Providing leadership and excellence in health facility development
Set 5
SITE PLANNING FOR HOSPITALS
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
LOCATION
1. Inventory and distribution of health facilities;
2. Service catchment area;
3. Factors to be considered in locating a hospital; and
4. Site selection
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
1. INVENTORY AND DISTRIBUTION OF HEALTH FACILITIES
Basic mapping exercise
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
2. SERVICE CATCMENT AREA
a. Politico-administrative boundaries
b. Geographical boundaries
c. Time boundaries
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
2. SERVICE CATCMENT AREA
a. Politico-administrative boundaries
• Set defined area; and
• Imply an established organization which directs,
manages and operates the affairs of the
population within its jurisdiction.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
2. SERVICE CATCHMENT AREA
b.
Geographical boundaries
•Natural physical barriers to
population movement.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
2. SERVICE CATCMENT AREA
b.
Time boundaries
•Determine catchment
areas in regions without
roads and easy means of
transport
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
3. Factors to be considered in locating a hospital
 Within 1 hour traveling time;
 Grouped with other institutional facilities, such as
religious, education, cultural, and commercial
centers; and
 Free from dangers of flooding
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
3. Factors to be considered in locating a hospital
 Area free from pollution of any kind;
 Serviced by public utilities;
 Accessible to public transportation;
 10 meters away from earthquake fault line; and
 Preferably not located near salty bodies of water
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
• Availability of a site;
• Planners and architects need to assess
whether a parcel of land is suitable for siting
a hospital.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
SITE SELECTION AND EVALUATION OF ADAPTABILITY
a. Size
e. Utilities available
b. Topography
f. Natural features
c. Drainage
g. Limitations
d. Soil conditions
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
a. Size
• Large enough for the
planned functional
requirements to any
planned expansion
within 10 years.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
a. Size
• Recommended standards vary from 1.25 has. – 4 has. per 100 beds.
• Proposed minimum requirements:
• 25-bed capacity – 2 has. (800 sqm. per bed)
• 100-bed capacity – 4 has. (400 sqm. per bed)
• 200-bed capacity – 7 has. (350 sqm. per bed)
• 300-bed capacity – 10 has. (333 sqm. per bed)
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
b. Topography
• Determinant of the distribution of form and space
 Flat terrain
 Rolling or sloping terrain
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
b. Topography
• More difficult and
expensive
• Solutions can be interesting
and innovative.
• Easiest and least
expensive to build on
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
c. Drainage
• Terrain must allow for easy movement of water
away from site.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
c. Drainage
• Means of draining low-lying sites:
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
d. Soil Conditions
• Determinant of foundation schemes;
• Ideally, the subsoil should be such that conventional,
economical structural design, and foundation
schemes can be used; and
• Waterlogged areas, swamps, and former rice fields
should be avoided.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
d. Soil Conditions
• Steps to be followed should there be no other site
available:
 Check bearing capacity of the soil;
 Scrap unstable top layers, if necessary and fill with
well compacted, suitable materials; and
 Seek engineering advice
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
d. Soil Conditions
 Soil bearing test must be confirmed at key points:
 Closest to the location of
basement, if any;
 Tallest structure in the complex,
including water reservoir and
sewage treatment plant; and
 As required by the structural
engineer
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
e. Utilities Available
• Electrical, water, and communication lines as well
as drainage and sewer lines should be available;
and
• Generators, deep wells, water pumps, and radio
communication lines must also be established.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
f. Natural Features
• Building design should respond to the
site, so that the structure is in context
with the environment.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
f. Natural Features
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
g. Limitations
• Site may be adequate in all respects, but it must
be checked for possible constraints to its use.
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
g. Limitations
Does it have direct access from the road?
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
g. Limitations
Is it a contiguous
parcel with
proper ownership
titles?
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage
Providing leadership and excellence in health facility development
4. SITE SELECTION
g. Limitations
Does the site have structures? If so:
1. Can they be incorporated into the design and existing
parts converted into functional spaces?
2. Are the existing buildings suitably located on the site?
3. Are they so old and dilapidated that they must be
demolished? Or are the parts possible for re-use?
4. Is there a heritage significance that it can’t be
demolished?
Republic of the Philippines
Department of Health
H F D B
HEALTH FACILITY DEVELOPMENT BUREAU
Boosting
Universal Health Coverage