1. Hospital Albert Schweitzer Case Study

2. CASE STUDY 1- HOSPITAL ALBERT SCWEITZER, ARTIBONITE VALLEY, HAITI ENVIRONMENTAL SYSTEMS REHABILITATION PROJECT

3. BACKGROUND HAS FOUNDED 1954 DR. AND MRS. MELLON ARTIBONITE VALLEY, DESCHAPELLES, HAITI 120 BED HOSPITAL COMPLETE ENVIRONMENTAL SYSTEMS 620 SQUARE MILE AREA SERVES CLOSE TO 300,000 PEOPLE -2004

4. BACKGROUND HAITI 7.5 X 10 6 PEOPLE IN HAITI – 2004 MEDIAN AGE 18, LIFE EXPECT. 50 $300 US PER CAPITA PER YEAR 98% DEFORESTED 80% ABJECT POVERTY WATER QUALITY, FLOODING POLITICAL INSTABILITY

5. HAS WATER SUPPLY LES FORGES WATERSHED SPRING BOX COLLECTION SYSTEM APPROX. 2K OF STEEL WATER LINE 75 GPM WATER SUPPLY FOR HOSPITAL AND CAMPUS MULTIPLE WATER TAPS THROUGH THE WATERSHED TO SERVICE COMMUNITY

6. Hospital Albert Schweitzer 1994 Annual Report - “HAS views the protection and improvement of the environment as critical to the health and well-being of communities……”

7. HAS Environmental Systems September 1995 - Engineering employee identifies several areas of potential contamination and mismanagement of chemical wastes disposal 10 page “white paper analysis is developed” and submitted to the board of directors suggesting that action is needed….Hettich Report

8. HAS Environemental Systems January1996 - HAS hires engineering consultant for environmental feasibility study February 1996 - Onsite 2-week visit is made to evaluate existing systems and prepare report –preliminary handwritten evaluation is left with hospital administration

9. HAS Environmental Systems May 1996 - Feasibility study completed with conceptual evaluation and definition of specific problems, priority rankings, decision matrix, and preliminary cost estimates…..Berdanier Report Dollar values are developed for materials based on US$ for current projects. Equipment and Man hours are estimated.

10. HAS Environmental Systems June 1997 - Owner completes economic analysis, cost/benefit analysis, and identifies partial funding source (Swiss Government International Assistance) June 1997 - Owner authorizes further study with more detailed cost estimates and tentatively plans to go ahead with project contingent on developing funding package

11. HAS Environmental Systems July 1997- Owner hires engineering consultant to finish detailed proposal, cost estimates, etc. –Swiss Govt. and HAS request international expert on hospitals in developing, tropical countries to assist consultant in developing cost –August 1997 - consultant finishes detailed proposal, cost estimates and project prioritization construction…Berdanier/Beck

12. HAS Environmental Systems September 1997 - Owner begins finalizing funding package June - 1998 - Authorization for final design September 1998 – Initiate Construction June 2000 Construction Completion June 2003 Feasibility study for Hospital Addition June 2003 Wastewater Treatment Expansion