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Chemo Daycare unit
- 1. Setting up a cancer centre Dr C Nyongesa Watta, MMED (Wits), FC Rad Onc(SA)
- 2. Introduction • Justification Cancer treatment offers good palliation and even cure for cancer • Where are our patients seeking treatment ? locally; regionally and internationally • Kenya is loosing over 300million Kenya shillings annually on treatment overseas and this is increasing tremendously as there are strong efforts to pull more patients to India
- 3. Lip Cancer Before Radiotherapy After Radiotherapy
- 4. Kaposi sarcoma KS BEFORE DXT KS after DXT
- 6. 17 yr old patient with head neck cancer before after
- 7. HIV RELATED H/N Carcinoma before after
- 10. Sketchy brief • Operating Theaters • Radiotherapy-bunker and machines, Radiology • Chemotherapy- biological safety cabinets • Pharmacy, Laboratory, accounts • Out patient, In patient • Administration block
- 11. Setting up a new Centre • Population • Location • Cost • Funding • Type of machines
- 12. COBALT 60
- 14. COSTS- cancer centers • The Nairobi Hospital Cancer Center one billion Ksh • Cancer Care Kenya- 900 million Ksh • Kenyatta National Hospital phase one KSH300 million- needs a total of 2.5 billion K to complete • MTRH 5Million USD
- 15. Cancer & Chronic Diseases Management Centre MTRH Eldoret campus, Kenya • The donor -the Indiana Institute for Global Health Kenya based in Indianapolis, • and Moi Teaching and Referral Hospital (MTRH)
- 16. Architect MTRH • The brief statement to the Architect was “design a Centre for Cancer and Chronic Disease Centre Building and Cardiac Care Centre”. • The site was slightly over an acre located in between the main MTRH administration block and the Nyayo wards on west and east respectively.
- 17. Cancer Centre MTRH Eldoret Kenya • The donor had a fixed budget with no variations allowed. • Architects and design team had to design to the dollar. • The brief was essentially non-existent and had to be developed by the Architect as the lead consultant • Brief development therefore took long – from December 2011 to July 2012 – to firm up though there were still post contracts adjustments.
- 18. Project Team MTRH • Client: Indiana University, USA • Architect: Atticspace Architects • Quantity Survey: Zimaki Consult • Civil and Structural Engineers: Maiyo and Partners • M&E Engineers: Metroeng Consultants • Environmental Experts: Eco Plan Management Limited • Main Contractor: Vishva Builders Limited • Electrical contractor, Plumbing and Drainage,Mechanical Ventilation
- 19. MTRH CANCER AND CHRONIC DISEASE BUILDING Dr N. BUSAKHALA
- 20. Radiation Oncology • Radiation Oncology Wing costs: 55,000,000 ksh for 1007 sm +/- excludes design fees • Radiation oncology wing includes one each Universal bunker, one HDR bunker and one CT simulator room along with necessary support services.
- 22. Medical Oncology • Oncology portion ground floor, cost 35,000,000 ksh for 1250 sm +/- This is primarily clinical space. • Costs include structure, finishes, mechanical, electrical, plumbing and civil however no IT, furnishings or equipment
- 23. Medical Oncology
- 24. TCC Texas Cancer Centre • A case in point is Texas Cancer Centre (TCC) • TCC has purely contracted local firms to implement the project. • Design took 1 year to develop
- 25. Team for TCC
- 26. PROJECT TEAM TCC • Client: Texas Cancer Centre • Architects: The Centric Architects • Civil & Structural Engineers: Abba and Wandu Engineers • Quantity Surveyors: Buildafrique Consulting • Mechanical and Electrical Engineers: Erihast Associates • Main Contractor: Jipsy Civil and Building Contractors • Subcontractors: ICONET Solutions Ltd, WENA Technical Services, Muga Electrical Contractors, Seven Fourteen Ltd
- 32. KNH
- 33. THANK YOU !!!