School of Planning and Architecture: Vijayawada (An institution of National Importance under the Ministry of Human Resource Development, Govt. of India)
S.No. 71/1, NH-5, Nidamanuru, Vijayawada – 521 104, Andhra Pradesh, India
Architectural Design “Architecture of Health Spaces” t hings, that are memorable and have presence in the For design is about the making of things, world of the mind. It makes demand upon our ability both to consolidate information or knowledge and deploy it imaginatively to creative purpose in t he pursuit of fresh information. information. The formulation of models and their subsequent criticism, is perhaps our most useful guide in deciphering the knowledge of the whiteboard (i.e. mysterious of the creative process......................) Therefore as we consider the interrelationship of art , technology and sciences as a function of design, it may be helpful to be reminded of the advice given by Aristotle: “it is not everything that can be proved, otherwise the chain of proof would be endless. You must start with things admitted but undemonstrable, these are first principles common to all sciences, which are called axioms or common opinions” The making of things, from the simplest to the most complex of crafts, involves method. Skills in problem solving are needed by all who work with hands, their senses, their brains. Such processes are conditioned by the human state, the whole human experience, and are not the prerogative of a particular field of activity or interest. -courtesy.. “Logic “Logic and Design” by Krome Barat
“To design a building is to synthesize a broad range of fundamental concerns:human accomodotion, construction integrity, the economy of means and questions of appearance and aesthetics. We are consciously committed to the search for an architecture capable of enhancing life and providing a sense of inspiration and engagement to its inhabitants. The link between our projects has been the design processes that created them. Each building derives its form from a very specific architectural response to its programmatic intent, site, environmental environmental conditions and dialogue with its patrons” -Architect Balakrishna.V.Doshi Balakrishna.V.Doshi
An introduction to “Architecture of Health Spaces”: Health care has come
a long way since Florence Nightingale tended the wounded
soldiers in the Crimean war. Back then, th en, it was largely tender loving care. There wasn’t enough treatment and health care; now in some places, there is too much. Screams of pain used to come from the cut line of the surgeon’s scalpel, scalpel, because there was no anaesthetic in those days.
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Design Brief - Architectural Design VII- 4 Year B.Arch, 2016,A.Y, School of Planning and Architecture, Vijayawada
With the rapid development and advances in technological, medical and administrative sciences and innovative techniques and therapies, today’s hospitals will become obsolescent within a short time. One cannot even guess at the future miracles of medicine. That is why one planning and design expert said, “we’ve got to design ‘smart’ hospitals that respond to present needs while anticipating future changes”. Had this book been written half a century ago, who among us would have logically planned , designed and organised a hospital incorporating open-heart surgery, transplant of human organs or implant of artificial ones? And who would have thought of the marvellous gifts of science and technology to medicine in the form of computerized axial tomography, magnetic resonance imaging, mammography, ultrasound and linear accelerator , etc. All successful hospitals, without exception, are built on a triad of good planning, good design and construction, and good administration. The success of a hospital is generally measured by the quality of patient care it provides and the efficiency with which it operates. -
Courtesy : Hospitals – Facilities Planning and Management by GD Kunders
The World Health Organization (WHO) has done a great service to mankind by ushering an era of international co-operation in the field of health and promoting the concept of "One World Health" and health for all by the year 2000. The constitution of World Health Organization, which was drafted and signed in 1946, stated that "Health is a state of complete physical, mental and social well being and not merely the absence of disease and infirmity. The preamble of WHO further states that the enjoyment of highest attainable standard of health is one of the fundamental rights of every human being". -
Courtesy : The World Health Organisation (WHO)
Here are some “Basic Indicators” on performance/status of health care in “India” as per UNICEF Under-5 mortality rate, 1990 - 118 Under-5 mortality rate, 2009 - 66 Life expectancy, 1970 - 49 Life expectancy, 1990 - 58 Life expectancy, 2009 - 64
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Design Brief - Architectural Design VII- 4 Year B.Arch, 2016,A.Y, School of Planning and Architecture, Vijayawada
Selected List of Vital Factors for Design Consideration
Primary Elements of a Hospital
Environment
Doctor Hospital administration
Paramedical staff
Patient
Reception / Front office
Attendants
Engineering Technicians
Primary elements of Hospital Planning MEDICAL SERVICES
OUT PATIENT DEPARTMENT
EMERGENCY / TRAUMA CARE
DIAGNOSTIC TREATMENT
IN-PATIENT DEPARTMENT
OPERATION THEATRE COMPLEX
HOSPITAL SERVICES
C.S.S.D (central sterile supply department)
DIETARY Page 3 of 6
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Design Brief - Architectural Design VII- 4 Year B.Arch, 2016,A.Y, School of Planning and Architecture, Vijayawada
LAUNDARY
HOSPITAL STORES
WORKSHOPS
BIOMEDICAL DEPT.
