

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�

5HYLVHG�:DWHU�8VDJH�DQG�&ODVVLÀFDWLRQ�:DWHU�4XDOLW\�&ULWHULD�$PHQGLQJ�6HFWLRQ�1XPEHUV��DQG��&KDSWHU�,,,�RI�WKH��1DWLRQDO�:DWHU�DQG�$LU�3ROOXWLRQ�&RQWURO�&RPPLVVLRQ�5XOHV�DQG�5HJXODWLRQV��

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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�


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�

» 8VH�ÀQLVKHV�WKDW�DUH�HDV\�WR�FOHDQ� » ,Q�FOLQLFDO�DUHDV��ÁRRULQJ�VKRXOG�EH�VHDPOHVV�DQG�VPRRWK��VOLS�UHVLVWDQW��HDVLO\�FOHDQHG�DQG�

DSSURSULDWHO\�ZHDU�UHVLVWDQW� » 8VH�WKUHVKROG�PDWWLQJ�RQ�DOO�H[WHUQDO�HQWUDQFHV��7KH�W\SH�VKRXOG�DOORZ�IRU�H[SHFWHG�WKURXJK�

WUDIÀF�DQG�HDV\�FOHDQLQJ� » 6XSSO\�SLSHZRUN�VKRXOG�DOZD\V�EH�FRQFHDOHG�

�� &KHDS�LV�QRW�DOZD\V�EHVW��3D\�DWWHQWLRQ�WR�ZKROH�OLIH�FRVWV��LQFOXGLQJ�WKH�FRVWV�RI�FOHDQLQJ�DQG�PDLQWHQDQFH�


Addressing Mental Health Post Yolanda

7KH�'2+�LV�FRJQL]DQW�RI�WKH�IDFW�WKDW�PHQWDO�KHDOWK�SUREOHPV�ZLOO�LQFUHDVH�DIWHU�DQ\�GLVDVWHU�DQG�KDV�EHHQ�SUHSDULQJ�DQG�ZRUNLQJ�WR�DGGUHVV�WKLV�LQ�DUHDV�KLW�E\�7\SKRRQ�<RODQGD��7KH�'HSDUWPHQW�KDV�D�SROLF\�RI�LQWHJUDWLQJ�WUHDWPHQW�IRU�SHRSOH�ZLWK�PHQWDO�KHDOWK�SUREOHPV�LQWR�SULPDU\�FDUH��,Q�RUGHU�WR�DFKLHYH�WKLV�REMHFWLYH��WKH�'2+��LQ�FRRSHUDWLRQ�ZLWK�WKH�:+2��LV�WUDLQLQJ�SULPDU\�FDUH�SK\VLFLDQV�DQG�QXUVHV�ZLWKLQ�5HJLRQ��WR�DGGUHVV�PHQWDO�KHDOWK�SUREOHPV�LQ�WKH�FRPPXQLW\�DW�WKH�SULPDU\�FDUH�OHYHO��,W�KDV�EHHQ�VKRZQ�WKDW�WKLV�SROLF\�ZRUNV�HIIHFWLYHO\��DQG�WKRVH�SULPDU\�FDUH�VWDII�DOUHDG\�WUDLQHG�DUH�VHHLQJ�D�ODUJH�QXPEHU�RI�SDWLHQWV��0RVW�SDWLHQWV�FDQ�EH�WUHDWHG�LQ�WKHLU�RZQ�FRPPXQLW\�DQG�QHDU�WKHLU�RZQ�KRPH�

+RZHYHU��RFFDVLRQDOO\�D�VPDOO�QXPEHU�RI�SDWLHQWV�ZLOO�QHHG�WR�EH�DGPLWWHG�WR�WKH�KRVSLWDO��XVXDOO\�IRU�VKRUW�SHULRGV��2QH�RI�WKH�QDWLRQDO�SODQV�LV�WR�XSJUDGH�WKH�FDSDELOLW\�RI�VHFRQGDU\�DQG�WHUWLDU\�KRVSLWDOV�WR�LQFOXGH�ZDUGV�IRU�PHQWDO�KHDOWK�VHUYLFHV��:+2�ZLOO�EH�ZRUNLQJ�ZLWK�WKH�'2+�WR�GHYHORS�D�GHVLJQ�WHPSODWH�IRU�PRGHO�PHQWDO�KHDOWK�ZDUGV�DW�UHJLRQDO�DQG�SURYLQFLDO�OHYHOV��7KHVH�ZLOO�EH�DYDLODEOH�VRRQ�

