Salus journal

Healthy Planet. Healthy People.

Women & children's / Quality improvement

European Healthcare Design 2018

Concept design for a new mother and baby unit at Panzi Hospital, Bukavu, DR Congo

By Cristiana Caira, Agnes Orstadius and Marie Berg 23 Oct 2018 0

During 2015-2017, a multidisciplinary collaboration between Panzi Hospital (Democratic Republic of Congo, DRC), the University of Gothenburg, Chalmers University of Technology, and an architect resulted in the concept for a new mother and baby unit at Panzi.


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Abstract

In 1999, Dr Denis Mukwege and the CEPAC church established the existing hospital to improve wellbeing among mothers and their children. Today, up to 3500 babies are delivered every year at Panzi.

The team developed a building that supports the provision of evidence-based care tailored to the local context. The project comprises three parts:

  • a new mother and baby unit based on a person-centred, holistic care philosophy;

  • a building designed according to established principles of healing architecture; and

  • a sustainable model for other maternity and neonatal care health facilities in DRC, Africa and the world.

The new building is designed to: enable zero separation of mother and child, as well as continuous support from family members in labour and birth; provide well-designed patient rooms that enhance personal integrity and safety; optimise flows; shorten distances; and create work environments that promote health and professional collaboration.

An important conclusion is that principles of healing architecture resonate across cultures. A strong emphasis is placed on designing an attractive environment that symbolises consideration for patients, families and staff. The gradient between public and private spaces supports the patient’s autonomy. Moreover, there has been a focus on achieving optimal daylight, access to nature, and easy wayfinding.

The ecologically sustainable design is shaped by extensive primary research into local conditions. The modular building forms are conceived for minimal upkeep and to withstand earthquakes. Materials are locally sourced and roofs are designed for optimising solar energy production, water supply and natural ventilation. Carefully chosen architectural strategies have been developed to tackle the challenging climate conditions and insufficient infrastructure, and to create a high-performing building in a low-tech context.

As Dr Denis Mukwege says: “All women should receive quality care throughout pregnancy, labour, birth and beyond. This new facility will holistically promote the health of women and children throughout their maternity and early years.”