Guidance

Note
Pre-triage/screening facilities in light of COVID-19

In light of COVID-19, all facilities offering healthcare services are recommended to have additional screening
measures in place to ensure proper and timely identification of potential COVID-19 patients. In some cases, this
can result in the construction of new pre-triage/screening spaces in close proximity to the existent medical facility.
To support partners in a timely implementation, the Health and Shelter/NFI Sectors have developed a sample
design, bill of quantity (BoQ) and estimated price for a pre-triage/screening bamboo and tarpaulin structure.
Additional layouts based on the same structure are also provided to adapt the space depending on needs. Partners
can fully adopt the detailed design and BoQ, adapt part of it or develop their own designs based on space, needs
and available resources.
In case of partners designing pre-triage/screening new facilities, the following design principles based on Health
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Sector recommendations should be followed:
! It is recommended that there be a specific one-way entrance to the health facility, only for in-coming
persons. A specific exit should be in place through which only those exiting the facility should leave through
(including staff and visitors);
! Entrances and exits to be clearly marked;
! Patients and visitors should enter the facility, stay in the waiting area until called for medical screening, and
upon assessment by the medical staff proceed either to the medical facility, to the temporary isolation
room or exit the facility. Separate routes should be established for patients in temporary isolation to leave
the facility and be transferred;
! In the waiting area, persons must be kept 1 meter (3’ 4”) from one another. It is suggested to set up chairs
with 1 meter (3’ 4”) between them or clearly mark the distance on benches;
! Hand washing facilities should be in place at the entrance and exit of the facility, in proximity of the
screening desks and in the “filter” space between “clean” and “dirty” areas;
! The screening area should separate the medical staff and the in-coming persons by a minimum of 1-meter
(3’ 4”) distance; the screening area should overlook the waiting area as well as the entrance;
! If possible, the facility should include a space to temporarily isolate patients with severe conditions waiting
to be transferred to other facilities. This space should be treated as “dirty” and divided adequately from the
rest of the facility, and should include beds or at least separated sitting area;
! The facility must be well ventilated but windows should be avoided. It is recommended to use ventilation
lattice (garenja or similar) on top of walls (1’ to 2’);
! It is preferable to build wall fencing and internal partition with tarpaulins and bamboo as support, as
internal surfaces need to be washed frequently;
! The flooring should made of a hard surface easy to clean (i.e. cement screed);
! Health workers should have access to a safe space to put their personal belongings and medical equipment;
! The structure must be in a safe location, structurally safe, well braced, tied down and ventilated. Where
possible, bamboo should be kept out of the ground. Accessibility for PWD must be guaranteed. For more
guidance on design standards consult the Shelter/NFI Sector guidance on designing and upgrading
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community structures and design principles in the Technical Guidance for Mid-Term Shelters ;
! Latrines should be made available in the proximity of the facility and clearly marked;
! Appropriate drainage channels must be installed to ensure water is discharged;
! The Shelter/NFI Sector Coordination Team can provide technical advice and overall support to partners
designing facilities, please contact sheltercxb.tech1@gmail.com for assistance;
! For more information on the Health aspects of the facilities please contact Health Sector Coordination Team
at coord_cxb@who.int;
! Necessary government approvals need to be obtained by the agency/partner managing health facility.

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COVID-19 Patient Screening Principles for all Cox’s Bazar Health Facilities
2
https://www.humanitarianresponse.info/en/operations/bangladesh/document/basic-guidance-strengtheningupgrading-
existing-community and https://www.humanitarianresponse.info/en/operations/bangladesh/document/community-
structures-design-strengthening-guide-5th-apr-2018
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https://www.humanitarianresponse.info/en/operations/bangladesh/document/technical-guidelines-mid-term-shelter-design

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 Pre-triage/Screening Facility - COVID-19 Emergency Response
Bill of Quantities and Estimated Price*