,Q�WKH�LQWHULP��WKH�IROORZLQJ�SULQFLSOHV�WDNHQ�IURP�WKH�8QLWHG�.LQJGRP�'HSDUWPHQW�RI�+HDOWK·V�+HDOWK�%XLOGLQJ�1RWH��$GXOW�DFXWH�PHQWDO�KHDOWK�XQLWV�DUH�D�JRRG�VWDUWLQJ�SRLQW�IRU�EXLOGHUV�ZKR�ZDQW�WR�EH�JXLGHG�E\�VWDQGDUGV�IRU�WKH�FRQVWUXFWLRQ�RI�PHQWDO�KHDOWK�FOLQLFV�DQG�RU�ZDUGV�LQ�KRVSLWDOV��,Q�SDUWLFXODU��WKH�QRWHV�RQ�WKH�GHVLJQ�RI�DFXWH�FDUH�XQLWV�IRU�SDWLHQWV�ZLWK�PHQWDO�KHDOWK�SUREOHPV�DUH�LQVWUXFWLYH��7KH�GHVLJQ�RI�DFXWH�FDUH�XQLW�VKRXOG�FRQVLGHU��'+��(VWDWHV�DQG�IDFLOLWLHV��8.��

�� 3DWLHQW�FRPIRUW�DQG�D�WKHUDSHXWLF�HQYLURQPHQW�� 3UHVHUYDWLRQ�RI�SULYDF\��GLJQLW\�DQG�FRQWURO�RYHU�WKH�HQYLURQPHQW�DV�IDU�DV�SRVVLEOH�� 6DIHW\�DQG�VHFXULW\�RI�SDWLHQWV�DQG�VWDII�� $Q�HQYLURQPHQW�WKDW�FDQ�VXSSRUW�PHDQLQJIXO�DFWLYLWLHV��DQG�� 6HSDUDWLRQ�RI�GLIIHUHQW�JURXSV�EDVHG�RQ�JHQGHU��YXOQHUDELOLW\��SK\VLFDO�IUDLOW\�DQG�DFXLW\�RI�LOOQHVV�

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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�

'HSDUWPHQW�RI�+HDOWK��System Files��>2QOLQH@�$YDLODEOH�DW��KWWS��ZZZ�GRK�JRY�SK�V\VWHP�ÀOHV�SODQQLQJBDQGBGHVLJQB��SGI>$FFHVVHG��@�

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

'HSDUWPHQW�RI�+HDOWK��5HYLVHG�2UJDQL]DWLRQDO�6WUXFWXUH�DQG�6WDIÀQJ�6WDQGDUGV�IRU�Government Hospitals CY 2013 Edition��0DQLOD��'HSDUWPHQW�RI�+HDOWK�

'HSDUWPHQW�RI�+HDOWK��KWWS��ZZZ�GRK�JRY�SK�VLWHV�GHIDXOW�ÀOHV��BKIHSBOJX�SGI��>2QOLQH@�$YDLODEOH�DW��KWWS��ZZZ�GRK�JRY�SK�VLWHV�GHIDXOW�ÀOHV��BKIHSBOJX�SGI>$FFHVVHG��-XQH��@�

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,VUDHO��'��&��7\SKRRQV��ÁRRGV��DQG�GURXJKWV��UHJLRQDO�RFFXUHQFH�DQG�YDOXH�RI�GDPDJHV�WR�rice farming in the Philippines��0DQLOD��3KLOLSSLQH�,QVWLWXWH�IRU�'HYHORSPHQW�6WXGLHV�

.UHIW��6��(FNVWHLQ��'��*OREDO�&OLPDWH�5LVN�,QGH[��Who Suffers Most from Extreme Weather Events? Weather-Related Loss Events in 2012 and 1993 to 2012��V�O��*HUPDQZDWFK�H�9�

1DWLRQDO�&RXQFLO�RQ�'LVDELOLW\�$IIDLUV��Accessibility in Post-Yolanda Philippines: Guidance Note in Applying Law and Standards in Yolanda-affected Areas��0DQLOD��V�Q�

1DWLRQDO�'LVDVWHU�5LVN�5HGXFWLRQ�DQG�0DQDJHPHQW�&RXQFLO��www.ndrrmc.gov.ph��>2QOLQH@�$YDLODEOH�DW��KWWS��ZZZ�QGUUPF�JRY�SK�DWWDFKPHQWV�DUWLFOH��8SGDWH��(IIHFWV��7<��<2/$1'$��$SULO��SGI>$FFHVVHG��@�

6KDQQRQ��(��$��%UDQG��%��$��5DWFOLIIH��.��0��7UDQWHU��%��.�� Developing metrics for hospital medical workforce allocation��$XVWUDOLDQ�+HDOWK�5HYLHZ��SS��


RISING ANEW

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HEALTH AT THE HEART OF HEALING


rising anew

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