Why are we doing this?
Anandaban Hospital established in 1957, is the main leprosy referral hospital in Nepal providing vital free healthcare to people affected by leprosy. Over years, the hospital has expanded organically over the hilly terrain – rendering it difficult for hospital staff to move patients between different facilities.
Anandaban aims to recover from the earthquake in 2015 and redevelop the hospital so its facilities enable it to be a model of good practice for 21st century leprosy care and disability inclusion.
Due to the location of the Hospital in an earthquake zone, seismic considerations have been at the forefront of the design process. Following the design of the Masterplan A25 has been appointed by TLMEW to design a new three-storey earthquake resistant Trauma Centre at the centre of the site. The new centre will provide crucial up to date facilities including an A&E Department, Operating Department, Maternity Department and Emergency Wards. The new building is cut into the sloped site and uses the existing contours of the site to allow direct level access on the ground and lower ground floor.
Our aim is to ensure that patients in the future 150-bed hospital are comfortable, safe, and have the best possible treatment and rehabilitation at an affordable cost to the poor.
This project is made possible thanks to our partners from:
The progress so far
Following an extended design development phase with consultancy from leading seismic experts, the technical drawings are now being prepared by Article 25 and their local engineering partners in Nepal. Work is due to start on site in 2018, with completion of the new hospital building expected in 2020.
One of the highlights of the building design is Anandaban’s place-specific conservation strategies. Firstly, the Anandaban Hospital complex will retain its vernacular architectural heritage by conserving the extensive use of brickwork which gives the complex its characteristic textural unevenness. Only about 1/3 of the buildings will need to be demolished, whereas the others will be refurbished using recycled stones from the demolished buildings. This strategy is deemed to be both cost-effective and capable of preserving the cultural and material heritage of the hospital complex.
Secondly, landslide resilience is being built into the hospital environment by planting native trees and shrubs to stabilise the soil structure surrounding the buildings. This strengthens the local ecology, protects against landslides, and provides aesthetic ambience for patient recreation.
Another key design objective for the hospital was accessibility for pedestrians, vehicles and public transportation. Some initiatives include:
1. Pedestrians. The redesign of pedestrian access routes incorporates the introduction of handrails and safeguarding, ensuring a disabled friendly design for all existing and proposed ramps.
2. Vehicles. Expanding the road will allow for two emergency cars to pass at the same time, ensuring the smooth and efficient operation of the hospital.
3. Public transportation. To improve equitable access to medical facilities, we are proposing an additional bus stop into the heart of the hospital complex so that disabled patients can access the main medical facilities.