rising anew
TRANSCRIPT
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
A photo book on the rehabilitation and rebuilding of Yolanda-ravaged hospitals
i
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��
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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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viii
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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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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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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 ��
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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 $EX\RJ�'LVWULFW�+RVSLWDOVillaba Community Hospital :HVWHUQ�/H\WH�3URYLQFLDO�+RVSLWDO
�'U��-RVH�6LODR�0HPRULDO�+RVSLWDO�1RUWKZHVWHUQ�/H\WH�'LVWULFW�+RVSLWDO Kananga Community Hospital
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Tabango Community Hospital(DVWHUQ�6DPDU+RPRQKRQ�,VODQG�&RPPXQLW\�+RVSLWDO %DODQJLJD�'LVWULFW�+RVSLWDO
�$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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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
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Departmentalized &OLQLFDO�6HUYLFHV
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Table 3 New Classification of Hospitals and Other Health Facilities
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2QH�RI�WKH�VWUDWHJLF�WKUXVWV�RI�8QLYHUVDO�+HDOWK�&DUH�RU�Kalusugan Pangkalahatan is to aim for improved DFFHVV�WR�TXDOLW\�KRVSLWDOV�DQG�KHDOWK�FDUH�IDFLOLWLHV��,Q�OLQH�ZLWK�WKLV��WKH�'2+�VWUHQJWKHQHG�WKH�LPSOHPHQWDWLRQ�RI�WKH�+HDOWK�)DFLOLWLHV�(QKDQFHPHQW�3URJUDP��+)(3��HVWDEOLVKHG�XQGHU�'HSDUWPHQW�2UGHU�1R��������������HQWLWOHG�´Guidelines and Procedures for the Implementation of the Government Hospital Upgrading Project under the CY2008 Health Facilities Enhancement Program Funds of the DOH�µ�+)(3�DLPV�WR�LPSURYH�H[LVWLQJ�KHDOWK�IDFLOLWLHV��PDQ\�RI�ZKLFK�DUH�GHFDGHV�ROG�DQG�LQ�QHHG�RI�UHSDLU��DQG�WR�DXJPHQW�WKH�FDSDFLW\�RI�ORFDO�KHDOWK�V\VWHPV�WR�LQFUHDVH�DFFHVV�RI�WKH�SRRU�WR�TXDOLW\�KHDOWK�FDUH��7KH�PDLQ�JRDO�RI�WKH�SURJUDP�LV�WR�LPSURYH�WKH�GHOLYHU\�RI�EDVLF��HVVHQWLDO�DQG�VSHFLDOL]HG�KHDOWK�VHUYLFHV��7KURXJK�+)(3��SULPDU\�KHDOWK�FDUH�IDFLOLWLHV�ZLOO�EH�UHYLWDOL]HG�DQG�KRVSLWDOV�RI�GLIIHUHQW�OHYHOV�ZLOO�EH�UDWLRQDOL]HG�DQG�GHFRQJHVWHG��0RUH�WKDQ�3+3���ELOOLRQ�KDV�EHHQ�DOORFDWHG�IRU�WKH�LPSOHPHQWDWLRQ�RI�WKLV�SURJUDP�LQ�������'HSDUWPHQW�RI�+HDOWK��������
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Table 5 List of Government Hospitals
No. Province Municipality Hospital Name1 /H\WH 7DFOREDQ�&LW\ (DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU2 /H\WH 7DFOREDQ�&LW\ 7DFOREDQ�&LW\�+RVSLWDO3 /H\WH 3DOR /H\WH�3URYLQFLDO�+RVSLWDO� /H\WH 2UPRF 2UPRF�'LVWULFW�+RVSLWDO5 /H\WH 3DORPSRQ 3DORPSRQ�*HQHUDO�+RVSLWDO
�'U��0DQXHO�%��9HORVR�0HPRULDO�+RVSLWDO�6 /H\WH Abuyog $EX\RJ�'LVWULFW�+RVSLWDO� (DVWHUQ�6DPDU %DODQJLJD %DODQJLJD�'LVWULFW�+RVSLWDO
�$OELQR�0��'XUDQ�0HPRULDO�+RVSLWDO�� (DVWHUQ�6DPDU *XLXDQ )HOLSH�$EULJR�0HPRULDO�+RVSLWDO��*XLXDQ� Western Samar %DVH\ %DVH\�'LVWULFW�+RVSLWDO
Table 6 List of Private Hospitals
No. Province Municipality Hospital1 (DVWHUQ�6DPDU *XLXDQ� ,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDO2 /H\WH 7DFOREDQ�&LW\ Divine Word Hospital3 /H\WH 7DFOREDQ�&LW\ %HWKDQ\�+RVSLWDO� /H\WH 7DFOREDQ�&LW\ 0RWKHU�RI�0HUF\�+RVSLWDO
Table 7 List of Training Institutions
No. Province Municipality Name1 /H\WH 3DOR 83�0DQLOD�6FKRRO�RI�+HDOWK�6FLHQFHV2 /H\WH 7DFOREDQ 5HPHGLRV�7ULQLGDG�5RPXDOGH]�0HGLFDO�)RXQGDWLRQ3 /H\WH 3DOR 5HJLRQDO�+HDOWK�7UDLQLQJ�&HQWHU
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EASTERN VISAYAS REGIONAL MEDICAL CENTER
Health facility name: (DVWHUQ�9LVD\DV�5HJLRQDO�0HGLFDO�&HQWHU��(950&�Health facility short code: ����Level: ���7HDFKLQJ�DQG�WUDLQLQJ�KRVSLWDO�Bed capacity: ���Ownership: Department of HealthHealth workforce:
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PhilHealth accredited: YesEstimated cost of damage
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Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
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TACLOBAN CITY HOSPITAL
Health facility name: 7DFOREDQ�&LW\�+RVSLWDOHealth facility short code: 5013Level: 1Bed capacity: 25Ownership:�&LW\�*RYHUQPHQW�RI�7DFOREDQHealth workforce:
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PhilHealth accredited: YesEstimated cost of damage
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Tacloban City Hospital
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30
LEYTE PROVINCIAL HOSPITAL
Health facility name: /H\WH�3URYLQFLDO�+RVSLWDOHealth facility short code: ���Level: 2Bed capacity: 100Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:
�� 'RFWRUV������� 1XUVHV�����
Estimated population served: ���������Catchment areas: 5HJLRQ��Average no. of patients (per day): ���Services:
2XWSDWLHQW�VHUYLFHV,QWHUQDO�PHGLFLQH2EVWHWULFV�DQG�J\QHFRORJ\3DHGLDWULFVSurgery
PhilHealth accredited: YesEstimated cost of damage
Equipment: No data availableInfrastructure:�3+3�����������
Availability of medicines: All the timeMedical records:�3DSHU�EDVHG
3DOR��/H\WH�����·��µ�N������·��µ�E
Plans for reconstruction:5HSDLUV�ZHUH�GRQH�E\�'2+��0HUF\�0DOD\VLD�DQG�WKH�.RUHDQ�$UP\��7KH�UHKDELOLWDWLRQ�ZLOO�EH�IXQGHG�E\�'2+�
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/H\WH�3URYLQFLDO�+RVSLWDO�DIWHU�repair by partners
4XLFN�À[�GRQH�RQ�WKH�URRI�WR�PDNH�WKH�KRVSLWDO�IXQFWLRQDO�DJDLQ
(TXLSPHQW��UHFRUGV�DQG�furniture damaged by the typhoon
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The roofs, walls and windows of one of the buildings of the
hospital need to be repaired and the surrounding debris removed.
36
ORMOC DISTRICT HOSPITAL
Health facility name: 2UPRF�'LVWULFW�+RVSLWDOHealth facility short code: ����Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:
�� 'RFWRUV������� 1XUVHV������� 0LGZLYHV������Dentists (0)�� $X[LOOLDU\�VWDII�����
Estimated population served: �������Catchment areas: 2UPRF�&LW\��0DWDJ�RE��0HUL�GD��.DQDQJD��$OEXHUDAverage no. of patients (per day): �������Services:
(PHUJHQF\�FDUH�VHUYLFHVAdmissions2XWSDWLHQW�FOLQLFV�/DERUDWRU\�GLDJQRVWLF�VHUYLFHV
PhilHealth accredited: YesEstimated cost of damage
Equipment: 3+3����������Infrastructure:�3+3����������
/LOLD�$YHQXH��2UPRF�&LW\��/H\WH����·��µ�N�������·��µ�E
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
5HKDELOLWDWLRQ�RI�WKH�LQWHUQDO�PHGLFLQH�ZDUGV�ZDV�FRPSOHWHG�ZLWK�VXSSRUW�IURP�0HUF\�0DOD\VLD��$OO�RWKHU�UHKDELOLWDWLRQ�DQG�UHFRQVWUXFWLRQ�ZLOO�EH�IXQGHG�E\�'2+�
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Repairs starting to take shape
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$QRWKHU�SDWLHQW�FDOPO\�waiting for his turn
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PALOMPON GENERAL HOSPITAL (Dr. Manuel B. Veloso Memorial Hospital)
Health facility name: 3DORPSRQ�*HQHUDO�+RVSLWDO��'U��0DQXHO�%��9HORVR�0HPRULDO�Hospital)Health facility short code: ���Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:
�� 'RFWRUV������Nurses (23)�� 0LGZLYHV�������Dentists (2)
Estimated population served: �������Catchment areas: ,VDEHO��3DORPSRQ�7DEDQJR��VillabaAverage no. of patients (per day): ������Services:
(PHUJHQF\�FDUH�VHUYLFHVAdmissions2XWSDWLHQW�FOLQLFV�/DERUDWRU\�GLDJQRVWLF�VHUYLFHV
PhilHealth accredited: Yes
0DELQL�6WUHHW����·��µ�N�������·��µ�E
Estimated cost of damage Equipment: 3+3����������Infrastructure:�3+3����������
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
*LIW�RI�WKH�*LYHUV�6RXWK�$IULFD�UHSDLUHG�WKH�GDPDJHG�ZDUGV�DQG�URRÀQJ�RI�WKH�KRVSLWDO��6DYH�WKH�&KLOGUHQ�FRQVWUXFWHG�D�WUDQVLWLRQDO�SHGLDWULFV�ZDUG��7KH�3URYLQFLDO�*RYHUQPHQW�RI�/H\WH�LV�JRLQJ�WR�EXLOG�D�QHZ�KRVSLWDO�
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6WRFNV�RI�VXSSOLHV�GRQDWHG�WR�3DORPSRQ�*HQHUDO�Hospital
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,QWHULRU�RI�UHSDLUHG�ZDUG�DW�3DORPSRQ�*HQHUDO�+RVSLWDO�with new beds from donors
6DYH�WKH�&KLOGUHQ�FRQVWUXFWHG�D�ZDUG�IRU�FKLOGUHQ�
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ABUYOG DISTRICT HOSPITAL
Health facility name: $EX\RJ�'LVWULFW�+RVSLWDOName of Respondent/ Designation:
'U��)HOLFLGDG�'��6DOHV2IÀFHU�,Q�&KDUJH��&KLHI�RI�+RVSLWDO
Health facility short code: ���Level: 1Bed capacity: ��Ownership:�3URYLQFLDO�*RYHUQPHQW�RI�/H\WHHealth workforce:
�� 'RFWRUV������ 1XUVHV������� 0LGZLYHV������Dentist (1)�� $X[LOOLDU\�VWDII������ 3KDUPDFLVW������ 0HGLFDO�WHFKQRORJLVW����
Estimated population served: �������Catchment areas: $EX\RJ��0D\RUJD��0F$UWKXU��-DYLHUServices:
2XWSDWLHQW�VHUYLFHV(PHUJHQF\�FDUH
PhilHealth accredited: Yes
$EX\RJ��/H\WH�����·��µ�N������·��µ�E
Estimated cost of damage Equipment: 3+3��������Infrastructure:�3+3����������
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
5HFRQVWUXFWLRQ�DQG�UHKDELOLWDWLRQ�ZLOO�EH�IXQGHG�E\�'2+�
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What remains of the medical records of Abuyog District Hospital
6LWH�RI�WKH�WR�EH�FRQVWUXFWHG�$EX\RJ�'LVWULFW�+RVSLWDO
At the Emergency Room of Abuyog District Hospital
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X-ray machine repaired and ready to be used again
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5RRIV��ZDOOV�DQG�FHLOLQJV�ZHUH�UHSDLUHG�E\�ORFDO�DQG�IRUHLJQ�
teams with materials donated E\�WKH�SHRSOH�RI�$EX\RJ�
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:
�� 'RFWRUV������ 1XUVHV������ 0LGZLYHV������Dentists (2)�� $X[LOOLDU\�VWDII�����
Estimated population served: ������Catchment areas: %DODQJLJD��/DZDDQ��*LSRUORV��4XLQDSRQGDQServices:
2XWSDWLHQW�VHUYLFHV(PHUJHQF\�FDUH
%DODQJLJD��(DVWHUQ�6DPDU����·��µ�N�������·��µ�E
1DWLRQDO�7XEHUFXORVLV�3URJUDP([SDQGHG�3URJUDP�RQ�,PPXQL]DWLRQ$QLPDO�%LWH�&HQWHU
PhilHealth accredited: YesEstimated cost of damage
Equipment: 3+3����������Infrastructure:�3+3�����������
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
5HFRQVWUXFWLRQ�ZLOO�EH�MRLQWO\�GRQH�E\�WKH�,QWHUQDWLRQDO�&RPPLWWHH�RI�WKH�5HG�&URVV��,&5&��DQG�WKH�'2+�
(Albino M. Duran Memorial Hospital)
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Tent and clinic in a can from ICRC are used as temporary clinics while the
hospital is yet be repaired.
