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Kilifi Regional Hospital
Kenya
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Drawings, plans, elevations
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Whether with a resolved architectural identity or an analogous mood that simply seeks to express an idea, architecture has been bequeathed with a mandate that exposes the stark social modernity vs. the chaos that punctuate our everyday lives. How can architectural solutions then seemingly and effortlessly pilot and solve the ostensibly harsh nuances and critical scrutiny that we have subjected ourselves to and with the same breath unite warring ideologues into a circular layout of fluid harmony? Can architecture then facilitate healing environments and give dignity to patients? Is this a myth or an achievable fete within contemporary architecture, especially zeroing into the cash strapped Kilifi County. The Kilifi Regional Hospital, a replacement of the small district hospital in Kilifi serves to offer a balance of return to health through Involvement of the self, the family and the community in an environmental design context. Fundamentally, healing is the process of re-establishing harmony within the organism hence illness implies a loss of this balance and the hospital explores a return to this balance through narratives of Growth and Change, the Hospital Street, Sustainable Design, Capacity Building and abstracted localized cultural architecture. The site supports future growth in phases as a hospital is never likely to be finished in one phase. Further the hospital design employs a single axis to the master-plan, allowing services to be distributed easily. This enables the grid for future expansion to easily fit into its context. All services are made to fit within this grid which allows for ease of distribution all through the hospital saving on costs for capacity building in the long run. The project primarily takes a contemporary approach to the character due to the cosmopolitan location of the site. This supports users in relating with their environment at a personal localized level. The hospital has been designed to use local materials i.e. coral blocks and lime binding bond coral stone, timber and insulated roof blocks that reinforce high thermal mass and are locally sourced. This natural materials further lets the building breathe. Ward spaces have been fitted with wind-tunnels that facilitate thermal comfort and cross ventilation, a paradigm shift from mechanically ventilated spaces that recycles nosocomial infections in hospitals. The louvered timber mushrabiyas are pivoted to control both the degree of light in single bunked spaces and the vision zones as desired by the patients. This gives the patient the power of choice, a seemingly powerful idea within the confines of ailment and regulates nosocomial infections. The healing gardens at provide a sense of enclosure and a feeling of structure, permanence and grounding. These healing through the interaction of patients with healers, family and friends, and even the act of solitude. Care has been taken to afford opportunities to make choices: private areas and public spaces, contemplative zones and people watching areas, various walking routes, different kinds of seating, interaction with humans and nature, and a general feeling of freedom to make choice…
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