PROJECT Health facilities at community level

Objective:
To design health facilities at community level that improves patient care through a
coordinated synthesis of functional, technological and construction innovations.

Health care facilities delivery in India has been

conceived at three levels namely primary, secondary and tertiary. The secondary
level of health care includes Community Health Centres (CHCs), constituting the
First Referral Units (FRUs) and the Sub-district and District Hospitals. The CHCs
were designed to provide referral health care for cases from the Primary Health
Centres level and for cases in need of specialist care approaching the centre
directly. 4 PHCs are included under each CHC thus catering to approximately
80,000 populations in tribal/hilly/desert areas and 1,20,000 population for plain
areas. CHC is a 30-bedded hospital providing specialist care in Medicine,
Obstetrics and Gynecology, Surgery, Pediatrics, Dental and AYUSH.

Requirements:
Size for Each Sub-function Total Areas
Zone
Functions in Mtrs. in Sq Mtrs

Entrance Zone Registration & Record Registration/Record Room

storage, Pharmacy (Issue
counter/Formulation/Drug
storage) Public utilities &
circulation space
Ambulatory Zone Examination & Workup
(OPD & (Examination Room, sub
emergency) waiting),
Consultation
(consultation room Toilets,
sub waiting)
Nursing station
(Nurses desk, clean utility,
dirty utility, treatment
rooms, injection & dressing
room),
3.2 X 3.2 X 2
Queue area outside 60 Sq Mtrs
registration room 3.5 X 3
Pharmacy cum store 6.4 X
3.2
Space for 4 General Doctor 200 Sq Mtrs
Room 3.2 X 3.2 X 4
Space for 2 AYUSH doctors
Room 3.2 X 3.2 X 2
8 specialist room with
attach
toilets = 3.7 X 3.2 X 8
Treatment room 3.7 X 3.2
Refraction room 3.2 X 3.2
Nursing Station 6.4 X 3.2

Casualty/ Emergency, public

utilities,
circulation space 150 Sq Mtrs

Diagnostic Zone Pathology Laboratory, 180 Sq Mtrs

(sample collection, bleeding
room,
 storage, sub waiting,)
Imaging
(radiology, radiography,
ultrasound),
Preparation, room,
change room, toilet, control,
Dark room,
sub waiting, public utilities
Intermediate Nursing station (Nurse Nursing station
Zone desk, clean utility, dirty 4 wards each with 6 beds
(inpatient utility, pantry, store, trolly ( 2 male wards & 2 female
350 Sq Mtrs
Nursing units) bay) wards) size
patient area (bed space, 4 private room (2 each for
toilets, Day space, Isolation male & females) with toilets
Space) isolation rooms with toilet
Ancillary rooms (Doctor’s
rest room, Nurses duty
room,
Public utilities,
circulation space.
Critical Zone Patient area (Preparation,
(Operational Preanaesthesia, post
Theater/Labour operative resting)
room Staff area (Changing Resting) 240 Sq Mtrs
Supplies area (trolley bay,
equipment storage, sterile
storage) OT/ Lr area
(Operating/Labour room,
scrub, instrument
sterilization, Disposal) public
utilities, circulation space
Service Zone C.S.S.D
Laundry
Building maintenance,
water supply,
drainage and sanitation,
Space for other services like
gas store, fire protection,
waste disposal
Administrative General Administration,
60 Sq Mtrs
zone general store, public utilities,
circulation space
Total Circulation Area/Corridors
200 Sqm
 topic date
Introduction and Comprehensive class related to
Architectural Design -III
1
(designing health facilities at community level)

Providing Site Area and location

Framing of requirements
2
Study of applicable norms

Case study review:

Data collection
3
Problems and issues
Interferences and outcomes
Conceptual stage:
Concepts of proposal after case
Study and visual observation
4
Zoning
Climatic concern
Block model
Stage :1
Site planning and single line plan
5 Single line plans, section and elevation
Improved block model
(site plan: 1:200, section,elevation:1:100)
Stage :2
Double line plan , elevation and section
6
Basic 3d model
(site plan: 1:200, section,elevation:1:100)
Prefinal stage:
Detailed site plan with landscape,
Parking ,circulations
7 Detailed plan, elevation and section
Detailing
Basic 3d views and model
(site plan: 1:200, section,elevation:1:100)
Final stage:
Final rendered plan, elevation,
Section , details,
8
Final rendered views and model
(site plan: 1:200, section,elevation:1:100)