IMPROVING HEALTH FACILITY INFRASTRUCTURE (IHFI) Electrical Infrastructure Rehabilitation HUEH Hospital Emergency Ward Port-au-Prince, Haiti

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1 IMPROVING HEALTH FACILITY INFRASTRUCTURE (IHFI) Electrical Infrastructure Rehabilitation HUEH Hospital Emergency Ward Port-au-Prince, Haiti Case Study December 2012

2 INTRODUCTION Built in 1918, the 540-bed HUEH is the largest teaching hospital in Haiti 2

3 Reconstruction After the 2010 earthquake, the USAID/Haiti dedicated funds to support reconstruction efforts. In 2012, reconstruction work at HUEH hospital focused on: - the emergency ward, - the maternity ward, - the surgical ward, and - the power plant. 3 3

4 Administration 2 nd floor Emergency ward 1 st floor Emergency ward and administration building Main entrance of the hospital Main entrance of the hospital

5 Main entrance Emergency ward operational section (1 st floor) Emergency ward non-operational section because of water infiltration from the roof 5

6 ACTIVITIES Rewiring circuits, improving lighting and ventilation, ensuring safe wiring 6

7 Summary of activities At HUEH Emergency Ward IHFI renovated 21,000 ft 2 of space, installing: 150 electrical outlets 160 fluorescent fixtures 60 ceiling fans 3 new air conditioning units 10 air conditioning units repaired As-built drawings for all installations. 7

8 Summary of activities (continued) At HUEH Emergency Ward, IHFI renovated: Exhaust fan Entrance 1/Waiting area Entrance 2/Ambulance entrance Triage room Intensive care unit Pharmacy Internal medicine area Orthopedics area Corridors 8

9 Exhaust fan repair (4 x4 ) This fan is mounted on top of a vertical exhaust chimney and aspirates the hot air from near the ceiling of the emergency ward, facilitating the cooling of the floor by convection. IHFI completed the repair in April

10 Waiting room area BEFORE AFTER Another USAID contractor renovated and installed a roof above the waiting room 10

11 Waiting room area (continued) BEFORE AFTER IHFI installed ceiling fans and lamps on the new roof in the waiting room area 11

12 Triage room BEFORE Water damage in the triage room before USAID s intervention 12

13 Triage room DURING IHFI removed damaged circuits and equipment, rewired the electrical distribution, and installed new ceiling fans, lamps and outlets 13

14 Triage room AFTER Triage room functioning after the renovation 14

15 Triage room Distribution Panel BEFORE DURING AFTER IHFI built a new line from the main distribution panel and installed a new distribution panel in the triage room 15

16 Main distribution panels BEFORE The panels needed to be rewired and lacked protective covers The panels were located in a crowded room, limiting accessibility and causing a fire hazard due to water leaks in the wall. 16

17 Main distribution panels AFTER The distribution panels were rewired and covered. The room was cleaned and the water leak repaired. 17

18 Orthopedics room BEFORE AFTER IHFI removed damaged circuits and equipment, rewired, built new circuits and installed new ceiling fans, outlets and lamps 18

19 Summary Collaboration between IHFI, USAID Reconstruction Project and HUEH Installation by Haitian contractors Completion: October 2012 Time elapsed: 4 months Total cost: approximately $75k IHFI contributions: Design Project management Electrical construction supervision Quality control and commissioning. 19

20 Conclusions High-impact low-cost interventions were effective, and are expected to be replicated in the rest of HUEH and other hospitals. Use of locally procured, readily available electrical components reduces time to completion and facilitates future maintenance and expansion efforts. Simplified distribution designs allow for expansion by using surface mounted components. Safer and more comfortable emergency ward for the patients. 20

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