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20 240 20 240 20 400 20 150 200 20 400 20 600

20
20
Report 12 Room 04

400
Room 03 Room 02 Room 01

400
ceramic tiles ceramic tiles ceramic tiles ceramic tiles

20
20
2.0m wide covered verandah

200
ce ramic til es

2.0m wide covered verandah

400
Room 03
ceramic tiles

3 ROOM

ceramic tiles

20
HEALTH POST
open to sky

400
Room 02
ceramic tiles courtyard

open to sky
1,210

20
courtyard

4 ROOM

400
Room 01
MCH / ceramic tiles

HEALTH CENTRE

20
150
open to sky

200
200

2.0m wide covered verandah


ce ramic til es paved walkway
precast co ncrete p aving s

20
20

1,240
3 ROOM

400
MODULAR Room 03 Room 02 Room 01
400

ceramic tiles ceramic tiles ceramic tiles

HEALTH open to sky


courtyard
FACILITY

20
20

420 420 420 620

CONSTRUCTION
GUIDELINES FOR
HEALTH FACILITIES
SOMALIA
Authors:
Austen Davis
Moyiz Ebrahimjee (Architect)
Ali El-Amine (Engineer)
Joseph Aduda (Architectural Assistant)

This document was written by and produced with the financial assistance of the European Union. The views
expressed herein can in no way be taken to reflect the official opinion of the European Union.

2
Contents
Acronyms...................................................................................................................................................... 4

CHAPTER 1: Introduction....................................................................................................5

CHAPTER 2: The Modular Health Centre.........................................................................7


2.1 Health Centre: Floor Plan.................................................................................................................... 7
2.2 Health Centre: Elevation..................................................................................................................... 8

CHAPTER 3: The Primary Health Unit (PHU) or Health Post.........................................9


3.1 The PHU: Floor Plan............................................................................................................................ 9
3.2 The PHU: Elevation............................................................................................................................. 10

CHAPTER 4: The Health Centre - OPD.................................................................................11


4.1 The OPD Block: Floor Plan.................................................................................................................. 11
4.2 The OPD Block: Elevation................................................................................................................... 12
4.3 The Maternity: Floor Plan.................................................................................................................... 13
4.4 The Maternity: Elevation..................................................................................................................... 14

CHAPTER 5: The Health Centre IPD..................................................................................15


5.1 The IPD: Floor Plan............................................................................................................................. 15
5.2 The IPD: Elevation.............................................................................................................................. 16

CHAPTER 6: Shower Block...................................................................................................17


6.1 Shower Block: Floor Plan.................................................................................................................... 17
6.2 Shower Block: Elevation..................................................................................................................... 18

CHAPTER 7: Toilet Block......................................................................................................19


7.1 Toilet Block: Floor Plan........................................................................................................................ 19
7.2 Toilet Block: Elevation......................................................................................................................... 20
7.3 Latrine (Pit) Block: Floor Plan.............................................................................................................. 20
7.4 Latrine (Pit) Block: Elevation............................................................................................................... 21

CHAPTER 8: Waste Disposal................................................................................................22


8.1 Incinerator: Floor Plan......................................................................................................................... 22
8.2 Incinerator: Elevation.......................................................................................................................... 23

Annex (diskette) Bill of Quantities and detailed drawings

3
Acronyms
ANC Ante Natal Care
BoQ Bill of Quantities
EPHS Essential Package of Health Services
HC Health Centre
HP Health Post
IPD In-Patient Department
JNA Joint Needs Assessment
MCH Maternal and Child Health Clinic
MoH Ministry of Health
NEZ North East Zone
NGO Non Governmental Organization
NWZ North West Zone
OPD Out-Patient Department
PHU Primary Health Unit
RHC Referral Health Centre
SCZ South Central Zone
UN United Nations
UNICEF United Nations Childrens Fund
UNOPs United Nations Organization for Project Services

