REPORT ON DOCUMENT, VISIT AND WORK SHOP
Bahirdar University
Specialized Teaching Hospital
Sebatamit Campus
BAHIR DAR UNIVERSITY
COLLEGE OF MEDICINE AND HEALTH SCIENCES
06/05/07 E.C.
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Contents
1-Introduction………………………………………………………………………………. 3
2-About document preparation………………………………………………………. 4
3-About the benchmarking visit……………………………………………………… 5
4-About work shop………………………………………………………………………. 6
5-Summery and recommendation………………………………………………… 9
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1- Introduction
Bahir Dar University College of Medicine and Health sciences
opened in 2000 E.C as faculty of medicine with one Doctor and one
secretary receiving about 85 Medical students. The College has passed
through many challenges including shortage in man power, standard
set up for medical education and its own campus. Though these
problems are still there the college and University administration are
taking measures to bring changes for the betterment of medical
education. we are on the way to solve it. Currently there are 170
teachers,40 support staff and 1300 students in medicine and other
health sciences.
For any Medical school one of the very important facility to have is
University or Teaching Hospital. For this reason the College is building
its own Campus and Hospital for the last four years. Though the
allocated time of construction of the Hospital is running out of
agreement of completion (180%); according to the revised schedule of
the contractor the Hospital will be completed by the end of 2007 E.C.
As we can understand from other University experience like Jimma,
Mekelle, Gonder ,it takes the same time duration of building work to
function new Hospital. For this reason it is good to think, plan and act
on the set up and medical equipment of the Hospital; and also to
make correctional works on the building as early as possible.
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2- Document preparation
To make the Hospital operational we just think how our setup is going
to be? What instruments do we need to have specialized service?
What should we do to prevent further delay and specially after
building is completed? Having all the above questions and ideas we
start preparing document about Hospital setup and list of medical
equipment. To prepare this document five physicians was involved as
technical group together with senior physician involvement by
consultation. Different level service experts were also taking part in
supplementing professional advice on the document from Felege
Hiwot Referral Hospital.
We use two Ethiopian standard documents from FMHACA as main
reference to prepare the document apart from consultation.
We go through each department and each unit to list important
equipments. In addition we include other services like morgue,
dietary service, waste disposal, central oxygen/suction service and
sustainable water, power &maintenance services are included.
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3- Bench marking visit
After preparing the document we did a bench marking visit to
selected areas in the country. We start with Mekelle University Ayder
Hospital. Our focusing areas at this visit was to look at the setup in
Intensive Care Unit(ICU),Operation Room, Radiology, ,Laboratory,
Emergency services, subspecialty services, oxygen plant, water
treatment .we checked available equipment with our list, the
mechanism of purchasing, the mechanism of donation, reliable
companies interims of supplying, maintaining and training at this visit.
we continued our visit after getting important inputs from Mekelle to
Addis Ababa. We visited Saint Paul millennium Medical college
interims of service areas of Intensive Care Unit, Operation Room
,Radiology and discussed with the provost(Dr.Zerihun) on his
recommendations and experience to equip a new hospital. As part of
this visit we looked at suppliers in our country which are delegates of
international medical equipment suppliers like Boston medical
plc(General Electric Products),Philips,Siemens,Ethab medical Plc. We
assess their experience,reliability,capacity,maintenance and training
for Hospital installation.
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4-THE WORK SHOP
After all the above work on the document and visit; the next step was
to discuss on the findings and the way forward about the Hospital.
For this work shop different stake holders were invited from Federal
Ministry of Health, Regional Health Bureau, From Saint Paulo
Millennium Medical College, From people to people, From other
partners and university presidents. The work shop was on 15/04/07
E.C. in the morning of this day we did a site visit with the invited
guests and in the afternoon we summarize our visit with presentation
and discussion.
Discussion points;
The hospital was initially meant for the regional health bureau
referral hospital and was not a teaching hospital. For this reason it has
numerous limitations for giving optimal services as a teaching hospital
including low number of beds (300), no discussion rooms, and no
adequate rooms for subspecialty, some specialty and other services.
Therefore, the following recommendations are a must to do
recommendations and early correctional measures have to be taken.
4.1-Expansion work
 Secure the around land owner ship for future expansion.
 Expansion work for inpatient service and selected services like
oncology,rehabilitation,radiology,traumacenter,ophtalmology,d
ermatology, ENT, Dentistry and subspecialty services.
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 Expansion For oxygen plant, water treatment.
4.2-Correctional work on this building
 Widen doors at Operation Room ,Emergency OPD, Radiology,
Toilet and make disable friendly.
 Washing basin (water) inside all wards if not possible externally.
 Check on site about the net work line and pipe line for central
oxygen, suction and Hospital networking.
 On waste disposal and sewerage system think on Biogas system
 To make Operation Room, Intensive Care Unit & Laboratory
room floor and wall with epoxy, ceiling with monolithic scrub
able (washable)material.
 Main gate step to change the sides in to ramp or to make it
Label.
 Close look plans and drawings together with the physical project
starting with  Emergency department
 Radiological department
 Laboratory departments
 IT systems, network cables, server hall and distance connections
 Water and drain system including hot water
 Disposal system for contaminated and risk materials
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4.3- Human Resource
 To train in specialty, especially in Anesthesiology,
Ophthalmology, Dermatology, Psychiatry, Oncology, Pathology,
Forensic medicine, Neurology, and emergency medicine.
 To train in sub specialty
 To train specialized nurses
 To train in biomedical engineering
 To train in health information system/Radiology Information
System
 To appoint Chief Executive officer and Medical Director for the
hospital as of now
4.4- Digitalizing the Hospital
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By Picture Archiving and Communication Systems
BY Radiology Information System
BY Health Information System
Medical Record and Information System
By Tele Medicine
Tele education

Infrastructures like server hall , net work , Workstations and IT-support
should be checked.
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4.5-Equipment purchasing
 To make it phase by phase that is to purchase first what we have
in the current building and then to follow purchasing for
expansion work.
 To prioritize the services that we already have on the new
hospital
 To continue for those which are going to be part of the
expansion
 Start to have Hospital budget
5- Recommendations and further work
As stated before starting a new Hospital to function is very difficult
unless we act proactively with proper plan and timely action. so this
work and discussion was giving us many information on what, how,
when and which to do? According to the discussion points we need to
do on the expansion , on the correctional works, on human resource
training, on digitalizing and equipment purchasing.
Equipment divided into those that have:
 Impact on the construction
 Indirect impact on the construction
 non-impacting construction
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