The Tshepo Community Hospital Proposal and Plan

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The Tshepo Community HospitalProposal and Plan

• HBJ Architects and Associates
• Erin Blankenstein
• Ian McDonnell
• Nenad Jovanovic

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Introduction

• Location Southern AfricaBordering countries
  Zimbabwe, South Africa and Namibia
• Area 575,000 sq. km
• Total Population 1,600,000
• Population density 2 per sq. km

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Understanding the Numbers

• 40 million people worldwide are currently
  infected with HIV/AIDS
• 14,000 are infected on a daily basis
• Globally, 70 of HIV/AIDS infected people reside
  in the Southern African countries
• The average life expectancy of a person living in
  Botswana has declined to merely 47 years

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HIV/AIDS Global Pie Chart Distribution
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Projected population structure of Botswana in
2020 with and without HIV/AIDS
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Average Life Expectancy
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The Origins of the Problem

• Lack of education
• The secondary position of women in society
• Social migration patterns

• Mother-to-child transmission
• Polygamy commonly accepted
• Poverty

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Mission Statement

• BMJ Architects and Associates have
  successfully strived to establish a firm that
  specializes in the design and planning of a
  variety of domestic and international healthcare
  facilities. These facilities include additions
  to existing hospitals, private offices and
  clinics, construction of new small to mid-sized
  hospital facilities, and mobile care units. We
  are a group of dedicated and talented individuals
  that are committed to our clients, our industry,
  and our company. For the benefit of our clients,
  and ourselves, we continuously participate in
  ongoing research involving the latest
  technologies and innovations in healthcare and
  healthcare design. We strive to meet the needs
  and goals of each client by incorporating our
  understanding and appreciation of cultural
  diversity into unique, practical designs.

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Facility Organization Diagram
Hospice
Outpatient Office
Education Research Outreach Center
Nurses Station
Centralized Garden
Patient Rooms
Patient Rooms
Mobile Unit
Mobile Unit
Waiting Area
Waiting Area
Mobile Unit
Mobile Unit
Main Entry/Lobby
Mobile Unit
Mobile Unit
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ISSUES AND KEY CONSIDERATIONSIN DESIGNING
HEALTHCARE FACILITIES

• ENTRY WAYFINDING PATIENT ROOMS
• SIGNAGE NURSES STATION LIGHTING
• NOISE NATURE WAITING AREAS

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ENTRY

• First Impressions
• Welcoming
• Inviting
• Caring
• Reassuring

The Lobby at Hasbro Childrens Hospital
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THE WALL OF HOPE

• The wall of hope serves as an entryway to the
  newborn intensive care unit at Christiana
  Hospital in Newark, Delaware

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SIGNS

• Choice of words
• Number of words
• Pictures and symbols
• Number of signs in a single location

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PATIENT ROOMS

• Using zones for the patient, family members, and
  staff enhances comfort and function in a room.

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WAITING AREAS

• Vegetation can bring comfort
• Seating layout, people do not like to sit next to
  strangers

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NURSES STATION

• The nurses station should be centrally located
  to provide quick access to all patients
• Storage room is a must for all stations

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NOISE AND LIGHTING

• Control of noise and lighting is important to all
  patients, families and staff
• Using absorbent acoustical materials can help
  control noise

• Considerations in Lighting
• Adjustable lighting for each bed
• Adjustable indirect area lighting
• Windows with adjustable blinds

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NATURE

• Views of nature can have a very positive effect
  on patients
• Healing gardens can be a place for the patient to
  escape

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MOBILE UNIT DESIGN

• Criteria
• Adequately house, transport and be operable by a
  small team of medical professionals (2-5)
• These units should be cost effective
• Durability is also an issue. The units must
  withstand widely diverse areas. Ease of repair
  and maintenance are essential
• They must be adaptable to treat other diseases
  like malaria and tuberculosis
• Should pursue ways to educate the public about
  AIDS

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EXISTING MOBILE CARE UNITS
KHRAS ArchitectsVirum, Denmark
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Brendan Harnett and Michelle MyersRPI, Troy, NY
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CONCLUSION

• Our expertise in healthcare design complimented
  by our extensive research in the field, has
  allowed us to develop an ideal facility that
  meets the needs of the Tshepo Community Hospital,
  which will allow them to work towards their goal
  of stopping the tragic spread of
• HIV / AIDS in Botswana.