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Project: Dar Vida Haiti, Self Sustainable Mobile Hospital

"The Tree of Health and the Transformation of a people"
by

Emid Nuñez

on 15 July 2013

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Transcript of Project: Dar Vida Haiti, Self Sustainable Mobile Hospital

Self - Sustainable Mobile Hospital
Our Mission
We have to build a hospital with
features under special conditions.
Development Objective:
Follow the Master Plan for reconstruction in accordance with government requirements
Maintain strict requirements of international funds
External Governances
Specific Objectives of Public Health:
Primary Care Using Telecommunications and Telemedicine
Health sector priorities

1.Access to surgical, medical and emergency obstetric care and proper case
management, particularly for trauma, wounds and burns

2.Priority immunizations, including mass vaccination campaign for measles/rubella,and tetanus immunization as part of wound care

3.Communicable disease surveillance and response, including preparedness for epidemic-prone diseases

4.Support for appropriate infant and young child feeding and malnutrition
Management

5.Continuity of care for chronic diseases (e.g. HIV, TB, hypertension, etc)

6.Public health communication

7.Non-health sector priorities impacting health

8.Shelter and site planning

9.Provision of sufficient and safe water, and sanitation.
Haiti Health Health priorities:

1. Access to surgical, medical and emergency obstetric care and proper case
management, particularly for trauma, wounds and burns

2. Priority immunizations, including mass vaccination campaign for measles/rubella,and tetanus immunization as part of wound care

3. Communicable disease surveillance and response, including preparedness for epidemic-prone diseases

4. Support for appropriate infant and young child feeding and malnutrition
Management

5. Continuity of care for chronic diseases (e.g. HIV, TB, hypertension, etc)

6. Public health communication

7. Non-health sector priorities impacting health

8. Shelter and site planning

9. Provision of sufficient and safe water, and sanitation.
To minimize the shortage of doctors and health professionals, we will establish a network of Teleconsultations with doctors, nursing assistants and field telemedicine facilitators (Telefacilitadores).
Nutrition Surveillance
Health
Education
Health Information Technology
Data Collection
In Field
Follow Up
in Health Programs
Quality Control and Case Planning in the Field
Diseases Control
in Field
Our First Group
Our Team
Telefacilitadores
In order to provide a self sustainable mobile hospital we need:

1) The creation, development and management of the hospital system and a medical school

2) The engineering for the project sustainability
The Health Care system can handle an average of 500,000 people per year. The system comprises of thirty (30) remote primary care clinics, and includes secondary and terciary care to be provided by the mobile hospital with four major thematic services that are lacking in Haiti.
And Doctors
This means that to provide care in Haiti must have proven functionality and viability in accordance with internal and external authorities.
We require 30 satellite units with internet capability that can cover a mile radious transmission placed in 30 remote communities in Haiti.
Over 300
Nurse Assistants
Cover 300,000 people
The telecommunications system is our most significant infrastructure for information, intercom and medical service coordination
Why the hospital should be mobile?
Let's take for example the cholera epidemic that has killed more than 10,000 people during the year 2010 - 2011. What are the advantages of mobile medical care to control an epidemic?
Too Many Cases For
Medical Care with severe symptoms of Dehydratation
One of the reasons why Cholera can not be eradicated is:
1) Because there is no accurate accounting of the cases in the particular site or location.
2) The intervention of a treatment in public education campaigns do not agree with the presentation of cases in cycles
The Cholera Hospitalizations curve resembles an S type curve after falling cases have remained until today.
Our intent is to train and work with a team to help to take field accountability and report data in real time to take corrective action for health a prevention campaign and mobile care in different parts of the country.
Hydration Treatment Centers campaign booths
The Sentinnel Hospital has a laboratory, pharmacy, telecommunications system and survey to help other institutions in the control and treatment of cases.
30 Remote Clinics System
Dar Vida Haiti Conceptual Mobile Hospital
Teaching Hospital
The Thematic Hospital is divided into four themes
Objective: Medical training to use the media and social networks and to learn to transmit high-quality communications.
Train the Trainers
For Physicians
The training with TeleEducation For Nurse and Physicians
Part of the first resources are prospects Telemedicine Nurse Assistant
Another Training is the International Human Resources
Not only prepare for the clinic
Internship in The Community Clinics
This is just one example of how we can manage the disease with the use of telemedicine field.
Internal Governance
Internal Governance
Why is this happening?
In Haiti acueduct or
water treatment plant
do not exist
Organizing Communty leaders and professionals for the Program for Prevention and Health Promotion
1) Hospital Sentinel
Support
other Hospitals
Support
in Pharmacy
Support
in Laboratory
2) Cardiovascular Hospital for adults and children
Cardiovascular Child Care
Six operating rooms for
open heart surgery
Internship and Culturally Sensitive Teach Clinics
3) School of Medicine and Public Health
Train the tele facilitators
and medical students,
physicians in
telecommunications
and primary care clinic.
Create a Haitian
Medical Teaching
Faculty and Network
Establish international
support physician and
health professionals.
4) Institute of Geriatrics
The elderly are underserved
in Haiti we will create a
clinical study program
for seniors.
Clinical Studies of Aging
Due to the effects of climate changes every year, there are abundant rain floods
Waters leveled with sewage causes more infections.
Perform centers hydration and medication to decrease mortality with accuracy in communities
Teaching Hospital
2) The engineering for the project sustainability
Water for Energy Complex
TWO PHASES:
Phase I Water Power
Phase II Water Hygiene and Sanitation
Phase I Water Power
1) Desalination plant - Start with the implementation of a desalination plant to collect resources to use for energy sustainability. Over 24 million cubic meters of desalinated water are being produced in the world, which provides processed water to over 100 million people.
Haiti remains a country that lacks basic services, it required to establish a project can be self-sufficient and environmentally friendly.

