Global Health Sabbatical - Jessica Symons

Healthcare for All!

Sabbatical on Global Health

Steve Carr, Ty Harrison, Jessica Symons

We care about global health

Our Goal: To bring healthcare to global populations that do not have adequate access to basic medical needs.

1. Added perspective to our careers in design for health that we can share with TreanorHL and our clients.

2. The ability for TreanorHL to grow and demonstrate expertise, thinking, and leadership beyond our regional footprint.

3. Significantly benefit the delivery of health services on a global scale.

Whether in a third world country, rural America, or an urban desert in one of our cities, there are millions of medically underserved people. Because of the need to connect with medical professionals and their “tools,” most healthcare delivery is too centralized and difficult for our planet’s citizens to access. It is not unusual for people to have to walk for days for medical attention.

What is the Why?

This is the World Disclaimer: not actual colors

This is South America

Where is the project focused?

We are working near Iquitos in a tiny villiage called Manati Zona I

This is Peru in South America

Where is the project focused?

- Bring small healthcare post built inside shipping container in by boat - Portable healthcare supplies?

Initial Ideas...

Our main squeeze, Greg (Global Health Initiatives)

Nelson Ponce (Clinica Adventista Ana Stahl)

Who do we partner with?

Who do we partner with?

Salud Total •

•

Goal: To encompass the social and environmental determinants of health, such as access to healthcare, education, governance, socio-economic resources, as well as spiritual, emotional and physical health in a total health year long project in one village in the Loreto Region of Peru.

Partners: Signed agreement with Loreto Region Ministry of Health (DIRESA), the Municipality of Indiana, our partner hospital in the region, Clinica Adventista Ana Stahl (CAAS) –

Working on formalizing our relationship with the health sciences faculty and students at a University in Lima, the Universidad Peruana Union (UPeU).

5

Project Goal: Provide a combined housing/gathering unit to accomodate visiting healthcare students and professionals in a selected villiage in Peru (Manati Zona I)

Project Description

7

New Overall Goals

Professional Evaluation Cuneta

C.R.

Cuneta

Cuneta

Cuneta

C.R.

Cuneta

4.89

Vereda

3.59

INTERNAMIENTO

Vereda

0.25

Vereda

PRODUCIDO POR UN PRODUCTO EDUCATIVO DE AUTODESK

4.40

6.29

VESTUARIOS

VESTUARIOS

Vereda

Vereda

SS.HH.

1.40 5.68

BAÑO

BAÑO

SALA DE PREPARADOS

3.86

1.26

2.19

2.36

2.41

2.07

1.15

C:\Users\intel\Desktop\GAP\LOGOTIPO FINAL.JPG

1.36

0.80 CORREDOR

INTERNAMIENTO 118

3.50

CORREDOR

3.63

0.80

Vereda

PASADIZO LABORATORIO

2.59

1.64

5.68

SALA DE OPERACIONES 1

SALA DE OPERACIONES 2

DORMITORIO DE SERVICIO

BLOQUE "A"

DESPENSA FRIGORIFICO

SECRETARIA

NEMATOLOGIA UROPARASITOLOGIA

VARONES

DAMAS

1.20 LAVADO Y ESTIRILIZACION

Vereda

CORREDOR CORREDOR

C.R.

BACTERIOLOGIA

2.95

ALACENA

119

4.18

4.71

DEPOSITO

NEMATOLOGIA

1.75

BIOQUIMICA INMUNOLOGIA

AREA VERDE

ARCHIVO

CORREDOR

CENTRO DE ESTERILIZACION

MUESTRA DE SANGRE

VESTUARIO MUJERES

1.30

RECEPCION

S.H.

9.40

COMEDOR

INTERNAMIENTO Vereda

SS.HH.

1.18

Vereda

TOMA DE MUESTRA TOMOGRAFIA

CORREDOR

AUTOCLAVE

INMUNDOLOGIA ESPECIAL

3.34

1.16

ALMACEN OXIDO DE ETILENO

SECRETARIA

1.64

1.23

CORREDOR

2.26

1.20

3.30

1.40

1.58

0.69

3.10

3.07

0.92

4.98

0.42

4.69

2.41

1.35

Vereda CUARTO DE LIMPIEZA

3.57

4.92

3.00

4.27

SS.HH.

