Introduction: (02-14)

• What is peri urban Area? (02-04)

• project location 05

• Peri urban features of location (06-10)

• people, place, technology (11-14)

Methodology: (16-22)

• Demographic survey (16-19)

• Focused Group Discussion 20

• 21
Content
Problem mapping-Healthcare Problem mapping
• FGD analysis -Possible solution area 22

Literature Review: (24-28)

• Existing healthcare infrastructure of Bangladesh 24

• Locations of community healthcare services in Jalma 25

• What is wellness? (26-27)

• Goals for this healthcare project 28

Case Study: (30-34)

• Ghola community clinic (30-31)

• Surjer hashi clinic 32

• Maternity Waiting Village 33

• Health Education centre 34
Functional analysis: 36
• functional flow chart and Operational links 36
Program Analysis: (38-43)

• Programmatic Considerations (38-40)

• Program Chart (41-43)

Site Analysis (45-60)

• Site Justification 45

• Distances between site and major locations of the city 46

• Site Surroundings (47-48)
• 49
Content
Neighborhood Context-Land Use Map
• Circulation: Vehicular+ Pedestrian 50
• Natural Physical features 51
• View And Noise Analysis 52
• Climatic Analysis- Temperature, Precipitation (53-54)

- Wind 55
- Sun path 56
• Findings 57

• Building Code Applications 58

• SWOT Analysis 59
• Implications for design 60

Design Approaches: (62-65)

• Climatic Considerations 62
• Accessibility Considerations 63
• Site Surroundings Considerations 63

• Spatial Considerations 64
• Schematic Plan 65
 1

Introduction
(02-14)
 2
What is Peri Urban Area?
 3
What is Peri Urban Area?
 4
What is Peri Urban Area?
 5
Project Location

Worked Route

Worked Area

Worked Route: zero point to koiya bazar

Worked Area : Nijkhamar to hogladanga
 6
Peri urban features of location

Existing Play Spaces

 7
Peri urban features of location

Existing Recreational Spaces

Peri urban features of location 8

Existing Road Network

Peri urban features of location 9

Secondary and
tertiary road
network
Peri urban features of location 10

Section of a household in
Rajbadh area
 11
People
Indigenous people all are generally in Hindu in religion basically.

20% come for business purpose from outside

and stay here People of Hogladanga
60% are migrated here.
20% were live from the start here.

20%

20% 60%

Migrated People

Indegenious People

Business Purpose
Place and Technology 12

Kids playing and passing their time

Observation: No
defined play ground
and children use plot
areas known as balir
math at different points
to play
Place and Technology 13

Women with their children spending their time

In front of someone's Courtyard

house
Field beside
Lane of moholla waterbody

Observation: No defined communicating space for women

 14
Place and Technology

Waterbodies and life of people are intertwined

altogether

Women of different ages passing their time

 15

Methodology
(16-22)
 16
Demographic Survey
 17
Demographic Survey
 18
Demographic Survey
 19
Demographic Survey
 20
Focused Group Discussion
 21
Problem Mapping

Healthcare Problem Mapping

 22
FGD Analysis

FGD FGD FGD FGD

1 2 3 4

Healthcare
facilities
Healthcare Problems
18

16

14

12

10

0
Medical care Water-Borne Child Healthcare Heart Problems Accidents and Blood Pressure Possible Solution Area
during Diseases emergencies
pregnancy
FGD-1 FGD-2 FGD-3 FGD-4
 23

LITERATURE REVIEW
(24-28)
 24
Existing healthcare infrastructure of
Bangladesh

Primary level healthcare providers: Secondary healthcare providers: Tertiary healthcare providers:
• Core of health care system • Limited number of specialists: gynecology, • Core of health care system
• Treatment of common ailments surgery, ophthalmology, pediatrics along with • Treatment of common ailments
• Minor surgeries clinical pathology and blood transfusion • Minor surgeries
 25
Locations of community healthcare services
in Jalma

