Size

Site: 35 Acres
Build: 99,000 sq. ft. / 9,200 sq. m.

Year

2021

Status

In Progress

Client

Liberia Ministry of Health, The World Bank

Partners

Liberia Ministry of Health, The World Bank

David Saladik

David Saladik

Senior Principal

David Saladik is a Senior Principal overseeing MASS’s international health portfolio. Having joined MASS in 2008 during the design of the Butaro District Hospital, his work over the last decade has been aimed at leveraging the built environment to improve health outcomes as well as engage and empower communities. He has spearheaded MASS’s expansion into new geographies focused on long-term health systems strengthening, establishing new offices in Port-au-Prince, Haiti, and Monrovia, Liberia.

David currently co-leads MASS’s largest office in Kigali, Rwanda with more than 80 architects, landscape architects, and engineers. Notable recent projects for which he has served as Principal-in-Charge include the Samajik Health Science Institute & Research Centre, a 520-bed teaching hospital in Dhaka, Bangladesh; Norrsken Kigali House, an incubator for social entrepreneurs in Kigali, Rwanda; and the development of health facility standards with the Ministry of Health of Lagos State.

He has taught design studios at Northeastern University and Roger Williams rethinking primary care health centers to maximize positive social impact and resiliency. In parallel to this research, he led the design of the Family Health Center in McKinney, Texas - MASS’s first built US healthcare project.

Emily Goldenberg

Emily Goldenberg

Design Director — Kigali

Emily joined MASS in 2016 as a Design Associate based in Boston. She is currently working on a memorial in Montgomery, Alabama and the Redemption Caldwell Hospital in Liberia. Prior to joining MASS, Emily worked as a Designer at Sasaki Associates in Watertown, MA. At Sasaki, Emily was involved in several large scale projects, both domestically and internationally, spanning from recreational sports facilities to library learning environments. Most recently she worked on the new main library for Tecnológico de Monterrey in Mexico.

Emily received her Master's degree in Architecture at Roger Williams University with semesters abroad in Florence, Italy and Buenos Aires, Argentina. At Roger Williams, Emily was awarded the Master's Thesis award for her work on informal architecture and slum redevelopment for a potters community in Dharavi, Mumbai, India.

John Maher

John Maher

Design Director — Chicago, IL

John joined MASS in early 2014 and spent two and a half years working in MASS' Kigali office before moving back to Boston, and is now based in Chicago. John has led design teams on two hospital projects currently under construction in Rwanda, Munini and Nyarugenge District Hospitals, and most recently New Redemption Hospital in Caldwell, Liberia. He is currently working on the design of a behavioral health furniture line and construction oversight for New Redemption Hospital. He's worked on projects in East Africa, West Africa, South Asia, and North America. Prior to joining MASS, John was awarded two Public Service Center Fellowships from MIT for water, sanitation, and hygiene projects in Tamale, Ghana. As a Visiting Professor at Washington University in St. Louis in the spring of 2020 John led a studio focusing on the social determinants of health and design interventions in North St. Louis. He is currently pursuing an MBA at University of Chicago’s Booth School of Business as a Neubauer Civic Scholar. John received his Master of Architecture from Massachusetts Institute of Technology and his Bachelor of Arts in Architecture from Washington University in St. Louis.

Project Team

Dave Saladik, Emily Goldenberg, John Maher, Eddison Smith, Jeremiah Oonyu, Edward Gould, Tilly Lenartowicz, Adam Saltzman, Thomas House, Caroline Alsup, Bethel Abate, Nadia Perlepe, Emily McGowan, Luke Dale, Natalia Lopez, Jim Peraino, Martin Pavlinic, Kordae Henry, Jessi Flynn, Stacy Passmore

Collaborators

Fall Creek Engineering/Sherwood Engineering (Civil Engineering)
Mazzetti (MEP Engineering)
Nous Engineering (Structural Engineering)
Transsolar (Environmental Engineering)
AEP Consultants, Inc., (Architect of Record)
Conspectus, Inc. (Design Specification)
GAD Studio (Quantity Surveyor)

Since 2010, MASS Design Group has been working with the Ministry of Health of Liberia (MOH) on a series of projects and initiatives. In collaboration with Rebuilding Basic Health Services, an initiative of the John Snow Institute funded by USAID, MASS has developed Architectural and Engineering Standards and guidelines for all scales of facilities of health care development in Liberia. The Standards, along with MASS’s other efforts in Liberia, have built the capacity, expertise, and effective policy that will tie better built infrastructure to health outcome objectives.

Redemption Hospital Interior looking out

MASS continued our partnership with the MOH to develop a Master Plan and Design Documents for the new Redemption Hospital in Caldwell, a project that is a centerpiece of Liberia’s renewed drive to build an optimized system that will not only avert future epidemics, but deliver comprehensive services to a growing population.

Bird's eye view of Redemption

Phase 1, currently under construction, is a two-story, 155-bed facility encompassing comprehensive pediatric and maternity services. It will make use of innovative ventilation strategies in the form of solar chimneys to minimize energy use, ensure effective infection control, and reduce operational costs.

Ventilation Diagrams

The primary infection control strategy uses natural ventilation and solar chimneys to cycle the air inside the hospital with clean air twelve times per hour. The architecture achieves this through cross ventilation from the windows and breeze blocks, and is supported by twelve solar chimneys that heat up and pull contaminated air out of the ward spaces, even when the windows are closed.

The solar chimneys also ensure patient comfort through cooling the wards with fresh air from the microclimate created by our planted courtyards and the adjacent wetland. Air within the wards is also cleaned by Ultraviolet Germicidal Irradiation (UVGI) fixtures. Ceiling fans pull air upwards, where it is decontaminated by the UVGI fixtures.

All of the waiting spaces in the hospital are on the exterior in order to reduce transmission of airborne infection in waiting spaces. Wind patterns informed the placement of the hospital's naturally-ventilated and mechanically-ventilated spaces. Two courtyards within the hospital capture the prevailing winds from the southwest, naturally-ventilating clinical spaces and waiting spaces. The surgical department is mechanically ventilated, and is positioned as a bridge between the two southwestern facing facades to maximize its exposure to the prevailing winds.

The Redemption landscape further supports the project’s mission to renew trust in Liberia’s health care system. The landscape, including a restored wetland, will provide infrastructure for a healthy and resilient hospital campus. It is strategically divided into 4 zones: Campus, Site Edge, Wetland, and Infrastructure. Each component is critical to creating a healthy campus that supports the safety and well-being of patients, staff, and visitors. The design learns from the most innovative hospital designs worldwide and considers the challenges of health care delivery in Liberia.