弹性、绿色和包容性卫生设施：规划、设计和运营指南（英）2025

Health Facilities Guidance on Planning,Design, and Operation 2025 International Bank for Reconstruction and Development / The World Bank1818 H Street NW, Washington, DC 20433Telephone: +1-202-473-1000; Internet: www.worldbank.org Some rights reserved. This work is a product of the staff of The World Bank and the Global Facility for Disaster Reduction and Recovery (GFDRR). The findings, interpretations, and conclusions expressed in thiswork do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy, com-pleteness, or currency of the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use ofor failure to use the information, methods, processes, or conclusions set forth. The boundaries, colors, denominations, and other information shown on any map in this work do not imply anyjudgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved. Attribution.Please cite this work as follows: World Bank.Resilient, Green and Inclusive Health Facilities: Guidance on Planning, Design and Operation (English). Washington, D.C.: World BankGroup. Credits: The World Bank Group. Translations.If you create a translation of this work, please add the following disclaimer along with the attribution:This translation was not created by The World Bank and should not beconsidered an official World Bank translation. The World Bank shall not be liable for any content or error in this translation. Adaptations.If you create an adaptation of this work, please add the following disclaimer along with the attribution:This is an adaptation of an original work by The World Bank. Views andopinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by The World Bank. Third-party content.The World Bank does not necessarily own each component of the content contained within the work. The World Bank therefore does not warrant that the use of anythird-party-owned individual component or part contained in the work will not infringe on the rights of those third parties. The risk of claims resulting from such infringements rests solelywith you. If you wish to reuse a component of the work, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright owner.Examples of components can include, but are not limited to, tables, figures, or images. All queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA;e-mail: pubrights@worldbank.org Design and layout: ULTRA Designs, Inc. Table of Contents 3.0DESIGN34 Acknowledgments3 3.1Site and external environment363.2Building design, structure, and materials393.3Building services433.4Finishes, fixtures and equipment453.5Construction considerations in design473.6Operations and maintenance considerations in design48Case Study:Tambacounda Hospital, Senegal49Case Study:Ng Teng Fong General Hospital / Jurong Community Hospital (NTFGH-JCH),Singapore50Case Study:Elbistan State Hospital, Türkiye51 Acronyms4About This Guidance5How This Guidance Is Organized6 1.0INTRODUCTION7 1.1Background81.2Objectives81.3Intended Audience101.4Scope of Guidance101.5Overview of Key Concepts12 2.0PLANNING16 4.0OPERATION52 2.1Defining value and setting objectives172.2Considering context, service area, and wider network182.3Selecting and assessing a site202.4Identifying regulatory requirements222.5Facility master planning and programming232.6Financial considerations262.7Preparing for the design phase28Case Study:Maternal Center of Excellence, Sierra Leone31Case Study:Nyarugenge District Hospital, Rwanda32Case Study:Ghana Infectious Disease Center, Ghana33 4.1Commissioning534.2Operational policies and plans554.3Monitoring and maintenance58Case Study:Health Clinic Upgrades, Togo60Case Study:Kurashiki Central Hospital, Japan61Case Study:Cicendo National Eye Hospital, Indonesia62Case Study:Culebra Community Health Center, Puerto Rico63 5.0CONCLUSION AND SUMMARY TABLE64 APPENDICES BOXES Appendix AHealth Facility Measures70Appendix A.1Resilience Measures by Hazard Type71Appendix A.2Catalog of Green Building Measures83Appendix A.3Catalog of Universal Accessibility Measures95Appendix BTools and Resources102Appendix CKey Questions104Appendix DGlossary of Terms110 Box 1Applying the World Bank’s GRID Approach to Health Facilities8Box 2Why invest in resilient, green, and inclusive health facilities?10Box 3Who are