Kyabirwa Surgical Center Ward

[{"body":{"version":"0.3.0","atoms":[],"cards":[],"markups":[],"sections":[[1,"p",[[0,[],0,"While surgical services remain scarce for much of the world, this annex to the existing Kyabriwa Surgical Center in Kyabirwa, Uganda, dispels the myth that such services are logistically impossible to provide in rural areas. When complete, this project will address the specific needs of the rural patients who access the center and need to stay overnight following their procedures. Situated near the country\u2019s famous White Nile River rapids and five miles north of Jinja, the nearest city, this project enhances the center\u2019s accessible and affordable care for more than 570,000 Ugandans. "]]],[1,"p",[[0,[],0,"Since it was built in 2019, the 8,000-square-foot surgical center has accommodated nearly 2,000 procedures, most of which have not required overnight stays. Funded by significant donations from New York\u2019s Mount Sinai Hospital, the award-winning center is a self-sustaining facility, generating all of its power from solar panels while collecting and storing water for use. The demand for treatment and the number of patients from across the region accessing the center continue to increase, and this new ward will accommodate patients who require a more extended recovery period. Additionally, it will drastically reduce travel time, which for many can be as long as five hours, to a surgery center that supports overnight recovery."]]],[1,"p",[[0,[],0,"A new advanced laboratory in this space will allow the acquisition of biologic materials for eventual genetic and genomic analysis. Data from this laboratory can favorably influence treatment of a variety of diseases. A state of the art surgical simulation center is also planned for the space which will have an important impact on the training of surgeons in East Africa."]]],[1,"blockquote",[[0,[],0,"\u201cThis project\u2019s purpose, and the amount of work needed to bring electricity to this community, are laudable.\u201d - Jury comment"]]],[1,"p",[[0,[],0,"Building in remote places like Kyabirwa requires careful planning and consideration of construction techniques coupled with a deep understanding of material availability. To ensure the ward addresses the specific conditions of the local climate, the design team balanced familiar construction methods with materials available to the region. Much like the existing surgical center, the new ward incorporates natural and long-lasting materials such as clay, stone, and terrazzo over materials that would require shipping from afar. Much like its sister building, the ward is being built by local laborers skilled in using such materials."]]],[1,"p",[[0,[],0,"In this remote region, the local utility companies provide intermittent power and water. Therefore, the new ward, like the existing center, will be entirely off the grid. It will draw power from the center\u2019s solar panels, which generate 54,000 kWh of electricity and can increase its output by 50%. The addition of an on-site sewage treatment and disposal system means that both the center and new ward can be replicated anywhere in the world. "]]],[1,"blockquote",[[0,[],0,"\u201cThis project has a good relationship to the site, and the elevations are very clean and clear. The jury liked how the exterior geometry of the masonry relates to the roof form.\u0022 - Jury comment"]]],[1,"p",[[0,[],0,"In addition to hosting overnight stays, the new ward features a cutting-edge laboratory, a staff canteen, a training area, and accommodations for staff to stay overnight. The staff comprises 33 Ugandan health care providers and administrators, including one head surgeon, two anesthesiologists, two medical officers, and nine nurses who provide direct care. All patient records are stored in a cloud-based system developed by a Ugandan software developer. The facility continues to nurture its strong connections to Mount Sinai Hospital, whose doctors offer periodic consultations and guidance during complex procedures. "]]],[1,"p",[]]]},"title":"Project highlights"},{"body":{"version":"0.3.0","atoms":[],"cards":[],"markups":[["a",["href","https:\/\/www.aia.org\/resources\/6077668-framework-for-design-excellence","target","_new"]],["strong"],["em"]],"sections":[[1,"h2",[[0,[],0,"AIA