4
1 Introduction

The Somali health sector has been characterized professional staff and especially the diversity of
as under-funded, fragmented and ineffective. technical staff necessary to run a full hospital service.
Government, UN, NGO and community providers
struggle to provide services with limited and With the extreme diversity of facilities and the variability
unpredictable inputs and a lack of centralized and in range of services extent of support and type of
strategically directed financing or direction/policy. support offered (UN agency, NGO, government) it is no
wonder there is little uniformity in the quality and range
In the South Central zone, NGOs and local community of services offered between facilities and within a tier
organizations typically run health facilities broadly in line of service level.
with three tiers of service provision. In the 2 Northern
zones government is also a main provider of primary Recognizing the extremely dilapidated state of much
health care services. of the Somali health infrastructure, The Joint Needs
Assessment (JNA) for Somalia determined the need
Health posts (HPs) are the lowest tier of service for the development of standardized blueprints for
provider: They typically consist of one or two semi- health facilities as an important technical task to allow
trained staff without formal salaries or supervision a move towards the standardization of services offered
operating out of a 1 -2 room facility or a local house or within a particular tier of service delivery. Standard
shop (no formal facility). building guidelines also offer the potential for costing
construction and infrastructure elements of health
Maternal and Child Health Centers (MCHs) are system development and therefore are an important
the inter-mediate tier of service provider: they are component of planning for a future health system.
highly variable. They have from 1 12 staff some
with professional nurses and midwives, others with In a workshop in 2007, representatives from the health
no professional higher than an auxiliary (especially in sector came together and agreed to try and establish
rural areas). The range and quality of services varies operating norms and standards for what levels of care
enormously with some MCHs seeing 3,000 patients a each tier should follow. The UNICEF health systems
month and others seeing less than 50! strengthening programme developed a process of
Hospitals are the highest tier of service provision: they extensive consultation and review and eventually
are also highly variable with 10 hundreds of staff produced an Essential Package of Health Services
and most with a medical doctor and some professional (EPHS).
nurses or midwives. However, even hospitals lack

5
The EPHS defines the range of services (and therefore This also means we can develop standard blueprints
supplies and staff competencies) necessary to offer at for health facilities at each level. The EPHS defines a
each tier level. Projecting from the range of services standard:
and staff required, it is possible to define the level of
facility needed to house each tier of service provision.

Previous Tiers of Service Standardized EPHS Tiers of Service


Health Post (HP) Primary Health Unit (PHU)
Maternal and Child Health Centre (MCH) Health centre (HC)
District Hospital Referral Health Centre
Regional Hospital Hospital
Referral Hospital

The new names of EPHS facilities have been will follow specifications to the letter. All facility
changed to disconnect levels of service provision from blueprints need to be adapted to the site and conditions
political administrative boundaries/unit names (districts/ of the site at hand rural MCHs may have to be
regions) so that facilities can be planned for according constructed on relatively small sites. Rural facilities
to need and not political calculus. And to highlight will need to take into consideration soils, water supply,
the need for real change as in each case, significant drainage and ventilation. However basic designs,
changes in focus are prescribed for each tier of service. floor layout plans and indicative Bills of Quantities are
This cannot be created piecemeal and is essential developed for each structure and these BoQs can be
to start generating real performance and returns on modified to allow adaptation to the local site and needs.
investment I the health sector.
Furthermore, innovations are encouraged (for example
This report presents concepts for standard health in areas where there is more regular rainfall throughout
facility design at each tier of service. The design the year, constructors may wish to include submerged
concept is modular. In consultation with health tanks to collect roof run-off). Lastly these plans can
authorities we agreed a basic PHU/HP. The PHU be developed over time as experience grows with
building is used as part of the MCH/Health Centre and construction and planning.
this HC facility is used as part of a referral centre etc.
so that any building can be upgraded to a higher tier of This report presents basic floor plans and elevations
service and to keep overall construction costs and the however there are a large range of detailed drawings
types of buildings required as simple (and cheap) as to guide constructors that should be printed out on A3.
possible. In addition there are BoQs that can easily be adapted
to promote professional construction in any setting
All buildings have been designed to use simple but high adapted to the local constructions challenges (soil
quality building techniques with simple roof structures type, drainage, water availability, ventilation, coastal/in-
and external corridors etc. land). The detailed booklets for each building type are
available on diskette or through the health coordination
While all designs are simple relatively cheap and bodies and at MoH offices.
locally appropriate, it is not expected that all facilities

6
2 The Modular Health Centre

The modular Health Centre is depicted in the 2 drawings that follow

PINK = HEALTH POST/PRIMARY HEALTH UNIT


PINK + GREEN = BASIC OPD
PINK + GREEN + BLUE = OPD + maternity services
PINK + GREEN + BLUE + YELLOW = FULL HC OPD/IPD