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$0'0�PHGLFDO�UHFRUGV�destroyed
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FELIPE ABRIGO MEMORIAL HOSPITAL
Health facility name: )HOLSH�$EULJR�0HPRULDO�HospitalName of Respondent/ Designation:
'U��/LOLD�'��'DJXLQRGChief of Hospital
Health facility short code: ����Level: 1Bed capacity: 50Ownership:�3URYLQFLDO�*RYHUQPHQWHealth workforce:
�� 'RFWRUV������ 1XUVHV������� 0LGZLYHV������Dentists (0)�� $X[LOOLDU\�VWDII�����
Estimated population served: �������Catchment areas: +HUQDQL��0DF$UWKXU��*XLXDQ��6DOFHGR��0HUFHGHVServices:
,QWHUQDO�PHGLFLQH*HQHUDO�VXUJHU\2EVWHWULFV�DQG�J\QHFRORJ\3DHGLDWULFV
PhilHealth accredited: Yes
*XLXDQ��(DVWHUQ�6DPDU����·�µ�N�������·�µ�E (transitional site)
Estimated cost of damage Equipment: 3+3����������Infrastructure:�3+3�����������
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
A transitional hospital was made possible WKURXJK�WKH�VXSSRUW�RI�0pGHFLQV�6DQV�)URQWLqUHV��06)��%HOJLXP��06)�FRPSOHWHG�handover of the transitional hospital to the 3URYLQFLDO�*RYHUQPHQW�RQ�-XO\�����������7KH�.RUHDQ�,QWHUQDWLRQDO�&RRSHUDWLRQ�$JHQF\��.2,&$��LV�FRPPLWWHG�WR�UHFRQVWUXFWLQJ�WKH�QHZ�SHUPDQHQW�KRVSLWDO�
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Signage for the transitional hospital
60
Interior of transitional hospital ER
Covered walkways connecting the different wards and offices of the transitional hospital
constructed with the assistance of MSF Belgium
61
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
PhilHealth accredited: YesEstimated cost of damage
Equipment: 3+3��������Infrastructure:�3+3����������
6DQ�0LJXHO�6WUHHW��%DVH\��:HVWHUQ�6DPDU�����·��µ�N������·��µ�E
Availability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
5HKDELOLWDWLRQ�ZLOO�EH�GRQH�E\�,&5&�DQG�'2+�
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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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,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDODivine Word Hospital%HWKDQ\�+RVSLWDO0RWKHU�RI�0HUF\�+RVSLWDO
PRIvATE HOSPITAlS
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IMMACULATE CONCEPTION CLINIC AND HOSPITAL
Health facility name: ,PPDFXODWH�&RQFHSWLRQ�&OLQLF�DQG�+RVSLWDOName of Respondent/ Designation:
'U��$OIUHGR�3HUH]Health facility short code: No data availableLevel: 1Bed capacity: 15Ownership:�3ULYDWHHealth workforce:
�� 'RFWRUV������Nurses (22)�� 0LGZLYHV������Dentists (0)
Estimated population served: �������Catchment areas: +HUQDQL��0DF$UWKXU��*XLXDQ��6DOFHGR��0HUFHGHVServices:
2XWSDWLHQW�VHUYLFHV,QWHUQDO�PHGLFLQHSurgery2EVWHWULFV�DQG�J\QHFRORJ\%DVLF�GLDJQRVWLF�ODERUDWRU\�VHUYLFHV
PhilHealth accredited: Yes
*XLXDQ��(DVWHUQ�6DPDU����·��µ�N�������·��µ�E
Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
7KH�KRVSLWDO�LV�IXOO\�IXQFWLRQDO�DIWHU�UHSDLUV�have been done but the equipment that ZDV�ORVW�PD\�WDNH�WLPH�WR�EH�UHSODFHG��The hospital has applied for the interim UHLPEXUVHPHQW�VFKHPH�IURP�3KLO+HDOWK��ZKLFK�LV�D�VFKHPH�IRU�KRVSLWDOV�DQG�UXUDO�KHDOWK�XQLWV��5+8V��WR�DYDLO�RI�DV�WKH\�ZHUH�EDGO\�GDPDJHG�E\�7\SKRRQ�<RODQGD��,W�LV�DQ�DGYDQFH�SD\PHQW�VFKHPH�IRU�KRVSLWDOV�GRZQ�WR�5+8V�RU�FOLQLFV�WKDW�DUH�EHLQJ�XWLOL]HG�IRU�ELUWKLQJ�
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DIVINE WORD HOSPITAL
Health facility name: Divine Word HospitalName of Respondent/ Designation:
6LVWHU�$PDGHD�'RUQDGLOOD��26%�²�Administrator6LVWHU�$QD�0DULD�5DFD��26%�²�)LQDQFH�'LUHFWRU0V��%DUEHWWH�6��&RVWHOR�²�$VVW��'LUHFWRU�RI�Nursing
Health facility short code: No data availableLevel: 3Bed capacity: �����DV�SHU�/LFHQVH�WR�2SHUDWH�DV�RI������Ownership:�3ULYDWH��PLVVLRQ�Health workforce:
�� 'RFWRUV��������Nurses (152)�� 0LGZLYHV�������Dentists (3)
Estimated population served: ���������Catchment areas: 5HJLRQ��Services:
Tertiary7HDFKLQJ�7UDLQLQJ��SHGLDWULFV�DQG�LQWHUQDO�PHGLFLQH�
$YHQLGD�9HWHUDQRV��7DFOREDQ�&LW\�����·��µ�N������·��µ�E
PhilHealth accredited: Yes �&HQWHU�RI�([FHOOHQFH�Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�3DSHU�EDVHGPlans for reconstruction:
5HSDLUV�DUH�EHLQJ�FRPSOHWHG��7KH�KRVSLWDO�KDV�UHFHLYHG�GRQDWLRQV�WKDW�KDYH�HQDEOHG�LW�WR�SURFXUH�HTXLSPHQW�DQG�IXQG�WKH�UHFRQVWUXFWLRQ�RI�WKH�KRVSLWDO�
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7KH�R[\JHQ�JHQHUDWRU�LV�QRZ�KRXVHG�LQ�DQ�HOHYDWHG�VWUXFWXUH�
WR�GHFUHDVH�ULVN�RI�GDPDJH�IURP�ÁRRGV�
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1HZ�PHGLFDO�DQG�GLDJQRVWLF�HTXLSPHQW�LV�QRZ�SODFHG�RQ�
WKH�VHFRQG�ÁRRU��D�OHVVRQ�WKH\�learnt from the typhoon when all equipment were inundated
EHFDXVH�WKH\�ZHUH�RQ�WKH�JURXQG�ÁRRU�
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The emergency room is now completely rehabilitated and
functional.
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BETHANY HOSPITAL
Health facility name: %HWKDQ\�+RVSLWDOName of Respondent/ Designation:
0DULIH�*DUÀQ&KLHI�1XUVH��3URJUDP�&RRUGLQDWRU
Health facility short code: No data availableLevel: 3Bed capacity: 125Ownership:�3ULYDWHHealth workforce:
�� 'RFWRUV������ » 5HVLGHQWV�LQ�WUDLQLQJ����� » Consultants (100)
�� 1XUVHV�������� 0LGZLYHV������Dentists (2)�� $X[LOOLDU\�VWDII������
Estimated population served: ���������Catchment areas: 5HJLRQ��Services:
Tertiary�'�HFKR&7�VFDQ(QGRVFRS\
PhilHealth accredited: Yes
5HDO�6WUHHW��7DFOREDQ�&LW\�����·��µ�N������·��µ�E
Estimated cost of damage:�1R�RIÀFLDO�statementAvailability of medicines: All the timeMedical records:�(OHFWURQLFPlans for reconstruction:
5HSDLUV�DUH�SXW�RQ�KROG�XQWLO�WKH�SHQGLQJ�labor dispute involving the hospital is UHVROYHG�
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MOTHER OF MERCY HOSPITAL
Health facility name: 0RWKHU�RI�0HUF\�+RVSLWDOName of Respondent/ Designation:
6LVWHU�0D��/RXUGHV�*��$PDVFXDO��560Hospital Administrator*LQD�/XLVLWD�%��&DGDOHV�0RUDOORVChief Nurse
Health facility short code: No data availableLevel: 2Bed capacity: 50Ownership:�3ULYDWHHealth workforce:
�� 'RFWRUV������� 1XUVHV������� 0LGZLYHV������Dentists (1)�� $X[LOOLDU\�VWDII�����
Estimated population served: No data availableCatchment areas: 6DPDU�DQG�/H\WH�3URYLQFHVServices: /HYHO���VHUYLFHVPhilHealth accredited: Yes (Center of Quality)Estimated cost of damage
Equipment: 3+3����������Infrastructure:�3+3����������
Availability of medicines: All the time
%��$TXLQR�$YH���%UJ\�����%�<RXQJÀHOG��7DFOREDQ�&LW\�����·��µ�N�������·��µ�E
Medical records:�3DSHU�EDVHGPlans for reconstruction:
+XPHGLFD�,QWHUQDWLRQDO�IXQGHG�WKH�UHFRQVWUXFWLRQ�RI�WKH�KRVSLWDO��,W�DOVR�DXJPHQWHG�WKH�FDSDFLW\�RI�WKH�KRVSLWDO�LQ�WHUPV�RI�KXPDQ�UHVRXUFHV�DQG�RSHUDWLRQV�IRU�VL[�PRQWKV�DIWHU�WKH�W\SKRRQ�
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Finishing repairs to the ceiling
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7KH�WUDLQLQJ�LQVWLWXWLRQV�LQFOXGHG�LQ�WKLV�VHFWLRQ�KDYH�VXSSOLHG�WKH�ORFDO�KHDOWK�V\VWHP�ZLWK�PXFK�QHHGHG�KHDOWK�ZRUNIRUFH��7KH�8QLYHUVLW\�RI�WKH�3KLOLSSLQHV�0DQLOD�6FKRRO�RI�+HDOWK�6FLHQFHV�LQ�3DOR��/H\WH�KDV�D�XQLTXH�SURJUDP�GHGLFDWHG�WR�WKH�HGXFDWLRQ�RI�VFKRODUV�IURP�UXUDO�FRPPXQLWLHV��ZKR�DUH�VSRQVRUHG�E\�WKHLU�ORFDO�JRYHUQPHQW�XQLWV�WR�SXUVXH�PLGZLIHU\��QXUVLQJ�DQG�HYHQWXDOO\�PHGLFLQH��,Q�UHWXUQ��WKH\�JR�EDFN�WR�WKHLU�FRPPXQLWLHV�WR�VHUYH�ZKHQ�WKH\�ÀQLVK�D�FRXUVH�EHIRUH�WKH\�FDQ�PRYH�RQ�WR�WKH�QH[W�LQ�WKH�ODGGHUL]HG�FXUULFXOXP�
7KH�5HPHGLRV�7��5RPXDOGH]�0HGLFDO�)RXQGDWLRQ�LV�D�SULYDWHO\�RZQHG�WUDLQLQJ�LQVWLWXWLRQ�IRU�PHGLFLQH�DQG�DOOLHG�PHGLFDO�SURIHVVLRQV��,W�DFFHSWV�VWXGHQWV�IURP�DOO�RYHU�5HJLRQ���ZKR�ZDQW�WR�SXUVXH�FDUHHUV�LQ�WKH�KHDOWK�VHFWRU��7KH�foundation owns one of the biggest hospitals in the region and is training JURXQG�IRU�WKH�VWXGHQWV�RI�WKH�VFKRRO�
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�
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Temporary shelter, donated by Taiwan Buddhist Tzu Chi Foundation, is
used as classrooms for the displaced students of UPM SHS.
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Students of UPM SHS were among the first responders to give first aid to injured survivors in the aftermath of the typhoon.
