A presentation from the SAFHE/CEASA 2011 Conference by Colin du Toit. He covers the process and details of upgrading the Dr A G Jeetoo Hospital in Mauritius.

1. DR. A.G. JEETOO HOSPITAL
UPGRADE
CASE STUDY
APRIL 2011

10. THE REDEVELOPMENT
OF DR. A.G. JEETOO HOSPITAL,
PORT LOUIS, MAURITIUS

11. ASSESSMENT CRITERIA
Team Experience and Resources
Key Persons – named individuals – 15 yrs experience
Team Leader
Design Architect
Hospital Planner
Structural Civil Engineer
Mechanical and Electrical Specialist
Quantity Surveyor
Equipment Specialist
Methodology

12. SCHEDULE OF ACCOMMODATION
Accident & Emergency – 1158m2
Outpatients – 4 054m2
General Nursing Units – 8 861m2
Specialized Nursing Units – 1 314m2
Clinical Services – 3 805m2
Support Services – 2 796m2
Establishment – 2 179m2
Staff Facilities – 865m2
Circulation – 2 505m2
Total Gross Area - 27 553m2

13. BED ALLOCATION
Medical 112 Beds
Surgery 100 Beds
Orthopaedic 50 Beds
Paediatrics 55 Beds
Nursery/Neo-natal 18 Beds
Gynaecology 25 Beds
Ante-natal 25 Beds
Post-natal 25 Beds
Labour Ward 10 Beds
Psychiatric 30 Beds
Cardiac 30 Beds
Day Ward 12 Beds
Haemodialysis 20 Beds
ICU 20 Beds
High Care 18 Beds
Total 550 Beds
13

14. EXISTING HOSPITAL
Main Entrance Pharmacy and Records

15. EXISTING HOSPITAL
Theatres and ICU Central Space

16. METHODOLOGY
CONSULTANCY SERVICES FOR THE UPGRADING OF THE DR. A.G. JEETOO HOSPITAL
Interrogate Schedule
HOSPITAL PLANNER
DESIGN ARCHITECT
DESIGN ARCHITECT
STRUCTURAL CIVIL
PUBLIC HEALTH
TEAM LEADER
ELECTRICAL /
MECHANICAL
Assess existing buildings
SURVEYOR
NO. METHODOLOGY - PRE-CONTRACT
QUANTITY
ENGINEER
FGG
J&A
Establish Design 1
1.1
BRIEF
Accept Brief from the Client.
Analyze brief and evaluate in terms of timescale,
x
1.2
Principles 1.3
1.4
phasing, financial limits.
Analyze schedules of accommodation.
Check whether budget provision is realistic
x
x
x
x
x
x
x
x x x x
x
x
x
Report to Client on concerns, comments, and advise on
1.5
Agree Standards 1.6
how to proceed.
Agree on reporting procedure.
x
x
2 SURVEY
Obtain all record drawings of existing buildings,
Prepare Masterplan 2.1
structures, and site.
Obtain from Client information on ownership and any
lessor and lessees of the site, and any known
x x x x
2.2
easements, encroachments, rights of way, rights of
Establish Operational 2.3
support, and other relevant matters.
Obtain existing topographical survey, review, and
identify any further survey required.
x x
x x
Policies 2.4
2.5
Obtain existing geotechnical survey, review and identify
any further survey required.
Verify accuracy of records, survey as necessary, and
x
prepare site plan of the existing hospital. x x x x
Obtain records of underground and overhead services,
Prepare Specifications 2.6
2.7
and validate on site.
Evaluate existing site electrical reticulation.
Report to Client on any further surveys or investigations
x
x x
2.8
required. x x x x x
Prepare Documentation 2.9
Inspect existing buildings and evaluate in terms of
practicality for re-use. Consider flexibility of space, fire
safety, sound insulation, natural light and ventilation. x x x x x
Inspect existing buildings structural and physical
2.10
condition. x x x x
Inspect existing buildings mechanical services, in terms
2.11 of condition, conformity with current standards, and
potential for being upgraded. x

17. DESIGN PRINCIPLES
Forming the basis of the Design
Facilitate delivery of first class medical service.
Use appropriate technology, and viable resources.
Services which are essential to welfare of the seriously
endangered patient are grouped together in close proximity.
Needs of the patient are paramount.
Efficient use of staff.
Maximum use of natural light and ventilation.
Circulation should be horizontal, and minimise the reliance
on lifts.
Different categories of circulation should be separated.
Systems should be environmentally friendly, low energy
reliant and low maintenance.
Construction must be capable of implementation while the
hospital is fully operational.