2.1 Health Centre: Floor Plan


Proposed sketch layout for a
full scale MCH master plan
with 8 bed Inpatient ward
20 240 20 240 20 400 20 150 200 20 400 20 600 20 600 20
20
20

REFERAL HEALTH
Room 04 CENTRE
400

Room 03 Room 02 Room 01


410
400

ceramic tiles ceramic tiles ceramic tiles ceramic tiles


240

600 20 200 20 180 20

TOILET BLOCK
20
20

8bed inpatient ward


240

2.0m wide covered verandah ce ramic til es


200

ce ramic til es
2.0m wide covered verandah

WC cess
400

400

Room 03 gents
ceramic tiles ce ramic til es pool
WC
whb
240

480

3 ROOM
ceramic tiles

20

WC
whb
HEALTH POST ladies
ce ramic til es
WC

open to sky
410
400

Room 02
ceramic tiles courtyard
200

open to sky walkway septic


pre ca st concrete pa vi ngs
tank
open to sky
1,210

20

courtyard ladies
shwr

ce ramic til es
280

dhobi
sinks
staff room staff room
320

shwr

4 ROOM ceramic ti les ceramic ti les gents


ce ramic til es
400

Room 01
MCH / ceramic tiles
310 310

HEALTH CENTRE
620 420
20

SHOWER
150

BLOCK
open to sky
200
200

2.0m wide covered verandah


ce ramic til es paved walkway
precast co ncrete p aving s
20
20

FURTURE
1,240

3 ROOM DEVELOPMENT
400

MODULAR Room 03 Room 02 Room 01


400

ceramic tiles ceramic tiles ceramic tiles

HEALTH open to sky


courtyard
FACILITY
20
20

420 420 420 620

7 620
2.2 Health Centre: Elevation
3 ROOM
HEALTH POST 4 ROOM
MCH / HEALTH CENTRE
3 ROOM REFERAL HEALTH
MODULAR HEALTH CENTRE
FACILITY

TOILET
BLOCK

FUTURE Perspective View


DEVELOPMENT from rear side SHOWER
BLOCK

TOILET
REFERAL HEALTH BLOCK SHOWER
CENTRE BLOCK
4 ROOM
MCH / HEALTH CENTRE

FUTURE
3 ROOM DEVELOPMENT
HEALTH POST

3 ROOM
MODULAR HEALTH
FACILITY

Perspective View
from front Courtyard

8
3 The Primary Health Unit
(PHU) or Health Post

Centre and will then serve as one wing of the U-shaped


Indicative Construction Cost (see BoQs): 14,500 USD
compound. The building is envisaged to have the
central room as main stores and the end room (left)
The PHU is the lowest tier of service provision. The as another temporary store with dispensing window
building is produced as a single block with a simple to serve as a dispensary. The end room to the right
A-frame roof and covered external passage. The block would be the lab and is well lit with maximum number
has 3 rooms which can be used inter-changeably. One of windows.
room is designed to serve as a store and will have
no windows (most likely the middle room with less
external walls for lighting. PINK = HEALTH POST/PRIMARY
This building is to be incorporated into a full health HEALTH UNIT

3.1 The PHU: Floor Plan


A B A 02 C D
960
260 260 420
20 240 20 240 20 400 20
100mm dia
100mm dia
PVC RWP 90 100 130 100 245 150 145
PVC RWP

3 3
20

20

70 100 70 40 100 40 60 125 150 125


145

145

60x60x5cm
125
5cm thick conc shelves

precast concrete
Consultation Store Consultation paving slabs
Room Room laid to falls
210

ce ramic til es
cera mi c til es cera mi c til es
420
440

420
150

150

150
400

400

03 04
+0.30 +0.30
90
640

640
125
145

100

145

2 2
20

20

130 90 60 90 170 90 80 150 60


beam above

beam above
step up

step up
200
180

200

Covered verandah
180

180
180

180

cera mi c tile s +0.15

1 beam above beam above beam above 1


20

20
20
20

20

step up step up step up

100mm dia 20 240 20 240 20 400 20 0.00


PVC RWP
20 240 20 240 20 400 20 100mm dia
260 260 420 PVC RWP

960

A B A 01
C D

Ground Floor Plan scale 1:100

9
3.2 The PHU: Elevation

10
GI corrugated roofing sheets
15 o degrees roof pitch

Perspective View
60x60x5cm precast
conc. paving slabs laid
to falls
4 The Health Centre - OPD

Indicative Construction Cost (see BoQs): 22,000 USD


In upgrading a PHU to an MCH OPD it is envisaged there is a need to add 2 blocks
GREEN Main Consultation Block
BLUE Maternal and Reproductive Health Block

4.1 The OPD Block: Floor Plan


The OPD block has 4 standard rooms and a covered external passage. All rooms are designed to be used for
consultation. The PHU building is now converted for use as a laboratory and medical store with dispensary.

