asareacts. is a social enterprise founded and based in Kigali - Rwanda in 2019.

Born from the principles and objectives that have driven the work of ASA Studio, it facilitates the will to develop non profit independent projects that aim to push the boundaries of low tech architecture in contexts of limted means.
asa - short for active social architecture - REACTS to the local constraints and the social needs of health, sanitation and education improvement.

Ubugingo
health post design fro Rwanda

Ubugingo stand for well-being in Kinyarwanda. It's a project  developed by ASAreacts. with the collaboration of   Health Builders to help the Governement of Rwanda to achieve the SDG 2050.
In Rwanda, the Health Post  is the smallest chain of the health system, the most diffused on the territory and the one that provides first AID, sanitation and health assistance to the local communities. The current number of Health Posts in the Country is only 500. In order to accomplish the Sustainable Development Goals, the Government of Rwanda shall provide 1600 Health Posts by 2050.

Objectives of the project are:


To provide a qualitative design of the new Health Post prototype, which is functional, flexible, comfortable, hygienic and cost effective, to be implemented to the natianl scale.


To contribute to the SDG 2050 with the implementation of new HPs in the country, thus enhancing the coverage of the Health service.


Contributing to tackle child and maternal mortality in Rwanda with the introduction of Maternity services in the new H model.


Operate 1 year training program for the nurses of the HP to improve their skills and the capacity to manage the HP.

Rwanda has a defined social and administrative structure. The biggest administrative unit is the Province, which are divided in Districts, then Sectors, Cells and Villages. The Health system follows the administrative and social structure. Each administrative level has a correspondent health facility.

The Health Posts – even if they are the smallest links of the chain – play a crucial role in the health system. The HP is the reference health facility for the population living in rural areas and provides AID services, wound care, maternity services, family planning, nutrition services programs, laboratory tests for malaria, HIV, etc.
For a country where the access to HC and District Hospitals is not easy, considering the road conditions and the means of the population in the rural areas, the HP coverage on the territory and its efficiency is crucial for the entire health system.

In this map of Rwanda
we represent the cells
missing a Health Post
source: MOH 2019

design

The HP prototype design has been thought to be flexible and adaptable to several different conditions of orientation, topography, and program required.
The pillars of the design approach have been defined from the experience ASA Studio accumulated over the years of practice in Rwanda and the assessment on the existing HP.




















The health post’s functions are oriented towards a private courtyard which makes it suitable for both rural environments and more urban contexts. The central courtyard gives privacy to the spaces while allowing for cross ventilation. Moreover, it is meant to be a green area for social activities and training programs.

S     M     L

Three different sizes of HP have been designed: Small, Medium, and Large.

We designed a modular system that allows the developer to choose the most suitable size to implement according to its financial capacity, the social context, the needs of the health services in the area and the land size.
The Small unit is the basic one, it can be operated by two nurses and provides the minimum needed services: Reception, Consultation, Dispensary, Lab and Storage. Through an incremental approach, the Medium and Large models are composed by the Small one with the addition of other functions.

sustainability

The environmental responsive approach in the design is reflected in the functionality and its cost-efficiency.
Projected roofs and open- sheltered spaces in front of the buildings provide waiting areas and circulation protected from the rain and sun, while providing a natural ventilated space to cool down the areas during the hot hours of the day. Rain water from the roofs is collected in two water tanks and used for cleaning. Solar power for artificial light and power the equipment can be provided for HPs that operate at night and are not connected to the grid.
The HP construction is thought to use as much as possible locally sourced construction materials. According to the site conditions and the availability of resources, the walling can be built in ISSB or fired clay bricks with SKAT technology to reduce construction cost and CO2 emissions.

Ubugingo will benefit directly and indirectly several target groups​:

MINISTRY OF HEALTH

Through the implementation of new HPs we will contribute to SDG 2050 goals set by the Government of Rwanda and the Ministry of Health. Increasing the numbers of the HP in Rwanda will help the MoH in their fight against malnutrition, natal mortality and spread of communicable and non communicable diseases. Moreover, the updated design of the HP can be used by the MoH as guidelines of the future HPs construction.

LOCAL COMMUNITY

With the construction of new HPs, the local communities will have an easier access to health facilities thus reducing the time of commuting from the village to the nearest HP. This will also benefit in reducing child mortality and child- birth diseases, as well as spreading among the population knowledge on proper nutrition and divulging family planning training. Moreover, an improved design will create a comfortable environment and a social space for meeting and training activities that can be used by the community.

BUILDERS

The members of the local communities employed in the construction of the HP will receive a salary that will sustain their families. Indirectly, they will learn new skills that will spend for future better job opportunities. We will require that at least 50% of women will be employed in the construction. This doesn’t only have a direct reflection in the salary of the family but also in the role of the woman in the society and the family.

interested in helping us?

We are collaborating with
Anne Rakel Almås to spread the voice
and bring this project to you.
If you feel like donating for this project, please do do so HERE
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