#IFHEcongress2018 Elvina Motard, Strategy & Programme Manager, [email protected]Maria Ten Palomares, Energy Project Developer, [email protected]Céline Van Lamsweerde, Construction Referent, [email protected]LOG Department, MSF Brussels Operational Center Doctors without Borders (MSF), Much more than field hospitals
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Doctors without Borders (MSF), Much more than field hospitals · #IFHEcongress2018 Introduction - Humanitarian Action Medical Humanitarian action 1970s and 1980s general coverage
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June 23rd, 2014 – First patient in prefabricated hospital Jan 2014 – Construction starts
Oct 2014 Prefab hospital handover
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Portfolio sample
▪ OCB (Brussels Operational Center)
• 26% of MSF’s total field operations
▪ 25/113 projects with oversight and management of a health facility
▪ Rapid growth of activities
• 2017: 9 construction projects; 12,900m²
• 2018: 8 ongoing construction projects; 30,000m²
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Objective: To provide free of charge seconday healthcare to vulnerable populations (Lebanon hosts the biggestrefugee population compared to size and number of inhabitants)
▪ 54-bed general hospital, 5200m²
▪ Full rehabilitation of a 3-floors existing building
▪ Consultancy with a local medical planner
▪ Outsourced construction work
▪ 4,3M€ (725€/m²)
Ongoing construction projects – Bar Elias, Lebanon
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Mar 2014First Assessment
Begining 2016Medical Strategy ready
April 2016Final layout
start of technical drawingsNov 2017
TenderAugust 2018
End of constructionNov 2018
(Planned) opening
Ongoing construction projects – Bar Elias, Lebanon
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Ongoing construction projects – Kenema, Sierra LeoneObjective: Reduce mother & child mortality in the Kenema district; provide safe quality health care in Lassa endemicarea / post Ebola 2014-2016
▪ 161-bed Paediatric and obstetric hospital, 12,930m²
▪ New construction: masonry (40%), prefab (60%)
▪ Up to 350 staff on construction site
▪ 16,5 M€ (1,279€/m²)
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2017Design
Phase 12018-2019
8,430 m² - 47 beds
Phase 22019-2020
+2.900 m² - 87 beds
Phase 32019-2020
+2.300 m² - 117 beds
Phase 42020-2021
+350 m² - 136 beds
Phase 52021-2022
+950 m² - 161 beds
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Ongoing construction projects – Kunduz, AfghanistanObjective: Trauma patients make use of the free quality trauma services provided by MSF health facilities in Kunduz province
▪ Goal: design health structures with high quality standards to be deployed in any context withina short timeframe, with a limited need for trained staff, and with a long lifespan
▪ Concept:
Modul(h)o, prefabricated buildings - Concept
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▪ 23 standard layouts defined for all medical services
▪ Definition of the product with an external partner
▪ Lifespan of 30 years
▪ 1 module = 1 week + 8 people
▪ Low-tech principles to ensure qualitycare and optimum comfort
Modul(h)o, prefabricated buildings - Solution
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▪ Supply plan: Prepositioning for fast deployment
▪ Since 2016, deployed in 3 countries; ongoing deployments in Kenema & Kunduz
Modul(h)o, prefabricated buildings - Deployments
LocationNumber of
modules
Deployment
timeFacility built
Doro
South Sudan
9
(1,300m²)13 weeks
Obstetric department,
inpatient maternity department,
neonatal intensive care unit,
emergency consultation ward
Bassikounou
Mauritania4 (580m²) 8 weeks Operating department
Tabarre
Haiti8 (1,100m²) 15 weeks Outpatient structure
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Beyond traditional energy setups - Vision• 350-400 stationary generators currently deployed.
• Fuel consumption: 1400 m3/year.
• Total fuel spending: 4.9 M€/year.
• CO2 emissions: 13,500 tones/year.
Power Sources: Gensets and Renewable Energies
Energy storage
Energy Consumption Energy Supply
Demand side management
EnergyEfficiency
Provide technically, socially, environmentally and economically responsible energy solutions adapted to context and needs, offering the best setup for our operations