Ghola Community Clinic

Chayghariya Community Clinic

Putimari Community Clinic

Bare Land
Built Area
Crop Land
Waterbody

Coordinate system: GCS WGS 1984

Jalma Union- 2021 Datum: WGS 1984

Units: Degree
 26
What is Wellness

• Physical wellness can be described as maintaining regular physical activity, good • Social wellness can be described as our interaction with all things including other
nutrition, avoiding bad habits, proper self-care, and using safety with other things within your people and the world around us. Social wellness may include being outgoing, friendly, and
physical environment such as seat belt use, injury prevention, and so on. Physical wellness feeling affectionate towards others and our surroundings. Social wellness can develop positive
includes physical fitness which improves cardiovascular condition, increase in muscular attitudes and a strong support system. It has been further described as having support from our
strength and endurance, increase flexibility and maintain a healthy body composition. family and friend in time of needs and being a supporter (22). There has been much research
Physical wellness has also been defined as a positive perception and expectation of physical done on the value of social support and its association with health.
health (22). Positive perceived health has been associated with higher levels of physical
activity and less association with musculoskeletal diseases (23). Built Environment
Interpretation-
In Peri Urban
Built Environment In Peri Urban • Group Discussion Space • ববঠকখানা
Interpretation- • Multipurpose Hall • লমিনায়তন
• Outdoor Games • বালির মাঠ •
•
Cafeteria
Tea Stalls
• দ াকান
• Gym
• খাি • Green open spaces
• চায়য়র দ াকান
• Swimming Pool
• বটতিা

• Spiritual wellness is the purpose or value that you place on your existence. It • Emotional wellness can be described as controlling and coping with your
is finding harmony or inner peace with your beliefs, ethics, values, and the rest of the personal emotions. To be well emotionally, one should be able to freely express their state
world. Spiritual wellness can give you hope and direction in your life (41). of emotion comfortably and appropriately. Emotional wellness can create positive self-
image, optimism, and comfort. Self-esteem is a major component of emotional wellness and
one of the strongest indicators of well-being (39).
Built Environment Built Environment
Interpretation- Interpretation-
• Prayer Space • Therapy Space
• Meditation Space • Group Discussion Space
• Green Spaces • Meditation Space
• Waterbody • Green Spaces
• Contemplation Space • Waterbody
In Peri Urban In Peri Urban
• নামায়ের ঘর/ মলির • মেলিস
• গাছতিা • খািপাড়
• মাঠ/ বাগান • মাঠ,বাগান
• পুকুর/পুশকুলন • পুকুর/পুশকুলন
 27
What is Wellness
Built Environment In Peri Urban
Interpretation-
•
•
Indoor Games
Outdoor Games • মাঠ/বাগান
• Workshops • পুশকুলন/পুকুর
•
•
Interaction Spaces
Green open spaces • দখিার আসর

• Intellectual wellness can be described as maintaining a positive attitude,

reacting to situations appropriately and in an optimistic manner. It may also be
described as being intellectually stimulated and learning from your surroundings to
build on and create potential opportunity for additional knowledge. Mental wellness
can lead a person to critical thinking and creativity, setting educational goals, and
being aware of opportunities. Adams has described intellectual wellness as “the
perception of being internally energized by an optimal amount of intellectually
stimulating activity” (22). Research has suggested that intellectual stimulation can
affect health and that moderate amounts of intellectual activity are most favorable
(38).

• Psychological wellness can be defined as how one perceives

positive or negative outcomes to events in their life. Psychological
wellness refers to having optimism that situations will produce a
positive outcome (40).

Built Environment In Peri Urban

Interpretation- • দখিা
Public Green Spaces
ঘয়রর দঘিা
•

• Water Body
•
• Therapy Space • উঠান
• Meditation Space • বটতিা
• Indoor Games • আলিনা
 28
Goals for this healthcare project
SDG 2 Zero Hunger
• 2.2 (end all forms of malnutrition)
SDG 4 Quality Education
• 4.2 (good-quality early childhood development
• 4.7 (knowledge and skills for sustainable development
SDG 5 Gender Equality
• 5.2 (eliminate all forms of violence against women and girls in the public and private spheres)
• 5.6 (universal access to sexual and reproductive health and reproductive rights)

SDG 6 Clean Water and Sanitation

• 6.1(access to drinking water)
• 6.2 (access to sanitation)
SDG 7 Affordable and Clean Energy
• 7.1 (access to modern energy services)
SDG 9 Industry, Innovation and Infrastructure
• 9.5 (enhance scientific research /increase number of R&D workers)