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100
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Stairs leading to UPM SHS building
102
Interior of UPM SHS building
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Facade of RTRMF Hospital
106
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Remaining damage to the hospital that needs
to be repaired
One of the private rooms for patients converted into a temporary
dormitory for the students of RTRMF
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The rehabilitated physical therapy and rehabilitation clinic
of RTRMF
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to the hospital
110
REGIONAL HEALTH TRAINING CENTER, PALO, LEYTE
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Repairs on-going
112
Repairs on-going
113
After repairs – “Built back better”
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TOOLS AND REFERENCES3
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Guidelines in the Planning and Design of a Hospital and Other Health Facilities
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SDWLHQWV�DQG�SHUVRQQHO��PDOH�DQG�IHPDOH��ZLWK�D�UDWLR�RI�RQH�����WRLOHW�IRU�HYHU\�HLJKW�����SDWLHQWV�RU�SHUVRQQHO�
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Table 1 Standard Space Requirements for a Hospital
Space Area in sqm$GPLQLVWUDWLYH�6HUYLFH/REE\
Waiting Area �����SHUVRQ,QIRUPDWLRQ�DQG�5HFHSWLRQ �����VWDIIToilet ����
%XVLQHVV�2IÀFH �����VWDII
0HGLFDO�5HFRUGV �����VWDII&KLHI�RI�+RVSLWDO�2IÀFH �����VWDII/DXQGU\�DQG�/LQHQ�$UHD �����VWDII0DLQWHQDQFH�DQG�Housekeeping Area
�����VWDII
3DUNLQJ�$UHD�IRU�7UDQVSRUW�9HKLFOH ����6XSSO\�5RRP �����VWDII
121&KDSWHU���7RROV�DQG�5HIHUHQFHV
:DVWH�+ROGLQJ�5RRP ����Dietary
'LHWLWLDQ�2IÀFH �����VWDII6XSSO\�5HFHLYLQJ�$UHD ����Cold and Dry Storage Area ����)RRG�3UHSDUDWLRQ�$UHD ����&RRNLQJ�DQG�%DNLQJ�$UHD ����Serving and Food Assembly Area
����
Washing Area ����*DUEDJH�'LVSRVDO�$UHD ����Dining Area �����SHUVRQToilet ����
&DGDYHU�+ROGLQJ�5RRP �����EHG&OLQLFDO�6HUYLFH(PHUJHQF\�5RRP
Waiting Area �����SHUVRQToilet ����Nurse Station �����VWDII6XSSO\�5HFHLYLQJ�$UHD ����([DPLQDWLRQ�DQG�7UHDWPHQW�$UHD�ZLWK�/DYDWRU\�6LQN
�����EHG
Observation Area �����EHG(TXLSPHQW�DQG�6XSSO\�Storage Area
����
:KHHOHG�6WUHWFKHU�$UHD �����VWUHWFKHUOutpatient Department
Waiting Area �����SHUVRQToilet ����$GPLWWLQJ�DQG�5HFRUGV�$UHD �����VWDII
([DPLQDWLRQ�DQG�7UHDWPHQW�$UHD�ZLWK�/DYDWRU\�6LQN
�����EHG
Consultation Area �����VWDII6XUJLFDO�DQG�2EVWHWULFDO�6HUYLFH
0DMRU�2SHUDWLQJ�5RRP �����'HOLYHU\�5RRP �����6XE�VWHULOL]LQJ�$UHD ����6WHULOH�,QVWUXPHQW��6XSSO\�and Storage Area
����
6FUXE�XS�$UHD ����&OHDQ�XS�$UHD ����'UHVVLQJ�5RRP ����Toilet ����Nurse Station �����VWDII:KHHOHG�6WUHWFKHU�$UHD �����VWUHWFKHU-DQLWRU·V�&ORVHW ����
Nursing Unit6HPL�SULYDWH�5RRP�Z��7RLOHW �����EHG3ULYDWH�5RRP �����EHGToilet ����,VRODWLRQ�5RRP�ZLWK�7RLOHW ����Nurse Station �����VWDII7UHDWPHQW�DQG�0HGLFDWLRQ�$UHD�ZLWK�/DYDWRU\�6LQN
����
&HQWUDO�6WHULOL]LQJ�DQG�6XSSO\�5RRP5HFHLYLQJ�DQG�5HOHDVLQJ�Area
�����VWDII
Work Area �����VWDII6WHULOL]LQJ�5RRP ����Sterile Supply Storage Area ����
122 &KDSWHU���7RROV�DQG�5HIHUHQFHV
1XUVLQJ�6HUYLFH&KLHI�1XUVH�2IÀFH �����VWDII$QFLOODU\�6HUYLFH3ULPDU\�&OLQLFDO�/DERUDWRU\
&OLQLFDO�:RUN�$UHD�ZLWK�/DYDWRU\�6LQN
�����
3DWKRORJLVW�$UHD �����VWDIIToilet ����
5DGLRORJ\;�UD\�5RRP�ZLWK�&RQWURO�%RRWK��'UHVVLQJ�$UHD�DQG�Toilet
�����
'DUN�5RRP ����Film File and Storage Area ����5DGLRORJLVW�$UHD �����VWDII
3KDUPDF\ �����
Notes:��� �����SHUVRQ�²�8QLW�DUHD�SHU�SHUVRQ�RFFXS\LQJ�WKH�VSDFH�DW�RQH�WLPH��� �����VWDII�²�:RUN�DUHD�SHU�VWDII�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����GHVN�DQG�RQH�����FKDLU�VSDFH�IRU�
RFFDVLRQDO�YLVLWRU�DQG�VSDFH�IRU�DLVOH��� �����SHUVRQ�²�8QLW�DUHD�SHU�SHUVRQ�RFFXS\LQJ�WKH�VSDFH�DW�RQH�WLPH��� �����EHG�²�&OHDU�ÁRRU�DUHD�SHU�EHG�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����EHG��VSDFH�IRU�RFFDVLRQDO�YLVLWRU�
DQG�VSDFH�IRU�SDVVDJH�RI�HTXLSPHQW��� �����VWUHWFKHU�²�&OHDU�ÁRRU�DUHD�SHU�VWUHWFKHU�WKDW�LQFOXGHV�VSDFH�IRU�RQH�����VWUHWFKHU
123&KDSWHU���7RROV�DQG�5HIHUHQFHV
Ensuring Accessibility of Hospital Buildings
7KH�$FFHVVLELOLW\�/DZ�RU�%DWDV�3DPEDQVD�����SURYLGHV�IRU�PLQLPXP�UHTXLUHPHQWV�DQG�VWDQGDUGV�RQ�KRZ�WR�PDNH�EXLOGLQJV�DQG�IDFLOLWLHV�IRU�SXEOLF�XVH�DFFHVVLEOH�IRU�SHUVRQV�ZLWK�GLVDELOLWLHV��3:'V���7KLV�ODZ�DLPV�WR�HQKDQFH�WKH�PRELOLW\�RI�3:'V�E\�UHTXLULQJ�FHUWDLQ�EXLOGLQJV��LQVWLWXWLRQV�DQG�SXEOLF�XWLOLWLHV�WR�LQVWDOO�IDFLOLWLHV�DQG�RWKHU�GHYLFHV��1DWLRQDO�&RXQFLO�RQ�'LVDELOLW\�$IIDLUV��������
,Q�WKH�DIWHUPDWK�RI�D�GLVDVWHU�DQG�LQ�UHEXLOGLQJ�WKH�VWUXFWXUHV�WKDW�ZHUH�GHVWUR\HG��WKLV�ODZ�VKRXOG�EH�WDNHQ�LQWR�DFFRXQW��7KH�ULVH�LQ�GLVDELOLWLHV�IURP�LQMXULHV�VXIIHUHG�GXULQJ�D�GLVDVWHU�OLNH�7\SKRRQ�<RODQGD�VKRXOG�SURPSW�EXLOGHUV�WR�HQVXUH�WKDW�JXLGHOLQHV�VHW�E\�WKH�$FFHVVLELOLW\�/DZ�DUH�DGKHUHG�WR��7KH�GHVLJQ�RI�KRVSLWDOV�DQG�RWKHU�KHDOWK�IDFLOLWLHV�PXVW�FRQVLGHU�DFFHVVLELOLW\�IRU�DOO��LQFOXGLQJ�WKRVH�ZLWK�PRELOLW\��YLVXDO��KHDULQJ��VSHHFK��PHQWDO�DQG�LQWHOOHFWXDO�LPSDLUPHQWV�
7KH�$FFHVVLELOLW\�/DZ�GHÀQHV�VL[�EDVLF�SK\VLFDO�SODQQLQJ�UHTXLUHPHQWV��5XOH�,,��6HFWLRQ�������QDPHO\���� $FFHVVLELOLW\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�VR�WKDW�LW�VKDOO�EH�DFFHVVLEOH�WR�DOO�SHRSOH��
7KLV�PHDQV�WKDW�QR�FULWHULD�VKDOO�LPSHGH�WKH�XVH�RI�IDFLOLWLHV�E\�HLWKHU�WKH�3:'�RU�QRQ�3:'�FLWL]HQV���� 5HDFKDELOLW\�²�3URYLVLRQV�VKDOO�EH�DGDSWHG�DQG�LQWURGXFHG�WR�WKH�SK\VLFDO�HQYLURQPHQW�VR�WKDW�DV�
PDQ\�SODFHV�RU�EXLOGLQJV�DV�SRVVLEOH�FDQ�EH�UHDFKHG�E\�DOO���� 8VDELOLW\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�VR�WKDW�DOO�SHUVRQV��ZKHWKHU�KDYLQJ�GLVDELOLWLHV�RU�
QRW��PD\�XVH�DQG�HQMR\�LW���� 2ULHQWDWLRQ�²�)LQGLQJ�D�SHUVRQ·V�ZD\�LQVLGH�DQG�RXWVLGH�RI�D�EXLOGLQJ�RU�RSHQ�VSDFH�VKDOO�EH�PDGH�
HDV\�IRU�HYHU\RQH���� 6DIHW\�²�'HVLJQLQJ�IRU�VDIHW\�LQVXUHV�WKDW�SHRSOH�VKDOO�EH�DEOH�WR�PRYH�DERXW�ZLWK�OHVV�KD]DUGV�WR�OLIH�
DQG�KHDOWK���� :RUN�$ELOLW\�DQG�(IÀFLHQF\�²�7KH�EXLOW�HQYLURQPHQW�VKDOO�EH�GHVLJQHG�WR�DOORZ�3:'V�WR�SDUWLFLSDWH�
DQG�FRQWULEXWH�WR�GHYHORSPHQW�JRDOV�
��� &KDSWHU���7RROV�DQG�5HIHUHQFHV
7KH�IROORZLQJ�WDEOH�GHVFULEHV�WKH�PLQLPXP�UHTXLUHPHQWV�IRU�DFFHVVLELOLW\�IRU�SXEOLF�EXLOGLQJV�DQG�IDFLOLWLHV�WDNHQ�IURP�$FFHVVLELOLW\�LQ�3RVW�<RODQGD�3KLOLSSLQHV��*XLGDQFH�1RWH�LQ�$SSO\LQJ�/DZ�DQG�6WDQGDUGV�LQ�<RODQGD�DIIHFWHG�$UHDV�
Table 2 Minimum Requirements for Accessibility for Public Buildings and Facilities
Accessibility Feature Planning Principle$��2XWVLGH�DQG�$URXQG�%XLOGLQJV��� Dropped Curbs �� &KDQJHV�LQ�OHYHO�ZDONZD\V�VKRXOG�EH�E\�D�GURSSHG�FXUE�
�� 'URSSHG�FXUEV�VKRXOG�EH�SURYLGHG�DW�SHGHVWULDQ�FURVVLQJV�DQG�DW�WKH�HQG�RI�ZDONZD\V�RI�D�SULYDWH�VWUHHW�RU�DFFHVV�URDG�
��� &XUE�&XW�RXWV
��� Walkways and 3DVVDJHZD\V
�� :DONZD\V�VKRXOG�EH�NHSW�DV�OHYHO�DV�SRVVLEOH�DQG�SURYLGHG�ZLWK�VOLS�UHVLVWDQW�PDWHULDO�
�� :DONZD\V�VKRXOG�SURYLGH�FOHDU��REVWUXFWLRQ�IUHH��OHYHO��FRQWLQXRXV�DQG�ZLGH�SDWKZD\V�IRU�WKH�FRQYHQLHQFH�RI�DOO�XVHUV��HVSHFLDOO\�EOLQG�SHRSOH�DQG�SHRSOH�ZLWK�PRELOLW\�SUREOHPV�
��� Handrails �� Handrails should be installed at both sides of ramps and stairs at the RXWHU�HGJHV�RI�GURSSHG�FXUEV�WR�DYRLG�ULVNV�RI�IDOO�
�� +DQGUDLOV�DW�GURSSHG�FXUEV�VKRXOG�QRW�EH�LQVWDOOHG�EH\RQG�WKH�ZLGWK�RI�DQ\�FURVVLQJ�VR�DV�QRW�WR�REVWUXFW�SHGHVWULDQ�ÁRZ�
�� +DQGUDLOV�PXVW�EH�HDV\�WR�JULS���� 2SHQ�6SDFHV �� :KHUH�RSHQ�VSDFHV�DUH�SURYLGHG��SHRSOH�ZLWK�YLVLRQ�LPSDLUPHQWV�FDQ�
EHFRPH�SDUWLFXODUO\�GLVRULHQWHG��7KHUHIRUH��LW�LV�H[WUHPHO\�KHOSIXO�LI�DQ\�ZDONZD\�RU�SDWKV�FDQ�EH�JLYHQ�GHÀQHG�HGJHV�HLWKHU�E\�WKH�XVH�D�RI�SODQWHU�ZLWK�ORZ�KHLJKW�ZDOOV�RU�D�JUDVV�YHUJH�RU�VLPLODU��ZKLFK�SURYLGHV�D�WH[WXUH�GLIIHUHQW�IURP�WKH�SDWK�
125&KDSWHU���7RROV�DQG�5HIHUHQFHV
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�� 6LJQV�VKRXOG�EH�NHSW�VLPSOH�DQG�HDV\�WR�XQGHUVWDQG��� 6LJQDJH�VKRXOG�EH�PDGH�RI�FRQWUDVWLQJ�FRORUV�DQG�FRQWUDVWLQJ�JUD\�
PDWWHU�WR�PDNH�GHWHFWLRQ�DQG�UHDGLQJ�HDV\�
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��� 3DUNLQJ �� 3URYLGH�DFFHVVLEOH�SDUNLQJ�IDFLOLWLHV�DV�FORVH�DV�SRVVLEOH�WR�WKH�SRLQW�RI�GHVWLQDWLRQ�
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WKH�LQWHULRU�OREE\���� 5DPSV �� &KDQJHV�LQ�OHYHO�UHTXLUH�D�UDPS��H[FHSW�ZKHQ�VHUYHG�E\�D�GURSSHG�
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�� &RPPXQDO�DQG�VKDUHG�WRLOHWV�PXVW�DOVR�FRPSO\�ZLWK�WKH�$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�
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RA 9266 SECTION 33
UP
LANDSCAPEGARDENWAITING
AREA
PATHOLOGISTOFFICE
LABORATORY
BULKSTORAGE
DISPENSING AREA
PHARMACY
CENTRAL SUPPLYSTORAGE ROOM SUPPLY
OFFICE
IRONINGAREA
LINENOFFICE
ANTE - ROOM
MORGUE
STORAGEROOM
MAINTENANCEWORK AREA
2 - VEHICLEGARAGE
(FFL + 550mm)
STAFFROOM
UP
LANDSCAPEGARDEN
WASHINGAREA
DRYINGAREA
SORTINGAREA
X-RAY ROOM
CONTROLBOOTH
DRESSBOOTH
DARKROOM
FILMFILE
STORAGERADIOLOGISTOFFICE AND
VIEWING/READINGROOM
MALETOILET
FEMALETOILET
MINORO.R.
