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Tatopani Hospital
Tatopani Hospital
Finalist, 2023 A+Awards, Unbuilt - Unbuilt Sustainable Non-Residential Project
Project Featured on Aug 11, 2023
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Other Projects by Building Bureau
Tatopani Hospital
Finalist, 2023 A+Awards, Unbuilt - Unbuilt Sustainable Non-Residential Project
Project Featured on Aug 11, 2023
Firm
Type
STATUS
Concept
SIZE
10,000 sqft - 25,000 sqft
BUDGET
$500K - 1M
Tatopani Hospital is a new, 18,000 square foot (1,675 sq m) public medical facility located in the rural Jumla District of western Nepal, a high-altitude region of the Himalayas known for its apple orchards and cold winters. Sited along the Karnali River, Nepal’s longest river and a major tributary of the famed Ganges in India, and located around a natural hot springs (in Nepali, “Tatopani” translates literally to “hot water”), the municipality has long been associated with health. But Jumla’s rugged terrain constrains its infrastructure, limiting access to advanced healthcare services for its vulnerable rural population. The region is among Nepal’s most inaccessible and impoverished, with high rates of childhood malnutrition and maternal mortality. The Tatopani Hospital expands access to affordable healthcare services with a special emphasis on maternal health.
The Hospital is organized as three interconnected volumes around a canteen and central Healing Garden with native plantings and views to the Karnali River valley. The facility’s emergency, out-patient, and administrative departments are located on the west side of the site with easy access to the entry, parking, and drop-off.
An in-patient department, surgery, and maternity ward are located to the east for privacy. The Hospital takes advantage of its one-acre site’s moderate, south-facing slope by earth sheltering against the north and opening toward the south for maximum solar gain. Sterilized spaces and service spaces are located to the north where windows are kept to a minimum and the adjacent soil can stabilize indoor temperatures. To the south, tall windows in occupiable spaces such as the clinical offices and in-patient and maternity wards — angled to increase solar exposure — provide expansive views out to the valley and allow in sunlight to passively warm the interior. Interior rammed earth shear walls and concrete floors act as thermal masses, storing the energy of the sun and heating the interior overnight as outdoor temperatures drop. High clerestory windows bring sunlight deeper into the interior, reducing the need for artificial lighting and lowering energy usage.
The Hospital is organized as three interconnected volumes around a canteen and central Healing Garden with native plantings and views to the Karnali River valley. The facility’s emergency, out-patient, and administrative departments are located on the west side of the site with easy access to the entry, parking, and drop-off.
An in-patient department, surgery, and maternity ward are located to the east for privacy. The Hospital takes advantage of its one-acre site’s moderate, south-facing slope by earth sheltering against the north and opening toward the south for maximum solar gain. Sterilized spaces and service spaces are located to the north where windows are kept to a minimum and the adjacent soil can stabilize indoor temperatures. To the south, tall windows in occupiable spaces such as the clinical offices and in-patient and maternity wards — angled to increase solar exposure — provide expansive views out to the valley and allow in sunlight to passively warm the interior. Interior rammed earth shear walls and concrete floors act as thermal masses, storing the energy of the sun and heating the interior overnight as outdoor temperatures drop. High clerestory windows bring sunlight deeper into the interior, reducing the need for artificial lighting and lowering energy usage.
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