t a n S
health
S a n t e
center* * in creole
LEGEND 1 2 3 4
HOUSING SCHOOL CLINIC CAFETERIA
1 2
CLINIC
JACMEL GENERAL HEALTHCARE CLINIC
EMERGENCY CLINIC EMERGENCY STORAGE
EXAM ROOM
LABORATORY
80 SF
87 SF
171 SF
OPEN SPACE CLINICOPEN SPACE
Connection
1
1
EMERGENCY Functions communicate internally with each other, and externally to open space.
RADIOLOGY 72 SF
1
OPEN SPACE
1
EXAM ROOM
EXAM ROOM
EXAM ROOM
80 SF
87 SF
82 SF
3
Frame of Work 4
Healthcare and Education
A
Separation
STAFF BREAK ROOM
WAITING/EDU
With the presence of local nurses and visiting doctors and volunteers, separating the routine from the specialized was important so they could function independently.
100 SF
In 2010, a catastrophic magnitude 7.0 earthquake left Haiti devastated. The earthquake affected 3 million people and revealed the lack of infrastructure to respond to a disaster of that magnitude. Buildings collapsed leaving hundreds of thousands dead or injured. The local construction methods and materials used over decades in Haiti proved unsafe and unstable, especially during a natural disaster. After the earthquake, Haitians’ suffered from lack proper healthcare attention, a situation that has been going on for a long time in the Northern Hemisphere’s poorest country. Displaced women and children live in tents and suffer from malnutrition and care.
NURSE STATION RECORDS
PHARMACY
68 SF
74 SF
As an initiative to improve this situation, international individuals and NGOs rushed to help. Doctor Michael Workman is eager to open a health clinic in Jacmel, in Southern Haiti, to provide local training and daily healthcare to citizens as well as any specialized surgeries they previously would not have had access to. He hopes to also begin a system of record keeping which is currently not in place.
PREP/ CHECK
STERILE PREP
82 SF
87 SF
OPERATING ROOM 152 SF
Structure
RECOVERY/TRAUMA ROOM
CLEAN UTILITY
172 SF
DIRTY UTILITY 78 SF
88 SF
CLINIC
Organizing the plan within a grid allows for flexible space and reinforced strength in the building. The rooms within the modules are adaptable to the physicians needs.
Plan 3/16" Scale 0
A Social Intervention
1
5
EMERGENCY
10 feet
OPEN SPACE
1 meter
At the heart of the healthcare design in places like Haiti is the community. A large part of the project addresses education and gathering. While the healthcare spaces are important, the waiting spaces need to be comfortable and feel safe and open. The aim here is making a welcoming space where the people can wait to receive their treatment with dignity. The new layout gives priority and ownership to the people in the community who will be running and using the clinic. Spaces will accommodate incoming volunteers and nurses willing to help. Storing their records will help to sustain this new system for community health.
Section A CLINIC CLINIC
EMERGENCY EMERGENCY
CLINIC Level 2 12' - 0" Spine Level 9' - 0"
OPEN SPACE
OPEN SPACE
EMERGENCY
OPEN SPACE
Level 1 0' - 0"
West Elevation
An Architecture of Change
Haiti does not have strict, enforced building regulations and thus many structural members in place did not withstand the earthquake. Safety and acceptance for the community were top priorities in order to ensure the clinic sustaining an active and successful operation after its construction. Thus we decided to use familiar construction methods of concrete post and beam with CMU infill and a stucco and paint finish. The building is designed on a grid making the structure consistent and easy to follow when building on site. The central spine of services provides an solid anchor to tie the two larger pieces into. The separation of programmatic spaces allows them to function independently or simultaneously to one another. The detail work including the tile floor, iron work on the windows, and open masonry screen walls will all be commissioned locally to incorporate their very proud craftsman work.
ORIENTATION
EXPANDABLE
As the site is not yet determined, we wanted to make a symmetrical, rotatable plan that would allow for changed in orientation while maintaining the integrity of all the interior spaces.