The deficiency may be the lack of natural resources to transform a supply shortage in sustainability with the sun, water and wind.
1
2
It is an integrated Energy Management Hydro Electric Project
2) Wind power & Solar Power - Used to support a part of the project, will provide support especially for electronic and hospital equipment. Will be used to support transition system energy and to reduce energetic costs.

It is a project of integrated energy management, achieved by HydroElectric Energy to transform an intermittent source of energy in a controlled and constant supply of electricity, maximizing the utilization of wind energy.
3
3) Hydroelectric Plant - has several components: A water tank of 500,000 cubic meters, a lower deposit of 225,000 cubic meters and a hydroelectric turbine plant.

Most wind generated energy to power the pumping system and, therefore, be stored as potential energy in the upper tank, which ensures the stability of the grid.
4
4) Group Gasoline, Diesel and Biodiesel: Central diesel engines would be operational in exceptional cases of emergency where there is neither water nor wind enough to meet demand. This group will be responsible for providing energy to fuel transportation system of the hospital system.
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5) Plant Biomass: Some of the most severe health problems of Haiti is cause garbage, rubbish and organic waste material. This plant will produce clean energy, exclusively, for the hospital and adjacent communities.
Phase II Water Hygiene and Sanitation
The sanitation model for each 30 remote clinic is based on a system of domestic water treatment. This drainage system will be linked to energy and agriculture with three basic components.
1) A Water Cistern

2) Water Filtration System Reversible Osmosis
3) A Local Hygiene System Water Purification Plant.
30 Remote Clinics
Sanitation System
Food for Sustainability
The vegetables and fruit trees selected by month rotations for dry arid soil. So we selected two types of growing methods:
We have completed the design of Self - SustainableHospital Project
Continuing
Study
of Psychosocial
Old Haitian
Teaching Hospital
Promote among Haitian Creole microenterprise for the development a cooperative network.
First, consumption and production of animals, chickens, turkeys and rabbits
Promote the development of micro-cooperatives of production and consumption.
Clinical evaluation of health and wellness
to make healthy communities with international resources
Evaluation by Medical Corps in clinical training in Remote Communities
The missions consist of Diagnosis and treatment practice in primary care mobile clinics
Telemedicine Project
1 / 50,000 Habitants
1 / 358 Habitants
Architectural blueprint
for the workbench
Portable MRI Equipment
Assembling the portable
intensive care unit
Dr. Lew Stringer
Over 600 Kw
Full transcript