SDG 11 Sustainable Cities and Communities

• 11.6 (air quality and municipal waste)
SDG 13 Climate Action
• 13.1 (resilience to natural disasters)
SDG 16 Peace and Justice Strong Institutions
• 16.1 (reduce violence and related death rates)
 29

Case Study
(30-34)
 30
Case Study
• Ghola community clinic
31
 32
Surjer Hashi Network A healthcare social
enterprise
SHN currently operates 134 clinics with an explicit mandate of achieving a double bottom line i.e. health impact by providing quality health
services to the low-middle income group and meeting financial sustainability goals.
Mission
Provide high quality,
customer oriented and
afordable healthcare to all
Vision
Grow into a fully
sustainable healthcare social
enterprise dedicated to better
human lives
Services
1. Advanced/Basic Clinic
• Pregnancy Care (ANC, PNC)
• Delivery Services (NVD, C-Section)
• Family Planning (Short term & Long term)
• Child Health (IMCI, ARI, Immunization, etc.)
• Adolescent Health
• Reproductive Health
• NCD (Hypertension, Diabetes, etc.)
• Doctor Consultation & Counseling
• Drug Dispensaries Lab & Imaging Services (Blood test USG, ECG, X-Ray,
etc.)
2. Satellite Clinic
• Family Planning
• Pregnancy Care (Regular checkup)
• Adolescent Health Immunization
• NCD (Monitoring and Management)
Maternity Waiting Village 33
Kasungu, Malawi Direct sunlight does not enter windows, keeping
buildings cool during the daytime, but strikes the upper
portions of the tall masonry walls, which passively
warm the buildings when temperatures drop at night
MASS Design Group’s new prototype “village” reflects the
vernacular by creating clusters of four-bed units around small
courtyards, offering women a protected, comfortable, and
dignified space in which to carry out daily activities. Designed
around replicable modules and built of locally-made CSEB
(compressed stabilized earth blocks), the facility can be
replicated and adapted to other sites as part of the country’s
drive to improve maternal health.

Courtyards and added overhangs and

benches to the exteriors, to make space for
people to interact

Sharply angled and

connected by gutters that
channel rainwater into the
village’s catchment system,
the roofs are also equipped
with solar panels to power
the lights.

Covered pathways connect the units to one another and to shared

spaces providing shelter from the harsh sun and heavy seasonal
rains, while also fostering a sense of community.
Health Education centre/Ross Langdon 34
Mannya in Rakai, Uganda.

Walkway covered by a pergola

providing shade for informal
The Ross Langdon Health Education Centre is a small gatherings and relaxation.
community hall located in the village of Mannya in Rakai,
South-western Uganda. It provides space for about 150
people, sitting on simple clay tile steps, and for a speaker,
standing on a small elevated platform. Adjacent to the hall is
a room for private meetings and a store. At the front is a
walkway covered by a pergola providing shade for informal
gatherings and relaxation.

There are no windows, and

instead the building
envelop filters light in
various ways; perforations
in the brickwork, a gap
between walls and roof, a
high-level roof vent with
skylight and ‘Liters of
Light’ illuminating the
stage area
 35

Functional Analysis
(36)
 36
Functional Flow Chart Operational Links
 37

Program Analysis
(38-43)
 38
Programmatic Considerations
 39
Programmatic Considerations
 40
Programmatic Considerations
 41
Program Chart
Primary Health Area Quantit Total Accidents and Area Quantity Total
y
Care Emergency
Waiting Area 250 sq ft 1 250 sq ft
E.P.I Counseling room 170 sq ft 1 170 sq ft Lobby and Reception 250 sq ft 1 250 sq ft

N.R.I Counseling room 160 sq ft 1 160 sq ft Recovery Room 150 sq ft 1 150 sq ft

Family Planning room 170 sq ft 1 170 sq ft Ambulance Parking 150 sq ft 2 300 sq ft

Duty Doctor’s area 164 sq ft 1 164 sq ft Pharmacy 120 sq ft 1 120 sq ft
Common toilet 40 sq ft 2 80 sq ft Family waiting 240 sq ft 1 240 sq ft
Diagnostics Area Quan Total Doctor’s room 120 sq ft 1 120 sq ft
tity
OT for minor 350 sq ft 1 350 sq ft
Waiting Area 250 sq ft 1 250 sq ft operation
Ultra sound 150 sq ft 1 150 sq ft
Nursing Station 112 sq ft 1 112 sq ft
X-ray Unit 180 sq ft 1 180 sq ft
Equipment room 70 sq ft 1 70 sq ft
MRI unit 240 sq ft 1 240 sq ft
Toilet 40 sq ft 2 80 sq ft
ECG 120 sq ft 1 120 sq ft
Endoscopies 150 sq ft 1 150 sq ft
Technician’s room 120 sq ft 1 120 sq ft
Toilet 40 sq ft 2 80 sq ft
 42
Program Chart
Infants Ward Area Quantity Total Children ward Area Quantity Total

