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About IUSS

This website is the repository for documents and tools developed under the Infrastructure Unit System Support - IUSS - project, an initiative of the National Department of Health, under leadership of Dr Massoud Shaker and Mr Ndinannyi Mphaphuli. The purpose of the documents is to provide guidance to improve healthcare infrastructure delivery.


IUSS voluntary standard/ guidance documents have been prepared as national Guidelines, Norms and Standards for the benefit of all South Africans. They are for use by those involved in the procurement, design, management and commissioning of public healthcare infrastructure. Many have been made mandatory via gazette and are clearly marked with this status on the front cover and in footers on each page. IUSS material may also be useful information and reference to private sector healthcare providers.

Use of the guidance does not absolve professional responsibilities of the implementing parties, and it remains incumbent on the relevant authorities and professionals to ensure that these are applied with due diligence, and where appropriate, deviations processes are exercised.

Gazetted guidelines are for public reference information and for application by Provincial Departments of Health in the planning and implementation of public sector health facilities. The gazetted guidelines will be applicable to the planning, design and implementation of all new public-sector building projects (including additions and alterations to existing facilities). Any deviations from the voluntary standards are to be motivated during the Infrastructure Delivery Management Systems (IDMS) gateway approval process. The guidelines should not be seen as necessitating the alteration and upgrading of any existing healthcare facilities.

Development process

The development process initiated in 2010 was to consolidate information from a range of sources including local and international literature, expert opinion, practice and expert group workshop into a first level discussion status document. This was then released for public comment through the project website, as well as national and provincial channels. Feedback and further development was consolidated into a second level development status document which again was released for comment and rigorous technical review. Further feedback was incorporated into proposal status documents and formally submitted to the National Department of Health. Once signed off, the documents were gazetted.

Documents and tools have  been assigned a version number and date. The National Department of Health will establish a Health Infrastructure Norms Advisory Committee, which will be responsible for the periodic review and formal update of documents and tools. Documents and tools should therefore always be retrieved from the website repository www.iussonline.co.za or Department web portal (forthcoming) to ensure that the latest version is being used.

Updating is currently limited to quarterly cost models updates only. Feedback is welcome and updates will be posted if these become available.


IUSS Norms and Standards were developed with extensive input from numerous individuals and the contributions are appreciated and noted in individual publications.

Privacy Policy

Your Privacy

Your privacy is important to us. To better protect your privacy IUSS Online is providing this notice explaining our online information practices and the choices you can make about the way your information is collected and used.

Use Of Content

The content of this website can be accessed, printed and downloaded in an unaltered or edited form with copyright acknowledged.
You may not modify, copy, distribute, transmit, display, perform, reproduce, publish, license, create derivative works from, transfer content obtained from IUSS Online for the purpose of selling it, or representing it as your own.

By using IUSS Online sites or services, you agree that you may not use any part of such service for any illegal purpose.

Data Submitted by You

You warrant that you have taken all reasonable precautions to ensure that any data you submit to this Website is true and accurate and free from viruses or anything else which may have a contaminating or destructive effect on any part of this Website or any other technology owned/operated by IUSS Online.

Content Submitted by You

This site exists in order to encourage and enable discussion and sharing of knowledge in our industry. As such, any content, comments or opinions submitted by you is done so freely, by your own choice.

Access to this website and content

We will endeavour to allow uninterrupted access to this website, but access to the website may be suspended, restricted or terminated at any time. We reserve the right to change, modify, substitute, suspend or remove without notice any information or service on this Website from time to time.
We assume no responsibility for the content or services of any other websites to or from which this Website has links.

Collection of Personal Information

When visiting IUSS Online, the IP address used to access the site will be logged along with the dates and times of access, as well as each page or post that is visited. This information is purely used to analyze trends, administer the site, track users movement and gather broad demographic information for internal use.  We use Google Analytics to track traffic and the information gathered does not personally identity you.

Recording of Site Activity

It should be noted that your active contributions on the site, namely submitting content, making comments and contacting the IUSS Online team is personally identifiable to you. Your site browsing activity as recorded by Google Analytics is different and separate to your active site contributions.

For example: If John Doe visits the site and he makes a comment. The visit, and the pages viewed are tracked by Google Analytics. However, Analytics does not identify John Doe as the visitor. The comment John Doe makes however, is identified by his name. So over time, if John Doe makes several comments, his comment history is recorded.

What information does IUSS Online collect?

