...flexibility in adaptation Innovative Project with Standard Design Concept presented by:

RAHAWIAH SHAFIEI

27th June 2012

OUTLINE 

Introduction

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Public Works Department Malaysia (PWD)

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PWD… the effort

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… the FOCUS

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Pre-Approved Plans

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INTRODUCTION The Malaysian government implements a universal healthcare system which the healthcare is under the responsibility of the government.

With the new Government Transformation Program (GTP), among the Malaysian government’s primary concerns is to provide an affordable and accessible health services to the nation. P u b l i c

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MALAYSIAN HEALTH VISION

“ Malaysia is to be a nation of healthy individual, families, and communities, through a health system that is equitable, affordable, efficient, technological appropriate, environmentally adaptable and consumer friendly, with emphasis on quality, innovation, health promotion and respect for human dignity, and which promotes individual responsibility and community participation towards an enhanced quality of life” Ministry of Health Malaysia

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PUBLIC WORKS DEPARTMENT (PWD) MALAYSIA The Public Works Department (PWD) Malaysia is the federal government technical department which is responsible for construction and maintenance of public infrastructure in Malaysia.

The department’s main objectives are to deliver projects within its: i) Timeframe ii) Cost iii) Best quality building P u b l i c

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PWD… the EFFORT Starting in 1970s, the PWD had created and developed the Standard Designs of Building as one of the strategy to cope with the increasing demand for health facilities. Together with the Ministry of Health (MoH), the strategy was created to speed up and meet the Government’s implementation programme.

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PWD… the EFFORT The standardisation program which consists of ‘standard plan package’ (standard type design, standard brief and standard specification) helps in delivering projects within its timeframe, cost and quality. Among the standard plan package for health clinics that are currently being used and developed are: Rural Health Clinic and Health Clinic Type 3. P u b l i c

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Beginning of Pre-Approved plans

OVERVIEW of STANDARD TYPE DESIGN: HEALTH CLINIC

Beetle Type

Mantin Type HC Type 2

Gulau Type 5th - 6th Malaysia Plan 1986 - 1995

HC Type 3 7th Malaysia Plan 1996 - 2000

HC Type 3 Cermai

HC Type 4 8th Malaysia Plan 2001 - 2005

HC Type 3 Cermai 9th Malaysia Plan 2006 - 2010

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HC Type 3

HC Type 4 10th Malaysia Plan 2011 - 2015

PWD developed Pre-Approved Plans designs

PWD developed Standard-Type designs

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HC Type 2

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the FOCUS…

PWD’s in-house project

HEALTH CLINIC HEALTH CLINIC Type 1 (Urban)

> 800 total attendance per day

HEALTH CLINIC Type 2 (Urban)

500 - 800 total attendance per day

HEALTH CLINIC Type 3 (Sub-Urban)

300 - 500 total attendance per day

HEALTH CLINIC Type 4 (Rural) - Peninsular Malaysia

> 300 total attendance per day

HEALTH CLINIC Type 4 (Rural) - Sabah & Sarawak

150 - 300 total attendance per day

HEALTH CLINIC Type 5 (Remote) - Sabah & Sarawak

< 150 total attendance per day

HEALTH CLINIC Type 6 (Remote) - Sabah & Sarawak

> 50 total attendance per day

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PROBLEM STATEMENT of standard type plan – health clinic

RIGID

INFLEXIBLE

NOT ENERGY EFFICIENT

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SITE CONSTRAINTS

DESIGN ISSUES FOR PUBLIC HEALTHCARE BUILDINGS

COST LIMITATION

REPETITIVE NEEDS FROM MOH

GOVERNMENT DIRECTIVE / POLICY

TECHNICAL REQUIREMENTS

Changing needs & policies

Changing procedures & workflows

Changing technologies

Changing on building design, specifications & innovations

Flexible designs towards….. P u b l i c

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Flexibility in ADAPTATION towards…. SITE

CLIMATE & ENVIRONMENT

PROCESS

ADAPTATION on….