Framework for Design Excellence"]]],[1,"p",[[0,[],0,"The "],[0,[0],1,"AIA Framework for Design Excellence"],[0,[],0," represents the defining\nprinciples of good design in the 21st century. Comprised of 10 principles and\naccompanied by searching questions, the Framework seeks to inform progress\ntoward a zero-carbon, equitable, resilient, and healthy built environment. "]]],[1,"h2",[[0,[],0,"Design for Integration"]]],[1,"p",[[0,[1],1,"Was there a design charrette? "],[0,[],0,"Yes"]]],[1,"h2",[[0,[],0,"Design for Equitable Communities"]]],[1,"p",[[0,[1],1,"Level of community engagement:"],[0,[],0," "]]],[3,"ul",[[[0,[],0,"Consult: Stakeholders were provided with opportunities to provide input at pre-designed points in the process. "]],[[0,[],0,"Involve: Stakeholders were involved throughout most of the process. "]],[[0,[],0,"Collaborate: A partnership was formed with stakeholders to share in the decision-making process including development of alternatives and identification of the preferred solution."]],[[0,[],0,"Empower: Stakeholders were provided with opportunities to make decisions for the project. "]]]],[1,"h2",[[0,[],0,"Design for Ecosystems"]]],[1,"p",[[0,[1],1,"Site area that supported vegetation (landscape or green roof)\npre-development:"],[0,[],0," 160% "]]],[1,"p",[[0,[1],1,"Site area that supports vegetation post-development:"],[0,[],0," 50%"]]],[1,"p",[[0,[1],1,"Site area covered by native plants supporting native or migratory\nspecies and pollinators:"],[0,[],0," 100%"]]],[1,"p",[[0,[1],1,"Strategies used to promote Design for Ecosystems:"],[0,[],0," biodiversity, dark skies, bird safety, soil conservation, habitat conservation, flora\/fauna "]]],[1,"h2",[[0,[],0,"Design for Water"]]],[1,"p",[[0,[1],1,"Is potable water used for irrigation?"],[0,[],0," No"]]],[1,"p",[[0,[1],1,"Is potable water used for cooling?"],[0,[],0," No"]]],[1,"p",[[0,[1],1,"Is grey\/blackwater reused on-site?"],[0,[],0," Yes"]]],[1,"p",[[0,[1],1,"Is rainwater collected on-site?"],[0,[],0," Yes"]]],[1,"p",[[0,[1],1,"Stormwater managed on-site:"],[0,[],0," 100%"]]],[1,"h2",[[0,[],0,"Design for Energy"]]],[1,"p",[[0,[1],1,"2030 Commitment baseline EUI:"],[0,[],0," 156 kBtu\/sf\/yr"]]],[1,"p",[[0,[1],1,"Predicted net EUI including on-site renewables:"],[0,[],0," 15.45 kBtu\/sf\/yr"]]],[1,"p",[[0,[1],1,"Reduction from the benchmark: "],[0,[],0,"Greater than 100%"]]],[1,"p",[[0,[1],1,"Is the project all-electric?"],[0,[],0," Yes"]]],[1,"h2",[[0,[],0,"Design for Well-being"]]],[1,"p",[[0,[1],1,"Level of air filters installed: "],[0,[],0,"HEPA"]]],[1,"p",[[0,[1],1,"Was a \u201cchemicals of concern\u201d list used to inform material selection?"],[0,[],0," Yes"]]],[1,"p",[[0,[1],1,"Do greater than 90% of occupied spaces have a direct view to the\noutdoors? "],[0,[],0,"Yes"]]],[1,"h2",[[0,[],0,"Design for Resources "]]],[1,"p",[[0,[1],1,"Estimated embodied carbon emissions associated with the project, including the extraction and manufacturing of materials used in construction:"],[0,[],0," 56 kgCO2e\/m2\/yr"]]],[1,"h2",[[0,[],0,"Design for Change"]]],[1,"p",[[0,[1],1,"Estimated service life: "],[0,[],0,"30"],[0,[1],1," "],[0,[],0,"years"]]],[1,"p",[[0,[1],1,"Ability to survive without utility power:"],[0,[],0," full back-up power"]]],[1,"p",[[0,[1],1,"Risk assessment and resilience services provided: "],[0,[],0,"climate change risk"]]],[1,"h2",[[0,[],0,"Design for Discovery"]]],[1,"p",[[0,[1],1,"Has a post-occupancy evaluation been conducted?"],[0,[],0," Yes "]]],[1,"p",[[0,[1],1,"Building performance transparency steps taken:"],[0,[],0," "]]],[3,"ul",[[[0,[],0,"Present the design, outcomes, and\/or lessons learned to the office. "]],[[0,[],0,"Publish lessons learned from design, construction, and\/or occupancy."]]]],[1,"h2",[[0,[],0,"Disclaimer"]]],[1,"p",[[0,[2],1,"This information is being provided as a convenience and has been\nprepared by third parties. It is provided for informational purposes only.\nProviding this material does not constitute an endorsement or approval by AIA\nof any of the information. AIA bears no responsibility for the accuracy,\nlegality, or content of this information. Please use at your own discretion. "]]]]},"title":"Framework for Design Excellence metrics"}]