asca

AIIMS INSTITUTE , KERALA FAYIZ

|

8TH SEM

SYNOPSIS INTRODUCTION • The All-India Institutes of Medical Sciences (AIMS) are a group of autonomous government public medical colleges of higher education. These institutes have been declared by an Act of Parliament as Institutes of National Importance.

• The first AIIMS was established in 1956 under the All-India Institute of Medical Sciences Act, 1956. Originally proposed by the then Prime Minister of India Jawaharlal Nehru for establishment in Calcutta, it was established in New Delhi following the Chief Minister of West Bengal, Bidhan Chandra Roy’s refusal.

• In 2003 the Government of India announced the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) initiative which aimed at "Correcting regional imbalances in the availability of affordable/reliable tertiary healthcare services." This was to be done through two main channels: setting up AIIMS-like institutions and upgrading government medical colleges.

• The allotment of AIIMS to Calicut is a hearty and welcome move which can potentially pull the city out of 2 decades of stunted growth.

PROMOTER • The planning to start an AIIMS has budded years ago, and the location is kind of finalised at Kinalur industrial estate, near Balussery in Kozhikode district.

• In 2014 the central government announced the establishment of AIIMS-like institutes in 10 states and Kerala luckily was one of them.

• Kerala Government has already proposed around 200 acres of land.

LOCATION •

Kinalur Industrial Estate, Kozhikode

FEASIBILITY OF THE PROPOSED PROJECT /SITE • The location is well connected via road and supply of water and electricity are abundant.

• Kinalur in Kozhikode has become the first choice of Kerala government for the proposed All India Institute of Medical Science (AIIMS).

• The fact that the project can proceed without seeking much private land as the government already owns large portion of land here is the major advantage.

AIM To design first AIIMS institute in Kerala at Kozhikode.

OBJECTIVE: • To study medical colleges and AIIMS. • To study the site and infer relevant Data’s.

• To zone according to building typology.

• To design AIIMS institute at Kozhikode demarking areas for future expansion.

• To study about the users’ needs and necessities in a medical research institute as doctors, patients, students, and others.

• To study about the interconnected campus plan and program that reinforces AIIMS’s trinity of goals: Education, research, and patient care

SCOPE • It is the First AIIMS in Kerala.

• The proposed AIIMS, which would benefit the people of six districts in north Kerala, has been on the back burner for long.

• The project will turn beneficial for the government and public.

• AIIMS at Kinalur will act as a catalyst for the entire health sector development of Kerala

LIMITATIONS • The design will be focusing on the masterplan level design of the institute.

SITE DETAILS

LOCATION: Kinalur Industrial Estate, Near Balussery, Kozhikode, Kerala.

SITE AREA : 200 ACRES

ACCESSIBILITY: Road • Only 6 km from the hill highway which is in the progress of work.

• 25 km from National Highway 766 • 23 km from National Highway 66 • 10 km away from from the Koyilandy-Thamarassery Edavannapara state highway Rail • 23 km from Koyilandy station • 31 km from Kozhikode station Airport • 50 km away from Karipur • Just hours away from Kannur airport if the hill highway realised.

Land • 200 acres of land is required.

• KSIDC handed over 153.46 acre.

• Revenue dept decided to acquire land from private people- 100 acre.

• Families to be rehabilitated- 105.

• Plantation nearby- 1000 acre.

Electricity • 110 kV substation in the project area Water • Japan pipelines available.

HOW ARCHITECTURE CONTRIBUTES • • •

Architecture involves a great influence on a person's observation.

The environment impacts the nature of the structure and change the way of thinking.

The more functional space creates the better learning environment and interactive spaces the architecture would serve as a medium in between man and spaces/environment.

TENTATIVE REQUIREMENTS Departments of hospital 1. Administrative department- General department, medical department 2. Storage department 3. Mortuary department 4. Outpatient department 5. Dietary unit 6. Laundry unit 7. Pharmacy department 8. Blood Bank department 9. Emergency and casualty department 10. Pathology department 11. Physiotherapy department 12. Radiology department 13. Operation theatre department 14. Intensive care unit 15. Central sterilisation supply department 16. Inpatient department 17. Delivery suite unit 18. Medical gas supply system

Medical College 1. Administrative department 2. Anatomy department 3. Physiology department 4. Biochemistry department 5. Pathology department 6. Blood Bank 7. Microbiology department

8. Pharmacology department 9. Forensic medicine 10. Community medicine

Nursing college 1. Teaching block 2. Hostel block

Background study The All India Institutes of Medical Sciences (AIIMS) is a group of autonomous government public medical universities of higher education under the jurisdiction of Ministry of Health and Family Welfare , Government of India. These institutes have been declared by an Act of Parliament as Institutes of National Importance. AIIMS New Delhi, the forerunner institute, was established in 1956. Since then, 24 more institutes were announced. As of January 2023, twenty institutes are operating and four more are expected to become operational until 2025. Proposals were made for six more AIIMS. It is considered as pioneer health institution of South Asia.

• • • • •

•

The first AIIMS was established in 1956 under the All India Institute of Medical Sciences Act, 1956.

On February 18, 1956, the then minister of health, Amrit Kaur, introduced a new bill in the Lok Sabha for establishment of AIIMS. Originally proposed to established in Calcutta, it was established in New Delhi following the refusal of Chief Minister of West Bengal Bidhan Chandra Roy. The act established AIIMS New Delhi, which was then known simply as All India Institute of Medical Sciences, and gave it the Institutes of National Importance (INI) status.

