ASFA Physiotherapy & Rehabilitation Centre, Muganza, Nyaruguru District
Make a Differene 4 Africa (MAD 4 Africa)
+44 7876 352 827
This area is extremely poor and has many disabled children and adults. Early intervention for children is crucial to maximise function and facilitate independence and avoid lifelong poverty. We have been working in the area since 2014 and have data to support these claims. We see children with developmental delays and disabilities including cerebral palsy, club foot, Down’s Syndrome, genu valgum, autism, developmental delay and many congenital syndromes. Adult present with lim deformities, lower back pain, stroke amongst other conditions.
We work to deliver sustainable grassroots projects in healthcare and education in partnership with local communities.
The land is owned outright by the sisters and our charity has pledges from a number of donors including one major donor to build the centre. Funds to build the centre will be transferred once the final budget has been approved. Approx. budget is GBP£70,000 however there is ability to fund raise beyond this level if required by approaching a family foundation known to be interested in this project.
We work in partnership with Les Sœurs Pénitentes de Saint François d'Assise au Rwanda (a Rwandan order of sisters working in education and health with a particular focus on disability). They hold the title to the land where we propose to build our new physio centre.
Yes. We have accommodation and catering available in our main building, ASFA Centre which is adjacent to the site.
• 3 rooms of 5/6 children per room.
• Each dormitory room to have one single bedroom attached for one carer with en-suite.
• 1, 2 or all 3 rooms to interconnect to maintain flexibility.
• Bedrooms will be grouped by age with one bedroom for older children (adult single bed size) and two bedrooms for smaller/younger children (smaller children’s beds)
• 1 additional detached (or sound proofed) bedroom to accommodate 2 complex needs children and 1 carer so not to wake other children/carer’s at night)
• 1 large storage cupboard for linen per room.
• 1 cupboard per child for personal belongings.
• Small reading corner/play area in each room
• 1 detached room/studio with one bedroom, bathroom (shower/toilet) small kitchenette and a living room for 5 people where the off duty carer can sleep and where carer’s can relax – a place to call home ☺
• Toilet and bathroom facilities for children (possibly shared access from all bedrooms?)
• 1 x large hall/therapeutic exercise room (approx. 10m x 12m) with large walk-in storage cupboard for physio equipment with shelving. A large external physio store exists at the north elevation to the main building which will remain.
• 4 consultation rooms – 2 inpatients and 2 outpatients (min. 3m x 3m per room) with space for 1 therapy couch, 1 desk , 2 chairs and a filing cabinet.
• At least one inpatient consultation room to be accessed off the main hall.
• Outpatients waiting area for 10 outpatients – 6 m x 5m inc. reception area. This does not have to be a separate room.
• 1 adult outpatients exercise area/room (could be part of the main physio hall area?)
• 1 large kitchen to be located to the western end of the site behind the external physio store. Kitchen to be split into 2 kitchen areas – one for inpatients and one for ASFA Centre.
• Inpatient dining area – one large table and perhaps some smaller tables for younger children.
• The dining area can be an open, flexible space but needs to be closed off during rainy periods and for cleaning.
• Outdoor café for ASFA Centre guests off ASFA Centre kitchen.
• Laundry for ASFA Phsyio near dormitories
• Staff/visitor toilet (septic)
• Car drop off point for patients/equipment at main entrance
• 2 car spaces (can be to side of ASFA Physio)
• 2 (1 male and 1 female) pit latrines away from the building i.e. down the hill
• Septic tanks (located down hill)
• Lightening conductor (rod)
• 10k new water tank near laundry/bathrooms
• Veranda to north elevation over looking valley
• Outdoor sensory garden/play area
ASFA Centre car park
• Move main drop off point (currently in front of the main building) to rear (south) of main building. Land in front of main building to be given over to gardens/recreational space. Land to rear of main building will need to be excavated by approx. 1m to allow for new 6 car park cars. Retaining wall to be erected to secure land.
See uploads but in short....
1. ASFA Centre refers to the existing building and ASFA Physio refers to the new building. Both sites are serviced by a dirt road.
2. Electricity is available.
3. Water for bathrooms/toilets comes from the mains water supply during periods of low rainfall. The mains tap for ASFA Physio is located on the southern (road) elevation approx. 10 m from the west boundary.
4. Tank water can be used when rainfall is high. Water from the bathrooms go into septic tanks (need to be installed into ASFA Physio).
5. The kitchen will use mains water but will needs a water tank close by in case of low rain fall.
6. 1 x 5,000 litre water tank exists near the current inpatient kitchen.
7. Tank water is used for cleaning and drains into a 20m “deep hole” drainage system that dissipates into the ground.
8. One lightening conductor (rod) exists to the east of the main building. However, we think one more may be needed to cover the new building towards the eastern boundary of ASFA Physio.
9. It rains a lot in Rwanda so the veranda needs to have a good-sized canopy (perhaps on both sides of the building?) for shelter.
10. Corridors and doorways need to be suitable for disabled children/adults.
11. ASFA Physio will be used 24 hours a day with the main activity from 7 am - 8pm.
12. Maximum 20 children and 5 carer’s will live on site with outpatients and additional staff visiting on a daily basis during work hours (8am – 6pm)
13. The new kitchen area can be shared but should have separate sections for ASFA Physio and ASFA Centre.
14. ASFA Centre kitchen needs to cater for up to 100 people (daytime conferences).
15. ASFA Physio kitchen max 20 children/5 carers.
16. ASFA Physio needs its own laundry (ASFA Centre already has a basic laundry)
17. Our local partners required that the building is classified as a “permanent structure” i.e. walls should be brick not mud, floors should be cement not mud, roof must be metal/tin, foundations must be stone.
18. Hygiene is of paramount importance so floors should be seamless, smooth and impervious (if at all possible) as per health sector standards.
19. ASFA Physio needs to look compatible with ASFA Centre as they are part of the same site.
20. This project brief is not conclusive – rather a work in progress!
ASAP! Our local team are working in very cramped conditions and we need a proper building in order to become accredited by the authorities. Once we become accredited healthcare providers we can accept patients health insurance cards which in turn would enable the project to become sustainable.
We are ready to excavate and would love to finish as much of the project as possible before the long rainy season in March. (Rwanda has a long rainy season that lasts from about March to May, when the rain is heavy and persistent - building typically stops during this time. Then from June to mid-September is the long dry season. October to November is a shorter rainy season and it's followed by a short dry season from December to February).