02
A B C
640
200 420
20 180 20 400 20
60x60x5cm
100mm dia 20 180 145 150 145 precast concrete 30X30cm box frame with
PVC RWP
paving slabs steel wire mesh for
laid to falls ventilation of the roof

5 beam above 5 pitch = 15.0 deg. A B C


20

20
20

200 420
60

180 20 125 150 125


145

GI corrugated roofing
sheets 15 o degrees
98

+3.3 0 roof pitch


150

47

(ri ng bea m le ve l)
beam above

Room 04
step up

hw timber fascia board


420

420
150

ceramic tiles
400

400
400

80

painted
80

+0.30
300

+0.15 sliding aluminium


130

window to schedule
step up

20 90

+0.3 0 textured paint finish to


4 4 (g round floo r l evel)
270

external plastered walls


90
20

20
20

0.0 0
20
step up

(g round l evel)
90

30

elevation 01 scale 1:100


beam above

80
step up

Room 03
420

420
150
400

400
400

ceramic tiles
A A
150

+0.30
03
Covered verandah

60
1,700

1,700

3 3
270
ceramic tiles
20

20
20

60

400
04
beam above

150
0.00

step up

Room 02
420

420
150
400

400

ceramic tiles
400

30X30cm box frame with


80

steel wire mesh for


+0.30 ventilation of the roof
step up

A B C
20 90

pitch = 15.0 deg.


200 420
2 2
270

GI corrugated roofing
20
20

20

sheets 15 o degrees
90 20
step up

98

+3.3 0 roof pitch


47

(ri ng bea m le ve l)

hw timber fascia board


+0.15
beam above

80

painted
80
step up

Room 01
420

420

300
150
400

400
400

ceramic tiles
sliding aluminium
130

+0.30 window to schedule


150

+0.3 0 textured paint finish to


(g round floo r l evel)
145

180 20 125 150 125 external plastered walls


90
60

0.0 0
1 beam above 1 (g round l evel)
20
20

20

30

100mm dia
PVC RWP 20 180 145 150 145
elevation 02 scale 1:100
line of roof overhang
20 180 20 400 20 above
200 420
640
01
A B C

Ground Floor Plan scale 1:100

11
12
4.2 The OPD Block: Elevation
GI corrugated roofing sheets
15 o degrees roof pitch

60x60x5cm precast
conc. paving slabs laid
to falls

Perspective View
4.3 The Maternity: Floor Plan
Indicative Construction Cost (see BoQs): 18,000 USD
The maternity block is designed to house an observation room and a delivery room. The third room (not inter-
connecting can be used inter-changeably (i.e. for ANC services).

This block can also be used to house a surgical theatre.

A A B 02 C D
1,280
420 420 420 60x60x5cm
precast concrete
100mm dia 20 400 20 400 20 400 20
paving slabs
PVC RWP 0.00 laid to falls
20 400 20 400 20 400 20

step up step up step up


3 beam above beam above beam above 3
20

20
20

20
beam above

beam above
+0.15 Covered verandah +0.15
200

200
180

180
cera mi c tile s
180

180
03
60 150 80 90 100 150 80 90 60 90 80 150 60
step up step up step up
2 2

20
20

145
line of roof
640

overhang below

640
290

Room 03 Room 02 Room 01


420
440

420
150

400
400

ceramic tile s ceramic tile s ceramic tile s


04
+0.30 +0.30 +0.30
110

145

125 150 125 20 125 150 125 20 125 150 125

1 1
20

20

100mm dia 100mm dia


PVC RWP 145 150 270 150 270 150 145 PVC RWP
20 400 20 400 20 400 20
420 420 420
1,280

A A B 01
C D
Ground Floor Plan scale 1:100

13
14
4.4 The Maternity: Elevation.
GI corrugated roofing sheets
15o degrees roof pitch

60x60x5cm precast
conc. paving slabs laid
to falls

Perspective View
5 The Health Centre IPD

Indicative Construction Cost (see BoQs): 21,000 USD

The ward is to be added to all Health Centres or MCHs More wards can be added to the HC as it grows or as
to allow them to offer Basic Emergency Obstetric Care it is upgraded to a Referral Health Centre (RHC) (see
and minimal in-patient services (depending on a full expansion plans 2.1, 2.2).
compliment of professional staff).
YELLOW = HEALTH CENTRE/IPD
The ward is generic it has room for 6 beds, a staff room
and a storage room or isolation room.

