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AND
LABOUR WARDS
Hoogendoorn BV
Hospital
(Dick Hoogendoorn)
Design engineer
Turiani, Tanzania
NETHERLANDS
turianihospital@yahoo.co.uk
dhoogendoorn@planet.nl
+255 23 26 200 18
+31 50 3093029
Bert Oosterloo
Development
NETHERLANDS
NETHERLANDS
www.turiani-hospital.org
bert.oosterloo@hotmail.com
+31 50 3186941
+31 50 2308634
Dennis Hofman
Architecture
3D-drawings
GERMANY
anafernandez@estudiokaw.com
dennishofman@hotmail.nl
+34 6 54638911
+49 49029893814
Project Management
Graphic Design
NETHERLANDS
NETHERLANDS
h.boldewijn@kutano.nl
info@studiospijker.nl
+31 6 55748584
+31 6 27135974
Content
1
Introduction 5
5.
Background information
General information
Appendixes
1. All drawings including technical drawings
Hospital services 10
Hospital management
Past situation
Building process 15
Cost estimation
3.
11
13
Present situation
Maternity Ward
4.
Drawings 17
T-FD-20 trusses
3. Bill of Quantity
Ward
faades both Wards
1. Introduction
2. Turiani Hospital
background information
General information
St. Francis Turiani Mission Hospital is situated in Bwagala, just 3 km from
Turiani village and about 120 km from Morogoro town. It is the only hospital in the Mvomero District and registered as Voluntary Agency hospital.
The hospital has all departments characteristics for a rural hospital and
has a capacity of 180 beds divided over seven wards:
-- Female medical and surgical ward with 40 beds;
-- two Male wards: medical and surgical with 48 beds;
-- two Children wards with 48 beds;
-- Maternity ward with 18 beds and Labour ward with 6 beds;
-- Former Isolation ward, now in use as Post-natal ward with
20 beds.
Hospital services
From the Five Year Strategic Plan of the hospital, 2012:
Vision statement
Our vision is to aspire for quality health services to all
Dira yetu ni kuwa na huduma bora ya afya kwa watu wote
(in Swahili)
Mission statement
Our mission is to provide holistic, high quality, affordable and sustainable
health care to the community in accordance with catholic medical ethics
Dhima yetu ni kutoa huduma bora ya afya ambayo ni nafuu na endelevu
kwa jamii kwa kufuata misingi ya huduma za afya ya Kanisa Katoliki
(in Swahili)
Core values
1. Integrity
2. Collaboration
3. Accountability
4. Respect and dignity
5. Excellence
6. Professionalism
7. Improving lives
8. Working together
9. Working together with patient
The hospital receives seriously sick patients in the Out Patient Department (OPD); less serious patients visit the surrounding dispensaries and
health posts. The total number of inpatients is circa 12.000 and
outpatients 58.000 (2010).
The top ten diseases are: malaria, respiratory tract infection, pneumonia,
anaemia, diarrhoea diseases, urinary tract infections, protein energy
10
Hospital management
The hospital is owned by the Diocese of Morogoro and since 2011
managed by the Mgolole Sisters Convent, settled in Morogoro. A board
of Governors advise and assist the Diocese and the hospital management.
The members are representatives of the Mgolole Sisters, the Catholic
Diocese of Morogoro, the Ministry of Health, the community in the catchments area and the Hospital staff.
Also in the nineties the hospital was active in professionalism and grow.
The quality of the buildings and the condition of the hospital compound
were a serious obstruction for further development. Thats why the first
-- staff & bed grants: from the Ministry of Health and Social
of all hospital wards and departments. In the plan also sanitation and
Phase 1:
Phase 2:
Phase 3:
completed in 2003.
The hospital has circa 150 employees and is active in sending staff
In 2004 the hospital realized with the help of the Dutch helping organiza-
In 2007 an old building was renovated to Private ward, but not used.
This building will be used for housing new students and staff of the future
control, wound and burn care. To motivate and to hold current staff
Nursing School.
on own strength.
Mikumi. Other issues, also mentioned in the latest strategic plan (2012)
The financial resources for renovation and new buildings were very limited,
which resulted in a lower quality then the buildings realized as part of the
1991 Masterplan.
11
12
3. New Maternity
and Labour Wards
The project New Maternity and Labour wards consist of the replacement
of the Maternity and Labour by three new buildings: I Maternity (pre-natal
care), II Labour and III Maternity (post-natal care). The present buildings are
in a bad condition and dont have enough capacity to provide a proper quality
and quantity of maternal care.