DOCTOR'SON DUTY
SCRUB-UPAREA
STORAGE
NURSESTATION
E.R.WAITING
AREA
STRETCHER'SWHEELCHAIR
NOOK
EXAMINATIONTREATMENT &OBSERVATION
AREA
E.R.LOBBY
2600mm CLEAR WIDTH CORRIDOR (FFL + 700mm) 2600mm CLEAR WIDTH CORRIDOR (FFL + 700mm)
CHIEF OFHOSPITAL
CHIEFOF CLINICS
RECEP.
HOSPITALMAIN LOBBY
(FFL +700mm)
PHILHEALTH
BILLING
CASHIERINFORMATION
ADMITTINGOFFICE
2500mm CLEAR WIDTH CORRIDOR (FFL + 700mm)
OPDULTRA SOUND
OPDCLINIC
DENTAL
OPDCLINIC
SURGERY
OPDCLINIC
MEDICINE
OPDINFO. &
ADMITTING
OPDRECORDS
2600
mm
CLE
AR
WID
TH C
OR
RID
OR
(FFL
+ 7
00m
m)
OUT PATIENT DEPARTMENT EMERGENCY ROOM
HA
LL W
AY
(FFL
+ 7
00m
m)
OPDCLINIC
OB-GYNE
OPDCLINICPEDIA
COLDSTO.
DRYSTO.
DISHWASH
FOODASSEM-
BLY
DIETITIANSOFFICE
FOODPREP.AREA
COOKING AREA
UPDIETARY
STAFF DINING /CONFERENCE ROOM
RAMP UP(1:12 GRADIENT)
ELECTRICALROOM
HE SHE
STAFFTOILET
OPD WAITING AREA
MALETOILET
FEMALETOILET
CONFERENCEROOM
ADMINISTRATIVE OFFICES
6000mm WIDTH ROADWAY(FFL +650mm)
DR
IVE
WA
Y R
AM
P U
P(1
:12
GR
AD
IEN
T)
DR
IVE
WA
Y R
AM
P U
P(1
:12
GR
AD
IEN
T)
HA
LL W
AY
(FFL
+ 7
00m
m)
2500mm CLEAR WIDTH CORRIDOR (FFL + 700mm)
DR
IVE
WA
Y R
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P U
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GR
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6000mm WIDTH ROADWAY(FFL +500mm)
DR
IVE
WA
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AM
P U
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:12
GR
AD
IEN
T)
(FFL
+65
0mm
)
RAMP UP
UP
(FFL
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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
OPEN TO BELOWOVERLOOKING
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
2600mm CLEAR WIDTH CORRIDOR 2600mm CLEAR WIDTH CORRIDOR
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
50 - BED MODEL LEVEL 2 HOSPITAL
SS
GRAPHICAL SCALE
43210 5 876 METERS10 9
�������'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
3125
STRET-CHER'SNOOK
Figure 2 Two-Storey, 25-Bed Hospital Level One: Second Floor Plan
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Figure 3 Two-Storey, 25-Bed Hospital Level One: Perspective
131+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
132 +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
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
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TOI.
GARBAGERM.
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WASH AREA
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FOOD PREP.
FOODASSEMBLY
AREA
STAFFDININGAREA
DIETICIAN'SOFFICE
COLDSTO.
AREA
DRYSTO.
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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
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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
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SS
C O
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I D
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TOI.
RAMPUP UP
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C O R R I D O R
SUPERVISOR
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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
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.
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TOI. TOI.
TOI.
MALEDRESSING
RM.FEMALEDRESSING
RM.
PATHOLOGYNURSERY
WK.ROOM
NICU
NURSESTATION
FEMALEPUBLIC
CR.
MALEPUBLICCR.
DELIVERYROOM
RECOVERYROOM
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SEPTIC
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SEPTICLABOR
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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
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I D
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SS
C O
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I D
O R
TOI.
RAMPUP UP
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Figure 5 One-Storey, 50-Bed Hospital Level One: Perspective
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136 +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
Two-Storey, 50-Bed Hospital level One
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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
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
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:12
GR
AD
IEN
T)
HA
LL W
AY
(FFL
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00m
m)
2500mm CLEAR WIDTH CORRIDOR (FFL + 700mm)
DR
IVE
WA
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AM
P U
P(1
:12
GR
AD
IEN
T)
6000mm WIDTH ROADWAY(FFL +500mm)
DR
IVE
WA
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AM
P U
P(1
:12
GR
AD
IEN
T)
(FFL
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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
Figure 6 Two-Storey, 50-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
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
OPEN TO BELOWOVERLOOKING
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
2600mm CLEAR WIDTH CORRIDOR 2600mm CLEAR WIDTH CORRIDOR
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
50 - BED MODEL LEVEL 2 HOSPITAL
SS
GRAPHICAL SCALE
43210 5 876 METERS10 9
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RA 9266 SECTION 33
3125
STRET-CHER'SNOOK
STRET-CHER'SNOOK
6000
2600
Figure 7 Two-Storey, 50-Bed Hospital Level One: Second Floor Plan
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Figure 8 Two-Storey, 50-Bed Hospital Level One: Perspective
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One-Storey, 100-Bed Hospital level Two
UPRAMP UP RAMP UPRAMP UP
P A R K I N G A R E A P A R K I N G A R E A
MAIN LOBBY Waiting Area
RA
MP
UP
BIODEGRADABLEMERCURY CONTAININGDEVICES/LAMPS
NON-BIODEGRADABLE/RECYCLABLE WASTE HAZARDOUS WASTE
WORK AREA
ramp u
p
up
up
ramp up
Male Doctors
ER HEAD
TOI.
V A W C
Female Doctors
Ramp Up
Up
AMBULANCEPARKING
RESUSCITATIONAREA
MALEPATIENT TOILET
PUBLICMALE TOILET
PUBLICFEMALE TOILET
PWD TOILET
FEMALEPATIENT TOILET
S.S
.S
.S.
S.S
.
OB-GYNTREATMENT /
OBSERVATION
DECONTAMINATION ROOM
J.C. W/ S.S.
TRIAGE
WHEELCHAIR/STRETCHERNOOK
WAITING AREA
RESPIRATORYUNIT
WAITING AREA
HEAD'SOFFICE
TOILET
MINOROPERATING
ROOM
SUB-STERILE
SCRUB-UP
EQUIPMENT
STORAGE
CLEANUTILITY
DIRTYUTILITY/
LINEN RM.
NURSESTATION/RECEPTION
COUNTER
T & B
CLEANLINEN
MEDICATION ROOM
WORK AREA
TOI.
PEDIATREATMENT /
OBSERVATION
SINK
PEDIATREATMENT /
OBSERVATION
SIN
K
PEDIATREATMENT /
OBSERVATION
SIN
K
Doctors ON DUTY
FAMILY WAITINGAREA
NURSING OFFICE
COA
TOI.
CHIEF NURSE
STO.
TOI.
JC
NURSESTATION
RELEASING& DIST. COUNTER
WORK AREA
Receiving Area
StorageRm.
AUTOCLAVE ROOM
Packing
Inventory
Washing
34
34
5
6
FAMILY CONFERENCEROOM
FAMILY WAITINGAREA
CT-SCAN
RADIOGRAPHIC X-RAY Rm.
RAD-FLUORO X-RAY Rm.
STAFFPANTRY/LOUNGE
WAITING AREA
M/TOI
F/TOI
CONTROL andELECTRICALEQUIPMENT
BOOTH
STAFF/CLERICALROOM
INFO/RECEPT.
CONTROLBOOTH
TOILET
INTERPRETATION/CONFERENCE
ROOM
ULTRASOUNDROOM
DRESSINGAREA
DRESSINGAREA
DARK ROOM/STORAGE
DRESSINGAREA
TOI.
WHEEL CHAIRS/STRETCHER'S AREA
C O R R I D O R
MOBILE X-RAY
FILES ROOM
SUB-LOBBY
SUPPLY ROOM
CHIEFRADIOLOGIST PUBLIC
FEMALE TOILET
PUBLICMALE TOILET
J.CRECEIVING/RELEASING
AREA&
CLERICAL ROOM
MICROSCOPY
SERO./IMMU. HEMA.
HISTOPATH.
CHEMISTRY
BLOODBANK
MICROBIOLOGY/BACTERIOLOGY
JAN.CLO.
STAFFTOILET &LOCKERS
GENERALSTORAGE ROOM
DONING ROOM
EXAMINATIONAREA
SCREENING AREA
WAITINGAREA
EXTRACTIONAREA
SNACK BAR
CLINIC
EXTRACTIONAREA
WAITINGAREA
CONFERENCEROOM
PATHOLOGIST'SOFFICE
BO
OK
SH
ELV
ES
STEELFILE CAB.
LABORATORYENTRANCE
DONOR'S ENTRANCE
FIRE ESCAPE/SERVICE DOOR
FREEZER
REFRIGERATOR
FREEZER
WORK AREA
SUB-LOBBY
WAITINGAREA
PASS-THRUWINDOW
WO
RK
ING
CO
UN
TER PUBLIC
FEMALE TOILET
TOILET
GLASS WASHINGAND
STORAGE ROOMSTAFFPANTRY
MALEFEMALE TOILET
OPD HEAD
LOUNGE
C/E
T & B
OPD CONF. RM.
TOI.
(SURGERY)C / E
C / E(ENT)
C / E(OB-GYN)
C / E(EYE)
(DENTAL)
C / E(MEDICINE)
C / E(PEDIA)
OFFICE
TB - DOTS C/E
WAITINGAREA
LABORATORY
Female Patient Toilet
Male Patient Toilet
M/F PATIENT TOILET
MINOROPERATING RM
SCRUB- UP
PATIENTDRESSING AREA
SUB-STERILE
TRIAGE AREA
Wheelchair/ Stretcher
Park.
OPDWAITING AREA
NURSE STATION &MEDICATION AREA
PUBLICMALE TOILET
PUBLICFEMALE TOILET
PWD TOILET
OPDREGISTRATION/
ADMITTINGCOUNTER
OPD RECORDS
T & B
FIRE ESCAPE
ANTE RM.
ENTRANCE
T & B
T & B
DEPARTMENTHEAD
CONFERENCEROOM
TREATMENTROOM
CLEANUTILITY
MED. PREP.COUNTER
CONFERENCEAREA
NURSE STATION
STRETCHER/WHEELCHAIR
PARKING
TOILET
CLEANLINEN
SOILEDLINEN/DIRTY
UTLITY
4-BED WARD 4-BED WARD ISOLATIONROOM
PPE RACK
4-BED WARD 4-BED WARD 4-BED WARD4-BED WARDPRIVATE
ROOMPRIVATE
ROOM
OB-GYN WARD
ANTE RM.T & B
ISOLATION ROOM
PPE RACK
4-BED WARD 4-BED WARD
4-BED WARD4-BED WARD4-BED WARD
ANTE RM.T & B
ISOLATIONROOM
PPE RACK
ANTE RM. T & B
ISOLATIONROOM
PPE RACK
T & BT & B
PRIVATEROOM
PRIVATEROOM
T & BT & B
PRIVATEROOM
PRIVATEROOM
CLEAN UPTOILET
CLEAN LINEN
SOILED LINEN/DIRTY UTLITY
NURSE STATION
CONFERENCEROOM
TREATMENTROOM
STRETCHER/WHEELCHAIR
PARKING
SURGICAL WARD
T & B
FIRE ESCAPE
ANTE RM.
ENTRANCE
T & B
T & B
DEPARTMENTHEAD
CONFERENCEROOM
TREATMENTROOM
CLEANUTILITYMED. PREP.
COUNTER
CONFERENCEAREA
NURSESTATION
STRETCHER/WHEELCHAIR
PARKING
TOILET
CLEANLINEN
SOILEDLINEN/DIRTY
UTLITY
4-BED WARD 4-BED WARD ISOLATION ROOM
PPE RACK
4-BED WARD 4-BED WARD 4-BED WARD4-BED WARDPRIVATE
ROOMPRIVATE
ROOM
ANTE RM. T & B
ISOLATION ROOM
PPE RACK
MTLOCKERS
WORK AREA
FILING ROOM
STORAGE ROOM(FOR INACTIVE
FILES)
(FOR ACTIVEFILES)
COMPLETION ROOM
HEAD'SOFFICE
GLASS WINDOW
WO
RK
CO
UN
TER
WASHING / DRYING
dryingmachine
washingmachine
dryingmachine
washingmachine
washingmachine
flatworkironer
ironingboard
presser
CENTRAL LINEN STORAGE
LINEN OFFICE/ WORK ROOM
RELEASING &RECORDING AREA
dryingmachine
DepartmentHead
PEDIA. WARD
4-BED WARD 4-BED WARD 4-BED WARD
4-BED WARD4-BED WARD4-BED WARD
T & B T & B
PRIVATEROOM
PRIVATE ROOM
CLEAN UP TOILET
CLEAN LINEN
SOILED LINEN/DIRTY UTLITY
NURSESTATION
CONFERENCEROOM
TREATMENTROOM
STRETCHER/WHEELCHAIR
PARKING
T & B
PRIVATEROOM
T & BT & B T & B T & B
T & BT & BT & B
CAESARIANDELIVERY ROOM
STERILE INST. &
SUPPLYROOM
MALE DRESSING RM.