Waiting area 300 sq ft 1 300 sq ft Waiting area 300 sq ft 1 300

sq ft
Ward area 400 sq ft(4 1 400 sq ft
person) Ward area 400 sq ft(4 1 400
person) sq ft
Critical care area 200 sq ft 1 200 sq ft
Critical care area 200 sq ft 1 200
Nursing Station 80 sq ft 1 80 sq ft sq ft
Equipment room 70 sq ft 1 70 sq ft
Nursing Station 80 sq ft 1 80 sq
Doctor’s Office 130 sq ft 1 130 sq ft ft
Toilet 40 sq ft 2 80 sq ft Equipment room 70 sq ft 1 70 sq
ft
Toddler Ward Area Quantity Total
Doctor’s Office 130 sq ft 1 130
sq ft
Waiting area 300 sq ft 1 300 sq ft
Ward area 400 sq ft(4 1 400 sq ft Toilet 40 sq ft 2 80 sq
person) ft

Critical care area 200 sq ft 1 200 sq ft

Nursing Station 80 sq ft 1 80 sq ft
Equipment room 70 sq ft 1 70 sq ft
Doctor’s Office 130 sq ft 1 130 sq ft
Toilet 40 sq ft 2 80 sq ft
 43
Program Chart

Antenatal Ward Area Quantity Total Gynecology Ward Area Quantit Total
y
Waiting area 300 sq ft 1 300 sq ft Waiting area 300 sq ft 1 300 sq ft
Ward area 400 sq ft(4 1 400 sq ft Ward area 400 sq ft(4 1 400 sq ft
person) person)
Critical care area 200 sq ft 1 200 sq ft Critical care area 200 sq ft 1 200 sq ft
Nursing Station 80 sq ft 1 80 sq ft Nursing Station 80 sq ft 1 80 sq ft
Equipment room 70 sq ft 1 70 sq ft Equipment room 70 sq ft 1 70 sq ft
Doctor’s Office 130 sq ft 1 130 sq ft Doctor’s Office 130 sq ft 1 130 sq ft
Toilet 40 sq ft 2 80 sq ft Toilet 40 sq ft 2 80 sq ft

Postnatal Ward Area Quantity Total Labor and Area Qua Total
delivery suite ntity
Waiting area 300 sq ft 1 300 sq ft
Waiting area 300 sq ft 1 300 sq ft
Ward area 400 sq ft(4 1 400 sq ft
person) Delivery room 200 sq ft 1 400 sq ft
Critical care area 200 sq ft 1 200 sq ft Recovery rooms 150 sq ft 1 200 sq ft
Nursing Station 80 sq ft 1 80 sq ft Nursing Station 80 sq ft 1 80 sq ft
Equipment room 70 sq ft 1 70 sq ft Equipment room 70 sq ft 1 70 sq ft
Doctor’s Office 130 sq ft 1 130 sq ft Doctor’s Office 130 sq ft 1 130 sq ft
Toilet 40 sq ft 2 80 sq ft Toilet 40 sq ft 2 80 sq ft
 44

Site Analysis
(45-60)
 45
Site Justification

Indicators

User
Group
Easy Climatic
Accessibi consider
lity ation
Locatio
n
Greater Public
visibility Utilities

Demogra
phy

SITE 1: Beside Hogladanga mor (FGD1 &FGD4)

SITE 2: Beside Basbaria mor (FGD2)

SITE 3: Beside Rajbadh School(FGD3)

Possible Sites Indicators

Possible Site Selection
Site List Easy Greater Cultural Climatic Public Utilities Demography
Accessibility visibility activity consideration
Site 3 66.67 33.33

SITE 1
Site 2 66.67 33.33
SITE 2
Site 1 94.45 5.55
SITE 3
0 20 40 60 80 100

Stron Less Wea Meeting Recuriement Not Meeting Recuriement

g Strong k
 46
Distances between site and major locations of the city
 47
Site Surroundings

• The site is surrounded by Khulna-Sathkhira

highway, near Hogladanga more.

