A PROPOSED PEDIATRIC HOSPITAL

Introduction
Pediatrics is the branch of medicine that deals with the development and care of infants and children and t
he treatment of their diseases. Ensuring child’s health is critical not only for reducing child morbidity and m
ortality, but also for increasing the likelihood of a healthier adult life, as in the popular saying; “Every adult,
is a survived child”. The primary goal of a child health care, however, is to prevent the major causes of dea
th, difficulties, and disease during childhood: accidental injuries, infections, educational and behavioral pro
blems. In most pediatric hospitals especially in the Philippines, there has been little research that has expl
ored what children think about hospitals and how, as patients, they experience them. The physical charact
eristics of the different spaces provided for children within different hospital settings; the kinds of social int
eractions and health care practices that are facilitated or prohibited in those spaces; children’s use of differ
ent spaces in hospitals and the meanings and values that they attribute to them; and the extent to which a
ge, gender or medical conditions work to vary children’s perceptions and use of different spaces in hospita
l.
Children need special care and treatment in terms of healthcare. Children are not like little adul
ts. The need for a specialized hospital for pediatric care is imperative. The children’s hospital must have a
different approach to hospital architecture than any normal hospital. In this case, it is quite important to ma
rry the visual perception to the complex functionalities of the hospital program. Architecture affects childre
n. The quantity and quality of space both affect the behavior of the child. A hospital should also provide me
ntal comfort not just for the patients but to the parents and must also look into palliative care. During those
fragile times, it is important to encourage the parents to tighten the family bondage.
Introduction
The healing characteristics of healthcare environments have been ignored for a long time. Medicine was s
een as a self-sufficient subject in curing disease. However, new evidence has revealed that other areas, s
uch as hospital design, also contribute to the healing process. In Children’s hospital case, the hospital desi
gn became especially important because children are in a singular condition of learning and interact with t
he world around, requiring specific activities for a normal development. Thus, hospital design should offer
a homely comfort while bringing the outside facilities (school, playground areas, social rooms, etc.) to the i
nside. In relation to hospital typology, there is an increasing emergence of hospital new concepts concerni
ng decentralization. Although, academic hospitals seem to offer a unique set of services that will continue t
o be competitive in the future.
Region VI (Western Visayas) has a total population of 4, 477, 247 as of August 1, 2015 and a
population growth rate of 1.36 based on data gathered from 2000- 2015 censuses. The province of Capiz
has a total population of 761, 384 (PSA). Panay News (September 2018) cited on their web page that the
rate of childhood mortality in Western Visayas is high, according to the Department of Health (DOH). It cite
d the results of the 2017 National Demographic and Health Survey (NDHS) conducted by the Philippine St
atistics Authority (PSA); 31 percent of 1,000 pregnancies of at least seven months duration are stillbirths,
33 percent of 1,000 live births do not reach their first month of life, 38 percent die before their first birthday,
46 percent of children die before reaching their fifth birthday.
Introduction
According to DOH Region 6, these results were higher than the national childhood mortality rate of 22 per
cent for under-five mortality, 21 percent for infant mortality, and 14 percent for neonatal mortality. Neonatal
mortality refers to children who die before their 28th day while infant mortality refers to those who die befor
e they reach one year old. DOH-6 director Marlyn Convocar cites that the survey results were presented t
o stakeholders during a regional dissemination forum held at a hotel here recently. The figure placed West
ern Visayas among the top three regions in the country with the highest under-five mortality. They reviewe
d common causes of neonatal, infant and under-five children deaths in the region and these were pneumo
nia, prematurity and septicemia. These showed that health practitioners should be on alert each time an u
nder-five child with cough, fever and cold, which could lead to pneumonia, seeks consultation in their healt
h facility. The 46 percent data was a far-cry from the data they gathered where only 13 percent of every 1,
000 live births die before reaching five years old.
“We should give extra care and follow-up these children. This is really a wakeup call, “We sho
uld equip our people with training, provide medicine, equipment and appropriate facilities to respond to the
needs of patients,”” she added.
Introduction
This study suggests not only a correlation space-healing progress, but also space-life progress, giving hos
pitalized people the opportunity to carry on with their lives, without an abrupt interruption. It is time to think
that all people deserve a positive life experience, even if they are struggling.
It is in the premise that the researcher has decided to propose a Pediatric Hospital, a logical s
olution to the necessity of healthcare and treatment of children in the Province of Capiz and neighboring pr
ovinces which is specialized in dealing with the development, care, and diseases of infants, children, and
adolescents. This to provide a Pediatric Hospital that creates an environment for curative treatment and p
alliative cure for the children by not just addressing the various healthcare functionalities but also adapts a
n actual, long lasting typology, to offer a good life quality environment for hospitalized children, while contri
buting to their medical recuperation.
Objectives of the Study
General Objective:
Generally, this study aims to design a Pediatric Hospital that will benefit the Province of Capiz and other n
eighboring provinces.
Specific Objectives:
Specifically, this study aims to:
1. To design a Pediatric Hospital based on a Wellness Concept that concerns about the healing power of
nature, such as natural light, ventilation and outside views.
2. To design a Pediatric Hospital that offers a homely comfort while bringing the outside facilities (school,
playground areas, social rooms, etc.) to the inside.
3. To design a Pediatric Hospital that approaches a building typology where orientation is simplified and
ensures that the place is less daunting through the presence of trees and application of the typical house
image as exterior concept.
Concept
The idea of making the hospital look and feel like home is very important
for the healing process of children.
Concept

BUILDING FORM
Concept
PASSIVE COOLING
NATURAL LIGHTING

NATURAL ENVIRONMENT

BUILDING FORM
Wellness and Healing Environment
The term healing environment encompasses the ideology that the built environment “can make a differenc
e in how quickly the patient recovers from or adapted to specific acute and chronic conditions” (Dijkstra 20
06). Healthcare facilities that are designed to be healing environments have been shown to be beneficial
in ways such as reducing patient anxiety, blood pressure, postoperative recovery time, use of pain medica
tion and length of stay (Ulrich 1999, Cama 2009).

