MEDICAL SEMI-MEDICAL SEMI-TEMPORARY STRUCTURESTEMPORARY STRUCTURES

Examples of medical semi-Examples of medical semi-temporary structures in MSF temporary structures in MSF

programs programs By Jérôme Michon and Yannick Garbusinski and By Jérôme Michon and Yannick Garbusinski and

Hugues RobertHugues Robert

BEFOREBEFORE

Therapeutic feeding Therapeutic feeding centrecentre

Construction of a sleeping Construction of a sleeping room shelterroom shelter

Dimensions: 2 x Dimensions: 2 x (6x12)m(6x12)m

Capacity: 2 x 24 Capacity: 2 x 24 beneficiariesbeneficiaries

Shading area for Shading area for consultationconsultation

Construction time: Construction time: 2 days with 2 2 days with 2 teams of 11 teams of 11 workersworkers

Chainsaw workChainsaw work

Preparation of Preparation of wooden poles kits.wooden poles kits.

Fenced working Fenced working areaarea

Maximum 3 to 4 Maximum 3 to 4 persons in this areapersons in this area

Wooden poles set-upWooden poles set-up

Ground levellingGround levelling Same length Same length

wooden poleswooden poles Poles alignment Poles alignment

with ropeswith ropes

TrussTruss

Pre-cut polesPre-cut poles Alignment with Alignment with

roperope Installation of Installation of

raftersrafters

Front waiting areaFront waiting area

InteriorInterior

VentilationsVentilations Floor to be Floor to be

installedinstalled

Rain water drainageRain water drainage

Overall viewOverall view

Other constructionsOther constructions

LatrinesLatrines Dinning roomDinning room KitchenKitchen StockStock Registration areaRegistration area Water tank areaWater tank area

LatrinesLatrines

Dinning roomDinning room

KitchenKitchen

StockStock

Registration areaRegistration area

Water tank areaWater tank area

Some close-upSome close-up

OvenOven Brick floorBrick floor Natural lightingNatural lighting Plastic sheeting fixationPlastic sheeting fixation

OvenOven

Brick floorBrick floor

Natural lightingNatural lighting

Plastic sheeting fixationPlastic sheeting fixation

Towards permanent buildingTowards permanent buildingMSF-CH, Ryad refugee camp, MSF-CH, Ryad refugee camp,

Darfur, SudanDarfur, Sudan

Metallic trussMetallic truss

Dimension 6 x 10 m = 60 m2, Dimension 6 x 10 m = 60 m2, Price 5’750 usd (95 usd / m2)Price 5’750 usd (95 usd / m2) Brick floor + cement plasteringBrick floor + cement plastering Brick wall up to 140 cm / RoofingIron sheetBrick wall up to 140 cm / RoofingIron sheet Delay: 10 structures achieved in 3 monthDelay: 10 structures achieved in 3 month

Brick wallsBrick walls

InteriorInterior

IN PATIENT Kerenek (west Darfur)IN PATIENT Kerenek (west Darfur)

InteriorInterior

Maternity (Ryad camp, El geneina)Maternity (Ryad camp, El geneina)

Final resultFinal result

Feeding Center (Ryad camp, El geneina)Feeding Center (Ryad camp, El geneina)

Post-Tsunami emergency Post-Tsunami emergency shelterssheltersMSF-CHMSF-CH

Sri Lanka 2005Sri Lanka 2005

The projectThe project

Construction program of 66 semi-permanent Construction program of 66 semi-permanent houses consisting of a 28m2 living space, houses consisting of a 28m2 living space, situated in Rekawa, Wellodaya and Rana situated in Rekawa, Wellodaya and Rana (Division of Tagalla, province of (Division of Tagalla, province of Hambantota). Hambantota).

44 were established on government 44 were established on government provided lands whilst the remaining where provided lands whilst the remaining where established on private lands in a accordance established on private lands in a accordance to the preference of the beneficiaries.to the preference of the beneficiaries.

SanitationSanitation

Permanent showers and toilets were Permanent showers and toilets were constructed per each semi-constructed per each semi-permanent house for better hygiene permanent house for better hygiene and family privacy. and family privacy.

The families also received NFI kits The families also received NFI kits for replacing some of their lost for replacing some of their lost items, which ranged from beds to items, which ranged from beds to cooking facilities.cooking facilities.

Construction materialsConstruction materials

One semi-permanent structure consisted of:One semi-permanent structure consisted of:

A wooden structure poles and trussesA wooden structure poles and trusses A cemented metal mesh reinforced slabA cemented metal mesh reinforced slab An iron sheet roof and iron sheeting An iron sheet roof and iron sheeting

around the kitchen.around the kitchen. Temporary walls of plastic sheetingTemporary walls of plastic sheeting

DesignDesign

3’ ¼ (aprox. 100 cm)

8’ ½ (aprox. 255 cm)

3’ ¼ (aprox. 100 cm)

10’(aprox. 300 cm)

1’ ½

(aprox. 45 cm)

Roof Truss

item: Description quantities / house units1 Poles 5x5x300 cm 18 poles2 Poles 5x5x400 cm 35 poles3 Plank 15x 2.5x400 cm 6 pces4 Plastic sheeting 4 m 29 feet long5 Iron sheets dim. 85 x 200 cm 20 pces6 Cement 10 bags7 Nails 3" 1 kg8 Nails 1" 0.5 kg9 Nails for roofing 200 pces

10 Meshed wire (grillages treillis de poule) 30 m211 Gravel: 1.20 M312 sand: 0.70 M313 refill: 3.90 M314 Blocks (40/20/10) 55 pces

13’ ( 396 cm)

13’ ( 396 cm)

26’5” ( 807.7 cm

)

Roof Truss

Poles

7’

( 2

13

cm

) 6

’ (

18

3

cm)

10’

( a

pro

x 4

00

cm

)

Cement Block

23’

( 7

01

cm

)KITCHEN (8 m2)

LIVING ( 20 m2)

SEMI PERMANENT FAMILY SHELTER

( HAMBATOTA DISTRICT SRI LANKA)

Wooden trussWooden truss

Final resultFinal result

Prefabricated modules for health Prefabricated modules for health structuresstructures

Prefabricated modules for health Prefabricated modules for health structuresstructures

Prefabricated modules for health Prefabricated modules for health structuresstructures

Some data:Some data:

Modular structure (3 to 5 containers of 20 Modular structure (3 to 5 containers of 20 feet, or more…)feet, or more…)

Very high response for hygiene conditions Very high response for hygiene conditions (possibility of operating theatre)(possibility of operating theatre)

Cost: +/- 25.000 € for a 5 containers Cost: +/- 25.000 € for a 5 containers (ready to ship) = +/- 400 €/m²(ready to ship) = +/- 400 €/m²

Logistic constraints: 4 weeks delay for Logistic constraints: 4 weeks delay for manufacture, need a crane, 6 days to manufacture, need a crane, 6 days to setup the structuresetup the structure

Prefabricated modules for health Prefabricated modules for health structuresstructures

Different uses:Different uses:

After earthquakes: dialyse activitiesAfter earthquakes: dialyse activities When long term building not allowed When long term building not allowed

ex: AIDS treatment for sex workers, ex: AIDS treatment for sex workers, culturally not accepted…culturally not accepted…

Operating theatre, …Operating theatre, …