TECHNOLOGY – IBS, CONSTRUCTION METHODS

CULTURE

Modular dimension

FLEXIBLE DESIGN

IBS (industrialized building system) Standardisation (E-components)

DESIGN INNOVATIONS Green design (e.g.: courtyards, maximise natural lighting & ventilation) New materials and approaches in industry Comprehensive solution – master plan Building Information Modeling (BIM)

PRE-APPROVED PLAN (PAP) Developed for 10th Malaysia Plan (2011 – 2015) Main factors: • Implementation on modular dimension and green technology design • Flexible design (to cater client’s needs) • Expedite project implementation process P u b l i c

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H E A LT H C L I N I C – p r o j e c t b r i e f STANDARD REQUIREMENTS of HEALTH CLINIC FROM THE MINISTRY OF HEALTH 

The Health Clinic will provide promotive, preventive, curative and rehabilitative.

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Focus on outpatient service and special target groups, i.e. mothers, neonate, children, adolescents, elderly, adults and workers.

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There will be provision for health promotion, education, counseling treatment, resuscitation and rehabilitation, as well as diagnostic and health surveillance support in the facility.

PROMOTIVE

PREVENTIVE

HEALTH CLINIC

REHABILITATIVE

CURATIVE

DESIGN APPROACH To provide direct access to the facility within spaces To design a healthcare facility that is user-friendly

To provide a patient-friendly building

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DESIGN APPROACH To optimize the climatic design consideration for efficient operational and maintenance cost

Stack Effect

Cross Ventilation

Maximise daylight

To create a sustainable and energy efficiency design

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DESIGN APPROACH To create a modular type of building to suit various range of site possibilities

Modular Concept + Industrialised Building System (IBS) P u b l i c

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DESIGN CONCEPT The form : MODULAR

Option 1

Option 2

Option 3

FLEXIBLE to suit various of site possibilities

Site 1

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DESIGN CONCEPT LOW RISE DESIGN EASY AND DIRECT ACCESS

NATURAL VENTILATION / DAYLIGHTS / ORIENTATION

SHORT DISTANCE TO OTHER DEPARTMENT AFTER REGISTRATION

DAYLIGHTS / ORIENTATION

USING MAIN SINGLE CORRIDOR

GREEN POCKET

2 STOREY BUILDING WITH LIFT A&E and Infectious Disease Entrance

Material Entrance

Staff Entrance

Patient Entrance

DESIGN CONCEPT HIGH RISE DESIGN

Carparks

Carparks

Carparks

NATURAL LIGHTING & VIEW

Carparks

Carparks

IN

Climate Consideration

OUT

VERTICAL MOVEMENT SERVICE CORE Glass window panel Module in : - Grid 8.1m x 8.1m - Fire Staircases - Toilets - Clinical Examination Rooms

PROPER SUNSHADING DEVICES

NATURAL LIGHTING & VIEW

Pre-cast Concrete Block as wall

IBS DESIGN

ENERGY EFFICIENCY LOW RISE DESIGN

DESIGN CONCEPT

Health clinic design that response to the climate and local culture

HC Designers: Sharina Intan Abdullah Nurzuliana Mohd Noor Ain Farahati Maarof Mohd Fahmi Ani

HC

Designers: Narima Hanim Zainal Abidin Mohd Erwan Othman Fadilah Hani Siajam Mohd Suhaili Ismail Emi Azreena Abd Ghani

HC Designers: Haslina Sumairi Noor Hidayah Mohd Rodhi Farahazliza Hazie Abu Harie Shuhaila Sulaiman Mohd Irwan Tawil

HC Designers: Ar. Tengku Zahariah Tengku Amir Rahawiah Shafiei Mohd Fazli Abd Ghaffar Nik Irnani Nik Ahamad Damian Kharrus Ismail Siti Nurdilia Mohd Rosdi

HC

Designers: Shahrulnizam Mohd Noor Siti Nor Faizah Omar Anisa Abdul Rahim Norashyiken Azali Mohd Nor Sahrul Md Ali

GREEN DESIGN >> allow more green space to maximise natural daylight and ventilation >> introduce more courtyards >> healing environment

.....thank you a joint paper by: RAHAWIAH SHAFIEI MOHD FADHLAN AHMAD MOHD FIRDAUS MOHD ZAINOL 27th June 2012