Two key aspects of creating healing environment’s and emotionally supportive designs:
-The first key idea includes the use of nature in the design of healthcare facilities to support healing
through the use of positive distraction and connection to nature.
-The second key idea includes the focus on the acoustic environment of healthcare facilities to support
healing through reducing environmental stressors.
Wellness and Healing Environment
Connection to the Natural World:
The effect of natural daylight on the healing process.
Wellness and Healing Environment
Incorporating views of nature
Views of nature such as vegetation and water have been shown to “sustain interest and
attention more effectively than urban views.”
Design Concept: Wellness and Healing Environment
Incorporating views of nature
Wellness and Healing Environment
Incorporating views of nature: Water Features
Wellness and Healing Environment
Incorporating views of nature: Water Features
Wellness and Healing Environment
Direct Exterior Access for Patients
Direct contact with nature during a patient’s stay has been shown to have a greater impact
on physical symptom relief, stress reduction and patient’s sense of self.
Wellness and Healing Environment
Direct Exterior Access for Patients
Wellness and Healing Environment
Direct Exterior Access for Patients
Wellness and Healing Environment
Direct Exterior Access for Patients
Wellness and Healing Environment
Acoustic Environment
On reducing sound throughout the healthcare facility through means such as sound- absorbing
ceiling tiles were met with positive outcomes. The use of a sound-absorbing ceiling in a study on
patients admitted to an intensive coronary care unit reported that the re- hospitalization rate and
need for extra pain medication increased in the group that had bad acoustics in their recovery room
(Hagerman et al 2005). Acoustic Environment attempts to reduce the noise levels in healthcare
facilities that previous studies have shown to be universally supportive to patients’ emotional and
physical outcomes.
Wellness and Healing Environment
Acoustic Environment
Wellness and Healing Environment
Acoustic Environment
Wellness and Healing Environment
Acoustic Environment
Wellness and Healing Environment
Acoustic Environment
MAJOR FACILITIES
Palliative Care Unit
Intensive Care Unit
Interior Features
In- Patient Private Room
In- Patient Ward
Operating Room

Waiting Area
Public Lounge/Lobby
Incorporating facilities from the outside as additional spaces for the
Pediatric Hospital.
Learning Center
Children’s Library
Children’s Playground
Therapeutic Gardens and Water Features
Sports/Activity Center
Chapel
Social Rooms (Patients and Parents)
Café/Shops
Children’s Learning Center
Children’s Learning Center
Children’s Library
Children’s Library
Children’s Indoor Playground
Children’s Indoor Playground
Indoor Sports Facility
Chapel
Therapeutic Gardens/Courtyards
Therapeutic Gardens
Café/Restaurants/Shops
Café/Restaurants/Shops
Café/Restaurants/Shops
BUILDING UTILITIES
FIRE SAFETY MANAGEMENT

SPRINKLER FIRE
FIRE ALARMS SMOKE DETECTORS
SYSTEM EXTINGUISHER
 Fire Extinguisher
Fire Extinguisher: Class A
Floor Area (sq. ft.) / 6,000 sq. ft.
155 ft. x 470 ft. = 72,850 sq. ft./ 6,000 sq. ft.
=12. 14 or 13 Class A Fire Extinguisher
Must not exceed 75 ft. travel distance.
Class B
Floor Area (sq. ft.) / 6,000 sq. ft.
155 ft. x 470 ft. = 72,850 sq. ft./ 6,000 sq. ft.
=12. 14 or 13 Class B Fire Extinguisher
Must not exceed 30 ft. or 50 ft. travel distance.
Class C
Required where energized electrical equipment can be encountered. An extinguisher is rated Class
C in addition to a Class A or B, so you would follow the distance requirements for either the Class A
or Class B hazards.
Class D
Required in areas where there is a potential for fires involving combustible metals. Class D rated port
able fire extinguishers should not be placed more than 75ft of travel distance from the hazard.

Class K
Required where there is a potential for fires involving combustible cooking media (vegetable or anim
al oils and fats). They should not be located further than 30ft from hazard.
Fire Extinguisher
Fire Extinguisher
Emergency Rescue Systems
Escape Rescue Standard System
Emergency Rescue Systems
Escape Rescue Standard System
Emergency Rescue Systems
Escape Rescue Lite System
Sewerage Treatment Plant
Waste Management System
Segregation Garbage Chute
Waste Management System

Sharp & Disposable

General Waste Infectious Waste
Waste
Waste Management System
Segregation Garbage Chute

- All doors are electronically locked at any given time.

- User selects "Dry" or "Wet" options on selection panel next to door
Chute converts to respective mode "Dry" or "Wet" by rotating flap door in the garbage
room
- Only door where selection is made is unlocked and Garbage bag goes into respective
trolley.
- Meanwhile all other doors are electronically locked flashing "Busy" indicator.
- Once the door is closed system is reset for next use.
- Total change over time of 10 seconds
Ramps
Ramps