5.1 The IPD: Floor Plan


A 02 B
640
620
20 600 20 60x60x5cm
precast concrete
100mm dia 245 150 245 paving slabs
PVC RWP laid to falls A B
310 310
GI corrugated roofing
20

5 5 sheets 15 o degrees
98

+3.3 0 roof pitch


20

47

(ri ng bea m le vel)


140

140
120

120

600
hw timber fascia board
painted
300
410

410
150

150

150

150

textured paint finish to


external plastered walls
+0.30 +0.3 0
(g round flo or l evel)
0.0 0
(g round l evel)
4 4
255

255

255

255

30

elevation 01 scale 1:100


1,200
400

400
1,200
150

150

150

150

03
8bed inpatient ward
ce ramic til es

04
1,560

1,560

3 3
325

325

325

325

B A
620
410

410

GI corrugated roofing
sheets 15 o degrees
98

+3.3 0 roof pitch


step up

step up
+0.00

+0.00
180

180

(ri ng bea m le vel)


180

180

47

hw timber fascia board


painted
20

20

20

2 2
300

sliding aluminium
115

115
20

window to schedule
75

75

+0.3 0
textured paint finish to
300

(g round flo or l evel)


A staff room staff room A
320

320
150

150

150

150

external plastered walls


300

ceramic ti les ceramic tiles 0.0 0


(g round l evel)
+0.30 +0.30
30

elevation 02 scale 1:100


75

75
95

95

20

1 1
20

100mm dia 100mm dia


PVC RWP 20 290 20 290 20 PVC RWP
310 310
640
01
A B

Ground Floor Plan scale 1:100

15
5.2 The IPD: Elevation
5 4 3 2 1
15.0 deg. 410 400 410 320 GI corrugated roofing
sheets 15 o degrees
roof pitch
98

+3.3 0
(ri ng bea m le vel)

hw timber fascia board


painted

sliding aluminium
300

window to schedule
+0.3 0
(g round flo or l evel)
textured paint finish to
0.0 0
external plastered walls
(g round l evel)

elevation 03 scale 1:100

5 4 3 2 1
15.0 deg. 320 410 400 410 GI corrugated roofing
sheets 15 o degrees
roof pitch
98

+3.3 0
(ri ng bea m le vel)

hw timber fascia board


painted

sliding aluminium
300

window to schedule
+0.3 0
(g round flo or l evel)
textured paint finish to
0.0 0
external plastered walls
(g round l evel)

elevation 04 scale 1:100

GI corrugated roofing
sheets 15 o degrees
roof pitch

sliding aluminium
window to schedule

Side / Front Perspective Front / Rear Perspective 60x60x5cm precast


conc. paving slabs laid
to falls

16
6 Shower Block

Indicative Construction Cost (see BoQs): 7,000 USD

The shower block is a wash place for people, clothes etc intended for all facilities with an in-patient capacity.

6.1 Shower Block: Floor Plan


A GI corrugated roofing
A B sheets 15 o degrees
A 02
B 140 140
roof pitch
300 +2.7 0
(ri ng bea m le vel)
140 140
20 aluminium windows
20 120 120 20 60x60x5cm
to schedule
precast concrete
50 60 80 60 50
240

10cm dia paving slabs


PVC RWP laid to falls +0.3 0 textured paint finish to
(g round flo or l evel) external plastered walls
2 2
90

0.0 0
20

20

(g round l evel)
sh wr sh wr dhobi sinks
0.00
200

200
180

180

elevation 01 scale 1:100


280

280

ladies gents
ce ramic til es ce ramic til es
400

400

03

+0.15 04
20

20

+0.15
B A
B B
180

180

whb whb 140 140


160

160

GI corrugated roofing
90

90

+2.7 0 sheets 15 o degrees


roof pitch
1 1 (ri ng bea m le vel)
30

30
20

20

dhobi dhobi
sinks
aluminium windows
sinks
to schedule
60 60 60 60 60 line of roof overhang
240