T&B
FEMALE DRESSING RM.
FIRE EXIT
ENTRANCE
DELIVERY ROOM RECOVERYROOM
LABOR ROOM
NURSE STATION/ WORK AREA
LOUNGE
WHEELEDSTRETCHER'S
AREA
CLEAN UTILITY
SCRUB-UP
SUB-STERILIZING ROOM
HIGH RISKPREGNANCY UNIT
CLEAN-UP
TOILET & BATH
JANITOR'S CLOSET S S
LO
CK
ER
S
LO
CK
ER
S
S T E R I L E C O R R I D O R
WORK AREAw/ Sink
VIEWING AREA
TREATMENT AREA
N I C U
NURSE STA.
VIEWING AREA
SUSPECT/PATHOLOGIC
NURSE STATION
BREASTFEEDING ROOM
T&B
T & B
PRIVATE ROOM
SISR CLEAN- UP
NURSE SUPERVISOR
NURSES' DRESSING
Sub-Sterile JC TRANSFER AREA DOCTORS'
LOUNGE
O. R. SUITE
POSTANAESTHETIC CARE UNIT
NURSE STA.
MAJOR O. R.MAJOR O. R.
MAJOR O. R.
SCRUB-UP
SS
FEMALEDRESSING
ROOM
TOILET TOILET
MALEDRESSING
ROOM WHEELEDSTRETCHER'S
AREA
ANESTHESIA STORAGE
TOILET
C O
R R
I D O
R
PANTRY
screen
A U D I T O R I U M ( 2 0 0 S E A T S )
A U D I T O R I U ML O B B Y
MALE TOILET FEMALE TOILET
BEDROOM
BEDROOM
SHO.
TOI.
TOI.
TOI.
T & B
T & B
LIVING / DINING AREA
BEDROOM
BEDROOM
BEDROOM
BEDROOM
BEDROOM
BEDROOM
BEDROOM
BEDROOM
D O R M I T O R Y
ELECTRICAL ROOM
SHO.
TOI.
SHO.
TOI.
SHO.
TOI.
SHO.
SHO.
TOI.
SHO.
T & B
T & B
P A R K I N G A R E A
3000 3000
STAFFOFFICE
W O R K A R E A
HOUSEKEEPING
ELECTRICAL&
MECHANICALWORKSHOP
CONFERENCE ROOM
T & B
MALEQUARTERS
SECURITY OFFICE
CARPENTRYWORKSHOP
HEAD'S OFFICE
RAMP UP
RA
MP
U
P
RA
MP
U
P
POWERHOUSE
PUMPROOM
S T P
RA
MP
U
P
RA
MP
U
P3000
P A R K I N G A R E A
M/T F/T
J.C.
DRIVERS' LOUNGE
PANTRY
STORAGE ROOM
BIOMED WORKSHOP
STORAGE
RAMP
UP
FEMALELOCKERS/
TOILETS
STAFFPANTRY
J.C.
HEAD'SOFFICE
STAFFAREA
MALE LOCKERS/
TOILETS
SHELVES
S.S.
WAITINGAREA
SHELVESSHELVES
SHELVESSHELVES
SHELVESSHELVES
PLASTICPALLETTE
PLASTICPALLETTE
PLASTICPALLETTE
PLASTICPALLETTE
PLASTICPALLETTE
PLASTICPALLETTE
RECEIVING AREA
PLASTICPALLETTE
PLASTICPALLETTE
M O R T U A R Y
RAMP
UP
RAMP
UP
RAMP
UP
MORGUEPrayer/Wait'g
Area
LOBBY
Toi. Staff Area
A U T O P S YR O O M
LOCKERRM.
CONFERENCE ROOM 1
Chief of Clinics
CONFERENCEROOM 2
FINANCE
PANTRY
T & B
RESTROOM
PERSONNEL
ADMIN.OFFICER
TOI.
CHIEF NURSE &NURSING OFFICE
FILINGROOM
FINANCE
FILINGROOM
P A R K I N G A R E A
GROUND FLOOR PLANLOT AREA : 30,000 SQ.MTS.FLOOR AREA : 6,200 SQ.MTS.
MEDICAL WARD
LABORATORY
D. R. SUITE
RADIOLOGY
E. R. DEPARTMENT
CENTRAL STERILIZING ROOM
I.C.U.
ENGINEERING AND MOTORPOOL
CENTRAL SUPPLY STORAGE
WASTE MANAGEMENT
C O
R R
I D O
R
HOSP.STAFFDINING ROOM
BAKING / COOKINGAREA
MEAT/FISHPREPARATION
AREA
DRYSTORAGE
COLD STORAGE
NUTRITIONCLINIC
DISH WASHING AREA
FOOD CONVEYOR
PARKING
SERVINGAREA
TOILE
T
CHIEFNUTRITIONIST/
DIETITIAN'SOFFICE
BLENDERIZED ANDTUBEFEEDING
AREA
RECEIVING/INSPECTION AREA
WASTE HOLDINGAREA
POTS AND PANSWASHING &STORAGESTORAGE FOR
UTENSILS &SILVERWARES SERVING AND
FOOD ASSEMBLYAREA
THERAPEUTIC DIET AREA
CASHIER
STAFFDINING AREA
VEGETABLEPREPARATION
AREA
up
up
FT & LOCKERS
MT & LOCKERS
TOILET
GANG CHAIRS
C O
R R
I D O
RSTAFF
DINING AREA
DIETARY
CHIEFPHARMACIST'S
OFFICE
RECEIVING/BREAKOUT/INSPECTION
DISPENSINGAREA
ER & WARDREPLACEMENT
COUNTER
STAFFPANTRY/LOUNGE
PLASTICPALLETTE
PLASTICPALLETTE
SHELVES
SHELVESBULK STORAGE
FLAMMABLES
COUNSELINGAREA
PHARMACY
ADMITTING/INFO.
INFO.,RECEPTION&
COMMUNICATIONAREA
BILLING & CLAIMSSTAFF MALETOILET
STAFF FEMALETOILET
COUNSELLINGROOM
FILING ROOM
HEADS OFFICEVAULT
C O U N T E R
WAITING AREA
CHIEF BILLINGOFFICER
DISBURSEMENTOFFICER
CASHIERCOLLECTOR
CHIEF CASHIER
CLERK
BILLING
PHILHEALTH
CLERK
MEDICAL SOCIALWORK
CLERK
CLERK
CLERK
COUNSELLINGROOM
FILING ROOM
HEADS OFFICE
MEDICAL SOCIALWORK
CLERK
CLERK
CLERK
6000
3000 3000
3000
6000 6000 3000 3000 3000350025002500
6000
3000
6000
3000
6000
30003000
3000
6000
300030006000300030003000
17.93
46295
2997 2997 6004
3000
3000
3000
9000
30001600
6000
30003000
40005000
3000
3000
3000
1200
030002000 4000
9000
4500
15001400
3000
3000
3000
3000
3000 3000
6000 2500 6000
6000
6000
6000
6000
6000
6000
3000
3000
2100
030
00
6000 2500 6000
3000
3000
6000
6000
6000
3000
3000
6000
3000
3000
2100
030
00
2000
4000
6000
3600
3000 3000 3000 3000 300015000
9000
6000
6000
3000
6000
9000
6000 8500
60001500
4500
1500
1500
1500
1500
6000
12000
2500
2500
6000
4000
70005000
6001
3000
3000
1499
1499
5000
3005
6000 6000
6000
5000
2998
3000
2500
3501
3000
3000
3000
6000
6000
3000
3000
3000
3000
15001500
30000
3500
2500
6000
1200
0
3000
60002000200030001500
4500300030002000
7000 4800 2200 4000 6000
4000
3000 3000 3000 3000 6000 6000 6000
6000
2500
6000
3000 3000 6000 6000 3000 3000
30000
25003500
6000
2500
6000
3000 3000 6000 6000 3000 3000 3000 3000
6000
6000
2501
3000 3000 6000 6000 3000 3000 3000 3000
6000
2501
6000
3000 3000 3004 3000 3000 3000 300030000
6000
1800
4200
300030003000
60006000 2500
3000
3000
3000
3000
6000
3000
3000
3000
3000
3000
3900
030
0030
00
4000
2000
3000 3000 5925 3000 3000 6000 2998 3000 2997 2995 3002
6000
3000
6000
30000
1200
0
60002000200030001500
4500300030002000
4000
6000 3000 6000 6000 3000 3000 3000
6000
2500
3500
6000 6000
6000
3000
6000
3000
6000
3000
3000
3000
3000
2998
3002
2998
3002
2500
LANDSCAPE
LANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPE
LANDSCAPE
LANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPE
LANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPELANDSCAPE
LANDSCAPE
LANDSCAPE
OPD
STANDARD TEXT
T & B T & B T & B T & B
T & BT & B
T & B T & B
T & B T & BT & B
T & B T & B T & B T & B
T & B T & B
100-BED, ONE-STOREY HOSPITAL
Figure 9 One-Storey, 100-Bed Hospital Level Two: Floor Plan
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Figure 10 One-Storey, 100-Bed Hospital Level Two: Perspective
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��� +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
Two-Storey, 100-Bed Hospital level Two
(SURGERY) MINOR
OPERATING RM
OPDWAITING AREA
OPD SPILLOVER WAITING AREA
TO LAB. TO OPD WAITING AREA
C / E
OPD HEAD
SCRUB- UP
PATIENTDRESSING AREA
OFFICETB - DOTS
C/EWAITING
AREA
F.E.
UP
STAIRS
PUBLICMALE TOILET
PUBLICFEMALE TOILET
PWD TOILET
LABORATORY Female Patient Toilet
(DENTAL)C / E
C / E(ENT) C / E
(MEDICINE)
STAFFLOUNGE
Male Patient Toilet M/F PATIENT
TOILET
SUB-STERILE
OPD LOBBY
TRIAGE AREA
Wheelchair/ Stretcher Park.
WAITING AREA
OPDREGISTRATION/
ADMITTINGCOUNTER
OPDRECORDS
OPDCONF. RM.
C / E(OB-GYN)
C / E(PEDIA)
TO BILLING & CLAIMS
OPD MAIN ENTRANCETB-DOTS MAIN ENTRANCE
F.E.
TOI. T & B
DN
C / E(EYE)
NURSE STATION &MEDICATION AREA
ADMITTING/INFO.
INFO.,RECEPTION&
COMMUNICATIONAREA
BILLING & CLAIMSSTAFF MALETOILET
STAFF FEMALETOILET
MAIN ENTRANCE
TO DIAGNOSTICSERVICES &
NURSING WARDS
COUNSELLINGROOM
FILING ROOM
HEADS OFFICE
VAULT
WAITING AREA WAITING AREA
C O U N T E R
WAITINGAREA
M A I N L O B B Y
CHIEF BILLINGOFFICER
DISBURSEMENTOFFICER
CASHIERCOLLECTOR
CHIEF CASHIER
CLERK
BILLING
PHILHEALTH
CLERK
MEDICAL SOCIALWORK
CLERK
CLERK
CLERK
EQUIPMENT STORAGE
To X-ray & 2nd Floor
SURGICALTREATMENT /
OBSERVATION
TRIAGEWHEELCHAIR/ STRETCHER NOOK
WAITING AREA ANTE- RM
ISOLATION
EXAMINATIONRM.
HOLDINGRM./
ISOLATIONRM.
MEDICALTREATMENT /
OBSERVATION
RESUSCITATION ROOM
CLEAN UTILITY
DIRTYUTILITY/
LINEN RM.
NURSESTATION/RECEPTION
COUNTER
WCPU
SINK
PEDIATREATMENT /
OBSERVATION
TOI.
DECONTAMINATION ROOM
E. R. L O BB Y
MALE PATIENT TOILET
PUBLICMALE TOILET
PUBLICFEMALE TOILET
PWD TOILET
RESPIRATORYUNIT
WAITING AREA
C O R R I D O R
FEMALE PATIENT TOILET
J.C. W/S.S.
T & B
CLEAN LINEN
MEDICATION ROOM
WORK AREA
TO MAIN LOBBYPATIENT INAMBULANCEENTRANCE
E.R. MAIN ENTRANCE
SINK
SINK
PPE rack
T & B
S.S. S.S.
S.S.
UP
F.E.
DN
MINOROPERATING
ROOM
SUB-STERILE
SCRUB-UP
OB-GYNTREATMENT /
OBSERVATION
TOI.
DOCTORS'CALL RM.
HEALTHEMERGENCY
MANAGEMENTSUPPLY RM.
(HEMS)
HEAD'SOFFICE
TOILET
CONFERENCE ROOMPWD
TOILET
PUBLICFEMALETOILET
PUBLICMALE
TOILET
RAMPUP
CT-SCAN
RADIOGRAPHIC X-RAY Rm.
RAD-FLUORO X-RAY Rm.
STAFFPANTRY/LOUNGE
WAITING AREA
M/TOI
F/TOI
CONTROL andELECTRICALEQUIPMENT
BOOTH
STAFF/CLERICALROOM
INFO/RECEPT.
UP
CONTROLBOOTH
TOILET
INTERPRETATION/CONFERENCE
ROOM
ULTRASOUNDROOM
DRESSINGAREA
DRESSINGAREA
DARK ROOM/STORAGE
DRESSINGAREA
TOI.
J.C.
M/TOI.F/TOI.
