A Hospital Designed for Real World Patients

Modern hospitals are designed to use the latest technology and systems for providing top-notch health care efficiently to as many people as possible. In the US, those systems assume short stays and unlimited resources. Those assumptions do not always translate well to other parts of the world. The country of Rwanda has been busy growing and modernizing since the genocidal war of 1994, and in 2008 was ready to build new hospitals. However, existing hospitals built with Western architectural designs were not working, and a new approach was needed.

Many hospital patients in Rwanda battle tuberculosis and other highly communicable diseases. They were spreading antibiotic-resistant microbes to each other while waiting to be seen. Ventilation systems used in Western hospitals were prone to breaking down, repairs are hard to come by, and they were often disabled to save power costs. Another problem was isolated inpatients in closed rooms with few staff members and even fewer monitoring devices.

To tackle these problems, architect Michael Murphy looked back in time, to Florence Nightingale's writings on how hospitals should work. He incorporated many of her ideas into the design of a new hospital in Butaro, which is now being copied across the country. Read how hospital design can be adapted for local conditions at Fast Company.