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