IUSS Online collects information from you when you register on our site, you may be asked to enter your: full name, e-mail address,  your occupation, employer and professional affiliations. This is in order to establish your industry credentials and to maintain a professional standard on the site.

What does IUSS Online use your information for?

Any of the information IUSS Online collects from you may be used in one of the following ways:

  • To personalize your experience
    (your information helps us to better respond to your individual needs)
  • To improve our website
    (IUSS Online continually strive to improve our website offerings based on the information and feedback IUSS Online receive from you)
  • To improve customer service
    (your information helps us to more effectively respond to your service and support needs)

Your information, whether public or private, will not be sold, exchanged, transferred, or given to any other company for any reason whatsoever, without your consent.

Does IUSS Online disclose any information to outside parties?

IUSS Online do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist me in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. IUSS Online may also release your information when IUSS Online believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.

Third party links

Occasionally, at our discretion, IUSS Online may include or offer third party products or services on our website. These third party sites have separate and independent privacy policies. IUSS Online therefore have no responsibility or liability for the content and activities of these linked sites. Nonetheless, IUSS Online seek to protect the integrity of our site and welcome any feedback about these sites.

Commitment to Children’s Privacy

Protecting the privacy of the very young is especially important. For that reason, IUSS Online will never collect or maintain information at our website from those IUSS Online actually know are under 13. IUSS Online is in compliance with the requirements of COPPA (Children's Online Privacy Protection Act). Our website, products and services are all directed to people who are at least 13 years old or older.

Online Privacy Policy Only

This online privacy policy applies only to information collected through our website and not to information collected offline.

Your Consent

By using our site, you consent to our online privacy policy.

Changes to our Privacy Policy

The contents of this statement may be altered at any time, at our discretion. If you have any questions regarding the privacy policy of IUSS Online then you may contact the site administrator.

Terms and Conditions

The content of this and any other site related to IUSS Online (content being images, text, sound and video files, programs and scripts) is copyright © IUSS Online. All rights are expressly reserved.

By joining IUSS Online you do so freely and as such agree to the Privacy Policy and Terms and Conditions of the website. You make your contributions and comments freely and in an honest and professional manner.

We reserve the right to remove content or comments without notice and at our own discretion.

IUSS Online and it’s team and partners are not responsible for reactions to your comments and the results there of. You are accountable for your own actions online as much as you are offline and your conduct should reflect this.

The comments and opinions reflected in the topic discussions are not those of IUSS Online but are those of the commentator. IUSS Online is a place of discussion and while IUSS will take action it deems necessary to keep discussion informative, constructive and professional, IUSS is not responsible for disputed or controversial views made public by members.



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Norms & Standards

Infrastructure Unit Systems Support (IUSS) is a structured collaboration between the National Department of Health, the Development Bank of Southern Africa (DBSA), The Council for Scientific and Industrial Research (CSIR) and other stakeholders with the shared objective of optimising the acquisition and management of South Africa’s public healthcare infrastructure throughout the infrastructure’s lifecycle. Put simply we want to make better clinics, community health centres and hospitals. You can help us to do this. Until March 2015, IUSS a series of enabling tools and processes was developed. Chief among these are an updated set of healthcare building guidelines, norms & standards and infrastructure cost models.

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Non-Gazetted documents will be published here

Better Healthcare Buildings

Better Healthcare Buildings: Introduction to IUSS
16-20 October 2017
at the CSIR Convention Centre, Pretoria

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Telephone: 012 841 3593

  archive Download Registration Form (205 KB)
(Downloadable form zipped as a MSWord document.)

See online Registration Form below


Below is the Power Point presentation for download (3.35Mb)


What you will learn

By the end of the week-long training, professional active in the healthcare facility, architectural design and engineering design professionals will be sensitised to the unique demands of healthcare facility design and engineering in the local context.

Who should attend?

  • Managers
  • Health Planners
  • Doctors and Nurses
  • Architects and Engineers
  • Quantity Surveyors
  • Project Managers and Inspectors.



Fee includes digital course material and refreshments.

Payment Method:

  • EFT Only
  • Account Holder: CSIR
  • Bank: ABSA, Cheque
  • Account no: 540002258
  • Ref: 59C4030 along with your Name and Surname.

Registration forms and proof of payment to be sent to This email address is being protected from spambots. You need JavaScript enabled to view it., Fax: 012 841 3539, Telephone: 012 841 3593


Online Registration Form

Better Healthcare Buildings

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