Location: Achham, Nepal
Client: Possible Health
30 Broad St. 9th Fl
New York, NY 10004
Contact: Jessica Kribbs

Size: 30,000 SF
Cost: $1.9 million (Estimated)

Completed: Expected 2017

Services: Programming, Schematic Design, Design Development

OSD Engineering (Structural)
eDesignDynamics (Water Management)
XS Space (Landscape Design)
Transsolar (Sustainability Engineer)
Sunfarmer (Energy Consultant)
East West / Ethicons (Record Architect)
HECAF Nepal (Waste Management)


The in- progress expansion of the Baylapata Regional Hospital in the remote Achham district of Nepal will transform an aged and overrun facility into an exemplary model for sustainable rural health care under the direction of the client Possible Health. The hospital will become Nepal’s first rural teaching hospital, capable of serving 75,000 patients per year.  Set on a hilltop surrounded by terraced slopes of the Seti River valley, the 2 hectare master plan includes 14 single family staff houses, an 8-unit dorm, new outpatient, emergency, lab, pharmacy, administration, and inpatient buildings, new water supply and storage, waste water treatment facilities and network of landscaped terraces and bio-swales designed to manage monsoon storm water erosion and treat gray water. The main source of reliable energy for the campus comes from PV panels located on all south facing roofs. To reduce energy demands, buildings rely on passive heating and cooling strategies.  The choice of rammed earth for walls served both as a great source of thermal mass and helped reduce the quantity of materials that had to be  transported from prohibitive distances to the site. With sensitivity to the scale of vernacular architecture, the large hospital building footprints  are broken down by multi-gabled roof lines and setbacks in the facades that add a dynamic form and provide covered outdoor shading in the hot and humid summer months.