WHEEL CHAIRS/STRETCHER'S
AREA
C O R R I D O R
MOBILE X-RAY
FILESROOM
SUB-LOBBY
FIRE EXIT
SUPPLYROOM
CHIEFRADIOLOGIST
up
RECEIVING/RELEASING
AREA&
CLERICAL ROOM
MICROSCOPY
SERO./IMMU. HEMA.
HISTOPATH.
CHEMISTRY
BLOODBANK
MICROBIOLOGY/BACTERIOLOGY
JAN.CLO.
GLASS WASHINGAND
STORAGE ROOM
STAFFTOILET &LOCKERS
STORAGEROOM
GENERALSTORAGE ROOM
DONING ROOMEXAMINATION
AREA
SCREENING AREA
WAITINGAREAAUTOCLAVE
TOILET
STAFFPANTRY
SNACK BAR
CLINIC
EXTRACTION AREA
WAITING AREACONFERENCE
ROOM
PATHOLOGIST'SOFFICE
LABORATORYENTRANCE
DONOR'SENTRANCE
FIRE ESCAPE/SERVICE DOOR
FIRE ESCAPE
SUB-LOBBY
WAITINGAREA
up
TOI.
ELECTRICALROOM
ss
F. E. ENTRANCE
ss
AUDITINGINTEGRATED
HOSPITALOPERATIONS &MANAGEMENT
PROGRAM (IHOMP)
WAITING AREA
CHIEF OFHOSPITAL
CONFERENCEROOM
FEMALE STAFFTOILET
MALE STAFFTOILET
PANTRY
FILING ROOM
HUMAN RESOURCEDEVELOPMENT
BUDGET &FINANCE
ACCOUNTING
ADMINISTRATIVEOFFICER
CHIEF OF CLINICS
CHIEF NURSE &NURSING OFFICESTAFF
LOUNGE
RAMPUP
up
COMPLETION ROOM
FILING ROOM
HEAD'S OFFICE
SHELVES
GLASS WINDOW
RECEIVING/RELEASING
AREA
STORAGE ROOM(FOR INACTIVE
FILES)
(FOR ACTIVEFILES)
WORK AREATOILET
WAITING AREA
FT MT
FEMALELOCKERS
CENTRAL LINEN STORAGE
LINEN OFFICE/ WORK ROOM
RECEIVING/SORTINGAND
DISINFECTINGAREA
WASHING / DRYING
IRONING/PRESSING
RELEASING &RECORDING AREA
To ExteriorDrying Area
MALELOCKERS
LAUNDRYTUBS
WORK COUNTER
dryingmachine
washingmachine
dryingmachine
dryingmachine
washingmachine
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Figure 11 Two-Storey, 100-Bed Hospital Level Two: Ground Floor Plan
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Figure 12 Two-Storey, 100-Bed Hospital Level Two: Second Floor Plan
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Figure 13 Two-Storey, 100-Bed Hospital Level Two: Perspective
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Three-Storey, 100-Bed Hospital level Two
P A R K I N G A R E A
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ENGINEERING AND MAINTENANCE
M O T O R P O O LELECTRICAL
ROOMGENSETROOM
FT w/Lockers
MT w/Lockers
STAFFOFFICE ELECTRICAL &
MECHANICALWORKSHOP
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WORKSHOPPANTRY
STORAGE
CONFERENCE ROOM
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RAMPUP
up
up
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AREA&
CLERICAL ROOM
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HISTOPATH.
CHEMISTRY
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SS JAN.CLO.
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STORAGE ROOM
STAFFTOILET &LOCKERS
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DONING ROOMEXAMINATION
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AREA
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(DENTAL)C / E
C / E(EYE)
(SURGERY)C / E
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LINEN RM. NURSESTATION/RECEPTION
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CHIEFPHARMACIST'S
OFFICE
RECEIVING/BREAKOUT/INSPECTION
DISPENSINGAREA
BOOKSHELVES
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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
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E L
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GROUND FLOOR PLAN100-BED, THREE-STOREY HOSPITAL
Figure 14 Three-Storey, 100-Bed Hospital Level Two: Ground Floor Plan
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LINEN & LAUNDRY
COMPLETIONROOM
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(FOR ACTIVEFILES)
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WORK COUNTER
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flatworkironer
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ironingboard
HOSP.STAFFDINING ROOM
BAKING /COOKING AREA
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DISH WASHINGAREA
FOOD CONVEYOR
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DIETITIAN'SOFFICEBLENDERIZED
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up
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JAN. CLO. NURSE STA.
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S T E R I L E C O R R I D O R
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CLEANLINEN
DIRTYLINEN
STERILE INST. &SUPPLY
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up up
EXECUTIVE ADMIN. PRIVATE ROOMS
RELEASING& DIST. COUNTER
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62
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up
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OPERATING ROOM COMPLEX
NUTRITION and DIETETICS
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CENTRAL STERILIZING & SUPPLY ROOM
SECOND FLOOR PLAN
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100-BED, THREE-STOREY HOSPITALFigure 15 Three-Storey, 100-Bed Hospital Level Two: Second Floor Plan
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screen
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up
T & B
ANTE RM.
T & B
T & B
DEPARTMENTHEAD
CONFERENCEROOM
TREATMENTROOM
CLEAN UTILITYMED. PREP.COUNTER
CONFERENCEAREA
NURSE STATION
STRETCHER/WHEELCHAIR
PARKING
TOILET
CLEAN LINEN
SOILED LINEN/DIRTY UTLITY
4-BED WARD4-BED WARDISOLATION ROOM
PPE RACK
4-BED WARD4-BED WARD4-BED WARD 4-BED WARDPRIVATE
ROOMPRIVATE
ROOM
MEDICAL WARD PEDIA. WARD
4-BED WARD 4-BED WARD
4-BED WARD4-BED WARD4-BED WARD
T & B T & B
PRIVATEROOM
PRIVATE ROOM
CLEAN UPTOILET
CLEAN LINEN
SOILED LINEN/DIRTY UTLITY
NURSE STATION
CONFERENCEROOM
TREATMENTROOM
STRETCHER/WHEELCHAIR
PARKING
T & B
DepartmentHead
ANTE RM.T & B
ISOLATIONROOM
PPE RACK
dn.
dn. Guest Elevator
Bed Elevator L o b b y
dn. dn.
PEDIA DEPT.OFFICE
OB-GYN DEPT.OFFICE
4-BED 4-BED
4-BED 4-BED 4-BED
OB-GYNE WARD SURGICAL WARD
TREATMENTROOM
CLEAN UTILITY
MED. PREP.COUNTER
CONFERENCEAREA
NURSE STATIONSTRETCHER/WHEELCHAIR
PARKING
TOILET
CLEANLINEN
SOILED LINEN/DIRTY UTLITY
DEPARTMENTHEAD
CONFERENCEROOM
4-BED WARD4-BED WARD 4-BED WARD4-BED WARD
4-BED WARD 4-BED WARD4-BED WARD
T & B
ISOLATION ROOM
ANTE RM. T & B
ISOLATION ROOM
PPE RACK
ANTE RM.
PPE RACK
PEDIA DEPT.OFFICE
OB-GYN DEPT.OFFICE
4-BED WARD 4-BED WARD
4-BED
4-BED WARD
T & B
ISOLATIONROOM
ANTE RM. T & B
ISOLATIONROOM
PPE RACK
ANTE RM.
PPE RACK
TREATMENTROOM
CLEAN UTILITY
MED. PREP.COUNTER
CONFERENCEAREA
NURSE STATION
STRETCHER/WHEELCHAIR
PARKING
TOILET
CLEANLINEN
SOILED LINEN/DIRTY UTLITY
DEPARTMENTHEAD
CONFERENCEROOM
4-BED 4-BED
THIRD FLOOR PLAN
3000 3000 6000 6000 6000 3000 3000
6000
3000
6000
2997 3000 21000 3003
6000
3000
6000
3000 3000 6000 6000 2501 3499 3000 3000
6000
3000
6000
300003000 3000 3000 3000 6000 6000 3000 3000
3000 3000 3000 6000 6000 6000 6000 6000
6000
3000
6000
6000
3000
6000
3000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 3000
T&B. T&B. T&B. T&B.
T&B.T&B.T&B.T&B.T&B.T&B.
T & B T & BT & BT & B
T & B T & B
T & B T & B T & B
T & BT & B
T & B T & B T & B T & B T & B
T & BT & BT & BT & B
T & B T & B T & B T & B T & B
T & BT & BT & BT & B
100-BED, THREE-STOREY HOSPITAL
Figure 16 Three-Storey, 100-Bed Hospital Level Two: Third Floor Plan
7R�GRZQORDG���SOHDVH�YLVLW��KWWS���EXLOGLQJEDFNEHWWHUKHDOWK�GRK�JRY�SK�GRZQORDGV
���+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
150 +RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
Figure 17 Three-Storey, 100-Bed Hospital Level Two: Perspective
151+RVSLWDO�3ODQV�DQG�3HUVSHFWLYHV
STAnDARDS FOR HEAlTH HuMAn RESOuRCE In GOvERnMEnT HOSPITAlS
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��� Hospital Operations and Patient Support Service (formerly Administrative Service)�²�SURYLVLRQ�RI�DGPLQLVWUDWLYH�VHUYLFHV�UHODWLQJ�WR�SHUVRQQHO�PDQDJHPHQW��DGPLQLVWUDWLYH�UHFRUGV�PDQDJHPHQW��SURSHUW\�DQG�VXSSO\�PDQDJHPHQW��JHQHUDO�VHUYLFHV��HQJLQHHULQJ�DQG�VHFXULW\�
��� Finance Service�²�UHVSRQVLEOH�IRU�WKH�SURYLVLRQ�RI�ÀQDQFLDO�VHUYLFHV�UHODWLQJ�WR�EXGJHWLQJ��DFFRXQWLQJ��FDVK�RSHUDWLRQV��ELOOLQJ�DQG�FODLPV�
156 &KDSWHU���7RROV�DQG�5HIHUHQFHV
Model Organizational Structure for Government Hospitals
