In Malawi, Partners in Health (PIH) operates 14 rural clinics as Abwenzi Pa Za Umoyo. Neno is located in a rural portion of Southern Malawi that is hard to access, and a costly and time-consuming trip from the regional hospital. PIH turned to a decentralized model of care in Malawi to ensure equitable access to healthcare in rural regions of the country. Instead of one large hospital or several hospitals with specialties, all 14 of their clinics in the region provide treatment for the chronic conditions the population is facing. By bringing integrated clinics to the patients PIH is providing increased access to healthcare and also negating the stigma HIV patients face, as they no longer need to travel to a clinic dedicated to HIV care. In order to service the increasing demand on the facility, the Neno District Hospital expansion plan was developed. The IC3 was the first portion of the plan to be fully designed and built. The full plan includes a new outpatient department, integrated chronic care clinic (IC3), pharmacy, and ancillary services. The facility is designed to provide quality and dignified care. The building employs sustainable strategies to ensure human comfort by maximizing airflow and daylighting. The building systems are designed to minimize their environmental impact. The building was constructed by a local team using local materials to reduce its carbon footprint.


    Partners in Health | Abwenzi Pa Za Umoyo


    Partners in Health


    Neno, Malawi


    January 2019

  • TYPE



    Architecture, masterplanning


    Build Health International Project, Oak Consulting, HDR’s D4O

Project Success Factors

UN Sustainable Development Goals

GOAL 3: Good Health and Well-being
GOAL 10: Reduced Inequality