18. ENVIRONMENTAL PRINCIPLES
Conservation of Historic Buildings
Maintenance of existing trees.
Encouragement of indigenous vegetation.
Sustainable building materials and methods.
Utilisation of local resources.
Low Maintenance.
Low energy consumption.
Alternative energy sources.

19. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

20. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
FIELD MESS
SERVANTS MESS COMPOUNDING
SUB GENERATOR STAFF PARKING
LINEN 22 CARS METHADONE
WORKSHOP
S T R E E T
STORES
GARDEN
ELECTRICAL PROPOSED
SERVICE SPEECH METHADONE CLINIC
STORES YARD
S T R E E T
PHYSIO
CATERING
P O I V R E
PHYSICAL
PARKING STAFF
DAY PARA PARKING
21 CARS
S T R E E T
WARD SOCIAL MESS 20 CARS
C O U R C Y
CARDIAC
OPD
GARDEN SPARE
D E
PLANT
L A P E R O U S S E S T R E E T
RAMP
INCINERATOR
D E S R O C H E S
CHEST
D E
LABORATORY
CLINIC RADIOLOGY MEDICAL ORTHOPAED MEDICAL PAEDIATRIC
RECORDS OPD PHARMACY OPD OPD
H O S P I T A L S T R E E T
PUBLIC EMERGENCY
PARKING
24 CARS DROP-OFF
SAMU ACCIDENT
EMERGENCY UNSORTED SURGICAL O&G SHARED
OPD OPD OPD OPD
PARKING BUSES TAXIS PARKING
MAIN
ENTRANCE V O L C Y P O U G N E T S T R E E T
GROUND FLOOR PLAN

21. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

22. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
EAST ELEVATION
SECTION J - J SECTION B - B

23. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
SERVICE
PARKING20
S T R E E T
ENTRANCE POST NATAL
CARS
SERVICEYARD
P O I V R E
“H” BLOCK
S T R E E T
PARKING
PARKING
21 CARS 16 CARS
D E
S T R E E T
C O U R C Y
STAFF ENTRANCE
L A P E R O U S S E S T R E E T
D E S R O C H E S
PLANT
D E
MORTUARY
PARKING 122 CARS
ENTRANCE
PARKING
24 CARS
EXIT PLANT
TAXIS
PARKING
MAIN BUSES
ENTRANCE V O L C Y P O U G N E T S T R E E T
BASEMENT PLAN

24. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
FIELD MESS
SERVANTS MESS COMPOUNDING
SUB GENERATOR STAFF PARKING
LINEN 22 CARS METHADONE
WORKSHOP
S T R E E T
STORES
GARDEN
ELECTRICAL PROPOSED
SERVICE SPEECH METHADONE CLINIC
STORES YARD
S T R E E T
PHYSIO
CATERING
P O I V R E
PHYSICAL
PARKING STAFF
DAY PARA PARKING
21 CARS
S T R E E T
WARD SOCIAL MESS 20 CARS
C O U R C Y
CARDIAC
OPD
GARDEN SPARE
D E
PLANT
L A P E R O U S S E S T R E E T
RAMP
INCINERATOR
D E S R O C H E S
CHEST
D E
LABORATORY
CLINIC RADIOLOGY MEDICAL ORTHOPAED MEDICAL PAEDIATRIC
RECORDS OPD PHARMACY OPD OPD
H O S P I T A L S T R E E T
PUBLIC EMERGENCY
PARKING
24 CARS DROP-OFF
SAMU ACCIDENT
EMERGENCY UNSORTED SURGICAL O&G SHARED
OPD OPD OPD OPD
PARKING BUSES TAXIS PARKING
MAIN
ENTRANCE V O L C Y P O U G N E T S T R E E T
GROUND FLOOR PLAN

25. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

26. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
ADMIN
S T R E E T
UPPER
MEZZ
UPPER
S T R E E T
UPPER
P O I V R E
M1
S T R E E T
ADMINISTRATION
C O U R C Y
D E
L A P E R O U S S E S T R E E T
D E S R O C H E S
F
D E
Q3
PLANT M2 RECORDS
C.S.S.D.
ROOM FINANCE LIBRARY
M1
POLICE / M4 IT.
STAFF REST GENERAL
M3
ROOMS PERSONNEL
V O L C Y P O U G N E T S T R E E T
MEZZANINE PLAN

27. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
S T R E E T
UPPER
UPPER
DOCTORS
HEALTH MESS
S T R E E T
DOCTORS MESS
UPPER
P O I V R E
PARAMED
HEALTH MESS
ORTHOPAEDIC
WARD
S T R E E T
C O U R C Y
D E
SPARE
L A P E R O U S S E S T R E E T
CHEST
D E S R O C H E S
D E
LABORATORY
CLINIC LABOUR WARD SURGICAL SURGICAL
O.T. 10 BED 25 BED 25 BED
ICU 24 BED
HIGHCARE 18 BED NURSERY SURGICAL SURGICAL
NICU 25 BED 25 BED
V O L C Y P O U G N E T S T R E E T
FIRST FLOOR PLAN

28. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
S T R E E T
S T R E E T
P O I V R E
S T R E E T
C O U R C Y
ROOF
D E
L A P E R O U S S E S T R E E T
D E S R O C H E S
L5a L1c
D E
L5b
ANTE NATAL WARD GYNAE WARD MEDICAL WARD
A/C 25 BED 25 BED 28 BED
PLANTROOM
E L5d L1c L1c
DIALYSIS UNIT POST NATAL WARD MEDICAL WARD MEDICAL WARD
25 BED 28 BED 28 BED
V O L C Y P O U G N E T S T R E E T
SECOND FLOOR PLAN

29. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
M O N S I E U R S T R E E T
S T R E E T
S T R E E T
P O I V R E
S T R E E T
C O U R C Y
D E
L A P E R O U S S E S T R E E T
D E S R O C H E S
L1c L6a
D E
L4a
ROOF PAEDIATRIC WARD MEDICAL WARD PSYCHIATRIC WARD
25 COT 28 BED 15 BED
LABORATORY
ROOF L4b J3 L6b
PAEDIATRIC PAEDIATRIC WARD CARDIAC WARD PSYCHIATRIC WARD
PLAY AREA 30 BED 30 BED 15 BED
V O L C Y P O U G N E T S T R E E T
THIRD FLOOR PLAN

30. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
WARD VENTILATION
External air quality is poor. Filtered fresh air supply to
all Wards.
Air supply into each ward with ceiling fans to assist
circulation.
Natural air movement into corridor assisted by
extraction at each end.
Extract duct at each end of corridor, with secondary
extraction via bathrooms into extract shaft,
discharging at roof level.

31. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

32. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
WEST ELEVATION
SECTION F - F

33. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

34. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

35. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010

36. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
ENVIRONMENTAL PRINCIPLES
Hot water produced by a combination of solar
water heaters and heat recovery from the
chillers. Expected annual savings of 85,000
kWhr saved which can be quantified with an
associated reduction of carbon dioxide
emission if this was to be heated by LPG gas of
17,000 kg
3/24/2011

37. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
ENVIRONMENTAL PRINCIPLES
Maximization of daylight through the
atrium with an estimated annual
savings of 31,000 kWhr which can be
quantified with an associated
reduction of carbon dioxide emission if
this was to be provided by artificial
lighting of 16,120 kg
Maximization of daylight in typical
wards though openings with an
estimated annual savings of 48,442
kWhr which can be quantified with an
associated reduction of carbon dioxide
emission if this was to be provided by
artificial lighting of 25,190 kg

38. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
ENVIRONMENTAL PRINCIPLES
Filtered fresh air supply to all areas departments of
the hospital
Use of energy efficient light fittings and Optimization
of Energy consumption by using complex Building
Controls systems
Equipment using Ozone friendly refrigerants
Re-use of existing buildings and restoration of historic
buildings.

39. PROGRAM
Start of Construction - October 2009
Phase 1 Completion - January 2011
Phase 2 Completion - October 2011
Phase 3 Completion - February 2012
Service Buildings - April 2011
Refurbish Existing – February 2012
Final Completion - February 2012

40. PROFESSIONAL TEAM
FGG Architects
Team Leader / Architect
J & A Architects
Architect (Mauritius)
Pholela Health
Equipment Specialist
Pro-Design
Mechanical & Electrical
Ocal Ltd
Quantity Surveyor
Gibb
Civil & Structural
Client - Ministry of Health & Quality of Life - Government of Mauritius