AREA DESCANSO

1.00

2.80

1.20 S.H.

SH

silla de ruedas resrva

SH

TK. E ALOJAMIENTO CONJUNTO

3.76 1.15

1.93

1.50

4.97 1.70

1.11

2.22

MEDICA

UCI NEONATAL

Vereda

INTERNAMIENTO MATERNIDAD

4.80

.40

.41

ESTAR DE ENFERMERAS

ASEPSIA

SALA DE LACTANCIA

ENFERMERAS/ PREPARACION

BAÑO

ENFERMERA BAÑO

3.68

2.67

ASEPSIA

0.90/2.00

2.20

0.90/2.00 1.00/2.00 0.90/2.00

.38

0.90/2.00

.90

2.70

1.20

0.90/2.00

ALMACEN

0.90/2.00

CTO. SUCIO

1.80 4.84

1.25

MEDICO RESIDENTE

VESTUARIO VARONES

LIMPIEZA

TANQUE CISTERNA

CORREDOR

5.43

5.66

1.20

DESCANSO MEDICO

1.00

4.30

3.75

JEFATURA

2.71 PSICOLOGIA

1.30

BAÑO

3.10

5.64

SH

VESTUARIO MUJERES

Vereda

3.74

1.50

2.51

CONSULTORIO

2.24

1.00

SALA DE DILATACIONES

1.70

1.20

3.35

5.80

1.65

1.50

0.85

ESPECIALIDADES

UNIDAD DE HEMODINAMIA

1.37

2.65

4.31

1.95

CORREDOR DE SERVICIO

.60

1.66 1.85

10.24

1.20

.90 LIMPIO

Vereda

3.10

CONSULTORIO MEDICINA GENERAL

AISLAMIENTO

SALA DE PREPARADOS

SALA DE DE PARTOS

5

SS.HH.

CTO. SUCIO

1.00

4.69

1.00

1.20

1.47

2.50

Vereda

3.76

CENTRIFUGAS

3.85 TOBOGAN

6.06

SALA DE RECUPERACION

0.83 CONSULTORIO ESPECIALIDADES

2.53

1.20

Vereda

.93

0.40

COLUMPIO

1.35

.42

2.87

.80

2.66

.40

2.54

1.20

1.60

1.20

2.55

.40

.80

1.88

.80

1.22

.80

1.62

1.50

1.50

.15

INTERNAMIENTO MATERNIDAD

1.25

INTERNAMIENTO MATERNIDAD

OBSERVACION

1.50

0.90/2.00

2.80

3.10

3.40

0.90/2.00

4 3

ADULTOS

SH

2.80

1.56

BAÑO

2.90

2.60

7 6 5

1.30

2.80

2 1

2.26

1.39

SALON

.25

SH LIMPIO

2.47

S.H.

SS.HH.

INTERNAMIENTO MATERNIDAD

INTERNAMIENTO MATERNIDAD

2.80

9 8

1.80

3.20

SH

DEPOSITO

2.60

2.55

2.50

1.50 CTO SUCIO RESIDUOS SOLIDOS

1.00

11 10

2.30

12

16

3.30

13

15

0.90/2.00

14

0.90/2.00

2.06

2.60

DAMAS

2.43

3.11

3.20

1.80

2.55

1.80

1.80

2.00

SS.HH.

1.88

1.96

4

SS.HH. VARONES

CONSULTORIO 1

3

CONSULTORIO 2A GINECOLOGIA

S.H.

1.69

3.00

1.50

3.00

1.79

3.00

3.00

11 12

15

JEFATURA ENFERMERA

14

13

2.60

2.60

2.30

10

JEFATURA MEDICO

3.58

10.50

9

2.00

16

2.77

BAUTISTERIO

8

2.79

7 PEDIATRIA

INGRESO PRINCIPAL

3.76

3.20

1.30

UNIDAD DE CUIDADOS INTENSIVOS

1.43

.95

1.16

2.30

2.80

OBSERVACION MUJERES

DESCANSO

1.30

1.50

3.69

2.73 ASEPSIA

2.00

PÚLPITO

1.80

2.00

2.80

2.20

2.60

2.20

2.80

3.11

2.64

2.80

2.60

3.64

AISLAMIENTO 2 PEDIATRIA

RECEPCION

1.80

LAVA CHATAS

2.00

SH

ALMACEN (estirilizados) (medicinas)

1.60

CTO.LIMPIO

1.70

1.70

3.00 3.00

RESIDUOS SOLIDOS

1.20

RESIDUOS SOLIDOS

LAVA CHATA

4.29

2.48

GINECOLOGIA

1.40 ALMACEN (estirilizados) (medicinas)

1.40 LIMPIO

2.00

PISTA VEHICULAR

1.50

SH

PASADIZO

ASEPSIA

2.45

GINECOLOGIA

1.56

1.20

3.49

SH

TRIAJE

INGRESO

27.75

1.50

.15

1.99

2.60

2.59

1.80

1.50

TEMPLO

1.20

2.80

1.15 1.80

2.90

2.90

5.46

2.90

1.65

6.20

2.44

05

2.90

2.80

3.50 7.25

2.40

1.00

5.50

.60

paradero moto taxi

3.28

1.60

INGRESO PRINCIPAL

ARQ. CHRISTIAN MEJIA VEGA

6.18

6.00

MANIOBRAS

Vereda

ESTACIONAMIENTOS AUTOS / MOTOCICLETAS

4.00

MANIOBRAS

6.18

ESTACIONAMIENTO (ADMINISTRATIVO)

