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MEDICAL SEMI-TEMPORARY STRUCTURES

MEDICAL SEMI-TEMPORARY STRUCTURES. Examples of medical semi-temporary structures in MSF programs By Jérôme Michon and Yannick Garbusinski and Hugues Robert. BEFORE. Therapeutic feeding centre. Construction of a sleeping room shelter. Dimensions: 2 x (6x12)m Capacity: 2 x 24 beneficiaries

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MEDICAL SEMI-TEMPORARY STRUCTURES

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  1. MEDICAL SEMI-TEMPORARY STRUCTURES Examples of medical semi-temporary structures in MSF programs By Jérôme Michon and Yannick Garbusinski and Hugues Robert

  2. BEFORE

  3. Therapeutic feeding centre

  4. Construction of a sleeping room shelter • Dimensions: 2 x (6x12)m • Capacity: 2 x 24 beneficiaries • Shading area for consultation • Construction time: 2 days with 2 teams of 11 workers

  5. Chainsaw work • Preparation of wooden poles kits. • Fenced working area • Maximum 3 to 4 persons in this area

  6. Wooden poles set-up • Ground levelling • Same length wooden poles • Poles alignment with ropes

  7. Truss • Pre-cut poles • Alignment with rope • Installation of rafters

  8. Front waiting area

  9. Interior • Ventilations • Floor to be installed

  10. Rain water drainage

  11. Overall view

  12. Other constructions • Latrines • Dinning room • Kitchen • Stock • Registration area • Water tank area

  13. Latrines

  14. Dinning room

  15. Kitchen

  16. Stock

  17. Registration area

  18. Water tank area

  19. Some close-up • Oven • Brick floor • Natural lighting • Plastic sheeting fixation

  20. Oven

  21. Brick floor

  22. Natural lighting

  23. Plastic sheeting fixation

  24. Towards permanent buildingMSF-CH, Ryad refugee camp, Darfur, Sudan

  25. Metallic truss • Dimension 6 x 10 m = 60 m2, • Price 5’750 usd (95 usd / m2) • Brick floor + cement plastering • Brick wall up to 140 cm / RoofingIron sheet • Delay: 10 structures achieved in 3 month

  26. Brick walls

  27. Interior • IN PATIENT Kerenek (west Darfur)

  28. Interior • Maternity (Ryad camp, El geneina)

  29. Final result • Feeding Center (Ryad camp, El geneina)

  30. Post-Tsunami emergency sheltersMSF-CHSri Lanka 2005

  31. The project • Construction program of 66 semi-permanent houses consisting of a 28m2 living space, situated in Rekawa, Wellodaya and Rana (Division of Tagalla, province of Hambantota). • 44 were established on government provided lands whilst the remaining where established on private lands in a accordance to the preference of the beneficiaries.

  32. Sanitation • Permanent showers and toilets were constructed per each semi-permanent house for better hygiene and family privacy. • The families also received NFI kits for replacing some of their lost items, which ranged from beds to cooking facilities.

  33. Construction materials One semi-permanent structure consisted of: • A wooden structure poles and trusses • A cemented metal mesh reinforced slab • An iron sheet roof and iron sheeting around the kitchen. • Temporary walls of plastic sheeting

  34. Design

  35. SEMI PERMANENT FAMILY SHELTER ( HAMBATOTA DISTRICT SRI LANKA) 10’(aprox. 300 cm) 3’¼ (aprox. 100 cm) 3’ ¼ (aprox. 100 cm) Roof Truss Poles Cement Block 8’ ½ (aprox. 255 cm) 10’ ( aprox 400 cm) 13’ ( 396 cm) LIVING ( 20 m2) Roof Truss 1’ ½ (aprox. 45 cm) 23’ ( 701 cm) 6’ ( 183 cm) 26’5” ( 807.7 cm) 7’ ( 213 cm) KITCHEN (8 m2) 13’ ( 396 cm)

  36. Wooden truss

  37. Final result

  38. Prefabricated modules for health structures

  39. Prefabricated modules for health structures

  40. Prefabricated modules for health structures Some data: • Modular structure (3 to 5 containers of 20 feet, or more…) • Very high response for hygiene conditions (possibility of operating theatre) • Cost: +/- 25.000 € for a 5 containers (ready to ship) = +/- 400 €/m² • Logistic constraints: 4 weeks delay for manufacture, need a crane, 6 days to setup the structure

  41. Prefabricated modules for health structures Different uses: • After earthquakes: dialyse activities • When long term building not allowed ex: AIDS treatment for sex workers, culturally not accepted… • Operating theatre, …

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