20 above
20 120 120 20 +0.3 0 textured paint finish to
(g round flo or l evel) external plastered walls
140 140
0.0 0
300 (g round l evel)

A 01
B
A elevation 02 scale 1:100
Ground Floor Plan (Shower Block)
scale 1:100

17
6.2 Shower Block: Elevation
GI corrugated roofing
sheets 15 o degrees
roof pitch

aluminium windows
to schedule

textured paint finish to


external plastered walls
dhobi sinks

step
60x60x5cm
precast concrete
paving slabs laid to falls gents front side
perspective

18
7 Toilet Block

The toilet block should be seriously considered for all In this report we have detailed a toilet block served by
levels of facility (even PHUs). The numbers of toilet running water and septic tank (toilet block) and a more
blocks will necessarily rise or fall depending on patient simple option for pit latrines draining into a pit.
volumes and IPD facilities/volumes.

7.1 Toilet Block: Floor Plan


Indicative Construction Cost (see BoQs): 16,500 USD

A B 2 door to sche dul e 1


460
A 03 H B 430

+2.7 00
430 (ri ng bea m le vel)

15 20 15 textured paint finish to


20 90 90 90 90 20
external plastered walls
35 60 45 60 50 60 45 60 35
+0.0 00
20X20cm RC (g rond floo r le vel)
columns
-0.300
30

1 (g round l evel)
15 160 20

elevation 01 scale 1:100 elevation 02


WC WC WC WC
240

scale 1:100
04
02
ladies gents
480

460

GI corrugated
150

ce ramic til es
G ce ramic til es
G roofing sheets
60

whb whb B A 1 2
0.00 0.00 430 460
15

80

step up step up +2.7 00


lobby lobby
step up

step up
100

-0 .3 0 (ri ng bea m le vel)


80

-0 .1 5 -0 .1 5
aluminium windows
2
20

to schedule
20

30

+0.0 00
30 450 30
(g rond floo r le vel)
60X60cm precast 20 195 20 195 20 -0 .3 0
paving slabs -0.300
450 (g round l evel)

01
H

Ground Floor Plan elevation 03 scale 1:100 elevation 04 scale 1:100

(toilet block) scale 1:100

19
7.2 Toilet Block: Elevation

Front Side Perspective


Rear Side Perspective of Toliet Block
of Toliet Block

7.3 Latrine (Pit) Block: Floor Plan


Indicative Construction Cost (see BoQs): 8,000 USD

A B 2 1
430 314
A B 15cm dia.metal
H vent pipe
A 03
B 430
+2.7 00
open ing wi th
(ri ng bea m le vel)
450 mo squito gau ze

430 30 450 30 textured p aint fi nish to


edge of underground exte rn al pla ste red wall s textured p aint fi nish to
pit walls 15 20 15 15cm wide PVC exte rn al pla ste red wall s
20 90 90 90 90 20
240

240
100mm dia rain water gutters +0.0 00
(g round flo or l evel) door to sch edul e
35 60 45 60 50 60 45 60 35 PVC RWP sl ope of gutte r
-0.30 0
(g round l evel)
60

70

1 1
15 160 20

elevation 01 scale 1:100 elevation 02 scale 1:100


234

234

slope

slope
-0.30

04 latrine latrine latrine latrine


314

314

334

314

GI corrugated roofing B A 1 2
02
ladies gents sheets 10 o degrees 430 314
roof pitch
120

G ce ramic til es ce ramic til es


G 15cm dia.metal
80

80

-0 .1 5 -0 .1 5 +2.7 00 vent pipe te xture d pain t finish to


(ri ng bea m le vel)
2 2 externa l p lastered wa lls
20
20

70
60

-0 .3 0
aluminium windows
to schedule
60X60cm precast building line below
20 195 20 195 20
paving slabs
240

+0.0 00
430 (g round flo or l evel) do or to sched ule

01
450
Roof Plan showing -0.30 0
(g round l evel)

H
slopes (latrine block) scale 1:100
Ground Floor Plan elevation 03 scale 1:100 elevation 04 scale 1:100

