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LEGACY IN ARCHITECTURE: CHAPTER TWO
24 JULY 2015
The first chapter on Legacy in Architecture focused on a recently opened healthcare project in the Western Cape. This chapter now
turns to a research project focused on new ways of thinking about health care. Academia is often the testing ground for new
thinking. The Masters in Architecture (Professional) course is the fifth and final year of architectural studies at and the University of
Pretoria. It is a year of self exploration in which the students choose their own site and program but, more importantly, a focus on an
particular architectural issue. In 2014, Claire du Trevou tackled the problem of health in the informal settlement of Alaska in
Mamelodi, located to the northeast of Pretoria. She undertook research through a studentship, awarded by the Council for
Scientific and Industrial Research (CSIR) in pursuit of its human capital and young researcher development objectives1. The CSIR
is currently investigating the design of treatment facilities, and in particular the organization of space, to prevent the transfer of
airborne disease.
"A hybrid clinic" (du Trevou, 2014:53)
Health clinic design in South Africa has generally been guided by 'Western' medical models. Claire questioned whether there could
be a synergy between Western and traditional medical practices through participatory architectural processes. "Through
investigating the overlaps and areas of antagonism in scope between western and traditional medical models and engaging in a
collaborative design approach; the dissertation sets out to investigate how the architectural, spatial and detail expression of these
similarities and disparities, can result in a new healthcare facility model? One which is integrated into place, patientcentric, and
adaptable , in order to constantly foster physical, social and mental wellbeing, despite any fluctuations in the context or changes in
disease which may occur" (Du Trevou, 2014: 49).
Legacies
Although the technical focus of Claire's project dealt with airborne disease her concerns were broadly aligned with spatial,
procedural and cultural legacies of informal settlements, like Alaska.
The contextual blight of the settlement informed design of the clinic as an urban catalyst. This generated the analogous title of the
dissertation "Suture and Santé, a place making procedure". All building edges respond to issues that need to be addressed in the
existing context and are designed with specific functions in mind. The south western edge provides a market space that relates to
the existing informal taxi rank. The north western edge borders a rejuvenated wetland and is designed as the main external waiting
space facing north. The south eastern edge acts as service access and the northwestern edge houses the traditional healers close
to the community they serve.
Claire sees the procedural role of an architect as an agent of change, not working in isolation but in tandem with the very community
he or she serves. These participatory processes, very much like the work of the Cape Town based architect Carin Smuts, place the
concerns of the local and affected inhabitants at the forefront of decision making processes. Their participation imbues a sense of
responsibility and ultimately ownership of any project. This process also critiqued the poor design of waiting spaces found in many
clinics. The disorientation of patients due to illness, is exacerbated by a completely internalised condition and lack of adequate
natural light and ventilation. Here, Claire has designed a range of waiting spaces from completely external and uncovered to
internalised and protected.
Onsite mapping was undertaken to understand the culture of current healthcare practices in Alaska. This uncovered the roles that
community healthcare workers from UP and the traditional healers2 play. This understanding of existing cultural practices has been
used to diffuse hierarchical doctorpatient relationships in the new design. Claire mapped the layouts of traditional healing sites and
buildings in Alaska and adapted the threshold conditions in the design of consultation and treatment rooms. This process also
facilitated a spatial layout that limited the transfer of airborne disease.
Final construction section through the treatment room with explorative sections of air movement below. © Du Trevou 2014. Ground
floor and site plan of the clinic. © Du Trevou, 2014.
Top: Entry courtyard off road with market space to the right. Bottom: Rear view of treatment rooms with ventilation stack to deal with
airborne disease. © Du Trevou, 2014.
Intelligent legacies
To date Claire has presented her design and research to the ASFUK Change By Design Group, Gauteng of Department for
Infrastructure Development and the Western Cape Department of Public Works: Programme/Projects Infrastructure Delivery Health.
Her project has been warmly received and I am hopeful that the approaches she has developed will have a long lasting legacy with
both her and the people she comes into contact with.
As designers, we need to be cognisant of the problems of our spatial legacy but should also appreciate the value of our rich cultural
legacy. By doing this we can make a sensitive and decisive impact on our built environment.
Notes
1. Claire's project (that was awarded a distinction for design) follows on a series of 2013 MProf research projects where 5 final year
students of the Department of Architecture at the University of Pretoria undertook design work on resilient cities for the National
Research Foundation (NRF) under the guidance of Prof. Chrisna du Plessis at the Department of Construction Management. One
of the students, Heidi van Eeden, was the recipient of the 2013 National Corobrik award as well as the 3rd prize in the international
Holcim Next Generation competition in October 2014.
2. "In the South African context, traditional practitioners can be classified into 3 broad groups: traditional doctors or Inyanga,
Diviners or Sangomas, and Faith Healers or Umprofethi" (Du Trevou, 2014:68).
Sources
1. Du Trevou, C. 2014. Suture and Santé. A placemaking procedure. Unpublished MProf(Arch) dissertation. University of
Pretoria.