Uganda Foundation for International
Medical Relief of Children Clinic

Uganda Foundation for International
Medical Relief of Children Clinic

Uganda Foundation for International
Medical Relief of Children Clinic

Uganda Foundation for International
Medical Relief of Children Clinic

Ugandan Clinic Offers Increased Capacity and a Welcoming Experience

The Foundation for International Medical Relief of Children (FIMRC) Clinic is a non-profit organization that works in developing countries around the world to improve the health of families by implementing “innovative and self-sustainable health improvement programs.” The site they sponsor in Uganda is one of the poorest in the country with the highest prevalence of HIV infection. In early 2015, FIMRC received a grant from 30/30 Project to build a new clinic that would better support the clinical activities underway at the site.

The new FIMRC clinic offers rapid testing for HIV, syphilis and pregnancy; complete maternal child health care; and HIV counseling, education, and treatment in addition to other services. We designed the new facility to be welcoming—more like a school, and less like a clinic. The entrance is double height glass and offers room for waiting. However, it can be closed off on the interior corner for security when the clinic is closed, allowing the public space to remain open.

We imagined a modular, modern interpretation of the local vernacular that uses wood trusses for the roof–typical of the area, with brick walls. Openings in the brick walls create patterns on the exterior that offer privacy to those inside while providing ventilation and views out. One point of access offers better security and allows nurses to see people before they leave and conduct exit interviews. Administrative areas and residential space on the second floor above the maternity wing have separate secure entrances so midwives can come and go. A covered pavilion space adjacent to the clinic as well as an open secure courtyard and covered areas along the perimeter opposite the clinic provide shelter for families at the discretion of clinical staff.

Since the new clinic opened in 2016, the average number of patients seen per day has doubled, helping FIRMC address the health disparities for a larger group of residents in this area through clinical care, prevention, and education.