Rate
No Description of Materials Size Quantity Unit Total
(BDT)
1 Main structure
At least 20ft long bottom part of mature big bamboo (Borak and Baijja bansh). At least 3”dia
bottom diameter. Bottom wall thickness at least 3/4". Max. 6” bend across a pole, and minimal
1.1 Bamboo post (treated borak) 22 nos 510 11220
zigzag along the length of the pole. Cut in the dry season and has been treated. No insect
damage. No cracks, no split.
1.2 Bamboo wall bracing (treated borak) As per 1.1 14 nos 510 7140
1.3 Bamboo bottom beam (treated borak) As per 1.1 7 nos 510 3570
As per SNFI Sector Footings catalogue, include bolts, washers and nuts. Must be painted with
1.4 Metal footings 27 nos 750 20250
two layers of red oxide primer.
Sub Total 42180
2 Roof structure
2.1 Bamboo corner, side and ridge rafters (treated borak) As per 1.1 12 nos 510 6120
2.2 Bamboo wall plate (treated borak) As per 1.1 11 nos 510 5610
2.3 Bamboo cross beam and bracing (treated borak) As per 1.1 12 nos 510 6120
2.4 Bamboo for corner, side and top (treated borak) As per 1.1 10 nos 510 5100
At least 14ft long, mature bamboo (Muli, Ora, Dolu, Talla, Pencha, Mittinga/Mita bansh). Cut in
2.5 Muli bamboo for top rafter and purline 136 nos 45 6120
dry season. No insect damage. No cracks, no split.
Sub Total 29070
3 Roof cover
4m x 6m +/-1 %. Weight: 190g/m² ± 20g under ISO 3801. Colour: preferably white or blue/grey,
3.1 Tarpaulin for roof cover sun reflective on both sides. Inner black fibres to ensure opacity. UNHCR approved standards or 6 nos 1400 8400
similar specifications as Red Cross or UNHCR.
3.2 Muli bamboo for tiara cover As per 2.5 115 nos 45 5175
Sub Total 13575
4 Walling
4.1 Tarpaulin for external walls As per 3.1 3 nos 1400 4200
4.2 Muli bamboo for tiara external walls As per 2.5 100 nos 45 4500
4.3 Muli bamboo for garenja external walls As per 2.5 89 nos 45 4005
4.4 Muli bamboo for internal partition walls As per 2.5 116 nos 45 5220
4.5 Tarpaulin for internal partition walls As per 3.1 3 nos 1400 4200
Sub Total 22125
5 Door and windows
5.1 Muli bamboo for 3 internal doors As per 2.5 52 nos 45 2340
5.2 Muli bamboo for 4 external doors As per 2.5 92 nos 45 4140
5.3 Padlock Durable padlock with 2 keys 6 nos 125 750
5.4 Chain Cast iron chain (min. 2") 6 nos 80 480
Sub Total 7710
6 Fitting, fixing, tie-down
Polypropylene or similar, diameter: 3mm. Preferred colour: black/ blue/ dark green. Woven
6.1 3mm polypropylene rope 9 kg 120 1080
with 2 or 3 strands, with the possibility of being unravelled.
Polypropylene or similar, diameter: 6 mm. Preferred colour: black /blue/ dark green. Woven
6.2 6mm polypropylene rope 11 kg 120 1320
with 2 or 3 strands, with the possibility of being unravelled.
6.3 Soft rope/plastic tie rope PVC Rope: 1 bundle is approximately 60mt long. 5 bundle 50 250
6.4 GI wire Low carbon steel, hot dip galvanised tie wire 18 gauge (1,02 mm) 11 kg 110 1210
6.5 Jute bag Jute or geo textile bags 38 in x 22 in or 100cm x 55cm (50kg bags) 14 nos 40 560
Sub Total 4420
7 Cement screed flooring (3"; 1:4) and plinth (2"; 1:4)
1st Class bricks, standard size 9.5”x4.5”x2.75”, well burnt but not over burnt, well moulded,
7.1 Brick 1408 nos 12 16896
sharp edges, proper shape, red colour
7.2 Sand Clean, minimum 1.2 FM 277 cft 30 8310
7.3 Cement Portland Composite Cement (Equivalent to: Lafarge/ Ruby/ Seven ring Gold) 37 bag 500 18500
Sub Total 43706
8 Manpower
8.1 Labour for shelter making 200 man-day 400 80000
8.2 Labour for materials carrying, night guard 40 man-day 400 16000
Sub Total 96000
Total 258786
Total cost (BDT) 258786
Total cost (USD) 3050

*BoQ and estimated price for the building structure, not including furniture, medical equipment, provision of electricity and water, site preparation and accessibility to be quoted on a case-by-case basis