Healthcare in Chad Outlines for a Community Hospital January 2013

1. Healthcare in Chad Outlines for a Community Hospital January 2013

2. Economic Profile Area 1,284,000 sq km, Arable 2.8% GDP $ 21.34 billion, Growth 7.3% Population 10,975,648, Urban 28% Growth 1.98%, Birth 38.7, Death 15.16 GDP $1,653 per capita, Below Poverty 80% Labor 4,293,000, Exports $ 5 billion Literacy 34.5%, Unemployment NA% https://www.cia.gov/library/publications/the-world-factbook/geos/cd.html

3. Payors in Africa Less than $ 4 per Capita The Business of Health in Africa, IFC, World Bank Group

4. Healthcare Profile GDP on Healthcare 7% Life Expectancy 49 Fertility Rate/1000 4.9 Infant Mortality/1000 93 HIV/AIDS Patients 3.4% No of Physician/1000 0.04 No of Nurses & Midwives/1000 0.28 Hospital Beds/1000 0.72 In 1987 Chad had 4 hospitals, 44 smaller health centers, 1 UNICEF clinic, and 239 other clinics https://www.cia.gov/library/publications/the-world-factbook/geos/cd.html http://www.nationmaster.com/country/cd-chad/hea-health http://www.unicef.org/infobycountry/chad_statistics.html

5. Healthcare Soft Resources Chad 0.04 0.28 0.32 The Business of Health in Africa, IFC, World Bank Group

6. Healthcare Outlines Public Healthcare Public health care expenditures were estimated at 2.9% of GDP 2004, estimated 3 physicians, 15 nurses, and 2 midwives per 100,000 people Maternal and Child Maternal mortality rate is 1200 per 100,000 births Under 5 mortality rate, per 1,000 births is 209 Neonatal mortality of under 5's mortality is 22 only 4% of married women (ages 15 to 49) use any form of contraception Endemic Diseases The most common diseases are schistosomiasis, leprosy, malaria, spinal meningitis, tuberculosis, and yaws, as well as malnutrition One year children: 21% diphtheria, pertussis, and tetanus, and 30% measles 2000, 27% had access to safe drinking water and 29% had adequate sanitation HIV/AIDS 2003, prevalence was 4.80 per 100 adults 2004, there were approximately 200,000 patients 2003, Estimated 18,000 deaths from AIDS http://en.wikipedia.org/wiki/Health_in_Chad

7. Healthcare Challenges Malnutrition is ever Present Food Aid Programs Global Aid Programs Widespread Poverty Poverty Reduction Global Development Targets Poor Health Network Reach out Service Restructure and Develop Assets High Child Mortality Rate Diverse Intervention Preventions & Treatments Capacity Building Training Programs Nursing, Midwifery and Technicians The future of healthcare in Africa, A report from the Economist Intelligence Unit, sponsored by Janssen

8. Proposed Hospital Layout Labs/Morgue A Socio-Ecological Approach & a Self-Sustained Facility Plot 17,000 m2 120 x 140 m Porch GBA 4000 m2 Emergency OP Clinics Porch General Ward Porch Wet Porches 1000 m2 Pediatrics Ward Wet Beds 170 Porch Bed Gross @ 30 m2 Administration Theater Gynecology Ward Wet 8 Clinics / 1 Theaters Const Cost $ 2.5 mln EPC @ $ 500/m2 Cardio Ward Wet Non Medical FF&E Cost $ 3.5 mln Porch VIP Ward Bed Cost $ 35,000 Cost of Medical Equipments is covered by Donations

9. Proposal Outlines