Health is enshrined as a human right in the United Nations Universal Declaration of Human Rights. In concrete terms, this means that all people must have access to healthcare. For our highly developed Western industrialized societies, this is generally the norm. However, poor countries like Myanmar are often still a long way from this. With a new hospital building that transforms traditional construction methods into a contemporary design language, a+r Architekten are making a significant contribution to ensuring that the people of Magyizin, a remote village in the Bay of Bengal, have faster and better access to medical care. The project, which is currently also providing medical care to people injured in the recent political unrest, won the AIT Award 2020.
Myanmar, formerly known as Burma, is the second largest country in Southeast Asia with a population of around 53 million. After many years of military dictatorship, it remains one of the least developed countries in the world. Still in very troubled political waters and often hit by natural disasters such as cyclones, floods or earthquakes, more than a quarter of the population in Myanmar live in poverty. In addition, there is currently the Covid-19 pandemic. Medical care is not available throughout the country and standards are very low. For example, Myanmar has a very high maternal and infant mortality rate.
Architecture projects on behalf of the NGO
The non-governmental organization Projekt Burma e. V. has set itself the goal of improving the living conditions of people affected by poverty in Myanmar. “Helping people to help themselves” is the motto of the association, which Marion Mück founded in Filderstadt near Stuttgart in 2009. Together with local partners, Projekt Burma e. V. has already implemented various projects in the areas of education, health, water and hygiene as well as disaster prevention. One of these is the high school in Thazin, which opened in 2014. The school is the first building that a+r architects have designed on behalf of the NGO and were able to help realize on site.
There is a lack of access to healthcare
At the opening of the high school in Thazin, the mayor and two community members from the village of Magyizin approached the association. They had traveled six hours by fishing boat to ask for help in person. They urgently described their plight with medical care. Their existing health station was dilapidated and completely inadequately equipped. The nearest hospital was over three hours away by moped, which is unreasonable for seriously ill or heavily pregnant women. After visiting the site, the association’s board decided that hospital construction should be the next joint project.
Extensive room program
After almost five intensive years of planning, fundraising, material procurement and construction, the hospital was officially opened in February 2020. With its 20 beds, a fully equipped operating theater, a delivery room and a laboratory, it now serves as a central hospital for around 20 communities and 20,000 people. On the initiative of Projekt Burma e.V., a large part of the hospital equipment came by container from Germany and was donated by local institutions and doctors.
A hill on the side of the village facing away from the sea was chosen as the location for the new building. Thanks to its elevated position, the building also serves as a safe retreat in the event of tropical storms and tsunamis. a+r Architekten developed a single-storey atrium house for the main building. The sheltered inner courtyard is the heart of the building, serving as both a lounge and communal space. The patient rooms, treatment and staff rooms and the medication dispensary are grouped around it. The waiting area is outdoors and is designed to minimize the transmission of disease. The linear adjoining wing with its striking monopitch roof is accessible via an arcadeSkeleton constructionReinforced concreteWindowsShadeFolding shuttersVentilation louvresFirstCross-ventilation control centerCentralcontrol center: A control center is a device that acts as a control center for various alarm devices in security technology. It receives and processes signals from monitoring devices and triggers an alarm if necessary. pool in the inner courtyard. In the event of heavy downpours, the water can run off via the surface in a controlled manner. A young tree in the middle of the pool will provide additional shade in a few years’ time. As part of the construction of the new hospital, the Myanmar government also financed a house for doctors and nursing staff. The village of Magyizin is thus developing into a health center for the entire region. With the corona epidemic, the hospital is also being used as an official quarantine center. Since the outbreak of the recent political unrest in Myanmar, many people injured in the protests, mostly young people, have been treated at the Burma Hospital.
1st prize at the AIT Award
“This small hospital combines pragmatic and spatial programmatic aspects with a ‘culture of place’ in a remarkable way. Its character is characterized by a noble appropriateness and the consideration of local construction techniques. What is more remarkable here is that planners from outside the region have shown the conceptual and socio-political empathy that often degenerates into folkloristic attitudes in similar projects in Asia or Africa.” This was the verdict of the jury for the AIT Architecture Award 2020, which the trade journal AIT has been presenting to outstanding building construction and interior design projects since 2012. The Burma Hospital was awarded 1st prize in the health/care category. “We are very proud that our project convinced the jury and that our commitment and that of the Projekt Burma association has been recognized,” explains Julia Raff from a+r Architekten. “We very much hope that the hospital in Magyizin will become a successful building block for healthcare in Myanmar and that the association will be able to start many more meaningful activities on site.”
Data + facts
Project: Project Burma Hospital
Location: Magyizin, Myanmar
Planning office: a+r Architekten GmbH
Client: Project Burma e. V.
Construction supervision and project management: Project Burma e. V.
Planning and construction period: 2015-2019, opening February 2020
Construction costs: approx. 360,000 USD, financed by donations
Built-up area: 767 sqm
Usable area: 515 sqm
About a+r architects
a+r Architekten stand for solid, environmentally friendly and future-oriented architecture with convincing expertise in the field of sustainable construction – also in existing buildings. Founded in 1985 by Prof. Gerd Ackermann and Prof. Hellmut Raff, the office with offices in Stuttgart and Tübingen has around 100 employees and is now headed by Prof. Hellmut Raff, Oliver Braun, Florian Gruner, Alexander Lange and Walter Fritz. a+r Architekten primarily build for public clients, industry and commerce, for municipal housing companies and for social institutions. The office focuses on appropriate, ecological, functional and, as a result, innovative construction methods and has been awarded prestigious prizes for this: most recently with the DAM Prize 2020, Exemplary Building 2020, “best architects 2020” and 1st place in the Competitionline Ranking 2019/20 as the most successful competition office in the German-speaking world.












