unit 6.5. facility design, renovation, and use tb infection control training for managers at...
TRANSCRIPT
Unit 6.5. Facility design, renovation, and use
TB Infection Control Training for Managers
at National and Subnational Level
Objectives
After this unit, the participant will be able to:
• List basic design principles for maximizing natural ventilation
• Provide an example of facilitating patient flow to minimize exposure to infectious patients
• Provide an example of rethinking the use of space to decrease the risk of TB transmission
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Outline
A. The managerial activities of facility design, renovation and use
B. How facility design, renovation, and use can the risk of TB transmission
1. Reduce crowding
2. Maximize natural ventilation
3. Organize patient flow
C. Maintenance3
A. Inadequate design and use of space contribute to TB spread
Managerial activities at national and facility levels:
• Ensure that health facility design, construction, renovation and use are appropriate
• Rethink the use of available spaces to optimize implementation of controls
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Facility upgrade and reorganization includes:
• More complex solutions that require engineer or architect type of expertise
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• Simple interventions that do not require any structural change
B. How facility design, renovation, and use can reduce
the risk of TB transmission
1. Reduce crowding
2. Maximize natural ventilation
3. Organize patient flow to minimize exposure to infectious patients
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2. Maximize natural ventilation
• Orientation to prevailing winds
• Elevation from the ground
• Stack ventilation
• Building dimensions
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• Placement and size of window openings for cross ventilation
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C. Facility maintenance
Clinic design needs to support the operation and maintenance of the facility throughout its life cycle
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Budget for maintenance
If the building has a 60 year life span, and the initial construction cost was 100 million, you will need to:
• budget 4% per year (4 million) for maintenance
• spend 240 million over the next 60 years on maintenance, or nearly two and half times the cost of initial construction
Summary
• Managers should rethink the use of available spaces and consider renovation to optimize infection control
• Buildings can be designed or upgraded to decrease crowding and maximize natural ventilation
• Patient flow in facilities should be organized to diminish exposure by infectious patients.
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