2.20

.26 .55

ADMINISTRACION

3.00

1.20

1.90

.60

SH

1.20

.25

2.40

4.18

1.20 1.20

.90

2.60 .15

1.83

sh

DESCANSO

2.00

1.20

RECEPCION

0.90/2.00

0.90/2.00

.85

0.90/2.00

1.20/2.00

SH

SH

1.50

ADMINISTRACION

NAVE

2.30

ASEPSIA

1.50 SH

1.20

.90

SH

0.90/2.00

1.40

.10

SH

1.40

0.90/2.00

.85

2.25 1.50

2.20

1.42 .23

1.05

1.25

UNIDAD DE EMERGENCIA

1.80

.90 SH

.90

2.80

3.01

1.20

.50

5.26

FLORERIA/REGALOS

.90

2.80

2.60

2.89

2.40

2.53

TRAUMA SHOCK

OPTICA

almacen y preparados

2.80

0.90/2.00

COLOCACION YESO

1.30

estanteria

PEDIATRIA

2.80

1.00 ADULTO

AISLAMIENTO 1 ADULTO

3.00

3.

4.75

FARMACIA

2.80

2.62

2.60

SH

2.60

1.00

TOPICO

2.80

2.56

SH

PRODUCIDO POR UN PRODUCTO EDUCATIVO DE AUTODESK

CONSULTORIO 2B GINECOLOGIA

S.H.

0.90/2.00

0.90/2.00

0.90/2.00

0.90/2.00

CONSULTORIO CREDA

PEDIATRIA CONSULTORIO

CONTROL

1.80

1.20

1.40

JEFATURA EMERGENCIA

CONSULTORIO 3A

CUARTO TECNICO

8.40 6.23

0.90/2.00

RECEPCION

REVELADO

CORREDOR

.25

3.00

.41

1.85

.80

1.30

3.76

0.90/2.00

.80

0.90/2.00

.41

.25

.80

0.90/2.00

1.80

3.63

2

.80

1

.41

6

.80

CORREDOR

5

1.95

CORREDOR

CORREDOR

sh

2.54

sh CORREDOR

1.20

2.30

.55

5.93

TOMA DE MUESTRA

SS.HH.

SS.HH.

1.30

1.59

2.30 SALA DE OPERACIONES 3

1.00

BANCO DE SANGRE

114

2.75

1.03 DONACIONES

INTERNAMIENTO

1.20

3.00

3.98

1.89

PROCESAMIENTO

1.00

ENTREVISTA

BAÑO

1.20 ESTAR

5.36 OFICINA EMFERMERA

3.13

1.65

7 CONSULTORIO CARDIOLOGIA

9.40

BAÑO

1.10

1.80

2.41

Vereda

1.60

PREPARADO

PARQUE INFANTILES

115

1.20

1.60

CORREDOR

2.26

6.42

1.20

2.63

1.60

2.50

2.00 0.80

116

3.76

6.10

0.82

INTERNAMIENTO

INTERNAMIENTO

JEFATURA

3.75

RECEPCION

1.40

PRODUCIDO POR UN PRODUCTO EDUCATIVO DE AUTODESK

3.82

SALA DE CIRUGIA MENOR Nº3

Cuneta

RULETA

Vereda

3.74

CAJA CONSOLA TOMOGRAFICA

1.62

BAÑO

1.35

RAYOS X

ECOGRAFIA

BAÑO

1.37

AREA AZUL

2.53

Las dimensiones y cotas escritas en estos dibujos deberán tener precedencia sobre la escala.

Los contratistas deberán verificar y ser responsables por todas las dimensiones y condiciones en la obra.

La información contenida en el mismo es CONFIDENCIAL, propiedad de GAP Gerencia Avanzada de Proyectos S.A.C., y por lo tanto no deberá ser revisada mas que por el cliente.

Queda estrictamente prohibida la reproducción de este dibujo, todo o algunas de sus partes; sin previa autorización.

Nota:Todas las medidas se deben verificar en obra.