(latrine block) scale 1:100

20
7.4 Latrine (Pit) Block: Elevation
15cm dia.metal
vent pipe
GI corrugated roofing
sheets 10 o degrees
roof pitch

removabe slab
for pit emptying

60X60cm precast
paving slabs step

Front Side Perspective


of Latrine Block

GI corrugated roofing
sheets 10 o degrees
roof pitch 15cm dia.metal
vent pipe

window to
schedule

door to schedule handle

step removabe slab


for pit emptying

60X60cm precast handle


paving slabs
Rear Side Perspective
of Latrine Block

21
8 Waste Disposal

Indicative Construction Cost (see BoQs): 700 USD

Medical waste is a serious issue. During construction All facilities will need a waste pit to burry medical waste
of any level of facility plans must be made for medical and this pit should not be open to the public/playing
waste disposal. For larger facilities producing large children.
quantities of dangerous medical waste an incinerator
is highly recommended despite the additional costs of
construction.

8.1 Incinerator: Floor Plan


3mm thick MS plate cover with
flue and secondary 114mm dia, 3mm thick MS pipe
110mm wide outer fire clay welded on 30x30x3mm MS angle
combustion chamber
brick wall of the incinerator frame to house the chimney
187
11 1 11 26 25 92 25 13 17 36 47 36 51
11

12

12

12
1
11

MS hinges to site
primary
Engineer's approval
65
100

100

combustion chamber
76

76
65

170x250mm RC lintel to loading door of 3mm MS plate


support bricks above welded on 30x30x3mm MS
12

angle frame, oil painted.


1

12

12
11

200 187
110mm wide fire clay brick wall
for the main body of incinerator

Floor Plan at 02 scale 1:25 Floor Plan at 04 scale 1:25


flue and secondary
110mm wide outer fire clay 110mm wide outer fire clay
combustion chamber
12 175 13 brick wall of the incinerator brick wall of the incinerator
187 1
11 1 11 26 23 91 12 11 13 110mm wide outer fire clay 11 1 11 26 23 92 11 11 13
11 1 11

11 1 11

11 1 11

brick wall of the incinerator


11

12

fire clay bricks as


the base for the incinerator
15

3mm thick MS plate primary


box tunnel combustion chamber
100

100
25
54

76

54

54

3mm thick MS plate ash door on


30x30x3mm MS angle frame,
150x230mm RC lintel to
15

oil painted to approval.


support bricks above
1 11

1 11

11
1
11

12
11

11

11

200 200
110mm wide fire clay brick wall 110mm wide fire clay brick wall
for the main body of incinerator for the main body of incinerator

Floor Plan at 01 scale 1:25 Floor Plan at 03 scale 1:25

22
8.2 Incinerator: Elevation
40x100x5mm MS channel
150mm dia,3mm thick MS section as the top frame 150mm dia,3mm thick MS
pipe chimney welded onto pipe chimney welded onto
the chimney base plate loading door handle
the chimney base plate
4m height

+1.300 loading door of 3mm


(i ncine rator top le vel) MS plate welded on loading door of 3mm
30x30x3mm MS angle MS plate welded on
+1.090 frame, oil painted to approval. 30x30x3mm MS angle
16

16

16
(6 course brick leve l)
frame, oil painted to approval.
5

5
110mm wide outer fire clay 110mm wide outer fire clay
brick wall of the incinerator brick wall of the incinerator
51

51

51
+0.580
(2 course brick leve l)

114
114

+0.410
3mm thick MS plate ash door on 150x230mm RC lintel to
17

17

17
(4 course brick leve l)
30x30x3mm MS angle frame, support bricks above
oil painted to approval.
+0.075
(i ncine rator b ase level ) 3mm thick MS plate ash door on
33

33

33
fire clay bricks as 30x30x3mm MS angle frame,
+0.000 the base for the incinerator oil painted to approval.
(flo or l evel)
7

7
fire clay bricks as
the base for the incinerator

typical side elevation scale 1:25 rear elevation front elevation


scale 1:25 scale 1:25

More detailed and scaled drawings are available with BoQs on the attached diskette. Drawings should be printed
on A3 format paper
chimney rain cap

the gaps between the brick joints


as well as the gap between the
inner wall and the outer wall
can be filled with refactory cement
2 coats of anti-rust paint
to inhibit corrosion to all
the mild steel surfaces

2 coats of anti-rust paint


to inhibit corrosion to all
the mild steel surfaces

Completed Incinerator

23
28

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