Amrit Kaur was India's first health minister. When the issue of funds for the setup of AIIMS, New Delhi initially came up, it was she who was instrumental in acquiring a huge amount from the New Zealand government.

Over the years, she rallied around and was successful in getting donations from international bodies like the Rockefeller Foundation, and the Ford Foundation, as well as from the government of Australia, West Germany and the Dutch government.

➢

PHASE 1 PMSSY was officially launched in March 2006 and six AIIMS-like medical institutes were announced for under-served states in Patna, Bhopal, Raipur, Bhubaneswar, Jodhpur and Rishikesh.

➢

PHASE 2 In 2013 a further gazette notification was made under the same Act, establishing AIIMS Raebareli.

➢

PHASE 3 No new institutes were introduced in Phase III.

➢

PHASE 4 In July 2014, setting up four new AIIMS, in Andhra Pradesh, Wes Bengal, the Vidarbha region of Maharashtra and the Purvanchal region in Uttar Pradesh.

➢

PHASE 5 On 28 February 2015, five more AIIMS, in Jammu & Kashmir, Himachal Pradesh, Punjab, Assam and Tamil Nadu

➢

PHASE 6 On 1 February 2017, two more AIIMS, in Jharkhand and Gujarat.

➢

PHASE 7 On 9 February 2017, an AIIMS in Telangana.

➢

PHASE 8 On 1 February 2019, an AIIMS in Haryana

In Kerala • • • •

•

•

It is the First AIIMS in Kerala.

The proposed AIIMS, which would benefit the people of six districts in north Kerala, has been on the backburner for long.

AIIMS will comprise a 500-bed facility, all super specialties, ICUs, trauma care units, alternative medicine besides intake of about 100 students for MBBS ( as per newspaper report).

Calicut being one of the 3 main cities of Kerala sadly witnessed a relative decline in commercial activity and infrastructure development over the last 20 years compared to its counterparts Cochin and Trivandrum which managed to make strides in several sectors. Even other districts have blazed ahead with projects during the time.

The arrival of AIIMS at Kinalur is expected to boost economic development in the Balussery area and is also timely considering a few roadways that are under planning and construction providing strategic connectivity to the city and its airport.

More importantly, it will help Calicut cement its position as the leading educational hub of the state with NIT and IIM already in its kitty.

LITERATURE CASE STUDIES: FORTIS MEMORIAL RESEARCH INSTITUTE GURGAON

INTRODUCTION Fortis Hospital in Gurugram is one of the leading multispecialty hospitals that offer comprehensive medical care to every patient. With a pioneering status in the healthcare domain, Fortis hospital, Gurugram deliver services in a safe and compassionate environment and enhance the wellbeing of the patients and their families. Fortis hospital in Gurugram has highly skilled and experienced doctors and paramedical staff. The specialities of Fortis Gurugram include ENT, Ophthalmology, Mental Health and Behavioural Sciences.

Fortis Gurugram has been committed to the delivery of world-class, holistic healthcare services to each & every patient.

SUN DIAGRAM

INFERANCE The main Façade of the building is facing North-West Direction The service areas are provided in the South-East Direction The bed tower extending up to G+5 is providing shade to the rest portion of the building from sunrays coming from south direction.

The Atrium in the center of the building is receiving diffused light from north direction.

Healing gardens are provided in North direction shaded all the time from sunrays.

Heavy plantation is done at site boundaries to absorb most of the noise coming from the vehicles outside.

SITE PLAN

Total no. of entry/exit in the building • • • • •

OPD entry- at lower ground floor to the OPD Main entry- at upper ground floor Emergency entry- at lower ground floor Service entry- at upper ground floor Oncology OPD entry- at upper ground floor

BASEMENT PLAN

•

•

•

The basement is used for engineering services plant room like HVAC, LT panel room, DG room, Pump rooms etc.

And it is also used for radiation therapy used in oncology treatment.

And for parking and HR department and staff areas.

Total parking in the basement • •

280 cars parking 51 two wheeler parking

LOWER FLOOR PLAN USED FOR : • • • • • • •

OPD Oncology OPD Laundry CSSD Radiology Emergency Physiotherapy department

Total area of lower ground floor: 7864.890 SQ.M

UPPER GROUND USED FOR: • • • • • •

Maternity ward SPA Kitchen Food court Finance department Shop arcade Health check-up area

Total area of lower ground floor : 7864.890 SQ.M.

FIRST FLOOR USED FOR : • • • • •

Maternity Surgical & LDR Chemo and dialysis Auditorium General wards Blood bank/Lab

Total area of first floor : 6828.190 SQ.M.

SECOND FLOOR

USED FOR : • • • •

Surgical suit OT lab ICU Cath labs

Total site area of second floor : 6828.190 SQ.M.

THIRD FLOOR AND FOURTH FLOOR USED FOR : • •

Single patient room Double patient room

Total area of third and fourth floor : 1944 SQ.M. Total no. of beds on both floor : 140

FIFTH FLOOR

Total no. of beds on this floor : 140 Total area of third and fourth floor : 1808 SQ.M

HORIZONTAL AND VERTICAL ZONING

INFERENCE • •

Patients rooms are arranged on different floors based on the type of room.

Service floor is placed in between second and third floor- making it easily accessible

USER EXPERIENCE

INFERENCE • • •

Independent entry experience to the building provides flexibility for future expansion and medical disciplines.

Perimeter placement or corridor admit natural light is most areas & offers orienting views to the outdoors.

Healing garden planned at the south west corner to provide a calm & peaceful environment.