Birla Institute of Technology, Mesra, Ranchi

Department of Architecture
Semester VII AR-7302: Architectural Design VII Dated: 21.08.2019

Introduction:

A hospital is a health care institution providing patient treatment with specialized medical and nursing
staff, and medical equipment. India’s Public Health System has been developed over the years as a 3-tier
system, namely primary, secondary and tertiary level of health care. District hospital is an essential
component of the district health system and functions as a secondary level of health care which
provides curative, preventive and promotive healthcare services to the people in the district. Its
objective is to provide comprehensive secondary health care services to the people in the district at an
acceptable level of quality and being responsive and sensitive to the needs of people and referring
centres. Every district is expected to have a district hospital. As the population of a district is variable,
the bed strength also varies from 75 to 500 beds depending on the size, terrain and population of the
district.

For the case discussed in the present exercise, a district hospital having strength of 200 beds is
required to be designed for the district of Kasaragod in Kerala.

Service Delivery

District Hospital should be in a position to provide all basic speciality services and should aim to develop
super-specialty services gradually. District Hospital also needs to be ready for epidemic and disaster
management all the times. In addition, it should provide facilities for skill based trainings for different
levels of health care workers.

The services include OPD, indoor and Emergency Service. Besides the basic specialty Services, due
importance has been given to Newborn Care, Psychiatric services, Physical Medicine and Rehabilitation
services, Accident and Trauma Services, Dialysis services and Anti-retroviral therapy.

Essential (Minimum Assured) Services:

1) General Specialties:
OPD:
 General Medicine
 Gynecology Services
 ENT
 Ophthalmology
 Pediatrics
 Orthopedics
 Neurology
 Psychiatry
  AYUSH
 Dot center
 Disability Certification Services
 Sexually transmitted infections (STI) Clinic
 Antiretroviral Treatment (ART) center

IPD

 General Surgery
 Obstetrics
 Neonatology and Immunization Emergency (Accident & other emergency)
 Critical care/Intensive Care (ICU)
 Anesthesia
 Radiology including Imaging
 Geriatric Services (10 bedded ward)
 Health promotion and Counseling Services
 Dental care
 District Public Health Unit
 Integrated Counseling and Testing Centre
 Blood Bank
 Various Wards (As per IPHS standard. See Page no 60)

2) Diagnostic and other Para clinical services

 Laboratory services (Pathology and Microbiology)
 Designated Microscopy center
 Imaging services
 Sonography
 ECG
 Endoscopy
 Blood Bank and Transfusion Services
 Physiotherapy
 Dental Technology (Dental Hygiene)
 Drugs and Pharmacy

3) Ancillary and support services

 Medico-legal/post mortem
 Ambulance services
 Dietary services
 Laundry services
 Security services
 Waste management including Biomedical Waste
 Ware housing/central store
  Maintenance and repair
 Electric Supply (power generation and stabilization)
 Water supply (plumbing)
 Heating, ventilation and air-conditioning
 Transport
 Communication
 Nursing services
 CSSD - Sterilization and Disinfection
 Horticulture (Landscaping)
 Refrigeration
 Hospital Infection Control
 Referral services

4) Administrative services
 Finance
 Medical records (computerized medical records along with alternate physical records)
 Procurement
 Personnel
 Housekeeping and Sanitation
 Education and training
 Inventory Management
 Hospital Information System
 Grievances redressal Services

Note: All other utility spaces like Reception, waiting area, Nurse Station, Retiring room for resident
doctors, toilets etc. should be provided as per the standards.

Site Plan:
Development Control Regulations :

FAR = 2,

Ground coverage = 40%

Please refer “KERALA MUNICIPALITY BUILDING RULES 1999” for more details.

Stages of Review:

1. Case Study and literature Study 30/08/19

2. Requirement Formulation ( area statement) & concept 03/09/19
3. Plan Finalisation 09/10/19
4. Final Submission 05/11/19

Internal Design review will be there in every alternate week on Tuesday and Wednesday

Submittals (minimum requirements):

1. Literature and case study

2. Concept Sheets
3. Site Plan
4. Individual drawings of building Plan, elevation, section
5. Furniture layout and Details as required
6. Green Initiatives
7. 3D Views

Design Faculties:

Dr. Manjari Chakroborthy Ar. Tiwari Pavan Kumar