Nirmala devi (name changed) hails from Charkradharpur, a town in the eastern state of Jharkhand. After six years of marriage, Nirmala and her husband were not able to have a child. The couple took the prudent step and approached the Assisted Conception Centre (ACC) at Shanti multispeciality hospital in Rourkela, Odisha and embraced the modern medical technologies to help them in their endeavour.

Providing quality healthcare in smaller towns and cities is a small part of solutions to healthcare crisis in India. Both public and private sectors should work together in stopping the medical migration of patients to bigger cities equipped with better healthcare facilities. For the past few years, the Government has been instrumental in setting up state-of-the-art healthcare institutes like All India Institute of Medical Sciences (AIIMS) and large multispeciality hospitals at strategic locations across India.

However, the private sector is still at a nascent stage. Small hospitals or nursing homes have mushroomed, claiming to provide multi-speciailty services but are failing to deliver the promises. Most of the tier-2 and tier- 3 cities have hospitals owned and managed by a doctor or a doctors family and but with limited number of beds and small budget.

International architecture firm, ADPs design of the 138 bed Shanti multi-speciality hospital (SMSH) is a practical and affordable way of solving this conundrum. Along with the efficient usage of internal spaces, the hospital has been designed on a very constricted site.

While the ACC remains the most important department (with a dedicated floor) catering to almost 50 per cent of the patients, ADPs design also provides a large OPD along with facilities like ICU, CCU, and multiple modular OTs. It also provides latest birthing technologies and equipment and dedicated departments catering to cardiology, nephrology, orthopedics, pediatrics and general surgery. The OPD is supported by full scale diagnostics and laboratories. ADP has been able to successfully include all these facilities on a site measuring 768 square meters only.

We, at ADP, believe in designing sustainable buildings and making an energy efficient hospital which is the need of the hour in India. With SMSH, we have been successful in introducing innovative green design techniques such as usage of fly ash bricks, solar water heating, PV roof top solar plant and maximum day lighting for in-patient spaces.

In addition to that, ADPs designs attempt to add therapeutic value to patients experience by using large open spaces with as much natural light as possible and use of pastel shades, colours and graphics. The intention is to change the perception of hospitals in peoples minds. The example of SMSH proves that if a hospital is designed properly and managed well even a relatively smaller sized hospital can satisfactorily cater to whole society. Such hospitals will go a long way in bringing affordable healthcare to people like Nirmala devi and her family.

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