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Bukasakya Maternity Centre

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Bukasakya Maternity Centre / CAUKIN Studio

Uganda

Area: 900 m²

Year: 2022

Spotlight on Africa’s brief was to build and operate a Maternity Centre in order to reduce one
of the world’s highest Maternal Mortality Rates (“MMR”) in the Bukasakya subcounty of
Mbale, Eastern Uganda. Women are 56 times more likely to die in childbirth in the Mbale
District of Uganda than in the UK. These extraordinary rates of mortality would be significantly
reduced and preventable deaths would be eradicated by the provision of a Maternity Centre,
which is now urgently needed. Spotlight on Africa is a UK-registered charity, which works in
partnership with an experienced team on the ground in Uganda called Spotlight on Africa-
Uganda Foundation (“Spotlight on Africa”). Alongside Mbale local government and local
community leaders, Spotlight on Africa has been delivering projects for over 14 years in very
challenging environments in the Mbale District of Eastern Uganda, transforming the lives of
some of the poorest people in Africa.

Having developed a Community Health Outreach Programme over the last 10 years, HSOA
opened The Bukasakya Level 3 Health Centre in November 2017; which, in its 1st year had over
50,000 patients. The Health Centre provides a comprehensive 24/7 service to include general
outpatients, maternity care and childbirth facilities. It is also supported by an ambulance
service.

HSOA enlisted CAUKIN to design a Maternity Centre in an effort to progress the site to a
recognised Level 4 service. The aim was to provide a much-needed health facility for a
community where home births are common and maternal and neo-natal death rates (MMR
and NMR) are tragically amongst the highest in the world.

The proposal looks at grouping spaces together for different patient experiences. The
outpatient services located towards the front of the building are close to the reception and
waiting area and are separated from the in-patient spaces to minimise patient cross-over. For
the in-patient area, rooms have been strategically planned to follow the birthing stages,
starting out in triage and ending in the post-natal ward. The waste disposal and dirty
utility/sluice room have been located close to the future incinerator and placenta pit.

The design utilises entirely locally sourced materials and aims to reduce the building’s
embodied carbon through the use of natural materials including timber and unfired earth
bricks.

The massing is intended to be striking and ambitious whilst remaining cost friendly, buildable
and familiar within the local context. A tall ceiling height at the reception creates a bright and
airy atrium space which welcomes visitors. Key spaces look across the courtyard, providing
access to greenery and views for inpatients whilst aiding with air circulation and access to light.
Strategic and medical planning was carried out in collaboration with HOK Architects. Structural
engineering was carried out by Silman, with MEP design being carried out by d:for and site
drainage engineering by Kieron Tarrant.

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