PROJECT: 

To Upgrade the Kakumbi Clinic in Mfuwe, Eastern Province, Zambia

Drawings of the Clinic

Requirements essential to the running of the Clinic:

1. Consultation rooms, clinical areas, treatment rooms, etc

2. Need for the ability to cope with large-volume clinics by the provision of easy access to a waiting area.
3. Male ward
4. Female/children’s ward
5. Lockable pharmacy store and a dispensary cupboard
6. Delivery room and maternity wards
7. The MCH building is to be considered a female-only area, isolated from the main clinic building for reasons of female privacy.
8. Shelving for records
9. Food store
10. Linen store
11. General store for bicycles, etc.
12. Lab with 2 or 3 sinks
13. Vaccine fridge
14. E. H. T. room
15. Room to be used by night nurse

 Requests for improvements:

1. Replacement of the roofs on both buildings

2. Insulation and ventilation of the space immediately below the roof.
3. Through ventilation of all rooms except, possibly, for store-rooms.
4. Replacement of entire wiring system to make it safe:  with breakers - a good earthed system, good lighting and safe wall outlets.
5. Provision of privacy in consultation and clinical areas
6. Wash hand-basins in all wards, clinical areas and lab.
7. Increase the number of delivery and maternity rooms from one to two.  Separate the maternity ward and delivery room from infectious diseases areas and wards.
8. Upgrade shower/toilets on MCH side and provide shower/toilets on the other side.  This provision should include separate shower/toilets for men and for women.
9. Locker/shelving spaces in each of the wards

10. Outside security lighting

Desirable features:

1. Staff toilet - if possible near to the night nurse room.

2. Night nurse room near to children’s and other wards, but separate from them to insure nurse’s privacy.
3. Beds to normal hospital standards - the present beds are much too low.

Present state of the Clinic:

            Along with the desperate need of a new roof on both Clinic buildings, the Clinic is generally very run down and is badly in need of cleaning and painting.  Many of the rooms in both of the buildings are unused, under used or they are far to large for the function that they serve.  The maternity ward is located beside the women’s infectious diseases ward.  The two main wards contain too many beds and so don’t allow a provision of 45cm between the beds.  There are no toilets nor showers for the patients in the male ward.  There is no provision for patients to wash their clothes nor their dishes.  For outpatients there is only a pit latrine and no provision for washing of hands thereafter.

Note:  none of the proposed changes to either of the buildings involves the moving or alteration of any of the structural load-bearing walls.

Click here to see the Clinic Restoration Accounts