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Community Clinic Design and Construction

Community Clinic Design and Construction

Ullo has a population of around 10,000 people and is rapidly growing (projected by 1,000 more a year). Additionally, the clinic is frequently needed by the students of the Ullo Senior High School and is in high demand during the Malaria season. Despite this, the existing clinic in Ullo is a mere 4 rooms for a general clinic and 3 rooms for a repurposed maternity ward. The general clinic is made up of a waiting room that also is the consulting room, a room dedicated to just holding records (and is also storing medical supplies), an office, and a pharmaceutical dispensary that is 5’x12’. In the other building, the maternity ward has been created out of what should have been housing quarters for the medical staff. There are 3 rooms: an accounts room, maternity room, and storage room. All three rooms are undersized, but they also have been repurposed from rooms meant for housing the staff. The maternity ward is the most critical of the three, but it is very small having only 1 bed that can help with deliveries. This means that when multiple deliveries are happening simultaneously, the medical staff are forced to either discharge other patients that might have already been there prematurely or have one woman on the floor and perform two deliveries at once.

Solution

EWB-ISU has the opportunity to aid in the construction of an improved clinic. The hope is that this clinic will be able to serve as a catalyst for a larger health facility (polyclinic or hospital) in the future. Currently, EWB is only responsible for creating drawings for a clinic and not one of the larger health facilities. However, all designs that are constructed should be made so that they can be expanded on in the future. The Jirapa Municipal Health Directorate of and the Catholic Diocesan Health Services of Wa have reaffirmed in January 2020 that they are fully supportive of the construction of a clinic and will provide the equipment and staff. Additionally, the community has committed to pay for connecting the clinic to the electric grid, provide water via a borehole, and make available the land for the new clinic. EWB-ISU would only be responsible for funding and facilitating the construction of the main clinic building which would be broken up into multiple phases. To build Project DoC, a phased approach will be used so that the project can be carried out over the next 3 to 4 years with new features being added on every year. Phases can either be broken up by sets of rooms, or by aspects of construction, such as laying the foundation for an entire building first but waiting for a year to add the walls and then the roof etc. By building in phases, it is possible to prioritize certain aspects of the main clinic building that might be of more immediate importance than other aspects.

Time Frame

4-years constructing main clinic building, 1-year monitoring. Drawings submitted to contractor in May of each year, review and approval of contractor proposal in June of each year, construction of next phase between July and December of each, on-site review by EWB-ISU travel team in December of each year.

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