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BUILDING DESIGN Javaria Shaikh – Healthcare Lab, Hangyang University Korea


Passive architectural morphology design


Daylight is a physical aspect for rehabilitation design as it creates a soothing and healing environment for leprosy patients. Focusing on an Asian lepers rehabilitation centre, this article observes the dominance of Evidence- Based Design (EBD) for the rehabilitation of leprosy patients. Since these centres promote healing for highly challenged patients with weak limbs, the classic element on health benefits applied here is daylight. This research shows the effects of the I-type, C-type, L-type, U-type and O-type plan design. The case study focuses on universal designs located at Munghopir Karachi, in Pakistan.


Literature suggests that exposure to natural light provides a positive impact on human health and the wellbeing of leprosy patients. The rehabilitation centres in the study are efficiently functional leprosy centres working as ecologically sustainable healing centres at Manghopeer. The centres are occupied all year round and all activities are conducted both in summer/winter and day/night. The aim is, therefore, to minimise utilisation of electricity and to maximise the use of full spectrum natural light by providing sky lights, windows and sun screens in the corridors. Searching for an answer to the question


‘What explains movement toward the health accessibility?’1


led to the study of leper’s


rehabilitation morphology with continuous and unobstructed orientation. Hence the following statement below best describes this paper:


‘The typo-morphology, C-type, L-type,


U-type and O-type can provide same or even more (i.e. variable degree) level of comfort (vitamin E) for lepers’ in the rehabilitation buildings as that of high energy consumption healthcare setting’.


Methodology and data collection objective A three-month quasi-survey was conducted, on site by the author. The patients were invited to participate in a questionnaire regarding the aesthetics of the rehabilitation centres in relationship to the healing and


IFHE DIGEST 2014


wellbeing among the patients. The study was approved by the privacy ombudsman for the research at the Lepers Rehabilitation. Comprehensive results were obtained by


using questionnaire–based interviews, field surveys data analysis and computable models to review the importance of depth, and connectivity of height and width morphologies. Moreover the questionnaire replies were evaluated on the models generated on the space syntax software. The existing building plans of I-type, C-type, L-type, U-type and O-type circulation were analysed, and the limitations, compromises and problem reductions were studied. More than 100 answers were statistically


analysed. Key findings are the quantitative observation and opinion with the data of daylight in the ward environment with regard to vision comfort and increase of patient sleep quality. For social and physical healing, and for practical consideration, an effective design that reduced the need to walk long corridors and distance for supply and medication.2


Along the outskirts of Karachi the annual


temperature remains slightly above or slightly below the thermal comfort zone that is average comfortable 25°C.3


This is a


comfortable and acceptable temperature for lepers, making this the ideal position for rehabilitation centres, and patients from all around Asia join these centres. Surprisingly, not many studies have examined the role of width to depth for the typology of the healthcare building. Further, very few studies have examined the healing effects that views can have for leprosy patients. The O typo-morphology is a courtyard design, which won an Aga Khan Award for Architecture at the, Lepers Hospital, Chopda Taluka, India.4


Limitation of previous research There is a gap for the universal design typo-morpho analysis. Few studies have dealt with the comparative analysis of morphologies based on the Asian concept of front yard, back yard and courtyard rehabilitation centres. These typologies reflect Ulrich’s proposal that a view towards natural elements serves


‘Exposure to natural light provides a positive impact on human health and the wellbeing of leprosy patients.’


to evoke positive emotions and helps manage stress. This paper examines for the first time how healing and soothing leprosy patients can be increased by studying the role of the building plan in terms of airiness, sun path, axial access and connectivity to the environment. Demonstrating the determinants for the existing building plan of I, C, H, L and O on depth map analysis software.


Typo-morphological analysis While designing simple spaces for lepers it is important to have a healing environment which is a complementary treatment, present in all five shapes. A healing environment adds a therapeutic contribution to living space for the course of care for lepers. For this study the healing environment is achieved by applying EBD of five simple strategies – sort, straightening, sunshine standardised, and sustain for the typo- morpho- analysis.


5S analysis determinants • The first determinant is the concept of rational alignment of living spaces to


Javaria Manzoor Shaikh


Javaria Manzoor Shaikh is a PhD student at Healthcare Lab, Hangyang University Korea. Previously, she completed Erasmus Mundus EMDiReB (European Masters of Building Repair and Diagnosis), from Universidad de Sevilla (Spain), Università degli Studi Mediterranea di Reggio Calabria (Italy) and Politechnika Lubelska (Poland). She gained a Master of Architecture (Low Energy House) from the University of Engineering and Technology UET, Lahore and Bachelors of Architecture (Low-rise Apartment) from Indus Valley School of Art and Architecture, Clifton Karachi. She has already published 10 books. Currently she is researching on space syntax modeling for Korean prototype for ICU (Intensive Care Unit) at Junglim.


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