MEDICAL RECORDS
PHARMACEUTICAL
MORTUARY
ENGINEERING SERVICES
WATER SUPPLY &
SANITATION
HVAC (heating ventilation & air conditioning)
ILLUMINATION
MEDICAL GAS SUPPLY
FIRE PROTECTION
WASTE DISPOSAL SYSTEM(General & Medical)
BMS –building management systems
SECURITY/SURVEILLANCE
SPECIALIZED VENTILATION SYSTEM (Uni-Directional Flow & the like)
Spatial Typologies in Hospital Planning Normal spaces OPD lobby, OPD clinics & the like spaces
Clean spaces Labs, IPD wards, treatment rooms, toilets & the like spaces
Sterile / Semi sterile spaces Operation theatre complex , ICU , Certain Labs, & the like spaces
Dirty spaces Incinerator zones, certain spaces along the waste disposal route & the like spaces
Infectious/isolation zones Mortuary, Isolation wards, spaces to treat burn injuries and the like spaces
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Design Brief - Architectural Design VII- 4 Year B.Arch, 2016,A.Y, School of Planning and Architecture, Vijayawada
Project Objective: As indicated in the above mentioned details, the design of “Health Spaces” is one among the most demanding “Design Assignments”. As a first step, you are expected to get your learnings, by conducting detailed “Library studies & Live Case studies”, in accordance with “General Design Criterions” and “Project Specific Design Criterions”, thus creating a firm base to evolve a “Meaningful & effective Design”. Further to which, you are to design a “Tertiary Level Care” (Multi Speciality Hospital), “100 Bedded Hospital”, in accordance with the “detail requirements” which will be issued to you in due course of time.
Standards / References / Governing Bodies:
World Health Organization
Bureau of Indian Standards
Medical Council of India
Ministry of Health & Family Welfare - GOI
National Building Code of India - 2005
Baba Atomic Research Centre Vs. Radiology Department
National Health Services – Handbooks (UK)
Universal Health Services (manual for micro planning)
Time Savers Standards (US)
NABH – Hospital Handbook – Quality council of India
Hospitals – Facilities Planning and Management by GD Kunders
Health Care Spaces by Roger Yee (visual reference publications Inc. new York)
ECBC code – 2007
Note: 1) Details pertaining to Site & Situation – as per Annexure “A”, would be issued in due course of time 2) details pertaining to final submittals would be informed in due course of time. 3) The “case studies” conducted shall be presented along with a one “specialised subject” 4) The “Project Study” –seminar presentations shall include a summary sheet, comprising of : observations , inferences and f inal recommendations. Page 5 of 6
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Design Brief - Architectural Design VII- 4 Year B.Arch, 2016,A.Y, School of Planning and Architecture, Vijayawada
5) It is expected that student shall work on physical models as much as possible (at every stage of the design process), for better understanding of their own design
Studio Faculty: Shri.Nagaraju Kaja, Shri.Kranthikumar, Shri.Milind Kamble ,Shri. Karthik Ch, Shri. Syam Chandan & Shri.TVS Chowdary
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