• Hogladanga Pragati high school is situated

just opposite of the site.

• A canal flow through south side of the site.

• Some commercial and residential areas

beside north side and few crop land is
situated beside east and west side
 48
Site Surroundings
 49
Neighborhood Context-Land Use Map
 50
Circulation: Vehicular+ Pedestrian
 51
Natural Physical features
 52
View And Noise Analysis
 53
Climatic Analysis

The "mean daily maximum" (solid red line) shows the

maximum temperature of an average day for every
month for Hogladanga. Likewise, "mean daily
minimum" (solid blue line) shows the average
minimum temperature. Hot days and cold nights
(dashed red and blue lines) show the average of the
hottest day and coldest night of each month of the last
30 years.
 54
Climatic Analysis- Temperature, Precipitation

The maximum temperature diagram for Hogladanga

displays how many days per month reach certain
temperatures.

The precipitation diagram for Hogladanga shows on how

many days per month, certain precipitation amounts are
reached.
 55
Climatic Analysis - Wind

This diagram for Hogladanga shows the days per month,

during which the wind reaches a certain speed.

The wind rose for Hogladanga shows how many

hours per year the wind blows from the indicated
direction.
 56
Climatic Analysis – Sun path

Selected Solar Attitude

Vertical and Horizontal shadow angle

Findings 57
 58
Building Code Applications
1. Setback
Front 4.92 ft

Side 9.84 ft

Back 9.84 ft

2. Building Height
Road width= 30ft or 9.14m
Building height ≤ 2(Width of road + front setback)
2 (30+4.92)ft= 69.84ft
On the other hand, according special condition when the width of the road
is 7.60m to 10.66m then the building height should be 27.50m

As the road width adjacent to the site is 9.14m so building height

Should be 27.50m

3. Parking
• For hospital, minimum parking area required 23sqm. for
each 300sqm.
• Ramp slope should be 1:8
• Parking should be minimum 3 meter far from road

4. MGC
Maximum buildable area 50% of the site for
hospital.
 59
Swot Analysis
 60
Implications for design
 61

Design Approaches
(62-65)
 62
Climatic Considerations

• Emergency room, Lab test rooms should be situated on

west as these functions require solid walls with no openings
with artificial environment for proper technical
performances.

• As the site gets it’s lesser side on south and north, the
wind path should be as clear and free of elements as possible
to ensure proper wind flow throughout the whole site.

• Therapy rooms, doctor's visiting rooms, wards should be

situated on the elongated east side for these functions to get
ample natural light and proper ventilation.

• The roofs should allow air to flow for proper thermal

comfort inside built forms

• The corridors should have proper thermal comfort as

pregnant women will wait in these areas
 63
Accessibility Considerations

• Emergency should be located close to the road with clear

visibility so that ambulances can enter the site without any
hindrance.

• A buffer should be present between vehicular and pedestrian

access for pedestrian safety
• Priority will be given to pedestrian entry as major part
of our users will come to the healthcare by feet.

Site Surroundings Considerations

• As the site is situated adjacent to highway road, a buffer of natural
elements(trees, water) should be present between the healthcare and
road to avoid noise pollution inside the healthcare area.
• The wind from south which flows over the canal will create
cooling effect throughout the whole site.
• A buffer of green should exist on east and west side to protect the
integrity of healing environment as residential
projects will take place on the adjacent sites in the future.
 64
Spatial Considerations:

• Ward, Therapy rooms should get views of nature to help people

heal quickly

• Waiting areas outside wards should be in a semi outdoor space

with proper thermal comfort so that pregnant women don’t feel
uncomfortable

• Corridors must be wide enough to accommodate extra patients and

have proper shading for thermal comfort

• Spaces for children should consider the intimate spatial

perception of children

• A gathering space is needed between antenatal ward and postnatal

ward so that pregnant women and recent mothers can share their
experience with each other

• Recreational activities beside water features are preferred as most

of the recreational activities in the surrounding areas take place
beside canal or pond.

• Prayer space should be located near emergency area

 65
Schematic Plan
Design Detailing
(37-42)