Hai Tiseen Primary Healthcare Center, Taheem Province, Iraq: Sustainment Assessment

摘要

On 15 December 2008, SIGIR performed an on-site assessment of the $465,015 Hai Tiseen PHC project. Due to security concerns, the time allotted for the site visit was approximately 30 minutes, and access to the roof was prohibited; therefore, a complete review of all work was not possible. SIGIR found that the requirement to formally document all deficiencies with estimated completion dates during the pre-final inspection was not fulfilled. The project file lacked a pre-final or final inspection of the PHC. The file did contain a 19 July 2007 note, which stated that 'x-ray machine will be installed later.' SIGIR's site visit confirmed that the contractor corrected this deficiency. However, SIGIR noticed that the x-ray room's exterior doors and darkroom door appeared to be standard wooden doors, not the lead-lined doors required by the design. The contractor had delivered and connected the x-ray equipment but did not verify that the equipment was operational. Also, the facility's staff does not have the technical capability to operate the x-ray equipment; consequently, the facility cannot offer any x-ray services. Finally, one of the two installed dental chairs appeared to have a plugged drain and was not operational. The walls above the support beams over the portico to the building had vertical cracks that aligned with the support beams below. The area engineer was aware of this issue. The solution was to use two reinforced concrete columns beneath the free ends of the support beams. SIGIR did not observe any other noticeable signs of structural failure or distress. The primary reinforced concrete structural members that were visible did not show any indicators of failure. The floors appeared even and level, and there were no apparent signs of settlement or displacement. During the site visit, SIGIR observed doctors attending to patients and pharmacists dispensing medication. The PHC facility serves approximately 200 patients daily.