7KH�IROORZLQJ�WDEOHV�OLVW�WKH�PRGHO�RUJDQL]DWLRQDO�VWUXFWXUH�IRU�GLIIHUHQW�OHYHOV�RI�KRVSLWDOV�DQG�IRU�HDFK�DXWKRUL]HG�EHG�FDSDFLW\�SHU�OHYHO�
Table 3 Model Organizational Structure for Level 1 Hospital (25 to 75-Bed Capacity)
Organizational UnitNumber of Positions
Bed Capacity25 50 75
$��&KLHI�RI�+RVSLWDO�2IÀFH 3 3 3%��0HGLFDO�6HUYLFH 52 64 75��� Outpatient 5 5 5��� (PHUJHQF\�5RRP 5 � 12��� &OLQLFDO�8QLWV 11 �� 16��� &OLQLFDO�/DERUDWRU\ 5 6 �
D�� %ORRG�6WDWLRQ 3 3 3��� 5DGLRORJ\ � 5 ���� Dental 2 2 2��� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 3 3 3
D�� $GPLWWLQJ�,QIRUPDWLRQ � � ���� 1XWULWLRQ�DQG�'LHWHWLFV � 5 6��� 3KDUPDF\ � 5 6����0HGLDO�6RFLDO�:RUN 2 3 �&��1XUVLQJ�6HUYLFH 39 51 61��� 1XUVH�6XSHUYLVRU�2IÀFH 1 1 1��� &OLQLFDO�1XUVLQJ�8QLWV 13 �� ����� 2SHUDWLQJ�5RRP 6 6 6��� 5HFRYHU\�5RRP 6 6 6��� ,VRODWLRQ�5RRP � � ���� 'HOLYHU\�5RRP � 10 10
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'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�6HUYLFH 19 26 28
��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 2 2 2��� +XPDQ�5HVRXUFH�0DQDJHPHQW 2 2 2��� 3URFXUHPHQW��3URSHUW\�DQG�6XSSO\ 2 2 2��� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW 5 � 11��� +RXVHNHHSLQJ�/DXQGU\ 2 3 3��� $FFRXQWLQJ 2 3 3
D�� %LOOLQJ�DQG�&ODLPV 2 2 2��� Cash Operations 2 3 3��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXWTotal Number of Positions 113 144 166
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Table 4 Model Organizational Structure for Level 2 Hospital (100 to 200-Bed Capacity)
Organizational UnitNumber of Positions
Bed Capacity100 150 200
$��&KLHI�RI�+RVSLWDO�2IÀFH 4 4 5��� 2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI 2 2 2
��� ,QWHJUDWHG�+RVSLWDO�2SHUDWLRQV�DQG�0DQDJHPHQW�3URJUDP 2 2 3
%��0HGLFDO�6HUYLFH 122 161 192��� 2IÀFH�RI�WKH�&KLHI�RI�0HGLFDO�3URIHVVLRQDO�6WDII 2 2 2
��� Outpatient Department � 11 12
��� (PHUJHQF\�0HGLFLQH�'HSDUWPHQW �� 26 31��� &OLQLFDO�'HSDUWPHQWV 26 35 ����� 6SHFLDO�&DUH�$UHDV � 6 6��� 'HSDUWPHQW�RI�3DWKRORJ\ 2 2 2
D�� %ORRG�%DQN 6 � �E�� $QDWRPLF�DQG�&OLQLFDO�/DERUDWRU\ 13 �� 20
��� 'HSDUWPHQW�RI�5DGLRORJ\ � 11 11��� Dental 3 3 ���� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 5 � �
D�� $GPLWWLQJ�,QIRUPDWLRQ 5 6 ����� 1XWULWLRQ�DQG�'LHWHWLFV � 13 15
���� 3KDUPDF\ � � 10
����0HGLFDO�6RFLDO�:RUN � 5 6&��1XUVLQJ�6HUYLFH� 122 180 227��� 2IÀFH�RI�WKH�&KLHI�1XUVH � � ���� &OLQLFDO�1XUVLQJ�8QLWV 55 �� ������ 2SHUDWLQJ�5RRP �� 21 26��� 'HOLYHU\�5RRP 11 �� 21
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��� 6SHFLDO�&DUH�$UHDVD�� 3RVW�$QHVWKHVLD�&DUH�8QLW � 10 11E�� ,QWHQVLYH�&DUH�8QLW 6 � 10F�� 1HRQDWDO�,QWHQVLYH�&DUH�8QLW �� 21 ��G�� 3XOPRQDU\�5HVSLUDWRU\�8QLW 6 � 11
'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�'HSDUWPHQW 44 59 69��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 2 2 2��� +XPDQ�5HVRXUFH�0DQDJHPHQW � 5 6��� 3URFXUHPHQW � 5 5��� 0DWHULDOV�0DQDJHPHQW 5 6 ���� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW � 13 15
D�� +RXVHNHHSLQJ�/DXQGU\ 3 5 5��� %XGJHW 3 3 3
��� $FFRXQWLQJ 5 6 �D�� %LOOLQJ�DQG�&ODLPV 5 � �
��� Cash and Operations 5 � 10��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXWTotal Number of Positions 292 404 493
160 &KDSWHU���7RROV�DQG�5HIHUHQFHV
Table 5 Model Organizational Structure for Level 3 Hospital (200 to 500-Bed Capacity)
Organizational UnitNumber of Positions
Bed Capacity200 300 400 500
$��2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI 12 14 14 14��� 2IÀFH�RI�WKH�0HGLFDO�&HQWHU�&KLHI � � � �
��� 3URIHVVLRQDO�(GXFDWLRQ�DQG�7UDLQLQJ 5 5 5 5
��� ,QWHJUDWHG�+RVSLWDO�2SHUDWLRQV�DQG�0DQDJHPHQW�3ODQ 3 5 5 5%��0HGLFDO�6HUYLFH 306 455 592 727��� 2IÀFH�RI�WKH�&KLHI�RI�0HGLFDO�3URIHVVLRQDO�6WDII 2 2 2 2��� Outpatient Department �� �� 22 25��� (PHUJHQF\�0HGLFLQH�'HSDUWPHQW �� �� �� ����� &OLQLFDO�'HSDUWPHQWV �� ��� 231 311��� 6SHFLDO�&DUH�$UHDV 15 �� �� 21��� 'HSDUWPHQW�RI�3DWKRORJ\
D�� %ORRG�%DQN 12 �� 21 ��E�� $QDWRPLF�DQG�&OLQLFDO�/DERUDWRU\ �� 51 63 ��
��� 'HSDUWPHQW�RI�5DGLRORJ\ 20 26 33 ����� Dental 5 � � ���� +HDOWK�,QIRUPDWLRQ�0DQDJHPHQW 16 �� 22 25
D�� $GPLWWLQJ�,QIRUPDWLRQ � 12 15 ��
���� 1XWULWLRQ�DQG�'LHWHWLFV 23 26 �� ������ 3KDUPDF\ 20 32 42 54����0HGLFDO�6RFLDO�:RUN � 12 16 20&��1XUVLQJ�6HUYLFH 211 299 389 469��� 2IÀFH�RI�WKH�&KLHI�1XUVH 5 5 5 5��� &OLQLFDO�1XUVLQJ�8QLWV �� 125 165 205��� 2SHUDWLQJ�5RRP 32 �� �� ��
161&KDSWHU���7RROV�DQG�5HIHUHQFHV
��� 6SHFLDO�&DUH�$UHDV 31 �� �� ����� 3XOPRQDU\�5HVSLUDWRU\�8QLW 11 �� �� 21��� 2EVWHWULFV�&RPSOH[ 5 � � �
D�� /DERU�5RRP 5 � 10 12E�� 'HOLYHU\�5RRP 16 21 26 31F�� 2EVWHWULFDO�2SHUDWLQJ�5RRP
L�� &DHVDULDQ�6HFWLRQ�2SHUDWLQJ�5RRP � 12 16 ��LL�� /LJDWLRQ�5RRP 2 2 3 3
G�� 5HFRYHU\�5RRP 5 � 10 12��� Central Supply and Sterilization � � 12 ��'��+RVSLWDO�2SHUDWLRQV�DQG�3DWLHQW�6XSSRUW�6HUYLFH 44 58 72 76��� 2IÀFH�RI�WKH�$GPLQLVWUDWLYH�2IÀFHU 3 3 3 3��� +XPDQ�5HVRXUFH�0DQDJHPHQW � � 11 11��� 3URFXUHPHQW 5 � � ���� 0DWHULDOV�0DQDJHPHQW 5 � � ���� (QJLQHHULQJ�DQG�)DFLOLWLHV�0DQDJHPHQW �� 25 32 35
D�� +RXVHNHHSLQJ�/DXQGU\ 5 � 10 11��� 6HFXULW\ 7R�EH�FRQWUDFWHG�RXW(��)LQDQFH�6HUYLFH 36 44 55 63��� 2IÀFH�RI�WKH�)LQDQFH�2IÀFHU 2 2 2 2��� %XGJHW 3 � � ���� $FFRXQWLQJ � 10 12 13
D�� %LOOLQJ�DQG�&ODLPV 13 15 20 ����� Cash Operations 10 13 �� 20Total Number of Positions 609 869 1,122 1,349
162 &KDSWHU���7RROV�DQG�5HIHUHQFHV
6WDQGDUG�6WDIÀQJ�3DWWHUQ
7KH�DVVLJQHG�FODVVLÀFDWLRQ��EHG�FDSDFLW\�DQG�RUJDQL]DWLRQDO�VWUXFWXUH�RI�WKH�KRVSLWDO�GHWHUPLQHV�LWV�VWDIÀQJ�SDWWHUQ��,Q�JHQHUDO��WKH�VWDIÀQJ�SDWWHUQ�LQFOXGHV�WKH�PHGLFDO�VWDII��WKH�QXUVLQJ�VWDII�DQG�RWKHU�KRVSLWDO�SURIHVVLRQDO�SHUVRQQHO�LQ�LQGLUHFW�SDWLHQW�FDUH�VHUYLFHV��
1. Medical Staff*HQHUDO�SUDFWLWLRQHUV�DQG�VSHFLDOLVWV�VXFK�DV�VXUJHRQV��LQWHUQLVWV�DQG�REVWHWULFLDQV�PDNH�XS�WKH�PHGLFDO�VWDII��7KH�QXPEHU�RI�JHQHUDO�SUDFWLWLRQHUV�QHHGHG�IRU�HDFK�KRVSLWDO�LV�EDVHG�RQ�WKH�UDWLR�RI�RQH�JHQHUDO�SUDFWLWLRQHU�IRU�HYHU\�������SDWLHQWV��7KH�QXPEHU�DQG�W\SH�RI�VSHFLDOLVWV�GHSHQG�RQ�WKH�VHUYLFHV�RIIHUHG�DQG�WKH�VSHFLDOWLHV�DQG�VXE�VSHFLDOWLHV�
A. Medical Staff Positions7KH�VWDQGDUG�XVHG�E\�WKH�'2+�IRU�PHGLFDO�VWDIÀQJ�LV�EDVHG�RQ�WKH�6KDQQRQ�IRUPXOD��ZKLFK�LV�WKH�UHVXOW�RI�D�VWXG\�RQ�'HYHORSLQJ�0HWULFV�IRU�+RVSLWDO�0HGLFDO�:RUNIRUFH�$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�
163&KDSWHU���7RROV�DQG�5HIHUHQFHV
7KH�VSHFLDOW\�UHTXLUHPHQWV�IRU�WUDLQLQJ�DUH�
Table 6 Specialty Training and Required Staff
Specialty Ratio��� 3HGLDWULFV ��FRQVXOWDQW1�����UHVLGHQW2�SK\VLFLDQV
��� Surgery��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQminimum of 3 fellows3�IRU���RU�IHZHU�UHVLGHQWVa fellow is added for every 2 additional residents
��� Neurology
��WUDLQLQJ�QHXURORJLVWV�����UHVLGHQW�SK\VLFLDQV��IDFXOW\�PHPEHU�UHVSRQVLEOH�IRU�HDFK�RI�WKH�IROORZLQJ��QHXURDQDWRP\��SV\FKLDWU\�DQG�EHKDYLRUDO�VFLHQFHV��LQWHUQDO�PHGLFLQH��SHGLDWULF�VFLHQFHV��QHXURORJ\��QHXURSDWKRORJ\��QHXURLPDJLQJ
��� Dermatology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV
��� 1XFOHDU�0HGLFLQHDW�OHDVW���QXFOHDU�PHGLFLQH�IXOO�WLPH�SK\VLFLDQV��GLSORPDWH�VWDWXV�IRU�HYHU\�JDPPD�PDFKLQH��DQG�DW�OHDVW���WUDLQLQJ�UHVLGHQWV�IRU�HYHU\�DFFUHGLWHG�QXFOHDU�PHGLFLQH�UHVLGHQF\�WUDLQLQJ�IDFLOLW\
��� Anesthesiology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV
��� 5DGLDWLRQ�2QFRORJ\ ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV��� 2EVWHWULFV�DQG�
*\QHFRORJ\��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQV
��� Urology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQ����Otolaryngology ��FRQVXOWDQW�����UHVLGHQW�SK\VLFLDQ
2. Nursing Staff7KH�IDFWRUV�GHWHUPLQLQJ�QXUVLQJ�VWDIÀQJ�QHHGV�LQFOXGH�SDWLHQWV·�DFXLW\�RI�LOOQHVV��VSHFLDO�WUHDWPHQW�DQG�SURFHGXUHV��W\SH�RI�KRVSLWDO��UDWLR�RI�SURIHVVLRQDO�WR�QRQ�SURIHVVLRQDO�QXUVLQJ�SHUVRQQHO��WXUQRYHU�RI�SDWLHQWV�DQG�QXUVLQJ�SHUVRQQHO��KRVSLWDO�SROLF\�DQG�SDWLHQW�FDUH�FODVVLÀFDWLRQ�V\VWHPV��
��&RQVXOWDQWV�UHIHU�WR�WKRVH�RFFXS\LQJ�PHGLFDO�VSHFLDOLVW�SRVLWLRQV��7KHVH�SK\VLFLDQV�DUH�DFFUHGLWHG�E\�WKHLU�UHVSHFWLYH�VSHFLDOW\�VRFLHWLHV�DQG�DUH�H[SHUWV�LQ�WKHLU�PHGLFDO�VSHFLDOWLHV��7KH\�DFW�DV�WUDLQLQJ�VXSHUYLVRUV�WR�UHVLGHQWV���5HVLGHQWV�UHIHU�WR�PHGLFDO�RIÀFHU�SRVLWLRQV�WKDW�XQGHUJR�VSHFLDOW\�WUDLQLQJ�SURJUDPV�XQGHU�WKH�VXSHUYLVLRQ�RI�WKH�FRQVXOWDQWV���)HOORZV�UHIHU�WR�SK\VLFLDQV�ZKR�HQWHU�D�WUDLQLQJ�SURJUDP�LQ�D�PHGLFDO�VSHFLDOW\�DIWHU�FRPSOHWLQJ�UHVLGHQF\��ERDUG�TXDOLÀHG�VSHFLDOLVW�SXUVXLQJ�VXEVSHFLDOW\�WUDLQLQJ�
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7KH�QXUVLQJ�VHUYLFH�VWDIÀQJ�UHTXLUHPHQW�VKRXOG�DGKHUH�WR�WKH�IROORZLQJ�VWDII�SDWLHQW�EHG�UDWLR�
Table 7 Nurse to Staff Ratio
Unit Nurse to Staff Ratio��� Ward ��VXSHUYLVLQJ�QXUVH��QXUVH�LLL�������VWDII�QXUVHV
��KHDG�QXUVH��QXUVH�LL�������VWDII�QXUVHV��VWDII�QXUVH��QXUVH�L�������EHGV�SHU�VKLIW��QXUVLQJ�DWWHQGDQW������EHGV�SHU�VKLIW
��� &ULWLFDO�&DUH ��VXSHUYLVLQJ�QXUVH��QXUVH�LLL�������VWDII�QXUVHV��KHDG�QXUVH��QXUVH�LL�������VWDII�QXUVHV��VWDII�QXUVH��QXUVH�LL������EHGV�SHU�VKLIW��QXUVLQJ�DWWHQGDQW������EHGV�SHU�VKLIW
3. Other Hospital Professional Personnel in Indirect Patient Care Services$�PLQLPXP�RI�ÀYH�SHUVRQQHO�LV�UHTXLUHG�IRU�XQLWV�RU�VHFWLRQV�ZLWK����KRXUV�VHUYLFHV�WR�ÀOO�WKH����KRXUV�VHYHQ�GD\V�D�ZHHN�VFKHGXOH��7KXV��WKH�HPHUJHQF\�URRP��RSHUDWLQJ�URRP��GHOLYHU\�URRP��[�UD\��ODERUDWRU\�DQG�SKDUPDF\�VWDII�UHTXLUHPHQWV�ZLOO�KDYH�WR�EH�FDOFXODWHG�DFFRUGLQJO\��,Q�WKH�GLVSHQVLQJ�SKDUPDF\��WKH�UDWLR�RI�SKDUPDFLVW�WR�DGPLQLVWUDWLYH�DVVLVWDQW��SKDUPDF\�DVVLVWDQW��LV�RQH�SKDUPDFLVW�WR�WZR�DGPLQLVWUDWLYH�DVVLVWDQWV��7KH�UDWLRV�RI�VWDII�WR�EHG�FDSDFLW\�LQ�RWKHU�XQLWV�DUH�OLVWHG�LQ�WKH�EHORZ�WDEOH�
Table 8 Ratio of Other Personnel in Indirect Patient Care Services to Bed Capacity
Unit Ratio of Staff to Bed Capacity3KDUPDF\ ����1XWULWLRQLVW�'LHWHWLFV ����0HGLFDO�6RFLDO�:RUN ����+HDOWK�,QIRUPDWLRQ�0DQDJHPHQW��IRUPHUO\�0HGLFDO�5HFRUGV� ����
)RU�WKH�VWDIÀQJ�SDWWHUQ�IRU�HDFK�OHYHO�RI�KRVSLWDO�DQG�WKHLU�UHVSHFWLYH�EHG�FDSDFLW\��UHIHU�WR�WKH�5HYLVHG�2UJDQL]DWLRQDO�6WUXFWXUH�DQG�6WDIÀQJ�6WDQGDUGV�IRU�*RYHUQPHQW�+RVSLWDOV�&<������(GLWLRQ�DYDLODEOH�DW�WKH�'2+�+HDOWK�+XPDQ�5HVRXUFH�'HYHORSPHQW�%XUHDX�
165&KDSWHU���7RROV�DQG�5HIHUHQFHV
Hospital Waste Management
+HDOWK�FDUH�IDFLOLWLHV�JHQHUDWH�ZDVWH�WKDW�PD\�EH�KDUPIXO�WR�KXPDQV�DQG�DQLPDOV��+HDOWK�FDUH�ZDVWH�LQFOXGHV�DOO�VROLG�DQG�OLTXLG�ZDVWH�JHQHUDWHG�DV�D�UHVXOW�RI�DQ\�RI�WKH�IROORZLQJ�
�� GLDJQRVLV��WUHDWPHQW�RU�LPPXQL]DWLRQ�RI�KXPDQ�EHLQJV��� UHVHDUFK�SHUWDLQLQJ�WR�WKH�DERYH�DFWLYLWLHV��� UHVHDUFK�XVLQJ�ODERUDWRU\�DQLPDOV�IRU�WKH�LPSURYHPHQW�RI�KXPDQ�KHDOWK��� SURGXFWLRQ�RU�WHVWLQJ�RI�ELRORJLFDO�DJHQWV��RU�� RWKHU�DFWLYLWLHV�SHUIRUPHG�E\�KHDOWK�FDUH�IDFLOLWLHV�
7KH�GLIIHUHQW�FDWHJRULHV�RI�KHDOWK�FDUH�ZDVWH�LQFOXGH��� LQIHFWLRXV���� VKDUSV��� SDWKRORJLFDO�DQG�DQDWRPLFDO��� SKDUPDFHXWLFDO�ZDVWH��� FKHPLFDO�ZDVWH��� UDGLRDFWLYH�ZDVWH��DQG�� QRQ�KD]DUGRXV�RU�JHQHUDO�ZDVWH�
$V�JHQHUDWRUV�RI�KHDOWK�FDUH�ZDVWH��KHDOWK�IDFLOLWLHV�VXFK�DV�KRVSLWDOV�DUH�UHVSRQVLEOH�IRU�WKH�FROOHFWLRQ��KDQGOLQJ��VHJUHJDWLRQ��WUDQVSRUW��WUHDWPHQW�DQG�GLVSRVDO�RI�WKH�ZDVWH�WKDW�WKH\�SURGXFH��,QWHUQDWLRQDO�DJUHHPHQWV�DQG�QDWLRQDO�ODZV�DQG�SROLFLHV�JRYHUQ�WKH�PDQDJHPHQW�RI�KHDOWK�FDUH�ZDVWH�²�WKH\�DUH�OLVWHG�LQ�WKH�IROORZLQJ�WDEOH�
Table 9 International Agreements, Laws and Policies on Health Care Waste Management
PoliciesInternational Agreements��� 7KH�0RQWUHDO�3URWRFRO�RQ�6XEVWDQFHV�WKDW�'HSOHWH�WKH�2]RQH�/D\HU���������� 7KH�%DVHO�&RQYHQWLRQ�RQ�WKH�&RQWURO�RI�7UDQVERXQGDU\�0RYHPHQWV�RI�+D]DUGRXV�:DVWHV�DQG�WKHLU�
'LVSRVDO���������� 7KH�8QLWHG�1DWLRQV�)UDPHZRUN�&RQYHQWLRQ�RQ�&OLPDWH�&KDQJH�������
166 &KDSWHU���7RROV�DQG�5HIHUHQFHV
��� 7KH�.\RWR�3URWRFRO�WR�WKH�8QLWHG�1DWLRQV�)UDPHZRUN�&RQYHQWLRQ�RQ�&OLPDWH�&KDQJH���������� 7KH�6WRFNKROP�&RQYHQWLRQ�RQ�3HUVLVWHQW�2UJDQLF�3ROOXWDQWV�������National Laws and Policies5HSXEOLF�$FWV��� 5HSXEOLF�$FW������²�+RVSLWDO�/LFHQVXUH�$FW���������� 5HSXEOLF�$FW������²�$Q�$FW�WR�&RQWURO�7R[LF�6XEVWDQFHV�DQG�+D]DUGRXV�DQG�1XFOHDU�:DVWHV���������� 5HSXEOLF�$FW������²�7KH�3KLOLSSLQH�&OHDQ�$LU�$FW���������� 5HSXEOLF�$FW������²�(FRORJLFDO�6ROLG�:DVWH�0DQDJHPHQW�$FW���������� 5HSXEOLF�$FW������²�7KH�3KLOLSSLQH�&OHDQ�:DWHU�$FW�������3UHVLGHQWLDO�'HFUHHV��� 3UHVLGHQWLDO�'HFUHH�����²�7KH�&RGH�RI�6DQLWDWLRQ�RI�WKH�3KLOLSSLQHV�²�&KDSWHU�;9,,�RQ�6HZDJH�
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2IÀFHV�DQG�$JHQFLHV�RI�WKH�([HFXWLYH�%UDQFK�RI�WKH�*RYHUQPHQWAdministrative Orders��� 'HSDUWPHQW�RI�(QYLURQPHQW�DQG�1DWXUDO�5HVRXUFHV��'(15��$GPLQLVWUDWLYH�2UGHU���������²�
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Infection Control
7KH�'2+�VWURQJO\�DGYRFDWHV�IRU�PHDVXUHV�WR�FRQWURO�LQIHFWLRQ�LQ�KHDOWK�FDUH�VHWWLQJV��7KH�EXLOW�HQYLURQPHQW�LV�RQH�RI�WKH�NH\�DUHDV�ZKHUH�VWUDWHJLHV�WR�FRQWURO�WKH�VSUHDG�RI�LQIHFWLRQ�LQ�KHDOWK�FDUH�IDFLOLWLHV�FDQ�EH�DSSOLHG��,QIHFWLRQ�FRQWURO�SURJUDPV�PXVW�WDNH�LQWR�DFFRXQW�KRZ�WKH�EXLOW�HQYLURQPHQW�FDQ�KHOS�WKH�KHDOWK�FDUH�ZRUNHUV�LQ�FRQWUROOLQJ�WKH�VSUHDG�RI�LQIHFWLRQ�IURP�SDWLHQW�WR�SDWLHQW�DQG�IURP�KHDOWK�ZRUNHUV�WR�SDWLHQW�DQG�YLFH�YHUVD��6SHFLÀF�DUHDV�LQ�WKH�KRVSLWDOV�PD\�KDYH�GLIIHUHQW�WHFKQLFDO�VSHFLÀFDWLRQV�WR�SUHYHQW�LQIHFWLRQ�IURP�VSUHDGLQJ��)RU�LQVWDQFH��WKH�GHVLJQ�RI�ZDUGV�ZLWK�VHYHUDO�SDWLHQWV�ZLOO�KDYH�GLIIHUHQW�UHTXLUHPHQWV�DV�FRPSDUHG�WR�WKH�GHVLJQ�RI�FULWLFDO�FDUH�XQLWV��+RZHYHU��LQ�JHQHUDO��WKHUH�DUH�SULQFLSOHV�WKDW�VKRXOG�EH�WDNHQ�LQWR�FRQVLGHUDWLRQ�LQ�WKH�SODQQLQJ�VWDJHV��&LWHG�EHORZ�DUH�H[DPSOHV�RI�GHVLJQ�SULQFLSOHV�JLYHQ�E\�WKH�8QLWHG�.LQJGRP�'HSDUWPHQW�RI�+HDOWK�LQ�WKH�+HDOWK�%XLOGLQJ�1RWH��������,QIHFWLRQ�FRQWURO�LQ�WKH�EXLOW�HQYLURQPHQW��'+��(VWDWHV�DQG�IDFLOLWLHV��8.��������
Table 10 Design Parameters for Infection Control in the Built Enviroment
Design to facilitate cleanliness & cleaning�� 8VH�ÀQLVKHV�WKDW�DUH�LPSHUYLRXV��VPRRWK�DQG�VHDPOHVV��DV�IDU�DV�SUDFWLFDEOH��� 5XQ�KDUG�ÁRRULQJ�XS�WKH�ZDOOV�IRU�D�VKRUW�GLVWDQFH�WR�SURYLGH�DQ�HDV\�WR�FOHDQ�FRYLQJ��� (OLPLQDWH�RU�PLQLPL]H�GHDG�OHJV�DQG�EOLQG�HQGV�LQ�ZDWHU�V\VWHPV��ERWK�LQ�WKH�RULJLQDO�GHVLJQ�
DQG�DV�WKH�V\VWHPV�DUH�PRGLÀHG��� &RQVLGHU�KDQGV�IUHH�RSHUDWLRQ�RI�XWLOLWLHV��IRU�H[DPSOH�VHQVRU�WDSV��DXWRPDWLF�OLJKWV��PRYHPHQW�
VHQVRUV�IRU�WRLOHW�ÁXVKHV�HWF���� &RQVLGHU�KDQGV�IUHH�RSHUDWLRQ�RI�RWKHU�IDFLOLWLHV��IRU�H[DPSOH�DXWRPDWLF�GRRUV��SUR[LPLW\�
VHQVRUV�HWF���� &RQVLGHU�LQWHJUDO�EOLQGV�DV�DQ�DOWHUQDWLYH�WR�FXUWDLQV�DW�LQWHUQDO�ZLQGRZV�
��� &KDSWHU���7RROV�DQG�5HIHUHQFHV
Encourage desired behavior (for example tidiness and hand hygiene)�� 3URYLGH�VXIÀFLHQW�VSDFH�IRU�DFWLYLWLHV�WR�WDNH�SODFH�DQG�WR�DYRLG�FURVV�FRQWDPLQDWLRQ�EHWZHHQ�
DGMDFHQW�EHG�VSDFHV��� 3URYLGH�VXIÀFLHQW�VWRUDJH�IRU�SDWLHQWV·�SRVVHVVLRQV�DQG�IRU�DOO�VXSSOLHV�WR�GLVFRXUDJH�FOXWWHU��� (QVXUH�SURSHU�VHJUHJDWLRQ�DQG�PDQDJHPHQW�RI�ZDVWH��LQFOXGLQJ�FOLQLFDO�ZDVWH�DQG�OLQHQ��� 3URYLGH�VXIÀFLHQW�GRPHVWLF�ZDVWH�UHFHSWDFOHV��� 3URYLGH�EHGVLGH�ZDVWH�FROOHFWLRQ�IDFLOLWLHV�IRU�SDWLHQW�XVH��� $YRLG�XQQHFHVVDU\�KRUL]RQWDO�VXUIDFH��IRU�H[DPSOH�ZLQGRZ�VLOOV��LQ�RUGHU�WR�GLVFRXUDJH�FOXWWHU��� 3URYLGH�HQRXJK�ZDVK�KDQG�EDVLQV�DQG�DQWLPLFURELDO�KDQG�UXE�GLVSHQVHUV��� 3ODQ�IRU�VHSDUDWLRQ�RI�FOHDQ�DQG�GLUW\�DFWLYLWLHV��� 3URYLGH�VXIÀFLHQW�VSDFH�IRU�VWRUDJH�DQG�SUHSDUDWLRQ�RI�FOHDQLQJ�HTXLSPHQW�DQG�PDWHULDOV��� 3URYLGH�VXLWDEOH�IDFLOLWLHV�IRU�FOHDQLQJ�RI�HTXLSPHQW�
Design for easy cleaning�� 0DLQWDLQ�D�YLVLEO\�FOHDQ�HQYLURQPHQW�WKDW�LV�IUHH�IURP�GXVW�DQG�VRLODJH�DQG�DFFHSWDEOH�WR�
SDWLHQWV��WKHLU�YLVLWRU�DQG�VWDII��� *RRG�GHVLJQ�FDQ�PDNH�FOHDQLQJ�LPPHDVXUDEO\�HDVLHU��IRU�H[DPSOH�
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References
'HSDUWPHQW�RI�+HDOWK�+HDOWK�)DFLOLW\�'HYHORSPHQW�%XUHDX��������Summary of Typhoon Yolanda Damage Report on Health Facilities (as of January 29, 2014)��0DQLOD��V�Q�
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'HSDUWPHQW�RI�+HDOWK��������Administrative Order No. 2013-0014 Policies and Guidelines on Hospitals Safe from Disasters.�0DQLOD��'HSDUWPHQW�RI�+HDOWK�
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HEALTH AT THE HEART OF HEALING
A photo book on the rehabilitation and rebuilding of Yolanda-ravaged hospitals