PHOTOVOLTAIC PANELS SUPPORTING ELECTRIC GENERATOR panneaux solaires sountenant le generateur électrique
SITE ADAPTABLE
With the set grid and construction system, the plan is easily adaptable to accomodate any growth or additional needs. In the event another disaster occurs outdoor tent spaces can be used for immediate response.
Without exact site information, we wanted to organize the plan so that it could be shifted, adapted, elevated to meet any site conditions. This kind of layout allow the clinic to be a prototype for other parts of Haiti.
NATIVE MANGO TREES FOR SHADING manguiers natifs pour l'ombrage
HIGH WINDOWS FOR NATURAL DAYLIGHTING hautes fenêtres pour éclairage naturel
LOCAL KNOWLEDGE AND MATERIALS Respecting the local knowledge of building materials and elements allows the acceptance of the building into the community. SLOPED ROOF FOR RAINWATER COLLECTION toit en pente pour la collection des eaux pluviales BURLAP COFFEE BAGS SEWN AS OUTDOOR SHADES toiles cousues des sacs de café cousues pour ombrage
RAINWATER COLLECTION collection des eaux de pluie
Providing a grid and symmetry will reinforce the familiar construction skills and play a major role in easier communication on site.
LOCAL CRAFTSMEN STONE WALL FOR NATURAL LIGHT AND VENTILATION Murs de pierre artisanaux pour la lumière et la ventilation
COMMUNITY FOCUSED DESIGN TRADITIONAL STUCCO AND PAINT stucco traditionnelle et peinture
GRAVEL OR DEBRIS FOR LOW MAINTENANCE LANDSCAPE graviers ou débris pour paysage de maintenance limitée NATIVE MANGO TREES FOR SHADING manguiers natifs pour l'ombrage
Creating open spaces was important to allow variable numbers of patients to come and wait for assistance with dignity. While these outdoor spaces act as part of the health clinic grounds, they relate to the neighboring developments. It will be furnished with local items in hopes of being a space locals will take pride and ownership of.
LOCAL DETAILLED WINDOW IRONWORK détail de ferronnerie locale
BURLAP COFFEE BAGS SEWN AS OUTDOOR SHADES toiles cousues des sacs de café cousues pour ombrage
SUSTAINABLE RESSOURCES
INTERIOR: MOSAIC TILING intérieur: carrelage en mosaique LOCAL CRAFTSMEN STONE WALL FOR NATURAL LIGHT AND VENTILATION Murs de pierre artisanaux pour la lumière et la ventilation
In the case of a community oriented health care center, sustainability is achieved by use of local materials and techniques, requiring low maintenance.
MODULAR BENCHES MADE FROM LOCAL CONCRETE BLOCKS bancs modulaires fait en blocs de parpaings standards EXPANSION FOR TREATMENT, POST-DISASTER RESPONSE zone d’expansion pour reponse post-catastrophe
Depending highly on passive ventilation, day lighting, composting toilets, rainwater harvesting and photovoltaic panels, this building can sustain functioning even in emergency situation. HEALTHCARE AND EDUCATION
SEATING/ TABLE: 40 CM HEIGHT tabouret/table de 40 cm de hauteur
PUBLIC ACCESS/ AMBULANCE EMERGENCY PARKING accès public/ parking d’ambulance en cas d’urgence
SEATING : 60 CM HEIGHT
tabouret de 60 cm de hauteur ANNONCES MEDICALES
CANVAS FOR ANNOUNCEMENTS canvas pour annonces COMMUNITY OPEN SPACE- LOW MAINTENANCE GRAVEL zone d’expansion pour reponse post-catastrophe
LOCAL CMU STANDARD BLOC : 20x20x40 cm
Blocs standards en parpaing local: 20x20x20 cm
OUTDOOR SEATING FOR EDUCATIONAL SESSIONS terrasse extérieure pour séances éducatives
LOCAL COFFEE BAGS MADE FROM BURLAP
sacs locaux en jute pour cafe
The building is designed around a central spine, where two parts servicing operations and check-ups can run simultaneously. The outdoor plays a major role in education and community teaching. In post-disaster scenarios, the outdoor provides additional covered space for assessment and treatment.
team50030