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Training the head maintenance engineer at Bhutan’s national referral hospital how to anchor heavy equipment (in this case an autoclave), to prevent toppling during an earthquake.

Bhutan Hospital Assessment Reports

Report on Jigme Dorji Wangchuck National Referral Hospital, Bhutan

Report on Trashigang District Hospital, Bhutan

Report on Trashiyangtse District Hospital, Bhutan

Assessing Hospitals for Post-Earthquake Function in Bhutan


When a big earthquake strikes Bhutan, there will be great demand for medical care. But a hospital may be crippled without power, water, medical gas, communication, and transportation. Equipment may break and be rendered useless. Staff and patients may be injured by falling debris.


We're helping Bhutan's Ministry of Health plan ahead for these damaging impacts, so that the National Referral Hospital and two district hospitals will be safe and ready to function. 


We prioritized short-term and long-term steps to safeguard the hospitals. We found that even the newer facilities need back-up utilities. While many of the main medical buildings meet recent seismic safety codes, a number of other buildings do not--and those need seismic strengthening. (Link to the reports at left.)

For an immediate boost in readiness, we trained hospital engineers to anchor and brace essential equipment. And we prepared staff and medical personnel for hazards they will encounter. 


Hospital administrators and the Ministry of Health now have a detailed roadmap for action. Work is underway on near-term improvements, though it may take years to replace older, seismically vulnerable buildings. 

We were engaged by World Health Organization (WHO) for these assessments, with support from the European Commission Humanitarian Aid and Civil Protection.

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