Past situation
With the help of Misereor (Germany) the hospital wards are renewed in
the nineties except the Female, Maternity and Labour wards. Misereor
stopped her support and new donors had to be found.
In 2007 a Masterplan was designed with the help of the Friends of Turiani.
Priority was given to the renewal of the Female and Maternity buildings
and first concept plans were made.
In the meantime the roof of the old Female ward collapsed; renovation
was done in 2009 / 2010 and the building is again suitable for use for
several years.
Between 2009 - 2011 the transition to Council Designated Hospital and
the change of leadership from the CPS Sisters to the Mgolole Sisters
slowed down the progress of the project.
Present situation
Renewal of the Maternity and Labour has priority in the new strategic plan
(2012) of the hospital. Together with the new management a step by
step plan was made. And post-natal patients are temporarily moved to
the renovated Isolation ward to relief the pressure of the overcrowded
Maternity.
In October 2012 it became clear, that private Dutch founders want to
donate a substantial part of the new Maternity, so a real start can be
made in the building process. An additional application to the Dutch
helping organization Wilde Ganzen will be submitted at the beginning of
2013. The communication with the Spanish helping organisation Manos
13
14
The final design and Bill Of Quantity (BOQ) are ready at the beginning
one building to another. The patients routing and Hygiene and Infection
of 2013.
Both new Maternity wards have space for 32 beds (8 x 4-bed rooms),
education room, 2 sluices, 2 sanitary blocks and storage. The women will
activities.
have more privacy and rest, because of the 4-bed rooms. Patients, who
need extra (medium) care (with pre-eclampsia, premature babies, etc.)
Building process
can be nursed separate. The nurses stations is situated so that the nurse
glass walls.
in charge has an overview over all the patients rooms divided by partly
The new Labour ward has space for 12 delivery beds (2 x 6-bedrooms),
male and female changing rooms, tea- or restroom for personnel, nursing
resuscitation rooms and storage. There is more space around the beds,
divided with curtains. From the nurses station and the rest room,
the nurses in charge have an overview over all the delivery beds.
present.
9. Providing a long term maintenance plan for the new buildings.
Cost estimation
The three new buildings are in line with the present Male and Children
wards. They are connected to the main hospital route of Inpatients and
close enough to the Operation Theatre in case of emergency (like
Caesarean sections). The new three buildings have a surface of 500 m2
each including the covered verandas. In the centre the buildings are
15
Hospital compound
16
DRAWINGS
NEW MATERNITY
AND LABOUR WARDS
18
TEMPORARY
MATERNITY WARD
HOUSING
CHURCH
TECHNICAL
DEPARTMENT
NURSING
SCHOOL
MORTUARIUM
DENTAL
CLINIC
MALE WARD
SERGICAL
MALE WARD
MEDICAL
LABOUR
WARD
MATERNITY
WARD
OPERATION
THEATRE
CHILDREN
WARD
STAFF HOUSING
CHILDREN
WARD
NURSES
HOSTEL
SEMINARY
HALL
LABORATORY
NURSING
SCHOOL
FEMALE WARD
K A W
www.kaw.nl
h.boldewijn@kaw.nl
T +31 50 3695870
TURIANI HOSPITAL
DIOCESE OF MOROGORO
FINAL DESIGN
BUILDING I, II, III
T-FD-01
current site lay-out
CURRENT
SITE LAY-OUT
Scale
1 : 500
Date
21-12-2012
19
20
25,00
13,00
17,00
20,10
14,00
10,00
28,00
28,00
III
II
MATERNITY WARD
LABOUR WARD
MATERNITY WARD
K A W
www.kaw.nl
h.boldewijn@kaw.nl
T +31 50 3695870
TURIANI HOSPITAL
DIOCESE OF MOROGORO
FINAL DESIGN
BUILDING I, II, III
T-FD-02
new site lay-out
NEW
SITE LAY-OUT
Scale
1 : 100
Date
21-12-2012
21
22
23
24
25
26
27
28
Elevation East faade Labour Ward and end faades both Wards
29
30
31
32
33
34
0,10 0,30
0,20 0,12
2,30
10,00
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
2,40
38,00
28,00
II
LABOUR WARD
MATERNITY WARD
2,40
2,065
2,40
0,20
2,40
0,20 0,20
0,20
0,20
K A W
www.kaw.nl
h.boldewijn@kaw.nl
T +31 50 3695870
TURIANI HOSPITAL
DIOCESE OF MOROGORO
2,20
2,40
0,20
0,20
FINAL DESIGN
BUILDING I, II
Scale
covered walkways
COVERED
WALKWAYS
T-FD-13
1 : 500
1 : 50
35
Date
21-12-2012
January 2013