非洲之光 “的任务是在乌干达东部姆巴莱的布卡萨基亚县建立和运营一个产科中心，以降低世界上最高的产妇死亡率之一。在乌干达的姆巴莱区，妇女死于分娩的可能性是英国的56倍。这些非同寻常的死亡率将被大大降低，可预防的死亡将通过提供一个产科中心而被根除，而这正是现在迫切需要的。

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 sub-county 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.

Harpenden Spotlight on Africa是一个在英国注册的慈善机构，它与乌干达当地一个名为Spotlight on Africa-Uganda Foundation（”Spotlight on Africa”）的资深团队合作。与姆巴莱当地政府和当地社区领导人一起，”非洲之光 “在乌干达东部姆巴莱地区极具挑战性的环境中实施项目已超过14年。

Harpenden 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.

在过去的10年里，HSOA开发了一个社区卫生推广计划，在2017年11月开设了Bukasakya三级卫生中心；在其第一年有超过50,000名患者。该健康中心提供全面的24/7服务，包括普通门诊、孕产妇护理和分娩设施。它还得到了救护车服务的支持。HSOA邀请CAUKIN设计一个独立的产科中心，以努力将该场所发展成为国家认可的4级服务。其目的是为这个社区提供一个急需的卫生设施，在这里家庭分娩很普遍，产妇和新生儿死亡率（MMR和NMR）不幸是世界上最高的之一。

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 stand-alone Maternity Centre in an effort to progress the site to a nationally recognized Level 4 service. The aim is to provide a much-needed health facility for a community where home births are common and maternal and neonatal death rates (MMR and NMR) are tragically amongst the highest in the world.

该提案着眼于为不同的病人体验将空间分组。位于大楼前部的门诊服务靠近接待和等候区，与住院空间分开，以减少病人的交叉。对于住院区，房间已经被战略性地规划为按照分娩阶段，从分诊开始到产后病房结束。废物处理和肮脏的公用设施/水闸室被安排在靠近未来的焚烧炉和胎盘坑的地方。

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 minimize patient cross-over. For the in-patient zone, 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.

该设计完全采用当地的材料，旨在通过使用包括木材和未烧制的土砖在内的天然材料来减少建筑的内含碳。建筑体量的目的是引人注目和雄心勃勃，同时保持成本友好、可建性，并在当地环境中熟悉。接待处高高的天花板将创造出一个明亮通风的中庭空间，欢迎访客。

The design utilizes 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 will create a bright and airy atrium space that will welcome visitors.

关键空间将横跨庭院，为住院病人提供绿化和景观，同时帮助空气流通和获得光线。战略和医疗规划是与HOK建筑事务所合作进行的。结构工程由Silman进行，MEP设计由d:for进行，现场排水工程由Kieron Tarrant进行。

Key spaces will 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.

Architects: CAUKIN Studio
Area : 900 m²
Year : 2022
Lead Architects : Cassie Li, Joshua Peasley, Harrison Marshall
MEP : D:For
Contractor : P&A Technical Services Ltd Uganda
Structural Engineering : Amy Harrington, Harrison Yamamoto, Silman
Medical Planning : HOK Architects
Clients : Spotlight on Africa Charity, Nick Maughan Foundation
City : Mbale
Country : Uganda