1.20

TOMA DE MUESTRA EN PRIVADO

CAMARA OSCURA

11.06

COCINA

8.83

VESTUARIO VARONES

ARQ. GIANCARLO CORDOVA VIVANCO

CASA DE FUERZA CASA DE FUERZA Parqueo

1.80

1.80 5.00

Vereda

AMPLIACION Y REMODAELACION CAAS 3.52

Vereda

8.65

Vereda

AV. LA MARINA N° 285

AV. LA MARINA N° 287

PLANTA 1º NIVEL

CLINICA ADVENTISTA ANA STAHL AV. LA MARINA 285, DISTRITO DE IQUITOS PROVINCIA DE MAYNAS, REGION LORETO

EMERGENCIA

CIRUGIA,PARTO - DILATACION,RECUPERACION

CUIDADOS INTENSIVOS

CUIDADOS INTENSIVOS

UCI NEO

TORRE CONSULTORIOS EXTERNOS

CIRCULACION PERSONAL MEDICO

ZONIFICACION

CIRCULACION VISITA

Renovation of Clinica Adventista Ana Stahl PRODUCIDO POR UN PRODUCTO EDUCATIVO DE AUTODESK

Side Project...

1

A-1

4

• Use the idea of outdoor connection space. Allow for gathering.

• Air allowed to flow up high with privacy below.

• Seperates guys and girls potentially.

• Creates communal classroom/ meeting room side and a storage side or other use space

• Allow sleeping spaces to open to below. Increase air flow • Provide kitchen space next to exterior space to filter smells and heat • Exterior patio entrance. Possible awning

Sketches and Process

Steve’s Field Experience

Steve’s Field Experience

Steve’s Field Experience

2.35m

TOILET

TOILET

2.25m

STAIRS FROM GROUND

1m

2.14m 2 .14m 14

0.10m UP

2.00m

3.86m 3 86

2.00m

2.00m

BENCH EXTERIOR PORCH

3.86m 3 86

2.00m 4.50m 4 50m 0.10m

STAIRS FROM GROUND

2.50m

2.00m

2.00m

2.00m

2.00m

0.10m

Design and Deliverables - 1st Level

2.50m

0.10m

2.35m

2.25m

1.80m

2.14m 0.10m DOWN

2.00m

SLEEPING ROOM

SLEEPING ROOM

SLEEPING ROOM

SLEEPING ROOM

4.10m

2.00m 2.50m 2 50

2.00m 2 00

2.50m 2 50

2.50m 2 50 0

2.50m 2 50

OPEN TO BELOW

2.00m

4.10m

EXTERIOR PORCH BELOW

2.00m 4.50m

8.65m 0.10m

2.50m 0.10m

2.00m

2.00m

2.00m

2.00m

2.50m 0.10m

Design and Deliverables - 2nd Level

Design and Deliverables - 3d Axon

WATER TANKS LOCAL ROOFING SYSTEM

BUG NETTING 1.00M ABOVE GROUND

Design and Deliverables - 3d Views

Design and Deliverables - Native Roof Structure

MATERIAL TAKEOFFS Roofing Material Flooring - First Floor Flooring - Second Floor Flooring - Upper Story Exterior Siding Interior Walls Doors (2'6"x7') Bunk Beds Curtain Fabric Railings Bug Netting on Exterior Window Trim

490m² 2.32m² 122m² 22m² 495m² 110m² 8ct 4ct 30m² 46m 30m² 120m

Not Included: Kitchen appliances Kitchen Casework

Lumber Totals: 4cm x 9cm boards 700m 4cm x 14cm boards 268m 9cm x 9cm 143m 9cm x 14cm 225m 14cm x 14cm 267m Other: see ladders & window trim

First Floor Framing Joists (27 ct) .04mx.09mx8.14m length (6 ct) .04mx.09mx4m length 244m total Beams (5 ct) 4cm x 14cm x 13 1/8m length (1 ct) 4cm x 14cm x 4 1/8m length (2 ct) 4cm x 14cm x 2 1/8m length 84m total Second Floor Framing Joists (33 ct) 4cm x 9cm x 4 1/8m length (5 ct) 4cm x 9cm x 1 7/8m length 146m total Beams (4 ct) 4cm x 14cm x 13 1/8m length 53m total Third Floor Framing Joists (5 ct) 4cm x 9cm x 4 1/8m length

21m total

Columns (25 ct) 14cm x 14cm x 6 1/8m high (5 ct) 14cm x 14cm x 10 ¾m high (4 ct) 14cm x 14cm x 1m high

210.5m total

Tower Columns (4 ct) 14cm x 14cm x 6m high (4 ct) 14cm x 14cm x 8m high 56m total Framing (12 ct) 14cm x 9cm x 2 1/8m length

Design and Deliverables - Model & Materials

Construction Progress

Construction Progress

Thank you!

Conclusion and Continued Support